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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11046
Database ID: 1919
Record Series Title: Clinic Patient Records
Record Series Abstract: Medical treatment records of participating plan members utilizing the state's clinic. Records include: patient name, address, telephone, work department and division, Social Security number, drivers license#, insurance information, drugs currently taking, brief medical history information and current medical problem and how treated.
Record Series Active: Yes
Cut Off at End of: Calendar Year
If Other, Explain:
Total Retention: 10 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records will be maintained in agency, on a server, for ten years in electronic format. Existing records in paper format may be converted to electronic format as needed. Electronic version will be verified for accuracy prior to destruction of paper record. Records are confidential and will be destroyed by state approved method upon end of retention period.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 1895
Record Location: 312 Rosa L. Parks Avenue, 2nd floor Nashville
File Arrangement: alpha numeric
Media Format Generated: Electronic
Media Format Stored: Paper/Electronic
Date Range: 1993 to current
Annual Accumulation: 1 gigabyte estimated
Current Volume: 75 cu ft paper no gigabyte at this time
Record Value: Administrative, Fiscal, Legal
Audit Requirements: Both
Reference Frequency:
Current Year per Month: 1
Past Year: 1
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: Stored on contracted vendor servers. Legacy paper records stored on 2nd floor of TN Tower.
Essential Record Media Type: Electronic
Confidential: Yes
Confidential Legal Citation: TCA 11-68-304 Title 45 CFR parts 160 & 164
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: 10
Agency Retention - Years Active: 10
Agency Retention - Years Inactive: 0
Records Center Retention Period: 0
Final Disposition after Retention Expires: Destroy
Legal Citation: TCA 68-11-302, 303, 304, & 305 Title 45 CFR parts 160 & 164
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: Allscripts Electronic Health Record
IT-ABC Number:
Hardware Description: Microsoft Windows Server 2008 R2 Standard
Software Description: Allscripts Professional EHR software
System Location: TN Tower 3rd Floor
Backup Procedures: The Contractor maintains a business continuity and a disaster recovery plan in accordance to the state contract. The Contractor conducts daily, weekly, and monthly backups of the data.
Disaster Recovery: The Contractor maintains a business continuity and a disaster recovery plan in accordance to the state contract. In the event of a declared major failure or disaster the Contractor's critical functionality will be restored within seventy-two hours of the failure or disaster's occurrence.
Data Migration Description: The Contractor has a data migration plan for when updating servers or software versions.
Metadata Description: File Name, File Type, Date Created, and Content size
Contact Information
Contact Name: Linda Deason
Job Title: Records Officer
Address 1: 312 Rosa L. Parks Ave.
Address 2: 20th floor Ternnessee Tower
City: Nashville
Zip: 37243
Phone: 615-532-5299
Email: linda.deason@tn.gov
Agency: Dept. of Finance and Administration
Agency Head: Larry B. Martin
Director: Kendra Gipson
Allotment Code: 317.04
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 02-26-2015 No recommended changes
Tennessee State Libary and Archives: 02-26-2015 No recommended changes.
Comptroller Audit Review: 2015-02-27 We have reviewed RDA 11046 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 03-02-2015 No recommended changes.
RMD Director Recomendations: 03-04-2015 RDA 11046 is a request for a new RDA. The records series will be retained for ten years and destroyed, The format will be paper/electronic. Recommend approval of RDA 11046.
Signed Form Received: 2015-03-04
PRC Meeting Date: 03-30-2015
PRC Comments: Approved by the PRC.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
1919 11046 2015-03-30 Approved