Audit and feedback intervention: An examination of differences in chiropractic record-keeping compliance.
Objective: The objective of this study was to investigate the association of a clinical documentation quality improvement program using audit-feedback with clinical compliance to indicators of quality chart documentation. Methods: This was an analysis of differences between adherence to quality indi...
| Published in: | Journal of Chiropractic Education (Allen Press Publishing Services Inc.) Vol. 28; no. 2; pp. 123 - 130 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
KnowledgeWorks Global, Ltd
Oct2014
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107836877&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107836877 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10425055 HCUD jtl: Journal of Chiropractic Education (Allen Press Publishing Services Inc.) issn: 10425055 maglogo: N pubinfo: dt: Oct2014 vid: 28 iid: 2 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 107836877 99171988 10.7899/JCE-13-29 NLM24804561 107836877 ppf: 123 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Audit and feedback intervention: An examination of differences in chiropractic record-keeping compliance. aug: au: Homb, Nicole M. Sheybani, Shayan Derby, Dustin Wood, Kurt affil: Clinical research fellow, Palmer College of Chiropractic sug: subj: Chiropractic Practice Medical Records Professional Compliance Human Feedback Audit Post Hoc Analysis Analysis of Variance Effect Size Data Analysis Software Descriptive Statistics ab: Objective: The objective of this study was to investigate the association of a clinical documentation quality improvement program using audit-feedback with clinical compliance to indicators of quality chart documentation. Methods: This was an analysis of differences between adherence to quality indicators of chiropractic record documentation and audit-feedback intervention (feedback report only vs. feedback report with one-on-one educational consultation) at different campuses. Comparisons among groups were analyzed using analysis of variance (ANOVA), Tukey or Dunnett post hoc tests, and Cohen's d effect size estimates. Results: There was a significant increase in the mean percentile compliance in 2 of 5 compliance areas and 1 of 11 compliance objectives. Campus B demonstrated significantly higher levels of compliance relative to campus A and/or campus C in 5 of 5 compliance areas and 7 of 11 compliance objectives. Across-campus comparisons indicated that the compliance area Review (Non-Medicare) Treatment Plan [F(2,18) = 17.537, p < .001] and compliance objective Treatment Plan Goals [F(2,26) = 5.653, p < .001] exhibited the highest practical importance for clinical compliance practice. Conclusions: Feedback of performance improved compliance to indicators of quality health record documentation, especially when baseline adherence is relatively low. Required educational consultations with clinicians combined with audit-feedback were no more effective at increasing compliance to indicators of quality health record documentation than audit-feedback alone. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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