<Enter Department Name>
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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 ePHI>
- <Identify the processes, applications, etc that contain ePHI>
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 ( ) >
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