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Document Management
Boot Camp
Best Practices for Governance,
Organization, Searchability, and Security
About Olmsted Medical Center
Our History
•Olmsted Medical Center began in 1949 in downtown Rochester, Minnesota, as the solo family practice of Dr.
Harold Wente.
•Opened in 1955, the Olmsted Community Hospital ended its county affiliation and became part of Olmsted
Medical Center in 1996. It is now called Olmsted Medical Center—Hospital.
•In 2013, Olmsted Medical Center celebrates its 64th year of service to Southeastern Minnesota.
What We Do
•Olmsted Medical Center is an integrated community healthcare provider known for convenient, expert, and
personal primary care.
•Olmsted Medical Center also offers more than 20 specialties.
•A not-for-profit organization, Olmsted Medical Center cares for patients regardless of their ability to pay.
Where We Work
•160 clinicians and nearly 1200 staff provide healthcare services at 17 locations: two multi-specialty outpatient
clinics, a rehabilitation/physical therapy facility, weight loss/wellness center, and three walk-in retail clinics in
Rochester
•a 61-bed Level IV trauma hospital with 24-hour emergency department and BirthCenter,
•primary-care branch clinics in ten Southeastern Minnesota municipalities (Byron, Cannon Falls, Chatfield, Pine
Island, Plainview, Preston, Spring Valley, St. Charles, Stewartville, and Wanamingo).
OMConnect Intranet Support Staff
One (1.0 FTE) dedicated portal administrator
One project manager/backup administrator as needed
One (1.0 FTE) documents coordinator
36 content managers and 21 content editors
Content authorities to support content managers
Multi-disciplinary OMConnect Optimization Core Team
ORGANIZATIONAL HUB FOR
INFORMATION AND RESOURCES
As a first-source, one-stop communications hub for all employees, Olmsted
Medical Center’s intranet provides hyperlink shortcuts to the organizational
resources:
Burich Clinicians’ Library
Customer Service Excellence
Information Privacy & Security
Electronic Health Records System
Krames Online Services
Management Information Portal
OMC RePortal
OMC Website
OMC Regional Foundation
Electronic Time Clock & Manager
OMC Employee Well-being
Employee Self Service
Outlook Web Access
Policies & Procedures
Documents
Departments
Committees
Education Resources
News and Events
Announcements
On-Call Schedule
Electronic Forms
Three Key Points
1. Intranet Governance
2. Intranet Policies
3. Organizating - Planning
GOVERNANCE
In an effort to promote document consistency throughout the
organization a policy was put into place.
Purpose
To preserve version control of Olmsted Medical Center (OMC) documents.
All documents and policies are housed in two centralized intranet directories
and subject to the organization’s document management process, including
revisions according to OMC Identity Standards.
 
Policy
 
The intranet supports an electronic document storage and revision process. This 
process is the default process for review and revision of all OMC policies, 
procedures, and documents. OMC-created documents or publications will 
follow a consistent process. 
 
The intranet is the central repository for all documents
Documents exempt from inclusion in OMC’s document management system 
include training and visual presentations, meeting minutes/agendas, and certain 
other documents approved by the document coordinator.
  
Instruction sheets Information sheets
Letters Brochures
Forms Consents
Department Policies Department Procedures
Procedure
 
OMC documents are reviewed, approved, and assigned a document number 
prior to being used by OMC staff in accordance with OMC’s Document 
Coordination policy.
 
OMC policies are reviewed, approved, and assigned an index number before 
publication in accordance with OMC’s Policy and Procedure Protocol.
ACCESSIBILITY
Each OMConnect intranet page provides tabs for Policies and Documents.
Policies
Documents
DOCUMENT MANAGEMENT CHALLENGES
• Documents stored in different locations
• Links to documents broke when a document changed 
location or the name changed. All links had to be adjusted
• Finding documents
• Regulatory and compliance issues – (HR, Lab) 
• Documents not getting updated for long periods of time
• No archive (tracking) of document changes and who 
approved changes
DOCUMENTS DATABASE
In place before 
instituting the 
automated review 
process 
electronically.
Database is used to 
capture internal use  
information about 
all OMC 
documents.
DOCUMENTS • 4,315 active documents
• 75 department and 13 committee document folders
• Ability to search documents only
DOCUMENTS STRUCTURE
• Departments or Committee
• Folders
• Files
• Consistent structure with all departments
Folders are categorized and files types are
identified.
Files indicate “New” or “Revised”
SEARCHING FOR DOCUMENTS
• Global Search – performed from
the all Documents page
• Document Search – performed from
the documents landing page
Search Results:
1.File Name/Link
2.“Parent” Folder Name/Link
3.Full File Location
(Folders and sub-folders, keywords)
or words from Document page
• Maintains sohisticated directories of documents
• Supports workflow automation for document authoring, review,
approval, and publishing
• Reminders and notifications automatically sent to users from the system
to notify them of pending tasks
Individual task reminders appear on the Welcome page.
AUTOMATED DOCUMENT REVIEW
• The control panel is available from any of the open component folders in
the P&P component.
• It provides information on all documents that need updating for the
individual logged into the intranet.
• The actual documents in review will appear to the right of the status bar.
CONTROL PANEL
POLICIES AND PROCEDURES
• 896 active organizational policies
• Access to all OMC policies
• Search for a policy
POLICIES STRUCTURE
• Category
• Folders
• Files
SECURITY
Document Coordinator
•A Document Management Coordinator assigns security for each
document that goes through the automated revision process.
•Security can be set up for individual documents or groups of
documents to be reviewed.
•Groups of documents can be visible to a specified security group
or open to all staff.
CONSIDERATONS FOR ORGANIZING
A CONSISTENT DOCUMENT MANAGEMENT SYSTEM
Consistency and Accountability
• Organizational Document Management Policy
Document Setup - Standards
• Naming convention for easy searching and grouping
Instructions Sheets – Information Sheets – Forms – Consents - Letters
• File format – Word, Adobe PDF, PowerPoint, etc.
• Categorize documents – Department/Location
• One centralized location for all documents
Version Control
• Devise a numbering system
• Revision Process
How often will documents come up for review
Revision numbering system
Workflow Considerations
• Who is going to write, modify, and approve documents
• Document update notifications set-up
Who and how often?
Three Key Points
1. Intranet Governance defines ownership and
management and provides a foundation for
consistency
2. Intranet Policies are a guide to support consistent
content and functionality, set and reviewed by the
governance team
3. Organize and plan the document structure, naming
and numbering convention, and security around
policies and documents
For Information on OMC’s
intranet vendor
HospitalPortal.net
visit www.HospitalPortal.net,
give us a call at
(847)632-0434x276,
or email
marketing@HospitalPortal.net

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Document Management Bootcamp presented at Advanced Learning Institute, July 2013 Focus on Hospital Policy Management

Editor's Notes

  1. Olmsted Medical Center has provided healthcare services to Southeastern Minnesota for 64 years. We are a not-for-profit organization offering more than 20 specialties. With 160 clinicians and nearly 1200 staff providing healthcare services at 17 locations: two multi-specialty outpatient clinics, a rehabilitation/physical therapy facility, weight loss/wellness center, and three walk-in retail clinics OMC is a 61-bed Level 4 trauma hospital with 24-hour ER and BirthCenter There are ten Southeastern Minnesota primary-care branch clinics
  2. Our focus with the intranet is to provide a common location for all employees to communicate information. Decentralized content management means that staff from all areas maintain intranet information.
  3. This list demonstrates how much the OMC’s intranet expands into all areas in the organization to provide the one-stop communications hub for all employees.
  4. Three key points I’m going to make today. The importance of intranet governance, policies, and organizing.
  5. Governance is the first key takeaway for today Who should own the intranet? Communications, I.T., HR, or all of them? Who is the present owner? At OMC the intranet governance team represents several departments, committees, and locations. Governance defines ownership and management, and provides a foundation for consistent behavior. Consistency is accomplished through the implementation of policies around content and functionality that are approved by the governance team.
  6. That brings us right into the second key takeaway for today. The importance of intranet policies and procedures. The policy for document management specifies that the intranet is to support an electronic document storage and revision process. OMC-created documents located in a central repository follow a consistent process. Document that are exempt from OMC’s document management system include: training and visual presentations, meeting minutes/agendas, and certain other documents approved by the document coordinator.
  7. With support from the governance team the documents coordinator enforces the document policy. The OMC Document Management procedure states that: Documents are reviewed, approved, and assigned a document number prior to being used by OMC staff in accordance with OMC’s Document Coordination policy. Policies follow a similar procedure in accordance with OMC’s Policy and Procedure Protocol.
  8. OMC’s intranet governance defined the content placement for the organization’s policies and documents for easy access.
  9. We were faced with document management challenges you may be familiar with: documents stored in different locations creating multiple versions, using network drives difficulty finding documents and not accessible when links are broken regulatory and compliance issues are created when documents are not reviewed regularly and there isn’t tracking of document modifications or review documents not getting updated or reviewed for long periods of time we needed to have visible tracking of changes and who approved them for each document Chris Heinl - examples
  10. Where did we start and what was our progression into the automated review process? Before we used the automated review process that is currently in place we used a database to manually record the events around each document in our repository. We already had a document naming and numbering convention in place.
  11. Point number 3 - It is important to plan ahead and organize. Organize and Plan the structure and security of Policies and Documents. We have over 4,000 active organizational documents in 75 department and 13 committee document folders Our naming convention identifies the type of document in the name. For example: Information Sheet, Instruction Sheet, Consent, or Form are the first part of a document’s name. Plan your document and revision number structure. As with the policies, staff have the ability to search for specific documents. Searching can be done by Document name or number, as well as document content.
  12. Our current document structure is easy to use, consistent, and informative. Document files are uploaded into a folder structure that is consistent for all departments File types are identified, such as Word or Adobe PDF If a file has been recently uploaded or revised this is indicated with red text is next to the file name
  13. Make it easy for staff to find documents. A Global Search for documents can be performed from the “All Documents” page or from the department’s document page. Search results have three lines of information: File name and link directly to document Parent folder where the document is located Full File location
  14. We have an automated document review process in place. A document is set up with a review timeframe by our documents coordinator. When the document comes up for review emails notify the reviewer and a reminder appears on their intranet home page.
  15. A control panel is available for individuals to view the status of all their pending documents. Reviewing documents can be accomplished from this panel by clicking on the document name.
  16. Policies and Procedures We have 896 active organizational policies visible to all staff from a repository similar to all documents and located on their own page.
  17. Each category is set up in a folder structure making it easier for staff to use Policies have their own numbering system Chris Heinl – Structure ?
  18. The document coordinator sets up viewing and reviewing Security for each document or group of documents
  19. To review what should be taken into consideration for organizing a consistent document management system : -- an organizational document management policy provides a foundation for consistency and accountability -- standards guide document setup Name conventions for easy searching and grouping File formats Document categories One central location
  20. -- develop a numbering system and revision process to support version control -- allow for workflow considerations by assigning staff to specific roles for document management and the document review process
  21. I hope the best practices I have shown you today demonstrate how valuable it is to define ownership and management with an intranet governance, set policies into place to support the foundation for consistency, and to organize and plan the document structure, naming convention, and security around documents. These three crucial elements have proven valuable for the end-user experience and document searchability.