Medical records are essential to efficient patient care
delivery, and they are also highly regulated. Any
decisions about how they are managed — that is, what
should be retained and for how long, as well as what
should be destroyed — must comply with the laws and
regulations that protect the integrity and security of
health information.
When a large U.S. medical centre decided to take control of
its records management programme, it realised the
need for better file-level visibility, along with a more
efficient and defensible process for making decisions on
disposition. Seeking a process to support its short-term
need to move records offsite as well as a simplified records
management system for the long-term, the medical
centre turned to Iron Mountain Smart Sort.
How Smart Sort works
With Smart Sort, organisations can locate, sort,
reorganise, and manage a large number of records with
greater clarity. Smart Sort is a workflow solution that
uses minimal information (e.g., patient record numbers)
from an organisation’s core applications and matches
that information with a scan or keyed entry of the file ID.
The Smart Sort technology was designed to automate
decision-making and data mapping once a match is
identified. As a result, full file-level visibility is created
for each individual box, and organisations are enabled
to quickly make decisions on the disposition of each file.
Let’s take a closer look at how this major medical centre
took advantage of Smart Sort.
Medical center improves records management process with Smart Sort
Situation
To make room for new patient care initiatives, a medical
centre set out to free up space by relocating their paper
records to an offsite facility. Before placing their files into
storage, they wanted to identify all records that were
eligible for destruction so they could reduce risk as well
as storage costs.
Challenge
Any action a healthcare organisation takes with regard
to patient records must be defensible. It must strictly
comply with state and federal laws as well as healthcare
privacy regulations and contractual arrangements (e.g.,
with insurance companies). The medical centre
quickly determined that it lacked the necessary
visibility and an established process to make
defensible decisions about which records to retain
and which ones were eligible for destruction.
Smart Sort In Action
A team of Iron Mountain records management
professionals went to work. Using Smart Sort, along
with relevant information pulled from the medical
center’s master patient index and records retention
schedule, they were able to quickly:
- Review the records database and retention
schedule to identify all files under management
and assess destruction eligibility
- Scan record IDs from individual file folders
- Organise and review files by disposition year and create
an up-to-date list, mapping the location of all records
down to the individual box level
- Sort and box all files according to the retention schedule
- Initiate immediate destruction of eligible records to
reduce storage costs and mitigate potential discovery,
audit, and compliance risks