Health Information Management Technology

Transcription

1 IDENTITY CTE PROGRAM REVIEW 2012 PROGRAM TITLE: Health Information Management Technology, Medical Administrative Assistant; Medical Transcription CIP Code: DEGREES AND CERTIFICATES 03 Health Information Management Technology AAS CO Medical Coding Specialist Certificate of Achievement CO Medical Administrative Assistant AAS CO Medical Administrative Assistant CAC C Medical Transcriptionist CAC CO820 Health Information Management Technology COURSE NAMES AND NUMBERS: HIM 101 Health Information Management I HIM 102 Health Information Management II HIM 110 Basic ICD Coding HIM 111 Basic CPT Coding HIM 115 Principles of Disease HIM 120 Statistical Tools for Health Information Technicians HIM 125 Current Health Care Comparative Applications HIM 210 Clinical Classification Systems HIM 215 Health Care Reimbursement HIM 220 Quality Management in Health Care HIM 222 Computers in Health Care HIM 230 Professional Practice I HIM 235 Professional Practice II MISSION: 1

2 The mission of the Joliet Junior College, Health Information Management Technology Program is congruent with the mission of the College to provide a quality education that is affordable and accessible to the diverse student population it serves. The purpose of the HIMT program is to prepare graduates for entry level positions in the Health information Management (HIM) profession. PROGRESS REPORT IMPROVEMENTS SINCE LAST REVIEW The Health Information Management Technology Associate Degree Program was awarded accreditation from the Commission on Accreditation for Health Informatics and Information Education (CAHIIM) on September 25, Graduates from the CAHIIM accredited program are eligible to take the American Health Information Management Association (AHIMA) Registered Health Information Technician (RHIT) exam. Since then the HIMT program has continued to see substantial growth each year in the program. JJC purchases the AHIMA virtual lab and 3M coding software annually for the HIMT program which is used in the classroom to provide students with experience working with current healthcare computer applications. QUALITY, NEED, COST and ACTION PLAN QUALITY: The Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) accredited the Health Information Management Technology Associate in Applied Science program in An annual report is submitted to CAHIM which includes goals, metrics and results for quality indicators, and an action plan. The 2011 annual report is appended. Debra Gaskin, MA, RHIA Program Director / Professor / Advisor Laura Michelsen, MS, RHIA Associate Professor Health Information Management Technology Advisory Committee members and their affiliations. Last Name First Name Title Organization Name Bansemer Mary Manager, Health Information Management Provena St. Joseph Medical Center Bartkus Cindy Performance Improvement Coordinator Morris Hospital Block Karen RHIA, Dir., Health Information Management Riverside Medical Center Brown Cassie RHIA, Mngr. Health Information Management Morris Hospital Curley Krista RHIA, Director, Medical Records Gottlieb Memorial Hospital Drews Jan Director, Medical Records Silver Cross Hospital 2

3 Last Name First Name Title Organization Name Gaskin Debra M.A., RHIA, Program Director/Advisor/Professor, HIMT Chairman, HIM Advisory Committee Joliet Junior College Gehrke Shirley Professor, Office Systems Joliet Junior College Johnson Kristin Director, Medical Records Ingalls Memorial Hospital Jurik Cheryl System Administrator, Medical Records Silver Cross Hospital Kinman Kimberly RHIA, Privacy Officer St. James Hospital & Health Ctr. Kostal A. Kay M.E.D., RHIT, CCS, Coder Provena St. Joseph Medical Center Michelsen Laura M.S., RHIA, Associate Professor Joliet Junior College Nagel Sonia Morris Hospital Nylen Dana RHIA, Dir., Health Information Services St. James Hospital Rumler Nancy RHIA, CCS Valley West Community Hospital Wojtyla Sharon RHIT, HIM Operations Manager Advocate Good Samaritan Hospital Val Debbie Insurance Manager Advanced Physicians Yozze Melissa RHIT, CCS-P, UR Coordinator Edward Hospital NEED: Joliet Junior College's Health Information Management Technology, Associate in Applied Science and Medical Coding Specialist, Certificate of Achievement programs prepare students for the critical role they will play as health information management professionals. JJC's Health Information Management Technology, A.A.S. degree program is accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). Therefore, program graduates are eligible to take the national Registered Health Information Technician (RHIT) certification exam administered by the American Health Information Management Association (AHIMA). What is unique about the Health Information Management program at JJC is that we do not limit our enrollment into the program as most other HIM programs do. We currently accept all students who wish to apply. We 3

4 are also unique in that we offer traditional, blended and online classes in order to accommodate various student schedules. Employment prospects for students who complete the HIMT, A.A.S. degree or medical coding specialist certificate program are very good. The U.S. Bureau of Labor Statistics states that employment of medical records and health information technicians is expected to increase by 20 percent, much faster than the average for all occupations through Employment opportunities exist for health information professionals in a variety of work settings, including hospitals, physician offices, ambulatory care facilities, managed care facilities, consulting firms, information system vendors, insurance providers, pharmaceutical companies, rehabilitation centers, federal government agencies, and other venues. The HIMT Program has requested an additional full time faculty member due to consistent program growth. COST: The HIM program had a positive Anticipate Institutional Effect in 2011 of $175, Principle Assessment Methods Used in Quality Assurance for this Program (Check all that apply.) Standardized assessments X Certification and licensure examination results Writing samples Portfolio evaluation Course embedded questions Student surveys X Analysis of enrollment, demographic, and cost data NEXT STEPS See CAHIM annual report for future goals. Full Summary of Annual Report Joliet Junior College - Associate Status - Submitted Section I - Program Profile Name of Program's Sponsoring Institution Joliet Junior College 4

5 Program's Mailing Address 1215 Houbolt Road Phone Number Program's URL Type of Institution Dept Housing the HIM Program Is the complete HIM program offered as distance learning? Has the program been inactive within the past year? Last graduating class (mm/yyyy) Current HIM Faculty Full-Time Part-Time Adjunct List Sponsoring Institution Administrative CEO/Officer (e.g Dr. President, PhD) Address 1 Address 2 City State Public 2 year Computer Science NO NO Debra Daniels, PhD, President 1215 Houbolt Road Joliet Illinois Zip Code List Sponsoring Institution Dean/Administrator (e.g Dr. Dean, PhD) Address 1 Address 2 City State Cecile Regner, Dean 1215 Houbolt Road Joliet Illinois Zip Code Program Director's Name, Degree, Credentials Program Director?s Address Debra Gaskin, RHIA dgaskin@jjc.edu Section II - Program Metrics Academic Year Enrollments Graduates Attrition Remaining Students 5

6 Associate Degree FT PT FT PT FT PT FT PT Total Academic Year Enrollments Graduates Attrition Remaining Students Associate Degree FT PT FT PT FT PT FT PT Total Academic Year Enrollments Graduates Attrition Remaining Students Associate Degree FT PT FT PT FT PT FT PT Total Comments: We had four part-time students leave the JJC, HIM, AAS degree program during this reporting period. All students left due to either medical or financial reasons. We are seeing a greater number of part-time students. Many students are working full-time while working to complete their degree. This is impacting how long it is taking students to complete their degree as many can only take a few classes per semester. Section III - Placement and Satisfaction Rate Current CAHIIM threshold for Placement Rate: 80% Academic Year Total Program Graduates III.A.Graduate Placement Number Employed Number Continuing Their Education Total Graduate Placement Graduate Placement Rate

7 Current CAHIIM threshold for Satisfaction Rate: 85% Academic Year Total Surveys Sent III.B.Graduate Satisfaction Number of Surveys Returned Number of Satisfactory Surveys Returned Graduate Satisfaction Rate Section IV - Employer Satisfaction Current CAHIIM threshold for Employer Survey Satisfaction Rating: 80% Academic Year Total Surveys Sent Employer Satisfaction Total Surveys Returned Number of Satisfactory Surveys Returned Employer Satisfaction Rating Section V - Certification Outcomes Exam Period AHIMA National Mean Pass Rate Program Pass Rate 1/1/2011-9/30/ Domain/Subdomains AHIMA National Score Program Mean Score 1A B C

8 1D A B A B A B C D A B Total number of students who took the test: 14 Analysis & Action Plan Analysis Our program had two areas where our mean scores were lower than the AHIMA national scores. Both areas that were lower were only slightly lower. 1C was lower by.29 and 5A was lower by.13. Our areas of weakness relates to the clinical classification systems and human resources. Action Plan The faculty closely examined the scores that did not achieve the AHIMA national score and they will enhance the course content to reflect the areas that were below the national average. Courses related to the areas of weakness will be enhanced to include more case study assignments. Textbooks in courses related to each area of weakness have recently been changed. The new textbooks include more exercises and case studies. Feedback from the students has been positive. Section VI - Program Evaluation Plan Goals and Evaluation Plan Goal: Faculty will demonstrate current knowledge, skills, qualifications and professional development in the content areas they teach. (required) Target Outcomes 100% of faculty members will receive a minimum of a "satisfactory" rating from students on all areas of the teacher evaluation survey. 8

9 Plan Results Response/Corrective Action Person Responsible Time Frame All instructors will show evidence that they have attended relevant professional development activities to keep their knowledge current. All faculty will have their students complete teacher evaluation surveys for their courses, as required by the college. This goal has been met. All HIM faculty members received above satisfactory ratings from students on all areas of the teacher evaluation survey. All HIM faculty instructors attended relevant profession development activities to keep their knowledge current. All full-time and adjunct HIM faculty members met their AHIMA required continuing education hours as evidenced by C.E. information submitted to AHIMA. All HIM faculty members maintained their AHIMA professional credentials. All HIM faculty members attended at least one professional development activity related to improvement of teaching skills. Both full-time faculty members attended the AHIMA Academy for ICD-10-CM/PCS: Expert Trainers in Diagnosis and Procedure Coding program. Both full-time faculty members also passed the final exam and earned their AHIMA ICD-10-CM/PCS Trainer Certificates. Program Director will continue to require and monitor all HIM faculty to ensure they demonstrate current knowledge, skills, qualifications and professional development in the current areas they teach. Program Director and all HIM faculty. Annually Goal: Program graduates will demonstrate the HIM entry-level competencies. (required) Target Outcomes Plan Results Response/Corrective Action 80% annual passage rate on RHIT exam. Students will continue to receive a comprehensive review for the RHIT exam in course HIM 235. Students will obtain an 80% annual passage rate on the RHIT exam. We did not meet an 80% annual passage rate on the RHIT exam for this reporting period. Our annual passage rate was 79%. We were higher then the AHIMA National Mean Pass Rate of 75% for this reporting period. The HIM faculty carefully reviewed the exam results and identified two areas of weakness. The areas of weakness included the clinical classification systems and human resources. The HIM faculty will enhance the course work in these areas in order to assure that students are proficient in both areas. All graduates will continue to complete a comprehensive review for the RHIT exam in the HIM 235 course. The most current RHIT Professional Review Guide 9

10 Person Responsible Time Frame book will be used in the HIM 235 course. Graduates who recently passed the RHIT exam will be asked to come to the HIM 235 course to speak to the soon to be graduates. They will be asked to provide students with an overall on how they prepared for the exam. We have had recent HIM graduates come and speak to current HIM students in the past and students have enjoyed the discussions. All students will continue to be strongly encouraged to register for the RHIT exam during their last semester. Program Director and Full-time faculty member. Annually Goal: The HIM curriculum will include, at minimum, the required knowledge clusters with content and experiences to enable students to meet current entrylevel competencies. (required) Target Outcomes Plan Results Response/Corrective Action Person Responsible Time Frame 80% of graduates will be satisfied with the Health Information Management Technology program. Graduate Surveys will be sent to all recent graduates. The Program Director will solicit and analyze feedback from the PPE sites. The HIM Advisory Committee will meet at least twice a year to discuss and provide input to planning and maintaining the JJC, HIM, AAS curriculum. During this reporting period, 21 Graduate Surveys were sent out, 14 surveys were returned. All fourteen surveys indicated that students were satisfied with the JJC, HIM, AAS program by indicating generally high ratings of 4 or 5 on the survey. The Program Director also received great feedback from the PPE site supervisors. All PPE site supervisors documented that they were very satisfied with the entry-level competencies of the students. The HIM Advisory Committee met during the Fall and Spring semesters to review the JJC, HIM, AAS curriculum. The committee provided input on how to assure that the curriculum remains current and relevant. Joliet Junior College will continue to obtain Graduate Surveys. We will work to obtain a high percentage of returned, completed surveys from graduates. The Program Director will also continue to solicit and analyze feedback from the PPE site supervisors. The Program Director will also assure that the HIM Advisory Committee meets at least twice a year to review the HIM, AAS curriculum. Program Director Annually for Graduate Surveys, Bi-annually for feedback from PPE site supervisors and HIM Advisory Committee members. 10

11 Goal: The HIM program will demonstrate responsiveness to the needs of the community(ies) of interest. (required) Target Outcomes Plan Results Response/Corrective Action Person Responsible Time Frame 80% of area employees will be satisfied with the HIM graduates. Employer surveys will be sent to area employers as indicated on graduate surveys. HIM Advisory Committee members and Health Information Department Directors and Supervisors of PPE sites will also be asked to complete an Employer Survey, as each member is a potential employer and is very knowledgeable of the JJC, HIM, AAS program. 37 Employer Surveys were sent out and 32 Employer Surveys were completed. All surveys indicated that employers were very satisfied with the JJC, HIM, AAS graduates by indicating high marks on the surveys. We continue to be very pleased with the results of the Employer Surveys. We will continue to encourage all employers, HIM Advisory Committee members and PPE site supervisors to complete an Employer Survey. Employer Surveys will continue to be sent to area employers as indicated on the graduate surveys. All HIM Advisory Committee members and PPE site supervisors will continue to be asked to complete an Employer Survey, as each member is a potential employer. Program Director Annually Section VII - Substantive Changes (Optional) List of Comments User Name Date Joliet Junior College will have a new president, Dr. Debra Daniels, beginning on March 1, Our past president, Dr. Gena Proulx, lost her battle with cancer and died last August Section VIII - Curriculum Debra Gaskin 2/24/ :45:07 PM SYNOPSIS OF CURRICULUM : Include all courses required in their appropriate sequence Course # and Titles (Exclude general education courses) Credit Hours Didactic Hours Lab Hours Professional Practice Contact 11

12 Fall BIO 100 Medical Terminology BIO 125 Human Biology CIS 122 Computer Information Systems Fundamentals HIM 101 Health Information Management I OFS 114 Microsoft Office Hours Winter Spring ENG 101 Rhetoric HIM 102 Health Information Management II HIM 110 Basic ICD Coding HIM 115 Principles of Disease HIM 125 Current Health Care Comparative Applications Summer 1 HIM 111 Basic CPT Coding SPCH 101 Principles of Speech Communication MATH/SCIENCE

13 Gen Ed Summer 2 Fall BUS 120 Legal Aspects of Health Information Management HIM 210 Clinical Classification Systems HIM 215 Health Care Reimbursement HIM 230 Professional Practice I HIM 120 Statistical Tools for Health Information Technicians Winter Spring PSYCH 101 General Psychology HIM 220 Quality Management in Health Care HIM 222 Computers in Health Care HIM 235 Professional Practice II Summer 1 Summer 2 13

14 Total Credit Hours 70 Comments KNOWLEDGE CLUSTER CONTENT ASSESSMENT Associate Degree Program Knowledge Cluster Content Biomedical Sciences Anatomy (4) BIO 125 Physiology (4) BIO 125 Medical Terminology (4) BIO 100 Pathophysiology (4) HIM 115 Pharmacotherapy (4) HIM 115 I.A. Health Data Structure, Content and Standards 1. Data versus information (4) HIM 101, HIM Structure and use of health information (individual, comparative, aggregate) (4) 3. Health information media (such as paper, computer, web-based) (4) 4. Health record data collection tools (such as forms, screens, etc.) (4) 5. Data sources (primary, secondary) (4) 6. Data definitions, vocabularies, terminologies, and dictionaries (4) Please note that at Joliet Junior College the HIM program is under the Computer Information and Office System (CIOS) department. Therefore, in order to remain consistent with CIOS dept. protocol most courses listed include didactic hours and credit hours only. The only exception is in the Professional Practice courses, HIM 230 and HIM 235. All CIOS Department courses, which include all HIM courses are held in a computer lab so students have access to the computer in each course. List the Course Number(s) below that address each knowledge cluster. HIM 101, HIM 222 HIM 101, HIM 222 HIM 101, HIM 222 HIM 101, HIM 222 HIM 101, HIM Data storage and retrieval (4) HIM 101, HIM Data quality and integrity (4) HIM 101, HIM

15 9. Healthcare data sets (such as OASIS, HEDIS, DEEDS, UHDDS) (4) 10. Data monitoring and compliance reporting (5) 11. National Healthcare Information Infrastructure (NHII) (4) I.B. Healthcare Information Requirements and Standards 1. Type and content of health record (paper, electronic, computer-based, e-health-personal, web-based) (5) 2. Health record documentation requirements (such as accreditation, certification, licensure) (5) 3. Health record monitoring and compliance reporting (5) I.C. Clinical Classification Systems 1. Classifications, taxonomies, nomenclatures, terminologies, and clinical vocabularies (4) 2. Principles and applications of coding systems (such as ICD-9-CM, ICD-10, CPT/HCPCS, DSM-IV) (5) 3. Diagnostic and procedural groupings (such as DRG, APC, RUGs, SNOMED-CT) (5) HIM 101, HIM 222 HIM 101, HIM 222 HIM 101, HIM Casemix analysis and indexes (4) HIM 210, HIM 235 HIM 101, HIM 125, HIM 222, HIM 230, HIM 235 HIM 101, HIM 102, HIM 125, HIM 222, HIM 230, HIM 235 HIM 101, HIM 125, HIM 222, HIM 230, HIM 235 HIM 125, HIM 110, HIM 111, HIM 210, HIM 215, HIM 222 HIM 110, HIM 111, HIM 210, HIM 215, HIM 235 HIM 110, HIM 111, HIM 210, HIM 215, HIM Severity of illness systems (4) HIM 115, HIM 210, HIM Coding compliance strategies, auditing, and reporting (such as CCI, plans) (5) 7. Coding quality monitors and reporting (5) I.D. Reimbursement 1. Commercial, managed care and federal insurance plans (4) HIM 210, HIM 235 HIM 210, HIM 235 HIM 125, HIM 210, HIM 215, HIM Payment methodologies and HIM 125, HIM 210, HIM 215, HIM

16 systems (such as capitation, prospective payment systems PPS, RBRVS) (4) 3. Billing processes and procedures (such as claims, EOB, ABN, electronic data interchange) (4) HIM 125, HIM 210, HIM 215, HIM Chargemaster maintenance (5) HIM 210, HIM 215, HIM Regulatory guidelines (such as LMRP, peer review organizations) (3) 6. Reimbursement monitoring and reporting (5) 7. Compliance strategies and reporting (3) II.A. Healthcare Statistics and Research 1. Indices, databases and registries (4) HIM 210, HIM 215, HIM 220, HIM 235 HIM 210, HIM 215, HIM 235 HIM 210, HIM 215, HIM 220, HIM 235 HIM 101, HIM 120, HIM 222, HIM Vital statistics (5) HIM 101, HIM 120, HIM Healthcare statistics (5) HIM 101, HIM 120, HIM 220, HIM Descriptive statistics (such as means, frequencies, ranges, percentiles, standard deviations) (5) 5. Statistical applications with health care data (5) 6. Institutional Review Board (IRB) processes (4) 7. National guidelines regarding human subjects research (4) HIM 120, HIM 230 HIM 120, HIM 220, HIM 222, HIM 230 HIM 102, HIM 125, HIM 220, HIM 222 HIM Research protocol monitoring (4) HIM Data selection, interpretation, and presentation (5) 10. Knowledge-based research techniques (such as library, Medline, web-based) (5) II.B. Quality management and Performance Improvement 1. Quality assessment and improvement (such as process, collection tools, data analysis, HIM 220, HIM 222, HIM 230 HIM 101, HIM 220, HIM 222, HIM 230 HIM 101, HIM 220, HIM 222, HIM 230, HIM

17 reporting techniques) (4) 2. Utilization management, risk management, and case management HIM 101, HIM 220, HIM 222, HIM 230, HIM 235 (3) 3. Regulatory quality monitoring requirements (4) 4. Outcomes measures and monitoring (4) III.A. Healthcare Delivery Systems 1. Organization of healthcare delivery in the United States (4) 2. Healthcare organizations structure and operation (4) 3. External standards, regulations, and initiatives (such as licensure, certification, accreditation, HIPAA) (4) 4. Payment and reimbursement systems (4) 5. Healthcare providers and disciplines (4) III.B. Healthcare Privacy, Confidentiality, Legal and Ethical Issues 1. Legislative and regulatory processes (3) HIM 101, HIM 220, HIM 222, HIM 230, HIM 235 HIM 101, HIM 220, HIM 222, HIM 230, HIM 235 HIM 101, HIM 125, HIM 230, HIM 235 HIM 101, HIM 125, HIM 230, HIM 235 HIM 101, HIM 125, HIM 215, HIM 230, HIM 235 HIM 101, HIM 125, HIM 210, HIM 215, HIM 235 HIm 101, HIM 125, HIM 230, HIM 235 HIM 101, HIM 222, HIM 230, BUS 120, 2. Legal terminology (5) HIM 101, HIM 222, HIM 230, BUS Health information/record laws and regulations (such as retention, patient rights/advocacy, advanced directives, privacy) (5) 4. Confidentiality, privacy, and security policies, procedures, and monitoring (5) 5. Release of information policies and procedures (5) 6. Professional and practice-related ethical issues (5) IV.A. Information and HIM 101, HIM 220, HIM 222, HIM 230, BUS 120 HIM 101, HIM 220, HIM 222, HIM 230, BUS 120 HIM 101, HIM 220, HIM 222, HIM 230, BUS 120 HIM 101, HIM 125, HIM 220, HIM 222, HIM 230, BUS

18 Communication Technologies 1. Computer concepts (such as hardware components, operating systems, languages, software packages) (3) 2. Communication and Internet technologies (such as networks, intranet, standards) (3) 3. Common software applications (such as word processing, spreadsheet, database, graphics) (5) 4. Health information systems (such as administrative, patient registration, ADT, EHR, personal health record (PHR), lab, radiology, pharmacy) (4) HIM 222, CIS 122 HIM 222, CIS Voice recognition technology (3) HIM 222, HIM Health information specialty systems (such as ROI, coding, registries) (5) 7. Application of systems and policies to health information systems and functions and healthcare data requests (5) IV.B. Data Storage and Retrieval 1. Document archival, retrieval, and imaging systems (5) 2. Maintenance and monitoring of data storage systems (5) IV.C. Data Security and Healthcare Information Systems 1. System architecture and design (3) 2. System acquisition and evaluation (3) HIM 222, HIM 230, HIM 235, OFS 114 HIM 125, HIM 222, HIM 230, HIM 235 HIM 125, HIM 222, HIM 230, HIM 235 HIM 125, HIM 222, HIM 230 HIM 125, HIM 222, HIM 230 HIM 125, HIM 222, HIM 230 HIM 222 HIM Screen design (4) HIM Data retrieval and maintenance (4) HIM Data security concepts (3) HIM Data integrity concepts (4) HIM

19 7. Data integrity and security processes and monitoring (5) 8. Data recovery and risk management (4) 9. Work process design (such as ergonomics, equipment selection) (3) V.A. Organizational Resources 1. Roles and functions of teams and committees (5) 2. Teams/consensus building and committees (4) 3. Communication and interpersonal skills (5) 4. Team leadership concepts and techniques (4) 5. Orientation and training (such as content, delivery, media) (5) 6. Workflow and process monitors (4) HIM 222 HIM 222 HIM 222 HIM 102, HIM 220, HIM 230, HIM 235 HIM 102, HIM 220, HIM 230, HIM 235 HIM 102, HIM 220, HIM 230, HIM 235 HIM 102, HIM 220, HIM 230, HIM 235 HIM 102, HIM 220, HIM 230, HIM 235 HIM 102, HIM 220, HIM 230, HIM Performance monitors (4) HIM 102, HIM 220, HIM 230, HIM Revenue cycle monitors (4) HIM 102, HIM 220, HIM 230, HIM Organizational plans and budgets (framework, levels, responsibilities, etc.) (4) 10. Resource allocation monitors (4) Competency Levels HIM 102, HIM 220, HIM 230, HIM 235 HIM 102, HIM 220, HIM 230, HIM 235 Explanation 1 = Awareness Introductory recall and recognition 2 = Literacy Knowledge of framework and content 3 = Concept 4 = Detailed Understanding 5 = Skilled Use Comments Comprehension, translation, extrapolation and interpretation of meaning Appropriate application of knowledge in a structured or controlled context Application using analysis, synthesis, and evaluation in new situations 19

20 HIM ASSOCIATE DEGREE ENTRY-LEVEL COMPETENCIES Domains, Subdomains, and Tasks I. Domain: Healthcare Data Management 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. 4. Contribute to the definitions for and apply clinical vocabularies and terminologies used in the organization's health information systems. 5. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources for patient care, management, billing reports, registries, and/or databases. B. Subdomain: Healthcare Information Requirements and Standards 1. Monitor and apply organizationwide health record documentation guidelines. 2. Apply policies and procedures to ensure organizational compliance with regulations and standards. 3. Report compliance findings according to organizational policy. 4. Maintain the accuracy and completeness of the patient record as defined by organizational policy and external regulations and List the Course Number(s) below that address each entry-level competency. HIM 101, HIM 215, HIM 222, HIM 230, HIM 235 HIM 101, HIM 210, HIM 215, HIM 230, HIM 235 HIM 101, HIM 125, HIM 215, HIM 230, HIM 235 HIM 101, HIM 125, HIM 210, HIM 215, HIM 222, HIM 230, HIM 235 HIM 101, HIM 125, HIM 210, HIM 215, HIM 222, HIM 230, HIM 235 HIM 101, HIM 125, HIM 210, HIM 220, HIM 230, HIM 235 HIM 101, HIM 102, HIM 220, HIM 230, HIM 235 HIM 102, HIM 220, HIM 230, HIM 235 HIM 101, HIM 125, HIM 220, HIM 230, HIM

21 standards. 5. Assist in preparing the organization for accreditation, licensing, and/or certification surveys. 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 using ICD-9-CM. 3. Apply procedure codes using CPT/HCPCS. 4. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC, and so on. 5. Adhere to current regulations and established guidelines in code assignment. 6. Validate coding accuracy using clinical information found in the health record. 7. Use and maintain applications and processes to support other clinical classification and nomenclature systems (such as ICD-10-CM, SNOMED, and so on). 8. Resolve discrepancies between coded data and supporting documentation. 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. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation HIM 101, HIM 102, HIM 125, HIM 220, HIM 230, HIM 235 HIM 125, HIM 210, HIM 215, HIM 235 HIM 110, HIM 210, HIM 215, HIM 235 HIM 111, HIM 210, HIM 215, HIM 235 HIM 210, HIM 215, HIM 235 HIM 110, HIM 111, HIM 210, HIM 215, HIM 235 HIM 101, HIM 110, HIM 111, HIM 210, HIM 215, HIM 235 HIM 125, HIM 210, HIM 215, HIM 220, HIM 235 HIM 125, HIM 210, HIM 215, HIM 220, HIM 235 HIM 125, HIM 210, HIM 215, HIM 235 HIM 210, HIM 215, HIM

22 processes. 3. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative. 4. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements such as outpatient prospective payment systems. II. Domain: Health Statistics, Biomedical Research and Quality Management A. Subdomain: Healthcare Statistics and Research 1. Abstract and maintain data for clinical indices/databases/registries. 2. Collect, organize and present data for quality management, utilization management, risk management, and other related studies. 3. Compute and interpret healthcare statistics. 4. Apply Institutional Review Board (IRB) processes and policies. 5. Use specialized databases to meet specific organization needs such as medical research and disease registries. B. Subdomain: Quality Management and Performance Improvement 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. III. Domain: Health Services HIM 125, HIM 210, HIM 215, HIM 235 HIM 215, HIM 220, HIM 222, HIM 235 HIM 101, HIM 125, HIM 222, HIM 235 HIM 125, HIM 222 HIM 120, HIM 125, HIM 222, HIM 102, HIM 125, HIM 220, HIM 222 HIM 102, HIM 125, HIM 220, HIM 222 HIM 220, HIM 222 HIM 220, HIM

23 Organization and Delivery. A. Subdomain: Healthcare Delivery Systems 1. Apply information system policies and procedures required by national health information initiatives on the healthcare delivery system. 2. Apply current laws, accreditation, licensure, and certification standards related to health information initiatives from the national, state, local and facility levels. 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. 4. Differentiate the roles of various providers and disciplines throughout the continuum of healthcare and respond to their information needs. B. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues. 1. Participate in the implementation of 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. HIM 102, HIM 220, HIM 222, HIM 230 HIM 101, HIM 102, HIM 125, HIM 220, HIM 222, HIM 230 HIM 125, HIM 210, HIM 215, HIM 222 HIM 101, HIM 125, HIM 220 HIM 101, HIM 125, HIM 220, HIM 230, BUS 120 HIM 101, HIM 102, HIM 125, HIM 220, HIM 230, BUS 120 HIM 101, HIM 125, HIM 220, HIM 230, BUS 120 HIM 101, HIM 102, HIM 220, HIM 222, HIM Conduct privacy and HIM 101, HIM 102, HIM

24 confidentiality training programs. 6. Investigate and recommend solutions to privacy issues/problems. 7. Apply and promote ethical standards of practice. 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. 2. Use common software applications such as spreadsheets, databases, word processing, graphics, presentation, , and so on in the execution of work processes. 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. B. Subdomain: Data, Information, and File Structures 1. Apply knowledge of data base architecture and design (such as data dictionary, data modeling, data warehousing, and so on) to meet departmental needs. C. Subdomain: Data Storage and HIM 101, HIM 102, HIM 220, BUS 120 HIM 101, HIM 102, HIM 110, HIM 111, HIM 115, HIM 125, HIM 210, HIM 215, HIM 220, HIM 222, HIM 230, HIM 235, BUS 120, MATH 092 HIM 125, HIM 215, HIM 222, HIM 230, HIM 235, OFS 114 HIM 125, HIM 215, HIM 222, HIM 230, HIM 235, OFS 114 HIM 125, HIM 215, HIM 222, HIM 230, HIM 235, OFS 114 HIM 125, HIM 222, OFS 114 HIM 125, HIM 222, HIM 230, HIM 235, OFS

25 Retrieval 1. Use appropriate electronic or imaging technology for data/record storage. 2. Query and generate reports to facilitate information retrieval. 3. Design and generate reports using appropriate software. 4. Maintain archival and retrieval systems for patient information stored in multiple formats. 5. Coordinate, use and maintain systems for document imaging and storage. 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 train and data quality monitoring programs. 5. Contribute to the design and implementation of risk management, contingency planning, and data recovery procedures. E. Subdomain: Healthcare Information Management 1. Participate in the planning, design, selection, implementation, integration, testing, evaluation, and support for organization-wide information systems. 2. Use the principles of ergonomics and human factors in work process design. HIM 101, HIM 102, HIM 125, HIM 222, HIM 230, HIM 235, OFS 114 HIM 101, HIM 102, HIM 125, HIM 220, HIM 222, OFS 114 HIM 102, HIM 125, HIM 220, HIM 222, OFS 114 HIM 101, HIM 102, HIM 125, HIM 222, OFS 114 HIM 101, HIM 102, HIM 125, HIM 222 HIM 101, HIM 102, HIM 125, HIM 220, HIM 222, HIM 230, HIM 235, BUS 120, OFS 114 HIM 101, HIM 102, HIM 125, HIM 220, HIM 222, HIM 230, HIM 235, OFS 114 HIM 101, HIM 102, HIM 125, HIM 220, HIM 222, HIM 230, HIM 235, BUS 120, OFS 114 HIM 102, HIM 125, HIM 220, HIM 222, OFS 114 HIM 102, HIM 125, HIM 220, HIM 222, OFS 114 HIM 101, HIM 102, HIM 220, HIM 222 HIM 101, HIM 102, HIM 220, HIM

26 V. Domain: Organizational Resources A. Subdomain: Human Resources 1. Apply the fundamentals of team leadership. 2. Organize and contribute to work teams and committees. 3. Conduct new staff orientation and training programs. 4. Conduct continuing education programs. 5. Monitor staffing levels and productivity standards for health information functions, and provide feedback to management and staff regarding performance. 6. Communicate benchmark staff performance data. 7. Prioritize job functions and activities. 8. Use quality improvement tools and techniques to monitor, report and improve processes. B. Subdomain: Financial and Physical Resources 1. Make recommendations for items to include in budgets and contracts. 2. Monitor and order supplies needed for work processes. 3. Monitor coding and revenue cycle processes. 4. Recommend cost-saving and efficient means of achieving work processes and goals. 5. Contribute to work plans, policies, procedures, and resource requisitions in relation to job functions. Comments HIM 101, HIM 102, HIM 220, HIM 230 HIM 101, HIM 102, HIM 220, HIM 230 HIM 101, HIM 102, HIM 220 HIM 101, HIM 102, HIM 220 HIM 101, HIM 102, HIM 220, HIM 230 HIM 101, HIM 102, HIM 220 HIM 101, HIM 102, HIM 220, HIM 230 HIM 101, HIM 102, HIM 220 HIM 102, HIM 220 HIM 102, HIM 220, HIM 222 HIM 102, HIM 220 HIM 102, HIM 220 HIM 102, HIM 220, HIM

27 Medical Administrative Assistant; Medical Transcription COURSE NAMES AND NUMBERS: OFS 102 Document Formatting OFS 103 Advanced Document Formatting OFS 104 Administrative Documents OFS110 Voice Recognition OFS 166 Microsoft Word I OFS 167 Microsoft Word II OFS 114 Microsoft Office Suite OFS 115 Advanced Microsoft Office OFS 143 Medical Machine Transcription OFS 210 Medical Administrative Procedures OFS 100 Microsoft Outlook IMPROVEMENTS IN RECENT YEARS Developed and now offer six courses online that are required in the program. This flexibility provides the students with additional opportunities for completing a certificate or degree. Courses in HIM have been added to the Medical Administrative Assistant degree. Medical Records and Coding classes are required. Adapted the curriculum to align with business trends adding Outlook, Voice Recognition, and Medical Administrative Procedures courses Provided internships in the related area of study under the supervision of both program coordinator and employer; positive feedback from employers surveys Rooms 2026 and 2028 in the T Building have been remodeled to showcase an office environment. Cubicles are located in the rooms to simulate an office environment. We take great pride in offering our students classes that cover the most up to date technologies in our state of the art computer labs. The CIOS Department is an on site testing facility for the Microsoft Office Specialist Certification exam. We are also the testing facility for CAP (Certified Administrative Professional) and OM (Organizational Management) exams held in November and May of each year by IAAP (International Administrative Professionals). 27

28 MISSION: MEDICAL ADMINISTRATIVE ASSISTANT The Medical Administrative Assistant and Transcription program at Joliet Junior College prepares students seeking a career in a medical environment with the skills necessary to enter the medical workforce in doctors' offices, hospitals and other facilities. The Associate in Applied Science degree and certificate in Medical Administrative Assistant prepares students for administrative positions in medical offices or in health related industries. Medical administrative assistants use their knowledge of medical terminology, office technology, and medical office procedures in their work as receptionists, insurance clerks, transcriptionists and office managers in medical settings. MISSION: MEDICAL TRANSCRIPTION The Medical Transcription Certification is an educational program designed to prepare the student for entry level employment as a medical transcriptionist, medical language specialist, and speech recognition editor. After completion of the Medical Transcriptionist Certificate of Completion, students are prepared to transcribe dictated reports by physicians and other healthcare practitioners. They interpret medical terminology and abbreviations in preparing patients medical histories, discharge summaries, and other documents. The mission of the Medical Administrative Assistant Degree Program and the Medical Transcriptionist Certificate at Joliet Junior College is consistent with the mission of the College to provide a high quality education and career training to a diverse student population. PROGRAM OUTCOMES: Develop a mastery level competency in Microsoft Office 2010 Develop an understanding of fundamental computer hardware and software concepts Communicate effectively using written, oral, and visual communication skills Understand and properly define medical terminology and anatomy and develop competency in transcribing medical documents Principle Assessment Methods Used in Quality Assurance for this Program (Check all that apply.) X Individual course assessments X Certification (MOS Certification exams) X Internship evaluation by supervisor Portfolio evaluation X Course embedded questions Student surveys Analysis of enrollment, demographic, and cost data 28

29 NEED A majority of our students in the program are students who are seeking to update or develop new skills in order to find employment. They are students who have returned to school for a variety of reasons: loss of spouse and now need to work; job has been outsourced; job has been eliminated. Because of these reasons, many of them do not complete a certificate or degree as their immediate NEED is employment. Our program, therefore, is a major contributor of credit hours. The average credit hours generated from was 1,265 in the Office Systems programs. The Medical Administrative program at Joliet Junior College aligns with and fulfills workforce needs for qualified Medical Administrative professionals. The program contributes to employers needs for competent and well qualified employees in the medical environment. Courses are designed for students pursuing a certificate or degree, and for students preparing to renew or develop skills for a return to the workforce. Specialized course content focuses on computer applications, communication skills, medical transcription, medical terminology, forms, and billing. Our training location availability is a source of strength for the program. Our program offers courses not only at Main and North Campus, but also at satellite locations in Morris and New Lenox. In addition to on campus training, our program is responsive to meeting the needs of the community by offering on line courses. We have developed and currently offer six core courses online that are necessary for completion of this degree. By offering online courses, we are meeting the diverse needs of our student population and provide the student with additional opportunities for completing a certificate or degree. 29

30 Medical Admin & Transcription Graduates & Completers by Year Total Degrees & certificates CAC MEDICAL TRANSCRIPTIONIST AAS MEDICAL ADMINISTRATIVE ASSISTANT CAC MEDICAL ADMINISTRATIVE ASSISTANT LABOR MARKET PROJECTION DATA According to the Bureau of Labor Statistics, medical secretaries rank among those with the largest number of job openings. Opportunities should be best for applicants with extensive knowledge of computer software applications. Secretaries and administrative assistants are increasingly assuming responsibilities once reserved for managerial and professional staff. Employment of secretaries and administrative assistants is expected to increase by 12 percent, which is about as fast as the average for all occupations, between 2010 and Among specialties, medical secretaries is the only occupation that is expected to have much fasterthan average employment growth. This is driven by the rapid growth of the healthcare industry. Overall, the majority of job openings will result from the need to replace workers who leave these occupations. 30

31 Projections data from the National Employment Matrix Occupational Title SOC Code Employment, 2008 Projected Employment, Change, Number Percent Secretaries and ,348,100 4,819, , administrative assistants Executive secretaries and ,594,400 1,798, , administrative assistants Legal secretaries , ,000 48, Medical secretaries , , , Secretaries, except legal, ,020,000 2,113,300 93,300 5 medical, and executive NOTE: Data in this table are rounded. See the discussion of the employment projections table in the Handbook introductory chapter on Occupational Information Included in the Handbook. State and National Trends United States Employment Percent Change Job Openings 1 Medical secretaries 471, , % 18,900 Illinois Employment Percent Change Job Openings 1 Medical secretaries 14,760 18, % Job Openings refers to the average annual job openings due to growth and net replacement. National Data Source: Bureau of Labor Statistics, Office of Occupational Statistics and Employment Projections State Data Source: Illinois Department of Employment Security, Economic Information and Analysis Division Employment of medical transcriptionists is projected to grow by 11 percent from 2008 to 2018, about as fast as the average for all occupations. Demand for medical transcription services will continue to be spurred by a growing and aging population. Older age groups receive proportionally greater numbers of medical tests, treatments, and procedures that require documentation. Growing numbers of medical transcriptionists will be needed to amend patients records, edit documents from speech recognition systems, and identify discrepancies in medical reports. Employers prefer medical transcriptionists who have completed a secondary training program. ( transcriptionist job outlook.htm.) 31

32 Projections data from the National Employment Matrix SOC Code Employment 2008 Projected Employment 2018 Medical Transcriptionist Change Number Percent , ,900 11, NOTE: Data in this table are rounded. See the discussion of the employment projections table in the Handbook introductory chapter on Occupational Information Included in the Handbook State and National Trends United States Employment Percent Change Job Openings 1 Medical transcriptionists 105, , % 2,350 Illinois Employment Percent Change Job Openings 1 Medical transcriptionists 3,760 4, % 80 1 Job Openings refers to the average annual job openings due to growth and net replacement.national Data Source: Bureau of Labor Statistics, Office of Occupational Statistics and Employment Projections State Data Source: Illinois Department of Employment Security, Economic Information and Analysis Division What trends are apparent in the data regarding the NEED for the program? The field of medical transcription (MT) has seen an extensive change in the past several years. An electronic health record (EHR) is an evolving concept defined as a systematic collection of electronic health information about individual patients. The medical transcriptionist is still needed to understand medical language and its usage. The MT also understands the workflow and process involved in healthcare documentation. QUALITY The programs are taught by two well qualified educators with more than 40 years of experience. Shirley Gehrke, M.S., OFS Program Coordinator, Professor, OFS Advisor Debbie Dykstra, M.B.A, MOS, MOT Certifications, Professor Both are members in professional organizations Including Illinois Business Education Association and National Business Education Association. New courses were added to provide additional areas of concentration and to keep the curriculum current. Outlook, Voice Recognition, and Medical Administrative Procedures courses were added to both programs. 32

33 Since the last review, students have been placed in transcription internships at the area local hospitals. Provena St. Joseph Hospital in Joliet and Morris Hospital has provided their site for interns and now that Silver Cross Hospital has moved to their new facility, we are hoping they will also provide internships. This gives the students hands on experience prior to entering the work force. A recent graduate of our program is now the head of the transcription department at Silver Cross Hospital. Last year we co partnered with the International Association of Administrative Professionals (IAAP) in organizing and sponsoring a seminar during the week of Administrative Professional week. It was a great success and will be repeated again this year. Students in our program are encouraged to attend this seminar and network with professionals in the field. The CIOS Department is an on site testing facility for the Microsoft Office Specialist Certification exam. The courses offered in our program give students the skills they need to pass the certification exams. If students want to attain a competitive edge and help improve employability and earning potential, certification will validate that they have the skills required to perform the job. Certification also helps show potential employers their commitment to continued learning and career growth. We are also the testing facility for CAP (Certified Administrative Professional) and OM (Organizational Management) exams held in November and May of each year by IAAP (International Administrative Professionals). Our computer labs are equipped with the most current software. We continually update our curriculum and software to keep current with the newest technologies. Rooms 2026 and 2028 in the T Building have been remodeled to showcase an office environment. Cubicles are located in the rooms to simulate an office environment. We take great pride in offering our students classes that cover the most up to date technologies in our state of the art computer labs. The Medical Administrative Assistant Degree Program retention rate is very high, but unfortunately, there isn t any data available. List Advisory Committee members and their affiliations The CIOS Department has an effective advisory committee comprised of area professionals that provides a link between the community and the college. This committee plays an important role in guiding, strengthening, and improving our programs, including the Medical Administrative Assistant program. 33