TEXAS HEALTH INFORMATION TECHNOLOGY HIGHER EDUCATION INVENTORY REPORT

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1 TEXAS HEALTH INFORMATION TECHNOLOGY HIGHER EDUCATION INVENTORY REPORT February 3, 2012 Texas State University-San Marcos Susan H. Fenton, PhD Project Director

2 Acknowledgements The Texas State University-San Marcos project staff wish to thank the Executive Committee for their support, expertise and assistance. Texas HIT Workforce Development Project Executive Committee Members Amerigroup, Ann-Marie Price and Celia Manlove Austin Community College, Kirk White and Pamela Stone Baylor College of Medicine, Jenifer Jarriel Capital Area Health Education Center, Becky Conditt CentrEast Regional Extension Center, Teneka Duke and Yvonne Sanchez CTG Health, J.A. Joe Miccio Dallas Community College District, Shannon Ydoyaga Gulf Coast Regional Extension Center, James Turley, PhD, RN Health Information Management and Systems Society, Col. Ralph Franco, MBA, MHA, FACHE, FHIMSS, DSHS, CISSP, CAP Houston Community College, Carla Tyson-Howard Midland Community College, Melinda Teel, RHIA, CCS North Texas Regional Extension Center, Sally Williams Office of e-health Coordination Sandlot Solutions, Telly Shackelford and Terry Richardson Texas A&M Health Sciences Center, Kathy Mechler Texas e-health Alliance, Michael Stearns, MD, CPC, CFPC Texas Health Information Management Association, Rae Freeman Texas Health Services Authority, Tony Gilman Texas Medical Association, Shannon Moore Texas Nurses Association, Mari Tietze, PhD, RN-BC, FHIMSS Texas Office of e-health Coordination, Stephen Palmer and Catherine Colman Texas Organization of Rural & Community Hospitals, David Pearson, FACHE, MPA Texas Workforce Solutions Dallas County, Eric Griffin and Laurie Bouillion Larrea Texas Workforce Solutions Gulf Coast, Mary Koch and Rodney Bradshaw Texas Workforce Solutions South Plains, Martin Aguirre and Rocky Brown The University of Texas at Austin, Diane Kneeland, Ph.D. and Leanne H Field, Ph.D. The University of Texas Health Science Center at Houston, James Turley, RN, Ph.D., and Juliana Brixey, RN, Ph.D. The University of Texas System, Kenneth I. Shine, M.D. West Texas HIT Regional Extension Center, John Delaney and Mehdi Rais, M.D. Texas State University-San Marcos Texas HIT Workforce Development Project staff: Project Director: Susan H. Fenton, Ph.D., RHIA, FAHIMA Project Manager: Elizabeth Joost Project Secretary: Cheryl Perez Student Assistant: Jimena Gongora The project staff would also like to thank Nora Belcher, Executive Director of the Texas e-health Alliance and Brian Owens of the Governor s office for their continued input and support.

3 Table of Contents EXECUTIVE SUMMARY... ii Introduction... 1 Background... 1 Project Outline... 2 Methods... 2 Higher Education Inventory Summary... 2 Figure 1 List of Texas HIT Programs January 31, Figure 2 HIM/HIT Degrees Awarded Figure 3 Map of Texas HIT Related Programs... 9 Regional Strategy for HIT Market in Texas CAHIIM Accreditation About CAHIIM Discussion References Appendix A List of Texas HIT Programs by Program Type... A-1 Appendix B Definitions... B-1 Appendix C... C-1 Appendix D CAHIIM Curriculum Requirements AHIMA 2011 Curriculum Competencies and Knowledge Clusters for Health Information Management (HIM) Education at the Associate Degree Level... D-1 Appendix E 2011 AHIMA Curriculum Competencies and Knowledge Clusters - Health Information Management Baccalaureate Degree... E-1 Appendix F Curriculum Map Health Information Management (HIM) Master s Degree... F-1 i

4 EXECUTIVE SUMMARY The Texas economy stands to save as much as $14.2 billion in unnecessary healthcare expenditures annually if it can effectively implement and maintain an interoperable electronic health information infrastructure (IEHI) including electronic health records (EHRs) and health information exchanges (HIEs). However, a requirement for achieving these savings will be a trained health information technology (HIT) workforce capable of implementing and maintaining the hardware and software, as well as a trained healthcare workforce capable of using the HIT in their day-to-day duties. Texas currently has higher education programs that focus on Health Information Technology as follows: 48 (credit + non-credit) certificates available 26 associate degree programs 2 baccalaureate degree programs 2 master s degree programs 1 doctoral degree program These programs do not currently have a process for coordinating across the educational levels. However, these findings, combined with the results from the HIT employer needs assessment will inform the development of a long-term, collaborative HIT educational plan for Texas. ii

5 Introduction The Texas economy stands to save as much as $14.2 billion in unnecessary healthcare expenditures annually if it can effectively implement and maintain an interoperable electronic health information infrastructure (IEHI) including electronic health records (EHRs) and health information exchanges (HIEs). However, a requirement for achieving these savings will be a trained health information technology (HIT) workforce capable of implementing and maintaining the hardware and software, as well as a trained healthcare workforce capable of using the HIT in their dayto-day duties. To implement the new technology effectively and reap the benefits, Texas employers, The Texas economy stands to save as providers, consultants, EHR vendors and technology much as $14.2 billion in unnecessary companies, needs for a well-trained HIT healthcare expenditures annually if it can workforce are expected to number in the effectively implement and maintain an thousands and include skills, knowledge, and interoperable electronic health roles not included in current federally funded information infrastructure (IEHI) including programs. The Higher Education Inventory electronic health records (EHRs) and data, combined with the Employer Needs health information exchanges (HIEs). Assessment data, will serve as the foundational core for developing a long-term Health Information Technology Workforce Education plan in grant Year 2. This report will provide a brief background of the emergence of HIT education, a description of the Year 1 grant program requirements, and the process for compiling data in Year 1. The information provided is a snapshot of the current status of Health Information Management (HIM) and Health Information Technology (HIT) Higher Education programs in Texas including a current program list, the program locations in the state, if programs are Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) accredited, and if programs have received funding from the Health Information Technology for Economic and Clinical Health (HITECH) Act for HIT training. Background At one time, physicians treated patients in their community throughout the patient s life cycle, from birth to death, relying on a paper-based medical record stored in their office. Since then, the complexity of healthcare, the cost of healthcare and the potential for medical errors has skyrocketed. As technological advancements have increased, Electronic Health Records are naturally emerging and many practitioners are transitioning from paper-based to electronic record keeping processes. The advancement of electronic health record implementation is being stimulated through funding from the United States Department of Health and Human Services and promoted through the Office of the National Coordinator for Health Information Technology. As privacy and security standards are achieved and quality implementation procedures become the norm, electronic health records stand to reduce the cost of healthcare and increase patient safety. Page 1

6 Project Outline The Year 1 grant program required a statewide higher education inventory of the identifiable health information technology-related degree programs and the institution s capacity to increase HIT programs, collection of the program s health information technology curriculum content, and the number of students registered and graduated. In addition to the inventory-required data, the following information was also compiled: a list of HIT certificate programs (degree and non-degree professional education), which Texas HIT related programs are CAHIIM accredited, and which listed programs have received HITECH funding. Methods A modified survey method was used to acquire the data for the Texas HIT Higher Education Inventory Report. Rather than a sample of statewide educational programs, the grant team completed an inventory of all of the Texas programs through internet searches, s to program directors, and phone calls to program directors. The search for program syllabi was aided by Texas House Bill 2504 which requires all public institutions of higher education in Texas to have course syllabi readily accessible on the institutions website. A database was created to assimilate the data in one location and the database is maintained by the Graduate Research Assistant. The database is stored in TRACS, a secure Texas State University teaching, research, and collaborative virtual environment. Higher Education Inventory Summary Syllabi from the HIT related programs have been gathered in Year 1, and will be analyzed in Year 2 to determine gaps in the Texas HIT Degree and Non-Degree Higher Education Programs. Although some MBA and Public Health programs in the state offer a course in Health Information Technology, the survey did not find dedicated HIT programs in the MBA programs. Figure 1 provides a comprehensive list of the identified higher education organizations having HIT related programs in the state of Texas. It is a snapshot in time, as programs are continuously being added or closed. Also included are the HIT related certificate programs and associate degree programs which outnumber the bachelor degree programs, masters programs, and doctorate programs that focus on Health Information Technology. Page 2

7 Figure 1 List of Texas HIT Programs January 31, 2012 College/University HITECH Grantee * Proprietary School $ HIT Related Programs Available Credentials: RHIA RHIT **Program Discontinuing CAHIIM Accredited Basic Intermediate Advanced Amarillo College Medical Data Certificate Basic Austin Community College Medical Coding Certificate Basic Austin Community College* Intermediate Central Texas College Health Information Management Certificate Basic College of the Mainland (RHIT) Intermediate Collin County Community College Medical Coding and Billing Certificate Basic Collin County Community College (RHIT) Intermediate Dallas Community College- Mountain View * Medical Records Coding Certificate Basic Dallas Community College-Richland College* Dallas Community College-Richland College* Healthcare IT Support Specialist Certificate Insurance Coding and Billing Certificate Basic Basic Del Mar College Coding Specialist Certificate Basic Del Mar College (RHIT) Intermediate DeVry University Dallas $ (RHIT) Intermediate DeVry University Houston $ (RHIT) Intermediate El Paso Community College (RHIT) Intermediate Hallmark College-San Antonio $ Houston Community College System Health Information Specialist Certificate Health Information Analysis Certificate Basic Basic Page 3

8 College/University HITECH Grantee * Proprietary School $ HIT Related Programs Available Credentials: RHIA RHIT **Program Discontinuing CAHIIM Accredited Basic Intermediate Advanced Houston Community College System Health Information Coding Certificate Basic Houston Community College System Cancer Data Management Certificate Basic Houston Community College System (RHIT) Intermediate Howard College (RHIT) Intermediate Lamar Institute of Technology Health Informatics Certificate Basic Lamar Institute of Technology (RHIT) Intermediate Laredo Community College Medical Office Assistant Certificate Basic Laredo Community College Medical Coding Certificate Basic Lee College Cancer Data Management Certificate Basic Lee College Coding Specialist Certificate Basic Lee College Medical Transcription Technician Certificate Basic Lee College Associate Degree in HIM (RHIT) Intermediate Lone Star College Hospital Based Coding Certificate Basic Lone Star College Physician Based Coding Certificate Basic Lone Star College Associate Degree in HIM (RHIT) Intermediate McLennan Community College Coding Specialist Certificate Basic McLennan Community College (RHIT) Intermediate Midland College* Health Data Coordinator Certificate Basic Midland College* Midland College* Health Data Specialist Health Care Facility Health Data Specialist Physician Practice Management Basic Basic Page 4

9 College/University HITECH Grantee * Proprietary School $ HIT Related Programs Available Credentials: RHIA RHIT **Program Discontinuing CAHIIM Accredited Basic Intermediate Advanced Midland College* Medical Coding and Billing Certificate Basic Midland College* (RHIT) Intermediate Odessa College Medical Transcription Certificate Basic Odessa College Medical Coding Certificate Basic Odessa College Intermediate Panola College Medical Coding Technician Certificate Basic Panola College Medical Office Management Certificate Basic Panola College (RHIT) Intermediate Paris Junior College Medical Records Coding Certificate Basic Saint Phillip's College Coding Specialist Certificate Basic Saint Phillip's College Saint Phillip's College Documentation Coding Specialist Certificate Health Information Specialist Certificate Basic Basic Saint Phillip's College (RHIT) Intermediate San Jacinto College North Medical Billing and Coding Certificate Basic San Jacinto College North (RHIT) Intermediate South Plains College (RHIT)** Intermediate South Texas College Medical Coding Certificate Basic South Texas College (RHIT) Intermediate Tarrant County College- Northeast (RHIT) Intermediate Temple College* HIT CE Training Basic Page 5

10 College/University HITECH Grantee * Proprietary School $ HIT Related Programs Available Credentials: RHIA RHIT **Program Discontinuing CAHIIM Accredited Basic Intermediate Advanced Texas Southern University Baccalaureate degree in HIM (RHIA) Intermediate Texas State Technical College- Abilene Coding Specialist Certificate Basic Texas State Technical College- Abilene (RHIT) Intermediate Texas State Technical College at Harlingen Medical Information Specialist Certificate Basic Texas State Technical College at Harlingen Transcriptionist Certificate Basic Texas State Technical College at Harlingen (RHIT) Intermediate Texas State University- San Marcos* Health Information Management Certificate Basic Texas State University- San Marcos* Privacy & Security Certificate Basic Texas State University- San Marcos* Baccalaureate degree in HIM (RHIA) Intermediate Trinity Valley Community College Trinity Valley Community College Medical Administrative Assistant Certificate Medical Office Management Certificate Basic Basic Tyler Junior College (RHIT) Intermediate UT Austin* Privacy and Security Certificate Intermediate UT Austin* Health IT & Exchange Specialist Certificate Program Intermediate UT Austin* Public Health Leader Certificate Advanced UT Brownsville Medical Office Management Certificate Basic UT Brownsville Medical Coding and Billing Certificate Basic UT School of Biomedical Informatics at Houston* UT School of Biomedical Informatics at Houston* UT School of Biomedical Informatics at Houston* Certificate of Health Informatics Certificate of Public Health Master of Science in Health Informatics Intermediate Intermediate Advanced Page 6

11 College/University HITECH Grantee * Proprietary School $ HIT Related Programs Available Credentials: RHIA RHIT **Program Discontinuing CAHIIM Accredited Basic Intermediate Advanced UT School of Biomedical Informatics at Houston* Master of Science in Applied Health Informatics Advanced UT School of Biomedical Informatics at Houston* Ph.D. in Health Informatics Advanced Vernon College (RHIT) Intermediate Wharton Junior College (RHIT) Intermediate The state of Texas currently has 40 colleges/universities that have programs that focus on Health Information Technology as follows: 48 (credit + non-credit) certificates available 26 associate degree programs 2 baccalaureate degree programs 2 master s degree programs 1 doctoral degree program Only 2 of the schools out of 40 are proprietary schools, DeVry University (at Houston and Dallas) and Hallmark College at San Antonio. The other 38 schools are public colleges/universities. Of the total number of programs responded, the reported enrollment figures follow: 1,029 enrolled in (credit + non-credit) certificate programs 846 enrolled at the associate degree level 139 enrolled at the baccalaureate degree level 109 enrolled at the master s level 29 enrolled at the doctoral level (plan to admit 10 more in 2012) **Even as this report is created, our Executive Committee members are providing live feedback on changes in program status across the state. As of May 2011, South Plains College has closed their AAS HIT program with their last graduates in May Although schools are discussing new programs, no definitive plans were found. To increase the number of HIT programs at public universities, programs must first be approved through the Texas Higher Education Coordinating Board. The next step, in program Year 2, will be to analyze the syllabi in conjunction with TWC to develop a statewide plan for HIT Higher Education. Page 7

12 Figure 2 HIM/HIT Degrees Awarded School Year HIT/HIM Related Degrees Awarded Certificate Associate Bachelor Level Level Level Total for CIP Code Health Information/Medical Records Administration 40 TOTAL for CIP Code Health Information/Medical Records Technician Total for CIP Code Medical Transcriptionist 45 Total for CIP Code Medical Insurance Coding Specialist 193 TOTALS The Texas CIP Codes are used to identify degree and certificate programs, courses, and declared majors on the reports and inventories of the Texas Higher Education Coordinating Board. Texas Higher Education Coordinating Board - 02/03/ The data is currently being reviewed and will be accessible publicly on the Texas Higher Education Data site in mid-february Page 8

13 Figure 3 Map of Texas HIT Related Programs Copyright and (P) Microsoft Corporation and/or its suppliers. All rights reserved. Certain mapping and direction data 2010 NAVTEQ. All rights reserved. Page 9

14 Regional Strategy for HIT Market in Texas The location of HIT-related programs across the state provides a visual which will be helpful in mapping a regional workforce strategy for the long-term Health Information Technology Workforce Education plan. The HITECH-funded Community College Consortia Programs provide assistance to five regional recipients to establish a multi-institutional consortium within each designated region. The five regional consortia include 70 community colleges in total. Each college creates non-degree training programs that can be completed in six months or less by individuals with appropriate prior education and/or experience. Three schools in Texas were given funding for this project: Dallas County Community College District in Consortium with Austin Community College and Temple College Houston Community College Midland College The HITECH-funded University-based training programs produce trained professionals for vital, highly specialized health information technology roles. Most trainees in these programs will complete intensive courses of study in 12-months or less and receive a university-issued certificate of advanced training. Other trainees supported by these grants will study toward master s degrees. Funding was given to Texas State University-San Marcos through The Professional University Resources and Education for Health Information (PURE-HIT consortium). PURE-HIT is a consortium project supported by the U.S. Department of Health and Human Services Office of the National Coordinator for Health Information Technology (ONC). PURE-HIT disbursed funding to the following schools: Texas State University-San Marcos University of Texas at Austin, College of Natural Sciences University of Texas Health Science Center at Houston CAHIIM Accreditation Based on the Higher Education Skills Inventory, there is evidence showing that there are many programs that have been CAHIIM (Commission on Accreditation for Health Informatics and Information Management Education) accredited in Texas. CAHIIM accredits associate and baccalaureate degree programs in health information management, and masters degree programs in the health informatics and health information management professions in the United States and Puerto Rico. It is a rigorous process to become CAHIIM accredited. For program completers to sit for one of the American Health Information Management Association (AHIMA) Certifications, such as the Registered Health Information Technician (RHIT) or the Registered Health Information Administration (RHIA) credential, the program must be CAHIIM accredited. Page 10

15 About CAHIIM CAHIIM accredits associate and baccalaureate degree programs in health information management, and masters degree programs in the health informatics and health information management professions in the United States and Puerto Rico. It is a rigorous process to become CAHIIM accredited. CAHIIM has reviewed and accredited 27 associate and baccalaureate programs in Texas which are indicated by an asterisk in Figure 1. Currently, there are no Master s programs that are CAHIIM accredited in the state. The standards for each level of education are provided in the appendices. Appendix D depicts the CAHIIM requirements for an associate degree in HIM, Appendix E depicts the CAHIIM requirements for a baccalaureate degree in HIM, and Appendix F depicts the CAHIIM requirements for a master s degree in HIM. Additional CAHIIM information can be obtained at: Discussion It is evident that the majority of HIT programs in Texas are associate degree programs and/or undergraduate certificate programs. The majority of the workforce training consists of these programs. There are only two baccalaureate degree programs and one institution offering graduate degrees in Texas. In the emerging field of HIT, it is reasonable to expect that this will not be adequate for the future. Page 11

16 References 1. The Texas Higher Education Coordinating Board. Texas Higher Education Data. Available at: Accessed February 3, Page 12

17 Appendix A List of Texas HIT Programs by Program Type College/University *HITECH Grantee $Proprietary School Amarillo College Austin Community College Central Texas College Collin County Community College Dallas Community College- Mountain View * Dallas Community College-Richland College* Del Mar College Hallmark College-San Antonio $ Houston Community College System Lamar Institute of Technology Laredo Community College Lee College Lone Star College McLennan Community College Midland College* Odessa College Panola College Paris Junior College Saint Phillip's College San Jacinto College North South Texas College Texas State Technical College- Abilene Texas State Technical College at Harlingen Medical Data Certificate Medical Coding Certificate Certificate Programs Health Information Management Certificate Medical Coding and Billing Certificate Medical Records Coding Healthcare IT Support Specialist Certificate Coding Specialist Certificate Health Information Specialist Health Information Analysis Certificate Health Information Coding Certificate Cancer Data Management Certificate Health Informatics Certificate Medical Office Assistant Certificate Medical Coding Certificate Cancer Data Management Certificate Coding Specialist Certificate Medical Transcription Technician Certificate Hospital Based Coding Certificate Physician Based Coding Certificate Coding Specialist Certificate Medical Coding and Billing Certificate Healthcare Facility Certificate Health Data Coordinator Certificate Health Data Specialist-Practice Management Certificate Health Data Specialist- Healthcare Facility Certificate Medical Transcription Certificate; Medical Coding Certificate Medical Coding Technician Certificate Medical Office Management Certificate Medical Records Coding Certificate Coding Specialist Certificate Documentation Coding Specialist Certificate Health Information Specialist Certificate Medical Billing and Coding Certificate Medical Coding Certificate Coding Specialist Certificate Medical Information Specialist Certificate A - 1

18 College/University *HITECH Grantee $Proprietary School Texas State University- San Marcos* Trinity Valley Community College UT Austin* UT Brownsville Texas Southmost College UT School of Biomedical Informatics at Houston* Certificate Programs Transcriptionist Certificate Health Information Management Certificate Privacy and Security Certificate Medical Administrative Assistant Certificate Medical Office Management Certificate Privacy and Security Certificate Public Health Leader Certificate Medical Office Management Certificate Medical Coding and Billing Certificate Certificate of Health Informatics Certificate of Public Health College/University *HITECH Grantee $Proprietary School Austin Community College College of the Mainland Collin County Community College Dallas County Community College Del Mar College DeVry University Dallas $ DeVry University Houston $ El Paso Community College Houston Community College System Howard College Lamar Institute of Technology Lee College Lone Star College McLennan Community College Midland College* Odessa College Panola College Saint Phillip's College San Jacinto College North South Plains College South Texas College Tarrant County College- Northeast Texas State Technical College- Abilene Texas State Technical College at Harlingen Associate Degree Programs **Discontinuing ** A - 2

19 College/University *HITECH Grantee $Proprietary School Tyler Junior College Vernon College Wharton Junior College Associate Degree Programs College/University *HITECH Grantee $Proprietary School Texas Southern University Texas State University- San Marcos* Baccalaureate degree in HIM Baccalaureate degree in HIM Baccalaureate Degree Programs College/University *HITECH Grantee $Proprietary School UT School of Biomedical Informatics at Houston* Graduate Degree Programs Master of Science in Health Informatics Master of Science in Applied Health Informatics College/University *HITECH Grantee $Proprietary School UT School of Biomedical Informatics at Houston* Ph.D. in Health Informatics Doctoral Degree Programs A - 3

20 Appendix B Definitions Basic/Entry Level Skills- having operational medical terminology knowledge, basic computer skills, and an understanding of how patient information should flow in clinical settings. Intermediate Level Skill- having knowledge of HIT products; familiarity with vendors; the ability to negotiate contracts; proficient knowledge of HIPAA, state privacy and security regulations; knowing meaningful use ; having problem solving and critical thinking skills relative to implement and using HIT systems (ex: root cause analysis, flowcharting);having advanced clinical knowledge; having advanced understanding of uses of HIT for patient management/education needs; ability to use data management, data mining/report creating and data sharing skills; having project management skills related to HIT projects. Advanced Level Skills- Must possess management skills to direct technical and non-technical staff; must be able to strategically think in relation to EHR/HIT implementation/management; ability to interact with senior management and above in HIT governance; must have advanced use of analytics/data from HIT systems for planning; be able to use financial decision making and negotiating skills; ability to design HIT databases and systems. Non-provider core competencies: Basic/Entry Level Skills- is able to provide customer service, be able to communicate with others, have interpersonal skills and be able to train. Intermediate Level Skills- have knowledge of HIT products, familiarity with vendors, ability to negotiate contracts; have knowledge of data management, data mining and data sharing; understand meaningful use and which HIT system can produce data needed for demonstrating compliance Advanced Level Skills- have the ability to strategically plan and have prominent analysis skills; know database system design; be proficient in HIT systems implementation and management; be able to software/hardware engineer. B - 1

21 Appendix C Title Health Information Management Intern Entry Level Requirements RHIT or RHIA credentials Intermediate Level Informatics Specialist Bachelor's degree required in Nursing or Science along with appropriate clinical system implementation experience. Course work in project management and/or training preferred. Product Manager Bachelor s Degree in Healthcare, Marketing, Engineering, or Business Administration. 3+ years experience in clinical product management or related clinical informatics experience. 5+ years experience in Medical Informatics applied to healthcare IT. Excellent Oral and written communication skills. Strong analytical and process skills. Supervisory Medical Records Administrator Three years of experience in the field of medical record. An associate's degree in the health information field. Clinical Documentation Specialist Consultant (CDI) Require 5 years of HIM coding experience Hands-on expertise with IP coding. RHIA, RHIT, CCS, RN, BSN desired. Masters preferred HIM Supervisor RHIA, RHIT. Previous hands-on supervisory experience. Health Information Management Informaticist Bachelor s degree in HIM, IT or related field. Preferred Master s degree. 4 years of HIM experience to include 2 years in computer operations. Preferred experience in health related environment. Prefer RHIT, RHIA HIM Database/Reporting Administrator Must have a Bachelor's degree in HIM, IT, mathematics, Business Administration. Prefer HIM experience or IT experience. Prefer experience working with the Epic software application. Prefer experience in health related environment ICD-10 Consultant ICD-10 Subject Matter Expert. Operational Assessments and Follow-up. Training / education / auditing. Thorough knowledge of the hospital revenue cycle. Project Management. Excellent written and verbal communication skills. C - 1

22 Intermediate Level Medical Data Specialist Bachelor s degree; Biomedical and Biomathematics graduates encouraged to apply. Attention to detail. Proficient with Excel and/or access. Familiarity with PowerPoint. Background in pharmaceutical industry preferred. HIM/Revenue Cycle Consultant Advanced knowledge of the principles and practices of ICD-10-CM and CPT coding guidelines. Bachelor s Degree in Health Information Management. RHIA and CCS certification Quality, Risk, and Health Information Manager RHIT/RHIA certified. A minimum of five (5) years position-related healthcare experience in project management, data analysis, and creation of spreadsheets. Strong communication skills and proficiency with Microsoft applications. RN/CPHQ Specialist-health Information Management Knowledge of medical record processing. Good communication skills. Onsite Adjunct Healthcare Management Instructor Bachelor s degree in a Health Care, Master s degree preferred. Letters of recommendation or attestations from previous employer(s). Zero to two years experience in instruction or formalized education process. Membership in a professional association tied to area of instruction preferred Excellent verbal and written communication skills. QA Leader-HC Bachelor's degree in Engineering, Medical Device Technology or Scientific Field and 3+ years of Quality Assurance, Quality Control and/or Regulatory Affairs experience in medical device or pharmaceutical industry. Shared Services Consultant Strong verbal and written communication skills. Possess strong project management and organizational skills, be detail oriented, and be proficient in using Microsoft Office products. Bachelor s degree and 5+ years of healthcare experience. Administrator-Health Information Management Master's degree in health information Job management or related field. 3-5 years experience in HIM/ and or administration required. Senior Application Analyst/RN Bachelor's Degree in Nursing. Minimum of three years clinical experience as a Registered Nurse Experience in patient care management Experience in computer applications and implementation processes desirable. C - 2

23 Intermediate Level HIM Specialist Three years of experience in a healthcare environment or equivalency. Demonstrated knowledge of basic health information processes, medical terminology, anatomy and physiology, and HIPAA regulations. HIM Operations manager (Acute care hospital) Must have Bachelor s Degree. Prefer CPEHR or RHIA/RHIT. Must have 5 years Acute Care HIM experience and leadership skills. Must have excellent Customer Service skills Informatics Terminology Specialist Bachelor's degree in a clinical and/or health care field. At least three years of project leadership experience in medical terminology. Previous experience with SNOMED, LOINC, ICD9, or CPT4 is preferred. Experience with medications knowledge base, such as First Databank, Medispan preferred Data analysis/query experience preferred Computer science backgrounds either through courses or work experience, preferred. Manager Clinical Effectiveness Bachelor s Degree required. Master's level education or course work preferred. Certification in quality improvement strongly desired. Three years experience in project management and leading/facilitating teams utilizing performance improvement methodology such as Six Sigma or Lean required. Two years experience in performance/quality improvement required. Health Record Clinical Transformation Specialist Bachelor of Science in a clinical/him area and Five or more years of related clinical experience. Bachelor of Science in Health Information Management analyzing clinical workflow processes utilizing PDCA, Lean, Six Sigma or other clinical improvement methodologies. Leadership and management experience Familiarity with information systems and clinical software Excellent organizational, advanced analytical, presentation, interpersonal, written and verbal communication skills. HIM Facility Leader RHIA or RHIT required. Undergraduate degree required, strongly prefer a HIM degree. A minimum of one year of HIM department experience is preferred. A minimum of one year healthcare management experience is strongly preferred. C - 3

24 Advanced Level Physician leader-cmio Certified Licensed Technician. Minimum of 3 years experience with medical informatics leadership role. Data & Interface Analyst Bachelor s degree in information systems, finance, or similar field of study. 5+ years in healthcare clinical data analysis and 2+ years in HL7 interface development management of HL7 interfaces. Database Administrator Bachelor s degree in information systems, finance, or similar field of study. 5+ years in database management and 2+ years in Microsoft SQL experience. Service and Security Administrator Bachelor s degree in information systems, finance, or similar field. 5+ years in management of UNIX or AIX environments and 2+ years of experience managing information security requirements Clinical Information Analyst Experience in clinical information systems, healthcare terminology required. Clinical Document Architecture (CDA), Continuity of Care Document (CCD). HLC standards a plus. Basic knowledge of XML and UML required. Clinical and/or informatics degree preferred. Clinical Data Analyst (for Joint Commission) Bachelor's degree in Health Information Technology, Computer Science. Masters preferred. Three to five years of quality assurance and/or application development work experience, preferably within a health care setting. Ability to understand concepts governing relational database structures, use reporting/query tools and construct SQL statements. Medical Records Director (Health Information Associate s degree in Medical Records Director/Privacy Officer) Science/Health Information Technology. RHIA or RHIT certification. 2-5 years medical records experience. Proficiency with coding and Microsoft applications (especially Excel) required. Previous supervisory experience required. Director of Performance Improvement Bachelor's degree in healthcare profession or industrial engineering. Certification in Lean Six Sigma. Prior experience in continuous quality improvement in a healthcare/hospital environment. Ability to lead, manage and drive lean/six sigma footing. Previous clinical experience is a plus. HIM Director and Privacy Officer RHIA or RHIT. Minimum 3 years experience as an acute care hospital HIM manager/director. *Note: HIT job titles are evolving in the industry. C - 4

25 Appendix D CAHIIM Curriculum Requirements AHIMA 2011 Curriculum Competencies and Knowledge Clusters for Health Information Management (HIM) Education at the Associate Degree Level Program/Institution Name/City/State: To use this template for CAHIIM accreditation purposes, please document the course or courses (in Column 3) by prefix and number, that contain the knowledge clusters listed in Column and those courses that address achievement of Entry-Level Competency for each Domain and Subdomain (Column 1). Note that each knowledge cluster contains the term and number corresponding to the New Version of Bloom s Taxonomy (see page 6 of this document). Where a knowledge cluster is specified at a higher taxonomy level, it is expected that the content will be introduced and reinforced in the curriculum, which in some cases may occur in more than one course in the program. When this occurs please list all courses that cover the knowledge cluster and that build toward entry-level competence. Please upload all program professional course syllabi in the CAS self-assessment online system when requested. [Note: The template also includes: Column 3 List the Course(s) Prefix and Number that contain each of the Knowledge Clusters as listed in Column 2 and those courses that address achievement of Entry- Level Competency for each Domain and Subdomain (Column 1)]. Column 1 - HIM Associate Degree Entry-Level Competencies (Student Learning Outcomes) I. Domain: Health Data Management I.A. Subdomain: Health Data Structure, Content, and Standards 1. Collect and maintain health data (such as data elements, data sets, and databases). 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. 3. Apply policies and procedures to ensure the accuracy of health data. I.B. Subdomain: Healthcare Information Requirements and Standards 1. Monitor and apply organization-wide health record documentation guidelines. 2. Apply policies and procedures to ensure Column 2 - Knowledge Clusters (Curricular Components) Health Data Structure, Content, and Standards Data versus information (Analyzing, 4) Health information media (such as paper, computer, web-based) (Analyzing, 4) Structure and use of health information (individual, comparative, aggregate) (Analyzing, 4) Health record data collection tools (forms, screens, etc.) (Analyzing, 4) Data sources (primary/secondary) (Analyzing, 4) Data storage and retrieval (Analyzing, 4) Healthcare data sets (such as OASIS, HEDIS, DEEDS, UHDDS) (Understanding, 2) Healthcare Information Requirements and Standards Type and content of health record (paper, electronic, computer-based, e-health-personal, web-based) (Evaluating, 5) Health record documentation requirements D - 1

26 Column 1 - HIM Associate Degree Entry-Level Competencies (Student Learning Outcomes) organizational compliance with regulations and standards. Column 2 - Knowledge Clusters (Curricular Components) (such as accreditation, certification, licensure) (Evaluating, 5) Data quality and integrity (Analyzing, 4) 3. Maintain the accuracy and completeness of the patient record as defined by organizational policy and external regulations and standards. 4. Assist in preparing the organization for accreditation, licensing, and/or certification surveys. I.C. Subdomain: Clinical Classification Systems 1. Use and maintain electronic applications and work processes to support clinical classification and coding. 2. Apply diagnosis/procedure codes according to current nomenclature. 3. Ensure accuracy of diagnostic/procedural groupings such as DRG, MSDRG, APC, and so on. 4. Adhere to current regulations and established guidelines in code assignment. 5. Validate coding accuracy using clinical information found in the health record. Clinical Classification Systems Classifications, taxonomies, nomenclatures, terminologies, and clinical vocabularies such as SNOMED-CT (Analyzing, 4) Principles and applications of coding systems (such as ICD, CPT, DSM) (Evaluating, 5) Diagnostic and procedural groupings (such as DRG, APC, RUGs) (Evaluating, 5) Case mix analysis and indexes (Analyzing, 4) Severity of illness systems (Analyzing, 4) Coding compliance strategies, auditing, and reporting (such as CCI, plans) (Evaluating, 5) Coding quality monitors and reporting (Evaluating, 5) 6. Use and maintain applications and processes to support other clinical classification and nomenclature systems (ex. DSM IV, SNOMED-CT). 7. Resolve discrepancies between coded data and supporting documentation. D - 2

27 Column 1 - HIM Associate Degree Entry-Level Competencies (Student Learning Outcomes) I.D. Subdomain: Reimbursement Methodologies 1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery. 2. 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. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation processes. 4. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative. Column 2 - Knowledge Clusters (Curricular Components) Reimbursement Methodologies Commercial, managed care and federal insurance plans (Analyzing, 4) Compliance strategies and reporting (Applying, 3) Payment methodologies and systems (such as capitation, prospective payment systems, RBRVS) (Analyzing, 4) Billing processes and procedures (such as claims, EOB, ABN, electronic data interchange) (Analyzing, 4) Chargemaster maintenance (Evaluating, 5) Regulatory guidelines (NCDs and QIOs) (3) Reimbursement monitoring and reporting (Evaluating, 5) 5. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements, such as outpatient prospective payment systems. 6. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC, and so on. II. Domain: Health Statistics, Biomedical Research, and Quality Management II.A. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries to meet specific organization needs such as medical research and disease registries. 2. Collect, organize, and present data for quality management, utilization management, risk management, and other related studies. 3. Comprehend basic descriptive, institutional, and healthcare vital statistics. II. Domain: Health Statistics, Biomedical Research, and Quality Management II.B. Subdomain: Quality Management and Performance Improvement Healthcare Statistics and Research Indices, databases, and registries (Analyzing, 4) Vital statistics (Evaluating, 5) Healthcare statistics (Evaluating, 5) Descriptive statistics (such as means, frequencies, ranges, percentiles, standard deviations) (Understanding, 2) Statistical applications with health care data (Applying, 3) Data selection, interpretation, and presentation (Evaluating, 5) Knowledge-based research techniques (such as library, MEDLINE, web-based)(evaluating, 5) Quality Management and Performance Improvement Quality assessment and improvement (such as process, collection tools, data analysis, reporting techniques) (Applying, 3) D - 3

28 Column 1 - HIM Associate Degree Entry-Level Competencies (Student Learning Outcomes) 1. Abstract and report data for facility-wide quality management and performance improvement programs. 2. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness of healthcare. Column 2 - Knowledge Clusters (Curricular Components) Utilization management, risk management, and case management (Understanding, 2) Regulatory quality monitoring requirements (Applying, 3) Outcomes measures and monitoring (Applying, 3) III. Domain: Health Services Organization and Delivery III.A. Subdomain: Healthcare Delivery Systems 1. Apply current laws, accreditation, licensure, and certification standards related to health information initiatives from the national, state, local, and facility levels. 2. Differentiate the roles of various providers and disciplines throughout the continuum of healthcare and respond to their information needs. III.B. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory requirements related to the health information infrastructure. 2. Apply policies and procedures for access and disclosure of personal health information. 3. Release patient-specific data to authorized users. 4. Maintain user access logs/systems to track access to and disclosure of identifiable patient data. 5. Apply and promote ethical standards of practice. Healthcare Delivery Systems Organization of healthcare delivery in the United States (Analyzing, 4) Healthcare organizations structure and operation (Analyzing, 4) External standards, regulations, and initiatives (such as licensure, certification, accreditation, HIPAA, ARRA) (Analyzing, 4) Healthcare providers and disciplines (Analyzing,4) Healthcare Privacy, Confidentiality, Legal, and Ethical Issues Legislative and regulatory processes (Applying, 3) Legal terminology (Applying, 3) Health information/record laws and regulations (such as retention, patient rights/advocacy, advanced directives, privacy) (Evaluating, 5) Confidentiality, privacy, and security policies, procedures, and monitoring (Evaluating, 5) Release of information policies and procedures (Evaluating, 5) Professional and practice-related ethical issues (Evaluating, 5) IV. Domain: Information Technology & Systems IV.A. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure data collection, storage, analysis, and reporting of information. 2. Use common software applications such as spreadsheets, databases, word processing, graphics, presentation, , and so on in the execution of work processes. Information Technology & Systems Computer concepts (hardware components, systems architectures, operating systems and languages, and software packages and tools) (Applying, 3) Communication and internet technologies (such as networks, intranet, standards) (Applying, 3) Common software applications (such as word processing, spreadsheet, database, graphics) (Applying, 3) Health information systems (such as administrative, patient registration, ADT, EHR, PHR, lab, radiology, pharmacy) (Analyzing, 4) D - 4

29 Column 1 - HIM Associate Degree Entry-Level Competencies (Student Learning Outcomes) 3. Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement and imaging. 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. Column 2 - Knowledge Clusters (Curricular Components) Voice recognition technology (Applying, 3) Health information specialty systems (such as ROI, coding, registries) (Evaluating, 5) Application of systems and policies to health information systems and functions and health care data requests (Evaluating, 5) System acquisition and evaluation (Applying, 3) 5. Participate in the planning, design, selection, implementation, integration, testing, evaluation, and support for EHRs. IV.B. Subdomain: Data, Information, and File Structures 1. Apply knowledge of database architecture and design (such as data dictionary) to meet departmental needs. IV.C. Subdomain: Data Storage and Retrieval 1. Use appropriate electronic or imaging technology for data/record storage. 2. Query and generate reports to facilitate information retrieval using appropriate software. Date Storage and Retrieval Document archival, retrieval, and imaging systems (Analyzing, 4) Maintenance and monitoring of data storage systems (Analyzing, 4) 3. Apply retention and destruction policies for health information. IV.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. 4. Use and summarize data compiled from audit trails and data quality monitoring programs. V. Domain: Organizational Resources V.A. Subdomain: Human Resources 1. Apply the fundamentals of team leadership. 2. Participate in and work in teams and committees. 3. Conduct orientation and training programs. Data Security and Healthcare Information Systems System architecture and design (Applying, 3) Screen design (Analyzing, 4) Data retrieval and maintenance (Analyzing, 4) Data security concepts (Applying, 3) Data integrity concepts (Analyzing, 4) Data integrity and security processes and monitoring (Applying, 3) Organizational Resources Roles and functions of teams and committees (Evaluating, 5) Teams/consensus building and committees (Analyzing, 4) Communication and interpersonal skills (Evaluating, 5) Team leadership concepts and techniques (Analyzing, 4) D - 5

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