Loading...

Run: Chart Audit for HIV Screening Measure (Ages 15–65)

Audit patient charts for HIV screening ages 15–65 and verify the UDS measure with clear documentation, valid dates, and defensible exceptions. Use it to catc...

Fill this out, get a PDF emailed to you. No account required. Want to run it with your team and track results? Sign up free →

Audit Setup and Patient Eligibility

Verify the patient meets the age criteria for the HIV screening measure.
Confirm the chart review identifies the relevant measurement period and encounter being audited.
Verify the patient is eligible for review under the measure and not excluded by documented criteria.
Select all sources used to verify HIV screening status.

HIV Screening Documentation

Confirm a completed HIV screening test result is present in the record.
Verify the date of the HIV screening test is recorded.
Confirm the test occurred within the reporting window for the measure.
Identify how the HIV screening result was documented.
Record the documented HIV screening result status.

Exceptions, Refusals, and Exclusions

Verify refusal is clearly documented if the patient declined HIV screening.
Confirm any valid exclusion or contraindication is supported by chart documentation.
If the chart lacks a completed HIV test, document the reason or gap.
Verify a plan exists to complete screening when appropriate.

Quality and Reporting Readiness

Confirm the record contains enough evidence to support measure submission or audit review.
Verify there are no conflicting entries regarding HIV screening status or date.
Document whether chart inconsistencies were routed for follow-up.
Overall audit determination for this chart.

Corrective Actions and Sign-Off

Describe any remediation needed, such as outreach, chart correction, or provider notification.
Enter the name or identifier of the auditor.
Record the date and time the audit was completed.
Optional sign-off for audit completion.

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Generated with MangoApps Templates — browse 250+ free
Ask AI Product Advisor

Hi! I'm the MangoApps Product Advisor. I can help you with:

  • Understanding our 40+ workplace apps
  • Finding the right solution for your needs
  • Answering questions about pricing and features
  • Pointing you to free tools you can try right now

What would you like to know?