Education Services

Helping Hands-On Health Care Professionals
Achieve Excellence

Auditing Services

Are your clinical records as good as they should be?
Or as good as they could be?

Around the world, healthcare practitioners of all persuasions – and their regulatory bodies – struggle to find the right tools and sufficient motivation to keep better clinical records. Everyone agrees that adequate documentation is essential for continuity of patient care.

Good record keeping is foundational to the principle of ensuring safety for all – but did you know that good records are the best tool we have for building a practice and keeping it running smoothly?

Who am I?

I have practiced Chiropractic for nearly 30 years and as a 'survivor' of a college audit I have made it my mission to promote competency in clinical record keeping.

I am an objective third–party with a critical eye, a penchant for analysis and decades of experience in providing patient–centred health care.

In the pursuit of lifelong learning I have spent nearly two years developing a 6 hour course entitled 'Clinical Record Keeping: A Hands–On Approach' which has been well–received.

I have come to appreciate that the status of individual practitioners and entire professions hinges on the ability to provide objective evidence of effectiveness and safety. I believe it is good record keeping that will establish the reputation and credibility of hands–on healthcare in our communities.

What I can do for you

Whether you are new to practice or a seasoned pro, your clinical record keeping is a work in progress — I can help you do it better. We all have room to be more consistent with issues of patient safety and more efficient with our time.

I can review your notes and give you answers to the questions:
    •   Do your files include all the necessary administrative details?
    •   Is the patient's health history 'comprehensive'?
    •   Is there a treatment plan which is supported by the physical findings and clinical impression?
    •   Do your ongoing treatment records include enough of the right kind of information?
    •   Are you using the right forms?

How Does It Work?

You send me copies of two patient files.
I thoroughly review the files and provide you with my findings regarding:
    •   Competencies
    •   Deficiencies
    •   Recommendations for improvement

I will return the files (with comments) and give you a written summary of my opinion on where you are at and specific steps you can take to make your record keeping better.


    1.   Choose two patient files — New Patients from the past three months
    2.   Photocopy (or print out electronic record) entire contents of each file and use
          clips or staples to keep the two files separate
    3.   Use a black felt pen to redact the patient's name, health card number &
    4.   Along with the two patient files provide an attachment which provides the
          following information:
          •   Your name and mailing address and email address
          •   A brief description of the physical file storage circumstances or the
               electronic security measures which are protecting your patient's information
          •   Payment information : cheque/credit card #, Exp. Date, Auth. Code
          •  $99.00 Dr. Dawn Armstrong, D.C.
    5.  Mail it to me in an 8 1/2 x 11 envelope (no folds).
         Dr. Dawn Armstrong
         12 — 717 Aspen Road
         Comox, British Columbia V9M 3X4

Why You Should Do This

I am certain that with the right habits and the right forms we can keep our patients safe and make the most of every opportunity to build our practices.

In my relationship with clinical record keeping I have gone from a state of perfect apathy through a period of stress and fear and now have found a certain passion for simple competence.

Let me help you make the same transformation.


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