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Run: Chart Audit for Statin Therapy for Cardiovascular Disease Measure

Chart audit template for confirming whether high-risk cardiovascular patients were prescribed or remained on statin therapy during the measurement period. Us...

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Audit Details and Measurement Period

Patient chart and measurement period are identified

Record the patient identifier, audit date, and measurement period being reviewed.

Patient falls within the measure age range critical (required)

Verify the patient is within the applicable age range for the statin measure during the measurement period.

Yes No N/A

Measurement period is clearly documented

Confirm the chart review uses the correct measurement period dates and encounter window.

Yes No N/A

Audit source records reviewed

Select the chart sources reviewed for evidence.

Clinical Eligibility and Risk Identification

ASCVD diagnosis or qualifying cardiovascular risk is documented critical (required)

Confirm chart evidence of ASCVD, high LDL-C, or other qualifying cardiovascular risk criteria used by the measure.

Yes No N/A

Relevant diagnosis or risk factor is present in the problem list or assessment

Verify the qualifying condition is documented in the problem list, assessment, or active diagnosis history.

Yes No N/A

Most recent lipid data reviewed

Confirm the chart contains recent lipid results or documented rationale if labs were not available.

Yes No N/A

LDL-C value, if applicable

Enter the most recent LDL-C value used for the audit, if available.

ASCVD risk score, if documented

Enter the documented ASCVD risk score if the chart uses risk-based eligibility.

Statin Therapy Evidence

Statin therapy is documented during the measurement period critical (required)

Verify the chart shows a statin prescription, active medication, or documented use during the measurement period.

Yes No N/A

Statin medication name and dose are documented

Enter the statin name and dose as documented in the chart.

Therapy is active or renewed during the measurement period

Confirm the medication was active, renewed, or otherwise current during the measurement period.

Yes No N/A

Evidence source for statin therapy

Select the strongest source of evidence supporting statin therapy.

Adherence or tolerance concerns documented

Verify whether the chart documents adherence barriers, side effects, or tolerance concerns that may affect therapy continuity.

Yes No N/A

Contraindications, Exclusions, and Exceptions

Statin contraindication or intolerance is documented critical (required)

Confirm whether the chart documents a contraindication, intolerance, or other valid exception.

Yes No N/A

Specific exception reason is documented

Select the documented reason for non-use or exclusion, if applicable.

Exception is supported by chart evidence

Verify the reason is supported by clinician documentation, labs, allergy list, or external records.

Yes No N/A

Shared decision-making or counseling documented

Confirm counseling, risk/benefit discussion, or patient refusal documentation is present when therapy is not used.

Yes No N/A

Close-Out and Corrective Actions

Audit outcome recorded

Select the final audit outcome.

Deficiency or gap summary

Summarize any missing evidence, documentation gaps, or measure failures.

Corrective action required

Indicate whether follow-up is needed to address documentation or care gaps.

Yes No N/A

Follow-up owner and due date

Enter the person or team responsible and the expected completion date for follow-up.

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