In our regional SNIP organization we are having a discussion about the logging of user's access to records in transaction systems and I would like to ask other organizations around the country what their plans are. I appreciate your feedback.
Definition:
Full Logging: This is when a computer application (like a physician billing or claims processing system) writes a record to a separate log or audit file every time a user adds, changes, deletes, or inquires a record. The user access could occur either on-line using a screen, or through a batch process. Generally, log records include, the operator id of the person that accessed the record, date and time the record was accessed, and a before and after image of the record, or the fields that were changed. Full Logging is not when an application stamps a record with Operator ID, date and time each time it is added, changed or deleted.
Questions:
1. Are your systems capable of doing "full logging"?
2. Does your organization currently have "full logging" turned on? For adds, changes, deletes and inquires? Batch, on-line or both?
3. What has been the impact to your overall system, has it impacted response time, disk resources etc?
4. If you have logging turned on, do you have someone monitoring the log file? Is this a full time job? How are you using the log data?
5. If your organization doesn't have full logging turned on do you plan on turning it on? When?
6. Will you have to upgrade your current system, customize it, or buy an additional product to get full logging capability? Do you plan to?
7. If you are currently doing full logging, or plan on doing it in the future, what is your justification for doing full logging? What are your anticipated outcomes?
8. If you are not doing full logging and do not plan on doing it in the future, what is your justification for not doing full logging?
Kris Owens
Senior IS Project Manager - HIPAA Project
Presbyterian Healthcare Services
Albuquerque, NM
505.923.8108
[EMAIL PROTECTED]
"There is no meaning in isolation"
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