Run Chart Audit for Cervical Cancer Screening Measure — Free

Audit Setup and Patient Eligibility

Patient is within the eligible age range for the measure critical (required)

Verify the patient is a woman age 21 through 64 on the measurement date.

Yes No N/A

Measurement period and chart reviewed are documented

Confirm the audit includes the correct measurement period and the chart review date or encounter date used for the determination.

Eligible screening denominator status confirmed

Confirm the chart supports inclusion in the screening denominator, including active patient status or qualifying encounter per local measure rules.

Yes No N/A

Relevant exclusions or exclusions screening completed critical (required)

Check for documented exclusions such as total hysterectomy with no cervix, cervical cancer history, or other measure-specific exclusions.

Yes No N/A

Source documents available in chart

Confirm the chart contains source documentation such as lab results, pathology reports, outside records, or scanned reports supporting the screening status.

Yes No N/A

Cervical Cytology (Pap Test) Review

Most recent cervical cytology date identified

Record the date of the most recent Pap test or cervical cytology result found in the chart.

Note (optional)

Cervical cytology performed within the last 3 years critical (required)

Verify cervical cytology was completed within 3 years of the measurement date, if this is the qualifying screening method.

Yes No N/A

Cytology result is documented and interpretable

Confirm the result is present in the chart and can be interpreted as a completed screening test, not merely an order or referral.

Yes No N/A

Pap test source is from a valid clinical record

Confirm the result came from a lab report, pathology report, or other acceptable clinical documentation rather than patient recall alone.

Yes No N/A

Cytology interval exception documented when not current

If the Pap test is outside the 3-year interval, document whether a valid exception or alternate qualifying screening method applies.

HPV Testing and Co-Testing Review

Patient age supports HPV-based screening pathway critical (required)

Verify the patient is age 30 through 64 if HPV testing or co-testing is being used to satisfy the measure.

Yes No N/A

Most recent HPV test date identified

Record the date of the most recent HPV test or co-test result found in the chart.

Note (optional)

HPV testing performed within the last 5 years critical (required)

Verify HPV testing was completed within 5 years of the measurement date for patients age 30 through 64.

Yes No N/A

Co-testing result documented when applicable

If co-testing was performed, confirm both cervical cytology and HPV results are documented in the chart.

Yes No N/A

HPV result is from an acceptable clinical source

Confirm the HPV result is supported by a lab report, pathology report, or other acceptable clinical documentation.

Yes No N/A

Measure Determination and Documentation Quality

Measure is met based on reviewed evidence critical (required)

Determine whether the chart supports compliance through cervical cytology within 3 years or HPV testing within 5 years for eligible patients.

Yes No N/A

Documentation clearly supports the final audit conclusion

Confirm the chart contains enough detail to support the pass/fail decision without relying on assumptions.

Yes No N/A

Deficiency or non-conformance noted when applicable

If the measure is not met, document the specific deficiency, such as missing date, outdated screening, absent result, or unsupported exclusion.

Audit Summary and Sign-Off

Final audit outcome recorded

Record whether the chart passes, fails, or requires follow-up based on the evidence reviewed.

Note (optional)

Corrective action or follow-up plan documented

If deficiencies were found, document the follow-up action, responsible owner, and target completion date.

Inspector notes and sign-off completed

Enter any final notes and the reviewer name or electronic sign-off if required by local workflow.

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Run: Chart Audit for Cervical Cancer Screening Measure

Audit Setup and Patient Eligibility

Cervical Cytology (Pap Test) Review

HPV Testing and Co-Testing Review

Measure Determination and Documentation Quality

Audit Summary and Sign-Off

Get your results