Get Ihs Diabetes Audit Form 2016 - Ihs

Filling out the IHS Diabetes Audit Form 2016 - Ihs is essential for tracking diabetes management and outcomes. This guide provides clear, step-by-step instructions to assist you in accurately completing the form online.

Follow the steps to complete the IHS Diabetes Audit Form 2016 - Ihs

1. Press the ‘Get Form’ button to acquire the form and open it for editing.
2. Begin by entering the audit period ending date. Indicate the date in the format of MM/DD/YYYY.
3. Provide your reviewer initials and state of residence in the designated fields.
4. Fill in your month and year of birth and select your sex by marking the appropriate box.
5. Input the date of diabetes diagnosis in the specified format and indicate the type of diabetes by selecting either Type 1 or Type 2.
6. Answer questions regarding tobacco use. Indicate if screened for tobacco use during the audit period and select your tobacco use status.
7. Indicate whether you received cessation counseling during the audit period.
8. Record your last height and weight measurements during the audit period.
9. Select your hypertension diagnosis status and document the last three blood pressure readings.
10. Complete the examinations section by indicating whether you received foot, eye, and dental exams during the audit period.
11. Provide information on any nutrition or physical activity instructions received, and indicate if you participated in diabetes education.
12. Fill in the mental health section by noting if depression was an active problem and whether you were screened for it.
13. Select the diabetes medication prescribed at the end of the audit period by checking all applicable options.
14. Indicate your cardiovascular disease status and provide information about immunizations received during the audit period.
15. Document laboratory data, including recent A1C, serum creatinine, eGFR, and cholesterol levels.
16. Indicate whether aspirin or other antiplatelet therapy and statin therapy were prescribed.
17. Fill out the TB testing section, including test type and results, if applicable.
18. Complete the urine protein testing section with the UACR result if performed.
19. Address any optional local option questions that may be included.
20. After completing all sections, review your entries for accuracy. You can then save your changes, download a copy, print the form, or share it as needed.

Complete your IHS Diabetes Audit Form 2016 - Ihs online today for better diabetes management.