Compliance & Quality ManagementPurpose
1.2. Log every file modification, access, deletion, or addition by staff in air ambulance case management systems.
1.3. Maintain a non-repudiable, tamperproof history of all user activity tied to patient or mission records.
1.4. Facilitate rapid investigation of quality or compliance incidents, supporting transparency and accountability.
1.5. Simplify external audit requests by providing precise, time-stamped, user-attributed data trails.
Trigger Conditions
2.2. When a file attachment is added, deleted, or modified.
2.3. On changes to case file access permissions or sharing status.
2.4. Whenever case record is exported, printed, or transmitted.
2.5. On user login/logout related to case file access.
Platform variants
• Feature: Enable 'Audit Log Reports'; configure to track file and item activity in document libraries.
3.2. Google Workspace (Drive API)
• Feature: Use 'Activity API'; watch file changes, edits, and sharing actions.
3.3. Box
• Feature: Enable 'User Activity Reports'; API endpoint `/events` for file-level auditing.
3.4. Dropbox Business
• Feature: 'Team Activity'; API `team_log/get_events` tracks document interactions.
3.5. Salesforce Health Cloud
• Feature: Activate 'Field Audit Trail'; set up "Field History Tracking" for critical objects.
3.6. ServiceNow
• Feature: Turn on 'Audit History' for records; configure audit for 'Case' table.
3.7. Epic EMR
• Feature: Enable 'Audit Trails' via Reporting Workbench; set protocol for case file logs.
3.8. Cerner Millennium
• Feature: Configure 'PowerChart Audit Logs'; set auditing scope for patient records.
3.9. SAP SuccessFactors
• Feature: Activate 'Change Audit'; API `/odata/v2/AuditTrail` for audit exports.
3.10. DocuSign
• Feature: 'Envelope Audit Events'; configure Connect webhook for log deliveries.
3.11. Zendesk
• Feature: 'Audit Log API'; set filters for case/file object changes.
3.12. Smartsheet
• Feature: Audit Log API; enable tracking on project sheets pertaining to medical files.
3.13. MongoDB (Atlas)
• Feature: Enable 'Database Auditing'; set up to record updates to case collections.
3.14. Amazon S3
• Feature: 'S3 Object-level Logging'; enable to record PUT, GET, DELETE actions.
3.15. Slack
• Feature: Audit Logs API; monitor shared file activity in compliance channels.
3.16. Atlassian Jira
• Feature: Issue History & Audit Log; API `/rest/api/3/auditing` for object change tracking.
3.17. Freshservice
• Feature: Change Management Logs; enable for healthcare ticket artifacts.
3.18. HubSpot
• Feature: Use 'Engagements API' and 'Audit Logs' to record file notes, attachments on records.
3.19. AirTable
• Feature: Automations + 'Record Revision History' API; log case base changes.
3.20. Okta
• Feature: System Log API; capture file-related events in SSO-enabled healthcare apps.
Benefits
4.2. Drastically reduces manual audit work, lowering compliance risk and cost.
4.3. Accelerates incident response for quality assurance or regulatory inquiries.
4.4. Supports continuous improvement with granular user and time-stamped activity data.
4.5. Demonstrates due diligence for HIPAA, GDPR, and emergency medical regulations.