Syllabus HIM 101 Introduction to Health Data Credit Hours 3 lecture/1 lab DEPARTMENT: School of Health Sciences COURSE DESCRIPTION This course introduces the student to the structure and form of the health record. Emphasis is placed on patient record content, storage and retrieval, release of information, forms control, indexes and registries, and health services organization and delivery. Lab assignments and online Learning Lab provides students with an opportunity to apply textbook chapter concepts through completion of application-based activities. Prerequisite: HIM 100 and ENG 101 REQUIRED TEXTBOOKS Essentials of Health Information Management: Principles and Practices, 2nd ed, Delmar/Cengage Note: This is a three part bundle. The bundle consists of these components: Textbook, Workbook, and Web-based Learning Lab: ISBN # : 0538454008 Publisher : Cengage Copyright : 2011 REQUIRED LAB TEXTBOOK Green, M.A. & Bowie, M.J. Student Lab Manual: Essentials of Health Information Management: Principles and Practices, 2nd Edition. Delmar/Cengage. ISBN # : 0538454008 Publisher : Cengage Copyright : 2011 REQUIRED LEARNING LAB COMPONENT Green, M.A. & Bowie, M.J. Student Learning Lab: Essentials of Health Information Management: Principles and Practices, 2nd Edition. Delmar/Cengage. . HIT 110 - 080113 Page 1 Course Outline ISBN # : 0538454008 Publisher: Cengage Copyright: 2011 DO NOT throw away the card insert that is found on top of the textbook – you need to save this and use it to open your lab access. It contains user/password information. Student will use Online Access to Studyware, or use the CD found in back of textbook. The Studyware helps with memory retention for each chapter by using: o Practice Quiz o Hangman o Crossword o Concentration o Championship ohttp://www.delmarlearning.com/companions/content/1439060185/s_resource/index.asp?isbn=1439060185 Health Information Management Technology: An Applied Approach, 4th Edition, ISBN 9781584263524 Author: Sayles, Nanette Publisher: AHIMA NOTE: The HIMTAAA text is used throughout the HIT core courses. COURSE OBJECTIVES Upon completion of this course, the Health Information Technology student will be able to: A. Describe characteristics of healthcare delivery & settings in the US B. Identify career opportunities for health information management professionals C. Describe the types of patient records and the usage of each D. Define paper-based numbering and filing systems E. Explain registries, and other health data collection methods F. Identify the fundamental legal aspects of health information management G. Differentiate between administrative and clinical data in health records. H. Perform quantitative, qualitative, and statistical analysis on health records I. Design a health record form adhering to design rules for data collection forms. J. Recognize the importance of Information Security. K. Describe the systems used for reimbursement of health care services in the US. 2 Course Outline STUDENTS WITH DISABILITIES: Students with documented disabilities (physical, emotional, learning and/or others) who believe that they may need accommodations in this class are encouraged to contact the Coordinator for Student Disability Services in Room 139, extension 120, as soon as possible to arrange for such accommodations. LIBRARY INFORMATION: Articles: As an MWCC student, you have access 24 hours a day to more than 80 LaChance Library online article databases. To get to these resources and find articles scholarly/academic journals, magazines, newspapers, reference books, and e-books, visit the Library web page, http://library.mwcc.edu, and click FIND ARTICLES. In order to access the Library’s online research databases from an off-campus location, you will be prompted to log-in with your library barcode number or student ID number and last name in all CAPITAL LETTERS. Books, Videos, CDs, etc.: In order to find books, videos, etc. on a topic, you will need to use the Library catalog, located on the Library’s webpage (http://library.mwcc.edu). Look for the FIND BOOKS & MORE link. You may arrange to pick up items at either the LaChance Library or your public library. For assistance in locating articles, books or other information sources please contact us: • By telephone: 1-888-884-6922 (toll free) • Via email: library@mwcc.mass.edu (account is checked at least once daily at 7:30 am, Mon-Fri) • Using chat: Visit the ASK A LIBRARIAN page at: http://subjectguides.mwcc.edu/ask • In person, at the LaChance Library (Gardner Campus), Leominster Student Success Center and the Devens Learning Center when open. Hours can be found at: http://mwcc.edu/lib/about/hours/. ACADEMIC SUPPORT CENTER INFORMATION: Tutoring: Students in need of tutorial services are encouraged to contact the Academic Support Center. Tutorial services are provided free of charge to enrolled students and include face-to-face and e-tutoring (online tutoring), drop in help with math and writing, subject tutoring (sciences, business, accounting, etc.) as well as other services. If you have questions, or wish to set up an appointment, you may contact: Administrative Assistant, Academic Support Center, 978-630-9333. ETutoring is available to students through iConnect and provides tutoring in subjects such as writing, math, biology, chemistry, anatomy & physiology, statistics and accounting. Assistance is available via chat, email and also an online writing lab where students can upload drafts of papers and receive feedback. To see the current schedule of eTutoring visit: http://www.etutoring.org/public/schedule.cfm?sys=91. For information about either library or tutoring services please contact Heidi McCann, Dean of Library and Academic Support Services – hmccann@mwcc.mass.edu or 978-630-9126. ACADEMIC HONESTY & PLAGIARISM: 3 Course Outline Students are responsible for knowing Mount Wachusett Community Colleges' policy on academic honesty and plagiarism, found at http://mwcc.edu/catalog/academic-and-grading-policies/. In sum, it is against policy to submit work with the deliberate intent to deceive or to cheat. Plagiarism is not tolerated at the College. WITHDRAWAL FROM A COURSE: You may formally withdraw from this course through the 60% point of the semester/cycle as indicated on the academic calendar – the academic calendar is posted at http://mwcc.edu/academic/academic-calendar/. A grade of “W” will be recorded on your transcript. A grade of “W” will count as credits attempted but not completed, but will not impact QPA. You are required to speak to me or your assigned advisor before withdrawing from this course. The procedure for course withdrawal includes getting the proper form from the Advising Center in Gardner or from the receptionist at our branch campuses (Leominster, Devens, Burbank), bringing the form to me or your assigned advisor, and returning the signed form to the Advising Center or branch campus. Please be advised that ceasing to attend a class may result in me initiating the withdrawal from a class prior to the 60% point of the semester/cycle. Course withdrawals will not be processed after the 60% point of the semester/cycle. If you stop attending after the 60% point of the semester/cycle, you will receive an F grade. F’s are averaged into the QPA for all students. Any withdrawal may affect progress toward degree and future eligibility to receive financial aid. Contact the record’s office for information on your student records. Administrative action Forms are available for withdrawal after the 60% point of the semester/cycle as a result of extenuating circumstances. Student may obtain an Administrative Action form in the records office or online at http://mwcc.edu/wp-content/blogs.dir/1/files/2013/01/Administrative-Action.pdf. Documentation of the extenuating circumstance must be submitted with the form for this appeal to be reviewed. PERFORMANCE ASSESSMENT This course is designed to complement the AHIMA National Model Curriculum Map for HIT programs. The following Domains, Subdomains and Task competencies are addressed in this course. With a minimum accuracy of 76%, the student must demonstrate acceptable performance via lab exercises, assignments, quizzes and exams. AHIMA Academic Domains/Sub domains This course is designed to complement the AHIMA National Model Curriculum Map for HIT programs. The following Domains, Subdomains and Task competencies are addressed in this course. With a minimum accuracy of 76%, the student must demonstrate acceptable performance via lab exercises, assignments and exams. RHIT Exam Competencies: DOMAIN III Compliance 1. Ensure patient record documentation meets state and federal regulations 2. Ensure compliance with privacy and security guidelines (HIPAA, state, hospital, etc.) 3. Control access to health information DOMAIN IV Information Technology 1. Train users on software 2. Maintain database 3. Set up secure access 4. Evaluate the functionality of applications 5. Create user accounts 4 Course Outline 6. 7. 8. Perform end user audits Perform end user needs analysis Design data archive and backup policies AHIMA Academic Domains/Sub domains IV. Domain: Information Technology & Systems IV.A. Subdomain: Information and Communication Technologies • Use technology, including hardware and software, to ensure data collection, storage, analysis, and reporting of information. • Use common software applications such as spreadsheets, databases, word processing, graphics, presentation, e-mail, and so on in the execution of work processes. • Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging. • 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. Subdomain: Data, Information, and File Structures Apply knowledge of database architecture and design (such as data dictionary) to meet departmental needs. IV.C. • • • Subdomain: Data Storage and Retrieval Use appropriate electronic or imaging technology for data/record storage. Query and generate reports to facilitate information retrieval using appropriate software Apply retention and destruction policies for health information. COURSE REQUIREMENTS A. Completion of all readings, labs, assignments, and homework in a timely manner B. Actively participate in class discussion and simulations per institution policy C. Pass exams and quizzes EVALUATION Course grade will be determined as follows: A. C. D. E. Assignments/Labs Discussion/Participation Quizzes Comprehensive Final Exam 50% 10% 25% 15% Grading Scale: The college uses the following grading system: Letter Quality Grade Points A 4.00 A3.70 B+ 3.30 5 Course Outline B BC+ C CD+ D DF 3.00 2.70 2.30 2.00 1.70 1.30 1.00 0.70 0.00 Active Engagement Rubric Each week, the class will focus on a given topic to discuss and investigate. Students will participate either through in-class debates, or by posting discussions in the learning management system. Possible grade is between 100 and 0. Below is an example of how student gets from F to A on active participation/course discussion Grade Organization 100 points Comments are well organized and reflect student has read materials 80 points Comments can be followed, but may be based on experience or reflects responding to others Comments show student is trying to relate topic to weekly readings. 60 points Comments/participation/ is disorganized or sporadic Quality of Information Comments demonstrate student understands the topic information. New information or insights are offered. Sources Comments are supported by one or more referenced citations - supports ideas with facts/quotes May use a citation, or makes reference to personal work experience to support an idea Makes a post but it is unsupported by citation or experience, and is very brief. Participation Student participates four or more times during the discussion period Student participates at least twice with an original comment and at least one reply/reaction to another student. Student comments or posts once. Non-participation = 0 Comments drift from topic, tend to be generic and add little or no value to the dialogue. 6 Course Outline HIT 100 Course Outline (15 Modules) HIT 100 Lecture Readings, Slides & Handouts HIT 100 Active Engagement Assignments MODULE 1: Health Care Delivery Systems Topic of the Week: Introduce yourself to the HIT 100 Lab Install Studyware and class. Provide a little information about yourself Complete CH 1 Practice Quiz. and why you chose the HITC program. Read Essentials Chapter 1 View Chapter 1 Slides Be sure to hit "Reply" right under this instruction. This will ensure you create a new reply thread of your own and others can respond to your post. Complete Textbook Exercises 1-1 through 1-5 MODULE 2: Healthcare Delivery Systems con’t Topic of the Week: Read HIMT Chapter 11 Pages 637 - 682 Review HIMT Chapter 11 Slides MODULE 3: Healthcare Settings Read Essentials Chapter 3 Review Chapter 3 Slides View Videos In your own words, explain what continuum of care means to you. Complete Lab: Evolution of Healthcare Top 10 Timeline Graphic Complete Textbook Check Your Understanding 11.1, 11.2, 11.3, and 11.4 Topic of the Week: Pick an Ancillary Service that would be found in a hospital, and describe why this service is important to patients. What would happen if it closed? View Video: HIM Virtual Tour Complete CH 3 Practice Quiz Complete Learning Labs 1,2,3 Complete Textbook Exercises 3-1 through 3-5 7 Course Outline MODULE 4: Patient Record Types Read Essentials Chapter 4 Review Chapter 4 Slides MODULE 5: The Electronic Health Record Read Essentials Chapter 5 Topic of the Week: View Video: Value of PHRs Using the internet, conduct research on medical record retention requirements in Complete CH 4 Practice Quiz your specific state. Why are medical record retention laws so important? Complete Quiz #1 over: Essentials Complete Textbook Exercises 4-1 through Chapters 1,2 + HIMT Chapter 11 4-5 Topic of the Week: View Video: Screen Design Find an article about “EHRs on the cloud”, and discuss pros and cons of this option. Complete Lab Resistance to EHRs (5.4) Complete Chapter Review CH 5 1-20 Review Chapter 5 Slides MODULE 6: Content of the Patient Record Read Essentials Chapter 6 Review Chapter 6 Slides Topic of the Week: Why do you think it would be important for a multidisciplinary forms committee to review every form prior to use? What types of departments would need to be on the committee and why? View Video: Filing Systems Complete Lab Amending Patient Records(4.5) Complete CH 6 Practice Quiz Complete Textbook Exercises 6-1 – 6-6 MODULE 7: Paper-based Practice: Numbering and Filing Systems Read Essentials Chapter 7 Review Chapter 7 Slides Topic of the Week : Provide an example View Video: MPI of a task required in paper medical record processing. How do you think that Complete Lab Chart Assembly (6.1) function can be automated in the electronic medical record environment? Complete Lab Quantitative & Qualitative Analysis (6.2) Complete Textbook Exercises 7-1 – 7-8 Complete CH 7 Practice Quiz MODULE 8: Indexes, Registers, and Health Data Topic of the Week: There are several types View Video: Cancer Registry Collection of registries - trauma registry, cancer registry, immunization registry, etc. Choose Complete Learning Lab 4,5,6 Read Essentials Chapter 8 a registry that you find interesting and Review Chapter 8 Slides share what you found most interesting Complete CH 8 Practice Quiz about your chosen registry Complete Quiz #2 Essentials Complete Textbook Exercises 8-1 – 8-4 4,5,6 & 7 MODULE 9: Legal Aspects of HIM Read Essentials Chapter 9 Review Chapter 9 Slides Topic of the Week : Why is it so hard to get View Video: HIPAA Violations and copies of your medical records? Court Cases Complete Textbook Exercises 9-1 – 9-5 Complete Lab Information Processing (9.4) Complete Lab Confidentiality Statement (9.5) Complete CH 9 Practice Quiz 8 Course Outline MODULE 10: Introduction to Coding & Reimbursement Systems Read Essentials Chapter 10 Review Chapter 10 Slides MODULE 11 : Introduction to Coding & Reimbursement Systems (continued) Topic of the Week: Interview someone who Complete Lab Financial Report (10.1) does coding at work, and find out how they are preparing for ICD-10 conversions. Coding & Reimbursement Essential Lab (10.2) Complete Lab ICD-10 (10.3) Topic of the Week: What’s happening this month at AHIMA? Visit ahima.org. Complete Textbook Exercises 10-1 – 10-3 Module 12: Data Collection for Reporting Read Handout: Nursing Home Report Cards Revisiting Chapters 4, 8, and 9 Module 14 Healthcare Data Sets & Standards Read HIMT Chapter 4 pp 139 - 159 Review Chapter 4 Slides Module 15 Healthcare Data Sets & Standards continued Read HIMT Chapter 4 pp 159 - 175 Review Chapter 4 Slides Finals Week Complete Learning Lab 7,8,9, & 10 Complete CH 10 Practice Quiz Topic of the Week: After reviewing the CMS Complete Lab Case Abstracting (8.1) nursing home ratings system, what have you learned about nursing homes in your area? Complete Lab Joint Commission (3.2) Revisiting Chapters 3 and 8 Module 13 Release of Information Protocols View Video: Readiness for ICD-10 Complete Quiz #3 Essentials 8, 9, 10 Topic of the Week: Denise was talking Complete Lab Flow of Information about a patient’s chart and gave identifying (4.3) information while in the elevator, where she was overheard by a nurse who complained. Complete Lab MPI (8.2) What happens now? Complete Lab ROI ( 9.2) Topic of the Week: In your own words, explain what a data set is, and give an example. . Complete HIMT CH 4 Check Your Understanding 4.1 (1-10) Topic of the Week: Home health care has a strict data set to collect – comment on the Complete HIMT CH 4 type of data that is collected, and why you Check Your Understanding 4.2 (1-9) think that it is required. Note: CH 4 HIMT will not appear on the final exam. Course Evaluation Complete Final Exam 9