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Clinical Measures Chart Review Process
17

Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

Aug 28, 2018

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Page 1: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

Clinical Measures

Chart Review Process

Page 2: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

Clinical Measures

• Chart Review

• Data Collection

• Report on performance• vs peers

• Program as a whole

• Advisors- feedback

• PD, semiannual evals

• CCC

Page 3: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

Chart Review Tool

Page 4: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory
Page 5: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

• Reviewed: Resident who signed H&P document

Page 6: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

• Exclude H&P notes from Attendings or ARNPs only!

Page 7: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

• GBS problem (pos or unknown) addressed in Problem List/Plan

Page 8: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

• The metrics:

Weight Length and HC

Page 9: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

• Hypoglycemia protocol addressed in Problem List

Page 10: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

NICU charts

Page 11: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

CERNER

• Hosp Discharges

• Asthma Powerplan

Page 12: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

LIST of D/C is made available to reviewer

Page 13: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

Proxy access to the list is granted…

Page 14: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

Proxy process

Page 15: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory
Page 16: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

Asthma Powerplan

• List of charts will be provided

Page 17: Clinical Measures PPT - pedsjax.files.wordpress.com · Test of cure is pending. Mom will be given anticipatory guidance regarding chlamydia infection in neonates. Will provide anticipatory

Correct/Wrong Albuterol MDI dose ordered?

• An example of incorrect dose ordered for patient…