1. Introduction to ehealth:
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- Alan Newton
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1 1. Introduction to ehealth: E-Health is one of the fastest growing areas within the health sector. The scope of e- Health involves application of the knowledge, skills and tools, which enable information to be collected, managed, used and shared to support the delivery of healthcare. This course will introduce students to the main components of Health Information Technology. It will deal with the current advancements and technological innovations in addition the students will be introduced to the standards of disease classifications. Finally, it will provide a foundation that will prepare the students as managers, to rely upon or manage information technology to accomplish delivery system objectives. Students will be familiarized with professionalism, and management theories towards the end of the course. 2. Health Records: This course prepares students interested in patient care, health information management, and business professionals seeking employment in the healthcare industry. Students will learn the essential components of the electronic health record and health information exchange, system selection and implementation. The process of adoption of the EHR, challenges and barriers to its use will be discussed. The course features the trend of transition from the paper-based to paper-less environment highlighting the merits of using the electronic form of record keeping. Commercial software program packages are used to simulate the electronic health records as a practical approach for the benefits of our students. 3. Quality and Performance Improvement: This course is designed to give the student an introduction to the broad topic of quality management and improvement in the health care delivery performance. The quality assurance models, plan-do-check-act cycle, principles of quality, roles and responsibilities will be discussed while following the NCAAA guidelines. Emphasis is placed on developing management and analytical skills for performance improvement, utilization review and risk management activities. It will include models of effective and efficient utilization of the organizational resources for the improved outcomes while
2 adhering to the standards. Students will be introduced to theories of strategic planning followed with continuous measurement, assessment and monitoring of the organizational duties. 4. Research Methodology and Report Writing: The course will provide the students with the understanding of research concepts with the exploration of key aspects. The students will be introduced the elements of research process within qualitative, quantitative and mixed approaches. The course addresses the process of formulating appropriate research questions, objectives, and hypotheses, techniques for reviewing literature, methods of data collection, methods for assessing and improving the validity and reliability of data and measures, and the ethics of scientific research. Students will utilize their theoretical understandings of the course which will assist them in writing the research document. 5. Introduction to Psychology: The course introduces students to the scientific study of human behavior. The students will learn about the history of psychology, current patterns and theories, research methods, and statistical techniques. The course will also cover neuroscience, experimental psychology and cognition, including sensation, perception, memory, and language. Various psychological disorders, stress and health psychology, personality and social psychology, intelligence, and developmental psychology are the other few areas which will be briefly covered. The goals of this course are to help acquire current scientific knowledge of theories, methods, and scientific findings from the field of psychology and an understanding of the importance of critical thinking when evaluating psychological material. 6. Medical Terminology: This course introduces students about basic medical terminologies used in the healthcare. How these terminologies are formed, basic parts of the medical terminologies. This course focuses on many components of a medical terms and how to break down the terms by simply knowing the meaning of suffix and prefix. It also helps students to learn how
3 to combine word to make a meaningful medical term. By learning the individual parts of medical term there is no need to memorize hundreds of medical terms and definitions. In this course we will cover all the major terms of the body systems such as, nervous, muscular, digestive, respiratory, circulatory and reproductive systems. 7. Ethical and Legal Aspects in Health Informatics: This course focuses on the ethical and legal issues in the field of health informatics. By the introduction of Electronic medical record and easy access to health information arise so many ethical and legal issues. This course is designed to give the students a brief introduction about the major ethical and legal issues in health informatics; and laws and regulations for these issues, like Liability Law, Privacy and confidentiality rules, and HIPPA guidelines. Students will examine the trends in health informatics which may impact privacy rules. 8. Communication Skills: This course describes the basic communication and communication skills in which the message is traveled successfully and is received by the receiver. There are many reasons for ineffective communication, for example, noise, lack of communication skills, lack of confidence, and lack of knowledge. This will cover in this subject. In this course the students will be familiarized about the characteristics of a good communication skills and the 7Cs of communication eg; completeness, conciseness, consideration, concreteness, clarity, courtesy, correctness 9. Information Systems in Healthcare: This course is an introduction to the use of information technology in health care settings. It explores the concept and application of major information technologies and approaches in the delivery of modern health care systems. The main focus in this course is on the processes of health information systems and how they interact for the safe and secure exchange of personal health information. In this course, students will study about basic concepts of information technology, database management system, Health information
4 management. They will learn how data is collected, analyzed, processed and role of data in decision making. 10. Hospital Statistics: This course includes instructions on how to understand, manage and manipulate the hospital related data. Hospital statistics are used for comparison of present and past performance of the hospital or clinic and guide for the planning of future development. It could also be used as an appraisal tool for the work performed by the medical, nursing and other staff or for the purpose of research. The course outlines how the collection of meaningful statistics is an important function of a healthcare setting. Students will be taught as to how the health records are the primary source of data used in compiling health care statistics and the implications of collection, analysis, interpretation and presentation of statistical data (example : number of admissions, birth and death records, bed count, surgical procedures). 11. Financial Accounting: The course introduces the students to the principles of financial accounting and provides an insight into the concepts and uses of financial accounting information in context of a business environment. The course implies the importance of financial management for the overall benefits of any organization and its role in the economic decision-making process. Primary areas of study include the theories of debits and credits, accounting journals, the accounting cycle, notes and interest, receivables and payables, accruals and deferrals, measurement and valuation of assets and liabilities (appreciation and depreciation), the determination of net profit and the preparation and analysis of basic financial statements (balance sheets). By the end, the course aims to provide the students a foundation for developing their skills in interpreting financial statements. 12. Essentials of Health Economics:
5 The course addresses the need for essentials of health economics for the purpose of better policy making in order to improve healthcare. Students will learn about the issues healthcare market environment is facing and how to ideally deal with them. The course will briefly cover the concepts of equity, principles of macroeconomics and microeconomics, relationship between economics and healthcare development, basic concept of demand and supply (law of demand and supply). In addition the course deals with health care markets (market failure-externalities), cost concepts, economies of scale and ABC costing. Towards the end, the students will be familiarized with the models of health financing and funding mechanisms and concepts of health insurance in the health sector. 13. Computer Applications 1: This course is designed to enhance the knowledge and skills of the participants in computer applications. Computer Application is a course designed to teach students how to use computer as personal and business tool through the use of applications software. Appropriate software for Introduction of computers, classifications of computers, components of digital computers will be taught. Students will also perform activities using integrated software programs. From the network side students will learn network fundamentals, networks types and network securities. 14. Computer Applications 2: This course is designed to understand the operational basics of personal computers.to learn office productivity tools for personal management as well as work productivity and hands on experience with some collaboration tools for team work and effective sharing. The Course provides a fundamental understanding of computer applications with the course focus on the Microsoft Office Applications (Microsoft Word, Microsoft Excel and Microsoft PowerPoint, Microsoft Access). The course topics include Basics and Fundamentals of computer applications. Students will also be covering the basic concepts in Computer Hardware, Software, Operating Systems, Databases, as well as the usage of the Internet and conversion of Microsoft file format into various other file formats. This
6 is a complete lab based course where students will learn these applications by working on class assignments in the lab. 15. Introduction to Database: This course is intended to provide students with an understanding of the current theory and practice of database management systems. To help them more fully appreciate their nature, the course provides a solid technical overview of database management systems, using a current database product as a case study. In addition to technical concerns, more general issues are emphasized. These include data independence, integrity, security, recovery, performance, database design principles, and database administration. This course also trains the students to design and implement a small database project using Microsoft Access, understand the role of a database management system in an organization, describe and discuss selected advanced database topics, such as distributed database systems and the data warehouse. 16. Data Mining and Data Warehouse: This course will cover the concepts and methodologies of both data warehousing and data mining. In healthcare organizations, the data warehouse is the center of the information systems' knowledge repository. Data warehousing supports informational processing by providing a solid platform of integrated, historical data from which to perform enterprise-wide data analysis. Data mining is a recent advancement in data analysis. Data mining exploits the knowledge that is held in enterprise data warehouses and other data stores by examining the data to reveal untapped patterns that suggest better ways to improve quality of product, customer satisfaction and retention, and profit potentials. The course addresses the concepts, skills, methodologies, and models of data warehousing. The course addresses proper techniques for designing data warehouses for various business domains, and covers concepts for potential uses of the data warehouse and other data repositories in mining opportunities. 17. Network Architecture and Security Issues:
7 This course covers concepts and issues pertaining to network security and architecture. Topics include mini-cases to develop a network security context. For example, we will assess the NIST (National Institute of Standards and Technology) unified information security framework. This framework is supported by information security standards and guidance, such as a risk management framework (RMF) and continuous monitoring (CM) process. Applied cryptography and information security encryption algorithms, hash algorithms, message integrity checks, digital signatures, security assessment and authentication, authorization and accounting (AAA), security association, and security key management (generation, distribution, and renewal) are discussed with consideration given to emerging cryptographic trends, such as the evolution and adoption of NSA s (National Security Agency s) Suite B cryptography. This course presents network and network security architecture viewpoints for selected security issues, including various security mechanisms, different layers of wired/wireless security protocols, different types of security attacks and threats and their countermeasures or mitigation, Next Generation Network (NGN) security architecture that supports the merging of wired and wireless communications, and Internet Protocol version 6 implementation and transition. The course concludes with more comprehensive cases that consider cloud computing security architecture issues. 18. Database Management Systems: An introduction to computer databases which examines the basic functions and capabilities of database management systems (DBMS). Emphasis is placed on the use of DBMS in solving information processing problems which will include database design case studies as well as SQL programming assignments. A class project may be assigned to each team. Topics include discussions of relational algebra, data structures, host language programming, indirect and direct file organization, and DBMS models including distributed, client/server and relational models. Also examined are storage devices, data administration, and database administration, as well as database analysis, design, and implementation. The students will be familiarized with the concepts of a DBMS and how it is used in information systems, able to identify the information and
8 processing needs of the organization, and to produce an entity-relationship model for a simple system from system analysis. The students will be trained to develop the database system using CASE tools; and familiar with what it means to develop and implement a DBMS in an organization. 19. Project Management: This course addresses the basic nature of managing general projects, not specially focuses on one type of project.. The course uses the project life cycle as the organizational guideline, and contents will cover the whole process of project management, including project initiation, project planning, project implementation and project termination. We will study the characteristics of project and project management, look at how to define a project, how to organize a project, how to plan a project, how to implement, trace and control a project, and how to terminate and post-evaluate a project. Topics will include: basic concepts of project and project management, project selection, project definition, project organization structure, team building, communication and conflict management, project planning methods and techniques, resource allocation, project monitoring and control, project termination. The course will be taught in the way of lecturing, discussing, case analyzing, and class exercising. 20. Systems Analysis and Design Methodology: This course introduces the evolving methodologies for the analysis, design, and development of an information system in healthcare. The course covers the important concepts and theories of systems analysis and designing, organizational structure, human computer interaction, and information processing; role of information systems analyst in an organization, structured analysis and modeling techniques, object oriented analysis and design, as well as unified modeling language. The course also exposes students in designing the flow of information in a healthcare setup by using special tools such as Visio to chart the data flow diagram and processes of information management. Upon the completion of this course, the students will have necessary skills such as problem analysis, systems project planning and management, design principles, quality factors,
9 system implementation and maintenance issues, and issues and trends in the analysis and design of health information management systems. 21. Health Data Classification and Coding Systems: This course focuses in-depth on the diseases and procedures classification using the International Classification of Disease (ICD-9 & ICD-10) Clinical Modification (CM) and Current Procedure Terminology (CPT). This course is designed to introduce the students to the brief history of medical insurance, medical coding classification and CPT classification systems. The course will expose the students to the basic principles of coding healthcare data using ICD-9-CM, understanding the application of ICD-9-CM coding guidelines, various components of ICD-9-CM such as, modifiers, E-codes, V- codes, Evaluation and Management (E/M) codes, and CPT procedure codes. The students will be familiarized with the Superbill and CMS-1500 forms which are commonly used in healthcare for reimbursement. Upon completion of this course, the students will learn the basic skills in understanding how the different types of codes come together on the claim form in order to pass on the correct diagnosis and procedure to the insurance company by sketching the complete story about any doctor-patient encounter. 22. Professional Practice: This course provides the opportunity to students to evaluate their strengths and weaknesses prior to stepping in professional life. The students will be given extra time to utilize AHIMA s virtual laboratory to practice the important skills relevant to medical coding, electronic health records portal design, as well as discuss with mentors about their future plan and choosing the right field in health informatics. The students will be assigned one day in a tertiary hospital to get familiar with the health information management tasks such as patient registration, chart tracking, document imaging, release of information, billing and coding of diseases.
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