Audit Form Revision Page 3
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44. Quality Measures Reviewed (minimum of 4) Use additional paper if necessary:
1.
5.
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6.
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8.
Step B- Plan and Implementation of Improvement- Describe your plan for focused improvement (use
additional paper if necessary):
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Step C- Re-Measurement
1.
List date(s) of follow-up review of 5 patient charts:
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