Clinical Record Review Minutes

Emergency Plan

Same month every year (annually)

Complete the Data Sheet.

Complete the Agreement with another Agency. (Fax to us the information to complete/submit the Plan)

Your License must be renewed every 2 years

Renew License Form: 60 days before to expiration date.    CLIA application form

Clinical Record Review (QAPI program)

Due on 1 to 7 of the following months: April, July, October, January of each year.

The following templates, must be used as Agenda for your meeting, the DON must assure that the meeting was done with acceptable quorum, and active participation of each member of the committee.

Members: DON plus 1 member of each discipline (including therapists) that the Agency provided services in the quarter. Must be revised at least the 10% of the total patients in the quarter, including active and discharge records.

                           Clinical Record Review Meeting                       

Supported Documents, that must be attached to each meeting.

CR Review Finding/Solutions     CR Review Results/Trends

CR Review Report to BD     Clinical Record Utilization Review    

Clinical Record Review LOG     CR Review Definciency Report

                                      CR Review Re-Admission Focus

Clinical Record Review member Orientation:

CR Review Members Orientation

Disclaimer: Every template is only your guide/AGENDA to type the Minutes of your meeting, your Agency Officials must assure that the meeting occur, the quorum is acceptable, and every member had active participation in the discussion.