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Credit Hours: 3 Effective Term: Fall 2009 SUN#: None AGEC: |
Credit Breakdown: 3 Lectures Times for Credit: 1 Grading Option: A/F Cross-Listed: |
| Measurable Student Learning Outcomes |
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| The Health Information Program prepares students for the AHIMAs RHIT credentialing exam by incorporating various RHIT domains in our curriculum. The main competencies focused on in this course are:
Domain I. Health data management Subdomain A. Health data structure, content, and standards. Subdomain B. Healthcare information requirements and standards. Subdomain C. Clinical classification systems Subdomain D. Reimbursement methodologies Domain III. Health services organization and delivery Subdomain A. Healthcare delivery systems. Subdomain B. Healthcare privacy, confidentiality, legal, and ethical issues. Domain IV. Information technology and systems Subdomain A. Information and communication technologies Subdomain B. Data, information and file structures Subdomain C. Data storage and retrieval Subdomain D. Data security Subdomain E. Healthcare information management |
| Internal/External Standards Accreditation |
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I. Domain: Healthcare Data Management
A. Subdomain: Health Data Structure, Content and Standards 1. Collect and maintain health data, such as data elements, data sets, and databases. 3. Apply policies and procedures to ensure the accuracy of health data. 4. Contribute to the definitions for and apply clinical vocabularies and terminologies used in the organizations health information systems. 5. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources for patient care, management, billing reports, registries, and/or databases. B. Subdomain: Healthcare Information Requirements and Standards 1. Monitor and apply organization-wide health record documentation guidelines. 2. Apply policies and procedures to ensure organizational compliance with regulations and standards. 4. Maintain the accuracy and completeness of the patient record as defined by organizational policy and external regulations and standards. 5. Assist in preparing the organization for accreditation, licensing, and/or certification surveys. C. Subdomain: Clinical Classification Systems 1. Use and maintain electronic applications and work processes to support clinical classification and coding. 6. Validate coding accuracy using clinical information found in the health record. 7. Use and maintain applications and processes to support other clinical classification and nomenclature systems, such as ICD-10-CM, SNOMED, and others. D. Subdomain: Reimbursement Methodologies 1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment systems (PPS) in healthcare delivery. 2. Support accurate billing through coding, chargemaster, claims management, and bill reconciliation processes. 3. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative. 4. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements such as outpatient prospective payment systems. II. Domain: Health Statistics, Biomedical Research and Quality Management A. Subdomain: Healthcare Statistics and Research 1. Abstract and maintain data for clinical indices/databases/registries. 2. Collect, organize and present data for quality management, utilization management, risk management, and other related studies. 3. Compute and interpret healthcare statistics. 4. Apply Institutional Review Board (IRB) processes and policies. 5. Use specialized databases to meet specific organization needs such as medical research and disease registries. B. Subdomain: Quality Management and Performance Improvement 1. Abstract and report data for facility-wide quality management and performance improvement programs. 2. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness of healthcare. III. Domain: Health Services Organization and Delivery. A. Subdomain: Healthcare Delivery Systems 1. Apply information system policies and procedures required by national health information initiatives on the healthcare delivery system. 2. Apply current laws, accreditation, licensure, and certification standards related to health information initiatives from the national, state, local and facility levels. 3. Apply policies and procedures to comply with the changing regulations among various payment systems for healthcare services such as Medicare, Medicaid, managed care, and so forth. 4. Differentiate the roles of various providers and disciplines throughout the continuum of healthcare and respond to their information needs. B. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues. 1. Participate in the implementation of legal and regulatory requirements related to the health information infrastructure. 2. Apply policies and procedures for access and disclosure of personal health information. 3. Release patient-specific data to authorized users. 4. Maintain user access logs/systems to track access to and disclosure of identifiable patient data. 5. Conduct privacy and confidentiality training programs. 6. Investigate and recommend solutions to privacy issues/problems. 7. Apply and promote ethical standards of practice. IV. Domain: Information Technology & Systems A. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure data collection, storage, analysis, and reporting of information. 2. Use common software applications such as spreadsheets, databases, word processing, graphics, presentation, email, and others in the execution of work processes. 3. Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging. 4. Apply policies and procedures to 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. B. Subdomain: Data, Information, and File Structures 1. Apply knowledge of database architecture and design, such as data dictionary, data modeling, data warehousing, and others, to meet departmental needs. C. Subdomain: Data Storage and Retrieval 1. Use appropriate electronic or imaging technology for data/record storage. 2. Query and generate reports to facilitate information retrieval. 3. Design and generate reports using appropriate software. 4. Maintain archival and retrieval systems for patient information stored in multiple formats. 5. Coordinate, use and maintain systems for document imaging and storage. D. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information. 2. Protect data integrity and validity using software or hardware technology. 3. Apply departmental and organizational data and information system security policies. 4. Use and summarize data compiled from audit train and data quality monitoring programs. 5. Contribute to the design and implementation of risk management, contingency planning, and data recovery procedures. E. Subdomain: Healthcare Information Management 1. Participate in the planning, design, selection, implementation, integration, testing, evaluation, and support for organization-wide information systems. 2. Use the principles of ergonomics and human factors in work process design. V. Domain: Organizational Resources A. Subdomain: Human Resources 2. Organize and contribute to work teams and committees. 3. Conduct new staff orientation and training programs. 4. Conduct continuing education programs. 5. Monitor staffing levels and productivity standards for health information functions, and provide feedback to management and staff regarding performance. 6. Communicate benchmark staff performance data. 7. Prioritize job functions and activities. 8. Use quality improvement tools and techniques to monitor, report and improve processes. B. Subdomain: Financial and Physical Resources 1. Make recommendations for items to include in budgets and contracts. 2. Monitor and order supplies needed for work processes. 3. Monitor coding and revenue cycle processes. 4. Recommend cost-saving and efficient means of achieving work processes and goals. 5. Contribute to work plans, policies, procedures, and resource requisitions in relation to job functions. |