SUFFOLK COUNTY COMMUNITY COLLEGE LETTER-OF-INTENT T0 COLLEGE ASSOCIATE DEAN FOR CURRICULUM DEVELOPMENT PROPOSER E-MAILS LETTER-OF-INTENT AS WORD DOCUMENT TO DR. ALLEN JACOBS, COLLEGE ASSOCIATE DEAN FOR CURRICULUM DEVELOPMENT. Dr. Jacobs determines which campuses are affected by proposal and fills out the Response to Proposal Form below. Dr. Jacobs returns the Letter-of Intent and Response to Proposal forms to proposer with copies to the appropriate Executive Deans. Proposer _Diane P. Fabian________ (name) Department/Discipline Campus: A____ E____ G__X_ Health Sciences/ Health Information Technology___ Telephone_x6342__________ E-mail_fabiand@sunysuffolk.edu___________ Name of Curriculum/Course: Proposal _HIT/HIT114 & HIT119 Date_10/27/11____ College Associate Dean for Curriculum Development completes form below this line. ****************************************************************** Type of Proposal Course New_________________________________ Revised ___X____________________________ Adoption______________________________ Curriculum New__________________________ Revised________________________ Expedited Revision _______________ A.A._____ A.S. _____ A.A.S _____ Certificate __ This proposal requires the following approval(s) Single Campus _X____ *College_____ *College approval is required when the proposal has an impact on more than one campus. SUFFOLK COUNTY COMMUNITY COLLEGE LETTER-OF-INTENT T0 COLLEGE ASSOCIATE DEAN FOR CURRICULUM DEVELOPMENT Description of proposal idea and rationale. (Proposer should present description of proposal idea on this page along with a rationale for the proposal.) The proposed changes would include prerequisites for the Health Information Technology courses, HIT114 and HIT119. The rationale for these changes is to ensure that the students follow the proposed sequence. The problem has been that students are getting into the upper level courses without the required foundation courses. Please see the table for the proposed changes: Course Proposed Change HIT114 Introduction to Health Information Add as Prerequisites: Technology MED111 Medical Terminology and BIO138 Structure and Function of Human Anatomy HIT119 Privacy and Security of the Electronic Add as Prerequisite: Health Record HIT 117 Electronic Health Record SUFFOLK COUNTY COMMUNITY COLLEGE RESPONSE TO PROPOSAL FROM COLLEGE ASSOCIATE DEAN FOR CURRICULUM DEVELOPMENT College Associate Dean for Curriculum Development uses this form to respond to the proposal with instructions for further developing proposal (e.g., which forms to use, the campuses and departments who need to be consulted, items to be considered when developing the proposal.) ****************************************************************** TO: Diane Fabian FROM: Allen Jacobs DATE: October 31, 2011 *********************************************************** Comments: Please proceed with the approval process by completing a Course Revision Proposal Form for each course. After these forms have been completed, email them, along with a Campus Dean Final Approval Form for each course, to Dean Keane. After receiving the executive dean’s approvals, email the entire proposal packet to one of the Grant Campus Curriculum Committee co-chairs, MARIA REITANO or MARC FELLENZ. Please note that letters of support from the executive dean are no longer required. Cc: Appropriate Executive Deans/Deans of Instruction Tina Good, College Curriculum Committee Chair SUFFOLK COUNTY COMMUNITY COLLEGE COURSE-REVISION PROPOSAL FORM ORIGINATING CAMPUS: ( ) Ammerman ( ) Eastern (X ) Grant Date Submitted to Curriculum Committee: _____11/8/11_____ To meet the ideals of Suffolk County Community College, new courses should, if appropriate, consider issues arising from elements of cultural diversity in areas of textbook choice, selection of library and audio-visual materials, and teaching methodology. PROPOSER E-MAILS ENTIRE COURSE PROPOSAL PACKET TO THE APPROPRIATE CURRICULUM COMMITTEE CHAIR AS A WORD DOCUMENT. Proposal Checklist Proposer records appropriate departmental votes here and checks to be sure all the documents are contained within the packet. ( X ) Electronic Letter of Intent ( ) Electronic Letter of Support from Executive Dean(s) (X ) Vote(s) of Department: Name of Department: Health Sciences Department For: __8___ Against: _____ Abstentions: __1___ Date of Vote: __10/31/11________ Proposer's Initials: _df____ Select One: Approved_____ Not approved_____ Name of Department: _(Name of Department/Campus)_ For: _____ Against: _____ Abstentions: _____ Date of Vote: __________ Proposer's Initials: _____ Select One: Approved_____ Not approved_____ Name of Department: _(Name of Department/Campus)_ For: _____ Against: _____ Abstentions: _____ Date of Vote: __________ Proposer's Initials: _____ Select One: Approved_____ Not approved_____ ( ) Campus Dean Final Approval Form(s) (Proposer completes form to this line before sending entire proposal packet to the appropriate Curriculum Committee Chair) -------------------------------------------------------------------------------------cc: Dr. Candice Foley, College Associate Dean for Curriculum Development Dr. Tina Good, College Curriculum Committee Chair Academic Chairs of affected departments Curriculum Committee Chair completes form below this line and, upon approval, the Curriculum Committee Chair e-mails the entire proposal packet to the College Associate Dean for Curriculum Development, with electronic copies to the appropriate Executive Deans and the College Curriculum Committee Chair. (If the proposal is not approved, the Curriculum Committee Chair e-mails proposer and explains why proposal was not approved and sends an electronic copy of explanation to the College Curriculum Chair and the College Associate Dean for Curriculum Development.) *********************************************************** ******* ( ) Vote of Curriculum Committee Name of Committee:_______________________________ For: _____ Against: _____ Abstentions: _____ Date of Vote: __________ Select One: Approved_____ Not approved_____ ( ) Vote of Ammerman Faculty Senate (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: __________ Select One: Approved_____ Not approved_____ Abstention_____ ( ) Vote of East Congress (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: __________ Select One: Approved_____ Not approved_____ Abstention_____ ( ) Vote of Grant Assembly (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: __________ Select One: Approved_____ Not approved_____ Abstention_____ *********************************************************** ******* Proposal is _____Approved _____Not Approved Date________________________________________ Comments: NAME OF PROPOSAL:____HIT114 Introduction to Health Information Technology DEPARTMENT/DISCIPLINE: I. Health Sciences/Health Information Technology___ CATALOG DESCRIPTION: (Complete this section only if you wish to revise the catalog description. Provide the current as well as the proposed description, and state a rationale for the proposed change.) CURRENT: 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 studied. PROPOSED: : 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 studied. (Prerequisites MED111 and BIO138) The rationale to add prerequisites is to ensure that the students follow the proposed sequence. The problem has been that students are getting into the upper level courses without the required foundation courses. II. STATEMENT OF COURSE OUTCOMES Fill out this section only if you wish to add, delete, or revise course outcomes, and state a rationale for the proposed change. (Course outcomes should be stated in the form of precise and measurable learning outcomes, e.g., “Upon successful completion of this course, students will be able to. . . . ”) III. RELATIONSHIP TO STUDENTS A. Credits/Contact Hours (Complete this section only if you wish to change the credits or contact hours for the course, and provide a rationale for proposed change in credits and contact hours. See the formula for credits and contact hours on the Curriculum Website.) Credit Hours _____ Contact Hours_____ Lecture_____ Lab_____ Studio_____ B. Internship_____ Course Fees (Complete this section only if the proposed revision has an impact on the fees students will be charged when enrolling in the course.) Lab Fees__________ C. Course Fees__________ Prerequisites/Co-requisites (Complete this section only if you wish to change the prerequisites or co-requisites for this course. Provide a rationale for the proposed change.) The rationale is to ensure that the students follow the proposed sequence. The problem has been that students are getting into the upper level courses and are not academically prepared for the work. Add prerequisites MED111 and BIO138 to HIT114. IV. V. RELATIONSHIP TO FACILITIES/COLLEGE RESOURCES A. Will the proposed course revision require additional staff? If so, please specify. No B. Will the proposed course revision require additional equipment, space, technology, etc.? If so, please specify. NO RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS* (Complete this section out only if you wish to make an existing course a SUNY General Education course.) A. Identify which of the ten SUNY knowledge and skills areas the course will fulfill. 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. For a list of existing SUNY-approved General Education courses offered at SCCC, see the curriculum website. N/A B. Demonstrate how the course outcomes map to the SUNY Learning Outcomes for the knowledge and skills areas you have identified. (For a complete list of SUNY-approved General Education Learning Outcomes, see the curriculum website.) N/A C. How does this course incorporate the SUNY infused competencies of Critical Thinking and Information Management? (See the SUNY-approved General Education Learning Outcomes for Information Management and Critical Thinking on the curriculum website.) N/A D. Do the faculty within the department/discipline agree to assess this course according to the approved SUNY-approved Campus Based General Education Assessment Plan or the SUNY-approved Strengthened Campus-Based Assessment Plan, using assessment measures, i.e., instruments that measure the attainment of student learning outcomes as described in the plan? N/A VI. SAMPLE COURSE OUTLINE (See Faculty Handbook online for guidelines.) SUFFOLK COUNTY COMMUNITY COLLEGE WESTERN CAMPUS COURSE SYLLABUS COURSE TITLE: INTRODUCTION TO HEALTH INFORMATION CATALOG NO: CREDIT HOURS: HIT 114 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 studied . 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. 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: Blended Method Lectures on scheduled dates Discussions and Group Assignments online Reading Assignments Collaborative Projects EVALUATION: Successful completion of the course will depend upon the performance on the quiz, midterm, final, and projects. Quiz Project 10% 20% Midterm Part I Multiple Choice, Part II Analysis Final Exam Part I Multiple Choice 35% 35% 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, 3rd edition by Merida L. Johns, PhD, R.H.I.A., American Health Information Management Association, 2010. 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. II.A.2. Collect, organize, and present data for quality management, utilization management, risk management, and other related studies. 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. 2. Use common software applications such as spreadsheets, databases, word processing, graphics, presentation, e-mail, and so on in the execution of work processes. 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. 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 World Health Organization American Health Information Management Association AHIMA 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 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 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 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 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 SUFFOLK COUNTY COMMUNITY COLLEGE HIT 114 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; Electronic Health Record, HIPAA, AHIMA’s position on Confidentiality Week #2 Week #3 Week #4 Week #5 Week #6 Purpose of the health record; Format of the record; Users and uses of health information; Speech recognition Project: Review actual medical records/META Content and Structure of the Health Record; paper and electronic Specialized Health Record content. Project: Review actual medical records/specialized records Documentation Standards, Regulatory agencies and accreditation organizations, (Joint Commission), Format of the Health Record; Computerized patient record and technology; National Health Information Infrastructure (NHII) 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) PROJECT: Teams will examine different types of facilities; Prepare a table of organization and outline the data needs Homework Ch. 1 p.3-21 Do 1.1, 1.2 Ch. 4 p. 116-119 Ch. 4 p. 149-151 Johns Ch 1. Do application exercises: #1 and #3 (p.1) Ch. 2 p.23 -45 Do 2.1, 2.2, 2.3 Johns Ch. 2 Do application exercise:#5 (p.5) Ch. 3 p.47-90 Do 3.1, 3.2 Ch. 3 p.91-111 Do 3.3, 3.4 Johns Ch. 3 Do application exercise #2 (p 11) Ch. 5 p.157-189 Do 5.1, 5.2, Johns Ch. 5 Do application exercise #5 (p. 22) Week #7 MIDTERM Week #8 Review primary; secondary records; Master Patient Index (MPI); Disease Index; Registries; Healthcare Databases, emergency room records; Ch. 8 p. 359, Week #9 Concurrent and retrospective Quantitative, Qualitative, & Statistical Analysis; Collecting data; Quality of data; timeliness Project: Form/screen design for collection of deficiency data Ch. 8 p. 350-354 Ch. 9 p. 420-424 Do 9.3 Ch. 12 p. 583584 Week #10 Importance of quality documentation; Joint Commission Standards, Review each page of medical record; purpose of each form; (E.R. forms) Project: Design a form for collection of data Ch. 8 p. 362-374 Record identification; numbering systems, filing equipment; filing methods; filing rules; file folders; record tracking; Automated record tracking systems; record retention; microfilm; imaging systems; offsite storage; data storage; voice recognition Project: Students will retrieve records using the MPI in META and will file records in terminal digit order PROJECT DUE (Data Collection Form) Healthcare Reimbursement Systems, Commercial Insurance, Not-for Profit Plans, Government Program, Managed Care, HMO, Integrated Delivery Systems QUIZ Standardization of Medical Practice, Professional and Trade Associations, World Health Organization (WHO), Department of Health (DOH), Organization/Operation of Hospitals, Ch. 8 p. 331-350 Johns Ch. 8 & 9 p. 375-377,Do 8.4 Ch 9 p. 395-418 Do 9.1, 9.2 Johns Ch. 9 Do application exercise # 1 (p. 46) Do 8.2, 8.3 Week #11 NO CLASS Week #12 Week #13 Week #14 Application Exercise #1 (p. 40) Ch. 7 p. 244-266 Do 7.2, 7.3, 7.4, 7.5 Ch. 13 p. 591-647 Do 13.1, 13.2, 13.3, 13.4, 13.5, 13.6, 13.7 Week #15 Week #16 Forces Affecting Healthcare Delivery (Mergers & Acquisitions, Alliances) Management and Supervisory Processes (Importance of policies & procedures for health information management department) Write policies for work flow & confidentiality; Review parts of a surgical record 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 Ch. 8 p. 378-384 Johns Ch. 13 Do application exercise #1 (p. 71) SUFFOLK COUNTY COMMUNITY COLLEGE CAMPUS DEAN FINAL-APPROVAL FORM PROPOSER E-MAILS COMPLETED PROPOSAL TO APPROPRIATE EXECUTIVE DEAN(S) AND REQUESTS A COMPLETED CAMPUS DEAN FINAL-APPROVAL FORM. The Executive Dean(s) completes this form and returns it to the proposer. ****************************************************************** * The Campus Dean Final Approval acknowledges a campus’s ability and commitment to support a proposal in terms of: Academic Merit Availability of Personnel Adequacy of Facilities Budgetary Needs for Supplies and Equipment ****************************************************************** * Name of Proposal: _HIT114 Course Revisions____ Campus: A____ E____ G__X___ Type of Proposal: ___New Curriculum ___Curriculum Revision ___New Course ___Expedited Curriculum Revision _X_Course Revision ___Inter-Campus Course Adoption Approved__James M. Keane____ (Name of Executive Dean) Not Approved____________________ (Name of Executive Dean) Date___________11/8/11__________ ****************************************************************** * Comments: cc: Dr. Candice Foley, College Associate Dean for Curriculum Development