Annual Agency Name: Recertification County Region: MCH Nurse Consultant: Visit Date: APORS Clinical Review Tool Data Summary FY18 – # Active Charts Randomly Selected for Infant: Child: Total = review: Performance # Records % in IDHS Report Data from IDHS # Expected # Completed Standard or State APOR-HRIF Outcome Indicator Reviewed Compliance Period Reports Average AS01 AS01 AS01 Assessments: 90% (700, 701, 706, Nutrition, 708A-R) Record Record Record Individual Care Plan 90% EI Referral 100% # Indicated: # Made: Initial Face-to-Face APORS 0-12 mos With Infant within14 80% days of IDPH referral) APORS 13-24 mos Prenatal Depression APORS 0-12 mos Screening 95% As Appropriate HRIF 0-12 mos Postpartum Depression APORS 0-12 mos Screening (Guardian 95% SV01-825) HRIF 0-12 mos APORS 0-12 mos APORS 13-24 mos Primary Care Provider 95% HRIF 0-12 mos HRIF 13-24 mos
Agency Name: Annual Recertification County Region: MCH Nurse Consultant: Visit Date: APORS Clinical Review Tool – Data Summary FY18 # Active Charts Randomly Selected for review: Infant: Child: Total = APOR-HRIF Outcome Indicator # Records Reviewed # Expected # Completed % in Compliance IDHS Report Period Data from IDHS Reports Performance Standard or State Average Assessments: (700, 701, 706, Nutrition, 708A-R) AS01 AS01 AS01 90% Record Record Record Individual Care Plan 90% EI Referral # Indicated: # Made: 100% Initial Face-to-Face With Infant within14 days of IDPH referral) APORS 0-12 mos 80% APORS 13-24 mos Prenatal Depression Screening As Appropriate APORS 0-12 mos 95% HRIF 0-12 mos Postpartum Depression Screening (Guardian SV01-825) APORS 0-12 mos 95% HRIF 0-12 mos Primary Care Provider APORS 0-12 mos 95% APORS 13-24 mos HRIF 0-12 mos HRIF 13-24 mos
FY18_APOR-HRIF_Clinical_Review_Tool_Final-5-23-2017.docx