Documentation
Chart Review
Systematic examination of a patient's medical record to evaluate clinical information, documentation.
Definition
A Chart Review is the systematic examination of a patient's medical record to evaluate clinical information, documentation, orders, assessments, and care provided.
Why it matters
Chart reviews help identify missing information, inconsistencies, risks, and opportunities for improvement.
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Listen While You Read
Conversations on documentation
Episodes from Inside Home Health that put Chart Review in operational context.
