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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11279
Database ID: 2411
Record Series Title: Patient Monitoring
Record Series Abstract: Records include but are not limited to: Monitoring for compliance of patient care & safety, maintain the Joint Commission compliance, food & drug interactions, history & physicals, initial & annual psychiatric evaluations, physician Columbia Suicide Severity Rating Scale (CSSRS), nurse CSSRS, seclusion & restraint, patient discharge teaching, mental status exam, focused professional practice evaluation (FPPE) and ongoing professional practice evaluation (OPPE). Including form titles: Medication Reconciliation Monitoring.
Record Series Active: Yes
Cut Off at End of: Fiscal Year
If Other, Explain:
Total Retention: 5 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Maintain by fiscal year and destroy after 5 years. Records are generated and maintained on both paper and electronic. Paper records may be destroyed once scanned and verified for completeness and accuracy.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 2412
Record Location: At each of the Regional Mental Health Institutes: Middle MHI - 221 Stewarts Ferry Pk, Nashville, TN 37214. Western MHI – 11100 Hwy 64, Bolivar, TN 38008. Moccasin Bend MHI – 100 Moccasin Bend Rd, Chattanooga, TN 37405. Memphis MHI – 951 Court Ave, Memphis, TN 38103.
File Arrangement: by the month
Media Format Generated: Both
Media Format Stored: Paper/Electronic
Date Range: 8/1/15 - current
Annual Accumulation: 1 cu. ft. 1 gigabyte
Current Volume: 3 cu. ft 1 gigabyte
Record Value: Administrative
Audit Requirements: Both
Reference Frequency:
Current Year per Month: 30
Past Year: 12
2 - 5 Years: 0
Over 5 Years: 0
Data Update Frequency: Daily
Information Shared Outside of State: No
If Shared, List Agencies:
Essential Record: Yes - Original
Essential Record Stored: Regional Mental Health Institutes @ Nashville, Chattanooga, Bolivar and Memphis.
Essential Record Media Type: Paper
Confidential: Yes
Confidential Legal Citation: T.C.A. 33-3-103
Media Recommendation:
Media Recommendation Other:
Agency Retention: 5 fiscal years
Agency Retention - Years Active: 1
Agency Retention - Years Inactive: 4
Records Center Retention Period: 0
Final Disposition after Retention Expires: Destroy
Legal Citation:
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: Oracle file servers
IT-ABC Number: N/A
Hardware Description: The electronic records are stored in folders on a strategic technology solutions (STS) server. All hardware for maintaining the record series shall be maintained in accordance with the current standards of STS.
Software Description: Documents and metadata are captured by using multi-function devices and scanning the document by pressing the appropriate button on the multi-function device using Lexmark document distributor software.
System Location: The electronic records are kept on a server maintained and supported by STS at their Data Center, 901 5th Ave N, Nashville, TN. 37243.
Backup Procedures: Backup procedures shall be maintained in accordance with the current standards of STS, located in the 901 5th Ave N, STS Building, Nashville, TN. 37243. Backup procedures shall be reviewed and tested annually.
Disaster Recovery: The agency shall have a detailed disaster recovery plan for the system in accordance with the current standards of STS. The disaster recovery plans shall be reviewed annually.
Data Migration Description: Documents are scanned to the state network to a folder on a STS server. The metadata captured at the time of scan is stored in a Microsoft SQL server database and is deleted at the 5 year retention disposition.
Metadata Description: Metadata varies based on the document type. Below is a list of some data elements; patient's first name, middle initial, last name, social security number, address, tracking number, document group, document type, county, district, filename, total pages, file size, audit elements such as tracking number, varied by, date created, active, closed, pending, deleted, etc. The data sets are, but not limited to, excel, word, text, pdf, pictures, image files (tiff etc.) and email exports. Any electronic file that is relevant to patient medical record files will be in the folder structure.
Contact Information
Contact Name: Cathy Benhamed
Job Title: Procurement Officer 2
Address 1: 500 DEADERICK ST
Address 2:
City: NASHVILLE
Zip: 37243
Phone: 615-532-6623
Email: cathy.benhamed@tn.gov
Agency: Dept. of Mental Health
Agency Head: Marie Williams
Director: Jay Oziminski
Allotment Code: 339
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 03-29-2018 Please spell out all acronyms. Please explain Fiscal Cut off. Confirm if these records are confidential.
Tennessee State Libary and Archives: 03-19-2018 TSLA concurs in RMD comments.
Comptroller Audit Review: 2018-03-29 Audit concurs with RMD comments.
Agency: 04-02-2018 We concur. The acronym (CSSRS) spelled out is Columbia Suicide Severity Rating Scale. Fiscal cut off is June 30. These records are not confidential.
RMD Director Recomendations: 04-03-2018 RDA 11279 is a request to create an RDA. The retention period will be five years and destroy. The format will be paper/electronic. The Fiscal Year Cut Off is required by Division of Tenncare. Recommend approval of the request to create RDA 11279 with the following changes: Records Series Abstract: insert Columbia Suicide Severity Rating Scale before first use of CSSRS. Disposition Notes: Maintain by fiscal year and destroy after 5 years. Records are generated and maintained on both paper and electronic. Paper records may be destroyed once scanned and verified for completeness and accuracy. Confidential: Yes Confidential Legal Citation: T.C.A. 33-3-103 (Agency agreed to Director Recommendations on 4/6/2018)
Signed Form Received: 2018-04-03
PRC Meeting Date: 04-25-2018
PRC Comments: PRC approves RDA 11279 with following changes: Records Series Abstract: insert Columbia Suicide Severity Rating Scale before first use of CSSRS. Disposition Notes: Maintain by fiscal year and destroy after 5 years. Records are generated and maintained on both paper and electronic. Paper records may be destroyed once scanned and verified for completeness and accuracy. Confidential: Yes Confidential Legal Citation: T.C.A. 33-3-103 (Agency agreed to Director Recommendations on 4/6/2018)
PRC Action: Approved with Changes
RDA History
ID RDA PRC Reviewed PRC Action
2411 11279 2018-04-25 Approved with Changes