The IHS Diabetes Care and Outcomes Audit (“Audit”) is a process for assessing diabetes care and health outcomes for American Indians and Alaska Natives with diagnosed diabetes. Assessing the care and health of patients with diabetes on a regular basis allows health care facilities to see the strengths and weaknesses of the diabetes care they are providing. By carefully reviewing the results of their Audits, facilities can identify areas for improvement and implement strategies to work towards the goal of providing all diabetes patients with the highest quality of care, as outlined in the Standards of Care and Clinical Practice Recommendations: Type 2 Diabetes.
To perform an Audit, data for patients with diabetes are collected at the local clinic or hospital by one of two methods:
- Manual audit – Manual chart review, where one physically examines the medical record and uses its information to complete an audit form [PDF - 78KB], using the detailed instructions [PDF - 248KB] as a guide. For the annual Audit, data from the audit forms are then entered into a central database via the WebAudit Data Entry tool.
- Electronic audit – Extraction of data from an electronic health record system directly into a data file, usually via the IHS Resource Patient Management System (RPMS). For the annual Audit, the electronic data file is then uploaded into a central database via the WebAudit’s upload tool. For more information about RPMS electronic Audits, click here.
There are pros and cons to both manual and electronic audit methods. Learn more about them in the Audit instructions. [PDF - 248KB]
Once a year, IHS, Tribal, and Urban Indian health care facilities nationwide voluntarily perform a self-audit of medical records for their patients with diabetes. Participating facilities send their data to the IHS Division of Diabetes for centralized processing and analysis. The data are aggregated and used to generate reports to contribute to the need for nationwide information for GPRA or Government Performance and Results Act, Congress, and other IHS and Federal agencies.
Each year the data elements in the Audit are reviewed and changed as necessary to reflect current standards of diabetes care.
For detailed instructions and forms for the current Audit year, visit the Audit Resources page.