HIT 101 INTRODUCTION TO HEALTH INFORMATION MANAGEMENT COURSE SYLLABUS. Instructor: Lynette M. Williamson, MBA, RHIA, CCS, CPC, FAHIMA

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1 HIT 101 INTRODUCTION TO HEALTH INFORMATION MANAGEMENT COURSE SYLLABUS Instructor: Lynette M. Williamson, MBA, RHIA, CCS, CPC, FAHIMA Welcome to HIT 101! The content of this class is the foundation for the Health Information and Cancer Information Management professions. It is the heart and soul of health information and medical records. Please join me in learning the basics of the healthcare industry and the HIT/CIM professions you are considering. I hope that the next 16 weeks will be challenging and rewarding for all of us! You will find that taking an online course places much more responsibility on students to learn independently and develop their own time schedule and study plan than would the same course taught in a traditional classroom setting. You will also find that you have the opportunity to interact with myself as well as the other students in new and different ways, including , online discussions and chat rooms. Please get in the habit of checking your (identified as imail) and Announcements here in your online classroom in Moodle on a daily basis. Things change quickly in the healthcare industry, in education, and in online learning. As you move through this course, there is a large amount of text and reading so you need to determine how to manage your time. Please note that you may find typo in text provided in class and in textbook materials. Remember netiquette and that all materials are written by humans and spellcheck does not catch all errors. If you are unclear if something is a typo/error in course documents, course textbook, etc. please ask me via course (imail) in a professional manner. Best regards, Professor Lynette Page 1 of 18

2 Please use Moodle s HIT 101 Course (imail) for courserelated matters/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 HITCIM@sbcc.edu. The HIT/CIM Office phone is , Ext Instructor Contact Information and Availability I am available via course (imail) or SBCC account (Lmwilliamson@sbcc.edu). I typically check course and SBCC account multiple times during the day, Monday to Friday. Please note that I live and work in Eastern time zone not Pacific time zone. I will make every effort to respond to your within 24 hours during a typical work week (Monday to Friday) and during normal work hours (Eastern Time Zone). Please note this if you me on a Friday afternoon/evening or on a weekend. I am typically in course over the weekend also; however, I do not guarantee that a weekend will be answered within 24 hours. Please use your Moodle Course imail for all course-related communications and assignment submissions. Your SBCC Pipeline is available for emergencies or non-course related issues. You may use the SBCC Pipeline for non-course related issues or in case of an emergency: Lmwilliamson@sbcc.edu If you have questions on your individual exam/quiz/assignment please use course imail. Please do not post questions related to your individual graded event assignment, quiz, exam to course discussion forums. HIT/CIM Office: HIT/CIM Department, SBCC, 721 Cliff Drive, Santa Barbara, CA 93109, hitcim@sbcc.edu, , Ext Page 2 of 18

3 Technical Problems? There are especially 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 your technical problem as soon as possible: Course Description Introduction to the fundamental theories and practices of health information management, including health services organization and delivery, health data structure, content and standards, healthcare information systems, technologies, and requirements and health information privacy and security. Course Objectives Upon completion of this course, students should be able to demonstrate competencies in the following CAHIIM/AHIMA-required domains and specific content areas at the required Learning Competency Levels ** (indicated in the number within the parenthesis): I. Domain: Health Data Management A. Subdomain: Health Data Structure, Content and Standards 1. Collect and maintain health data (3) 2. Apply policies and procedures to ensure the accuracy of health data (3). 3. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources for patient care, management, billing reports, registries and/or databases (2). B. Subdomain: Healthcare Information Requirements and Standards 1. Monitor and apply organization-wide health record documentation guidelines (4). 2. Apply policies and procedures to ensure organizational compliance with regulations and standards (3). 3. Maintain the accuracy and completeness of the patient record as defined by organizational policy and external regulations and standards (3). Page 3 of 18

4 III. Domain: Health Services Organization and Delivery A. Subdomain: Healthcare Delivery Systems 2. Apply current laws, accreditation, licensure and certification standards related to health information initiatives from the national, state, local and facility levels (3). 3. Apply policies and procedures to comply with the changing regulations among various payment systems for healthcare services such as Medicare, Medicaid, managed care, and so forth (3). 4. Differentiate the roles of various providers and disciplines throughout the continuum of healthcare and respond to their information needs (3). B. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Apply policies and procedures for access and disclosure of personal health information (3). 2. Investigate and recommend solutions to privacy issues/problems (2) IV. Domain: Information Technology & Systems A. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure data collection, storage, analysis and reporting of information (3). 2. Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging (2). 4. 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 (3). D. Subdomain: Data security 1. Apply confidentiality and security measures to protect electronic health information (3). 2. Protect data integrity and validity using software or hardware technology (2). 3. Apply departmental and organizational data and information system security policies (3). 4. Use and summarize data compiled from audit trail and data quality monitoring programs (2). Page 4 of 18

5 Student Learning Outcomes for HIT101 Student Learning Outcome #1 Apply health data and clinical documentation principles, standards and guidelines to ensure the quality of the health record in the acute-care hospital setting. Student Learning Outcome #2 Apply regulatory, accreditation, licensure and certification standards related to health information to medical records in the acute care hospital setting. Student Learning Outcome #3 Apply national and state regulatory and accreditation requirements for confidentiality, privacy and security of health information to protect the patient and the acute-care hospital. Student Learning Outcome #4 Use current technology and systems to ensure 1) the quality of the medical record and 2) the optimum collection, analysis, storage, release, retrieval, and reporting of health information to appropriate users and requestors. Student Learning Outcome #5 Require student to contact, schedule, tour, and comprehensively describe a Health Information Management (HIM) Department in an acute care hospital. Page 5 of 18

6 Course Content and Weekly Lessons Lesson #1 Lesson #2 Lesson #3 Lesson #4 Lesson #5 Lesson #6 Lesson #7 Lesson #8 Lesson #9 Lesson #10 Lesson #11 Healthcare Delivery Systems Purpose and Functions of the Health Record Content and Structure of the Health Record Healthcare Data Sets and Standards Secondary Data Sources Electronic Health Records Health Information Functions Fundamentals of Electronic Information Systems Introduction to Electronic Healthcare Information Systems Information Privacy Information Security Methods of Instruction Lecture PowerPoint Presentations of Textbook Readings Group discussions Assignments Voluntary self-assessments non-graded Graded Assessments, including quizzes and exams Page 6 of 18

7 Student Evaluations of Lessons and Course Content Visit and Tour of Hospital HIM Department Required Texts Johns, M. (2011). Health Information Management Technology: An Applied Approach. Current edition. Chicago, IL. American Health Information Management Association. Pocket Glossary of Health Information Management & Technology Current edition, American Health Information Management Association. Technical Requirements: It is required that student use Firefox as Internet browser when taking quizzes/exams in Moodle. It is recommended that students also use Firefox when in Moodle to get full functionally. Other browser option is Safari. It is required that students use either Firefox or Safari when taking course quizzes and/or exams. Students should be able to use windows for this course; students will be required to submit printscreen/screenshots for course work as specified in assignments. Course instructor is not responsible to teach students how to capture a screenshot. No cell phone pictures of screens will be accepted in place of screenshots. Students are required to have Microsoft PowerPoint to view provided course PowerPoint presentations. If a student does not have PowerPoint on their computer please review plug-in information at It is recommended that students have the latest edition of Microsoft Word, Microsoft PowerPoint, and speakers on their computer. It is highly recommended that students have a personal computer and do not utilize a work computer for this course. Students must review information at: Before logging into this course on the 1 st date of the semester Page 7 of 18

8 Netiquette review information on this important area Other Course Requirement: It is highly encouraged that students in HIT 101 log into course frequently each week during the semester a minimum of 3 times per week is a MINIMUM. I will be monitoring your participation and activity log. It is vital to log into and participate in course discussions to get the full level of your educational foundation in this very important course! Membership in health information management s national organization, AHIMA, is a requirement of HIT 101 and many of your other HIT/CIM classes. You will have assignments that will require you to access the AHIMA site as a member. If you already have a membership, then you do not need to become a student member. AHIMA student membership costs $35 per year. To become a student member of AHIMA, please do the following: 1. Go to the AHIMA website at 2. Click on the Membership tab and follow the instructions to join as a student member. 3. If you experience problems when joining, please info@ahima.org, or call AHIMA at (800) Attendance There are no required meetings where attendance is taken, however the HIT CIM Department policy on attendance is listed below: 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. Page 8 of 18

9 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. If an individual wishes to withdraw from a course, he/she is responsible for completing college required withdrawal process/notification before due date and filing this with college office of Registration. References Please refer to the Attendance policy detailed in the Academic Standards & Policies section of the current SBCC college catalog: Please refer to the Academic Calendar for drop and withdraw dates: Course Lessons There are weekly lessons with required assignments, assessments and discussions to enhance learning. Lessons are found on your Home Page, in chronological order. All Assignments, Assessments and communications must be submitted within Moodle within preset submission dates. submission of graded work will be accepted. Page 9 of 18

10 Course Calendar and Due Dates for Course Deliverables The course calendar and all due dates for HIT 101 are posted in course 1 st session under Course Documents, students should click on the link to the course calendar and due dates for accurate due date information. Course deliverables are due no later than 11:00 pm Pacific Time on the date indicated. It is recommended that you print out the course calendar document and keep it posted near your study area. Please refer to this document for all important college and course due dates. Please do not rely on the electronic calendar in Moodle for important due dates. The time zone field in your profile is used to convert time-related messages in your Moodle course (such as assignment deadlines) from the default Moodle time zone to the correct time in whichever zone you have selected. SBCC s Moodle server is set to the Pacific Time zone Utc-8. If you are located in the Pacific Time zone, your profile time zone setting will not need to be changed. But, if you are not located in the Pacific Time zone, be sure to update the time zone under your profile. This will ensure your quizzes and assignments due times are automatically adjusted to reflect the time where you are located. Students should include their name and course number on each page/screen of submitted assignments and keep copies of all assignments. Course Assessments and Assignments All assessments and assignments will be administered online within this course: Assessments include: Self-Assessment Quizzes are purely voluntary and are to be used for your own review. These do not count toward your grade points. You may take them as many times as you wish. Page 10 of 18

11 The Test Assignment Submission is not a graded item, but it is important to complete this assignment to ensure assignments can be submitted without any problems. Laboratory assignments will be required using the AHIMA Virtual Lab. Detailed instructions will be available in the course site. Weekly quizzes; students will take each assessment during the availability dates specified on course calendar document provided in course first session. Three exams, which are graded and timed. They are closed book tests. Late submissions are not accepted. Assignments generally involve students working independently on a specific question or issue and require that a file be submitted as homework. Students should include their name and course number on each page/screen of submitted assignments and keep copies of all assignments. Papers received without student name will not be graded. Remember to cite all sources in APA Format- please visit the following website for assistance with format: Discussions The interactive discussions optimize each student's ability to understand the lesson content and to pose questions and concerns. Using the threaded discussion capabilities of Moodle, students participate in online discussions with their fellow classmates and instructor. There are 2 types of discussion forums available: Current Events in Health Information (located on the first block of the course), and Lesson Discussions which coincide with the weekly lesson. The Current Events forum is available for students to post articles and facts of interest pertaining to the health information profession. This is a news forum to share interesting updates on the profession- which are many! In addition to the Current Events forum, your instructor will post a specific question relevant to the week's lesson for discussion (located in the lesson block for each week). Weekly discussions will not be graded; however, it is Page 11 of 18

12 strongly recommended that you participate in all discussions to not only enhance your learning, but to become connected with the class. Please make sure that your comments: Do not just repeat the thoughts and comments of the text or others but advances and enriches the discussion. Use formally accepted grammar and spelling. Student (Lesson) Feedback Students are asked to evaluate each lesson in order to provide feedback to the instructor that can be used to revise or enhance the course. This is also another mechanism for communicating with your instructor. Individual Site Project The HIT 101 Individual Student Project consists of a student-arranged site visit to the health information/medical record department of an acute care hospital and a written report describing the experience and answering specific questions about the department s operation. The goal of the site visit is to expose HIT and CIM students to an HIM department to further the student s understanding of its organization and operations. Details, instructions and due dates for your individual site project will be posted on the first block of your course home page. Your Individual Site Project is worth 100 points. It is important to schedule (but not necessarily complete) your site visit as early as possible in the semester. Healthcare organizations get busy and cannot always quickly accommodate students. Making arrangements early in the term for a date later in the semester is preferable. Please see the course calendar for due dates on site selection information and final written report. To receive credit for this project, you must meet the following requirements: The facility must be an acute care hospital-meaning that the facility treats inpatients- see Pocket Glossary for definition Page 12 of 18

13 You cannot be employed by the HIM Department in which you are doing your project. Final submission of project must be formatted as a paper in APA format. Failure to follow APA format and include correctly formatted references/resources may result in a grade of zero being assigned. If you are not clear on the requirements for this project, it is your responsibility to contact your instructor for clarification. Late Assignments Just as in a traditional class, it is the student s responsibility to complete the quizzes, assignments, discussion questions 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 document. 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. Submissions include quizzes, exams, and assignments. 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 back up 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 resulting and earning no points or missing an important exam. A technical problem with your computer is not an acceptable excuse for a missed assignment. Study and Work Loads Online classes in SBCC s HIT/CIM Department are very rigorous and require 3 to 4 hours of study and preparation per credit hour. Therefore, a 3 credit Page 13 of 18

14 class will requires 9 to 12 hours of work per week. Students who are newcomers to online learning or have a low comfort level with computers may want to limit their first semester to 3 units. Students who work fulltime and have family and personal commitments are advised to limit enrollment to 6 units per semester. We recommend that students who work 20 hours per week and have family and personal commitments limit their enrollment to 9 units per semester. 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. Contact: DSPS office (805) x 2364, SS Building, room 160, dspshelp@sbcc.edu, also review information at DSPS web page Standards of Student Conduct and Academic Honesty Please click below to view excerpts from SBCC s Standards of Student Conduct. As you can see, 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 Page 14 of 18

15 assumed that students will perform professionally in preparing work for this class. It is important that you carefully read and understand the SBCC document called Academic Honesty Defined and Outlined. The SBCC Standards Student conduct can be found here: Plagiarism Plagiarism the presentation of another s words, images or ideas as if they were the student s own, including but not limited to: Stealing the written, oral, artistic, or original works or efforts of others and presenting them as one's own. The submission of material, whether in part or whole, authored by another person or source (e.g., the internet, book, journal, etc.), whether that material is paraphrased, translated or copied in verbatim or near-verbatim form without properly acknowledging the source (it is the student s responsibility to cite all sources) The submission of material edited, in part or whole, by another person that results in the loss of the student s original voice or ideas (i.e. while an editor or tutor may advise a student, the final submitted materials must be the work of the student, not that of the editor or tutor) Translating all or any part of material from another language and presenting it as if it were the student s own original work Unauthorized transfer and use of another person s computer file as the student s own Unauthorized use of another person s data in completing a computer exercise Multiple Submissions resubmission of a work that has already received credit with identical or similar content in another course without written consent of the present instructor or submission of work with identical or similar content in concurrent courses without written consent of all instructors involved Source: Santa Barbara Community College District; AP Academic Integrity mic%20integrity.pdf Retrieved 12/21/2011 Page 15 of 18

16 Individual site project/report/paper is subject to plagiarism check; if work/document/submission is found to be plagiarized a grade of zero will be assigned and activity will be forwarded to departmental chair and SBCC administration as identified in procedure mic%20integrity.pdf Additional Resource: To avoid plagiarism, please go to the Owl of Purdue s website at 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). Grade points are posted in Moodle under "My Grades" and are accessible by each individual student only. Methods of Evaluation: Orientation Quiz Three Module Exams Weekly Submitted Quizzes and Lab Assignments Self-Assessment Exercises and Assignment Submission Test (required for Orientation) Individual Site Project Total Points 10 points 50 points each = 150 points Quizzes: 10 points each = 110 points Lab Assignments: 100 total points No points are earned for self-assessment quizzes or the orientation assignment submission. 100 points 470 points Page 16 of 18

17 Grades will be calculated by placing the total points earned over the total points available. After conversion to a percentage, a letter grade will be determined based on the grading scale. Final course letter grade will be posted in Pipeline. The total points available for this course are 470. After conversion to a percentage, a letter grade will be determined based on the following grading scale. In the course, students will be able to view points earned and at end of term can easily determine final letter grade by using scale below % A 80 89% B 70 79% C 60 69% D Below 60% F Credit Deadlines You will be expected to complete the distance learning courses within the regular semester period. An Important Note to All Students It is your responsibility to read and comply with all regulations outlined above. Any questions regarding these regulations should be addressed to: Santa Barbara City College Health Information Technology/Cancer Information Management Department 721 Cliff Drive Santa Barbara, CA Telephone: (805) Ext Page 17 of 18

18 About Your Instructor Lynette Williamson has been in the Health Information Management and Coding field for over 20 years. She has a Bachelor of Science degree in Health Information Management from Florida International University in Miami, FL. She also holds a Masters of Business Administration with a concentration in Global Management from the University of Phoenix. She is a Certified Coding Specialist and a Certified Professional Coder. Lynette is also a member of the Pennsylvania Health Information Management Association (PHIMA) and the New Jersey Health Information Management Association (NJHIMA). She is a past chapter officer for the Garden State Chapter of the American Academy of Professional Coders (AAPC), and is an active member of the American Health Information Management Association (AHIMA) having served on national committees. Currently, Lynette is a CAHIIM board member and commissioner. She is also presented at IFHRO in Milan Italy, and many other professional conferences on HIM educational topics. Lynette has been an instructor in Health Information Technology (HIT) and coding for the past nine years. She has developed online classes for medical terminology, coding, and healthcare reimbursement. She has taught students at Thomas Jefferson University in Philadelphia PA and Camden County College, in South Jersey. She was an HIT department chair for the largest community college in south Jersey. Currently, Lynette resides in the Philadelphia PA metro area. In 2011, Ms. Williamson was awarded fellowship status with the American Health Information Management Association for her continued and meaningful contributions to the field. Page 18 of 18