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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Jeanne E. Black, DC, MS Ed, Community Outreach Clinic, Palmer College of Chiropractic, 1000 Brady Street, Davenport, IA 52803, 563-326-1870, black_j@palmer.edu
Assessment of faculty is as important as student assessment. Multiple assessment methods provide a better understanding of the tasks encompassing a faculty clinician’s duties. A large chiropractic college consisting of multiple clinics created a system-wide file review procedure. The purpose of the file review process was tri-fold measuring: compliance issues and quality control of current files, documentation for the patient concerning patient care issues, and third-party pay issues pertaining to reimbursement from insurance companies and enhancing the professional image with outside agencies. A workgroup tasked with designing a procedural model for file review appointed four permanent members and two rotating clinicians to serve for a one-trimester period. Each member reviewed files for 1-2 clinicians selected at random. A checklist with the following headings: file organization/legibility, history review, physical/orthoneuro examination, special studies, impression/management plan, daily progress notes, overall documentation, overall impression, and recommendations was utilized to demonstrate medical necessity. A written report template mirroring the statements in the checklist was created. Each reviewer randomly selected 2-4 active patient files. Clinic compliance guidelines require that daily charges be compared with daily progress notes. A report was generated using a report template and was forwarded to the clinic director who discussed the report with the clinician. File review information was utilized as a part of the annual performance review of the clinician. Faculty being audited assess the file review process by means of a questionnaire. The process was reviewed at the one-year point.
Learning Objectives: At the completion of the session, the participant will be able to
Keywords: Chiropractic, Accountability
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Palmer College of Chiropractic Clinics
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employment