For HIM students:
The following Domains/Competencies are covered in BMI 537. The column
on the right shows other courses where these are also covered.
Domain Health Care Data Management
Subdomain: Reimbursement Methodologies
Manage the use of clinical data required in other reimbursement
systems in healthcare delivery.
Manage the use of clinical data required in other reimbursement
systems in healthcare delivery.
Domain: Health Statistics, Biomedical Research and
Quality Management
Subdomain: Healthcare Statistics and Research
Analyze and present data for quality management, utilization
management, risk management, and other related studies.
BMI 537, BMI 584
BMI 537, BMI 584
PHPM 524 BMI 587
BMI 537
PHPM 524 BMI 587
BMI 537
Utilize statistical software.
Subdomain: Quality Management and
Performance Improvement
Organize and coordinate facility-wide quality management
and performance improvement programs.
BMI 537, BMI 587
PHPM 524, BMI 537, BMI
587
Analyze clinical data to identify trends.
Analyze and present data for healthcare decision-making
(such as demonstrating quality, safety and effectiveness of
healthcare).
PHPM 525, BMI 537, BMI
587
Monitor staffing levels and productivity, and provide
feedback to staff regarding performance.
BMI 517, 537, BMI 585
Demonstrate and apply principles of organizational behavior
to facilitate team building, negotiation, and change
management.
BMI 517, 537, BMI 585
The following Knowledge Cluster Content is included in BMI 537. The column on the right
indicates other courses where this material is also covered.
Knowledge Cluster Content
List the Course Number(s) below that address
each knowledge cluster.
Health Data Structure, Content, and Standards
Structure and use of health
information (individual, comparative,
aggregate) (5)
Health information media (paper,
electronic/computer-based; e-healthpersonal, web-based) (5)
Type and content of health record
(paper, electronic, computer-based, ehealth-personal, web-based) (5)
Data quality assessment and integrity
BMI 510, 512, , 537 BMI 582
BMI 510, 512, , 537, BMI 582
BMI 510, 512, 537, BMI 582
BMI 512, 537, BMI 582
Knowledge Cluster Content
List the Course Number(s) below that address
each knowledge cluster.
(5)
Reimbursement Methodologies
Clinical data and reimbursement
management (5)
Case mix management (4)
Payment systems (such as PPS,
DRGs, APCs, RBRVS, RUGs) (4)
Commercial, managed care and
federal insurance plans (4)
Healthcare Statistics, Biomedical Research
and Quality Management – Healthcare
Statistics and Research
Statistical analysis on healthcare data
(5)
Descriptive statistics (such as means,
standard deviations, frequencies,
ranges, percentiles) (5)
Inferential statistics (such as t-tests,
ANOVAs, regression analysis,
statistical process control, reliability,
validity) (5)
Data reporting and presentation
techniques (5)
Computerized statistical packages (5)
Knowledge-based research techniques
(such as Medline, CMS, libraries, web
sites) (5)
Quality Management and Performance
Improvement
Quality assessment and management
tools (such as benchmarking, ORYX,
SQC) (5)
Utilization and resource management
(4)
Risk Management (4)
Disease management process (such
as case management, critical paths)
(4)
Outcomes measurement (such as
patient, customer satisfaction, diseasespecific) (5)
Organization and Management
Negotiation techniques (4)
Communication and interpersonal skills
(5)
Team/consensus building (5)
Strategic Planning and Organizational
Development
Strategic leadership, management and
BMI 537, BMI 584
BMI 537, BMI 584
BMI 537, BMI 584
BMI 537, BMI 584
BMI 537, PH524, BMI 587
BMI 537, PH524, BMI 587
BMI 537, PH524, BMI 587
BMI 537, PH524, BMI 587
BMI 537, PH524, BMI 587
BMI 537, PH524, BMI 587
BMI 537, BMI 587
BMI 537, BMI 587
BMI 537, BMI 587
BMI 537, BMI 587
BMI 537, BMI 587
BMI 517, 537, BMI 585
BMI 517, 537, BMI 585
BMI 517, 537, BMI 585
BMI 537, BMI 585, BMI 517
Knowledge Cluster Content
planning (4)
1. Organizational behavior (4)
2. Business building (entrepreneurialism
– building your own business;
entrepreneurialism – championing best
practices, processes, services within
your organization) (3)
3. Change management (4)
4. Organizational assessment and
benchmarking (4)
List the Course Number(s) below that address
each knowledge cluster.
BMI 537, BMI 585, BMI 517
BMI 537, BMI 585
BMI 537, BMI 585, BMI 517
BMI 537, BMI 585