Record Review

Clinical care is measured by review of medical records to compare documentation of care to measurable criteria. Service quality is measured by reviewing each clinic’s process for assuring the timeliness and safety of appropriate patient care.

The Clinical Quality Review program is a continuous quality improvement program that measures and evaluates medical record documentation of care as well as timeliness and quality of service.

The Clinical Quality Review program is designed to assess the level of quality related to focused components of clinical care and services currently provided by primary care practitioners. Clinical care is measured by review of medical records to compare documentation of care to measurable criteria. Service quality is measured by reviewing each clinic’s process for assuring the timeliness and safety of appropriate patient care.

This includes emergency, urgent and non-urgent care. Measurement criteria for the Clinical Data Review program are based on clinical and service quality priorities, Institute for Clinical Systems Improvement (ICSI) clinical practice guidelines, community standards of care, regulatory compliance and National Committee for Quality Assurance (NCQA®) accreditation requirements.

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