ICS 411 Health Information Management (3 Credits Elective) Course Duration: Three Hours per Week for 15 weeks (45hours) As taught in 2012/2013 session Developer: Adeyinka Adedoyin M.Sc. (Greenwich), B.Eng (Ilorin), Department of Information and Communication Science, Faculty of Communication and Information Sciences, University of Ilorin, Ilorin, Nigeria. Email: yinkaadedoyin22@yahoo.com Office Location: Consultation Hours: COURSE DETAILS Course Content: Integration of Multiple topics into an understanding of clinical health care Information System History, Architecture, and Design. The needs of multiple disciplines will be explored to understand how they can share, communicate, and manage patient information using clinical Information Standards. Course Description The course is specifically designed to prepare students to thrive in a technology support and information-driven health care environment; thus this will be achieved by studying the fundamental concepts and principles of health information management and service quality, Knowledge management, health information strategy, System analysis and design, health information governance (Security, privacy and Legal Issues), and clinical data records. Justification Due to the need to operate an efficient and effective health information management system in the global society, this course will enable students to learn how to develop critical and analytical skills in enhancing the development of health care information management and services.
Course Objective The aim of this course is to introduce and provide a fundamental understanding of information management in the health care environment. At the completion of the course students will be able to: 1. Show basic understanding of concept and principles of health information management. 2. Identify the roles of health information strategy and the value it provides to the national health care system. 3. Demonstrate leadership and management skills within a modern and complex health care organization. 4. Apply information governance concepts to effectively manage information within a health care environment. 5. Assess issues in health information management system in Nigeria and suggest possible ways of overcoming those issues/challenges. Course Requirements This is an Elective course in the Information and Communication Science Department; however Students are expected to participate in the entire course activities. Students are required to contribute to the class discussions and read all recommended texts. They are expected to attend 75% of the classes before they can sit for the examination. It is compulsory for all students to contribute to the online discussion group and to submit their assignments in MS Word Format as and when due. Methods of Grading No Types of Grading Score 1 Participation in class, Contribution to on-line discussion group. 10% 2 Class Assignment. 10% 3 Test (s) 10% 4 Final Examination 70% 5 Total 100% Course Delivery Strategies Face to face lecture, class discussion, Course work, online interaction. Basic lecture notes will be provided to the students.
LECTURE CONTENT Week 1: Introduction to Health information management and service delivery Objective: At the end of the lectures, students should have overview of the course (Health Information management), and demonstrate understanding of what health information management is, and the quality of different health service delivery Description: First and Second Hour (Week 1) Course Outline Introduction to Health information management. Introduction to fundamental concepts and principles of Health Information service delivery. Third Hour (Week 1) Reading List: 1. What is health information? 2. What is health information management? 3. How do you plan control resources within a health care environment? 4. How do you control resources within a health care environment? 5. How do you bridge the gap between expectations and perceptions of health information management? 1. Prof. Joshua Shemer 3 (March 2010);Health Information management systems in modern health care, The Israeli center for Technology Assessment in Health Care Barcelona. http://www.worldofhealthit.org/sessionhandouts/documents/pl9-2-shemer.pdf Visited on July 7, 2012. 3:10pm. 2. Marc Berg 3 (Dec 2003); Health Information management: Integrating Information and Communication Technology in Health Care work, pages 3-97, Visited on July7, 2012. 6:00 pm 3. Merida L. Johns 3 (2000), Health Information Management Technology; American Health Information Management Association. http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_015899.pdf Visited on July8, 2012. 9:00am.
Week 2: Fundamentals of Health Information Management Objective: At the end of the lectures, students should demonstrate understanding of fundamental concepts and principles of Health Information management, the scope and types of health information. Description: First Hour (Week 2) Fundamental concepts and principles of Health Information Management Types of Information that are of core importance to the health care sector Scope of Health Information Second Hour (Week 2) Scope of Health Information Service delivery. The following will be covered: Methodologies for the planning and control of resources within the health and social care environment. Means of quality measurement and control and their suitability in ensuring the delivery of an appropriate and consistent service in line with the expectations of the service user. (i.e bridging the link between expectations and perceptions). Third Hour (Week 2) Reading List: 1. List and explain types of information management. 2. Why the need for health information management system? 3. How do you plan and control resources within health care environment? 4. How do you bridge the gap between expectations and perceptions of health information management? 5. What are the activities of health information management professionals? 1. British Columbia ehealth Strategy Council (October 2009); Health Sector Information Management/Information Technology Strategy, British Ministry of Health Services http://www.health.gov.bc.ca/library/publications/year/2009/hsimit_strategy_2009.pdf Visited on July8, 2012. 10:00am. 2. Kathy Ertter 3 (2004); Health Information Management Technology, Lakeland college http://www.lakelandcc.edu/academic/sh/himt/ppt_presentation.pdf Visited on July8, 2012. 9:30am.
3. Donna Faye McHaney 3 (2006); Information Management and Technology, Jones and Bartlet Publishers, LLC. http://www.jblearning.com/samples/0763757144/57144_ch13_428_452.pdf Visited on July8, 2012. 1:30pm. Week 3 and 4: Health Information Strategy Objective: At the end of the lecture, students would have adequate knowledge of the role of Information strategy and the value it provides to the national health care system. Description: First Hour (Week 3) Overview of Health Information Strategy Principles and objectives of health information strategy Second Hour (Week 3) The transformation of the healthcare system and the strategic shift in focus from the treatment of disease to effective management of the health information. Third Hour (Week 3) First Hour (Week 4) The role that Information systems and technology plays in that strategy Second Hour (Week 4) Integrated Information system tools that are essential for the operation of the healthcare information management. Third Hour (Week 4) 1. Why do we need health information strategy? 2. Who should be responsible for health information system strategy within a health care environment? 3. Describe the approaches for developing health information strategy? 4. Assess the suitability of tools for selection and generation of health information strategy. 5. How can healthcare centres evaluate and control the effectiveness of its health information strategy?
Reading List: 1. Roinn A., Slainte A. Leanai 3 (2003); Health Information A National Strategy, Department of Health on Children Hawkins House Dublin 2. http://www.lenus.ie/hse/bitstream/10147/46713/1/1767.pdf Visited on July 9, 2012. 11:00pm 2. Ministry of Health & Population 3 (2002), Health Sector Information System National Strategy; Government of Nepal, pages 6-12 http://www.mohp.gov.np/english/files/new_publications/8-health-sector- Information-Strategy.pdf visited on July 9, 2012. 4:00pm 3. Ministry of Health Roma Italy 3 (2011), The National ehealth Information Strategy; National context, state of implementation and best practices http://www.salute.gov.it/imgs/c_17_pubblicazioni_1653_allegato.pdf Visited on July 9, 2012. 5:30pm 4. World Health Organization 3 (November 2011), Monitoring, evaluation and review of national health strategies: A country-led platform for information and accountability, pages 2-21. Visited on July 9, 2012. 5:35pm http://www.internationalhealthpartnership.net/fileadmin/uploads/ihp/documents/ Tools/Guidance_for_monitoring_NHS/Monitoring%20&%20evaluation%20of%2 0national%20health%20strategies.pdf Week 5 and 6: Health Information System Analysis Objective: At the end of the lecture, students should be able to understand various issues that can arise in the early stages of system development in a health care system; different approaches that can be used to identify, record and manage requirements within the systems lifecycle so that they can model how information system context can fit in to the health care system business process. Description: First and Second Hour (Week 5) Health Data and Information (Types of Information: Operational, tactical, strategic and statutory-why do we need information systems management structure- requirements of information at different levels of management requirements of information for various functions qualities of information) Third Hour (Week 5)
First and Second Hour (Week 6) Overview of Health Information System analysis (Requirement determination, requirement specification, feasibility analysis, final specifications, hardware and software study, system implementation, system evaluation, system modification, and tools used in system analysis. Third Hour (Week 6) 1. List and explain the different types of Health data and information? 2. What is health information system analysis? 3. Why is it important to use systems analysis & design methodologies when building a system? 4. List and explain health information data sources. 5. Describe the methodologies that can be used to design and develop health information and clinical decision support systems? Reading List: 1. World Health Organization 3 (June 2008); Framework and Standards for Country Health Information Systems, Second Edition, pages 11-49, http://www.who.int/healthmetrics/documents/hmn_framework200803.pdf Visited on July 9, 2012. 10:00pm 2. E. Ammenwerth, F. Ehlers, R. Eichstädter, R. Haux, U. Pohl, and F. Resch 3 (2002), Systems Analysis in Health Care: Framework and Example; http://www.elske-ammenwerth.de/publikationen/z10.pdf Visited on July 9, 2012. 10:20pm 3. Jeffrey A., Joey F. George, Joseph S. Valacich 4 (2008); Modern System Analysis & Design, Fifth Edition, Pearson international edition, pages 3-31. Week 7: Test and Review of Test questions Objective: To administer a test towards continuous assessment at the end of which test questions will be reviewed and discussed with students. Description: First Hour (Week 7) Administration of test Second and Third Hour (Week 7) Review and discussion of test questions
Week 8 and 9: Health Data Management Objective: At the end of the lecture, students should have understanding of data needs of health care organizations, database management systems and services. Description: First Hour (Week 8) Introduction to health data management system Need for health data management Second Hour (Week 8) Data architecture, design, analysis and data modeling for potential health data repository/ warehouse. Data management plan (procedures for data entry, validation rules, queries, extraction and authentication) Third Hour (Week 8) Tutorials (study questions solving in form of Class interaction) First Hour (Week 9) Database management (data maintenance, administration, and mapping across related clinical or external system) Second Hour (Week 9) Data quality management (data Integrity, data quality and quality assurance) Health Data management services and their benefits. Third Hour (Week 9) 1. What is Health data management system? 2. Why the need for health data management? 3. Describe the scope and purpose of paper based and electronic health records 4. What are the fundamental requirements of clinical data management software s? 5. List health data management services and their benefits. Reading List: 1. Zhengwu Lu, Jing Su 3 (June 2010); Clinical data management: Current status, challenges, and future directions from industry perspectives, Open access journal of clinical trials pg 93 96, www.dovepress.com/getfile.php?fileid=6592 Visited on July 10, 2012. 5:30am
2. Global Health Trials.org 3 (Nov 2009); Introducing OpenClinica, Research, Guidance, Training, Professional Development & Resources, globalhealthtrials.tghn.org/site_media/.../intro_to_openclinica.ppt Visited on July 10, 2012. 6:00am 3. Richard K. Rondel, Sheila A. Varley and Colin F. Webb 3 (Jan 2002); Clinical Data Management, pages 89-107 & 123-141, ISBN: 9780471983293. Visited on July 10, 2012. 6:20am 4. Susanne Prokscha (2007) 3, Practical Guide to Clinical data management, Second Edition, Taylor & Francis Group Boca Raton London New York. Pages 3-8, http://faculty.ksu.edu.sa/hisham/documents/ebooks/practical%20guide%20to%20clinic al%20data%20management,%202nd%20ed.pdf visited on July 10, 2012. 7:00am Week 10 and 11: Leading and Managing People in Health Objective: At the end of the lecture, students would understand the theory and practice of effective leadership and management in modern, complex healthcare organizations and identify the characteristics of successful organizations, groups and individuals within the context of health care. Description: First Hour (Week 10) Nature of leadership and management in healthcare settings. Second Hour (Week 10) Issues involved in managing multidisciplinary teams, employment relations and individual behavioral change effectively in a health care arena. Third Hour (Week 10) First & Second Hour (Week 11) Characteristics of successful organizational cultures and concepts such as the psychological contract and the role of HR practices Third Hour (Week 11)
1. Compare and contrast the role of leadership at different levels of management. 2. Identify various leadership styles and the factors that might cause one to choose a particular style in a particular system. 3. Discuss the role of community participation in the success of health organizations and identify the role of leadership in fostering such participation. 4. Define organizational culture and identify the decisions that leaders must make in creating specific cultures. 5. Define the role of the leader in recruiting and retaining good employees and in motivating employees and community partners. Reading List: 1. Sharon Mickan and Rosalie A Boyce 3 (2006); Organizational Behavior: understanding people in healthcare organizations; Allied Health Professions - Essential Guides, chapter 9 pages 155-177. Visited on July 10, 2012. 9:30am 2. Amsale Cherie and Ato Berhane Gebrekidan 3 (2005), Nursing leadership and management; Addis Ababa University, pages 81-130. http://www.cartercenter.org/resources/pdfs/health/ephti/library/lecture_notes/nursing_stu dents/ln_nsg_ldrshp_final.pdf Visited on July 10, 2012. 9:50am 3. Nick Forster 3 (2005); Maximum Performance: A Practical Guide to Leading and Managing People at Work; ISBN 1845420004, pages 6-53. Visited on July 10, 2012. 9:55am 4. R H Penny Ltd 3 (Sept 2008); National Health Leadership Programme: Leading Transformational Change and Performance Improvement; http://www.rhpennyltd.com/resources/file/national-health-leadership-prog-2009.pdf visited on July 10, 2012. 10:10am Week 12 and 13: Health Information Governance and Accountability (Security, privacy and Legal Issues) Objective: At the end of the lectures, students should understand and be able to apply information governance concepts to effectively manage information within a health care environment. In addition students will have the ability to assess the risks involved in retrieval and storage of information, and have the knowledge of relevant legislative requirements to instill trust and confidence in their patients.
Description: First and Second Hour (Week 12) Background of Health Information policy & Security Information authorization & Integrity in Healthcare system Threats to health Information Privacy Third Hour (Week 12) First and Second Hour (Week 13) Information Security Risk management International best practices of health care information Health information processing policies, Ethical and Legal Issues Third Hour (Week 13) 1. What is Information Governance? 2. What is Information privacy and security? 3. What is information security risk management? 4. How do you management the integrity of information s in a health care environment? 5. List and explain threats that threaten health information system privacy? Reading List: 1. Ajit Appari and M.Eric Johnson (August 2008) 3, Information Security and Privacy in Healthcare: Current State of Research; Center for digital strategies Tuck School of Business Dartmouth College, Hanover NH. http://www.ists.dartmouth.edu/library/416.pdf Visited on July 10, 2012. 11:30am 2. Eliana Stavrou and Andreas Pitsillides 3 (2006); Securing Mobile Healthcare Systems based on Information Classification: DITIS Case Study http://seacorn.cs.ucy.ac.cy/papers/files/securingmobhc.pdf visited on July 10, 2012. 11:35pm 3. Joris Hulstijn, Jan van der Jag and, Pieter Heijboer 3 (2009); Integrity of Electronic Patient Records, http://homepage.tudelft.nl/w98h5/articles/epd.pdf
4. Joint NEMA/COCIR/JIRA Security and Privacy Committee 3 (SPC) (Oct 2007); Information Security Risk Management for Healthcare Systems, http://www.medicalimaging.org/wp-content/uploads/2011/02/information- Security-Risk-Management-for-Healthcare-Systems.pdf Visited on July 10, 2012. 12:00pm 5. Blackmer W. Scott 3 (May 2006), Information Governance; Information law group library, http://www.infolawgroup.com/2010/05/articles/privacy-law/informationgovernance/ Visited on July 11, 2012. 10:40am 6. National Health Board 3 (Oct 2011); Information Governance in the NZ Health Sector version 2.2., Information strategy Group National Health Board Group, http://www.ithealthboard.health.nz/sites/all/files/information%20governance%20 in%20the%20nz%20health%20sector%20- %20A%20Discussion%20Document.pdf Visited on July 11, 2012. 11:00am Week 14: Current Health Information management issues in Nigeria Objective: Description: At the end of the lecture, students will be able to identify issues affecting our health information managements system, and make innovative suggestions based on what they have being taught on how to overcome those challenges. First & Second Hour (Week 14) Current issues related to: Health information management Health care policy analysis and development Structure of health care delivery systems Ethical issues Access to and quality of health care services Third Hour (Week 14) Tutorials (Study questions solving, in form of Class interaction) 1. Identify issues affecting Nigeria health information management? 2. Asses the structure of Nigeria health care delivery system. 3. List and explain factors that undermine the effective delivery of health care services. 4. Identify ethical issues in the Nigeria health care environment. 5. Highlight ways in which those challenges can be resolved.
Reading List: 1. Femi Aina 3 (August 2010), Solving Nigeria s Healthcare challenges: Nigeria Plus http://www.nigeriaplus.com/solving-nigeria%e2%80%99s-healthcare-challenges-byfemi-aina/ visited on July13, 2012. 11:30am 2. David Eboh 3 (Jan 2009), Health of Nigerians and Hospitals Management Failures: Nigerian Village square. http://www.nigeriavillagesquare.com/articles/david-eboh/healthof-nigerians-and-hospitals-management-failures.html visited on July 13, 12:10pm 3. Helen K. Opadeji 3 (2009), Health Information Management Skills and ICT Staff Training needs in a Nigerian tertiary medical library: Library Philosophy and practice 2009. http://www.webpages.uidaho.edu/~mbolin/komolafe-opadeji.htm visited on July 13. 12:20pm Week 15: Revision This week is meant for revision of all topics and sub topics that have been discussed in the last fourteen weeks. Students are required to ask questions related to the course to facilitate better understanding. In addition, Students will be asked different questions related to this course in order to assess their level of understanding. 1. When it comes to creating policies for handling personal data in a health care environment, who decides? 2. How are policies decisions on health information made and kept up to date? 3. Describe health information with respect to standards, privacy, confidentiality, security and legal issues. 4. Why technology in clinical data management? 5. Develop a process map for a given health process workflows within a complex health care system. Reading List: 1. Susan Loioyd and Jim McDearmon 3 (August 2010); Information Technology Initiatives Health Information Strategic Plan: Office of Health Information Enterprise System Management (ESM). www.vehu.va.gov/vehu2010/ppt/197_vehu.ppt Visited on July 9, 2012. 6:00pm
2. Terrell W. Herzig 3 (May 2010); Information Security in Healthcare Managing Risk, http://www.himss.org/content/files/herzigpreview.pdf Visited on July 11, 2012. 10:30am 3. Peter Idowu, Dan Cornford and Lucy Bastin 3 (2008), Health Informatics Deployment in Nigeria; Journal of Health Informatics in Developing Countries http://www.jhidc.org/index.php/jhidc/article/viewfile/11/44 visited on July 19, 2012 3:30Am. 4. Olutola M. Obembe and Oloruntoba S. Ogundele 3 (Dec 2009), an information databank framework for the health care industry in Nigeria, http://ijcir.org/volume3- number2/article6.pdf visited July19, 2012. 3:41Am LEGEND: 1 - Available in the university Library 2 - Available in local bookshops 3 - Available on the Web 4 - Personal collection 5 - Departmental library