AHE 233 Introduction to Health Informatics Curriculum



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IT for Healthcare: One-Year Certificate Program AHE 233 Introduction to Health Informatics Curriculum This curriculum consists of a Course Syllabu s, 11 lesson plans, assignments and exams Course Syllabus/Overview Developed by NORTH SEATTLE COMMUNITY COLLEGE Funded by the Seattle Community-Based Health Care Training Partnership Project Seattle CENTRAL Community College NORTH Seattle Community College SOUTH Seattle Community College SVI Seattle Vocational Institute This product was funded by a grant awarded under the President s Community-Based Job Training Grants as implemented by the U.S. Department of Labor s Employment & Training Administration. The information contained in this product was created by a grantee organization and does not necessarily reflect the official position of the U.S. Department of Labor. All references to nongovernmental companies or organizations, their services, products, or resources are offered for informational purposes and should not be construed as an endorsement by the Department of Labor. This product is copyrighted by the institution that created it and is intended for individual organizational, non-commercial use only.

AHE 233 Introduction to Health Informatics Course Syllabus AHE 233: Introduction to Clinical Software Instructor: Loretta Ryan Office: Instruction Building 2406D Office Hours: By Appointment and Monday 1pm -3pm Telephone: (206) 528-4566 E-mail: lryan@sccd.ctc.edu Web Site: http://facweb.northseattle.edu/lryan/ Course Overview This course will introduce Health Informatics including definitions, theory, technologies, workflow and expectations in the informatics field, tools, and professional organizations. As I have been a Clinician for over 20 years, and working in Information Technology for over 10 years with a wide range of experience in both IT and in the Healthcare Industry (ranging from Home Health to ICU/CCU, from Helpdesk to Clinical IT Specialist) I understand this first hand. Class material will involve discussions, computer lab, and guest speakers. Required Textbook(s): Englebardt, Sheila, Nelson, Ramona (2002) Health Care Informatics An Interdisciplinary Approach, Mosby Recommended Textbook(s): I will suggest web sites, manuals, and books for research and class assignments. Required Materials and Aids: CL cost Course Outline: Week 1: Major Theories and Healthcare Informatics Literacy Week 2: Databases Week 3: Supporting Administrative and Clinical Decision Making Week 4: Structure and Application of HIS Week 5: Strategic Planning and Life Cycle of HIS Week 6: Communication, Technology, and Education Week 7: ehealth Trends and Research Week 8: Impact of Informatics Week 9: Technical and Professional Informatics Standards Week 10: Accreditation and PHI Week 11: Future and Directions of Informatics AHE 233 Introduction to Health Informatics Course Syllabus 1 of 5

COURSE GRADING As course instructor, I believe that my role is to create an exciting learning experience that will help you learn and achieve the outcome goals of this class, to clearly communicate my expectations, and to be responsive to individual learning styles and needs. It is my expectation that the student will assume responsibility for their learning by completing assignments, actively participating in class sessions and clearly communicating needs to me. You are responsible for attendance. Missed lecture and lab material may be obtained from your class members. Any behavior deemed by the instructor to be disruptive to the class may be cause for dismissal under the provisions of the Student Code of Conduct. Upon successful completion of this course, you will be able to: 1. Define Health Information Systems and explain what the two main categories. 2. Explain Clinical Information Systems and Administrative Information Systems. 3. Identify the different reporting systems. 4. Define and identify differences in databases. 5. Define security profiles and administrative functions. 6. Explain the differences between Integrated Systems and Modular Systems 7. Define Interfaces and explain the function of an interface. 8. Identify the differences between Home Health and Hospice Software, Maternal Infants, and Electronic Medical Records Practice Management for Physician Offices and Clinics. 9. List different functions of Imagining and Service Desk software. There will be two examinations (a Mid Term and a Final), eleven weekly assignment (you will be able to either drop one assignment or do all eleven and earn extra credit), and one in class project that will involve weekly labs. This project is 200pts, 50 pts will be from class participation, 50 points from peer evaluation, and 100 points instructor evaluation. There is a weekly reading assignment at the end of this syllabus please come to class prepared each week! Both Mid Term and Final will have questions based on YOUR READING! Extra Credit will be available upon request from the instructor. Your final grade will be calculated as follows: Weekly Assignments Class Project: Mid Term/ Final 100 points 200 points 100 points Decimal grade 4.0-3.9 A 3.8-3.5 A- 3.4-3.2 B+ 3.1-2.9 B 2.8-2.5 B- 2.4-2.2 C+ 2.1-1.9 C 1.8-1.5 C- 1.4-1.2 D+ 1.1-0.9 D 0.8-0.7 D- Letter grade equivalent NOTE: The last day to change audit/credit status is Friday, November 16. If you have stopped attending class but have not officially withdrawn or changed to audit by that date, your grade will be 0.0. AHE 233 Introduction to Health Informatics Course Syllabus 2 of 5

CLASSROOM POLICIES Guidelines for Student Conduct: You are expected to comply with student conduct policy and procedures. Information on student responsibilities and rights is available at the following website: www.seattlecolleges.com/services Cell Phone Etiquette: To avoid disruption of class, please either turn off your cell phone or put it on silence/vibrate. Academic Honesty: (plagiarism, exam conduct, etc.) Academic honesty is highly valued at NSCC. You must always submit work that represents your original words or ideas. If any words or ideas are used that do not represent your original words or ideas, please cite all relevant sources both in the text and in the references listing at the end of the paper. Absence: If you anticipate being absent from class when you need to turn in an assignment, project, or take exams, you are STRONGLY encouraged to notify me in advance. Repeated absence may interfere with your work and result in a lower grade. Make-up examinations will not be given and you will need to discuss alternatives with me. STUDENT SUPPORT SERVICES Students are encouraged to seek campus support services when necessary to support their learning and academic progress. Refer to student handbook, brochures/flyers, or college website for information about: http://www.northseattle.edu/services/ Educational Access Office (accommodations) Disability Accommodations Tutoring Services Library LOFT Writing Center Counseling Women s Center Multicultural Services Office Wellness Center Classroom Diversity Statement: Respect for diversity is a core value of NSCC. Our college community fosters an optimal learning climate and an environment of mutual respect. We, the college community, recognize individual differences. Therefore, we are responsible for the content and tone of our statements and are empathetic speakers and listeners. American Disability Act: If you need course adaptations or accommodation because of a disability; if you have emergency information to share with your instructor; or if you need special arrangements in case the building must be evacuated; please make an appointment with your instruction as soon as possible AHE 233 Introduction to Health Informatics Course Syllabus 3 of 5

READING ASSIGNMENTS Week One Chapter 1 and 2 Week Two Chapter 3 Week Three Chapter 4 and 5 Week Four Chapter 6 and 7 Week Five Chapter 8 and 9 Week Six Chapter 11 and 12 Week Seven Chapter 13 and 16 Week Eight Chapter 14 Week Nine Chapter 17 and 18 Week Ten Chapter 19 and 20 Week Eleven Chapter 22 and 23 WEEKLY ASSIGNMENTS Week 1: Draw a model of your definition of informatics in your discipline. Check out these Web sites for some examples: A. An Overview of Nursing Informatics B. A Mathematical Model of Communication (p. 2) OR Select one of the models described in the chapter on change management. Discuss how it might be used to evaluate a clinical-information or communication-technology implementation from a recent or current practice setting. Consider the following questions: A. Does the model include relevant concepts that are operating in the setting? B. Can relationships between the concepts be identified easily in the model? C. Could the model be used to structure an implementation evaluation by concretely identifying key elements of the change? Week 2: The Combined Health Information Database is a bibliographic database produced by health-related agencies of the federal government. This database provides titles, abstracts, and availability information for health information and health education resources. Explore how a health care consumer might find the answer to a simple health-related question. Does this database easily provide answers to simple queries? How might it be improved? Week 3: Health Information Sites Many health care organizations are now providing information to clinicians and consumers on their Web sites. Virtual Hospital is a popular health information site for clinicians and consumers. Under "What's New on the Virtual Hospital", could a database be developed that might make it easier to find new information for the users visiting this site? How might you structure a database of this information? Week 4: Securing Health Care Data - Increasingly, organizations are adopting ways to implement the Health Information Portability and Accountability Act of 1996 (HIPAA), especially in the areas of privacy and security. Review "Emergency Care" at and develop a list of important elements that might need to be considered as health care information goes online. AHE 233 Introduction to Health Informatics Course Syllabus 4 of 5

Week 5: e-veloping Data Integrity Policies - Imagine you have been asked to develop policies related to data integrity. What kinds of resources would you use to create a framework of policies? Describe how and where you might explore the Internet for resources related to data integrity. Week 6: Online Learning Experiences - Imagine that you are thinking of enrolling in a completely online course in which you will not physically meet the other students or the teacher. Identify the benefits and barriers of this kind of learning experience. How would you determine whether this type of course is right for you? List one or two resources (online or print) that you might use. Week 7: Barriers, Challenges, and Concerns for ehealth - The chapter concludes with a list of barriers, challenges, and concerns for ehealth. After assessing the definitions of ehealth and reviewing Web sites with a focus on ehealth, determine whether the list is complete. What would you add? Is there anything you would delete? What criteria did you use for your assessment? Week 8: Organizational Differences of Health Care Organizations - Perform a Web search for examples of an integrated health network and a traditional health care organization. Can you tell the differences between these organizational structures from their Web sites? What are the discriminating features? Week 9: Professional Code of Conduct - Review information related to the professional code of conduct posted at Web sites for several health care providers. Some examples of organizations with such Web sites include the American Medical Association (AMA), American Pharmaceutical Association (APA), and the American Nurses Association (ANA). What do these codes of conduct have in common, and how do they apply to health care informatics? Week 10: Availability of Health Care Information - Complete a MEDLINE search on HIPAA. Complete a Web search on HIPAA. Focus your attention on the data integrity elements and privacy. Summarize the results of your searches in terms of focal area, breadth of information provided, and availability. Describe how the two resources provide different yet complementary sources of data. Week 11: Educational Opportunities in Health Care Informatics - The following table identifies the various types and levels of education possible in health care informatics. After reviewing the table, search the Internet and find one or more programs for each cell in the table. Level of Education Post Doc Doctorate Masters Certificate Post-Masters Post-Bac Other Baccalaureate (major or minor) Associate Degree Educational Programs in Health Care Computing Health Care Informatics Medical Informatics Nursing Informatics Health Information Management AHE 233 Introduction to Health Informatics Course Syllabus 5 of 5

AHE 233 Introduction to Health Informatics Detailed Course Overview Healthcare Informatics Definition Health Informatics Medical Informatics Clinical Informatics Biomedical Informatics Nursing Informatics Public Health Informatics Information Science Major Theories Supporting Health Care Informatics Systems Theory Characteristics of Systems Resistance to Change Systems and the change process Function vs. purpose GIGO Information Theory Learning Theories Behavioral Theories Information Processing, or Cognitive Learning, Theories Adult Learning Theories Learning Styles Change Theories Planned Change Diffusion of Innovation Using Change Theories Change Management Understanding Databases Database Models Database Types Anatomy of Database Data views and Data Manipulation Overview of Database Features Relational and Transactional Databases Overview of Healthcare Information Technologies Modular Integrated AHE 233 Introduction to Healthcare Informatics Detailed Course Overview 1 of 6

Supporting Administrative Decision Making Overview of Administrative Decision Making and Decision Support Decision Support System Review of ERP Finance, HR, Materials Management Review of Physician Practice Management and Scheduling Emerging Developments in Administrative Decision Support Supporting Clinical Decision Making Decision Making in Clinical Care Background of Decision Making and Knowledge Representation Review data, info, knowledge decision making Decision Making in Clinical Setting Opportunities for New Approaches Using Knowledge Discovery in Large Data Sets for Clinical Decision Support System Development Requirements for Future Development of Clinical Decision Support Systems Overview of Healthcare Information Technologies Departments HIS CIS POC AIS Modular Integrated Interfaces Applications for Health Care Information Systems Systems Overview What is a CIS? Data Handling Types of System Applications AIS, ERP, and Institution Wide Apps ADT CIS Modules Documentation Systems/Nursing Module Administrative/Scheduling Operations/Email-Intranet Information System Configuration Healthcare Informatics Workflow Implementations CIS Defining Information Management Selection of Software and Hardware Upgrading CIS Support CIS Training E-Learning Project Management Informatics AHE 233 Introduction to Healthcare Informatics Detailed Course Overview 2 of 6

The Life Cycle of a Healthcare Information System Strategic Information Plan Tactical Information Plan Principles of Project Management and Organization Methods of Selecting a Vendor Product Initial Search for Information System Selection Task Force Negotiation of the Contract Agreement on the Scope of the Project Finalization of Project Details Fast Track Design and Build Methods Implementing the Project Product Evaluation Methods Maintenance Support of Ongoing Product Development A Decision to Change the Product Electronic Health Records/EMR The EMR The need for the EMR Historical Perspectives Functions and Features Costs and Benefits of the EMR ehealth, the EMR, and the Internet Achieving the Vision Factors, Forces, and Issues Affecting the Adoption of the EMR EMR Research Technological Approaches to Communication A Framework for Following Technology Trends Static and Changing Roles of Technologies VM, Pages, Fax, PDA The Internet New Communication Webinars E Learning FTP Communications Integration Linking Applications XML\HTML Technology and Distributed Education Societal Impetus to Use Technology in Education Access to Learning Role of the Teacher Uses of Technology Technology in the Classroom Tools for Teaching with Technology Online Syllabus and Assignments Communication Tools Technology in Distributed Education The World Wide Web as a Resource AHE 233 Introduction to Healthcare Informatics Detailed Course Overview 3 of 6

Technology and Distributed Education (continued) Process for Helping Faculty to Adopt Technology as an Education Strategy Quality of Internet Based Distance Education Issues of Technology and Education Consumer Education ehealth Trends and Technologies The Impact of the Internet on Health Care Providers and Patients Defining ehealth Internet Computer Standards ehealth s Emerging Sectors The Impact of Informatics on the Sociocultural Environment of Health Care The Implications of Information Technology for Research Locating Research Information The Internet and Health-Related Research Analysis of Research Data Statistical Packages Electronic Dissemination of Research Results-Sharing Results with Others Use of the Intent for Research Pro and Con Ethics of Online Research Sources of information, Support, and Organizations for Informatics Research Current Research in Health Care Informatics The Impact of Health Care Informatics on the Organization Relevance of Theories about Organizations to Health Care Informatics Open Systems Theory Definitions Information Needs and Challenges in Today s Health Care Environment Informatics Virtual Organizations Integration Advances in Health Care Informatics in the Clinical Area Smart Phone/Patient Self-Scheduling Changes in Professional Practice Due to Advances in Health Care Informatics Changes in Management Roles Due to Advances in Health Care Informatics Human Computer Interaction in Health Care Organizations A framework for Human Computer Interaction in Health Care Contexts Performing Usability Assessments Technical Standards Used In Health Care Informatics Standards Coordination and Promotion Activities Professional Organizations - PSNI AHE 233 Introduction to Healthcare Informatics Detailed Course Overview 4 of 6

Establishing International Standards ISO Committees Identifier Standards Patient/Providers Supply Labels General Communications Standards (Message Format) HL7 Cobra P1157 Medical Data Interchange Standard Specific Communications Standards DICOM Content and Structure Standards Clinical Data Representation (Codes) ASC ICD-9 Standards for Software Applications Telecommunications Standards Revisit LAN, WAN Professional Health Care Informatics Standards Ethics and Standards The People within a Health Care System Healthcare Professionals and Consumers The Content of a Health Care System Standard Languages The Context of the Health Care System Accreditation The Implications of Accreditation and Governmental Regulations for Health Care Informatics Accreditation and Certification JCAHO Role of Informatics Professional Governmental Regulation DSHS US Dept of Health Protection of Health Care Information Dimensions of performance Access Integrity Availability Transition from Paper to EMR Linking Records HIPAA Legal and Policy Implications Legal Protection Ownership and Control of PHI AHE 233 Introduction to Healthcare Informatics Detailed Course Overview 5 of 6

Career Opportunities The Future of Healthcare Informatics Assumptions, Driving forces and Guiding Principles Specialty Science Professions Future Education Programs and Health Care Informatics Future Directions in Health Care Informatics Challenges in Futures Research Purpose of Futures Studies Approaches for Predicting Trend Analysis Content Analysis Trends Influencing Health Care Informatics Future Direction in Health Care Informatics Education Jobs and Roles Regulation DNA Matching AHE 233 Introduction to Healthcare Informatics Detailed Course Overview 6 of 6

AHE 233 Introduction to Health Informatics PowerPoint Presentations Lesson Plan Week 2 Week 4 Week 5 Week 9 Title of PowerPoint Presentation Understanding Databases Applications of Health Care Systems Strategic and Tactical Planning for Health Care Information Technical Standards Used in Health Care Informatics For further Information, contact: AHE 233 Instructor: Loretta Ryan Telephone: (206) 528-4566 E-mail: lryan@sccd.ctc.edu Web Site: http://facweb.northseattle.edu/lryan/