Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit...
Transcript of Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit...
![Page 1: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/1.jpg)
Patient Case Records Review
Debra Herzan, RN, BSN, OCN, CCRPAlliance for Clinical Trials in Oncology
Audit Workshop - Alliance Group Meeting – November 3, 2016
![Page 2: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/2.jpg)
6 Categoriesl Informed Consentl Eligibilityl Treatmentl Disease Outcome/Responsel Adverse Events/Study Parametersl General Data Quality
![Page 3: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/3.jpg)
Informed Consent
![Page 4: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/4.jpg)
Informed Consentl Participant signed, dated prior to undergoing
any study related proceduresl All required signatures are presentl Current, IRB-approved CF was usedl Documentation of the informed consent
process existsl Any required re-consentsl Non English speaking subjects
![Page 5: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/5.jpg)
Eligibility
![Page 6: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/6.jpg)
Eligibilityl Documentation that all eligibility criteria have
been met as specified by the protocoll All required tests to confirm eligibility were
performed prior to randomizationl Tests done within protocol time limits
![Page 7: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/7.jpg)
Treatment
![Page 8: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/8.jpg)
Treatmentl Specific protocol treatment was givenl Treatment not given until after registration
unless specifically allowed in the protocoll Treatment given per protocol timeframel Dose Deviations/Modificationsl Additional agent/treatment given?
![Page 9: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/9.jpg)
Disease Outcome/Response
![Page 10: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/10.jpg)
Disease Outcome/Responsel Accurate documentation of initial sites of
involvementl Re-evaluation of status performed according to
protocoll Protocol-directed response criteria followedl Verify claimed response (PR, CR)
![Page 11: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/11.jpg)
Adverse Events
![Page 12: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/12.jpg)
Adverse Events/Study Parameters
l Follow-up studies necessary to assess adverse events (AEs) were performed (study calendar)
l Grades, types, and attribution of AEs are documented in source and are accurately recorded in CRFs
l Adverse Event Expedited Reporting filed for required toxicity (CTEP-AERs)
![Page 13: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/13.jpg)
General Data Quality
![Page 14: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/14.jpg)
General Data Qualityl Data accurately reported on CRFsl Forms completel Data submitted in a timely mannerl Concordance with source documentationl Supplemental reportsl Specimens submitted
![Page 15: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/15.jpg)
Source DocumentsEMR: must have a local staff person as the “driver”;
official back-up for research folders
Paper records, Research folders:Attributable: is it obvious who wrote it? Legible: can it be read?Original: is it a copy; has it been altered?
Imaging: have access to images available
![Page 16: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/16.jpg)
Audit Preparation
![Page 17: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/17.jpg)
Preparing for an Auditl Attend the Audit Workshop!l Review Alliance Audit Policies and Procedures
l Institutional audits: Policy number 2.8l Alliance auditors will not complete site-
specific training: 2.8.5.5§ Auditors are current with Human Subjects training
l Audit preparation by the institution: 2.8.6l Conduct of an Alliance audit: 2.8.7l Review of patient case records: 2.8.7.4
![Page 18: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/18.jpg)
Preparing for an Auditl Ensure that arrangements have been made:
l Reserve conference rooml Notify appropriate personnell Request all required materials including a
paper copy of all protocolsl Ensure Principal Investigator available for
the Exit Interviewl Review your records!
![Page 19: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/19.jpg)
Pt. ID
![Page 20: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/20.jpg)
![Page 21: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/21.jpg)
![Page 22: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/22.jpg)
![Page 23: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/23.jpg)
![Page 24: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/24.jpg)
24
![Page 25: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/25.jpg)
Sometimes we call in expert assistants!
![Page 26: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/26.jpg)
Deficiencies
![Page 27: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/27.jpg)
What is a Major DeficiencyCTMB Guidelines Section 5.4.1
l A variance from protocol-specific procedures that makes the resulting data questionable.
l Anything that could affect patient safety.l An unacceptable frequency of lesser
deficiencies may be treated as a major deficiency.
![Page 28: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/28.jpg)
What is a Lesser DeficiencyCTMB Guidelines Section 5.4.2
l A deficiency that is judged not to have a significant impact on the outcome or interpretation of the study and is not described as a major deficiency.
![Page 29: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/29.jpg)
OK, Lesser or Major?l Patient Case Review –
Informed ConsentConsent form used was not the current IRB-approved version at the time of patient registration; the correct version was signed 1 week after registration.
![Page 30: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/30.jpg)
Ok, Lesser or Major?l Patient Case Review – Eligibility
A pregnancy test was not done pre-randomization in this documented pre-menopausal patient. There was no documentation regarding sexual activity and/or use of contraceptives. Of note, a pregnancy test done after randomization but before treatment was negative.
![Page 31: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/31.jpg)
Ok, Lesser or Major?
l Patient Case Review – EligibilityThe physician signed and dated an eligibility checklist indicating that all eligibility criteria are met. The required hemoglobin is >9.0 gm/dL, but the lab result printout indicates the hemoglobin is 8.9 gm/dL.
![Page 32: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/32.jpg)
Ok, Lesser or Major?
l Patient Case Review – Treatment
Carboplatin dose given was 760 mg, but calculated dose was 693 mg.
![Page 33: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/33.jpg)
Ok, Lesser or Major?
l Patient Case Review – Treatment
Documentation of patient counseling for lenalidomide was done at baseline, but not at the monthly dispensing of agent as required per protocol.
![Page 34: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/34.jpg)
Ok, Lesser or Major?l Patient Case Review –
Adverse Event/Study Parameters
TSH/T4 levels were not checked at the required timepoints of 6 months and 12 months on treatment and during follow-up.
![Page 35: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/35.jpg)
Ok, Lesser or Major?l Patient Case Review –
Adverse Event/Study Parameters
A CTEP-AERs report (expedited adverse event reporting) was not submitted for cycle 1 hospitalization due to neutropenia.
![Page 36: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/36.jpg)
![Page 37: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/37.jpg)
Ok, Lesser or Major?l Patient Case Review –
Adverse Event/Study Parameters
Imaging reports were not available for auditors to review. Unable to confirm reported date of progression.
![Page 38: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/38.jpg)
Ok, Lesser or Major?l Patient Case Review –
Adverse Event/Study Parameters
The subject has been non-compliant with follow-up visits. There is good documentation of clinic scheduling and attempts to contact the subject.
![Page 39: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/39.jpg)
Ok, Lesser or Major?l Patient Case Review –
General Data Quality
The eligibility form due at baseline (10/19/13) was submitted 3/12/14 (3-6 months late).
![Page 40: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/40.jpg)
Ok, Lesser or Major?
l Patient Case Review –General Data Quality
The reported baseline value of AST is 43, but source documentation indicates value should be 53.
![Page 41: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/41.jpg)
Ok, Lesser or Major?
l Patient Case Review –General Data Quality
The frozen specimens due at baseline were not submitted to the Pathology Coordinating Office by the time of the audit, 2 years later.
![Page 42: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/42.jpg)
Common Findings
![Page 43: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/43.jpg)
Common Findingsl Informed Consent
l Re-consenting not done l Blanks remain blank
l Eligibility l Performance status not documentedl Tests done out of window
l Treatment: l Oral compliance not documentedl Dose modifications not done or not within
requirements of the protocol
![Page 44: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/44.jpg)
Common Findingsl Disease Outcome/Response
l All initial sites of disease not reported at baselinel Imaging, physical exams etc not done per schedule
l General Data Qualityl Corrections not done correctlyl Delinquent data
l Adverse Events/Study Parametersl Toxicity assessments not performed or inconsistentl Unnecessary reporting of AEs < grade 3
![Page 45: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/45.jpg)
ALLIANCEFORCLINICALTRIALSINONCOLOGYProtocolNumber:A031102
PatientID_____________Institution(Inst.Number):
AdverseEvents:Solicited
Adverseeventterm(v4.0)
MedDRAAEcode(CTCAEv4.0)
Adverseeventnotevaluated
Adverseeventgrade(highestgradethisreportingperiod)
INCLUDEGRADE0’s
AEattribution(ifgrade>0)
Hasanadverseeventexpeditedreportbeensubmitted?
Tinnitus 10043882 □ □Unrelated□Unlikely□Possible□Probable□Definite
□Yes□No
~ ~ ~ ~ ~ ~
0 1 2 3
Were (other)adverseeventsassessedduringthisreportingperiod?(checkone)□Yes,andreportableadverseeventsoccurred (gotoAdverseEvents:OtherCRF)□Yes,butnoreportableadverseeventsoccurred□No
![Page 46: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/46.jpg)
ALLIANCEFORCLINICALTRIALSINONCOLOGYProtocolNumber:A031102
PatientID_____________Institution(Inst.Number):
AdverseEvents:Other
Adverseeventterm(v4.0)
MedDRAAEcode(CTCAEv4.0)
Adverseeventgrade(highestgradethisreportingperiod)
INCLUDEGRADE0’s
AEattribution(ifgrade>0)
Hasanadverseeventexpeditedreportbeensubmitted?
□Unrelated□Unlikely□Possible□Probable□Definite
□Yes□No
~ ~ ~ ~ ~
0 1 2 3 4 5(death)
INSTRUCTIONS:Recordalladverseeventsbeyondthosesolicited;recordanyadverseeventthatleadstotreatmentdiscontinuationandallgrade3,4and5regardlessofattribution.(Bothhematologic andnon-hematologic adverseeventsmustbegradedonthis formasapplicable.)
![Page 47: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/47.jpg)
Component EvaluationCTMB Guidelines Section 5.4.3
l Acceptablel No Major deficiencies found during the audit
l Acceptable needs follow-upl One or more major deficiencies found
l Unacceptablel Multiple Major deficiencies or flagrant
deficiencies found (re-audit required)
![Page 48: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/48.jpg)
Want an easier audit day?l Document!
l If it is not documented, it did not happenl Communicate!
l Don’t be afraid to ask questionsl Keep records audit ready
l Tag paper charts or keep summary sheet for electronic records as you go along
![Page 49: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/49.jpg)
![Page 50: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/50.jpg)
Questions?
![Page 51: Patient Case Records Review - Alliance - Home · Preparing for an Audit l Attend the Audit Workshop! l Review Alliance Audit Policies and Procedures l Institutional audits: Policy](https://reader034.fdocuments.net/reader034/viewer/2022042411/5f29bb81f0ffde47a07bd4e8/html5/thumbnails/51.jpg)
2016 Fall Group Meeting
November 3 – 5 / Chicago, IL