Melissa - a tool was developed at my last health plan client site.  It
isn't proper for me to share the tool, but I can highlight what we were
trying to capture:

Focus was on PHI flow - uses and disclosures

The uses are to be identified and measured against the minimum necessary
standard in order to help us determine the common data categories and
employee classes needed to estabish our role-based access environment.

Disclosures are analyzed in much the same way for minimum necessary but we
also wanted to know if they were routine and recurring or not.  Those that
were nonroutine or nonrecurring are to be reviewed with a bias towards
dropping them altogether.  The other aspect we wanted to capture was
whether or not the disclosures fell within or outside our definition of
TPO.  Again, we are strongly discouraging the non-TPO disclosures.  Our
stance is that the exceptions will have to be reviewed and approved by the
PO.

 Take a real hard look at your 'power users' and the folks who actively run
ad hocs against your data warehouse - Hope this helps - good luck - b

Bill Bernath
Keane, Inc.
Office:   (919) 544-0891
Fax :     (919) 544-0895
Mobile:   (919) 215-3352






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