Check off either yes or no for each question. Your score
will appear at the bottom of the page.
A Review of Systems
Scoring:
0-10 Serious Sub-Optimal Health
10-20 Moderately Sub-Optimal Health
20-30 Mildly Sub-Optimal Health
30-40 Healthy
40-50 Optimum Health
If your office practice “vital sign” score is
less than 30, or a score that you would like to improve, seek
out assistance to build your office practice health. Coaching
and consulting through Healthcare Renaissance Consulting is
available to boost your score and improve your office practice
health.
Katharine White, MS, RN, CPHQ 2005.
All Rights Reserved.
www.healthcarerenaissance.net Katharine@healthcarerenaissance.net
1-401-632-4237 phone/1-401-632-4831 fax
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