Run UDS Table 6B Pre-Submission Data Validation Checklist — Free

Inspection Details

Reporting year and measurement period confirmed

Enter the UDS reporting year and the exact measurement period being validated.

Reviewer identified and authorized critical (required)

Enter the name and role of the reviewer performing the validation.

Source records included in review are documented

Select all source record types used to validate the measures.

Note (optional)

Validation method documented critical (required)

Select the method used to validate numerator and denominator counts.

Note (optional)

Measure Population and Denominator Validation

Age and eligibility criteria match UDS Table 6B specifications critical (required)

Verify that age, visit, and enrollment criteria align with the measure definition.

Yes No N/A

Denominator count reconciles to source population critical (required)

Enter the validated denominator count and compare it to the reported value.

Note (optional)

Exclusions and exclusions rationale documented critical (required)

Confirm that exclusions were applied consistently and supported by documentation.

Yes No N/A

Duplicate patients removed appropriately critical (required)

Verify that patients were counted once per measure according to reporting rules.

Yes No N/A

Denominator logic matches report query or extraction critical (required)

Confirm that the denominator logic used in the report matches the validated query logic or extraction criteria.

Yes No N/A

Population stratification documented where applicable

Confirm that any required stratification or subgroup logic is documented and traceable.

Yes No N/A

Numerator Validation

Numerator count reconciles to source records critical (required)

Enter the validated numerator count and compare it to the reported value.

Note (optional)

Clinical evidence supports numerator inclusion critical (required)

Verify that source documentation supports each patient included in the numerator.

Yes No N/A

Measure-specific timing requirements met critical (required)

Confirm that the clinical event, test, or intervention occurred within the required time window.

Yes No N/A

Result values or clinical thresholds verified critical (required)

Confirm that the documented result meets the measure threshold, if applicable.

Yes No N/A

Missing or ambiguous documentation resolved

Verify that any unclear documentation was resolved using approved source records or follow-up review.

Yes No N/A

Outliers and exceptions reviewed

Confirm that unusual cases, overrides, and exceptions were reviewed and documented.

Yes No N/A

Data Integrity and Reconciliation

Reported counts match validated counts critical (required)

Confirm that the final report values match the validated numerator and denominator counts.

Yes No N/A

Data extraction logic reviewed and approved critical (required)

Verify that the extraction logic, filters, and code sets were reviewed before submission.

Yes No N/A

Missing data rate assessed

Enter the estimated missing data rate for the validated measures.

Note (optional)

Data anomalies documented and investigated

Confirm that discrepancies, outliers, and unexpected trends were investigated and documented.

Yes No N/A

Version control or final file name recorded

Record the final validated file name, report version, or submission package identifier.

Independent reconciliation completed

Confirm that a second reviewer or independent reconciliation was completed where required by internal policy.

Yes No N/A

Submission Readiness and Sign-Off

All critical deficiencies resolved critical (required)

Confirm that no unresolved critical items remain before submission.

Yes No N/A

Corrective actions assigned for open non-conformances critical (required)

Verify that each open issue has an owner, due date, and documented corrective action.

Yes No N/A

Submission approved for UDS filing critical (required)

Indicate whether the validated Table 6B data is approved for submission.

Yes No N/A

Inspector signature critical (required)

Signature of the reviewer completing the validation.

Approval date and time critical (required)

Record the date and time the validation was completed and approved.

Final comments

Summarize any remaining issues, assumptions, or follow-up items.

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Run: UDS Table 6B Pre-Submission Data Validation Checklist

Inspection Details

Measure Population and Denominator Validation

Numerator Validation

Data Integrity and Reconciliation

Submission Readiness and Sign-Off

Get your results