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HIM 115 Health Information Technology I
Credit Hours:  2
Effective Term: Fall 2017
SUN#: None
AGEC: None  
Credit Breakdown: 2 Lectures
Times for Credit: 1
Grading Option: A, B, C, D, F

Description: Introduction of fundamental concepts of health information management with an emphasis on healthcare delivery systems across the continuum of care focusing on payment methodologies, external standards, state and federal regulations, and initiatives governing health information. Healthcare professionals and disciplines will be examined along with ethical standards of practice. Prerequisite: RDG100.

Prerequisites: RDG100

Corequisites: None

Recommendations: None

Measurable Student Learning Outcomes
Domain I. (Comprehension Level) Data Content, Structure & Standards (Information Governance) (CSLO 2, 4)

Subdomain I.A Classification Systems
1. Apply diagnosis/procedure codes according to current guidelines
2. Evaluate the accuracy of diagnostic and procedural coding
3. Apply diagnostic/procedural groupings
4. Evaluate the accuracy of diagnostic/procedural groupings
Subdomain I.B. Health Record Content and Documentation
1. Analyze the documentation in the health record to ensure it supports the diagnosis and reflects the patient's progress, clinical findings, and discharge status
2. Verify the documentation in the health record is timely, complete, and accurate
3. Identify a complete health record according to, organizational policies, external regulations, and standards
4. Differentiate the roles and responsibilities of various providers and disciplines, to support documentation requirements, throughout the continuum of healthcare

Subdomain I.C Data Governance
1. Apply policies and procedures to ensure the accuracy and integrity of health data

Domain II. (Comprehension Level) Information Protection: Access, Disclosure, Archival, Privacy & Security (CSLO 2, 4)

Subdomain II.A. Health Law
1. Apply healthcare legal terminology
2. Identify the use of legal documents
3. Apply legal concepts and principles to the practice of HIM
Subdomain II.B. Data Privacy, Confidentiality & Security
1. Apply confidentiality, privacy and security measures and policies and procedures for internal and external use and exchange to protect electronic health information
2. Apply retention and destruction policies for health information

Subdomain II.C. Release of Information
1. Apply policies and procedures surrounding issues of access and disclosure of protected health information
Domain III. (Application Level) Informatics, Analytics and Data Use (CSLO 2,4)

Subdomain III.A. Health Information Technologies
1. Utilize software in the completion of HIM processes
2. Explain policies and procedures of networks, including intranet and Internet to facilitate clinical and administrative applications

Subdomain III.E. Research Methods
1. Explain common research methodologies and why they are used in healthcare

Domain IV. (Knowledge Level) Revenue Management (CSLO 2)

Subdomain IV.A. Revenue Cycle and Reimbursement
1. Apply policies and procedures for the use of data required in healthcare reimbursement

Domain V. (Knowledge Level) Compliance (CSLO 2, 4)

Subdomain V.A. Regulatory
1. Analyze policies and procedures to ensure organizational compliance with regulations and standards
2. Collaborate with staff in preparing the organization for accreditation, licensure, and/or certification 3. Adhere to the legal and regulatory requirements related to the health information management
Subdomain V.B. Coding
1. Analyze current regulations and established guidelines in clinical classification systems
2. Determine accuracy of computer assisted coding assignment and recommend corrective action

Subdomain V.C. Fraud Surveillance
1. Identify potential abuse or fraudulent trends through data analysis

Subdomain V.D. Clinical Documentation Improvement
1. Identify discrepancies between supporting documentation and coded data
2. Develop appropriate physician queries to resolve data and coding discrepancies

Domain VI. (Application Level) Leadership (CSLO 2,3, 4)

Subdomain VI.A Leadership Roles
2. Apply the fundamentals of team leadership

Subdomain VI.F. Strategic and Organizational Management
3. Describe the differing types of organizations, services, and personnel and their interrelationships across the health care delivery system

Subdomain VI.H. Ethics
1. Comply with ethical standards of practice 2. Evaluate the consequences of a breach of healthcare ethics 3. Assess how cultural issues affect health, healthcare quality, cost, and HIM
4. Create programs and policies that support a culture of diversity

Internal/External Standards Accreditation