Record

Databases and Record Keeping

Objective: The purpose of this assignment is to demonstrate application and evaluation of compliance with state and local regulations, as well as a variety of modern data capture and data storage techniques.

Examples include:

Administrative Functions

Human resources functions-hiring, termination, employee benefits

Billing office-coding and billing, accounts receivable

Admissions, discharge and transfer-ADT system

Patient Care Functions

Radiology

Laboratory

Pharmacy

Nursing

For each department and function that you identify, prepare a table examining types of data kept by that department, the urgency for having availability of information, and potential methods for storage. For example:

Department/function	Types of data	Urgency	Storage Needs
Admissions, Discharge, Transfers	Patient identification and demographics: Address, phone, insurance types	Immediate availability for current inpatients Retrievable within one hour after discharge	Database ADT tables on an active server Stored on reserve disk drives
Dietary	Prescribed patient diet	Immediate for inpatients Archived EHR post discharge	Contained in EHR on active server

Once completed, your data retention plan should include the following:

A summary of the data needs for the organization, the management of the needed use and access and the storage requirements to maintain sufficient data to support the patient’s care.

A breakdown of the requirements (both business and user) related to gathering, capturing, structuring, storing, protecting, and retrieving data. This plan should be 4-5 pages in length.

Please also download the instructions documents for tips