STATE ARCHIVES AND RECORDS COMMISSION

Minutes of the Quarterly Meeting

September 11, 2003

Department for Libraries and Archives

 

The State Archives and Records Commission met at 10:00 a.m., Thursday, September 11, 2003, in the Board Room, Department for Libraries and Archives, 300 Coffee Tree Road, Frankfort, Kentucky.

 

Members present: James A. Nelson, Chairman; Dr. Thomas D. Clark, representing the University of Kentucky; Dr. William J. Morison, representing regional colleges and universities; Dr. Jack D. Ellis, representing Citizens-at-Large; Lynn Hollingsworth, representing Citizens-at-Large; James F. Kastner, representing the Kentucky Historical Society; Sue Carole Perry, representing local governments; and Sandra L. McAninch, representing the Kentucky Library Association. 

 

Representatives present: Lewis DeLuca, representing Dr. Marlene M. Helm, Secretary, Education, Arts and Humanities Cabinet; James Ringo, representing A. B. Chandler, III, Attorney General; Charles Robb, representing Aldona K. Valicenti, Chief Information Officer, Governor's Office for Technology; Leslie Smith, representing Robert Sherman, Director, Legislative Research Commission; Stephanie Robey, representing Ed Hatchett, Auditor of Public Accounts; Brandon Haynes, representing Joseph E. Lambert, Chief Justice, Supreme Court; and Geoff Pinkerton, representing Mary Lassiter, Acting State Budget Director, Governor’s Office for Policy and Management.

 

Members not present or represented: Paul F. Coates, representing Citizens-at-Large; and Linda E. Johnson, representing Citizens-at-Large. 

 

Public Records Division staff present: Richard N. Belding, Director, Public Records Division; Diana Moses, Manager, State Records Branch; Jerry Carlton, Manager, Local Records Branch; Barbara Teague, Manager, Archival Services Branch; Glen McAninch, Manager, Technology Analysis and Support Branch; Mark Myers, Resource Management Analyst;  and B. J. Webster, Administrative Secretary.  

 

Guests present:  No guests were present.

 

Nelson called for introductions by those present.

 

The new members were sworn in prior to the meeting.

 

Dr. Ellis made a motion to accept the minutes of the previous Commission meeting, seconded by Mr. Haynes.  The vote by members and representatives present was unanimous.

 

 

Quarterly Meeting

September 11, 2003

Page 2

 

NEW OR REVISED RECORDS RETENTION SCHEDULES

 

Local Government General Records Retention Schedule

 

Jerry Carlton was the regional administrator working on the schedule changes.  The series being changed are L4768, Periodic Accounts Receivable Activity Report, and L4940, Audio/Video Recordings of Official Meetings.  The series being added to the schedule are L5360, Certificate of Occupancy; L5361, Inspection Reports; L5362, Violation File-Zoning, Building and Housing; L5363, Violation File, Weed, Rubbish, Junk Car and Sidewalk; L5364, Surveillance Video/Audio Recordings; L5365, Service Work Order; and L5366, Sales Tax Report.

 

The Local Government General Records Retention Schedule was approved by the State Archives and Records Commission at its September 1999 meeting, and is applicable to all local government agencies.  The records series contained in the schedule are identified by function, rather than office of origin.   The schedule is used in conjunction with agency specific schedules.

 

The primary series being changed is L4940, Audio/Video Recordings of Official Meetings.  The disposition was changed from “destroy or re-use after minutes are officially accepted” to “destroy or re-use 30 days after minutes are officially accepted, if no litigation is pending.” The 30-day retention period should provide sufficient time for questions about or challenges to the transcribed minutes.

 

Series L5364, Surveillance Video/Audio Recordings, which is an addition to the schedule, pertains to general access areas in public buildings.  Carlton said that several agencies had requested the inclusion of the series in the schedule, as many public access buildings now utilize surveillance equipment. The series includes general inmate population areas in detention centers, but does not include booking or interrogation areas, Carlton said.  The series has the same disposition of “30 days, then destroy or re-use recordings.”  The recordings made in booking and interrogation areas of detention centers have a longer retention period, due to liability issues.    

 

Morison asked, in regard to the audio/video recordings, if it was generally understood that the use of the term “litigation” in the disposition applied to open records requests, as an action with legal consequences.   Staff opted not to put any reference to open records requests in the disposition, as it could apply to virtually any record created by a public entity.  Use of the term “litigation” was thought to encompass any action that could result in a legal action, such as an appeal to the Attorney General’s Office, under the Open Records Act.

 

 

Quarterly Meeting

September 11, 2003

Page 3

 

Dr. Clark made a motion to adopt the schedule changes, seconded by Dr. Ellis. The vote by members and representatives present was unanimous.

 

Public School District Retention Schedule

 

Carlton was the regional administrator working on the schedule change.  The series being changed are L1948, Teacher’s Monthly Attendance Report-PA3, and L1915, Material/Supply Distribution Form or List.  The series being added to the schedule are L2330, Student Enrollment Form; L5367, Pest Control Service Record; L5371, Day Care Enrollment Records; and L5372, Student Health Education Data Survey Forms.

 

The most significant change being made to the schedule is series L1948.  The change provides for the tenth month attendance report to be retained for 20 years, with the balance of the reports being eligible for destruction after two years.  Previously all the monthly reports were retained for 20 years. The tenth month report is cumulative and, therefore, the most important one.  As the remaining reports are voluminous, space savings would be realized.    

 

Dr. Clark said that the change is an example of the direction archives and records management will have to take.  By force of circumstance, it will be necessary to identify and retain only the most significant records, while allowing for the destruction or disposal of the balance.  Nelson said that many people don’t fully understand that the identification of irrelevant records, or records that can be destroyed at some point, is one of the more important tasks that the Commission performs.

 

Dr. Morison made a motion to adopt the schedule changes, seconded by Mr. Ringo.  The vote by members and representatives present was unanimous.

 

The next item was Other Business. 

 

--Local Records Program Workshops

 

Belding said that over the past several months and in the months coming up, Local Records staff had been and will be conducting workshops for local government officials.  The workshops are conducted on-site at various locations across the state.  Belding underscored the impact the workshops have had on the local governments and that they included a segment on electronic records management that Mark Myers, of the Technology Analysis and Support Branch, presented.  There has been a great deal of interest on the part of local officials to learn more about the management of electronic information and Myers’ presentations were designed to respond to that need.   The recent publication of Enterprise Standard: 4060 Recordkeeping – Electronic Mail by the

 

Quarterly Meeting

September 11, 2003

Page 4

 

Governor’s Office for Technology and the publication of the Department’s Guidelines for Managing Electronic Mail have been positive developments in the management of electronic information and on the training front, Belding said.

 

Carlton said that two different workshops were being given.  One workshop represents an overview of records management and its requirements, while the other one deals specifically with the management of electronic records.  By October, Carlton said, approximately eight workshops will have been conducted in Area Development Districts (ADDs) across the state.  The ADDs have been providing the facilities, as well as mailing out notices to local officials about the availability of the workshops. Carlton said approximately 300 local government staff have attended the six workshops given thus far. 

 

The workshop on the management of paper and electronic records will be conducted one more time, with Myers presenting the electronic records segment, Carlton said.  The first one was presented to staff in the Daviess County School District.  That particular workshop is being offered only to school districts, due, in part, to the vast quantities of records that are created and maintained in those districts.   The next one will be offered to staff in the Pulaski School District, in October.  Staff from surrounding school districts also will be invited to attend.  An added boon to attending the workshops is that school district staff now receives credit for two hours of in-service training, and administrators receive three hours.  Carlton said that staff would work with organizations such as the County Clerks’ Association and the Kentucky League of Cities to set up additional workshops for local officials. Belding said that with limited staff resources, it was important to partner with existing organizations and associations that have a mutual interest in providing training and professional development for staff.  For example, the Kentucky League of Cities has a Public Official’s Essential Skills Institute that offers a series of monographic courses to city officials.  Aspects of records management could be built into the courses, as a way of introducing officials to its principles and requirements.  Such connections with organizations would aid in educating local officials about the importance of records management.  On the state side, Belding said that partnering with the Governmental Services Center, the training arm of state government, would greatly aid in educating state officials and employees about records management.  An additional avenue to be explored is to offer, through the Internet, interactive training for staff who are unable to attend sessions or who need refresher training in records management.      

 

As an aside, Belding said that the Lexington/Fayette Urban County Government (LFUCG) had renewed its interest in completing a comprehensive retention schedule with which to better manage its records.  With more than 30 divisions in that government, LFUCG’s interest in working with Local Records staff to create the schedule was a very encouraging development.  Carlton and Tim McIntosh, who is the regional administrator for Fayette County, met with key officials in the government the previous week to begin work on the project.  Until an agency-specific schedule is created, LFUCG staff can make

Quarterly Meeting

September 11, 2003

Page 5

 

use of the Local Government Records Retention Schedule, which is on KDLA’s website, to make disposition of a significant number of records.     

 

--Kentucky Archives Week

 

The State Historical Records Advisory Board (SHRAB) was the primary mover behind the creation of a Kentucky Archives Week, the first of which was held in October 2002.  Belding said that Kentucky joins a number of other states around the country that seek to celebrate archives and their collections, during the same period each year.   The purpose of the celebration is to focus public attention on the needs of archival facilities and the value that they bring to our society, and to draw attention to the rich legacy that is present in the materials in the collections.  By having the celebration once a year, during a concentrated session, it allows for more impact for individual institutions or programs.  Belding said that last year there was a gubernatorial proclamation, as well as similar proclamations in several cities.  In addition, university archives and special collections programs, historical societies, and private college archives had a number of events that were scheduled to occur during that week, such as openings of collections, special exhibits, and speakers who were to talk about particular collections or topics related to them.   The 2003 Archives Week will be held in early October. 

 

--Gubernatorial Transition

 

Belding informed the Commission members of the meeting he and Chairman Nelson had with the Governor’s Executive Cabinet related to records management considerations during the gubernatorial transition.  A copy of the briefing document from that meeting was distributed to the members.  As a result of that meeting, Aldona Valicenti, the state’s Chief Information Officer, invited staff to talk about transition with the Chief Information Officers Advisory Council, which is made up of officers from each cabinet within the Executive Branch, as well as the constitutional offices, who have responsibility for information technology issues.  At the meeting, particular emphasis was placed on the issues related to the management of electronic mail and the identification of records created in that format that would have historical value, such as official correspondence of cabinet secretaries or other senior administrators, before they leave state government.  The portion of messages that would be created using electronic mail that would need to be retained is a very small percentage.  The majority of electronic mail is disposable after a short period of time, as it is either junk mail or reference and informational messages.   The informational content of the communication is what determines its retention.  Electronic mail is a communications tool, not a record type.  Belding said the long term intent is to see that the steps involved in the management of electronic mail, which help to determine its value, are institutionalized as a part of regular business and not just something that occurs at the end of a gubernatorial transition.         

 

Quarterly Meeting

September 11, 2003

Page 6

 

In response to a question from Dr. Clark, Myers said that there is not much difference between written communications and communications created using electronic mail, in that sender and receiver are identified, the subject of the communication and the text, as well as dates and who received copies are present.  With electronic mail, additional information is captured, such as the systems the mail was routed through, the time it was created and whether or not the receiver opened the message.  It can’t be determined whether the message was read, just that it was opened.  Users of electronic mail may tend to be more casual and conversational, rather than formal, when creating communications, Myers said.  This transition period represents the first attempt for the Department to try and capture official communications in an electronic format.

 

--Evolving Relationship with the Administrative Office of the Courts (AOC)

 

The Department has worked very closely with AOC over the past two or three decades in a very productive way to provide archival and records management services, including micrographics services, to judicial offices.  AOC, particularly with the construction of a number of new courthouses, has become aware of the challenge and expense that managing records represent to the judicial offices located in each of the 120 counties.  As a measure of good management, AOC has determined that some things need to change in the way the records have been managed in the past.  AOC has decided that it is interested in moving directly into records management activities itself, while working closely with KDLA to provide micrographics and repository support services, both archival and records center. It is also interested in seeing that more records are transferred to KDLA than has been the pattern in the past, so that work processes can be more efficiently managed at the local level.  Under this plan, the courts would have only the records they need to meet current local business needs.  Records not needed for that purpose would be eligible for transfer to the Department.  Court records represent approximately two-thirds of the records that are requested in the Archives Research Room, in hard copy form, and represent more than 50% of the total holdings in the State Archives.  Belding said that the Department was looking forward to the next stage in its relationship with the courts.

 

In a related issue, Belding said that state government may be in a fiscal downturn but there is no shortage of litigation and no shortage in the creation of records, which applies to all state government agencies.  Holdings, particularly in the State Records Center, have grown over the past few years, which is an indication that creation of hard copy records has increased, rather than decreased.  There will continue to be a significant amount of records, both from the courts and other agencies, which would be transferred to the Department.  In response to a question from Dr. Clark regarding the number of case files still maintained in local courthouses, Belding said it would be a real challenge for the Department to accommodate the high volume of records likely to be transferred from the courts and other agencies as well, but that it was also an opportunity to visibly

 

Quarterly Meeting

September 11, 2003

Page 7

 

demonstrate the Department’s need to have an expansion of the Coffee Tree Road facility to be able to respond to the kind of archival growth that is anticipated over the next few years.        

 

Belding said that a meeting of the Capital Planning Advisory Board, which meets during the summer of odd numbered years to review capital expansion and equipment requests occurred in July.  At the meeting, Secretary Helm presented the cabinet’s requests for expansion, with one of those being an expansion of the Coffee Tree Road facility.  Belding said that the Department was very gratified that Garland Vanhook, one of the members of the Board and the staff architect for the court system, spoke very strongly in favor of the need for an expansion of the Archives facility.  Vanhook told the Board members that it was clear that it was not an issue that was open to debate, but more a question of how soon the fiscal environment could support the expansion.  The continued support of AOC is of great benefit to the Department as it seeks to gain approval for the expansion.

 

After a short break, the meeting reconvened to discuss the last item of business.

 

--Louisville General Hospital Records   

 

The issue of these records, a substantial amount of which are stored in the State Archives, relates directly to the challenges the Department faces in making the most efficient use of available storage space in the Archives.  Belding said that for a couple years, staff had been following a six or seven point program trying to free up additional space in the Archives.  Part of the program involves the regular review of schedules for changes in retention that would have an impact on records stored in the Archives, where the retentions have been reduced from permanent to a lesser period, based on decisions the Commission might make.  This review has helped ensure that those records are then either destroyed or transferred to the Records Center, depending on the retention period.  Another avenue that is being explored is the transfer of records to local governments that have established archival programs and that have sufficient space to accommodate the portion of records series that are stored in the Archives and that would complete local holdings.  It would be a better research strategy to have all of the records housed in the local facility, as opposed to having a portion of the records in two different locations.  Also, when Local Records grant projects are undertaken, records that relate to the grant and that are stored in the Archives are included in the overall filming project.  Another part of the program is to try to accept records in an electronic format, where possible and if available, rather than in paper, to decrease the amount of storage space needed.  All avenues possible are being explored to increase available archival storage space, including making sure that the Archives is not holding redundant materials and that what is stored clearly meets archival criteria, which means a reassessment of records previously scheduled as permanent.

Quarterly Meeting

September 11, 2003

Page 8

 

Related to that continuing reassessment, one group of records that staff has reevaluated is the Louisville General Hospital patient medical files that were transferred to the Archives

several years ago.  Belding distributed a memorandum addressed to the Commission members, which included an appraisal reassessment of the files, for their review.  The reassessment document provides background information about the records and their transfer to the Archives, which was approved at the time by the Commission.  The question for discussion is whether the records continue to meet accepted criteria for archival storage.    

 

Belding said that staff felt that these particular records were appropriate for reappraisal at this time for several different reasons.  One is because the records represent a unique case.  The records came into the Archives as unscheduled; that is, no retention period had been approved by the Commission for them in advance of the transfer.  The records, after the closure of the hospital, were in danger of being destroyed, if a repository was not found for them.  At that time, the issue was brought before the Commission, and the decision was made to accept them into the Archives.  The total volume accepted was approximately 1,594 cubic feet, covering the years 1923-1959.  In addition, the University of Louisville accepted a large volume of the more current records (those dated 1960-1977) into its facility.  Dr. Morison echoed Belding’s comments that the volume of records being stored is huge for both facilities, and that a reappraisal of their archival value is much needed.

 

Morison said that the question the University had at the time it accepted the records was whether they had reached their disposition period.  It was decided that they had not and they continued to be stored in the facility.  Several years later, the University broached the subject of destruction of the records, believing that any retention of the records had long since been met.  Approval to destroy the records, under appropriate laws and guidelines, has not, up to this point, been given.    

 

The interest in the records when they initially became available was that they were records of a public general hospital and there was some belief that at the time they were unique, in the sense that they documented, or perhaps might document, medical services delivery to an underserved or under documented population, during a period that spanned about 50 years.  Of the 1,594 cubic feet of records, approximately 1,408 are patient medical records, Belding said.  Another 150 cubic feet are patient folders that are on an outdated, proprietary-style microfiche, for which microfilm readers no longer exist.  In addition, there are patient summary cards, which are small IBM punch cards, with punch data on them.  The assessment document that each of the members was given was prepared by Tim Tingle, who is the Department’s chief appraisal archivist and head of the Arrangement and Description Section.  It addresses some of the issues that are relevant in terms of retaining patient case file material.  It includes recommendations from professional associations and medical records providers, such as the American Health

Quarterly Meeting

September 11, 2003

Page 9

 

Management Association, and from others that have responsibility for retaining similar information for medical purposes and for service to the original clients.  The document also includes statutory references regarding the retention of medical information.  Tingle also reviewed retention requirements of other states, finding that the maximum time period for retention was 30 years.  Kentucky laws and regulations, as a general rule, only require a five-year retention period for medical information.  The review of the laws and regulations for Kentucky and other states didn’t result in a definitive period for retention.

 

Given the lack of definitive information regarding retention, the next step was to define what obstacles there were to providing access to these kinds of records.  One clear obstacle is that the only people who have ready access to the records are the individual patients themselves, their guardians or the executors of their estates.  Over the past few years, the amount of entry into the nearly 1,600 cubic feet of the records at the Archives has averaged about three to four per year.  Dr. Ellis said he imagined that the re-entry would have been greater into the more recent records, not those were more than 50 years old.  Belding said that that was correct.  Belding pointed out that the run of records that the Archives has is not complete.  There are gaps in the records for any particular year, so there is no assurance that the Archives would have a requested record.

 

In response to a question from Dr. Clark, Morison said that the records held at the University cover the period 1960-1977, which represents the most recent portion of the records.  They were retained for the purpose of physician consultation for patient care for persons who were treated during that period.  The number of requests for the records by either physicians or patients was very low.  As the years have progressed, the requests have been fewer and fewer, Morison said.  Another reason for retaining the records, Morison said, was their possible historical research value, which Morison acknowledged they could have.  To date, there has been no historical research activity in the files maintained at the University.  Belding said that the same held true for the records stored in the Archives.  At the time of the initial decision to retain the records, two medical historians and a statistician informed the Commission members of the impact of sampling techniques and made observations about the value of the material for potential historical research.  Their observations have not proven to be the case.  None of those who provided the earlier assessments have ever expressed any research interest in the files or directed anyone to use the holdings in the Archives.  Partly, that can be attributed to the number of statutory restrictions on access to medical information, Belding said.  Stephanie Robey, representing the Auditor’s Office, asked if the Archives held other medical records of the same type.  Belding said that it did not.  Robey then raised the issue of the Health Insurance Portability and Accountability Act (HIPPA) and whether the access restrictions imposed by that Act, which are very stringent, would have any impact on research use of the records.   Robey said there could be legal liability for keeping that kind of information.  Ellis said that he thought the only reason the records were retained initially was because of their possible research value, not because of their value to clinicians. 

 

 

Quarterly Meeting

September 11, 2003

Page 10

 

Dr. Clark asked if any of the information contained in the files would also be retained in vital statistics records.  Belding said that the files consist of different information and that, as Robey had pointed out, access to the information would restricted in terms of its use because of personal identifiers. The same would not be true of vital statistics or census records, as they contain abstracted information.

 

Belding said that information had been obtained from several sources, including the municipal archives of both the city of Philadelphia and the city of New York, which both have public hospitals.  Both archives reported that they held a portion of the records from these hospitals in their respective archival facilities that those records consist primarily of registers, logbooks, and statistical reports.  In neither case were patient medical folders retained for any length of time, if at all, by the cities.  Unlike these cases, Kentucky does not have any of the administrative records of the Louisville General Hospital, such as statistical reports recording the incidence of diseases, or demographic assessments that represent studies of the experience of the hospital over time.  That kind of information did not exist or was not available at the time the records were transferred to the Department.  Instead of having those records, which would have historical significance, the Department has been maintaining patient records, which other states and cities don’t retain.  Barbara Teague, manager of the Archival Services Branch, said that many of the files stored in the Archives are incomplete and do not fully document the type of disease the patient may have had, only that the patient had received treatment.

 

Nelson said he thought there might have been a question early on about the value of the records in determining whether genetically-transferred illnesses or health issues were present in later generations.  Morison said that he knows of no instance where that type of research has occurred at the University.  Belding said that another way in which the records might have been used in a kind of archival context would have been in a clinical setting, where new doctors would be trained in diagnostic techniques.  They might have been given medical information from a much earlier period for them to use as a test case.  There has never been any interest in using the files under consideration in that way, partly because the Department is not located near any major medical research center.  The likelihood of these records being used in that way is very slight.

 

Belding said that five or six factors had been identified as being crucial to a final decision being made regarding the ultimate disposition of the records.  The factors include the size of the collection, which is a space issue for the Archives; the significant access restrictions on the records, which precludes use of the files to anyone other than the individual patient, guardian or executor; the scarce use of the materials over time; the gaps that exist in the files; and the very significant issue of being able to preserve and read the information that is on the outdated microfiche cards, which have steadily

 

Quarterly Meeting

September 11, 2003

Page 11

 

degraded over the past years and will continue to degrade, even in an archival environment, because of their chemistry. 

 

Taking all the factors into consideration, as well as the issues brought forward by Dr. Morison regarding the University’s holdings, Belding said that staff wanted to bring the information to the Commission, as it was involved in the original decision to retain the records 20 years ago, with a recommendation that the continued retention of the patient files is not justified.   Dr. Clark asked how the University became the recipient of the files it now has.  Morison said that the older files are housed in the State Archives, with the University having the more recent ones.  Nelson said that when Humana took over the General Hospital, it was going to destroy the files and that’s when the Department became involved.  Morison said there was a small window of time when the University was actually the “owner” of the hospital and that’s why it has them today.

 

Dr. Clark asked Morison about his attitude toward continuing to hold the records.  Morison said that, in a perfect world, his inclination, as a historian, would be to retain these records, as well as other types of records forever, but in a practical world that isn’t possible.  Morison said that he supports the recommendation of the Department that the records be destroyed.  Belding said that the Archives continues to hold approximately 270 volumes (approximately 85 cubic feet) of admissions and registration logs from the hospital that are not included in the present discussion, but which may be the subject of future discussions.  The same issues regarding privacy of medical files exist for the logs, as personal patient information is recorded in them.  Their ultimate disposition would need to be decided at a future date.

 

Dr. Clark asked if there were any statutory barriers to the destruction of the files.  Belding said that there was not.  The question was raised as to whether, under HIPPA regulations, there would be a prohibition against destruction of the files without having first advised or notified former patients that the records exist.  Teague asked if that aspect could be handled by placing a notice in appropriate newspapers.  Morison said that that possibility had been discussed and that the University would go forward with it, if the Commission approved the destruction of the records.  DeLuca asked if the University would continue to hold its records, if the approval to destroy the ones in the Archives was approved.  Morison said the University would be guided by the will of the Commission. 

 

Robb made mention of a reference to the existence of indices for the files, which were created by Humana.  Teague said that the Archives has been dependent upon those parties holding the indices to determine, when a request was received, as to whether or not a given file was its holdings.                  

 

 

Quarterly Meeting

September 11, 2003

Page 12

 

In response to a question from Sandra McAninch, Belding said that the Department had not sought out any medical historians to see if a home could be found for the files, but would do so, if the Commission members recommended it.  Robey said the Department might run the risk of disclosing personal information about the patients, if such an action were to be taken.  Dr. Clark said that medical historians had not shown any interest thus far and that approaching them now might not be the best step to take.    Given that little interest has been shown in the records, either by individual patients or the medical community, Dr. Clark moved that the records be finally disposed of.  The motion was seconded by Robey.

 

Robb said that if the Department advertised that it had the records, that might prompt more than one or two research queries a year.  Robb was also concerned about the public’s reaction if word of the destruction of the records were to get out.  Teague said that records that have ceased to have value are routinely destroyed, without antagonizing the public, and that the records under discussion are no different than other hospital records that are destroyed.  In response to a question from Belding, Moses said that clinic-type records, such as those maintained by local health departments are destroyed after ten years.  A new file would be created if the individual returned for treatment after the expiration of the ten-year period.  A question was asked as to whether the patient would have any right to take possession of his record, prior to its destruction.  Nelson said he supposed that the Department would only issue a notice of the availability of the general hospital records if it was legally required to.  Related to the issue of access restrictions, Pinkerton said that he did not believe that HIPPA, which was recently enacted, would pertain, given that the records span the period 1923-1977.  There was no consensus among the Commission members or staff as to whether HIPPA had retroactive application.  Pinkerton said that he believed the only reason the records would need to be retained was if someone had a legal interest in them and that, given their age, any statute of limitations would probably render that interest as purely academic.  Morison agreed. 

 

Morison said that the placement and type of notice advertising the availability of the records would also need to be discussed with University legal staff and its medical and hospital community, if the decision was made to take that action.  Also, how the destruction of the records would be carried out would need to be addressed, if the Commission approved their disposal.  Morison said the University would try to take prudent steps in regard to any public notices about the records, but felt, in the final analysis, that the Commission might just have to take the action it deemed appropriate and accept the consequences of that action, as it should with any actions it took.

 

Clark said that he was amending his motion to be dependent upon any contrary advice from the medical/legal community regarding disposal of the records.  If there is no recommendation to the contrary by the medical/legal community, the motion would provide for the destruction of the records.  Morison said that the University would want to

Quarterly Meeting

September 11, 2003

Page 13

 

consult with the medical community, unless legal staff advised it not to.  Nelson clarified the motion by saying that if no reason was found to delay the destruction of the records, their disposal would proceed.  Any final action would be addressed by the Commission

when it meets in December, to give time to consult with the relevant communities.  Belding said, in response to a question from Clark, that the Department had consulted with its legal counsel, in cooperation with the University counsel’s office.  Additional discussions would be held and if both counsels thought it necessary to have further consultations with outside groups, the Department and the University would pursue them and report back in December.              

 

Clark’s motion is to destroy the records, if no additional information to the contrary is received.  The motion was seconded by Robey.   The vote by members and representatives present was unanimous.

          

There being no further business, Nelson adjourned the meeting at approximately 12:00 p.m.