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Agency Schedule Detail

Authorization Number :  872-0059
Agency Series No. :  RCB-0030
Status :  Active
Agency Web Link : 
Agency :  RCB
Confidential Description :  Report includes confidential personal information for reporting to federal disciplinary data base.
Division : 
Vital Description : 
Section : 
Record Title :  Healthcare Integrity and Protection Data Bank Adverse Action Reports
Revision :  1
Record Description :  Healthcare Integrity and Protection Data Bank Adverse Action Report is a confidential document created by the Healthcare Integrity and Protection Data Bank when an adverse action is reported involving a licensed entity. The report includes the identification of the individual,contains sensitive data, and the details of specific actions taken by the agency against the licensed entity.
Retention Period Retention Justification Media Code Method of Disposal
Retain for three months after final report is cleared by HIPDB. Paper Shred
Retain for three months after final report is cleared by HIPDB. HIPDB requested electronic reporting file in access in 2000. Filing completed with HIPDB. Electronic Erase

Approvals

Status Name Title Date
Approved Christopher Logsdon Records Officer 5/14/2009 12:02:00 PM
Approved Michael Hardenbrook Record Administrator 5/21/2009 7:53:00 AM
Approved Martin Meeks State Auditor 5/28/2009 11:00:00 AM
Approved Fred Previts State Archivist 6/2/2009 2:42:00 PM

Notes

Date Reason User

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