# data[].attributes.body
2 / 6 / 3 / 6 / 2 / 4

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Quality of Care, Safety

Therapist Competency, Set Benchmark

Promotion / Performance Bonus / Grading

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Informed 2-3/4 weeks in advance to prepare for audits. 

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Informed 2-3/4 weeks in advance to prepare for audits. 

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Instances where auditors will suddenly request to change date and push it earlier. Feel stressed having to find cases.

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Subjectivity of complexity and scoring of clinical audits

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Subjectivity of complexity and scoring of clinical audits

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Feel that choice of case complexity should be lower in view that it affects appraisal vs learning

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Feel that choice of case complexity should be lower in view that it affects appraisal vs learning

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Unclear purpose and expectation of the audit

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Unclear purpose and expectation of the audit

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Coach/Nurture or Judge for Performance

Role of Auditors

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Difficult to select clients of certain complexity or diagnostic group due to caseload in agency

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Difficult to select clients of certain complexity or diagnostic group due to caseload in agency

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Clear on preparation for clinical audits (briefing during inservice, emails, slots to book for)

# data[].attributes.subject
Clear on preparation for clinical audits (briefing during inservice, emails, slots to book for)

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Challenges finding cases for diagnostic specific audits at times. Can understand the need but could use more flexibility

# data[].attributes.subject
Challenges finding cases for diagnostic specific audits at times. Can understand the need but could use more flexibility

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Feels emotionally unsupported during prep "Will I die or won't die?" "Nurture or Shoot?"

# data[].attributes.subject
Feels emotionally unsupported during prep "Will I die or won't die?" "Nurture or Shoot?"

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Unclear instructions (expectations for audit, proximity of confirmation and annual; never share template; lack of briefing)

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Unclear instructions (expectations for audit, proximity of confirmation and annual; never share template; lack of briefing)

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STRESS (3 auditors just observing, even TA and client also stress, everyone stressed) - not too close, propose to interject only during safety concerns*******

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STRESS (3 auditors just observing, even TA and client also stress, everyone stressed) - not too close, propose to interject only during safety concerns*******

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cos linked to performance bonus (must it be linked?)

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Inter-rater reliability (different raters, unfamiliarity with raters affect experience, familiarity of rater with setting)

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Inter-rater reliability (different raters, unfamiliarity with raters affect experience, familiarity of rater with setting)

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Snapshot of performance, not a true representative of actual performance

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Snapshot of performance, not a true representative of actual performance

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Discuss scoring during session to ensure alignment between auditor and auditee

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Discuss scoring during session to ensure alignment between auditor and auditee

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Being compared to peer of same job grade during feedback which was shocking

# data[].attributes.subject
Being compared to peer of same job grade during feedback which was shocking

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Delivery of feedback (Unclear explanation on how to score better, nurturing?, disparity between feedback and actual scoring, timeliness)

# data[].attributes.subject
Delivery of feedback (Unclear explanation on how to score better, nurturing?, disparity between feedback and actual scoring, timeliness)

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Unclear about consequences of clinical audits

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Unclear about consequences of clinical audits

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Appreciated positive and constructive feedback given in nurturing manner; prefer strength-based approach to deliver feedback

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Appreciated positive and constructive feedback given in nurturing manner; prefer strength-based approach to deliver feedback

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sandwich model

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Need for timely feedback so auditee can understand what to work on; some were not immediate

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Need for timely feedback so auditee can understand what to work on; some were not immediate

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Provide coaching after audit; follow-up by the auditor about the case

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Provide coaching after audit; follow-up by the auditor about the case

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Maybe have structure for follow-up, e.g. RO be informed and help to follow up