Medical records reviews

Complete and accurate patient record documentation must be created and maintained for any Kaiser Permanente member who has been assessed, treated, or both. The medical record's primary purpose is to foster quality and continuity of care. It creates a means of communication between providers and members about preventative health services, treatment, planning, and delivery of care.

We conduct on-site medical record reviews for selected providers. The review includes but is not limited to:

Specific quality initiatives

Evidence that preventive screening and services are offered in accordance with our adult and child preventive care guideline schedules

Office environment standards

General record keeping practices

We review records to determine Healthcare Effectiveness Data and Information Set (HEDIS) compliance as well as to determine opportunities for improvement.

See our primary care and mental health office environmental standards as well as our well-adult and well-child preventive care guidelines.