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At our facility, the dictionaries for each application are "owned" by the coordinator of that application. In almost all cases, this is someone employed in the end-user department. The IT Application Analysts have access to the dictionaries, but generally would not make a change without consulting the coordinator of that application. My experience on the audit capabilities is that it is pretty good in the dictionaries I have access to. I can tell who made changes, when and what the changes were. This may vary somewhat by application. If I would have to have someone in IS make additions or changes to lab dictionaries, it would take far longer, just due to the difficulty of describing exactly what needs to be done, where it should go, etc. The cost of this approach would probably be three times what it is when the dictionaries are maintained in the end-user department. It may be better in institutions where IT has people who originated in the end-user departments, and therefore understand more fully the implications of all the choices they make in the dictionaries. Rich Griffith Coordinator, Info Mgmt, QM & Compliance Hagerstown Medical Laboratory Washington County Health System Voice: 301-665-4906 e-mail: [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Doug Burkhardt Sent: Wednesday, March 15, 2006 1:29 PM To: Howard Chase; [email protected] Subject: RE: [MEDITECH-L] Dictionary Access All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Our IT department is currently the only ones with dictionary access and that has been the way we have done business until now but our CFO wants everything but MIS dictionaries turned over to the respective departments to be maintained by them. Accountability is the issue and as everyone knows there is no good audit reporting out of Meditech, you have to use an outside source for that. I have not felt comfortable with this and would also like to here feedback on this. Thanks, Doug. -----Original Message----- From: Howard Chase [mailto:[EMAIL PROTECTED] Sent: Tuesday, March 14, 2006 6:09 AM To: [email protected] Subject: [MEDITECH-L] Dictionary Access All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Our managers would like to query the L regarding dictionary access. We presently limit access to all dictionaries to a limited number of users. This really means audit trails are just a tool that can be used to check back... but we know who dunnit because the other person with access didn't. 1. Is this how you do it or do you have a large group with access and rely on audits to catch unusual changes? If so what are your audit procedures? Thanks, -- Howard Chase, RN Androscoggin Valley Hospital 59 Page Hill Road Berlin, NH 03570 (603)326-5669 _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l ***** CONFIDENTIALITY NOTICE ***** This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
