I. General Information

1. Course Title:
Healthcare Information Systems

2. Course Prefix & Number:
HINS 1142

3. Course Credits and Contact Hours:

Credits: 3

Lecture Hours: 3

Lab Hours: 0

4. Course Description:

This course will study the use of electronic health records, data exchanges, and the commonly available software tools used in healthcare by major vendors including the use of encoding tools.  The course will provide students with an understanding of the electronic health record process, the role of health information technology, meaningful use, computer-assisted coding, health information data analysis, and health information exchange.

5. Placement Tests Required:

Accuplacer (specify test):

No placement tests required

Score:

6. Prerequisite Courses:

There are no prerequisites for this course.

9. Co-requisite Courses:

There are no corequisites for this course.

II. Transfer and Articulation

1. Course Equivalency - similar course from other regional institutions:

Alexandria Technical College, MEDS 2601 Intro to Health Information, 3 credits
St. Cloud Technical College, HITM 1240 Computerized Health Information, 3 credits

2. Transfer - regional institutions with which this course has a written articulation agreement:

College of St. Scholastica, June 2014 (CSS course equivalent HIM 2111 HIM Technologies in Practice)

III. Course Purpose

1. Program-Applicable Courses – This course is required for the following program(s):

Healthcare Administrative Specialist, AAS
Healthcare Administrative Specialist, Diploma

IV. Learning Outcomes

1. College-Wide Outcomes

College-Wide Outcomes/Competencies	Students will be able to:
Analyze and follow a sequence of operations	Navigate electronic health records to obtain required information using correct processes.
Apply abstract ideas to concrete situations	Apply a patient case scenario and explain where a software application can be used to help in the caregiving of a patient to speed delivery of care and increase the quality in the level of care provided.
Work as a team member to achieve shared goals	Demonstrate, through a group project, the ability to effectively work as a team to meet the requirements assigned.

2. Course Specific Outcomes - Students will be able to achieve the following measurable goals upon completion of the course:

• Demonstrate an understanding of the impact of computer as it relates to patient care, finance, reimbursement, public health, research, and education;
• Demonstrate an understanding of communication and internet technologies: types of networks, interfaces, internet technologies, and the computerized health record;
• Explain the importance of data quality, data entry, data integrity, data reliability, and data analysis;
• Demonstrate an understanding of the requirements for data maintenance and storage systems;
• Demonstrate an understanding of computers in health information management: release of information, encoders/groupers, registries, chart locators, tracking deficiencies, transcription, dictation systems, and data quality;
• Demonstrate an understanding of the administrative information systems: financial, decision support, practice management, materials management, and facility management tools;
• Demonstrate how acute-care organizations store and retrieve electronic health records;
• Demonstrate how to analyze online coding tools and encoder software;
• Identify issues involving the migration from paper-based HIM to electronic HIM; and
• Demonstrate the steps in reporting disease and disease trends.

V. Topical Outline

Listed below are major areas of content typically covered in this course.

1. Lecture Sessions

1. Introduction to healthcare information
   • Internal data and information
     • Patient specific – clinical
     • Patient specific – administrative
     • Patient specific – combining clinical and administrative
   • Internal data and information
     • Aggregate – clinical
     • Aggregate – administrative
     • Aggregate – combining clinical and administrative
   • External data and information
     • Comparative
2. Information systems in healthcare
   • History and evolution of information systems in healthcare
     • History and evolution
     • Why healthcare lags in IT
   • Current and emerging use of clinical information systems
     • Electronic health/medical record
     • Davies Award recipients: ambulatory care
     • Davies Award recipients: organizational category
     • CPOE (computer physician order entry) implementation
     • Guidelines for clinical electronic mail communication
     • Fitting applications together
     • Information exchange across boundaries
     • Overcoming barriers to adoption
   • Healthcare information system standards
     • Standards development process
     • Classification, vocabulary, and terminology standards
     • Health record content standards
   • Impact of computers
     • Patient care
     • Finance and reimbursement
     • Public health and epidemiology
     • Research and education
     • Data storage and retrieval
   • Electronic document management system
     • Document imaging vs. electronic health record (EHR)
     • Document imaging overview
     • Advantages and disadvantages
     • When should the chart be scanned?
     • Components of a document imaging system
     • Imaging process
     • Workflow technology
     • Productivity
     • Retrieval of images
   • Report generation/data monitoring
     • Data vs. information
     • Structure and use of health information
     • Data quality
     • Data retrieval tools
     • Ad hoc vs. routine
3. Electronic health records
   • Components of an EHR
     • Order communication/results retrieval
     • Electronic document/content management
     • Clinical messaging
     • Patient care charting
     • Computerized provider order entry system
     • Electronic medication administration record
     • Clinical decision support
     • Patient provider portal
     • Personal health records
     • Benefits of EHR
     • Barriers of EHR
   • EHR tools
     • Data retrieval
     • Graphical user interface
     • Alerts and reminders
     • Data entry
     • Unstructured data entry
     • Structured data entry
     • Template-based entry
     • Natural language processing
   • Legal issues
     • Licensure, certification, and accreditation
     • Legal aspects of managing health information
     • Recent healthcare privacy violations
   • Interoperability
4. Privacy and security
   • Healthcare organization’s security program
   • Threats to health care information
   • HIPAA
     • Transactions and code sets
     • Code sets and standards
     • Privacy rule
     • Security rule
   • Security
     • Safeguards
       • Administrative
       • Physical
       • Technical
     • Data security
     • Organizational requirements
     • Penalties
   • Certifications
     • Certified in healthcare privacy and security
     • Certified Information Systems Security Professional (CISSP)
5. Computers in health information management
   • Release of information
     • Functionality
     • Reporting
   • Encoder/grouper
     • Functionality
     • Reporting
   • Registries
     • Cancer (tumor) registry
   • Chart locator
     • Functionality
     • Reporting
   • Chart deficiencies
     • Functionality
     • Reporting
   • Data quality indicator
     • Functionality
     • Reporting
   • Dictation systems
     • Functionality
     • Reporting
6.  Future of computers in healthcare
   • Evolving technologies
     • Natural language processing
     • Computer-assisted coding
     • Personal health records
     • Consumer health informatics
     • Office of the National Coordinator
     • Health information exchange
     • Certification commission on health information technology
   • Emerging technologies
     • Health record banking
     • Open EHR
     • Technology to improve patient safety
     • Roll of cell phones in health information