Process Improvement

Audit Management

Hand hygiene, bundle, and compliance audits captured in under a minute, turned into owned actions, and shown beside the outcomes they're meant to move. Complete on its own. Better connected.

WHO 5 Moments Falls & HAI bundles CMS CoP ready Connected to Quality View
ACT Platform / Audits / 4 West

1 Observe

Hand hygiene · 4 West

Room 412 · Physician · 07:42
tap a moment to change

0:41 elapsed

2 Act

84% hand hygiene compliance
September · 312 observations
Nursing 88%
Physicians 71%
Therapy 92%
EVS 90%

Action · Physician exit compliance below 75%

Owner: Dr. Patel, Hospitalist lead · Due Sep 30 · Open

Collection goal · September78%

156 of 200 observations · 6 auditors

Live example. Tap a moment and save: unit compliance, the physician action, and the collection goal all update.

Paper audits produce a number. Then nothing happens.

Quality and infection prevention teams run thousands of observations a year. Most of that effort ends in a spreadsheet.

Hours lost to data entry

Observations written on paper, keyed into a spreadsheet, then reformatted for the infection control committee. Often twice.

Findings with no owner

A unit at 71% compliance is a fact on a chart. Who is fixing it, by when, and whether it worked lives in email, or nowhere.

Process and outcome in different tools

Hand hygiene compliance in one system, CAUTI rates in another. Leaders can't see whether the practice is moving before the outcome does.

Everything an audit program needs. Nothing to install.

Built for the floor and for the person who runs quality, infection prevention, and survey readiness at the same time.

Prebuilt Clinical Templates

WHO 5 Moments hand hygiene, falls prevention, CLABSI and CAUTI maintenance, pressure injury, BCMA, and environment-of-care rounds. Edit any of them, or build a new audit with conditional logic in an afternoon, without IT.

Sub-Minute Mobile Capture

Any phone, tablet, or workstation. A hand hygiene observation takes under a minute. Attach a photo to an EOC finding or dictate a note with gloves on; it's transcribed for you. No app store, no separate login.

Corrective Actions to Closure

Any non-compliant finding becomes an action with an owner, a due date, and a unit. Leaders see what's open and what closed.

Dashboards and Scheduled Reports

Compliance by unit, role, and moment. Trend lines per audit. Reports emailed to unit managers on the schedule you set.

Survey-Ready Evidence

Every observation, action, and resolution is time-stamped and exportable. Hand the surveyor the record instead of rebuilding it.

Collection Goals and Reminders

Set monthly observation targets by unit and auditor to meet Leapfrog and Joint Commission expectations. See who's on track, and send reminders in one click.

Paper Form to Digital Template

Photograph the audit form you use today. Beterra drafts the digital template, elements and scoring included. You review it, adjust, and publish. Most forms take minutes, not a project.

Drafts You Confirm, Not Decisions You Inherit

When a finding needs an action, Beterra suggests the wording, the likely owner, and a due date based on your past actions. Nothing is saved until you say so.

Observations are de-identified by design. Photo and voice capture include in-app guidance to keep patients and identifiers out of frame, and all content is covered by your Beterra BAA and retention policy.

From observation to closed in one workflow.

Every audit creates a documented, accountable trail from the floor to resolution.

01

Pick the audit

Open the template on any device and choose the unit.

02

Observe

Tap through the moments or bundle elements. Under a minute.

03

Flag the gap

Non-compliant items become actions with an owner and a due date.

04

Route and follow up

Owners are notified. Unit leaders see what is open. Nothing sits in email.

05

Close and trend

Resolution is recorded, the trail is complete, dashboards update.

<1 min

Per observation

Hand hygiene, on a phone

1 day

To set up

By your quality lead, no IT project

Unlimited

Users included

Every auditor, coach, and leader

100%

Survey-ready evidence

Every observation time-stamped

Start with the audits every hospital runs.

Each template comes with its elements, its collection goal, and the Quality View metric it measures. Edit anything.

Infection prevention

Hand hygiene

WHO 5 Moments, by role and moment. Compliance by unit, shift, and discipline. Collection goals per auditor.

Measures: CLABSI, CAUTI, C. difficile

Nursing

Falls prevention bundle

Risk assessment documented, bed low and locked, call light in reach, non-slip footwear, signage, alarm on, hourly rounding.

Measures: Falls per 1,000 patient days, falls with injury

Infection prevention

CLABSI and CAUTI bundles

Line necessity, dressing integrity, cap changes, catheter securement, daily review for removal.

Measures: CLABSI, CAUTI

Safety and compliance

Environment of care rounds

Life safety, medication storage, equipment, hazardous materials, egress. Findings become owned actions on the spot.

Measures: CMS Conditions of Participation readiness

Also included: pressure injury prevention, barcode medication administration, isolation precautions, sepsis bundle timeliness, and more. Ask us for the full template library →

One module. Two ways to run it.

A 25-bed critical access hospital and a twelve-hospital system need the same audit tool. They don't need the same platform. Start where you are.

Standalone

Audit Essentials

Everything above, on its own. No other Beterra module required. Set up by your quality lead, not your IT department.

  • Full clinical template library and form builder
  • Mobile capture on any device, with photos and dictated notes
  • Paper form to digital template from a photo
  • Corrective actions with owners and due dates
  • Unit and facility dashboards, scheduled reports
  • Survey evidence export
  • Unlimited users, no per-seat licensing

Built for critical access and community hospitals replacing paper, spreadsheets, or a single-purpose audit tool.

Connected to the ACT Platform

Audit Connected

The same module, plus what only the platform can do: the audit becomes the process measure for the outcome in Quality View.

Everything in Essentials, plus

  • Compliance shown beside the outcome metric it drives in Quality View
  • Attach an audit to a QAPI or PI project as its process measure
  • Findings escalate into Tiered Huddles
  • Audits, Reliability Coach observations, and Leader Rounds on one unit scorecard
  • Culture signal from SafeCulture surveys alongside compliance
  • Beterra AI narratives connecting audit compliance, outcomes, culture results, and rounding findings for committee and board reports
  • System-wide roll-up across facilities

Already on ACT? Turn it on. Starting with Essentials? Upgrade later with no migration; your audit history comes with you.

Start with the audit. Grow into the loop.

The process measure next to the outcome. The fix one click away.

When connected, Audit Management completes the loop Quality View starts.

Compare

Quality View flags CAUTI above benchmark

The outcome is above benchmark. Until now, the dashboard couldn't tell you why.

Act

A leader launches a PI project

One click, pre-filled with the metric, the gap, and the trend.

Measure the fix

The project deploys a CAUTI bundle audit

Frontline staff and reliability coaches collect observations on their phones. Findings route to unit leaders and the daily huddle.

Close

Compliance appears beside the CAUTI rate

Leaders see the practice move before the outcome does. The project closes with the evidence already attached.

Quality View · 4 West

Metric Benchmark 2025 Status
CAUTI rate < 0.9 1.4 PI project open
↳ Hand hygiene compliance > 90% 84% Process measure
Inpatient falls / 1,000 days < 3.0 2.1 Meeting
↳ Falls bundle compliance > 95% 96% Meeting

The moment that matters: the audit that measures a practice sits directly beneath the outcome it drives, and the fix is already assigned.

Audit Quality View metric it measures
Hand hygiene (WHO 5 Moments) CLABSI, CAUTI, C. difficile, HAI composite
Falls prevention bundle Inpatient falls per 1,000 patient days; falls with injury
CLABSI and CAUTI maintenance bundles CLABSI, CAUTI
Barcode medication administration observation BCMA scanning rate
Pressure injury prevention bundle Hospital-acquired pressure injury rate
Environment of care and compliance rounds CMS Conditions of Participation readiness view

Audits that close the loop change outcomes. Audits that stop at a number don't.

The research is consistent: measuring compliance, feeding it back with targets and an action plan, and sustaining it is what moves infections and falls. A percentage in a spreadsheet isn't.

38%

Lower CLABSI rate

When bundle compliance is monitored and high. National ICU study.

34%

Fewer injurious falls

With audited fall-bundle compliance. Fall TIPS, 37,000 patients.

95%

The compliance threshold that moved outcomes

Having a bundle policy didn't. Monitoring with moderate compliance didn't. Monitored and sustained did.

r = −0.96

Hand hygiene compliance vs. infection rates

Systematic review, Journal of Hospital Infection.

Sources: Furuya et al., PLOS One (central line bundle compliance in US ICUs); Dykes et al., JAMA Network Open (Fall TIPS); Mouajou et al., Journal of Hospital Infection (hand hygiene compliance and HAI); Ivers et al., Cochrane Database of Systematic Reviews (audit and feedback). Study results, not Beterra customer data.

Already auditing on paper, spreadsheets, or another tool?

Bring your history with you. We import your existing observations so your trend lines don't start over, and we rebuild your current forms so staff see what they already know.

  • Paper and spreadsheets

    Photograph your form and Beterra drafts the template. Send us your last twelve months and we load the history so trends do not start over.

  • Qualaris and other audit tools

    Export, import, keep your compliance trends intact. Most switches take under two weeks.

  • Already on Beterra

    Leader Rounding, Reliability Coaches, and Quality View customers turn audits on with no new implementation.

See your audits the way they should work.

Bring your current hand hygiene form. We'll rebuild it live, run an observation on a phone, and show you where it lands next to your infection rates.

Schedule Your Demo