HIT 240 HEALTHCARE QUALITY PERFORMANCE IMPROVEMENT AND MANAGEMENT SYLLABUS

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1 HIT 240 HEALTHCARE QUALITY PERFORMANCE IMPROVEMENT AND MANAGEMENT SYLLABUS Instructor Information and Availability Donna Thompson, RHIT has been an instructor for the SBCC HIT program and the Workforce Development Training Program covering the EHR courses. Prior to SBCC, she instructed many of the HIT courses including medical coding and reimbursement at other major universities. As a HIM Consultant, she provides professional expertise for the advancement of health informatics including computer-assisted-coding (CAC). She has recently completed the ICD10 Coding Training Program through AHIMA and is an official AHIMA ICD10 Coding Trainer. Please use our Course in Moodle for all course-related matters. You may use for any general HIT related questions. Mailing Address: HIT/CIM Department, SBCC, 721 Cliff Drive, Santa Barbara, CA HIT/CIM Office Staff: The HIT/CIM office staff can be reached at or , Ext Technical Problems? There are trained SBCC staff members ready and waiting to help you with your logon, computer and/or technical problems. Please go to the following and report any technical problems as soon as possible: Course Pre-requisites and Advisories COMP 101 and HIT 101 or their equivalents are pre-requisites for this class. HIT 255 is a course advisory for HIT 240, which means that it is highly recommended that you complete HIT 255 before taking HIT 240. Course Description Applies continuous healthcare quality management and performance improvement principles to the hospital setting, focusing on historical, theoretical, and practical applications and methodologies. Includes data collection and analysis; regulatory, accreditation and patient safety compliance; credentialing, and utilization, case, and risk management. Course Objectives Upon completion of this course, students should be able to demonstrate competencies in the following CAHIIM/ AHIMA-required domains and content areas: I. Domain: Health Data Management B. Subdomain: Healthcare Information Requirements and Standards 2. Apply policies and procedures to ensure organizational compliance with regulations and standards (4). 3. Report compliance findings according to organizational policy (4). 5. Assist in preparing the organization for accreditation, licensing and/or certification surveys (4). II. Domain: Health Statistics, Biomedical Research and Quality Management A. Subdomain: Healthcare Statistics and Research file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (1 of 12) [1/19/2012 1:13:22 PM]

2 2. Collect, organize and present data for quality management, utilization management, risk management, and other patient care related studies (5). B. Subdomain: Quality Management and Performance Improvement 1. Abstract and report data for facility-wide quality management and performance improvement programs (4). 2. Analyze clinical data to identify trends that demonstrate quality, safety and effectiveness of healthcare (4). IV. Domain: Information Technology & Systems A. Subdomain: Information and Communication Technologies 2. Use common software applications such as spreadsheets, databases, word processing, graphics, presentation, and so on in the execution of work processes (5). V. Domain: Organizational Resources A. Subdomain: Human Resources 1. Apply the fundamentals of team leadership (4). 2. Organize and contribute to work teams and committees (4). 6. Communicate benchmark staff performance data (4). 7. Use quality improvement tools and techniques to monitor, report and improve processes (4). Course Content and Scope Week Lesson Content Required Activities 1 Introduction to Quality Performance Improvement and Management 2 Quality Performance Improvement Masters and Philosophies 3 The Language of Quality Performance Improvement /Bulletin Board Interactive Self-Assessment Interactive Quiz/Assignment file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (2 of 12) [1/19/2012 1:13:22 PM]

3 4 Assessing Quality Performance Improvement 5 Quality Performance Improvement and the Federal Government 6 Quality Performance Improvement Teams Working Together 7 Quality Performance Improvement Tools: Part I 8 Quality Performance Improvement Tools: Part II 9 Utilization, Case and Disease Management file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (3 of 12) [1/19/2012 1:13:22 PM]

4 10 Risk Management 11 Credentialing and the Medical Staff 12 Patient Safety Student Learning Outcomes Student Learning Outcome #1 Apply traditional and more recent innovative quality management principles, methodologies and tools to improve patient safety and care in the hospital setting. Student learning outcome will be evaluated by: Weekly quizzes and assignments, weekly group discussion participation, weekly student evaluation of lessons, and midterm and final exam. Grading rubric: Satisfactory: 1. Weekly quizzes or assignments with a grade of 7 or higher. 2. Two exams (midterm and final) with a student grade of 70% or higher 3. Discussion participation with grade of 3 or higher (out of 5). 4. Weekly student evaluations of lessons with grade of higher than 1. 3). Unsatisfactory: 1. Weekly quizzes or assignments with a grade of under Two exams (midterm and final) with a student grade of under 70%. 3. Weekly discussion participation with grade of under 3 (out of 5). 4. Weekly student evaluations of lessons with grade of below 1 (out of 2). file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (4 of 12) [1/19/2012 1:13:22 PM]

5 Student Learning Outcome #2 Plan and implement specific strategies for assessing and improving the quality of health information in the hospital setting. Student learning outcome will be evaluated by instructor by: Grading rubric: Satisfactory: 1. Discussion participation with grade of 3 or higher (out of 5 ). 2. Group project grade of 80% or higher. Unsatisfactory: 1. Weekly discussion participation with grade of under 3 (out of 5). 2. Group project grade of below 80%. Student Learning Outcome #3 Analyze, interpret and communicate healthcare data and information to assess and ensure hospital compliance with federal and state regulatory and accreditation requirements. Student learning outcome will be evaluated by instructor by: Weekly quizzes and assignments, weekly group discussion participation, weekly student evaluation of lessons, and midterm and final exam. Grading rubric: Satisfactory: 1. Weekly quizzes or assignments with a grade of 7 or higher. 2. Two exams (midterm and final) with a student grade of 70% or higher 3. Discussion participation with grade of 2 or higher (out of 3). 4. Weekly student evaluations of lessons with grade of higher than 1 (out of 2). Unsatisfactory: 1. Weekly quizzes or assignments with a grade of under Two exams (midterm and final) with a student grade of under 70%. 3. Weekly discussion participation with grade of under 2 (out of 3). 4. Weekly student evaluations of lessons with grade of under 1 (out of 2). Student Learning Outcome #4 file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (5 of 12) [1/19/2012 1:13:22 PM]

6 Work effectively and efficiently in multidisciplinary teams to improve the quality and safety of patient care and ensure compliance with regulatory and accreditation requirements. Student learning outcome will be evaluated by instructor by: Weekly group discussion participation and final group project.. Grading rubric: Satisfactory: 1. Discussion participation with grade of 2 or higher (out of 3). 2. Group project grade of 80% or higher. Unsatisfactory: 1. Weekly discussion participation with grade of under 2 (out of 3). 2. Group project grade of below 80%. Student Learning Outcome #5 Access, interpret, and apply current HIM resources to ensure compliance with regulatory and accreditation standards and improve the quality of health information in the hospital setting. Student learning outcome will be evaluated by instructor by: Grading rubric: Satisfactory: 1. Weekly quizzes or assignments with a grade of 7 or higher. 2. Two exams (midterm and final) with a student grade of 70% or higher 3. Discussion participation with grade of 2 or higher (out of 3). 4. Weekly student evaluations of lessons with grade of higher than 1 (out of 2). Unsatisfactory: 1. Weekly quizzes or assignments with a grade of under Two exams (midterm and final) with a student grade of under 70%. 3. Weekly discussion participation with grade of under 2 (out of 3). 4. Weekly student evaluations of lessons with grade of under 1 (out of 2). Required Texts Johns, M. (2011). Health Information Management Technology: An Applied Approach. Second Edition. Chicago, IL. American Health Information Management Association. Third Edition! The Memory Jogger, A Pocket Guide of Tools for Continuous Improvement, Ernst & Young, most recent edition. Other Course Requirement: Membership in health information management s national organization, AHIMA, is a requirement of HIT 240 file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (6 of 12) [1/19/2012 1:13:22 PM]

7 and many of your other HIT/CIM classes. You will have assignments that will require you to access the AHIMA site as a member. AHIMA student membership costs $35 per year. To become a student member of AHIMA, please perform the following steps: 1. Go to 2. Scroll down to the student membership section 3. Click join now. 4. Fill out the membership form using EPC code 624 for SBCC. 5. Submit to AHIMA. 6. For more information about AHIMA membership in general go to aspx 7. If you are have problems, please or call AHIMA at (800) Methods of Instruction Lecture, Communication via Threaded Discussions known as Forums Assignments Self-Assessments Tips of the Week Chat Room Group Project HIT/CIM Attendance Policy The HIT/CIM Department strongly encourages students to log into their registered courses at least once per week. Individual instructors may require more frequent logins, as outlined in their course syllabi. Students are responsible for reading and following all information provided in the course syllabus. Students enrolled in HIT or CIM courses are responsible for following the attendance policy guidelines. If students do not follow the guidelines; they are subject to the following: 1. Drop policy Students will be dropped from HIT/CIM courses if they have not logged into their course prior to the drop date. For drop date information, please refer to the link to the Academic Calendar below. 2. WITHDRAW POLICY Students who have not logged into their course and/or have not completed any graded work during a two-week period, beginning with the day after the drop date and continuing until the official withdrawal date, are subject to involuntary withdrawal from their course. For withdraw date information, please refer to the link to the Academic Calendar below. References Please refer to the Attendance policy detailed in the Academic Standards & Policies section of the current SBCC college catalog: file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (7 of 12) [1/19/2012 1:13:22 PM]

8 Please refer to the Academic Calendar for drop and withdraw dates: Originated: Spring 2010 Implemented: Summer 2010 Written by: HIT CIM Faculty Lessons, Assignments, and Assessments There are weekly lessons with assignments and quizzes to enhance learning. Weekly lessons and requirements are found for each lesson under the individual weekly lessons" in the center of your Moodle Home Page All assignments, assessments and communications must be submitted within Moodle. Course Calendar and Due Dates for Course Deliverables The course calendar and all due dates for HIT 240 are posted under Calendar and Due Dates on your Home Page. Homework assignments are due no later than 11 pm Pacific Time on the date indicated on your Course Calendar. Students must include their name and course number on each page of submitted assignments and keep copies of all assignments. Bonus points are given when an assignment, discussion comment or other deliverable is exceptional, showing special thought, interest, and/or research. Quizzes and Examinations: All quizzes and examinations are administered online in your Moodle classroom. The availability dates for exams are specified in the Course Calendar. Students will take each exam during the availability dates specified unless prior arrangements are made and approved by the course instructor. As in the submission of assignments, students are expected to take their own quizzes and exams. Honesty and integrity is expected of all students. Threaded Discussions: The interactive discussions, called Forums in Moodle, will optimize each student's ability to understand the lesson content and to pose questions and concerns. Using the threaded discussion capabilities of Moodle, students will participate in online discussions with their fellow classmates and instructor. Each week your instructor will post a specific question relevant to the week's lesson for discussion. Each student is required to post at least one significant comment in response to the question and the comments of their peers. Each weekly discussions is worth five points and will be graded based on the discussion rubric provided. There will be no credit for late postings to group discussions. Please make sure that your comments: Do not just repeat the thoughts and comments of others but advances and enriches the discussion. Are posted on time. There will be no credit for late postings to these group discussions. Required discussion participation has the same due dates as the lessons to which they refer. file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (8 of 12) [1/19/2012 1:13:22 PM]

9 Use formally accepted grammar and spelling. Late Assignment Policy Just as in a traditional class, it is the student s responsibility to complete the quizzes, assignments and exams as posted in the Course Calendar. Time management in planning weekly activities, including business or personal travel, vacation, jury duty, family visits, work obligations, elective or planned medical procedures, holidays, etc. is critical to successful completion of this course. In this classroom: Due dates for all course deliverables are posted in the course calendar. All students are responsible for monitoring and adhering to the Course Calendar as posted unless prior arrangements have been made with the instructor. There will be no credit for late submissions or late discussion participation. The instructor will handle student emergencies on an as needed basis. Computer problems do occur so if it is your habit to work up until an assignment or exam deadline, do so at your own risk. All students should have a back-up computer plan in the event of hardware, software or technical difficulties unrelated to the SBCC system that can be invoked in a timely manner. The backup computer may be through another reliable source, e.g., workplace, public library, friends, etc. Otherwise the student will run the risk of submitting a late assignment and not receiving credit for it or missing an important exam. Technical problems are not an excuse for missing an exam or other due date. Final Group Project All students will be assigned a Group by the instructor. Each team will then work on one final group report. Each member of the group submits a copy of their Group Project and receives the same grade for the Group Project. Your Group Project is worth 80 points. The grade will be broken into two categories; overall project (worth 55 points) and individual participation (worth 25 points) Part of working in a group is contributing to the entire project. If a student has clearly not participated in the contribution of the project tasks, the individual student grade will be adjusted accordingly. Participation is determined by the group. Chat Rooms: This course has Chat Rooms, which are available for individual students together and/or for student(s) to meet with the instructor to discuss assignments or to review lesson content together. Those who desire to meet in a chat room will arrange with one another a date and time to meet and select one of the chat room locations. Then on the prearranged date and time, the student will click on the Chat Room button; select the room in which they planned to meet; view the other members of the class participating in the chat; and then chat in a written format. Accommodations for Students SBCC students with disabilities who are requesting accommodations should use the following SBCC procedure: [1] Contact the Disabled Student Programs and Services (DSPS) office. [2] Submit documentation of your disability to the DSPS office. [3] Communicate with a DSPS counselor regarding options for services and accommodations. [4] Reach accommodation agreement with the DSPS counselor and your instructor. SBCC requests you complete this process at least ten working days before your accommodation is needed, in order to allow DSPS staff time to provide your accommodation. file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Temp...PGrpWise/HIT240%20Course%20Syllabus%20S12h.htm (9 of 12) [1/19/2012 1:13:22 PM]

10 Contact: DSPS office (805) x 2364, SS Building, room 160, Standards of Student Conduct and Academic Honesty Please refer to excerpts from SBCC s Standards of Student Conduct on the Moodle Home page. This document highlights behavior in the online world that is unacceptable and likely to result in penalties. Please do not put yourself in the position of exhibiting these types of behavior. The instructor expects and trusts each student to maintain high standards of honesty and ethical behavior. All assignments submitted in fulfillment of the course requirements must be the students own work. All assignments except those designated as "group" are meant to be individual efforts. Group efforts are meant to be equal efforts of all group members. It is assumed that students will perform professionally in preparing work for this class. It is important that you carefully read and understand the SBCC policy of Academic Integrity. To view this document, please click on the associated link on the Moodle Home page. According to Wikipedia, plagiarism is the practice f claiming or implying original authorship of material which one has not actually created oneself, such as when a person incorporates material from someone else's work into his own work without attributing it. Within academia, plagiarism is seen as academic dishonesty and is a serious and punishable academic offense. The University of Phoenix puts it well in its policy on academic honesty. You must always submit work that represents your original words or ideas. If any words or ideas used in a class posting or assignment submission do not represent your original words or ideas, you must cite all relevant sources and make clear the extent to which such sources were used. To avoid plagiarism, please go to the Owl of Pursue s website at resource/589/03/ and follow the important safe practice tips. Grades Grades are assigned for distance learning courses as in the courses provided on campus and are figured into the student's grade point average (GPA). Grades are posted in your Moodle Gradebook and are accessible by each individual student only. Methods of Evaluation: Weekly Self Assessment Exercises (Voluntary) No points are earned for self-assessment quizzes Weekly Submitted Assignments or Quizzes 10 points each = 120 First Modular Exam Final Exam Group Project 50 points 100 points Weekly Threaded Discussions 5 points each = 60 More specifically: 80 points (55 points for group effort; 25 points individual student participation) TOTAL POINTS = 410 file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Tem...GrpWise/HIT240%20Course%20Syllabus%20S12h.htm (10 of 12) [1/19/2012 1:13:22 PM]

11 Introduction to Quality Management and Improvement Quality Improvement Masters and Philosophies The Language of Quality Improvement Assessing Quality Quality Improvement and the Federal Government Midterm Exam: Lessons 1 through 5 Quality Improvement Teams Working Together 50 points Quality Improvement Tools Part I Quality Improvement Tools Part II Utilization, Case and Disease Management Risk Management Credentialing and the Medical Staff Patient Safety Final Exam: Lessons 1 through 12 Group Project equals 100 points 80 Points 410 points Grades are calculated by placing the total points earned over the total points available. The total points available for this course are 410. After conversion to a percentage, a letter grade will be determined based on the following grading scale % points A 80-89% points B 70-79% points C 60-69% points D Below 60% Below 246 F Credit Deadlines You will be expected to complete the distance learning courses within the regular semester period. file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Tem...GrpWise/HIT240%20Course%20Syllabus%20S12h.htm (11 of 12) [1/19/2012 1:13:22 PM]

12 file:///c /DOCUME~1/MMTROT~1.SBC/LOCALS~1/Tem...GrpWise/HIT240%20Course%20Syllabus%20S12h.htm (12 of 12) [1/19/2012 1:13:22 PM]

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