HIT 2250 Seminar in Health Information Technology 3 Semester Credit Hours

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1 HIT 2250 Seminar in Health Information Technology 3 Semester Credit Hours Course Information Course Description: A capstone course of research and testing based on all domains and knowledge clusters of the HIT curriculum to prepare the student for national certification. Course Objectives: The objective of this course is to provide the student with a fundamental and comprehensive review of HIT program content. After successful completion of HIT 2250 Seminar in Health Information Technology the student will: 1. Be familiar with the national exam question format. 2. Demonstrate an understanding of the volume and depth of study required for the national exam. 3. Be acclimated to board test taking and test taking techniques. 4. Demonstrate the ability to critically examine the written word as expressed in examination questions. 5. Develop research abilities to find, retrieve and understand information. 6. Use problem solving methods and deductive reasoning to assist in determining correct answers on tests. 7. Evaluate test results to determine the student's strong and weak points of understanding in HIT. 8. Demonstrate the ability to apply key knowledge and concepts of Health Information Technology. 9. Meet assigned objectives within a mandated time frame. 10. Demonstrate awareness, knowledge, comprehension,

2 application, and /or evaluation of health data content, structure, standards and data sets; secondary data sources; clinical classification systems; medical science; reimbursement methodologies; healthcare statistics and research; quality management performance improvement; healthcare delivery systems; healthcare privacy, confidentiality, legal, and ethical issues; information communication technologies; data, information, and file structures; data storage and retrieval; data security; healthcare information systems; human resources; and financial and physical resources. 11. Design a personalized study play for national exam study. AHIMA RHIT Examination Competencies Below are listed the AHIMA RHIT Exam Domains which list the competencies that will be tested for on the national credentialing exam.

3 Domain I: Health Data Management Subdomain A. Health Data Structure, Content and Standards 1. Collect and maintain data sets and databases 2. Conduct qualitative analysis to assure that documentation in the health record supports the diagnosis and reflects the progress, clinical findings and discharge status 3. Apply clinical vocabularies and terminologies used in the organization's health information systems 4. Comply with national patient safety goals as related to abbreviation usage 5. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources (e.g., patient care; management; billing reports and/or databases) Subdomain B. Healthcare Information Requirements and Standards 1. Monitor the accuracy and completeness of the health record as defined by organizational policy, external regulations and standards 2. Perform analysis of health records to evaluate compliance with regulations and standards: a. Quantitative analysis b. Qualitative analysis 3. Apply policies and procedures to assure organizational compliance with regulations and standards Subdomain C. Clinical Classification Systems 1. Use and monitor 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 (e.g., APC; DRG; IPS) 5. Adhere to current regulations and established guidelines in code assignment 6. Validate coding accuracy using clinical information found in the health record 7. Identify discrepancies between coded data and supporting documentation Subdomain D. Reimbursement Methodologies 1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery (e.g., APC; DRG; RVU; RBRVS) 2. Support accurate revenue cycle through: a. Coding 3. Use established guidelines to comply with reimbursement and reporting requirements (e.g., National Correct Coding Initiative [NCCI]; Local Medical Review Policies [LMRP]) Domain 2: Health Statistics, Biomedical Research and Quality Management Subdomain A. Healthcare Statistics and Research 1. Abstract and maintain data for clinical indices/databases/registries 2. Collect, organize, and present data for: a. Administrative purposes b. Financial purposes

4 c. Performance improvement programs d. Quality management Subdomain B. Quality Assessment and Performance Improvement 1. Participate in facility-wide quality assessment program 2. Present data in verbal and written forms Domain 3: Health Services Organization and Delivery Subdomain A. Healthcare Delivery Systems 1. Comply with accreditation, licensure, and certification standards from government (national, state, and local levels) and private organizations (e.g., Joint Commission on the Accreditation of Healthcare Organizations [JCAHO]) 2. Apply policies and procedures to comply with the changing regulations among various payment systems for healthcare services such as Centers for Medicare and Medicaid Services (CMS), managed care 3. Differentiate the roles of various providers and disciplines throughout the continuum of healthcare and respond to their information needs 4. Understand the role of various providers and disciplines throughout the continuum of healthcare services Subdomain B. Healthcare Compliance, Confidentiality, Ethical, Legal, and Privacy Issues 1. Implement the legal and regulatory requirements related to health information 2. Apply regulatory policies and procedures for access and disclosure of protected health information (PHI) 3. Maintain user access logs/systems to track access to and disclosure of patient-identifiable data 4.Identify and report privacy issues/problems 5. Demonstrate and promote legal and ethical standards of practice 6. Report compliance issues according to organizational policy 7. Collaborate with staff to prepare the organization for accreditation, licensing and/or certification surveys 8. Implement health record documentation guidelines and provide education to staff Domain 4: Information Technology and Systems Subdomain A. Information and Communication Technologies 1. Use technology, including hardware and software, to ensure data collection, storage, analysis, retrieval and reporting of information 2. Use common software applications (e.g., spreadsheets; databases; presentation; ) in the execution of work processes 3. Use specialized software in the completion of HIM processes (e.g., chart management; coding; release of information) 4. Apply policies and procedures for 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 5. Protect data integrity using software or hardware technology (Note: Integrity means that

5 data should be complete, accurate, consistent and up-to-date) Subdomain B. Data, Storage and Retrieval 1. Use appropriate electronic or imaging technology for data/record storage 2. Maintain integrity of patient numbering and filing systems 3. Design forms, computer input screens, and other health record documentation tools 4. Maintain integrity of master patient/client index/enterprise Master Patient Index (EMPI) 5. Query and generate reports using appropriate software. 6. Design and generate reports using appropriate software 7. Coordinate, use and maintain archival and retrieval systems for patient information (e.g., in multiple formats) Subdomain C. Data Security 1. Apply confidentiality and security measures to protected health information (PHI) 2. Apply departmental and organizational data and information system security policies 3. Use and summarize data compiled from audit trail Subdomain D. Healthcare Information Systems 1. Collect and report data on incomplete records and timeliness of record completion 2. Maintain filing and retrieval systems for health records. Domain 5: Organizational Resources Subdomain A. Human Resources 1. Apply the fundamentals of team leadership 2. Develop and/or contribute to: a. Strategic plans, goals and objectives for area of responsibility/responsibilities b. Job descriptions 3. Develop and/or conduct Performance Appraisals 4. Participate in intra-departmental and inter-departmental teams/committees 5. Develop and implement staff orientation and training programs 6. Provide consultation, education, and training to users of health information: a. Internal users (e.g., healthcare providers; administrators) 7. Assess, monitor, and report: a. Quality standards b. Productivity standards 8. Perform staffing analysis to determine adequate coverage 9. Prioritize job functions and activities 10. Use quality improvement tools and techniques to assess, report and improve processes 11. Promote positive customer relations 12. Apply the principles of ergonomics in work process design

6 13. Comply with local, state and federal regulations regarding labor relations Subdomain B. Financial and Physical Resources 1. Determine and monitor resources to meet workload needs including staff, equipment and supplies 2. Make recommendations for items to include in budgets. 3. Monitor coding and revenue cycle processes 4. Recommend cost-saving and efficient means of achieving work processes and goals Prerequisites and Corequisites: HIT 2140 Professional Practice Experience I. This is a capstone course which pulls together all of the information learned during the HIT program. It is intended to be taken in the student's last semester of the program to prepare them for the national certification exam after graduation. Course Topics: Course topics consist of items listed in the AHIMA RHIT Examination Domains and Knowledge Clusters which is the content competencies for the national exam. These topics have been covered throughout the HIT course curriculum and will be presented for review testing. Specific Course Requirements: Successful completion of this course requires competency in the course management system used in this course. Textbooks, Supplementary Materials, Hardware and Software Requirements Required Textbooks: Health Information Management Technology 2nd Edition, by Johns, Publisher AHIMA. ISBN (The student should already have this book from previous HIT courses.) Professional Review Guide for the RHIA and RHIT Examinations 2011 by Schnering, Publisher Delmar Learning. ISBN - unavailable - book is published in January of each year. Please visit the Virtual Bookstore to obtain textbook information for this course: Supplementary Materials: Hardware Requirements:

7 The minimum requirements can be found at For specific information regarding hardware requirements for this course, please visit Software Requirements: The minimum requirements can be found at For specific information regarding software requirements for this course, please visit Assessment and Grading Testing Procedures: Review examinations and the Mock RHIT will be taken online using the course management system. Grading: This course is graded using a weighted percentage method. The grading scale is listed below. Your graded assignments are weighted as: Review Exams: 75% of total grade - the percentage grade received for each of the 10 review exams is averaged Exam 1-60 pts. Exam 2-66 pts. Exam 3-60 pts. Exam 4-73 pts. Exam 5-74 pts. Exam 6-46 pts. Exam 7-70 pts. Exam 8-68 pts. Exam 9-60 pts. Exam pts. PRG Disk Tests: 15% of total grade - the percentage grade received for the 3 tests is averaged 50 pts. each test Discussion Board 5% of total grade - 4 discussion board percentage grades are averaged - there will also be open discussions of the exams that will not be graded. Mock RHIT Exam 5% of total grade - the percentage grade on the exam is 5% of your total grade 140 pts. on exam

8 Individual Study Plan 1% Bonus grade *For specific instructions on how to calculate your grade, please see the How To Check Your Progress topic in the Getting Started Module of the content. The Mock RHIT exam Grade: ***The Mock RHIT makes up 5% of your total grade. HOWEVER, you must pass the Mock RHIT exam with a grade of 70% or above to successfully complete the course. The exam will be administered the last week of class and you will be given 2 attempts to pass it. If you do not pass the Mock RHIT and you are otherwise passing the course, you will be given an I Incomplete for the course and you will need to attempt the exam until it has been passed. At that time your final grade for the course will be recorded. Grading Scale: % A 85-92% B 77-84% C 70-76% D < 70 F **A grade of "C" or better must be earned in this course to progress in the HIT program. Assignments and Participation Assignments and Projects: See Assessment Instructions in the Content Module for specific instructions on how to complete all of the exams, tests, and discussion boards. See Schedule in the Content Module for specific due dates for all assignments. The degree of success in meeting the objectives of this course will be determined by assessing students' mastery of specific entry-level competencies as stated in the course objectives and RHIT Exam Competencies. This will be accomplished through evaluation of the students' mastery of review examinations, practice simulated computer exams, a Mock RHIT and discussion board participation.

9 Class Participation: Students are expected to communicate with the instructor as a learning resource. Students must check the course frequently for announcements, actively participate in threaded discussion boards, and respond to s as needed. Due Dates: Completion of all assignments by the required due dates is expected of all HIT professional students. A late submission may be allowed based upon extenuating circumstances at the discretion of the instructor and is subject to grade reduction. If you miss a deadline, you must contact your instructor immediately to explain your circumstances. A reset of your exam or extension of your due date may be granted. Any reset must be completed within 7 days of the original date due. Generally, no more than one reset is allowed per semester. Students who know that they may be absent at a certain time may be able to complete their assignment early. Please contact your instructor to arrange to have your assignment opened for early completion. This will not count as a reset. *It is very important to review your Schedule on a regular basis to keep up with all of your assignments. Course Ground Rules Integrity Statement: Due to the format of this course it is imperative that the student adhere to a strict code of ethics when completing this course. The exams in this course are individual tests that are to be done individually. There is to be NO collaboration, sharing, or receiving of answers. These are graded assignments that are to reflect YOUR competency in areas of HIT. The results must accurately reveal your strong points and weaknesses so you can direct more study to the weak areas before taking your national exam. In addition, there is to be no manipulation of the course management system. Any of these items will be considered cheating and will result in a grade of F for the course and possible expulsion from the program. (Remember, you will be on your own when taking the RHIT) These exams need to be treated as a serious review for your RHIT exam.

10 The review will let you understand the great volume of information that needs to be reviewed and practiced for your exam and gives you an opportunity to do this in a course setting rather than totally on your own. Guidelines for Communications Always include a subject line. Please use course to contact your instructor whenever possible. This is the most efficient way to contact your instructor. Remember without facial expressions some comments may be taken the wrong way. Be careful in wording your s. Use of emoticons might be helpful in some cases. Use standard fonts and word processing. Do not send large attachments without permission. Special formatting such as centering, audio messages, tables, html, etc. should be avoided unless necessary to complete an assignment or other communication. Respect the privacy of other class members Discussion Groups: Review the discussion threads thoroughly before entering the discussion. Be a lurker then a discussant. Try to maintain threads by using the "Reply" button rather starting a new topic. In addition to assigned discussion questions, discussion of Review Examinations after completion is encouraged. Students are encouraged to discuss topics from the exams as well as discuss test taking problems or to pose questions about content. Students may discuss why and how certain questions were answered correctly or incorrectly. Do not make insulting or inflammatory statements to other members of the discussion group. Be respectful of others' ideas. Be patient and read the comments of other group members thoroughly before entering your remarks. Be positive and constructive in group discussions. Respond in a thoughtful and timely manner. Web Resources: Columbia Guide to Online Style by Janice R. Walker and Todd Taylor Citation Styles Online

11 Library The Tennessee Virtual Library is available to all students enrolled in the Regents Degree Program. Links to library materials (such as electronic journals, databases, interlibrary loans, digital reserves, dictionaries, encyclopedias, maps, and librarian support) and Internet resources needed by learners to complete online assignments and as background reading must be included in all courses. Students With Disabilities Qualified students with disabilities will be provided reasonable and necessary academic accommodations if determined eligible by the appropriate disability services staff at their home institution. Prior to granting disability accommodations in this course, the instructor must receive written verification of a student's eligibility for specific accommodations from the disability services staff at the home institution. It is the student's responsibility to initiate contact with their home institution's disability services staff and to follow the established procedures for having the accommodation notice sent to the instructor. Syllabus Changes The instructor reserves the right to make changes as necessary to this syllabus. If changes are necessitated during the term of the course, the instructor will immediately notify students of such changes both by individual communication and posting both notification and nature of change(s) on the course bulletin board. Technical Support Telephone Support: Call Here First Hotline: Online: Technical Help for RODP/ROCE Students: or complete a ROCC Faculty Support Ticket at This address is for CMS help and is monitored on a rotating basis by all members of the RODP technical support department. Technical Help for RODP/ROCE Faculty: This address is for CMS help and is monitored on a rotating basis by

12 all members of the RODP technical support department. RODP/ROCE central office toll free number:

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