INTRODUCTION TO HEALTH INFORMATION HEALTH INFORMATION TECHNOLOGY

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1 INTRODUCTION TO HEALTH INFORMATION HEALTH INFORMATION TECHNOLOGY Course Number: HITC 101 Kaskaskia, HIT 101 Logan, HIT 101 Shawnee Hours of Lecture: 3 Hours of Laboratory: 0 Credits: 3 Semester/Year: Fall, 2014 Prerequisite: None Instructor: Office: Office Phone: Home Phone: Mary J. Sullivan, PhD, RHIA Southern Illinois Collegiate Common Market 3213 South Park Avenue Herrin, IL Texts:, Nanette, Health Information Management Technology, 4th Edition American Health Information Management Association, ISBN Abdelhak, Mervat, Health Information: Management of a Strategic Resource, 4th Edition, W. B. Sanders Company, ISBN Course Description: A course that will initiate the student to the field of Health Information Technology. It will be an overview of the functions and responsibilities of the technologist and orientation to the technical skills held by the technologist, including skills necessary to maintain components of health record systems consistent with the medical administrative, ethical, legal, accreditation and regulatory requirements of the health care delivery system. Terminal Objectives: At the conclusion of this course, the student should be able to: 1. Identify and discuss types of healthcare entities/organizations. 2. Define and discuss the major functions of the health information department of a hospital and other health care organizations. 3. Understand the organization of healthcare delivery. 4. Identify various regulatory health agencies, both private and government, and understand the purpose and impact of each in the health care industry. Understand these agencies standards. (accreditation, licensure, certification) 5. Discuss the role of the health information practitioner. 6. Distinguish between a primary and secondary record. 7. Understand the basics of the medical record including content and uses. 8. Understand documentation requirements for the medical record. 9. Discuss regulation of the health care industry including QIO s, The Joint Commission and state reviews.

2 10. Understand the reimbursement systems and how these prospective payment systems affect the health care industry. 11. Understand managed care and capitation and their impact on healthcare. 12. Review reimbursement programmatic benefits. 13. Understand legal and ethical uses affecting healthcare and the health information department. 14. Demonstrate the ability to determine severity of illness. 15. Develop a knowledge base to efficiently use a college library. Enabling Objectives: objectives: Objectives which lead to the achievement of the terminal 1. Demonstrate the ability to complete an information/data search at the local community college. 2. Define and explain the role and organization of each type of major health care facility in the health care delivery system. 3. Explain the basic concepts and benefits of Medicare and Medicaid and their relationship with the QIO. 4. Identify the major allied health professions and their roles. 5. State the educational requirements and various roles of the RHIA and RHIT. 6. State the purpose of AHIMA and define membership categories within AHIMA. 7. Define a medical record content and documentation requirements. 8. Identify ownership of the medical record. 9. Explain the uses and purposes of a medical record. 10. Explain the value of data within the medical record in relation to the patient, the health care facility, health care providers, educators, researchers, public health officials and organizations responsible for health care claim payments. 11. Explain responsibility for the medical record for: governing body, hospital administration, health information department, attending physicians and other health care professionals. 12. Define and explain licensure, certification and accreditation. 13. Discuss the following agencies/organizations; Department of Health and Human Services, The Joint Commission, American Osteopathic Association, American College of Surgeons. 14. Explain the The Joint Commission survey process. 15. Explain the formats used for organizing the information in the record and the basic sections of the medical record. 16. Begin a working knowledge and understanding of commonly treated diagnoses treated in the health care industry and apply severity of illness criteria. 17. Outline the development and typical flow of the medical record from its creation to permanent file. 18. List and describe forms used in the medical record. 19. Define and explain the purpose of quantitative, qualitative and statistical medical record analysis. 20. List and describe the steps typically involved in processing medical records.

3 21. Demonstrate an understanding of the criteria for a complete and useful medical record. 22. Define a hospital, types of ownership and organization. 23. Explain and define basic medical staff organization and bylaws. 24. Distinguish between data versus information. 25. Understand the use of the medical record reporting purposes. 26. Understand legal and ethical issues in regards to confidentiality and release. 27. Demonstrate a basic knowledge of legal factors affecting the medical record content, legal terminology authorizations, patients rights, advanced directives, subpoenas, healthcare legislation (i.e. HIPAA, Acts), and court proceedings. 28. Demonstrate a basic familiarity with need for security of medical information. 29. Understand the legal legislative process and court system. 30. Discuss requirements of various agencies regarding content and quality of the medical record. 31. Demonstrate a general knowledge of laboratory tests. 32. Demonstrate a general knowledge of top treated diagnosis of a hospital/health care facility. 33. Understand the prospective payment system, managed care and capitation. 34. Understand and discuss the DRG and RBRVS systems. Utilize the 3M DRG grouper. 35. Understand the difference between a primary and secondary record. 36. Discuss ethics of health care professionals especially the code of ethics published by AHIMA. Reading Assignments: Assigned chapters in Johns, Abdelhak and handouts. Exams: There will be three (3) examinations AND a comprehensive final examination at the end of the semester. If a student misses an exam- he/she may make it up with the exam grade automatically dropped one grade. However, if prior notification is given the exam may be taken early with no penalty. Evaluation: Retention in the HIT program requires that the HIT student earn a grade of C or better in this HIT course. Grades of D, E, or F are considered failing. If a student fails this course, the course must be repeated with a passing grade ( A, B, or C ). HIT courses are only offered once a year, so the student will have to wait to take the course until the following fall. All courses must be taken in sequence as specified by course pre-requisites unless permission is granted by the program director Exams (100 points each) 300 points 2. Final Exam 100 points 3. Lab test report 34 points 4. Scavenger Hunts 33 points 5. Top Ranking Diagnosis oral presentation 33 points Total Points 500 point

4 Please Note --- Tests will NOT be returned to the student. Grading Scale: Course Grading Scale: A A B B C C D D E - 68 and below E and below Absenteeism Policy: Each student is expected to attend all class meetings. The student is expected to be on time and ready to begin class with the proper materials at the beginning of each class period. Arrivals after class has begun will be counted as present, but tardy. Three occurrences of tardiness will be counted as one absence. Students that have three absences will have their course grade dropped by one letter grade. Five absences will result in the student being dropped from the course. Note: The schedule and procedures in this course may be subject to change in the event of extenuating circumstances. Additionally*** All written reports will NOT be returned back to the student. If the student would like a copy for personal use he/she should do so before submission.one point will be deducted for each typo, misspelling, or grammatical error submitted on written reports. Student Support Services: Student support services are available at every college represented within the SICCM HIT program. Services are available for students with a disability for a wide variety of needs (i.e. tutors, note takers, interpreters, untimed testing) and are described in the college catalogs and student handbooks. Information and referral may also be obtained from the HIT Program Director. Cell Phones and Pagers Cell phones are prohibited in the classroom. They are not to be brought in a backpack or on your person. If you have a possible emergency call coming in, the instructor is to be made aware of this before class for allowance into the classroom. These devices may be used during breaks outside of the classroom. Academic Integrity This class is subject to the college s Academic Integrity policy. All submitted work must be your own. Cheating and Plagiarism will not be tolerated. Any student found in violation of this policy will be subject to SICCM disciplinary action (see student handbook) and disciplinary action as outlined in the campus Academic Integrity policy.

5 Equal Educational Opportunity The Colleges are committed to providing equal educational opportunities for all persons without regard to race, color, religion, sex, age, national origin, or disability. Project Assignments: 1. Lab Test Report The student is to research identified (Chemistry) lab tests and turn in a report describing each. Points will be taken off for late work. For each lab test student should submit the following information: Name of lab test: Characteristics: Decreased Value Diagnoses: Increased Value Diagnoses: 2. Top Ranking Diagnosis The student is to research a top ranking diagnosis assigned by the instructor. Students will be provided a medical record for review with a selected diagnosis for reporting purposes. Additionally, the student will be provided with a severity of illness worksheet for determination if the criteria was met or not met. An example presentation will be presented by the instructor earlier in the semester. Student presentations will be scheduled at the end of the semester. Students will prepare: One 15 minute presentation to class This report will cover the A&P of the body system, the disease itself and a review of the medical case including the severity of illness criteria met, if met. Presentations will be scheduled and presented at the end of the semester. Students unprepared for presentation on scheduled date will have the presentation grade dropped by one letter grade. Scavenger Hunt(s) Students will look for documents in computerized records. Points will be taken off for late work.

6 Introduction to Health Information Course Outline John A. Logan/Kaskaskia/Shawnee Colleges Class Date Session Assignment 1. August 20, 2014 Intro to course Read Chapter 1& 2 15 min. DX report (to pg 45.) - Instructor Chapter 1 - Abdelhak 2. August 27, 2014 Lecture Chapter 1 & 2 Chapter 1 - Abdelhak 3. September 3, 2014 Finish Lecture Chap. above Prepare for test #1. Medicare/Medicaid/DHHS Handout. Review Chapters. 4. September 10, 2014 Test #1 - Chapter 1 & 2 - Read Chapter 3 - Chapter 1- Abdelhak ( /No) Library Presentation(Adam Rubin) Chapter 4 - Abdelhak 3:00-3:30 5. September 17, 2014 Lecture Chapter 3 - Read Chapter 6 - & Chapter 4 - Abdelhak (pp ) Take Medical Records to class. Review test 1 6. September 24, 2014 Lecture Chapter 3 - Continued Film - The High Price of Health 7. October 1, 2014 Chapter 6 - (pp ) "Reimbursement Methodologies" Chapter 3 - & Chapter 4 - Abdelhak "Content Med. Rec." Scavenger Hunt I - Due 8. October 8, 2014 Finish Chapter 6 Prepare for coming

7 Handout Scavenger Hunt II - Due test - Chapter 3,4 & 6 Computer 3M? Begin? Medicare/Medicaid DHHS 9. October 15, 2014 Test #2 - Chapters 3,4 & 6 Page 2. Class Date Session Assignment 10. October 22, 2014 Quan/Qual Analysis Read Chapter 13 - Class at SICCM Review test 2 Chap 14 - Abdelhak Computer 3M Film- Confidentially Speaking Assign Medical Records for DX Project/UR. Turn in Lab Report Project Hand out Spring schedule 11. October 29, 2014 Lecture Chapter s 13 &14 "Legal" Give SILHIMA meeting info 12. November 5, 2014 Lecture Chapter s 13 & 14 Prepare for test continued 13. November 12, 2014 Test #3, Chapter s 13 & 14 Lab tests 14. November 19, min Reports - DX Reports Review test November 26, 2014 Thanksgiving Holiday! 16. December 3, min Reports - DX Reports 17. December 10, 2014 Final Merry Christmas! Comprehensive

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