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Hi Mark, Our purge parameters are not that high, however, I just recently left MEDITECH and during my almost 7 year career there, I supported ADM/ABS/MRI. There are a few reasons that MEDITECH advises against raising this setting so high. The standard default for these ADM file maintenance parameters is 30 days, however most health care organizations do have these fields set to a higher value. Many sites had this set to 90 days for the ALL SCH and NON SCH. Are you a MAGIC site? If so, raising these settings can cause space issues on your system. Also, the reason behind MEDITECH advising against having these settings at such a high value (such as 7 years)is that your active account look up will be very large. This will cause issues with response time as well as patient look ups. When a user attempts to locate a patient by name the system is going to need to search through seven years worth of active accounts. This is problematic due to the time issue but also leaves more room for user error. The more accounts that are accessible, the more likely that a user can select the wrong account for the patient. There are several fields that are stored within demo recall as well that when updated, loop through and update ALL ACTIVE ADMISSION accounts. The fields affected by a change to demo recall are: If the the following fields are updated in ADM/Demo Recall, it will update the accounts in ADM: The fields are as follows: name, dob, age, sex, mothers name, other name, social security number and patient address. If the site has a guarantor billing system, then the guarantor address will update all patients that share that guarantor SS#. It is very possible that during a seven year time frame, a patient's information could change, but the older information may have been correct for the time of the initial registration. This may cause issues for you with data integrity as well as possible billing errors (say for example the Guarantor changes and all the active accounts were updated) If you do pursue raising these settings, you should also be sure to change your ADM toolbox facility specific parameter 'IGNORE PATIENTS LAST EDIT DATE' to YES. If this parameter is set to NO then accounts will NOT purge out of the system by the Discharge Date for RCR/IN/INo accounts and the Service Date for CLI,POV,SDC,REF,ER accounts but rather be purged off of the last time the account was edited. This too will result in many more accounts remaining active in your system. In contrast, there are some parameters that MEDITECH does actually recommend setting to a high value in order to keep data on the system long enough to meet HIPPA compliancy. For example, in MRI, the Correspondence purge should be set to 2290 days. This will store any Release of Information requests for a time frame of 6 years as mandating by HIPPA and also allow the user an extra time for the processing of the request. Hope this helps a little. Thanks! Liz -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mahoney Mark Sent: Tuesday, July 18, 2006 1:31 PM To: [email protected] Cc: Hunt Tina; Mahoney Mark; Sylves Rena; Taylor Debra; Miller Joyce; Schoenfeldt Denise; Bisbee Jennifer Subject: [MEDITECH-L] MMC - Purging and Archiving in Meditech All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
