Suffolk County Community College - College Curriculum Committee
Letter of Intent to Campus Dean(s)
Proposer___Diane P. Fabian_________________ Campus: A____
E____
(name)
Department/Area__Department of Health Sciences___________________
W__X___
Telephone__851-6342________________________E-mail__fabiand@sunysuffolk.edu____
Attach a brief description of the course or curriculum being proposed with rationale for adding
this course/curriculum. Demonstrate the need for this course/curriculum as it relates to existing
courses/curriculum. Attachment must be in electronic format (ex. MS Word.)
Associate Dean to fill out information below this line
******************************************************************************
Type of Curriculum/Course Proposal/Revision
Course
New_________________________________
Revised_______________________________
Adoption______________________________
Curriculum
New_______________________________
A.A._____ A.S. _____ A.A.S _____
Revised__X__________________________
Certificate
__
Adoption____________________________
Recommendations:
This proposal requires the following approval(s)
Campus __X__
College_____
*SEE LETTER OF SUPPORT FORM (NEXT PAGE) FOR VERIFICATION OF APPROVAL*
copies to:
Proposer
Chairs of Campus Curriculum Committees
Academic Chairs of affected Departments
Campus Deans
Chair of College Curriculum Committee
Associate Dean for Curriculum and Assessment
Vice President for Academic and Student Affairs
Associate Dean of Library Services
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
Revised 9/2004
To:
Dr. Allen Jacobs
Associate Dean for Curriculum and Assessment
From:
Diane P. Fabian
Academic Chair, Department of Health Sciences
Subject: Program Revisions to Health Information Technology curriculum
Letter of Intent
Date:
9/23/05
There has been a turn of events in the healthcare field whereby the government has begun an
aggressive public and private campaign to build a national health information infrastructure.
This means that health information will be collected, maintained, disseminated and stored
electronically. Many healthcare facilities and providers are adopting new technologies in
preparation for an electronic medical record. The Joint Commission of Healthcare Organizations
(JCAHO), the accrediting agency for many healthcare facilities, has included a requirement for
electronic medical records within the next few years, as early as January 2007. Because of these
initiatives, I have redesigned the Health Information Technology curriculum to meet the needs of
the industry. This program revision incorporates more technology courses and focuses on the
electronic medical record, as opposed to the paper medical record. While there have been some
issues with declining enrollment in the past, I am confident that there will be a renewed interest
as the public becomes more aware of the health information technology field. The proposed
curriculum has been designed to allow students to complete the Health Information Technology
courses within sixteen months including the Summer sessions. This would allow students to
complete their general education requirements either before or after they complete the Health
Information Technology courses. This format would also assist those students who have a degree
and who are looking for a career change.
_______Diane P. Fabian_______________
Health Information Technology
(A.A.S. degree)
First Semester (17 credits)
FALL
EG 11 Freshman Composition
CS 13 Intro to Information Technology
MD11 Medical Terminology
HI14 Introduction to Health Information Technology
HI16 Electronic Health Record
Second Semester (15.5 credits)
SPRING
MA23 Statistics
HI25 Regulatory issues with the EHR
CS33 Relational Database applications and concepts
BY38 (Not in current catalog) (Dept vote 9/22/05)
OS15 Freshman Seminar
Third Semester (6 credits)
SUMMER
HI 20 Study of Disease (Session I)
HI 35 Coding and Classification Systems (Session II)
3.0
4.0
3.0
3.0
4.0
3.0
3.0
4.0
4.0
1.5
3.0
3.0
Fourth Semester (14 credits)
FALL
HI36 Advanced Coding/CPT4 and Reimbursement Methodologies
HI 39 Managing the Electronic Health Record
HI 18 Privacy and Security of the Electronic Health Record
HI37 Directed Clinical Practice
PExx Physical Education
3.0
4.0
3.0
3.0
1.0
Fifth Semester (13 credits)
SPRING
EGxx Elective
SSxx Social Science Elective
Humanities Elective
PC 11 Intro to Psych
PExx Physical Ed
3.0
3.0
3.0
3.0
1.0
Computer Science
8 credits
English
6 credits
Humanities
3 credits
Social Science
6 credits
Mathematics/Science
7 credits
Health Information Technology 29 credits
Medical Assisting
3 credits
Physical Education
2 credits
Freshman Seminar
1.5 credits
HEALTH INFORMATION TECHNOLOGY
PROGRAM REVISIONS
Current
Proposed
HI14 Introduction to Health
Information Technology
HI16 Health Information: Data Content
and Structure
Changes to course description
HI18 Legal Aspects of Health
Information
HI20 Study of Disease
HI 22 Quality Improvement
HI25 Health Information Statistics
HI27 Directed Clinical Practice I
HI35 Coding and Classification Systems
HI36 Advanced Coding/CPT4 and
Reimbursement Methodologies
HI 37 Directed Clinical Practice II
HI39 Health Information Management
and Supervision
Title change: Electronic Health Record
Changes to course description
Converted to a 4 credit course
Title change: Privacy and Security of the
Electronic Health Record
Changes to course description
No change
Combined with HI 39
Converted HI39 to 4 credit course
Title change: Regulatory issues with the
Electronic Health Record
Changes to course description
Combined with HI37 Directed Clinical
Practice (Added 1 credit to HI37)
No change
No change
Title change: Directed Clinical Practice
Converted to a 3 credit course
(Combined with HI27)
Changes to course description
Title change: Management Issues in the
Electronic Health Record Environment
Converted to a 4 credit course
Combined with HI22 Quality
Improvement
Suffolk County Community College - College Curriculum Committee
Letter of Support from Campus Dean(s)
TO: Diane P. Fabian
Academic Chair, Department of Health Sciences
FROM: Shaun McKay, Campus Dean
DATE: 10/11/05
Re: Letter of Support for Program Revisions to the Health Information Technology curriculum
Please accept this letter of support for this program revision because as the proposal indicates,
this change allows for the incorporation of technology courses and focuses on the electronic
medical record, as opposed to the paper medical record. The proposed curriculum is designed to
allow students to complete the Health Information Technology courses within sixteen months
including the Summer sessions. As indicated in the proposal, The Joint Commission of
Healthcare Organizations (JCAHO), the accrediting agency for many healthcare facilities, has
included a requirement for electronic medical records within the next few years, as early as
January 2007.
Copies to:
Proposer
Chairs of Campus Curriculum Committees
Academic Chairs of affected Departments
Campus Deans
Chair of College Curriculum Committee
Associate Dean for Curriculum and Assessment
Vice President for Academic and Student Affairs
Associate Dean of Library Services
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
Revised 9/2004
FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
OR COURSE/CURRICULUM MODIFICATION
ORIGINATING CAMPUS:
( ) Ammerman
( ) Eastern
( X ) Western
To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.
Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.
I.
Votes
(X )
(X)
(X )
( )
and Recommendation Checklist
Electronic Letter of Intent
Electronic Letter of Support from Campus Dean(s)
Vote of Department:
Name of Affected Department: Department of Health Sciences_____
For: _6____ Against: _0____ Abstentions: _____
Date of Vote: _9/15/05_________
Proposer's Initials: _DF____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Vote of Distance Education Committee (if applicable)
Circle One: APPROVED
Date of Vote: _______
(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
-------------------------------------------------------------------------------------ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
cc:
Vice President for Academic and Campus Affairs
Associate Vice President for Curriculum and Instruction
Campus Deans
Chairs of Curriculum Committees
Academic Chairs of affected Departments
Associate Dean of Library Services
( )
Vote of Curriculum Committee
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
( )
Vote of Full Faculty Senate/Assembly/Congress
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI39 MANAGEMENT ISSUES IN THE ELECTRONIC HEALTH RECORD
ENVIRONMENT
CATALOG DESCRIPTION:
Students will explore the functions of management such as, human resources financial and
physical resources and performance improvement as it relates to managing a health information
management environment where the electronic health record is being developed. Prerequisite:
HI35 with a “C” grade or higher. (3 hours lecture) Co-requisite: HI36.
I.
STATEMENT OF OBJECTIVES (should be stated in the form of precise,
measurable learning outcomes, e.g. “Upon successful completion of this
course, students will be able to: ”)
Upon completion of the course the student will be able to:
1. Explain the role of the supervisor, develop job descriptions, and perform interviews.
2. Develop concept of teams and team building.
3. Formulate and conduct an in-service education program.
4. Plan a work environment for the electronic health record that will accommodate employees
and comply with regulatory requirements.
5. Communicate the changes in the healthcare environment that directly impacts the health
information department, such as, reimbursement, correct coding initiative, HIPAA, cancer
registry, corporate compliance.
6. Apply methods and techniques to improve and monitor performance.
7. Develop a resource allocation plan.
8. Define the relationship between the medical staff committees and hospital-wide
performance improvement.
9. Explain the development of risk management and its importance to the healthcare facility.
II.
RELATIONSHIP TO STUDENTS
A. Credits/Contact Hours
B. Required/Elective
C. Transferability
D. Proposed cycle for offering
E. Estimate of student enrollment
F. Prerequisites and/or corequisites
Corequisite: HI36
III.
RELATIONSHIP TO FACULTY
A. Number of current faculty available to teach proposed course and number
of additional faculty required.
One
B. Number of other staff positions required. One Adjunct
C. Discipline(s) required and/or minimum preparation in order to teach the
course.
Masters prepared with R.H.I.A. or R.H.I.T. credential
IV.
RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
A. If this is a general education course, how does it incorporate the SUNY
infused competencies of critical thinking and information management?
4 credits
Required
N/A
Fall
24
Prereq: HI35 with a C gread or higher;
*The ten SUNY knowledge and skill areas are: Mathematics, Natural
Sciences, Social Sciences, American History, Western Civilization, Other
World Civilizations, Humanities, The Arts, Foreign Language, Basic
Communication. N/A
B. If this is a general education course, what are its assessment measures,
i.e. instruments to measure the attainment of student learning outcomes?
N/A
V.
RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
A. List other colleges that offer this course. Molloy College
VI.
ADDITIONAL COSTS
List additional costs and space requirements that have not already been
recorded in the document.
None Anticipated
VII.
COURSE OUTLINE
Include electronic course outline following prescribed format from the Faculty
Handbook. (See Attachment I)
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
ATTACHMENT I
SUFFOLK COUNTY COMMUNITY COLLEGE
WESTERN CAMPUS
COURSE SYLLABUS
COURSE TITLE:
MANAGEMENT ISSUES IN THE ELECTRONIC HEALTH RECORD ENVIRONMENT
CATALOG NO:
CREDIT HOURS
HI 39
4 hours
INSTRUCTOR:
SEMESTER:
COURSE DESCRIPTION:
Students will explore the functions of management such as, human resources financial and
physical resources and performance improvement as it relates to managing a health information
management environment where the electronic health record is being developed. Prerequisite:
HI35 with a “C” grade or higher. (3 hours lecture) Co-requisite: HI36.
OBJECTIVES:
Upon completion of the course the student will be able to:
1. Explain the role of the supervisor, develop job descriptions, and perform interviews.
2. Develop concept of teams and team building.
3. Formulate and conduct an in-service education program.
4. Plan a work environment for the electronic health record that will accommodate employees
and comply with regulatory requirements.
10. Communicate the changes in the healthcare environment that directly impacts the health
information department, such as, reimbursement, correct coding initiative, HIPAA, cancer
registry, corporate compliance.
11. Apply methods and techniques to improve and monitor performance.
12. Develop a resource allocation plan.
13. Define the relationship between the medical staff committees and hospital-wide
performance improvement.
14. Explain the development of risk management and its importance to the healthcare facility.
INSTRUCTIONAL/TEACHING METHODS:
Lecture
Role playing
Case Studies
Homework assignment
Oral Presentations
JCAHO
Sample Report Cards, minutes and medical record screening tools
Internet Search
EVALUATION:
Successful completion of the course will depend upon the performance on the
eight projects, two quizzes, midterm and final exam. (See attachment for list of projects)
QUIZZES (2)
10%
PROJECTS (8)
50%
MIDTERM
20%
FINAL
20%
(will include multiple choice, essays, case analysis)
Project #1 10%
Write job descriptions for a function in Health Information Department.
(Function will be assigned)
Project #2
5%
The Health Information Management Department is moving into a new office space. You have
been selected as the team members who will design the office floor plan. You will have to
decide where to place the desks, equipment (files) computers, entrances, and office for director.
Be visionary and creative in your design. Also, include ergonomic principles in the design. Your
floor plan will be shared with the other groups. Be prepared to defend it.
Project #3
5%
Working in groups you will be performing ongoing medical record review for the Medical
Record Committee. The students will review 25 medical records and will prepare a report
showing results.
Use statistics to report and use a graph to display results. You will have to develop a collection
tool for the group to use. Prepare an agenda, conduct a mock medical records committee and
keep minutes.
Project #4
5%
Your group is working on case mix analysis. Calculate the case mix index (CMI) for the
following scenario. Compare the calculations to the previous years. Discuss what factors would
have contributed to the changes.
Previous Years
2003
2004
2005
Case Mix Index
Project # 5
5%
Your group will be selecting a particular software vendor, determining what hardware will be
required with the specific application and what benefits would this offer. You will be assigned
one of the following applications:
Chart Tracking/ Chart Deficiency
Dictation/Transcription System
Encoder
HIM coding and abstracting system
Project #6
5%
Western Community Hospital just merged with the Main Campus Hospital in Selden. The two
hospitals would like to merge their MPI. Both hospitals have to reduce the number of duplicate
medical record numbers first. What steps should these facilities take to accomplish this. Include
reasons why there may be duplicate medical record numbers and provide solutions.
Project #7
10%
Prepare an in-service where you will discuss NHII and the Electronic Medical Record.
Project #8
5%
After searching the DOH web sites for:
SPARCS
Registries (Alzheimers, Congenital Malformations, AIDS)
NY State Cancer Reporting (Instructions for completion)
Requirements of a Cancer Registry
You will be assigned one of the above and will share with other groups.
Prepare a power point presentation.
Students require a “C” or better for HIT coursework.
ATTENDANCE:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from this class roster.
TEXT:
Health Information Management Technology edited by Merida Johns, Chicago, American Health
Information Management Association, 2002.
Fundamentals of Health Care Quality Management 2nd edition, by Patrice Spath, Brown-Spath
Associates, Oregon, 2005.
ADDITIONAL READING: Journal of the Health Information Management Association
American Health Information Management Association (student membership)
DOMAINS, SUBDOMAINS, TASKS
I.D.1. Apply policies and procedures for the use of clinical data required in reimbursement and
prospective payment systems (PPS) in healthcare delivery.
I.D.2. Support accurate billing through coding, chargemaster, claims management and bill
reconciliation processes.
I.D.3. Use established guidelines to comply with reimbursement and reporting requirements
such as the National Correct Coding Initiative.
I.D.4. Compile patient data and perform data quality reviews to validate code assignment and
compliance with reporting requirements such as outpatient prospective payment systems.
II.A.2. Collect, organize and present data for quality management, utilization management, risk
management and other patient care related studies.
II.B.1. Abstract and report data for facility-wide quality management and performance
improvement programs.
II.B.2. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness
of healthcare.
V.A.1. Apply the fundamentals of team leadership.
V.A.2. Organize and contribute to work teams and committees.
V.A.3. Conduct new staff orientation and training programs.
V.A.4. Conduct continuing education programs.
V.A.5. Monitor staffing levels and productivity standards for health information functions, and
provide feedback to management and staff regarding performance.
V.A.6. Communicate benchmark staff performance data.
V.A.7. Prioritize job functions and activities.
V.A.8. Use quality improvement tools and techniques to monitor, report and improve processes.
V.B.1. Make recommendations for items to include in budgets and contracts.
V.B.2. Monitor and order supplies needed for work processes.
V.B.3. Monitor coding and revenue cycle process.
V.B.4. Recommend cost-saving and efficient means of achieving work processes and goals.
V.B.5. Contribute to work plans, policies, procedures and resource requisitions in relation to
job functions.
MANAGEMENT ISSUES IN THE ELECTRONIC HEALTH RECORD
ENVIRONMENT
HI 39
GENERAL OUTLINE
OBJECTIVE # 1 Explain the role of the supervisor, develop job descriptions, and
perform interviews.
The student will be able to perform a job analysis and write a job description.
Supervision
Management
Theories of Management
Table of Organization
Line vs Staff authority
Theories of motivation
Authorities vs. Responsibility
Scope of authority
Delegation of authority
Interviewing
Writing job descriptions
Job analysis
Affirmative Action
Equal Employment opportunity
Legislation affecting labor practices
Preparing the resume based on personal history
Cover letters
Skills
Supervisory role in interviewing
Setting, questions, nature
Screening vs. Placement interviews
Trends in health information hiring today
Budgets
Workflow
Performance Monitors
Benchmarking
Staffing levels
Productivity Standards
OBJECTIVE #2 Develop concept of teams and team building.
Students will work develop teams to assist with managing:
Role of committees
Team meetings
Communication
Interpersonal skills
Leadership theory
Workflow within the teams
Team budgets
OBJECTIVE # 3 Formulate and conduct an inservice education program.
The student will be able to provide inservice and continuing education.
Inservice/Orientation
Communication
Memos/Policies
Data presentations to specified groups
Supervisor’s role
Changing past practice
Unionized department
OBJECTIVE # 4 Plan a work environment that will accommodate employees and comply
with regulatory requirement.
The student will be able to design a work area by determining the needs of the department.
Ergonomic Design
Principles of ergonomics
Compliance with legal accommodation
Environmental issues in ergonomics
Work space design
Design of an ergonomic area in Health Information Management
Department
OBJECTIVE # 5 Communicate the changes in the healthcare environment that directly
impacts the health information department.
The student will be able to communicate work related change.
Health care environment today
Electronic Medical Record, EHR, PHR, CCR
ICD 10 and ICD 10 PCS
Fraud and abuse issues
Compliance programs
Outsourcing vs. inhouse staff
Retention/ Transcription/Correspondence
Downsizing
Consulting
AHIMA Vision 2006
Reimbursement
Correct Coding Initiative
HIPAA
Cancer Registry
NHII
OBJECTIVE #6 Apply methods and techniques to improve and monitor performance.
Team Dynamics
Quality Assessment/Improvement
Performance Measures
Customers and suppliers
Reporting
Indicators, Report Cards
Performance Assessment
Process Analysis
Data Displays
Statistical Process Control
Control Charts
Data Presentation
Graphs: Pareto, Pie, Scatter, Line graph,
PDCA
Evaluation
Trend Analysis
Performance Improvement
Brainstorming
Flow chart
Cause and Effect Diagram
Histogram
Check Sheet
Nominal Group
Gantt Chart
Root Cause Analysis
17
FMEA
OBJECTIVE #7 Develop a resource allocation plan.
Budgets
Contracts
Supplies
Equipment
Software
OBJECTIVE #8 Define the relationship between the medical staff committees and
hospital-wide performance improvement.
Performance Improvement Organizational structure
Mission, Vision, Strategic Plan
Governing Board
Medical Staff Committees
Performance Improvement Committee
Peer Review
Ancillary Department Review
Credentialing
Appointment/Reappointment to Medical Staff
Risk Management
JCAHO
ORYX
CORE MEASURES (Electronic Reporting)
CMS Scope of Work
NYPORTS
Individual Competence
OBJECTIVE #9 Explain the development of risk management and its importance to the
healthcare facility.
The student will be able to define a hospital risk management program and participate in risk
identification and analysis.
Darling vs. Charleston Community Memorial Hospital
American Society for Hospital Risk Managers (ASHRM)
18
CPHRM Credential
Risk Management Program
Objectives
Enhance quality
Minimize risk
Insure against financial loss
Components
Risk Identification
Results of PI
Medical Staff Committee minutes
Infection Control Reports
Incident Reports
Occurrence Screening
Patient Surveys
Potential Compensable Event (P.E.T.)
NYPORTS
Sentinel Events & “Near Miss Events”
Patient Safety Program
National Patient Safety Goals (JCAHO)
FMEA
Fall 2005
MANAGEMENT ISSUES IN THE ELECTRONIC HEALTH RECORD
ENVIRONMENT
HI 39
WEEKLY OUTLINE
Week
Topic
Homework
Week #1
Introduction to course; principles of management,
p.723-726
overview of managerial functions
Role of Supervisor;
Week #2
Week #3
Planning function; goal setting; planning a new
procedure in HIM; budgeting
Organizing for action; table of organization/manuals/job
descriptions; centralization vs. decentralization; job
sharing; flex time; work at home
p.726-732
Leading and Managing; Controlling function; types of
control; performance practice standards; theories of
communication and motivation; disciplinary ;
p.734-750
Theories of management; writing procedures and job
descriptions; interviewing; line vs staff authority
p.792-795
p. 750-751
p. 714-723
19
Week #4
Week #5
Week #6
Week #7
Week #8
PROJECT #1 (Functions will be assigned)
Supervision/Human Relations; Laws & Regulations
affecting employees; job interviews; job descriptions
Role Play: Resume review and job interview
Designing work space; floor plans, purchase equipment
and desks; ergonomics; environment
PROJECT #2 Designing work environment
QUIZ #1
Committee structures; JCAHO; meetings; minutes;
preparing an agenda; data display; medical records
committee, Forms design; CORE measures; CMS and
Scope of Work; NYPORTS;
PROJECT #3 Review medical records for open &
closed medical record review; prepare agenda; conduct
mock medical record committee with minutes
Performance Measurements and Performance
Assessment
Performance Improvement Tools; Individual
Competence; Credential Committee Credentialing;
Appointment/Reappointment; Privileges; NPDB;
Physician Profiles; Managed Care; NCQA
History of Healthcare Reimbursement; Medicare Part A,
Part B; Medicaid; Tricare; CHAMPVA; Managed Care;
HMO; Reimbursement Methodologies; (Medicare
inpatient and outpatient PPS); Acute Care; Skilled
Nursing Facility; Home Health; Corporate Compliance;
Correct Coding initiative; Billing for Medicare, blue
cross, insurance companies, managed care; RBRVS;
HCFA 1450; HCFA 1500; EDI; Chargemaster; Prepare
UB
PROJECT #4 Calculate case mix index
Week #9
MIDTERM
Week #10
NO CLASS
Week #11
Planning the purchase of new software application;
vendor selection
PROJECT #5 Selecting vendor for assigned HIM
application
p.734-735
p. 764-767
p. 782-788
p.771-781
Fundamentals
Chapter 2 & 3
Fundamentals
Chapter 4 & 5
HIM 151-152
231-233; 266
p. 332-362
p. 363-403
p. 622-640
(Review
Ch.15)
20
Week #12
Week #13
Week #14
Health Care environment and factors affecting HIM;
HIPAA; Health Care systems and acquisitions;
How to handle MPI;
PROJECT #6 Duplicate Medical Record Numbers and
combining MPI from several sites
QUIZ #2
Students will present their in-service on NHII and the
EHR
PROJECT #7
Cancer Registry; SPARCS; Physician Index, Disease
Index and Op Index;
p. 769-772
p. 783-784
p. 141-143
p. 789-792
PROJECT #8
Search DOH web site for SPARCS
registries;(Alzheimers, Congenital Malf., AIDS) and NY
State Cancer reporting; Using Power Point outline the
requirements of one of the above
Week #15
REVIEW FOR FINAL
Week #16
FINAL
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
21
FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
OR COURSE/CURRICULUM MODIFICATION
ORIGINATING CAMPUS:
( ) Ammerman
( ) Eastern
( X ) Western
To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.
Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.
I.
Votes
(X )
(X)
(X )
( )
and Recommendation Checklist
Electronic Letter of Intent
Electronic Letter of Support from Campus Dean(s)
Vote of Department:
Name of Affected Department: Department of Health Sciences_____
For: __6___ Against: __0___ Abstentions: _____
Date of Vote: _9/15/05_________
Proposer's Initials: _DF____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Vote of Distance Education Committee (if applicable)
Circle One: APPROVED
Date of Vote: _______
(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
-------------------------------------------------------------------------------------ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
cc:
Vice President for Academic and Campus Affairs
Associate Vice President for Curriculum and Instruction
Campus Deans
Chairs of Curriculum Committees
22
Academic Chairs of affected Departments
Associate Dean of Library Services
( )
Vote of Curriculum Committee
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
( )
Vote of Full Faculty Senate/Assembly/Congress
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
23
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI37 Directed Clinical Practice
CATALOG DESCRIPTION:
Develops skills through clinical experience in various affiliated health care settings. Students
attend a weekly on-campus seminar during clinical experience to discuss clinical experience and
review completed fieldwork. Registration in this course requires that students purchase liability
insurance through the college. Prerequisite: HI 35 with a C grade or higher.
VIII. STATEMENT OF OBJECTIVES (should be stated in the form of precise,
measurable learning outcomes, e.g. “Upon successful completion of this
course, students will be able to: ”)
Upon completion of this Directed Clinical Practice the student should be able to:
1. Apply knowledge and skill to department activities in various healthcare settings.
2. Demonstrate competency on projects as indicated by the preceptor’s signature.
3. Evaluate the management of the Health Information Department.
4. Determine status of requests for Release of Information.
5. Prepare a Performance Improvement study on delinquent medical records.
6. Prepare a report on organization wide guidelines on documentation.
7. Code medical records.
IX.
RELATIONSHIP TO STUDENTS
G. Credits/Contact Hours
H. Required/Elective
I. Transferability
J. Proposed cycle for offering
K. Estimate of student enrollment
L. Prerequisites and/or corequisites
X.
RELATIONSHIP TO FACULTY
D. Number of current faculty available to teach proposed course and number
of additional faculty required.
One
E. Number of other staff positions required. One Adjunct
F. Discipline(s) required and/or minimum preparation in order to teach the
course. Masters prepared with R.H.I.A. or R.H.I.T. credential
XI.
RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
C. If this is a general education course, how does it incorporate the SUNY
infused competencies of critical thinking and information management?
3 credits
Required
N/A
FALL
24
Prereq:HI35 with a C grade/ higher
*The ten SUNY knowledge and skill areas are: Mathematics, Natural
Sciences, Social Sciences, American History, Western Civilization, Other
World Civilizations, Humanities, The Arts, Foreign Language, Basic
Communication. N/A
24
D. If this is a general education course, what are its assessment measures,
i.e. instruments to measure the attainment of student learning outcomes?
N/A
XII.
RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
B. List other colleges that offer this course. Molloy College
XIII. ADDITIONAL COSTS
List additional costs and space requirements that have not already been
recorded in the document.
None Anticipated
XIV. COURSE OUTLINE
Include electronic course outline following prescribed format from the Faculty
Handbook. (See Attachment I)
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
25
ATTACHMENT I
SUFFOLK COUNTY COMMUNITY COLLEGE
WESTERN CAMPUS
COURSE SYLLABUS
COURSE TITLE:
DIRECTED CLINICAL PRACTICE
CATALOG NO: HI 37
CREDIT HOURS: 3 hours
INSTRUCTOR:
SEMESTER:
CLINICAL HOURS: 45 hours
COURSE DESCRIPTION:
Develops skills through clinical experience in various affiliated health care settings. Students
attend a weekly on-campus seminar during clinical experience to discuss clinical experience and
review completed fieldwork. Registration in this course requires that students purchase liability
insurance through the college. Prerequisite: HI 35 with a C grade or higher.
OBJECTIVES:
Upon completion of this Directed Clinical Practice the student should be able to:
1. Apply knowledge and skill to department activities in various healthcare settings.
2. Demonstrate competency on projects as indicated by the preceptor’s signature.
3. Evaluate the management of the Health Information Department.
4. Determine status of requests for Release of Information.
5. Prepare a Performance Improvement study on delinquent medical records.
6. Prepare a report on organization wide guidelines on documentation.
7. Code medical records.
INSTRUCTIONAL/TEACHING METHODS:
Weekly discussions regarding the experience
Case discussions
Student presentations
EVALUATION:
Successful completion of the course will depend on completion of hours, evaluations of
completed projects and demonstrated competencies as indicated by the clinical preceptor’s
signature and discussion with the preceptor.
Completion of clinical practice projects
80%
Evaluation of clinical preceptor
20%
26
STUDENT WORK STATEMENT:
Student and Clinical Preceptor must sign the student work statement on the initial visit to the
facility.
TEXT:
Comparative Health Records, Peden, Ann, Delmar Publishing, Philadelphia.
All medical records texts should be referenced.
ATTENDANCE:
Students are expected to attend one hour session on campus each week and to be present on all
assigned days at the facility.
DOMAINS, SUBDOMAINS, TASKS
I.B.1. Monitor and apply organization-wide health record documentation guidelines.
I.B.2. Apply policies and procedures to ensure organizational compliance with regulations and
standards.
I.C.2. Apply diagnosis/procedure codes using ICD-9-CM.
I.C.3. Apply procedure codes using CPT/HCPCS.
II.B.1. Abstract and report data for facility-wide quality management and performance
improvement programs.
III.B.3. Release patient-specific data to authorized users.
V.A.1. Apply the fundamentals of team leadership.
V.A.2. Organize and contribute to work teams and committees.
V.A.5. Monitor staffing levels and productivity standards for health information functions and
provide feedback to management and staff regarding performance.
27
Fall 2005
SUFFOLK COUNTY COMMUNITY COLLEGE
HI 37
DIRECTED CLINICAL PRACTICE II
ACTIVITIES, OBJECTIVES, AND PROJECTS:
ACTIVITY: DEPARTMENT OVERVIEW
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Describe the type of facility, ownership, services offered, organizational structure and
mission statement.
2. Describe the health information department, including the number of employees, the
functions, the type of filing/number systems, and the computer systems used.
3. Develop a floor plan of the physical/environmental health information department.
4. Describe the relationship of the health information to other departments.
5. Relate the departmental policies to the employee work schedules.
PROJECT #1
In your own words describe the health information department. This will be graded on
content and writing.
PROJECT #2
Evaluate all job descriptions and functions. Develop your own productivity analysis for
coders based on the number of employees coding and the number of records to be coded.
Project an average number of records to be coded per employee. Submit in a graph.
ACTIVITY: RELEASE OF INFORMATION
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Determine the procedures for releasing information.
2. Identify valid authorizations for release of information.
3. Explain the rules for releasing specialized records.
4. Prepare the records for release according to the department’s policies and procedures.
28
5. Accept subpoena from process server, pull and review record, prepare and copy record.
6. Prepare patient access request for record according to the New York State regulations.
7. Describe the procedure that is in place if facility is in contract with a copy service.
PROJECT #3
Process requests for medical records from each of the following: physician, other hospital,
insurance company, attorney and patient. Identify valid authorizations, and enter request
information in the ROI software, if available. Pull record and photocopy pages according
to the department’s procedure. Prepare release letters. Prepare a list of records by M.R.#
and requesting party and submit.
PROJECT #4
Prepare and release records for a court issued subpoena. Review the subpoena, check for
receipt of fee, check for dates and signature. Pull the record and copy according to
departmental procedure. Submit a copy of the subpoena redacted to indicate the
completion of this project.
PROJECT #5
Prepare and release records for patient access according to New York State regulations.
Pull the records and copy according to departmental procedure. Submit a written report
indicating the procedure that was in place.
PROJECT #6
Prepare and release records for specialized records, if possible, release for mental health
records, release for substance abuse record and/or release for HIV record. Pull the records
and copy according to departmental procedure. Submit a written report on the types of
records released.
ACTIVITY: INCOMPLETE/ DELINQUENT RECORDS
OBJECTIVES:
Upon completion of the activity, the student will be able to:
1. Explain the process used for tracking incomplete records.
2. Describe the computerized system (vendor) used.
3. Review the policies and procedures for the medical staff which address requirements for the
completion of medical records and failure to comply.
4. Compare JCAHO and N.Y. State DOH regulations regarding completion of medical records.
5. Identify which departments are involved in receiving the incomplete record status report.
6. Relate the procedure for notifying physicians.
29
PROJECT #7
Review MR Committee Minutes and outline what is reviewed and discussed at each
meeting. Prepare a report on delinquent medical records and submit to Performance
Improvement Committee with an action plan
ACTIVITY:
PERFORMANCE IMPROVEMENT
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Explain the relationship of the health information department and the Q.I./P.I. department.
2. Develop a performance improvement plan that includes indicators, review, action and
followup.
3. Decide the time frame for the study, the number of records in the sample and retrieve the
records.
4. Prepare a report to the Director of health information department and outline the results of
the study.
5. Prepare a memo to the Medical Record Committee Chairman outlining the results.
PROJECT #8
Rotate through the QI/PI department and explain the relationship of the HI department to
the QI/PI process. Write a 2-3 page paper explaining the process.
ON CAMPUS DIRECTED CLINICAL PRACTICE
IN CLASS PROJECT
ACTIVITY: CODING
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Describe the procedure that is used for coding.
2. Identify the staffing ratio of number of coders, inpatient and outpatient, to the number of
beds and encounters.
3. Design a form to be used for coding purposes only.
4. Describe the computerization of coding functions.
5. Code medical records.
PROJECT #9
Code 15 inpatient records. The coding will be compared to the attestation and reviewed by
the instructor.
30
PROJECT #10
Code 15 ambulatory surgery records. The coding will be compared to the coded records
and reviewed by the instructor.
ACTIVITY: ALTERNATE SITE VISITS
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Describe the differences in HI procedures between the acute care, ambulatory clinic setting
and skilled nursing facility.
PROJECT #11
Students will visit a Psychiatric facility and will prepare a report explaining the differences
between acute care and long term psychiatric HIM departments.
PROJECT #12
Students will visit Nursing Care Facility (Long Term) and will prepare a report contrasting
differences and/ or similarities of the overall HIM department.
PROJECT #13
Students will visit an acute care facility and will prepare a report on casemix and the benefit of
concurrent documentation review.
PROJECT #14
Students will visit a Family Health Center and will prepare a report on the status of the electronic
health record in the facility.
Fall 2005
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
31
FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
OR COURSE/CURRICULUM MODIFICATION
ORIGINATING CAMPUS:
( ) Ammerman
( ) Eastern
( X ) Western
To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.
Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.
I.
Votes
(X )
(X)
(X )
( )
and Recommendation Checklist
Electronic Letter of Intent
Electronic Letter of Support from Campus Dean(s)
Vote of Department:
Name of Affected Department: Department of Health Sciences_____
For: _6___ Against: _0____ Abstentions: _____
Date of Vote: __________
Proposer's Initials: _DF____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Vote of Distance Education Committee (if applicable)
Circle One: APPROVED
Date of Vote: _______
(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
-------------------------------------------------------------------------------------ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
cc:
Vice President for Academic and Campus Affairs
Associate Vice President for Curriculum and Instruction
Campus Deans
Chairs of Curriculum Committees
32
Academic Chairs of affected Departments
Associate Dean of Library Services
( )
Vote of Curriculum Committee
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
( )
Vote of Full Faculty Senate/Assembly/Congress
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
33
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI25 REGULATORY ISSUES WITH THE ELECTRONIC HEALTH RECORD
CATALOG DESCRIPTION:
Students will examine regulatory issues that relate to healthcare data. Statistical application;
research; reimbursement regulations and the electronic health record will be discussed.
(3 hour lecture.) Prerequisites: HI14 with C grade or higher Corequisite: MA23.
XV.
STATEMENT OF OBJECTIVES (should be stated in the form of precise,
measurable learning outcomes, e.g. “Upon successful completion of this
course, students will be able to: ”)
Upon completion of the course the student will be able to:
1. Retrieve health data from various computer applications.
2. Prepare graphic presentations of data using bar graphs, pie diagrams, and tables.
3. Calculate and interpret healthcare statistics, occupancy rates and length of stay reports.
4. Prepare reports for reporting vital statistics to state agencies. (Birth and death statistics)
5. Apply Institutional Review Board (IRB) policies and procedures.
6. Explain the reimbursement/payment systems used in healthcare.
XVI.
RELATIONSHIP TO STUDENTS
M. Credits/Contact Hours
3 credits
N. Required/Elective
Required
O. Transferability
N/A
P. Proposed cycle for offering
SPRING
Q. Estimate of student enrollment 24
R. Prerequisites and/or corequisites Prerequiste:HI14 with C grade or
higher; Corequisite: MA23
XVII. RELATIONSHIP TO FACULTY
G. Number of current faculty available to teach proposed course and number
of additional faculty required.
One
H. Number of other staff positions required. No new staffing required
I. Discipline(s) required and/or minimum preparation in order to teach the
course.
Masters prepared with R.H.I.A. or R.H.I.T. credential
XVIII. RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
E. If this is a general education course, how does it incorporate the SUNY
infused competencies of critical thinking and information management?
*The ten SUNY knowledge and skill areas are: Mathematics, Natural
Sciences, Social Sciences, American History, Western Civilization, Other
World Civilizations, Humanities, The Arts, Foreign Language, Basic
Communication. N/A
34
F. If this is a general education course, what are its assessment measures,
i.e. instruments to measure the attainment of student learning outcomes?
N/A
XIX.
RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
C. List other colleges that offer this course. Molloy College
XX.
ADDITIONAL COSTS
None anticipated
List additional costs and space requirements that have not already been
recorded in the document.
XXI.
COURSE OUTLINE
Include electronic course outline following prescribed format from the Faculty
Handbook. (See Attachment I)
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
35
ATTACHMENT I
SUFFOLK COUNTY COMMUNITY COLLEGE
WESTERN CAMPUS
COURSE SYLLABUS
COURSE TITLE:
REGULATORY ISSUES WITH THE ELECTRONIC HEALTH RECORD
CATALOG NO:
HI 25
CREDIT HOURS 3 hours
INSTRUCTOR:
SEMESTER:
COURSE DESCRIPTION:
Students will examine regulatory issues that relate to healthcare data. Statistical application;
research; reimbursement regulations and the electronic health record will be discussed.
(3 hour lecture.) Prerequisites: HI14 with C grade or higher Corequisite: MA23.
OBJECTIVES:
Upon completion of the course the student will be able to:
1. Retrieve health data from various computer applications.
2. Prepare graphic presentations of data using bar graphs, pie diagrams, and tables.
3. Calculate and interpret healthcare statistics, occupancy rates and length of stay reports.
4. Prepare reports for reporting vital statistics to state agencies. (Birth and death statistics)
5. Apply Institutional Review Board (IRB) policies and procedures.
6. Explain the reimbursement/payment systems used in healthcare.
INSTRUCTIONAL/TEACHING METHODS:
Lecture
Reading Assignments
Sample forms
Medical records
Practice Activities
Manual preparation of census and automated census (META CHARMS)
Demonstrations (META)
Site Visits
36
EVALUATION:
Successful completion of the course will depend upon the performance of preparing and
displaying statistics, calculating census data, and midterm and final exam.
Project preparing statistics and graphic presentations 20%
Calculating statistics and census
15%
Quizzes
15%
Midterm
25%
Final Exam
25%
Students require a “C” or better to progress in the program.
ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from the class roster.
TEXT:
Basic Healthcare Statistics for Health Information Management Professionals, Revised edition
Karen G. Youmans, American Health Information Management Association, 2000.
Health Information Management Technology: An applied approach, edited by Merida L. Johns,
PhD, R.H.I.A., American Health Information Management Association, 2002.
ADDITIONAL READING:
Health Information: Management of a Strategic Resource, Mervat Abdelhak, et.al., Philadelphia,
W.B. Saunders Company. 2000.
CALCULATOR REQUIRED
DOMAINS, SUBDOMAINS, TASKS
I.D.1. Apply policies and procedures for the use of clinical data required in reimbursement and
prospective payment systems (PPS) in healthcare delivery.
I.D.2. Support accurate billing through coding, chargemaster, claims management and bill
reconciliation processes.
I.D.3. Use established guidelines to comply with reimbursement and reporting requirements
such as the national correct coding initiative.
II.A.3. Compute and interpret healthcare statistics.
II.A.4. Apply Institutional Review Board (IRB) processes and policies.
II.A.5. Use specialized databases to meet specific organization needs such as medical research
and disease registries.
III.A.3. Apply policies and procedures to comply with the changing regulations among various
payment systems for healthcare services such as Medicare, Medicaid, managed care and so forth.
IV.A.2. Use common software applications such as spreadsheets, databases, word processing,
graphics, presentation, email and so on in the execution of work processes.
37
REGULATORY ISSUES WITH THE ELECTRONIC HEALTH RECORD
HI25
GENERAL OUTLINE
OBJECTIVE # 1 Retrieve health data from various computer applications.
The student will be able to apply statistical analysis to various forms of data.
Measure of Central Tendency
Mean, mode, median
Measures of Variance
Range
Variance
Standard Deviation
Percentages, fractions, decimals
Database creation
Patient
Physician
Data collection form (source document)
Data sets
UHDDS
Definitions
Principal diagnosis
Other diagnosis
Principal procedure
Other procedure
S.P.A.R.C.S. (Statewide database)
Data element definition
Data dictionary
Agencies that require data
AHA
H.A.N.Y.S. (Hospital Assoc of NYS)
JCAHO
BX/BS
AMA
PRO
IRS
Nofault/workers comp
Social Security Administration
Medicare
Local and State medicaid
3M Database
Microsoft Access
38
HI25
ADT — Mainframe
Supporting systems
Administrative applications Management Reports/Census
Clinical Patient related (diagnosis,ops, physicians)
Financial Patient billing/General Ledger/Chargemaster
OBJECTIVE #2
Prepare graphic presentation of data using bar graphs, pie diagrams,
and tables.
The student will be able to display data using desktop tools.
Importance of data presentation
Computer aided presentation
Microsoft Excel Graphs, diagrams, histograms, line graphs
Power Point
Microsoft Word Tables
Interpret data when presented in graph.
OBJECTIVE # 3
Calculate and interpret healthcare statistics, occupancy rates and
length of stay reports.
The student will be able to determine data needs, and compute statistics and interpret data as
needed.
Census data (ADT)
Inpatient Admission and Discharge
Medical/Surgical
Critical Care Units
Obstetrics
Newborns (live births)
Pediatrics
Psychiatry
Detox
Short Stay
Transfers
Leave of Absence (LOA)
Outpatient
Emergency Room
Ambulatory Surgery
Outpatient visit
Clinics
Encounter
Referred Ambulatory
39
HI25
Inpatient Census
Discharge Days
Occupancy Rate
Daily average census
Bed count/ bassinet count
Automated vs. Manual
Discharge analysis
Manual vs. Automated
L.O.S. (A.L.O.S.)
Death Rate Gross, Net
Death rate by service
Maternal
Neonatal (Perinatal)
Fetal
Post op
Autopsy Rate
M.E./coroner
O.B. Delivery Rate
C/Section Rate
Infection rate
Nosocomial
Surgical rate
Quality Indicator Reporting
OBJECTIVE # 4
Prepare reports for reporting vital statistics to state agencies.
The student will be able to complete birth certificate preparation form and discuss steps for
submission to state agency, prepare an infection control report for submission and complete
forms for registries, cancer/tumor, Alzheimers, congenital malformation.
Importance of Vital Statistics
Birth reporting (electronic submission)
Live birth (paternity)
Death
Fetal Death
Stillborn
Role of Health information department/nursing/admitting
Death Reporting
Autopsy
M.E./coroner case
Funeral director’s role
Public Health reporting
HI25
40
Registry reporting
Cancer/Tumor
Tumor Registry
Definition
Requirements (manual vs. automated)
Sample abstracting
Alzheimer’s Disease
Congenital Malformation Registry
OBJECTIVE # 5 Apply Institutional Review Board (IRB) policies and procedures.
The student will be able to develop policies and procedures for research:.
IRB Processes
Guidelines for Research on Human Subjects
Research protocol monitoring
Knowledge bases research techniques
Web based
Library
On line searches
Medline
Pharmaceutical Industry
41
HI25
OBJECTIVE #6
Explain the reimbursement/payment systems used in healthcare.
The student will be able to relate patient’s financial class and encounter to reimbursement.
Prospective Payment System
DRG’s
Medicare
Part A, Part B (HCPCS), Part C, Part D
Local Medical Review Policy (LMRP)
Claims Management
E.O.B.
Commercial Payors
Charge Description master
Outpatient Prospective Payment System
APC
National Correct Coding Initiative
Managed Care
Negotiated rates (Competitive market)
Capitation
Corporate Compliance
Advance Beneficiary Notice (ABN)
HIPAA (Standards for Electronic Claims Submission)
Healthcare Clearinghouse
Physician Billing
RBRVS
42
Fall 2005
SUFFOLK COUNTY COMMUNITY COLLEGE
HI 25
REGULATORY ISSUES WITH THE ELECTRONIC HEALTH
RECORD
Week #1
Week #2
Week #3
Week #4
WEEKLY OUTLINE
Course objectives and requirements
Use of statistics in healthcare; Review of
measurements, (mean, median, mode, standard
deviation);
Presentation of Data:
Tables, Graphs, Histogram, Pictogram, Pie Chart;
Glossary of Terms
Project: Create data entry forms to enter
information from paper medical records to
database
Census Data: Avg Daily Census; Inpatient Service
Days; Discharge Days; Medical Services;
Discharge Analysis
Project: Prepare manual census; calculate census
data; Bed Occupancy Rate; Bed Count Days;
Occupancy Rate; Bed Turnover Rate
LOS Data; ALOS; LOS days; Newborn LOS
Add data to manual census; calculate los
Quiz
Homework
Ch. 1
Appendix A
Appendix B
HIM Text
p. 417-430
HIM Text
p. 430-441
Ch. 2
HIM Text
p. 441-445
Ch. 3
HIM Text
p. 445-447
Ch. 4
HIM Text
p.447-449
43
Week #5
Week #6
Week #7
Vital Statistics reporting/live births & deaths;
Obstetrical & Perinatal rates; C/Section rates;
Fetal Death Rate; Project: Review birth & death
registers/calculate statistics
Ch. 5
HIM Text
p.450-454
Death rates (Gross/Net); maternal death rate;
Autopsy Rate (Gross/Net)
Morbidity; infection rate; Postop infection rate;
nosocomial infections;
Ch. 6
HIM Text
p.454-456
Ch. 8
HIM text
p. 457-458
HIM Statistics; ROI; Medical Transcription;
staffing; storage; workspace; alternative care
settings; ambulatory care; long term care
Project: Calculate statistics
Chart tracking; Chart deficiency; correspondence;
transcription/dictation; vendors; computerized
medical records; report writer; Confidentiality
Clinical Information Systems
Graphic presentation of data
Project: Preparing a statistical presentation
Ch. 9 & 10
Ch. 12
Week #8
MIDTERM (Multiple Choice/ Calculate Statistics)
Week #9
Clinical Vocabularies: ICD9CM; ICD10; ICDO;
HCPCS; CPT; SNOMED; DSMIV;
Encoders; Corporate Compliance
HIM Text
p. 291-324
Week #10
Reimbursement/payment systems; PPS; DRG’s;
RBRVS; Medicare Part A,B&C; RUGS; HCPCS;
EOB; Payors: Medicaid, Worker’s Comp, No
Fault, Managed Care, Fee for Service; Home
Health PPS; Ambulance fee; Rehab
HIM Text
p. 359-375
p. 378-402
Review CDM; UB92; revenue codes
Week #11
Outpatient Prospective Payment system; APC’s;
Charge Description Master;
N.Y.S.deregulation (HCRA); Managed care;
negotiated rates; (competitive market); capitation;
Corporate compliance
HIM Text
p. 375-378
Web search of
cms.gov/opps
Review HCFA 1500
44
Week #12
NO CLASS (THANKSGIVING)
Week #13
Research; Role of Institutional Research
Board; IRB Processes; Guidelines regarding
human subjects research. Pharmaceutical
industry
Week #14
Knowledge based research techniques:
Library; web based; online services; medline
REVIEW
FINAL
Week #15
HIM Text
p. 327-359
NICALLY
45
FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
OR COURSE/CURRICULUM MODIFICATION
ORIGINATING CAMPUS:
( ) Ammerman
( ) Eastern
( X ) Western
To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.
Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.
I.
Votes
(X )
(X)
(X )
( )
and Recommendation Checklist
Electronic Letter of Intent
Electronic Letter of Support from Campus Dean(s)
Vote of Department:
Name of Affected Department: Department of Health Sciences_____
For: __6___ Against: __0___ Abstentions: _____
Date of Vote: __9/15/05________
Proposer's Initials: _DF____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Vote of Distance Education Committee (if applicable)
Circle One: APPROVED
Date of Vote: _______
(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
-------------------------------------------------------------------------------------ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
cc:
Vice President for Academic and Campus Affairs
Associate Vice President for Curriculum and Instruction
Campus Deans
Chairs of Curriculum Committees
46
Academic Chairs of affected Departments
Associate Dean of Library Services
( )
Vote of Curriculum Committee
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
( )
Vote of Full Faculty Senate/Assembly/Congress
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
47
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI18 Privacy and Security of the Electronic Health Record
CATALOG DESCRIPTION:
Students will examine the legal proceedings; privacy and security regulations; and the
technology that will secure the confidentiality of the electronic health record (EHR) and
personal health record (PHR). HIPAA, network security, interoperability and regional health
information organizations (RHIO) will be presented. (3 hours lecture).
No prerequisite.
XXII. STATEMENT OF OBJECTIVES (should be stated in the form of precise,
measurable learning outcomes, e.g. “Upon successful completion of this
course, students will be able to: ”)
Upon completion of the course, the student will be able to:
l. Describe the structure of the American legal system.
2. Define court and legal practices.
3. Explain principles regarding confidentiality and release of information.
4. Define HIPAA Privacy and Security Regulations.
5. Demonstrate familiarity with concepts such as malpractice and negligence.
6. Discuss landmark decisions regarding legal aspects of health information.
7. Distinguish between federal and state laws as they apply to the Electronic Health Record.
XXIII. RELATIONSHIP TO STUDENTS
S. Credits/Contact Hours
3 Credits
T. Required/Elective
Required
U. Transferability
N/A
V. Proposed cycle for offering FALL
W. Estimate of student enrollment 24
X. Prerequisites
No prerequisites
XXIV. RELATIONSHIP TO FACULTY
J. Number of current faculty available to teach proposed course and number
of additional faculty required. One
K. Number of other staff positions required. One Adjunct
L. Discipline(s) required and/or minimum preparation in order to teach the
course.
Masters prepared with R.H.I.A. or R.H.I.T.
XXV. RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
G. If this is a general education course, how does it incorporate the SUNY
infused competencies of critical thinking and information management?
*The ten SUNY knowledge and skill areas are: Mathematics, Natural
Sciences, Social Sciences, American History, Western Civilization, Other
World Civilizations, Humanities, The Arts, Foreign Language, Basic
Communication. N/A
48
H. If this is a general education course, what are its assessment measures,
i.e. instruments to measure the attainment of student learning outcomes?
N/A
XXVI. RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
D. List other colleges that offer this course. Molloy College
XXVII.ADDITIONAL COSTS
List additional costs and space requirements that have not already been
recorded in the document.
None anticipated
XXVIII.
COURSE OUTLINE
Include electronic course outline following prescribed format from the Faculty
Handbook. (See Attachment I)
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
49
ATTACHMENT I
SUFFOLK COUNTY COMMUNITY COLLEGE
WESTERN CAMPUS
COURSE SYLLABUS
COURSE TITLE:
PRIVACY AND SECURITY OF THE ELECTRONIC HEALTH RECORD
CATALOG NO: HI18
INSTRUCTOR:
CREDIT HOURS: 3 hours
SEMESTER:
COURSE DESCRIPTION:
Students will examine the legal proceedings; privacy and security regulations; and the
technology that will secure the confidentiality of the electronic health record (EHR) and
personal health record (PHR). HIPAA, network security, interoperability and regional health
information organizations (RHIO) will be presented. (3 hours lecture).
No prerequisite.
OBJECTIVES:
Upon completion of the course, the student will be able to:
l. Describe the structure of the American legal system.
2. Define court and legal practices.
3. Explain principles regarding confidentiality and release of information.
4. Define HIPAA Privacy and Security Regulations.
5. Demonstrate familiarity with concepts such as malpractice and negligence.
6. Discuss landmark decisions regarding legal aspects of health information.
7. Distinguish between federal and state laws as they apply to the Electronic Health Record.
INSTRUCTIONAL/TEACHING METHODS:
Lectures/Discussions
Teams to compare and contrast N.Y.State vs. Federal requirements
Teams to develop policies and procedures for release of information
Teams to prepare a mock EBT
Internet searches (NPDB and NYSDOH)
Oral Presentations
Reading assignments
Correspondence Software (META Power Release)
EVALUATION:
Successful completion of the course will depend upon the performance on release of information
projects, written policies and procedures, and on the midterm, and final exam.
Midterm
25%
Final Exam (Multiple Choice & ROI Scenarios 30%
Oral Presentations
10%
50
Team participation in EBT
10%
Project for R.O.I.(Policies & Procedures)
25%
Students require a “C” or better for HIT coursework to progress in the program.
HI18
ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from this class roster.
TEXT:
Legal Aspects of Health Information, Diana McWay, J.D., R.R.A., Delmar Publications.
Health Information Management Technology edited by Merida Johns, Chicago, American Health
Information Management Association, 2002
DOMAINS, SUBDOMAINS, TASKS
III.B.1. Participate in the implementation of legal and regulatory requirements related to the
health information infrastructure.
III.B.2. Apply policies and procedures for access and disclosure of personal health information.
III.B.3. Release patient-specific data to authorized users.
III.B.4. Maintain user access logs/systems to track access to and disclosure of indetifiable
patient data.
III.B.5. Conduct privacy and confidentiality training programs.
III.B.6. Investigate and recommend solutions to privacy issues/problems.
III.B.7. Apply and promote ethical standards of practice.
IV.A.3. Use specialized software in the completion of HIM processes such as record tracking,
release of information, coding, grouping, registries, billing, quality improvement and imaging.
IV.A.4. Apply policies and procedures to the use of networks, including intranet and internet
applications to facilitate the electronic health record (EHR), personal health record (PHR),
public health, and other administrative applications.
IV.D.1. Apply confidentiality and security measures to protect electronic health information.
IV.D.3. Apply departmental and organizational data and information system security policies.
IV.D.5. Contribute to the design and implementation of risk management, contingency planning
and data recovery procedures.
51
Privacy and Security of the Electronic Health Record
HI18
GENERAL OUTLINE
OBJECTIVE #1
Describe the structure of the American legal system.
The student will be able to compare the federal and state legal system including court
structure.
Sources of law
Public vs. Private law
Jurisdictions
Contract law
Constitutional law
Statutes and regulations
Federal and State Court structure
Branches of Federal Government
Torts
Malpractice/negligence
Appeals court — Role in New York State
Legal concepts Stare decis, resjudicata
Medicare and medicaid creation
Regulatory agencies role
Rescinding law
OBJECTIVE #2 Define court and legal practices.
The student will be able to explain the preceding of a lawsuit.
Court Systems and Legal Procedures
Beginning a lawsuit
Complaint
Discovery
Pretrial conference
Trial
Appeal
Satisfying judgments
Discovery
Deposition
Interrogatories
Physical and Mental examination
Trial Protocols
Appeals process
52
HI18
OBJECTIVE # 3 Explain principles regarding confidentiality and release of information.
The student will be able to write a protocol for release of information.
Patient Record Requirement
Functions of the medical record
Ownership of the record
Authorship vs. Identification
Patient requests for information
Standard protocols
Clinician’s role in general information release
Proper correction of the record
Record Retention policies and influences
Rules of destruction
Special categories of records
Drug and Alcohol
During facility closure
Access to Health Information
Policies and Procedures
Release forms-types and requirements (HIPAA compliant forms)
Authority to release information
Authorized users
In person requests, emergency, routine requests
Patient Access
Third Party access
Reasonable fees
Researcher access
Public Health reporting
Access to adoption records
Correspondence in a routine setting
Work division and release
Monitoring validity and productivity
OBJECTIVE # 4 Describe HIPAA Privacy and Security Regulations.
The student will be able to conduct an inservice on HIPAA Privacy and Security Regulations:
HIPAA Privacy Regulations
Training programs
Confidentiality and Privacy
Sources of law determining the right to privacy
Open record statutes and privacy statutes
Informed consent doctrine
Minors and exceptions
53
Advanced directives
Patient self determination act
Emergency “Good Samaritan” statutes
Release of Information
HIPAA Security Regulations
Policies and Procedures
Monitoring Access
OBJECTIVE # 4 continued
HI18
Professional disclosure standard
Reasonable patient standard
Durable powers of attorney
Living wills
Hippocratic oath
OBJECTIVE #5 Demonstrate familiarity with concepts such as malpractice and
negligence.
The student will be able to prepare a medical record for response to a subpoena/summons.
Judicial Process
Evidence
Admissable
Hearsay
Record professional’s role in court
“Foundation and trustworthiness”
Subpoena
Subpoena ad testificandum
Subpoena duces tecum
Validating a subpoena
Court ordered subpoenas
Business rule/hearsay rule/exceptions
Specialized records vs. General records
Government regulations re patient identification
Right to privacy vs. Public need to know
Disclosure without consent (child abuse)
Sexually transmitted disease
Failure to warn
Mental health records
Home health records
Redisclosure statements
Court orders
54
HI18
Discuss landmark decisions regarding legal aspects of health
OBJECTIVE # 6
information.
The student will be able to relate the cases to legal decisions that have shaped the functions of
risk management and performance improvement.
Incident reports
Discovery and admissability
Attorney/client privilege
Peer review and statutes
Healthcare Quality Improvement Act
Healthcare Practitioner Data Bank
HIV Information
Types of testing/anonymous testing
Steps in the voluntary testing process
Employers and requirements testing for HIV/AIDS
Confidentiality Statutes and how they affect AIDS
Ethics and HIV (public safety vs. Privacy concerns)
Voluntary testing
OBJECTIVE #7 Distinguish between federal and state laws as they apply to the
Electronic Health Record.
The student will be able to compare federal and state regulations regarding patient access and
the computerized patient records.
National Health Information Infrastructure (NHII)
Interoperability
Regional Health Information Organizations (RHIO)
Effect of Computerization on health records
Categories of law and regulations governing computerized records
Creation and storage
Medical records and business exception to the hearsay rule
Breech of confidentiality issues
Physical security/Personnel security/Risk preventions techniques
Correspondence (HIPAA)
Valid authorizations
Proper forms
Disseminating work
Role of the health professional in release of information
Computerized Release of Information (ROI) systems on the market
Outsourcing vs. Inhouse systems
Delegation of work
Productivity controls
Interrelationship of quality improvement, utilization, risk managment
55
in the correspondence function
Contingency planning
Data Recovery
Fall 2005
PRIVACY AND SECURITY OF THE ELECTRONIC HEALTH RECORD
HI18
WEEKLY TOPICS
Week
Week #1
Week #2
Week #3
Topic
Course Objectives and Requirements;
Private vs. Public Law; Sources of law; statutes;
regulations, judicial decisions;
Branches of Government; Case Study
Court Systems; jurisdiction; court structure;
legal process; Steps of civil lawsuit, beginning
the lawsuit; discovery; methods of discovery;
Pretrial conference; trial; appeal; satisfying
judgment
Theories of liability; HIPAA Privacy;Role of
Correspondence/ROI in HIM Dept.
Case Study to determine theory of liability
Homework
Ch. 1
(p.193-198)
HIM Tech
Ch. 2
(p. 199-201)
HIM Tech
Ch. 3
(p. 202)
HIM Tech
QUIZ #1
Week #4
Medical Record as evidence; subpoena,
subpoena duces tecum; Students will prepare to
be a witness in a mock EBT
Week #5
Patient Record Requirements; Record Retention Ch. 4
Requirements
Students will participate in a mock EBT
(p. 203-208)
HIM Tech
Confidentiality; Doctrine of Informed Consent; Ch. 6
Implied/Express Consent; Patient Self
p. 263-274 in
Determination Act (PSDA) (Search NYSDOH
Legal Text
web site)
Week #6
Ch. 7
Week #7
MIDTERM
Week #8
National Health Information Infrastructure
(NHII); Interoperability and Regional Health
Information Organization (RHIO);
Ownership of medical record; sharing health
Ch. 5
(p. 209-212)
HIM Tech
56
information; Students will prepare an in-service
on importance of confidentiality; HIPAA
Security
Week #9
Evidence; Hearsay; subpoenas;
court orders; Prepare records for
release under a subpoena
Week #10
HIPAA Release of Information
Release of Information for specialized records;
Drug and Alcohol Abuse;
with consent;
without consent; mental health; home health;
Students will work in groups to develop
policies and procedures release for
specialized records with and without consent.
QUIZ #2
(p. 212-230)
HIM Tech
Ch. 8
Ch. 10
Week #11
NO CLASS
Week #12
Week #13
Week #14
Requests from insurance companies, attorneys,
patient, mental health, and
patient access; HIPAA
Students will present their policies and
procedures for release of information
Role of Quality Assurance and Risk
Management;
Students will present their policies and
procedures for release of information Patient’s
Bill of Rights; Principles of medical record
documentation;
Students will check internet for NYSDOH web
site
Teams will compare and contrast NYS vs.
Federal regulations regarding HIV;
Corporate Compliance; PSDA; Durable Power
of Attorney; Advance Directives;
Healthcare Fraud and Abuse; Computerized
Patient Records
REVIEW FOR FINAL
Ch. 5
Ch. 9
p. 243-246
Ch. 11
Ch. 12
Appendix
Week #15
FINAL
57
FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
OR COURSE/CURRICULUM MODIFICATION
ORIGINATING CAMPUS:
( ) Ammerman
( ) Eastern
( X ) Western
To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.
Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.
I.
Votes
(X )
(X)
(X )
( )
and Recommendation Checklist
Electronic Letter of Intent
Electronic Letter of Support from Campus Dean(s)
Vote of Department:
Name of Affected Department: Department of Health Sciences_____
For: _6___ Against: _0____ Abstentions: _____
Date of Vote: __9/15/05________
Proposer's Initials: _df____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Name of Affected Department: _______________________________
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
Proposer's Initials: _____
Circle One: APPROVED
Vote of Distance Education Committee (if applicable)
Circle One: APPROVED
Date of Vote: _______
(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
-------------------------------------------------------------------------------------ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
cc:
Vice President for Academic and Campus Affairs
Associate Vice President for Curriculum and Instruction
Campus Deans
Chairs of Curriculum Committees
58
Academic Chairs of affected Departments
Associate Dean of Library Services
( )
Vote of Curriculum Committee
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
( )
Vote of Full Faculty Senate/Assembly/Congress
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
For: _____ Against: _____
Abstentions: _____
Date of Vote: __________
CCC Initials: _____
Circle One: APPROVED
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
59
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI14 Introduction to Health Information Technology
CATALOG DESCRIPTION:
This course will introduce the students to the Health Care Delivery system, the role of the
electronic health record and health informatics as it relates to data content, format and
management. The National Health Information Infrastructure and the role of the Health
Information Management professional will be presented.
XXIX. STATEMENT OF OBJECTIVES (should be stated in the form of precise,
measurable learning outcomes, e.g. “Upon successful completion of this
course, students will be able to: ”)
Upon completion of the course the student will be able to:
1. Discuss the factors affecting health care delivery in the United States.
2. Explain the general structure and function of a hospital including
governing and committee structures.
2. Discuss the factors affecting health care delivery in the United States.
3. Identify the role of the Health Information professional.
4. Describe the purpose, content and format of the medical record.
5. Describe the difference between primary and secondary health records and give examples.
6. Perform concurrent and retrospective quantitative, qualitative, and statistical
analysis.
7. Set up numbering and filing systems.
8. Explain the retention requirements for health information.
9. Develop policy and procedures for work flow.
XXX. RELATIONSHIP TO STUDENTS
Y. Credits/Contact Hours
3 credits
Z. Required/Elective
Required
AA.
Transferability
N/A
BB.
Proposed cycle for offering FALL
CC.
Estimate of student enrollment 24
DD. Prerequisites and/or corequisites Corequisites: MD11
XXXI. RELATIONSHIP TO FACULTY
M. Number of current faculty available to teach proposed course and number
of additional faculty required.
One
N. Number of other staff positions required. None
O. Discipline(s) required and/or minimum preparation in order to teach the
course.
Masters prepared with R.H.I.A. or R.H.I.T. credential
XXXII.RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
I. If this is a general education course, how does it incorporate the SUNY
infused competencies of critical thinking and information management?
*The ten SUNY knowledge and skill areas are: Mathematics, Natural
60
Sciences, Social Sciences, American History, Western Civilization, Other
World Civilizations, Humanities, The Arts, Foreign Language, Basic
Communication.
N/A
J. If this is a general education course, what are its assessment measures,
i.e. instruments to measure the attainment of student learning outcomes?
N/A
XXXIII.
RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
E. List other colleges that offer this course.
Molloy College
XXXIV.
ADDITIONAL COSTS
List additional costs and space requirements that have not already been
recorded in the document.
None anticipated
XXXV. COURSE OUTLINE
Include electronic course outline following prescribed format from the Faculty
Handbook. (See Attachment I)
ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
61
ATTACHMENT I
SUFFOLK COUNTY COMMUNITY COLLEGE
WESTERN CAMPUS
COURSE SYLLABUS
COURSE TITLE:
INTRODUCTION TO HEALTH INFORMATION
CATALOG NO:
CREDIT HOURS:
HI14
3 hours
Semester:
Professor:
COURSE DESCRIPTION:
This course will introduce the students to the Health Care Delivery system, the role of the
electronic health record and health informatics as it relates to data content, format and
management. The National Health Information Infrastructure and the role of the Health
Information Management professional will be presented.
Corequisites: MD11
OBJECTIVES:
Upon completion of the course the student will be able to:
1. Discuss the factors affecting health care delivery in the United States.
2. Explain the general structure and function of a hospital including
governing and committee structures.
2. Discuss the factors affecting health care delivery in the United States.
3. Identify the role of the Health Information professional.
4. Describe the purpose, content and format of the medical record.
5. Describe the difference between primary and secondary health records and give examples.
6. Perform concurrent and retrospective quantitative, qualitative, and statistical
analysis.
7. Set up numbering and filing systems.
8. Explain the retention requirements for health information.
9. Develop policy and procedures for work flow.
INSTRUCTIONAL/TEACHING METHODS:
Lectures
Discussion
Reading Assignments
Demonstrations/Power Abstract
Handouts
Sample Forms
Practice using medical records
62
Collaborative Projects
EVALUATION:
Successful completion of the course will depend upon the performance on the quiz, midterm,
final, and project that includes filing records in terminal digit order.
Students will receive weekly feedback on assigned homework.
Assigned Homework
10%
Quiz
10%
Project
10%
Midterm
35%
Part I Multiple Choice,
Part II Analysis
Final Exam
35%
Part I Multiple Choice
Part II Record Search
Part III Essay questions (2)
ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from this class roster.
TEXT:
Health Information Management Technology: An applied approach, edited by Merida L. Johns,
PhD, R.H.I.A., American Health Information Management Association, 2002.
Documentation Requirements for the Acute Care Patient Record, Barbara Glondys, RHIA,
American Health Information Management Association, 1999.
ADDITIONAL READING:
Health Information Management of a Strategic Resource, Mervat Abdelhak, et.al., Philadelphia,
W.B. Saunders Company, 2000.
63
DOMAINS, SUBDOMAINS, AND TASKS
I.A.2. Conduct analysis to ensure that documentation in the health record supports the diagnosis
and reflects the patient’s progress, clinical findings and discharge status.
I. B. 1. Monitor and apply organization-wide health record documentation guidelines.
I.B.2. Apply policies and procedures to ensure organizational compliance with regulations and
standards.
I.B.3. Report compliance findings according to organizational policy.
I.B.4. Maintain the accuracy and completeness of the patient record as defined by
organizational policy and external regulations and standards.
I.B.5. Assist in preparing the organization for accreditation, licensing and/or certification
surveys.
II. A. 1. Abstract and maintain data for clinical indices/databases/registries.
III. A. 1. Apply information system policies and procedures required by national health
information initiatives on the healthcare delivery system.
III.A.2. Apply current laws, accreditation, licensure and certification standards related to
health information initiatives from national, state, local and facility levels..
III.A.4. Differentiate the roles of various providers and disciplines throughout the continuum of
healthcare and respond to their information needs.
IV.A.3. Use specialized software in the completion of HIM processes such s record tracking,
release of information, coding, grouping, registries, billing, quality improvement, and imaging. .
64
INTRODUCTION TO HEALTH INFORMATION
HI14
GENERAL OUTLINE
OBJECTIVE #1. Discuss the factors affecting health care delivery in the United States.
Student will be able to discuss the various types of healthcare delivery.
Acute Care Facilities
Ambulatory Care Facilities
Long Term Care Facilities
Nursing Homes
Mental Health Facility
Home Health Care
Managed Care
HMO
Integrated Delivery Systems
Mergers and Acquisitions
Reimbursement System
The student will be able to determine the functions and requirements of health agencies.
Accreditation, Licensure, and Certification
Federal and State agencies
American Hospital Association
American Medical Association
Joint Commission on Accreditation of Health Care Organizations
World Health Organization
American Health Information Management Association
Center for Medicare and Medicaid Services (C.M.S.)
New York State Department of Health (D.O.H.)
OBJECTIVE # 2. Explain the general structure and function of a hospital including
governing body and committee structures.
Health Care Facility Organizations
Student will be able to describe the organization and functioning of an
acute care hospital.
Governing Board
Medical Staff
Rules and Regulations
Documentation Requirements
Departments
Committees
65
Importance of confidentiality of health information
The student will be able to explain the purpose and importance of maintaining
confidentiality in healthcare.
Privacy issues (HIPAA)
A.H.I.M.A. position on Confidentiality
Confidentiality issues with electronic medical record
Legal issues
OBJECTIVE # 3
Identify the role of the Health Information professional.
The student will be able to explain the Health Information Technology field and how it
relates to the health care field.
Role of the health information management professional
Knowledge and skills
Relationship to the patient, providers, administrators,
A.H.I.M.A. Credentials and Requirements and Professional
Practice standards
National, (A.H.I.M.A.) State (N.Y.H.I.M.A.), Local
(L.I.H.I.M.A.)
HIPAA
OBJECTIVE # 4 Describe the purpose, content, and format of the Medical Record.
The student will work with copies of medical records. The student will be able to discuss
the purpose, content, and format of the medical record.
Format (Paper vs. computer based)
Electronic Health Record (EHR)
Personal Health Record (PHR)
Continuity Care Record (CCR)
Source oriented
Advantages and Disadvantages
Problem Oriented Medical Record
Database
Problem List
Initial Plans
Progress Notes
Integrated
S.O.A.P.
Medical Record vs. Health Record
Integrated Delivery System
Required characteristics of entries in Medical Record
Medical Staff ByLaws Rules and Regulations
Obstetrics, Newborns, Mental Health
66
OBJECTIVE #5. Describe the differences between primary and secondary health
records and give examples.
The student will be able to differentiate between the primary and secondary records and
will be able to give examples.
ADT
E.R. log manual vs. automated
EKG log manual
O.R. log manual and automated
D.R. .log manual and automated
Registries
Birth (electronic)/Death
Cancer/Tumor (automated)
OBJECTIVE # 6. Perform concurrent and retrospective quantitative, qualitative, and
statistical analysis.
Student will be able to assemble, analyze, and abstract a medical record (concurrent and
retrospective)
Quantitative Analysis
ADT
Discharge Notification
Master Patient Index (MPI)
Chart Tracking/Deficiency Systems/Abstracting
Relationship to Record Completion Tracking
Delinquent vs. Incomplete
Regulatory Requirements
Medical Staff Rules and Regs
Assembly order
Universal Chart Order
Deficiency Form Design
Data elements for Chart Deficiency System
design
Qualitative Analysis
Documentation Review
Inconsistencies & omissions
Medical record content & requirements
Knowledge of course of treatment
Importance of completeness
Continuity of patient care
Legal interests of patient, physician, &
hospital
Licensing/Accrediting/Certifying
requirements
Statistical Analysis
67
Abstracting Records
Purpose
Prime source of data is medical record
Demographic information
Planning
Clinical
Diagnosis/Operations/Physician Indices
Financial
Reimbursement
Forms design for data collection
Data element definition
Data accuracy
Data collection for facility wide needs
Survey form design
Interpret/Present Data
OBJECTIVE # 7 Set up numbering and filing system.
The student will work with copies of medical records. The student will be able to set up
a numbering and filing system.
Master Patient Index (MPI)
Serial numbering
Unit numbering
Serial unit numbering
Advantages and Disadvantages
Other: SS #, Family #, or Alpha
Different systems in different settings
Hospitals vs. Doctor’s offices
Straight numeric filing
Terminal digit filing
Modified Terminal Digit filing
Middle digit filing
Physical facilities in the File Area
Compute filing inches
Filing shelves
Stationary
Moveable
Procedures for monitoring quality
Determining floor space needs
Determining disk space needs
Network and Server
68
OBJECTIVE # 8. Explain the retention requirements for health information.
Student will be able to discuss the importance of record retention.
State and Federal Government Retention
requirements
Paper Records
Microfilm
Microfiche
Imaging Systems
Offsite
Primary and Secondary Records
Administrative/Financial/Legal issues
Data storage
Purging system
Tape storage
Data Warehouse
OBJECTIVE # 9
Develop Policy and Procedure for workflow.
Student will be able to evaluate the performance and effectiveness of Health
Information Management Department workflow.
How to write Policy
Develop Procedure
Chart Assembly Order
Quality Monitors by employee, unit,
department
Data accuracy for Abstracting
Routine monitoring
Documentation Review for completeness
Productivity
Measurement and Analysis
Benchmarking
Quantity Monitors
Work sampling
69
Fall 2005
SUFFOLK COUNTY COMMUNITY COLLEGE
HI 14 WEEKLY OUTLINE
INTRODUCTION TO HEALTH INFORMATION
Course Objectives & Requirements; Introduction
Week #1
to Health Information Technology; Student
Handbook; AHIMA credentials; C.E.
requirements; Importance of Confidentiality;
Different types of records
Electronic Health Record
Users and uses of health information; JCAHO;
Week #2
Purpose of the health record; Format of the record;
Project: Review actual medical records/META
Homework
Ch. 1 p.3-19
Do application
exercises:
#1 and #3 (p.19)
Ch. 2 p.21-41
Do application
exercise:
#5 (p.42)
Week #3
Week #4
Week #5
Week #6
Content and Structure of the Health Record; paper
and electronic
Specialized Health Record content.
Project: Review actual medical records/specialized
records
Regulatory agencies and accreditation
organizations; Format of the Health Record;
Computerized patient record and technology;
National Health Information Infrastructure (NHII)
Ch. 3 p.45-83
Glondys Ch. 1
Ch. 3 p.83-99
QUIZ
NO CLASS
Data Collection for healthcare facilities;
Institutional data needs & data sets; Ambulatory
Care; Acute Care (hospitals);
Emergency Department; Long Term Care; Rehab;
Home Health (OASIS); Hospice; Mental
Health/Psych Facilities; Managed Care HEDIS;
DEEDS; Standards for Electronic Data Interchange
(EDI)
Chapter 4
p.105-131
Glondys:
Chapters 3,4,5
70
PROJECT: Teams will examine different
types of facilities; Prepare a table of
organization and outline the data needs
Week #7
MIDTERM
Week #8
Review primary; secondary records; Disease index; Ch. 5
registries; emergency room records;
p.135-165
Healthcare databases;
Application
Exercises #1
(p. 165)
Glondys:
Ch. 26
Textbook
Concurrent and retrospective Quantitative,
Qualitative, & Statistical Analysis; Collecting p.775-777
Week #9
data; Quality of data; timeliness
Project: Form/screen design for collection
of deficiency data
Week #10
Importance of quality documentation; Review each
page of medical record; purpose of each form;
(E.R. forms)
Project: Design a form for collection of data
Glondys:
Ch. 6-10
Ch. 23
Textbook
p. 778-782
Glondys:
Ch. 11-14
Ch. 21, Ch.22,
Ch. 24
Week #11
Week #12
Record identification; numbering systems, filing
equipment; filing methods; filing rules; file folders;
record tracking;
Project: Students will retrieve records using the
MPI in META and will file records in terminal
digit order
PROJECT DUE (Data Collection Form)
Automated record tracking systems; record
retention; microfilm; imaging systems; offsite
storage; data storage; voice recognition; Master
Patient Index (MPI);
Indexes & Registers
Textbook
p.763-774
p. 782-785
Textbook
p. 786-792
QUIZ
Week #13
Importance of policies & procedures for health
Textbook
71
information management department;
Write policies for work flow & confidentiality;
Review parts of a surgical record
p. 792-801
Application
Exercise #1
(p. 801)
Glondys
Ch. 15-19,
Ch. 25
WEEKLY OUTLINE
Week #14
Week #16
REVIEW
Healthcare Delivery System; Hospital structure and
function; purpose, content and format of the
medical record; primary and secondary records;
quantitative, qualitative and statistical analysis;
numbering and filing systems; policy and
procedures for workflow and role of the health
information professional and technology
FINAL
72
SUFFOLK COUNTY COMMUNITY COLLEGE
WESTERN CAMPUS
COURSE SYLLABUS
COURSE TITLE:
ELECTRONIC HEALTH RECORD
INSTRUCTOR:
SEMESTER:
CATALOG NO: HI 16
CREDIT HOURS 4 hours
COURSE DESCRIPTION:
Examines the content and structure, maintenance, storage and security of the electronic health
record and the personal health record. Standards and guidelines that refer to the
interoperability, networks and internet will be discussed. Corequisite: HI14
OBJECTIVES:
Upon completion of the course the student will be able to:
l. Examine the role of technology on the Health Information Management Department.
2. Discuss the information systems where patient related data is collected and stored and how it
is
integrated into the medical record.
3. Design a monitoring program to ensure data accuracy and data integrity.
4. Review medical records and evaluate the documentation in paper and electronic records.
5. Explain the purpose and role of healthcare data sets.
6. Discuss the security measures to protect electronic health information.
7. Retrieve patient related data from computerized database given a hypothetical situation.
INSTRUCTIONAL/TEACHING METHODS:
Lectures/Discussions
Demonstrations
Sample Forms
Practice using medical records
Projects using META software(CHARMS)
Projects using 3M Health Record Management System
EVALUATION:
73
Successful completion of the course will depend upon the performance on the quizzes, projects
(), midterm, final exam and demonstration of accurate assembling and analysis.
Quizzes (2)
10%
Project #1
5%
Students will analyze medical records and prepare a report on incomplete/
delinquent medical records.
Project #2
5%
Students will work in groups to develop a patient table, admission table, and
physician table. The groups will compare their tables to identify similarities
and how they are relational.
Project #3
5%
Students will abstract medical records for department indices. Students will design a
form that would be used to verify that all elements are abstracted. They will
determine what elements are abstracted in HIM, how often they will be checked, the
sample size, and what standard will be used to measure.
Project #4
5%
Students will work in groups and will be assigned a particular medical record form
where they will develop a computer screen design of the form.
Project #5
5%
Students will work in groups and will abstract a medical record and enter into the
META Power Abstract. A report will be developed from the information entered.
Project #6
5%
Students will work in groups and each will develop a component of Information
Security; Physical, Technical and Managerial.
Project #7
5%
Students will develop a flow chart of a hospital information system which will
include ancillary departments.
Project #8
5%
Students will be given a situation and will retrieve data from META and will
verify patient related data, financial status, and codes in the medical record.
Midterm
Final Exam
20%
30%
ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more that one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from this class roster.
TEXT:
Electronic Health Records A practical guide for professionals and organizations, Margaret
Amatayakul, Chicago, American Health Information Management Association, 2004.
74
Health Information Management Technology edited by Merida Johns, Chicago, American Health
Information Management Associaiton, 2002.
ADDITIONAL READING:
Health Information Management of a Strategic Resource, Mervat Abdelhak, et.al., Philadelphia,
W.B. Saunders Company, 2000.
DOMAINS, SUBDOMAINS, TASKS
I.A.1. Collect and maintain health data (such as data elements, data sets and databases)
I.A.3. Apply policies and procedures to ensure the accuracy of health data.
I.A.4. Contribute to the definitions for and apply clinical vocabularies and terminologies used
in the organization’s health information systems.
I.A.5. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources
for patient care, management, billing reports, registries and/or databases.
III.B.4. Maintain user access logs/systems to track access to and disclosure of indentifiable
patient data
IV.A.1. Use technology, including hardware and software, to ensure data collection, storage,
analysis, and reporting of information.
IV.A.2. Use common software applications such as spreadsheets, databases, work processing,
graphics, presentation, email and so on in the execution of work processes.
IV.A.3. Us specialized software in the completion of HIM processes such as record tracking,
release of information, coding, grouping, registries, billing quality improvement and imaging.
IV.A.4. Apply policies and procedures to the use of networks, including intranet and internet
applications to facilitate the electronic health record (EhR), personal health record (PHR),
public health and other administrative applications.
IV.B.1. Apply knowledge of data base architecture and design (such as data dictionary, data
modeling, data warehousing) to meet departmental needs.
IV.C.1. Use appropriate electronic or imaging technology for data/record storage.
IV.C.2. Query and generate reports to facilitate information retrieval.
IV.C.3. Design and generate reports using appropriate software.
IV.C.4. Maintain archival and retrieval systems for patient information stored in multiple
formats.
IV.C.5. Coordinate, use and maintain systems for document imaging and storage.
IV.D.1. Apply confidentiality and security measures to protect electronic health information.
IV.D.2. Protect data integrity and validity using software or hardware technology.
IV.D.3. Apply departmental and organizational data and information system security policies.
IV.D.4. Use and summarize data compiled from audit trail and data quality monitoring
programs.
IV.D.5. Contribute to the design and implementation of risk management, contingency planning
and data recovery procedures.
IV.E.1. Participate in the planning, design, selection, implementation, integration, testing,
evaluation and support for organization-wide information systems.
75
ELECTRONIC HEALTH RECORD
H.I. 16
GENERAL OUTLINE
OBJECTIVE #1: Examine the role of technology on the Health Information Management
Department.
76
The student will be able to discuss the impact of the changes on the processes in the health
information management department and the healthcare delivery system as there is an evolving
shift from paper to computerized records.
History, 1960's, 1970's, 1980's, 1990's
HIPAA
I.O.M.
C.P.R.I.
A.S.T.M.
E-HIM Vision
A.H.I.M.A. Vision 2006
National Health Information Infrastructure (NHII)
Data content and structure
Documentation issues
Signatures
Forms
Networks
Master Patient Index (MPI)
Standardization
HIPAA
Encryption
Passwords
Internet
Security
User access and logs
Wireless Technology
Data Repository
Data Mining
Data Modeling
Data Warehousing
H.I. 16
OBJECTIVE #2. Discuss the information systems where patient related data is collected
and stored and how it is integrated into the medial record.
The student will be able to flow chart the systems that are in use in departments directly
related to patient care.
Hardware and Software
Electronic Health Record
Personal Health Record
Registration Systems (ADT)
77
Laboratory Systems
Radiology/Imaging Systems
Document Imaging systems
Dictation/Transcription Systems
Voice Recognition System
Pharmacy system
Dietary system
Nursing
Bed side terminals
Clinical Decision Support
Clinical Information Systems
Health Information Department System
Integration of Systems
Interface
Health Level 7 (HL7)
XML
OBJECTIVE #3. Design a monitoring program to ensure data accuracy and data
integrity.
The student will be able to communicate the importance of data accuracy and the importance
of integrity of data.
What is the importance of data accuracy
Decision Making
Decision Support Systems--Administration
Clinical Decision Support --Nursing, Physicians, Pharmacists
Financial Decision Support--Planning, Accurate billing, Accounting
Reporting information (Indices)
Diagnosis Information
Number & types of cases treated
Operations Information
Number & types of cases
Physician information
Number of cases
Credentialing
Quality Monitoring for coding and abstracting
Error rate by employee
Quality Control Checks
Edits
Hard wired edits
Edit reports
OBJECTIVE #3 continued
H.I. 16
Data Consistency
Data Definitions
Data Dictionary
Medical Vocabularies (SNOMED)
Accountability
78
Information Management Committee
OBJECTIVE # 4 Review medical records and evaluate the documentation in paper and
electronic records..
The student will be able to analyze medical records, ensure the documentation supports the
diagnosis and justifies the treatment.
Review documentation guidelines
J.C.A.H.O.
D.O.H.
Ongoing Medical Record Review
Medical Staff Rules and Regulations
Medical Record Content
Design deficiency sheet to review for clinical pertinence/
Design data elements
Analyze each form/ Design of form
H&P
Progress Notes
Consultation
Discharge summary
Role of transcription
Consents
Physicians Orders
Anesthesia/Recovery
Operative Report
Pathology Report
X-ray/Imaging Report
EKG
EEG
Nurses Notes
Lab Reports/Data
Graphic Sheet
Medication Administration Record (M.A.R.)
Physical Therapy Evaluation
Respiratory Therapy notes
Social Service Report
Special Records
Obstetrics
Newborn
H.I. 16
OBJECTIVE # 5 Explain the purpose and role of healthcare data sets.
The student will be able to discuss and explain the role of healthcare data sets:
HIPAA
79
UHDDS
MDS
Home Health
OASIS
DEEDS
HEDIS
OBJECTIVE # 6 Discuss the confidentiality and security measures to protect the
electronic health record.
The student will be able to describe how systems are designed to protect the confidentiality
and integrity of the data stored in an electronic health record.
Information Systems Planning
Systems Acquisition and Evaluation
Equipment selection
Furniture selection (ergonomically designed)
Information Technology infrastructure
System architecture and design
Screen Designs
Data Security
Monitoring
Disaster Recovery and Risk Management
80
H.I. 16
OBJECTIVE #7 Retrieve patient related data from computerized database given a hypothetical
situation.
Given a research request, the student will be able to retrieve the patient data from the medical
record and from the database, prepare a report and present the data.
Data Storage and Retrieval
Requests for information
Administration
Physician Requests
Credentialing
Board Certification
Research Papers
Patient related
Q.A./P.I.
U.R./U.M.
Financial
Reimbursement
Department of Health (DOH)
Communicable Disease
Where to look
Medical Record
Indices (Diagnoses, Operations, Physician Activity)
Database Retrieval
Data Presentation Tools
Excel
Power Point
Word Tables
Fall 2005
81
HEALTH INFORMATION: DATA CONTENT AND STRUCTURE
H.I. 16
WEEKLY OUTLINE
Week
Week #1
Topic
Introduction to course; course objectives; texts;
resources; weekly outline. Data Content and Structure;
Overview of medical record; users; uses; data collection
standards; Data Quality Management; NHII
Homework
p. 21-33
p. 34-38
Week #2
Content; analysis; forms and screen design; JCAHO;
Data Quality; ambulatory care and emergency room
record; Documentation guidelines;
PROJECT #1 Analyze medical records and prepare
report on incomplete/delinquent medical records.
p. 45-85
Week #3
Database Structure; data quality; types of data; file
management system; relational database;
PROJECT #2 Develop data table
QUIZ #1
NO CLASS
p. 90-100
Acute Care record; UHDDS; Long term care record;
MDS; Rehab records; Home Health records; OASIS;
Hospice; Behavioral Health; Standardization and
computerized records; E1384; ASC X12; HL7;ASTM;
WEDI; IOM; GAO; XML; DEEDS; HEDIS
PROJECT #3 Develop a quality control check for
abstracting data elements
Role of Health Information Technology in Information
Applications; Evolution of I.S. and Application in
healthcare; Form Design and screen design
PROJECT #4 Computer form design
PROJECT #5 Enter data in META and retrieve
information
(Review
p.107-121)
Week #7
Hardware, mainframe, input/output; LAN; WAN; Client
Server; Microfilm; PACS; OCR; COLD; cache; GUI;
UPS; UML; Imaging Technology; Document Retrieval
Archival
p. 591-612
Week #8
Database Management; Relational database; object
oriented; row/record; Data Dictionary; Data modeling
telecommunication; network; Records management
issues; master patient index; record tracking; manual and
automated systems; data warehousing; maintaining data
p. 612-622
Week #4
Week #5
Week #6
p. 122-131
p. 557-570
82
storage systems.
Week #9
MIDTERM
Week #10
Information Systems planning; purposes; requirements;
I.T. infrastructure; Systems Analysis
p. 570-586
Week #11
NO CLASS
p. 661-681
Week #12
Data security; ADT; data monitoring; internet tools;
p. 661-681
authentication; passwords; security; physical security;
firewall; encryption; data integrity; data security;
HIPAA
PROJECT #6 Information Security
Computer based patient records; barriers; order entry
p. 622-627
results reporting; clinical systems; administrative systems p. 648-658
PROJECT #7 Develop a flow chart of a Hospital
Week #13
Information System
QUIZ #2
Week #14
Week #15
Emerging Technologies; virtual teamwork;
p. 685-707
videoconferencing; groupware; kiosks; speech
recognition; personal digital assistants (PDA); Wireless
networking; smart cards; data warehousing; data mining
Retrieving patient related data from Meta; Requests for
Review for
information; preparing reports;
Final
PROJECT #8 Retrieve data from META and prepare
reports
REVIEW FOR FINAL
Week #16
FINAL
83