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iRubric: Progress Note (DRAFT 2) rubric
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Progress Note (DRAFT 2)
Diagnosis Appropriate DRAFT -2-
For use in quality review of chiropractic clinical records.
Rubric Code:
T3XAAW
By
JP_NYCC
Ready to use
Public Rubric
Subject:
Medical
Type:
(Other)
Grade Levels:
Graduate
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Desktop Mode
Mobile Mode
DC File Review
Progress Note
Very poor
Red
0 pts
Unacceptable
Red
1 pts
Acceptable
Yellow
2 pts
Good
Green
3 pts
Exceptional
Blue
4 pts
1. Subjective
Very poor
Missing
Unacceptable
Recorded for all visits but incomplete. Some required elements missing or difficult to decipher.
Acceptable
All required elements recorded for all visits. Detail is adequate but minimal.
Good
Notes are thorough and well written. Easy to decipher.
Exceptional
Notes are comprehensive and exceptionally well written.
2. Objective
Very poor
Missing
Unacceptable
Recorded for all visits but incomplete. Some required elements missing or difficult to decipher.
Acceptable
All required elements recorded for all visits. Detail is adequate but minimal.
Good
Notes are thorough and well written. Easy to decipher.
Exceptional
Notes are comprehensive and exceptionally well written.
3. Assessment
Very poor
Missing
Unacceptable
Recorded for all visits but incomplete. Some required elements missing or difficult to decipher.
Acceptable
All required elements recorded for all visits. Detail is adequate but minimal.
Good
Notes are thorough and well written. Easy to decipher.
Exceptional
Notes are comprehensive and exceptionally well written.
4. Plan
Very poor
Missing
Unacceptable
Recorded for all visits but incomplete. Some required elements missing or difficult to decipher.
Acceptable
All required elements recorded for all visits. Detail is adequate but minimal.
Good
Notes are thorough and well written. Easy to decipher.
Exceptional
Notes are comprehensive and exceptionally well written.
Keywords:
file, chart, quality, review
Subjects:
Medical
Types:
(Other)
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