This document provides a place for recording valuable information about the UDS reporting process that will allow QI coordinators to compare "apples to apples" and run reports consistently from year-to-year.

1. © 2016 - Väth Consulting LLC
REPORT CONTINUITY DOCUMENT
Date Report Run:
Date Report Complete:
Report Time Frame: To
Person Managing Report:
People Doing Audit:
Type of Report Used:
Numerator:
Denominator:
Exclusions:
Denominator Sample Size:
Numerator Sample Size:
Universe Size:
Method of Sample Selection:
Percentage Compliant:
HEALTH CENTER GOAL:
OUTCOME LAST YR: % Type of Report:
Other Notes:
Key For Audit Checklist For Reports
Age still in inclusionary group?
Gender correct in inclusionary group?
Number approximately ballpark?
Exceptions excluded?
Visit requirements considered/met?
Deceased patients excluded?
Includes all sites?
Duplicates?
Test/sample patients removed?
QUALITY IMPROVEMENT EFFORTS
Policy
Process
Point of Care Alerts
Documentation
Retroactive Reporting
Intervention History
References