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HIM 160 Healthcare Data Management
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
Cross-Listed: None

Description: Review of clinical documentation and functions of the health record for various clinical settings. In addition, primary and secondary data sources, accreditation and regulations, and best practices for documentation impacting the continuum of care within the U.S. healthcare delivery systems are covered.

Prerequisites: HIM117

Corequisites: None

Recommendations: None

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

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

Subdomain I.D. Data Management
1. Collect and maintain health data

Subdomain I.E. Secondary Data Sources
1. Identify and use secondary data sources
2. Validate the reliability and accuracy of secondary data sources

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

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
3. Apply system security policies according to departmental and organizational data/information standards
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.B. Information Management Strategic Planning
1. Explain the process used in the selection and implementation of health information management systems
2. Utilize health information to support enterprise wide decision support for strategic planning
Subdomain III.C. Analytics and Decision Support
1. Explain analytics and decision support
2. Apply report generation technologies to facilitate decision-making
Subdomain III.D. Health Care Statistics
1. Utilize basic descriptive, institutional, and healthcare statistics
2. Analyze data to identify trends
Subdomain III.E. Research Methods
1. Explain common research methodologies and why they are used in healthcare

Subdomain III.F. Consumer Informatics
1. Explain usability and accessibility of health information by patients, including current trends and future challenges
Subdomain III.G. Health Information Exchange
1. Explain current trends and future challenges in health information exchange

Subdomain III.H. Information Integrity and Data Quality
1. Apply policies and procedures to ensure the accuracy and integrity of health data both internal and external to the health system

Domain V. (Comprehension 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.C. Fraud Surveillance
1. Identify potential abuse or fraudulent trends through data analysis
Subdomain V.D. Clinical Documentation Improvement
2. Develop appropriate physician queries to resolve data and coding discrepancies

Domain VI. (Comprehension Level) Leadership (CSLO 2)

Subdomain VI.A Leadership Roles
1. Summarize health information related leadership roles

Subdomain VI.C. Work Design and Process Improvement

3. Utilize data for facility-wide outcomes reporting for quality management and performance improvement

Subdomain VI.D. Human Resources Management

2. Interpret compliance with local, state, federal labor regulations
Subdomain VI.F. Strategic and Organizational Management
1. Summarize a collection methodology for data to guide strategic and organizational management

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

Internal/External Standards Accreditation