Terminal digit filing is the filing of all files ending in the same last two digits in one section, forming 100 distinct file groups (00 through 99) in any given file number situation. The use of terminal digit filing is usually seen in large file areas: hospitals, insurance companies, government, banking, etc.

It speeds up retrieval time and reduces refile time by segregating files into groups of 00 through 99 (example #12345) terminal digits (45), middle digits (23 within the 45 section) and tertiary digits (01within the 23 section). If numbers are longer than six digits, the rest of the number is filed in order inside the tertiary digit sections

For example, file 12345 (01-23-45) would be filed in the 45 section next to file 2345 (00-23-45). File 12346 (01-23-46) which would normally be put next to 12345, would be filed in the 46 section (then in the 23 section, then 01 within 23 section). Note the misfile – two files in the 45 section between subsections 21 and 22 that should be in the middle digit section 24 (file numbers larger than six digits can also be filed in terminal digit order).

The major advantage of terminal digit filing is that the file grows equally in 100 places as well as shrinking equally in the same 100 places with the retirement of older files, forming an equal growth pattern in the file. File  shifting to make room for new numbers is eliminated.

Color coding labels really make misfiles stand out. You can find individual numeric and alphabetic labels here and color bar strip labels here. Color bar labels are printed with Smead software that is available $3,600 to zero for the new Express version. Printed labels based on the customer’s list  can be shipped in bulk or attached to new folders ready to use.

By Katherine Hobson

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A current article in the WSJ quotes Politico.

The Wall Street Journal Reports. The Obama administration’s plan for implementing electronic medical records is getting some pushback. Health-industry groups including the AMA and American Hospital Association are calling the digitization requirements “too much, too soon,” Politico reports.

At issue are the grants available under the stimulus bill to doctors and hospitals showing “meaningful use” of electronic health records. Early signs are that meeting that “meaningful use” standard will be tough, with about 24 requirements by 2011, Politico says. (A final rule is expected this month.)

It’s tough for doctors’ offices and hospitals to fully digitize their operations in that short period, and not clear that early returns on systems allowing such things as digitally transmitted prescriptions or patient access to electronic records will show gains in either costs or quality of care, Politico says. Suggestions include pushing back the deadline or, as one HHS official says, a partial credit system.

While a rapid conversion to electronic records has its fans, there are plenty of doctors, hospitals and policymakers sounding cautionary notes, particularly about that “rapid” part. There are technical and patient privacy issues, large up-front investments that may only pay off down the line, and questions from physicians about how it will affect their relationships with patients.

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The Huffington Post, an on-line newspaper, has a thorough article delving into problems caused by the too fast adoption of electronic medical records.

A phrase repeated often in the article, computerized provider order entry, or CPOE, describes how the electronic part of the system mostly involves the ordering of medicines followed by the display of instructions for administration.

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Folders with fasteners and dividers are used to create a file within a file. Sturdy dividers have fasteners on both sides to let you store information under several subdivisions in a single folder. For example a folder with three dividers has eight separate places for documents.

Legal and Letter Size Classification Folders, sometime referred to as classification binders, with built in dividers open like a book with from one to three pages. The front and back covers of the ‘book’ have metal prong fasteners fastened to them. The ‘pages’ dividers have fasteners on both sides.

Classification Folders are available in a range of colors : Blue, Executive Red, Pacific Blue, Palm Green, Yellow, Grey, Red, Blue, Deep Red, Green, Moss Green, Royal Blue, Manila.

Two styles of fasteners are available. Folders with classic steel fasteners are the less expensive . The new SafeShield fastener, available on all press board Smead classification folders, and on manila folders for a small upcharge, is plastic coated for less wear and tear on documents and fingers. They also are less subject to crinkling from repeated use.