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Final Business Unit report Template Sample

<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 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 ( ) >