| <Enter
Department Name> |
| Location of Department:> |
| Participant: |
Date of Report: |
The interview was conducted by <Enter the Name of Person(s)
conducting interviews> on <Enter Month, Day, and Year>.
Overview of Business Unit (Department)
The <Enter Department Name> department is responsible for
<enter responsibilities, duties, tasks. (Just provide a
high level overview of the department). Identify if the department
does or does not provide direct patient care.
Business Processes
- <Enter Process Names and put the RTO in ( ) >
- <Enter Process Names and put the RTO in ( ) >
- <Enter Process Names and put the RTO in ( ) >
Electronic Protected Health Information
- <Identify the processes, applications, etc that contain critical
data information>
- <Identify the processes, applications,
etc that contain critical
data information>
Vendors
- <Enter Vendor Name>
- <Enter Vendor Name>
Internal Dependencies
- <Enter Dependency and put RTO in ( ) >
- <Enter Dependency and put RTO in ( ) >
External Dependencies
- <Enter dependency and put RTO in ( ) >
- <Enter dependency and put RTO in ( ) >
Applications
- <Enter applications and put RTO in ( ) >
- <Enter applications and put RTO in ( ) >
|
