COURSE SYLLABUS COURSE IDENTIFICATION. Course Number: ALHT 135

Transcription

1 COURSE SYLLABUS COURSE IDENTIFICATION Course Number: ALHT 135 Course Title: Introduction to Medical Division: Outreach and Workforce Development Program: Health Information Technology Credit Hours: Three (3) Semester: Fall 2009 Instructor: Sandy Cole, BS, RHIT Assessment Goal per Outcome(s): 80% CLASSIFICATION OF INSTRUCTION Vocational COURSE DESCRIPTION This course is an introduction to the profession of medical transcription. Students will explore current issues, practices, and trends in the medical transcription field. Students will obtain beginning knowledge and practice in medical transcribing based on a body-system approach with an emphasis in formatting, grammar, editing and transcription rules as related to the AAMT Book of Style for Medical. PREREQUISITES 1) ENGL 101 English Composition I 2) *CSIS 100 Computer Concepts & Applications or TEST OUT REQUIRED TEXTS/SOFTWARE *The official list of textbooks and materials for this course are found on Inside NC. *Benchmark KB Software *Medical : Techniques and Procedures, Marcy O. Diehl, 6 th edition.saunders. ISBN X *The SUM Program Basic Medical (BMT) CD *A standard collegiate dictionary. RESOURCES/WEBSITES Free download American Association for Medical NCCC Library Site REQUIRED TRANSCRIPTION MATERIALS 1) WAV pedal IN-USB-1 (Infinity Series Model) made by VEC Electronics 2) Headphones (may be purchased at Wal-Mart or Radio Shack). 3) Three-ring notebook x 2 (one for vocabulary and one for transcription records. 4) Jump Drive or Several CD disk for saving COURSE OUTCOMES 1) The student will demonstrate a general knowledge of the role of the medical transcriptionist in today s health care environment. 2) The student will demonstrate an understanding of the legal and ethical issues and the requirements of HIPAA as related to the profession of medical transcription. 3) The student will demonstrate an understanding of various technologies used by the medical transcriptionist

2 including digital transcribing software, voice recognition software, medical electronic dictionaries, and spell check software. 4) The student will demonstrate the ability to use English grammar, spelling and medical terminology applying the AAMT guidelines. 5) The student will demonstrate a beginning ability to proofread and edit medical reports produced by manual transcription and vice recognition software. 6) The student will demonstrate a beginning ability to transcribe medical dictation to provide a permanent record of patient care. COURSE OUTLINE I Introduction A. Intro.to the Medical Career, including ethical and legal responsibilities II. Tools of A. Equipment and Technology III. Guidelines A. Punctuation B. Capitalization C. Transcribing Numbers, Figures & Abbreviations D. Letter E. Proofreading, Making Corrections & Quality Assurance F. Using Reference Books G. Grammar Review IV. Medical Records and Reports A. Medical Chart Notes and Progress Notes B. Preparation of a History and Physical Examination Report C. Preparation of Miscellaneous Medical Reports V. Correspondence and Business Documents A.Writing Business Documents: s, Memos, Agendas, & Policies B. Establishing your career SCHEDULE This class meets online for weekly learning units. Class materials for each unit will be available for a minimum of seven days starting on August 24, 2009 and ending on December 15, 2009 WEEK TOPIC READING/EXCERCISES/EXAMS 1. Mon.8/24/09-- Sun. 8/30/09 2 Mon.8/31/09 Sun. 9/6/09 3 Mon.9/7/09 Sun.9/13/09 4 Mon.9/14/09 Sun.9/20/09 Introductions and Misc. Items. Introduction cont. The Career and legal and ethical responsibilities Tools of, Equipment and Technology Guidelines Focus on the rules and skills of punctuation *Introductions of class members * Complete the Student Objective /Occupational Intent Form. (Mail this to the NCCC HIT Program Coordinator) *Read Chapter 1 and prepare notebooks *Brief Essay Test over Chapter 1 *Read Chapter 2 *Matching Vocabulary *Read BMT Getting Started *About the SUM Program *Introductory Dictation *Physician Dictation--Medical Specialty *Read Chapter 3 *Read BMT Getting Started * References *The Medical Reports * Materials *Submit Review Test 3-16 retype &

3 5 Mon.9/21/09-- Sun.9/27/09 6 Mon.9/28/09 Sun.10/4/09 7 Mon.10/5/09 Sun.10/11/09 Guidelines cont. Capitalization Guidelines cont. Numbers, Figures, and Abbreviations Guidelines cont. Letter correct letter from William A. Berry, MD *Read Chapter 4 *Submit Review Tests 4-4 & 4-5 *BMT Trans. Practice-- Dermatology *Dermatology Letter 2 *Consultation 8 *H&P 9 *Chart Note 16 *Discharge Summary 17 *Read Chapter 5 *Instructor Review Test Multiple choice *BMT Trans. Practice--Urology *Initial Office Evaluation 6 *H&P 9 *H&P 13 *Discharge Summary 21 *Consultation 18 *Read Chapter 6 * Submit Typing Assignments 6-1 & 6-2 *BMT Trans. Practice--Gastrointestinal * Letter 4 *H&P 5 *Discharge Summary 8 *Consultation 9 *Chart Note 13 8 Mon.10/12/09 Sun.10/18/09 9 Mon.10/19/09 Sun.10/25/09 10 Mon.10/26/09-- Sun.11/1/09 11 Mon.11/2/09 Sun.11/8/09 Guidelines cont. Proofreading and making corrections Guidelines cont. Using Reference Books Guidelines cont. Word endings Guidelines cont. Grammar Review *Read Chapter 7 *Submit Final Review 7-7 *BMT Trans. Practice Orthopedics *Chart Note 2 * H&P 3 *Discharge Summary 5 *Consultation 7 *Letter 12 *Read Chapter 8 *Submit Website research *BMT Trans. Practice Cardiology *Letter 2 *H&P 4 *Consultation 6 *Discharge Summary 19 *Initial Office Evaluation 21 *Read Chapter 9 *Submit Review Test 9-9 *BMT Trans. Practice Pulmonary Med. *Letter 3 *Consultation 4 *Emergency Room Report 5 *H&P 7 *Consultation 8 * Read Chapter 10 * Submit Review Test 10-9 *BMT Trans. Practice Endocrinology *H&P 1

4 12 Mon.11/9/09 Sun.11/15/09 Medical Records and Reports Medical Chart Notes and Progress Notes *Discharge Summary 2 *Chart Note 3 *Consultation 12 *Read Chapter 11 *Review 11-3 Submit Review Test *BMT Trans. Practice---OB/GYN *Letter 2 *Discharge Summary 5 *H&P 8 *Chart Note 14 *Discharge Summary Mon.11/16/09 Sun. 11/22/09 14 Mon.11/23/09 Sun.11/29/09 15 Mon. 11/30/09 Sun 12/6/09 16 Mon.12/7/09 Sun.12/12/09 Medical Records and Reports cont. H&P Reports Medical Records cont. Miscellaneous Reports Correspondence and Business Letters Finals Final Exam *Read Chapter 12 *Review 12-3 Submit Review Test *BMT Trans Practice Ophthalmology *Consultation 1 *Chart Note 2 *Discharge Summary 6 H&P 7 *Discharge Summary 8 *Read Chapter 13 *Submit Review Test 13-6 *BMT Trans. Practice Otorhinolaryngology *Letter 5 *Consultation 10 *Chart Note 11 *H&P 16 *Emergency Room Report 7 *Read Chapter 14 *Submit Review Test 14-6 *BMT Trans. Practice Neurology *Consultation 1 *Letter 2 *H&P 6 *Discharge Summary 7 *Letter 8 INSTRUCTIONAL METHODS/GRADING/STUDENT REQUIREMENTS AND METHOD OF EVALUATIONS A cumulative point system is used. Your class assignments will include reading, review questions, written reports, website research, practice exercises, discussion questions, chapter quizzes and examinations. Possible points for reports, projects and exams will vary and tracking of your points for each assignment or exam will be available on the course Website. Class assignments will be evaluated for accuracy, content and form. Class participation is an essential element to your success in this course. You are expected to complete all assignments and respond to any discussion questions. All assignments are due on the Sunday date listed before 12:00pm. Late assignments will be docked 10% per each day past due date. Make-ups for exams or assignments are only permitted under special circumstances and with prior approval by the instructor. Borderline grades will be viewed in terms of timely completion of assignments and class

5 participations. Because of the necessity of error-free documents and the demand of employers requiring 96% accuracy or higher, the following grading scale is used % A 80-89% B 70-79% C 60-69% D 59% and below F ATTENDANCE POLICY Absences that occur due to students participating in official college activities are excused except in those cases where outside bodies, such as the State Board of Nursing, have requirements for minimum class minutes for each student. Students who are excused will be given reasonable opportunity to make up any missed work or receive substitute assignments from the instructor and should not be penalized for the absence. Proper procedure should be followed in notifying faculty in advance of the student s planned participation in the event. Ultimately it is the student s responsibility to notify the instructor in advance of the planned absence. Unless students are participating in a school activity or are excused by the instructor, they are expected to attend class. If a student s absences exceed one-hundred (100) minutes per credit hour for the course or, in the case of on-line or other non-traditional courses, the student is 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 assessed based on performance on written assignments, tests and the progress of dictation skills. ACADEMIC INTEGRITY NCCC expects every student to demonstrate ethical behavior with regard to academic pursuits. Academic integrity in coursework is a specific requirement. Consequences of violation of the Academic Integrity policy can range from redoing the assignment for partial credit to course dismissal at the discretion of the instructor. Definitions and examples 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. 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 Dean of Student Development, Chanute Campus, Student Union, , Ext. 213., or the Dean, Ottawa Campus, 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.

6 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.