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Client Chart Review Active Inactive SLP AUD Date of Review: Reviewer: Client Initials: Clinical Educator: Item Reviewed Yes No Referral initiated on. Xxxxxxxxxx Evaluation completed on. Xxxxxxxxxx
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What is client chart review?
Client chart review is the process of examining and assessing the medical records and charts of a client to ensure proper documentation, accuracy, and compliance with established standards and regulations.
Who is required to file client chart review?
Healthcare providers and organizations, such as hospitals, clinics, and medical practices, are required to conduct and file client chart reviews.
How to fill out client chart review?
Filling out a client chart review involves reviewing the client's medical records, documenting any findings or discrepancies, and recording the review outcomes in the designated chart review form or system.
What is the purpose of client chart review?
The purpose of client chart review is to ensure the quality of healthcare services, promote patient safety, identify areas for improvement in documentation and care, and meet regulatory and accreditation requirements.
What information must be reported on client chart review?
A client chart review typically includes documenting critical patient information, such as medical history, diagnosis, treatment plans, medications, test results, and any important notes or observations related to the client's care.
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