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Observation Compliance
Observation Compliance
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Created by Qualaris Staff
Critical Access Hospital
Utilization Review
Table of Contents
Audit Form
Audit Form
Observation Compliance
Required
Observed Date
Observation Compliance Checklist
Mark all as...
Documentation compliant?
Yes
No
Order present?
Yes
No
N/A
Documentation/intervention Q 2 hrs?
Yes
No
Patient stay is shorter than 48 hours?
Pt stay 8 to 48 hours
Pt stay >48 hours
Pt stay <8 hours
Non billable hrs
Yes
No
N/A
Stay duration in hours
Do not enter protected health information (PHI)
