|Home||FAQs||Support||WebAudit||Audit Codes||Download Files||View Instructions||Standards of Care||Past Results||Get Epi Info|
IHS Diabetes Care & Outcomes Audit
Hosted by Ray Shields, MD
|Should my facility's diabetes audit be done via RPMS or by manual chart review?|
|The short answer is: whichever
works best for your site's particular circumstances. Clearly, if you do not have RPMS or other
electronic health records system running at your site, you
will need to do manual chart reviews. Similarly, if your facility has
significant difficulties with provider documentation in RPMS, or data
entry is hopelessly behind, you may want to go with the manual review
process, at least for the time being until the situation improves. In general, however,
we encourage you to consider a transition to electronic audits, if you have
not already done so. More than half of all sites participating in
the diabetes audit now perform their audits electronically via the DMS
module in RPMS.
When done properly, diabetes audits via RPMS (often referred to as electronic audits, or "e-audits") can be accurate and time saving. Once the set up process is complete, it is much easier to perform reviews and they can be done more frequently and on a larger number of patient records than with a manual audit. The accuracy of the results depends largely on how carefully the set up is done (i.e., taxonomy development), how accurately and consistently the providers at your site document in RPMS, and how conscientious and timely the data entry staff are about correctly coding and entering the data.
Can you perform both a manual and an electronic audit on the same sample? Yes. This can be extremely helpful in determining whether the results from the RPMS audit are comparable to those from a manual chart audit. If there are big differences, you will need to play Sherlock Holmes and determine why. You will find that most of the differences are correctable, once they are identified. We strongly recommend simultaneous audits when getting started with e-auditing.