DHC 2008: Pre-Conference Themes and Variations, Data Management and Retention

Jim Prekop, CEO of Teramedica, led a discussion on data retention of clinical information. A key issue to understand from end-users is their wants versus their needs. Any discussion must focus on both technology, and its capabilities, and basic ROI. Rules engines/algorithms help organizations manage data effectively and in a consistent manner.

Carl A. Christensen, CIO at the Marshfield Clinic, suggested that research institutions, such as his organization, needs to store everything. The focus must be on management of the information rather than simple retention.

Some organizations have institutionalized, through governance expressed in medical staff bylaws, standing committees that are tasked with addressing data management issues. These committee members are reimbursed for their time as they would be if participating in other committees.

CIOs often inherit applications that various departments bring to them for implementation and support. The focus on EMRs helps bring an all inclusive view of patient information rather than a segmented approach driven by individual applications.

Data retention policy and procedures is also driven by regulatory and legal obligations. Erik Phelps, Partner, Michael Best and Friedrich, described the concepts around the “legal longitudinal record.” When asked about how much data should be retained, he replied “All a creative plaintiff’s attorney thought you should have kept.”