Summary of Proposed Action ND State Board of Higher Education Meeting 24 April 2014

Transcription

1 Summary of Proposed Action ND State Board of Higher Education Meeting 24 April Issue: The Dakota College at Bottineau (DCB) has submitted a Stage 2 request for SBHE s approval to implement a new Associate of Applied Science (A.A.S.) degree in Health Information Management (HIM) through on-line distance delivery exclusively, under the CIP Code , effective fall of Proposed actions. Approve Dakota College at Bottineau s (DCB s) request for approval to implement a new Associate of Applied Science (A.A.S.) degree in Health Information Management (HIM) through on-line distance delivery exclusively, under the CIP Code , effective fall of Background information. Williston State College (WSC) is the only NDUS campus that offers an A.A.S. degree (i.e., 60 semester core credits, plus 14 semester elective credits) in Health Information Management (HIM); WSC also offers a 35-semester credit Certificate Program in Health Information Management: Medical Billing/Coding. DCB wants to collaborate with WSC to offer an A.A.S. degree in Health Information Management (HIM) via online distance delivery exclusively, under the CIP Code , effective fall of Although permission to offer the A.A.S. degree is sought by DCB, DBC is collaborating with WSC on the (on-line) delivery of this program with each campus sharing the instructional responsibilities. Albeit its initial executive summary within its proposal stated that students will have the option of receiving coursework through a combination of other delivery methods that would have included oncampus instruction, DCB has now revised its request and now proposes to offer the A.A.S. in Health Information Management exclusively through on-line distance delivery. In addition, although DBC will collaborate with WSC in offering the on-line A.A.S. degree, only DBC is seeking the authorization to award the A.A.S. in Health Information Management for students enrolled in and completing course offered for the degree on-line. North Dakota State College of Science (NDSCS) offers an A.A.S. degree (i.e., 69 semester credits) in Health Information with an emphasis in Health Information Technician (HIT), which is accredited at NDSCS by the Commission on Accreditation for Health Informatics and Information Management Education. The Dakota College at Bottineau (DCB) proposes to offer the A.A.S. degree in Health Information Management (HIM) through on-line distance delivery exclusively, and in collaboration with WSC: WSC and DCB began discussions (17 April 2013) to collaborate their Allied Health Programs of study (i.e., Medical Transcription and Health Information Management); discussions continued in collaboration through the Fall Semester of WSC and DCB contacted NDSU staff (i.e., Lisa

2 Johnson, on 28 October 2013) to discuss use of the rubric/ prefix HIM. On 8 November 2013, WSC, DCB, and the North Dakota State College of Science (NDSCS) discussed the possibility of a HIT/HIM collaboration (that) would allow the three colleges to share resources and increase efficiency. On 7 December 2013, NDSCS informed DCB that NDSCS will decline the offer to collaborate on the HIT/HIM programs (but) will add an additional faculty member to NDSCS s existing A.A.S. program in Health Information with an emphasis in Health Information Technician. Below is the curricula proposed by DCB, in collaboration with WSC, to comprise instruction of the A.A.S. degree in Health Information Management to offer exclusively through on-line distance delivery; next to it, NCSCS s curricula for the A.A.S. degree in Health Information with an emphasis in Health Information Technician (HIT), as delivered on-campus at NDSCS and on-line, is listed for the purposes of comparison: NCSCS s curricula for the A.A.S. degree in Health Information with an emphasis in Health Information Technician (HIT), as delivered on-campus at NDSCS and on-line, is listed for the purposes of comparison: DOB-WSC s Proposed Curricula for AAS Degree in Health Information Management NDSCS s Curricula for AAS Degree in Health Information Technician Course Rubric Course Name Semester Credits Course Rubric Course Name Semester Credits AH 176 Fundamentals of HIM 3 HIT 176 Intro Health 4 Information AH 283 Health Info Systems 3 AH 181 Healthcare Del. Sys. 3 HIT 181 Healthcare Del. Sys. 3 AH 138 Basic Diagnosis Codg 3 HIT 184 Basic Diagnosis Codg 3 AH 139 Basic Procedure Codg 3 HIT 185 Basic Procedure Codg 3 AH 197 Practicum I-Virtual 1 HIT 197 Professional Prac I 1 AH 231 Health Law & Ethics 3 HIT 281 Health Law, Privacy & 3 Ethics AH 282 Health Stats Data Mgt 3 HIT 282 Health Info Data & Mgt 4 AH 284 Health Risk & Qty Mgt 3 HIT 284 Healthcare Qualt Mgt 3 AH 285 Healthcare Reimburs 3 HIT 285 Reimburs Methods 3 AH 142 Intermediate Coding I 3 HIT 286 Intermed Diagn.Codg 3 AH 287 Comp.Apps 3 HIT 287 Comp.Apps Healthcare 3 Healthcare AH 143 Intermediate Coding II 3 HIT 288 Intermed Procedr 3 Codg AH 297 Prof. Prac. II 2 HIT 297 Prof. Prac. II 2 BADM 202 Principles of Mgt 3 BIOL 220 Anatomy Physiology 1 3 BIOL 220 Anatomy Physiology 1 3 BIOL 220L A.Phys 1 Lab 1 BIOL220L A.Phys 1 Lab 1 BIOL 221 Anatomy Physiology 2 3 BIOL 221 Anatomy Physiology 2 3 BIOL 221L A.Phys 2 Lab 1 BIOL221L A.Phys 2 Lab 1 AH 134 Med Disords/ Pathol. 3 BIOL 213 Gen Path 3 AH 171 Med Term 3 BOTE171 Med Term 4 2

3 Comparison of programs, continued: DOB-WSC s Proposed Curricula for AAS Degree in Health Information Management NDSCS s Curricula for AAS Degree in Health Information Technician Course Rubric Course Name Semester Credits Course Rubric Course Name Semester Credits COMM Fund.Public Speak or 3 COMM110 Fund.Public Speak Coll Comp. ENGL110 Coll Comp 1 3 CSCI 101 Intro to Computers 3 CSCI116 Bus Use Computers 3 SOC 105 Coll Strategies/1 st Yr. 1 FYE 101 Science of Success 1 HPER210 First Aid & CPR 2 PHRM 215 Intro to Pharmacology 3 PHRM100 Bas Pharm Alld Health 2 AH 289 Healthcare Leadershp 3 PSYC 110 Hum Rels in Organiz. 3 PSYC100 Hum Rels in Organiz. 2 BOTE 108 Business Math 3 Visually, it is clear that the two programs differ only slightly: DOC would offer 14 credits in five courses (i.e., Health Information Systems, Principles of Management, Healthcare Leadership, Business Math, and Concepts of Wellness and Fitness) that would not be duplicated in NDSCS s program. NDSCS would offer 11 credits in four courses (i.e., Intermediate Diagnosis Coding, Intermediate Procedures Coding, College Composition [note: DOC offers a choice of College Composition or Public Speaking], and First Aid and CPR). DOC is proposing an A.A.S. degree in Health Information Management (HIM), while NDSCS offers an emphasis in Human Information Technician (HIT) as a part of a more general Health Information program of student leading to the A.A.S. Although the curricula of both programs differ only slightly, those differences in NDSCS s current program and DCB s proposed program address some differentiation in the workplace: wherein NDSCS s graduates would be more suitable as technicians and DCB s graduates would be more suitable as managers in the health information industry. NDSCS s courses are delivered both on-campus and on-line (students can take the program exclusively on campus or on-line, or in hybrid). DBC proposes to offer its program exclusively through on-line distance delivery. NDSCS s program is currently accredited; DBC intends to seek the same accreditation. 4. Financial implications. Tuition will be the exclusive type of funding associated with the provision of the A.A.S. degree. 5. Legal/policy issues. SBHE Policies 403.1, New Programs, and SBHE Policies 404.1, Distance Education, and their associated procedures apply to Dakota College at Bottineau s (DCB s) request for approval to implement a new Associate of Applied Science (A.A.S.) degree in Health Information Management (HIM) through on-line distance delivery exclusively, under the CIP Code , effective fall of Academic issues. NDSCS s current A.A.S. degree in Health Information, with an emphasis in HIT (CIP Code ), is offered both on campus and on-line; it currently has nearly 40 students enrolled nearly half of whom reside outside North Dakota and who are necessary to keep the program enrolled with a 3

4 critical mass to ensure quality and demand for courses. DCB will partner with WSC to offer its proposed A.A.S. degree in HIM collaboratively, and exclusively on-line. Presumably, low enrollments in WSC s current A.A.S. degree in Health Information Management (CIP Code ), now offered exclusively on-campus, exist because the program is not accredited. If DCB s request to offer the A.A.S. degree in Health Information Management on-line exclusively is approved, DCB proposes to then terminate its currently low-enrolled diploma program (42-semester credits) in Medical Transcription (CIP Code ) and to encourage students who would have pursued the Medical Transcription diploma to now pursue the proposed A.A.S. degree in Health Information Management on-line. Although accreditation for programs of study in health information technology and management is awarded to individual campuses, DCB and WSC plan to simultaneously apply for accreditation of the proposed online A.A.S. degree in Health Information Management from the Commission on Accreditation for Health Informatics and Information Management Education which now accredits NDSCS s A.A.S. in Health Information degree. NDSCS believes it still has capacity to serve any students that would be served by DCB s proposed A.A.S. degree. DCB identifies the precedence of the SBHE s approvals of new programs even when components that duplicate programs of study are already offered within NDUS as long as the workforce needs are evidenced; in which case, DCB believes it has fully demonstrated unmet needs. 7. Coordination. At its 4 February 2014 meeting, the Academic Affairs Council (AAC) voted 10 to 1 in favor of recommending that DOC s request for approval to implement a new A.A.S. degree in Human Information Management (HIM) be approved by the SBHE, following review by the Cabinet and recommendation of the Interim Chancellor. The North Dakota State College of Science (NDSCS) did not favor that recommendation. During his meeting with the Cabinet in February of 2014, the Interim Chancellor removed the DCB proposal from the SBHE s agenda for February of 2014, until additional information regarding any duplication of programs could be addressed. DCB submitted additional information that compares its proposed A.A.S. degree s courses with those now offered by NDSCS. The Interim Chancellor announced to the Cabinet at its 9 April 2014 meeting that he recommended approval of the A.A.S. degree in HIM proposed by DCB, and DCB s request for implementation of the proposed A.A.S. degree in Health Management Information was recommended for approval by the SBHE Committee on Academic and Student Affairs at its 9 April 2014 meeting. 8. Attachments. The initial Stage 2 proposal from DCB is attached, as is a memorandum ( 26 March 2014) and its 5 attachments (A-E). 9. Contact information. Sonia S. Cowen, Ph.D., Interim Vice Chancellor for Academic and Student Affairs, North Dakota University System; Ph: / sonia.cowen@ndus.edu. 4

5 10. Recommendation of the SBHE Committee on Academic and Student Affairs: At its 9 April 2014 meeting, the Committee recommended approval of the Stage 2 academic request by Dakota College at Bottineau (DCB) to implement a new Associate of Applied Science (A.A.S.) degree in Health Information Management (HIM) via on-line distance delivery exclusively, under the CIP Code , effective fall of

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15 From: Brooks, Larry Sent: Wednesday, April 02, :27 PM To: Cowen, Sonia Subject: DCB's HIM Stage II Request Hi Sonia, Per our conversation earlier today, I have forwarded the message I sent to Dr. Grosz last week regarding DCB s Stage II Request for a new program in Health Information Management (HIM). This message and the supporting documents (see attached) are critical to understanding a) the differences between HIM and Health Information Technology (HIT), b) the reason for some similarities between the two programs, and c) the process DCB followed to eventually receive approval from AAC. At your request, I have also included a curriculum comparison between DCB s HIM AAS program and NDSCS s HIT AAS program (see Excel attachment). (PS. Since WSC and DCB are collaborating on the HIM program, WSC would also following this same curriculum.) Depending on forthcoming updates to the accreditation standards and input from DCB s HIM advisory committee, which will be formed pending approval of this program, DCB s curriculum my change and deviate even further from NDSCS s HIT curriculum. Please let me know if you have any questions or need additional information regarding this issue. Thanks in advance for your consideration. Larry Larry Brooks Associate Dean for Academic Affairs Dakota College at Bottineau (701) larry.brooks@dakotacollege.edu From: Brooks, Larry Sent: Wednesday, March 26, :06 PM To: Grosz, Ken Subject: DCB's HIM Stage II Request Hi Ken, I am sending this message and supporting documents to advocate for the continuation and completion of the Stage II approval process for Dakota College at Bottineau s new program in Health Information Management (HIM). Please allow me to highlight some background information on DCB s HIM initiative prior to submission of the Stage I request (see Attachment A).

16 April 17, 2013 WSC and DCB began discussions on collaborative Allied Health programs (i.e., medical transcription and Health Information Management). Discussions continued through early Fall Semester October 28, 2013 Wanda Meyer (WSC) and I had a conference call with Lisa Johnson to discuss the use of an HIM prefix. November 8, 2013 Wanda, Harvey Link (NDSCS), and I had a conference call to discuss the possibility of a HIT/HIM collaboration. This collaboration would allow the three colleges to share resources and increase efficiency. December?, 2013 Harvey informed me that NDSCS will decline the offer to collaborate on the HIT/HIM programs. Instead, NDSCS will add an additional faculty member to their existing program. As you are aware, DCB has properly vetted the Stage I and Stage II requests for this program through the Academic Affairs Council (AAC). During the process, I believe I made a compelling argument that DCB s program was different from North Dakota State College of Science s (NDSCS) Health Information Technology (HIT) program as evidenced by a vote of 11 ayes to one nay during the AAC Stage II approval process. Since this vote, DCB has revised the curriculum for the HIM program to further support the difference between DCB s management focus and NDSCS s technician focus (see Attachment B). According to the American Health Information Management Association (AHIMA), there is a difference between health information management and health information technology (see Attachment C). Further exploration of the AIHMA website, reveals that there are job openings in both HIT and HIM and that students who have earned an AAS degree are qualified to entry either field. I don t think there is any doubt North Dakota is experiencing expanding workforce needs in health care. The shortage in HIT/HIM professionals can be substantiated by a letter DCB received from Deb Boppre, Enterprise HIM Director at Trinity Hospital in Minot, supporting DCB HIM program (see Attachment D). In addition a memo forwarded to me that originated from Geralyn Matejcek, NDSCS HIT Instructor, clearly indicated that industry needs are not being met (see Attachment E). As you are aware, it is the mission on DCB and the other ten NDUS campuses to address the State s workforce needs by providing quality, educational programming. In an attempt to resolve this issue, a conference call was held between Larry Skogen, John Richman, yourself and I on Thursday, March 20 th. Dr. Richman recommended an independent, third-party review of the DCB HIM curriculum (Attachment A) and the NDSCS HIT curriculum be conducted to determine similarities and differences between the two programs. While there is some overlap between the two programs, this overlap is necessary as students pursuing both HIM and HIT must meet the accreditation standards established by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). Again, I want to emphasize the fact that DCB s program is more management focused, while NDSCS s program in more technician focused and the two program are not duplicative, but rather address different industry needs. However, should there be a perception of duplication between DCB s HIM program and NDSCS s HIT program, according to Cornerstone #4 Accessible System (Section III 8) of the ND State Board of Higher Education s Roundtable on Higher Education, The NDUS must permit programmatic duplication where it is necessary to serve a different target group and necessary to sustain an economically viable program: however, collaborative delivery should be encouraged where the quality of the program can be maintained and the total cost of the delivery can be reduced. DCB did extend an invitation for

17 NDSCS to join a proposed collaborative HIM program between WSC and DCB, but NDSCS declined the offer and instead choose to hire another faculty member in their HIT program. Based on the reasons and supporting evidence outlined above, I am asking that DCB s Stage II request for a new program in HIM be distributed to the Cabinet and SBHE and that this item be placed on the agenda for the April 2014 SBHE meeting. Thanks in advance for your consideration and reply. Larry Larry Brooks Associate Dean for Academic Affairs Dakota College at Bottineau (701) larry.brooks@dakotacollege.edu

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23 DCB Health Information Management - AAS Medical Terminology 3 Anatomy & Physiology I L/L 4 College Strategies/First Year Experience 1 Anatomy & Physiology II L/L 4 Medical Disorders 3 Basic Procedure Coding (1 st 8 weeks) 3 Basic Diagnosis Coding (2 nd 8 weeks) 3 Human Relations in Organizations 3 Healthcare Delivery Systems 3 Practicum I - Virtual 1 Computer Applications in Healthcare 3 Intro to Pharmacology 3 Intermediate Coding I (1st 8 weeks) 3 Intermediate Coding II (2nd 8 weeks) 3 Healthcare Reimbursement 3 Healthcare Law & Ethics 3 Healthcare Risk and Quality Management 3 Fundamentals of Public Speaking or College Comp I 3 Practicum II 2 Healthcare Statistics & Data Management 3 Fundamentals of HIM 3 Introduction to Computers 3 Concepts of Wellness & Fitness 2 Health In Business Math 3 Principles of Management 3 Healthcare Leadership 3 Healthcare Information Systems 3

24 NDSCS Health Information Technician-AAS Medical Terminology 4 Anatomy & Physiology I L/L 3/1 Science of Success 1 Anatomy & Physiology II L/L 3/1 General Pathology 3 Basic Procedure Coding 3 Legend Basic Diagnosis Coding 3 Similar courses Human Relations in Organizations 2 Comparable course Healthcare Delivery Systems 3 Different courses Professional Practice I 1 Computer Applications in Healthcare 3 Basic Pharmacology for Allied Health 2 Intermediate Procedure Coding 3 Intermediate Diagnosis Coding 3 Reimbursement Mehodologies 3 Health Law Privacy and Ethics 3 Healthcare Quality Management 3 Fundamentals of Public Speaking 3 Professional Practice II 2 Health Information Data and Management 4 Introduction to Health Information 4 Business Use of Computers 3 First Aid and CPR 2 College Composition I 3

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