Run Chart Audit for Diabetes HbA1c Poor Control Measure — Free

Audit Scope and Patient Eligibility

Patient has a documented diagnosis of diabetes during the measurement period critical (required)

Confirm the chart contains evidence of diabetes on the problem list, encounter diagnosis, medication history, or other clinical documentation relevant to the measure.

Yes No N/A

Measurement period is clearly identified and matches the audit scope critical (required)

Verify the chart review is limited to the correct reporting period and the documentation reviewed falls within that period.

Yes No N/A

Patient is included in the denominator based on age and encounter criteria critical (required)

Confirm the chart supports inclusion criteria used for the UDS diabetes measure, including applicable age and qualifying encounter requirements.

Yes No N/A

Any documented exclusions or exceptions are present and supported

Check whether the chart contains valid exclusion documentation, if applicable, and whether the rationale is clear and traceable.

Yes No N/A

Note (optional)

Source documents reviewed are listed in the audit notes

Identify which chart sources were used for abstraction, such as lab results, problem list, encounter notes, and scanned documents.

HbA1c Result Verification

Most recent HbA1c result during the measurement period is documented critical (required)

Verify the chart contains the latest HbA1c value within the measurement period, not merely a historical result.

Most recent HbA1c value is greater than 9.0% critical (required)

Record the most recent HbA1c result and confirm it meets the poor control threshold used for the measure.

HbA1c test date is documented and within the measurement period critical (required)

Confirm the lab date is present and the result was obtained during the reporting period.

HbA1c result source is traceable to a lab report or equivalent clinical record critical (required)

Verify the value can be traced to a source document such as an in-house lab result, external lab interface, or scanned report.

Yes No N/A

Result units and formatting are consistent with the source document

Confirm the recorded value uses percent (%) and matches the source lab report without transcription errors.

Yes No N/A

Note (optional)

Documentation Quality and Clinical Context

Clinical note references the elevated HbA1c result

Check whether the provider note acknowledges the poor control result and documents clinical interpretation or follow-up.

Yes No N/A

Note (optional)

Follow-up plan for diabetes management is documented

Verify there is a plan addressing diabetes control, such as medication adjustment, counseling, repeat testing, or referral.

Yes No N/A

Note (optional)

Relevant comorbidities or clinical factors affecting glycemic control are documented

Confirm the chart includes context that may explain or inform management of poor control, when applicable.

Yes No N/A

Documentation is internally consistent across notes, labs, and problem list critical (required)

Check for discrepancies between the lab result, diagnosis list, and provider documentation.

Yes No N/A

Audit Findings and Closeout

Audit outcome critical (required)

Select the overall result of the chart audit.

Note (optional)

Primary deficiency category

Select the main reason the chart did not fully support the measure, if applicable.

Note (optional)

Corrective action or abstraction note

Document any needed correction, clarification request, or abstraction note for the chart review record.

Reviewer name or identifier

Enter the auditor's name, initials, or employee identifier.

Review date

Record the date the audit was completed.

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Run: Chart Audit for Diabetes HbA1c Poor Control Measure

Audit Scope and Patient Eligibility

HbA1c Result Verification

Documentation Quality and Clinical Context

Audit Findings and Closeout

Get your results