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iRubric: Diagnosis Appropriate DRAFT -2- rubric
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Diagnosis Appropriate DRAFT -2-
Informed Consent Compliant DRAFT -2-
For use in quality review of chiropractic clinical records.
Rubric Code:
W3XA9A
By
JP_NYCC
Ready to use
Public Rubric
Subject:
Medical
Type:
(Other)
Grade Levels:
Graduate
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Mobile Mode
DC File Review
Diagnosis Appropriate
Very poor
Red
0 pts
Unacceptable
Red
1 pts
Acceptable
Yellow
2 pts
Good
Green
3 pts
Exceptional
Blue
4 pts
1. Area(s) of Complaint
Very poor
Chief complaint(s) not addressed
Unacceptable
ROS and/or other relevant findings not addressed.
Acceptable
Good
Diagnoses address all presenting complaints and other significant findings.
Exceptional
Fully addressed.
2. Clinical Correlation
Very poor
Diagnosis inconsistent with findings.
Unacceptable
Diagnosis at low level of understanding, restatement of complaint or not incorporating relevant data.
Acceptable
Diagnosis consistent with finds and provides and adequate basis for management.
Good
Diagnosis representative of all significant findings.
Exceptional
Complex diagnosis indicating high degree of correlation and highest level of understanding, fully consistent with available data
3. Currency
Very poor
New conditions/ problems not addressed
Unacceptable
Prior problems/ diagnoses not revised/updated as appropriate based on progress or new data.
Acceptable
This rating not available for this item.
Good
Problem list is current in all respects.
Exceptional
This rating not available for this item.
Keywords:
file, chart, quality, review
Subjects:
Medical
Types:
(Other)
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