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Credit Hours: 2 Effective Term: Fall 2014 SUN#: NA AGEC: None |
Credit Breakdown: 2 Lectures Times for Credit: 1 Grading Option: A/F Only Cross-Listed: |
| Measurable Student Learning Outcomes |
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| The Health Information Program prepares students for the AHIMA's 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. (Comprehension Level) Identify and describe health data structure, content, and standards. Subdomain B. (Comprehension Level) Explain healthcare information requirements and standards. Subdomain C. (Comprehension Level) Explain clinical classification systems. Subdomain D. (Comprehension Level) Explain reimbursement methodologies. Domain II. Health statistics, biomedical research, and quality management Subdomain A. (Knowledge Level) Identify healthcare statistics and research. Subdomain B. (Comprehension Level) Explain quality assessment and performance improvement. Domain III. Health services organization and delivery Subdomain A. (Comprehension Level) Explain healthcare delivery systems. Subdomain B. (Comprehension Level) Explain healthcare privacy, confidentiality, legal, and ethical issues. Domain IV. Information technology and systems Subdomain A. (Comprehension Level) Explain information and communication technologies. Subdomain B. (Comprehension Level) Explain data, information and file structures. Subdomain C. (Application Level) Demonstrate data storage and retrieval. Subdomain D. (Comprehension Level) Explain data security. Subdomain E. (Comprehension Level) Explain healthcare information management. Domain V. Organizational resources Subdomain A. (Comprehension Level) Explain human resources available. Subdomain B. (Knowledge Level) Identifiy financial and physical resources. |
| Internal/External Standards Accreditation |
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I. Domain: Healthcare Data Management
A. Subdomain: Health Data Structure, Content and Standards 2. Conduct analysis to ensure documentation in the health record supports the diagnosis and reflects the patients progress, clinical findings, and discharge status. 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. 3. Report compliance findings according to organizational policy. 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 5. Adhere to current regulations and established guidelines in code assignment. 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. 8. Resolve discrepancies between coded data and supporting documentation. 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. 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. 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 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 others. 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 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. 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. 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. V. Domain: Organizational Resources A. Subdomain: Human Resources 3. Conduct new staff orientation and training programs. 4. Conduct continuing education programs. 8. Use quality improvement tools and techniques to monitor, report and improve processes. B. Subdomain: Financial and Physical Resources 3. Monitor coding and revenue cycle processes. 5. Contribute to work plans, policies, procedures, and resource requisitions in relation to job functions. AHIMA Web Site http://www.aama-ntl.org/ |