Course
Syllabus
Course
Prefix/Number: ALHT 170
Course
Title: Electronic
Health Records
Division:
Outreach
and Workforce Development
Program:
Health
Information Technology
Credit
Hours: 3.0
Initiation/Revised: Spring
2009
Assessment Goal per Outcome(s): 80%
Instructor: Jennifer
Williams, RHIT
Contact
information: jwilliams@neosho.edu, 620-431-2820 ext
214
Vocational
This
is an internet-based course designed to give the student a working knowledge of
computerized information management systems utilized by health information
management departments.
Introduction
to Health Information Technology, Legal Aspects of Health Information, Health
Information Technology Clinical Affiliation I and Admission to program or
department consent.
Johns,
Merida, PhD, RHIA, Health Information Management Technology: An Applied Approach. Chicago:
American Health Information Management Association, 2007.
Amatayakul,
Margaret K., Electronic Health Records: A Practical Guide for Professionals
and Organizations.(4th edition).
Chicago: American Health
Information Management Association, 2009.
https://ahima.demonservers.com
- AHIMA’s Virtual Lab
http://www.neosho.edu/library/index.asp
- NCCC library site
AHIMA
Journal
http://www.ahima.org American Health
Information Management Association
www.jcaho.org
Joint Commission of Healthcare Organization (JCAHO)
www.aha.org
American Hospital Association
American
College of Surgeons web site
Upon
completion of this course the student should be able to:
3.
Differentiate between heath information type,
content, and forms of media.
4.
Differentiate between health record data
definitions, vocabularies, terminologies and dictionaries.
5.
Assess computer concepts and analyze the
major operating systems, languages and related components.
6.
Classify communication and internet
technologies including networks, intranet and other related tools.
7.
Identify components of health information
systems including EHR, PHR, lab and other related sources.
8.
Adapt the paper-based health record to
electronic by working through issues of archival, retrieval and imaging
systems.
9.
Recognize elements of system architecture and
design.
10. Classify
system acquisition and evaluation.
11. Discover
concepts in data security.
12. Identify
components of data integrity concepts.
13. Identify
components of risk management implementation, contingency planning, and data
recovery procedures
14. Recognize
data recovery and risk management issues in relation to the electronic health
record.
AHIMA
DOMAINS
I. Domain: Healthcare
Data Management
A. Subdomain: Health Data Structure,
Content and Standards
1.
Collect and maintain data sets and databases
4.
Contribute to the definitions for and apply
clinical vocabularies and
terminologies used in the organization’s
health information systems.
III. Domain: Health
Services Organization and Delivery
A. Subdomain: Healthcare Delivery Systems
1.
Apply information system policies and
procedures required by national health information initiatives on the
healthcare delivery system.
B. Subdomain: Healthcare Privacy, Confidentiality, Legal
and Ethical Issues.
1.
Participate in the implementation of legal and regulatory requirements
related to health information
infrastructure.
4.
Maintain user access logs/systems to track
access to and disclosure of identifiable patient data.
IV Domain: Information
Technology & Systems
A Subdomain: Information and Communication Technologies
4.
Apply policies and procedures for 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.
B. Subdomain: Data, Information, and File Structures
1.
Apply knowledge of data base architecture and design (such as data
dictionary, data modeling, data
warehousing, and so on) to meet
departmental needs.
C.
Subdomain: Data Storage and Retrieval
1.
Use appropriate electronic or imaging
technology for data/record storage.
4.
Maintain archival and retrieval systems for
patient information stored in multiple formats.
D.
Subdomain:
Data Security
1.
Apply confidentiality and security measures
to protect electronic health information.
2.
Protect data integrity and validity using
software or hardware technology.
3.
Apply departmental and organizational data
and information system security policies.
5.
Contribute to the design and implementation of risk management, contingency
planning, and data recovery procedures.
E.
Subdomain:
Healthcare Information Management
1.
Participate in the planning, design,
selection, implementation, integration, testing, evaluation, and support for
organization-wide information systems.
I.
The Electronic Health Record
A.
The Ideal Electronic Health Record System
B.
Evolution of the Electronic Health Record
C.
Initiatives and Framework for the Electronic
Health Record
D.
Creation of Electronic Health Record Systems
E.
Challenges to Adoption of EHR
F.
Information Management in an Electronic
Environment
G.
IT and System Infrastructure
H.
EHR Implementation and Ongoing Maintenance
I.
Future Directions in Information Technology
SCHEDULE
This
class meets online for weekly learning units.
The class materials for each unit will be available for a minimum of
seven days, starting Monday and ending Sunday.
|
Week |
Topic |
Reading/
Exercises/Exam |
|
1 (8/30/09) 50 pts |
Introduction
& Misc items |
*Complete
Academic Honesty and cert roster tests. *Post
your introduction on the discussion board (collaboration) *Complete
the Student Objective/Occupational Intent Form only if you are changing your
major. (Mail or email to NCCC HIT Program Coordinator. |
|
2 (09/06/09) |
The
Electronic Health Record (Johns) Introduction
to Electronic Health Records (Amatayakul) |
*Submit
information to instructor so you can be registered for AHIMA VLab. *Read
Chapter 4 (Johns) to pg 130. * Do
Application Exercises # 1 & #2 in work book . *Read
Chapter 1 (Amatayakul) pg 1-21. *Describe
the EHR migration path including, but
limited to, clinical decision support systems, POC charting,
CPOE and PHR. (Turn in answers via
InsideNC). *Several Web sites offer free or moderately priced EHR
vendor comparisons with a full range of EHR functionality available. Review
the following sites and post your findings to the discussion board describing
one product/vendor: ·
www.AdvanceforHIE.com provides an annual EHR
System Review that can be launched free of charge from its home page ·
www.AdvanceforHIE.com also provides an annual
Workflow Management summary
and vendor list ·
www.acgroup.org provides an annual survey of
EHR vendors ·
www.ehrselector.com for a modest fee provides
access to an interactive EHR vendor list for physician offices. |
|
3 (09/13/09) 100 pts |
The
Electronic Health Record (Johns) Information
Systems Theory and Life Cycle (Amatayakul) |
*Read
Chapter 4 (Johns) pg 130-end. *Read
Real-World Case in workbook. *Do
Discussion Questions #1-4 in the workbook *Do
Application Exercise #3 (Turn in
answers via InsideNC). *Do
Emerging Technology assignment. *Do EMR research assignment *Read
Chapter 2 (Amatayakul) pg 25-43. *Compare
the Human Body Systems and the EHR. (Turn
in answers via InsideNC). |
|
4 (09/20/09) 100 pts |
Fundamentals of Information Systems (Johns) |
*Read
Chapter 16 pg 741-791. * Visit www.cchit.org for the Certification Commission on Health Information
Technology that
provides both certification criteria for EHRs (initially for physician
offices) as well as
test scenarios. The HL7 web site, www.hl7.org/ehr provides
the EHR System. Post your findings to
the discussion board. *Read
Real-World Case. *Do
Discussion Questions #1-5 and Application Exercise 2d. in the workbook (Turn
in answers via InsideNC).
*Do
Ch 16 test. *Do
Chapter review |
|
5 (09/27/09) 100 pts |
Introduction
to Healthcare Information Systems (Johns) |
*Read
Chapter 17 pg 793 to 806. *Do
Application Exercises 1 & 2 in workbook. *As
HIM director, you are helping to prepare your facility for implementation
of a new healthcare information system. *Describe the typical milestones you
would expect in the implementation
process. (Turn in answers via InsideNC). *Search
the online library resources for an article describing health information
systems, or other issues related to the electronic health record. Summarize the article and relay what you
learned or was interesting in the article, use proper grammar/spelling and
cite your work. (Turn in via file
exchange on InsideNC) |
|
6 (10/04/09) 100 pts |
Introduction
to Healthcare Information Systems (Johns) |
*Read
Chapter 17 pg 807 to pg 824. *Do
Application Exercises 3 & 4 in workbook. *Do
Real-World Case and Matching assignment. *Do
a compare and contrast paper from the information on page 817. Use your book and/or other sources. Include patient-specific information, aggregate information, expert knowledge-based information and comparative
information. (Turn in answers via InsideNC). *Go
to http://himcareers.ahima.org/
(located under bookmarks) and find job/career information that includes EHR –
describe the position, pay scale if available and other interesting
information, post to the discussion board. |
|
7 (10/11/09) 100 pts |
Challenges
to EHR Adoption (Amatayakul) |
*Read
Chapter 3 pg 45-61 *Describe
five barriers to EHR adoption. *Describe
Health on the Net and its associated principles. (Turn in answers via
InsideNC). *Go
out to the e-HIM virtual lab and complete the assignment for ATHENS/Cerner
electronic chart tracking to analyze the importance of timely chart tracking. *Take
Chapter 3 Exam. |
|
8 (10/18/09) 100 pts |
Roles
in EHR Design and Implementation (Amatayakul) |
*Read
Chapter 4 pg 65-94 *Explain
the importance of medical staff ownership. *Develop
a table showing the roles of the EHR steering committee and the purpose of
each. *Describe
the five critical skills for a project manager to posses. *Explain
change management and describe four strategies associated with this. (Turn in answers via InsideNC). *Go
to e-HIM virtual lab and complete the ATHENS/Cerner lab activity for patient
diagnosis, vitals, reports types for the assigned patient and list the last
three people on the audit trail. |
|
Final (due date) 150 pts |
MIDTERM
PAPER |
*Download
and Read the Article “EHR Around the World.” *Compose
a 2-3 page paper summarizing the major points of the article and any insight
or feelings you gathered after reading this.
Complete details are under the midterm exam instructions in
InsideNC. *Take
the midterm exam over chapters from your Johns text. |
|
9 (10/25/09) 100 pts |
EHR
Goal Setting and Impact on Quality (Amatayakul) Strategic
Planning for the EHR Migration Path (Amatayakul) |
*Read
Chapter 5 pg 97-122. *Describe
the benefits expectation setting values. *Describe
the aspects of a benefits realization study. *Take
Chapter 5 Exam. *Read
Chapter 6 pg 125-149. *Briefly
describe the Gartner generations. *Describe
the five strategies for successful EHR planning. *Search
library articles via college library, Medline or other library source for
articles on strategic planning or goal setting. Explain how this article relates to the
topic and can apply to electronic health record in a one page summary. *Take
Chapter 6 Exam. (Turn in answers via
InsideNC). |
|
10 (11/01/09) 100 pts |
Information
Systems for Managerial and Clinical Support (Johns) |
*
Read Chapter 18 pg 827-845. *
Search http://himcareers.ahima.org/
for an article relating to the EHR.
Post your findings to the discussion board in a summary of the
article, what you learned or your reaction to it in proper grammar/spelling
and works cited. *
Read Real World Case in workbook. *Do
Discussion Questions #1-3. *Do
Application Exercise 3 between two vendors and share your information with your classmates. (Submit answers via Collaboration (discussion board). *Search
the web & web research assignment *Structured
vs unstructured decisions assignment. *Do
chapter reivew in workbook. |
|
Project 11 (11/08/09) 100 pts |
Healthcare
Process Assessment (Amatayakul) Functional
Needs Assessment (Amatayakul) |
*
Read Chapter 7 pg 151-173. *
Describe each of the process assessment techniques. *Analyze
the role of HIM and IT professionals in Process Assessment. *Read
Chapter 8 pg 175-192. *You
are in charge of putting together a presentation on your functional needs assessment at your facility. Your presentation should include identification of individual/institutional users, Health Level Seven, Certification Commission on Health Information Technology, as well other information in the chapter to give a may use a power-point presentation or other effective method.
(Turn in answers via InsideNC). |
|
12 (11/15/09) 100 pts |
Data
Infrastructure Assessment (Amatayakul) Information
Technology and Systems Infrastructure Assessment (Amatayakul) |
*Read
Chapter 9 pg 195-219 *Explain
each of the following: -controlled
vocabulary -data
architecture -data
infrastructure -data
mining -health
plan employer data and information (HEDIS) -online
analytical processing (OLAP) -online
transaction processing (OLTP) -optical
character recognition (OCR) -ORYX -syntax *Read
Chapter 10 pg 223-254 *Describe
primary and secondary storage devices with examples of each. *Describe
four of the most typical private network configurations. *Compare
and contrast the physical and logical topologies. *Describe
HIPAA security threats. (Turn in answers via InsideNC). *
Search the online library, Medline or AHIMA for articles regarding a breech
of confidentiality, security, privacy or other errors that occurred with an
electronic health record. Summarize
the article breech and what could have been done to prevent the error. |
|
13 (11/22/09) 100 pts |
Return
on Investment (Amatayakul) EHR
Selection and Contract Negotiation (Amatayakul) |
*Read
Chapter 11 pg 257-281 *Compose
a table using the headings from Figure
11.1 in column 1, the name of the corresponding step in column 2 and a
description in column 3. *Describe
cost-benefit analysis. *Read
Chapter 12 pg 283-304 *Describe
the concept best of breed, best of fit and best of suite. *Explain
due diligence and contract negotiation. (Turn in answers via InsideNC). |
|
14 (11/14/09) |
EHR
Project Management (Amatayakul) EHR
Selection and Contract Negotiation (Amatayakul) EHR
System Implementation and Ongoing Maintenance (Amatayakul) |
*Read
Chapter 13 pg 307-333 *Complete
the EHR project manager checklist on page 312 and analyze
why you would or would not be a good
project manager. Explain your findings
and one possible change you could make. *Reflect
on a time when you were involved in a meeting where one of the 7 sins of
deadly meetings occurred as listed in Figure 13.4. Describe the sin that occurred and a
possible salvation you could use in the future. *Describe
the role of risk management in EHR project management. *Read
Chapter 14 pg 335-357 *Describe
the advantages and disadvantages from two turnover and two conversation
strategies. *Provide
a description for one type of system test.
(Turn in answers via InsideNC). |
|
15 (12/06/09) 100 pts |
EHR
Bride Technologies (Amatayakul) Acute
Care EHR Applications (Amatayakul) |
*Read
Chapter 15 pg 359-372 *Describe
three HIM operational functions impacted by the hybrid record. *Describe
how the hybrid record impacts the quality of care and documentation. *Compose
a memo to your facility administrator regarding documentation management issues.
Inform administration on version control, access controls/audit
trails, work flow, automated forms, electronic signature and any other information
necessary for you to provide a comprehensive memo. *Read
Chapter 16 pg 375-400 *Describe
EHR components for hospitals. *Provide
one example of why rules engines are useful in acute care EHR
applications. (Turn in answers via InsideNC). |
|
16 (12/13/09) 100 pts |
Ambulatory
Care EHR Applications (Amatayakul) Growing
Momentum for Health Information Exchange (Amatayakul) |
*Read
Chapter 17 pg 402-425 *Describe
three EHR functions for ambulatory care. *Compare
E-prescribing vs CPOE. *Read
Chapter 18 pg 427-453 *Describe
Regional Health Information Organizations. *Do
a web search on health information exchange. Summarize your findings in a minimum of two
paragraphs with a minimum of one source cited. *Go
out to e-HIM Virtual Lab and complete the assignment for tools for analysis
of data integrity and resolving duplicate records in the electronic record
via QuadraMed MPI suite. (Turn in answers via InsideNC). |
|
Final (12/17/09) 238 pts |
FINAL
EXAM - essay |
*Complete
the comprehensive final under InsideNC. Concepts covered include a random
selection from: 1.
Concept and evolution of the electronic health
record (EHR).
2.
Health
care data sets and purpose.
3.
Differentiation between heath information
type, content, and forms of media. 4.
Differentiation between health record data
definitions, vocabularies, terminologies and dictionaries. 5.
Computer concepts and major operating
systems. 6.
Communication and internet. 7.
Components of health information. 8.
Archival, retrieval and imaging systems. 9.
Elements of system architecture and design. 10.
System acquisition and evaluation. 11.
Concepts in data security. 12.
Concepts of data integrity. 13.
Data recovery and risk management issues. (Available via InsideNC). |
The
instructional methods used include internet lecture, CD activities, workbook
completion, group assignments, and collaborative projects. Students will be
required to complete reading assignments, chapter reviews, and case studies,
participate in threaded discussions with other classmates on topics determined
by instructor, complete assignments and examinations of knowledge, and
demonstrate skill competency using a specific internet platform. Possible
points for written reports, case studies, projects, and exams will vary and
tracking of your total points for each assignment or exam will be available on
the course Website. Class assignments
will be evaluated for accuracy, content, form, knowledge of subject matter,
application of knowledge and ability to communicate effectively.
Students
must participate in all activities, as well as accurately complete assignments
and examinations within the internet platform in a timely manner. Therefore it
is imperative that students have a reliable internet provider, computer
hardware, and email address to succeed in this course.
Evaluation
is directly related to the performance objectives.
Performance
is measured by examination, assignments, and/or quizzes.
The
letter grade is based on the percentage of the total points earned throughout
the semester based on the following scale:
A = 90 to
100%
B = 80 to 89%
C = 70 to 79%
D = 60 to 69%
F = 59% and
below
Assignments
75
%
Students will be required to complete weekly
assignments. Each assignment will be worth a minimum of 50 and a maximum
total of 100 points.
Midterm/Final
Examination 25%
Students will take comprehensive midterm and
final examinations. The examination will be worth 150 midterm and 238
final points.
550
pts. Questions/Assignments
338
pts. Exams
Total
Points Possible: 1938
Absences that occur due to students participating in official
college activities are excused. Students who are excused will be given
reasonable opportunity to make up any missed work or receive substitute
assignments from the instructor.
Ultimately it is the student’s responsibility to notify the instructor
in advance of the planned absence.
Unless students are excused by the instructor, they are expected
to attend class. Students who are absent for two consecutive weeks (prior to
the final drop date) and fail to contact the instructor may be dropped from
this class. If a student is inactive for
one-eighth of the total course duration, the instructor has the right, but is
not required, to withdraw a student from the course. Once the student has been dropped for
excessive absences, the registrar’s office will send a letter to the student,
stating that he or she has been dropped.
A student may petition the chief academic officer for reinstatement by
submitting a letter stating valid reasons for the absences within one week of
the registrar’s notification. If the
student is reinstated into the class, the instructor and the registrar will be
notified. It is the responsibility of
the student to properly drop the course.
Students, who are still enrolled in this class after the final drop
date, but fail to participate in class, are at risk for a failing grade. Your grade will be based on the total points
accumulated through the last date of participation.
ASSESSMENT
OF STUDENT GAIN
Student
gain will be determined by student improvement in each of the areas of student
competencies.
NCCC EMAIL
ACCOUNT
Students
should set up their NCCC e-mail accounts (which is the only e-mail account NCCC
uses for students). Below is the link to
a detailed handout that shows how to set it up.
http://www.neosho.edu/forms/Student_Email_Proceedure.pdf
ACADEMIC INTEGRITY
NCCC
expects every student to demonstrate ethical behavior with regard to academic
pursuits. Academic integrity in
coursework is a specific requirement.
Definitions, examples, and possible consequences for violations of
Academic Integrity, as well as the appeals process, can be found in the College
Catalog, Student Handbook, and/or Code of Student Conduct and Discipline.
This
online class allows you to work independently or with other students in the class. For your own benefit, you need to complete
all assignments on your own unless otherwise indicated. Do not use the work of others and submit it
as your own. You may refer to the
textbook and resources when taking tests online, however the tests are timed
and you may lose points if you exceed the time limit. The true test of what you learn in this class
will be demonstrated when you take the AHIMA certification exam to become a
Registered Health Information Technician.
The expectation for this class is for you to be professional and ethical
– do your own work.
DISCLAIMER:
This
syllabus is a broad outline of subject matter intended to be covered. It does not mean that everything herein will
be covered, nor does it limit the content of the class to the material
described. Information and statements in
this document are subject to change at the discretion of NCCC. Because Introduction to Health Information is
basic to understanding many of the other courses in the Health Information
Technology program, a grade of C or better is required to continue the program.
NOTE:
If you are a
student with a disability who may need accommodation(s) under the Americans
with Disabilities Act (ADA), please notify the Director of Advising and Counseling, Chanute Campus, Sanders
Hall, 620-431-2820 ext 280 or the
Assistant Dean, Ottawa Campus, 785-242-2607 ext 312, as soon as
possible. You will need to bring your
documentation for review in order to determine reasonable accommodations, and
then we can assist you in arranging any necessary accommodations.
Note: Information and statements in this document
are subject to change at the discretion of NCCC. Changes will be published in writing and made
available to students.