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Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Management Sciences and Quantitative Methods

Walden University

Walden Dissertations and Doctoral Studies

2015

Compliance

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Nursing Staff Participation In Chart Audits Increases Documentation Compliance, Susan Elaine Nelson Jan 2015

Nursing Staff Participation In Chart Audits Increases Documentation Compliance, Susan Elaine Nelson

Walden Dissertations and Doctoral Studies

Clinical documentation is an essential quality element that is often not adequately completed. Current data demonstrate that 32% of home health claims do not meet the requirements for federal reimbursement. Rogers's diffusion of innovation was used as a conceptual framework to guide this quality improvement project which determined whether home health nurses with education and chart audit experience demonstrate increased documentation compliance relative to nurses with education only. After completing a 1-hour education program on documentation, a convenience sample of home health nurses (n = 8) was divided between a chart-audit group (n = 4) and a no-chart-audit group (n …