Evolution of SACRED (staff authority credentialing): an automated credentialing system.
Over a period of 5 years, the medical record department (MRD) at the Warren G. Magnuson Clinical Center of the National Institutes of Health developed and refined a customized medical staff credentialing system. The result is SACRED, an automated credentialing system that supports the changing requirements of the credentialing process and continues to meet the needs of its customers. Using a reiterative approach to development and application of the concept of controlled manageable growth, the system can be maintained by the MRD and is adaptable to change without requiring reinvention or replacement of its basic structure, process, or equipment.