Dakota State University
HIM 265: Quality Management and Related Functions
in Health Information Management
Spring 2008 Syllabus
Campus Section: Tuesday and Thursday 1:30 - 3:45 p.m.
Internet Streaming: Tuesday and Thursday
Office:
307 East Hall
Office Phone: 256-7342
HomePage:
www.homepages.dsu.edu/havlikjo
Office
Hours:
|
OFFICE HOURS (all times are CST) |
|
|
Monday |
12:00 p.m. - 4:00 p.m. |
|
Tuesday |
No office hours. |
|
Wednesday |
2:00 p.m. - 4:00 p.m. |
|
Thursday |
9:30 a.m. - 11:30 a.m. |
| Friday | No office hours |
| Sunday | 8:00 p.m. - 10:00 p.m. - Email only |
|
OR
by appointment if you are unable to arrange a time during
the scheduled office hours. |
|
CREDIT
HOURS:
Four credit hours.
COURSE
DESCRIPTION:
PREREQUISITES:
HIM
150 Introduction to the Health Information Management
COURSE
TEXTBOOK AND INSTRUCTIONAL MATERIALS:
Any other publications as deemed necessary by the instructor.
COMPUTER SKILLS USED:
Dakota State University
is migrating to Microsoft Office 2007, which has the capability of
converting 2003 Microsoft Office documents. Homework will be done using Microsoft software such as
Word, Excel, Access, and PowerPoint.
If you elect to not participate in the migration to Office 2007 at this time and use Office 2003 for now, you should run this update so that your old Office programs can properly read the files of the people who do choose to upgrade to Office 2007.
http://homepages.dsu.edu/boldtj/filez/FileFormatConverters.exe
You are encouraged to update to Office 2007. You can do that by purchasing a copy of it from DSU at a minimal charge. Please contact me if you wish to purchase a copy. DSU has a licensing agreement with Microsoft to provide students the copy.
ADA STATEMENT:
If
you have a documented disability and/or anticipate needing accommodations (e.g.,
non-standard note taking, test modifications) in this course, please arrange to
meet with the instructor. Also, please contact Dakota State University’s ADA
coordinator, Keith Bundy in the Student Development Office located in the Trojan
Center Underground or at 256-5121, as soon as possible. The DSU website
containing additional information, along with the form to request accommodations
is
http://www.departments.dsu.edu/disability_services/.
You will need to provide documentation of your disability. The ADA coordinator
must confirm the need for accommodations before officially authorizing them.
LEARNING
OBJECTIVES:
Upon
completion of this course, the student will have an understanding of the
following areas.
1. Quality Improvement
i.
Perform quality/performance assessment and improvement studies for
medical staff.
2.
Joint Commission Standards
b. Discuss the impact of JCAHO and federal regulations regarding
quality/performance assessment and improvement functions.
i.
Discuss the Joint Commission standards in the Information Management
Chapter.
3.
Credentialing
4.
Peer Review Organization
a.
Have an understanding of the Peer Review Organization standards and
procedures.
5.
Management Functions
The following are the American Health Information Management
Associate Degree Entry-Level Competencies
T = Task
I. Domain : Health
Data
A. Subdomain: Health Data Structure, Content and Standards
T1. Collect and maintain health data (such as data elements, data
sets, and
databases).
T2.
Conduct analysis to ensure documentation in the health record supports the
diagnosis and reflects the patient's progress, clinical findings, and discharge
status.
T3.
Apply policies and procedures to ensure the accuracy of health data.
T5.
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
T1. Monitor and apply organization-wide health record documentation
guidelines.
T2.
Apply policies and procedures to ensure organizational compliance with
regulations and standards.
T3.
Report compliance findings according to organization policy.
T4.
Maintain the accuracy and completeness of the patient record as defined by
organizational policy and external regulations and standards.
T5.
Assist in preparing the organization for accreditation, licensing, and/or
certification surveys.
C. Subdomain: Clinical Classification Systems
No applicable tasks.
D. Subdomain: Reimbursement Methodologies
No applicable tasks.
II. Domain: Health Statistics, Biomedical Research, and Quality Management
A. Subdomain: Healthcare statistics and Research
T2. Collect, organize, and present data for quality management,
utilization
management, risk management, and other related studies.
T3.
Compute and interpret healthcare statistics.
T4.
Apply Institutional Review Board (IRB) processes and policies.
B. Subdomain: Quality Management and Performance Improvement
T1. Abstract and report data for facility-wide quality management and
performance
improvement programs.
T2.
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
T1. Apply information system policies and procedures required by national
health
information initiatives on the healthcare delivery system.
T2.
Apply current laws, accreditation, licensure, and certification standards
related to
health information initiatives from the national, state, local, and facility levels.
T4.
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
T5. Conduct privacy and confidentiality training programs.
IV. Domain: Information Technology and Systems
A. Subdomain: Information and Communication Technologies
T2. Use common software applications such as spreadsheets, databases, word
processing, graphics, presentation, e-mail, and so on in the execution of work
processes.
B. Subdomain: Data, Information and File Structures
No applicable tasks.
C. Subdomain: Data Storage and Retrieval
T3. Design and generate reports using appropriate software.
D. Subdomain: Data Security
T4. Use and summarize data complied from audit trail and data quality
monitoring
programs.
T5.
Contribute to the design and implementation of risk management, contingency
planning, data recovery procedures.
E. Subdomain: Healthcare Information Systems
No applicable tasks.
V. Domain: Organizational Resources
A. Subdomain: Human Resources
T1. Apply the fundamentals of team leadership.
T2.
Organize and contribute to work teams and committees.
T3.
Conduct new staff orientation and training programs.
T4.
Conduct continuing education programs
T5.
Monitor staffing levels and productivity standards for health information
functions,
and provide feedback to management and staff regarding performance.
T6.
Communicate benchmark staff performance data.
T7.
Prioritize job functions and activities.
T8. Use
quality improvement tools and techniques to monitor, report and improve
processes.
B. Subdomain: Financial and Physical Resources
T1. Make recommendations for items to include in budgets and contracts.
T2.
Monitor and order supplies needed for work processes.
T4.
Recommend cost-saving and efficient means of achieving work processes and
goals.
T5.
Contribute to work plans, policies, procedures, and resource requisitions in
relation to job functions.
Knowledge Cluster Content - Associate Degree
1A. Health Data Structure, Content
and Standards
1. Data versus
information
2. Structure and use of
health information (individual, comparative, aggregate)
4. Health record data
collection tools (such as forms, screens, etc.)
8. Data quality and
integrity
10. Data monitoring and compliance
reporting
1B. Healthcare Information
Requirements and Standards
2. Health record
documentation requirements (such as accreditation, certification, licensure)
3. Health record
monitoring and compliance reporting
1C. Clinical Classification Systems
No applicable knowledge clusters
1D. Reimbursement
No applicable knowledge clusters
2A. Healthcare Statistics and
Research
1. Indices, databases
and registries
9. Data selection,
interpretation, and presentation
10. Knowledge-based research
techniques (such as library, Medline, web-based)
2B. Quality management and
Performance Improvement
1. Quality assessment and
improvement (such as process, collection tools, data analysis, reporting
techniques)
2. Utilization
management, risk management, and case management
3. Regulatory quality
monitoring requirements
4. Outcomes measures and
monitoring
3A. Healthcare Delivery Systems
3. External
standards, regulations, and initiatives (such as licensure, certification,
accreditation, HIPAA)
3B. Healthcare Privacy,
Confidentiality, Legal and Ethical Issues
No applicable knowledge clusters
4A. Information and Communication
Technologies
3. Common software
applications (such as word processing, spreadsheet, database, graphics)
4. Health information
systems (such as administrative, patient registration, ADT, EHR, personal health
record (PHR), lab,
radiology, pharmacy)
4B. Data Storage and Retrieval
No applicable knowledge clusters
4C. Data Security and Healthcare
Information Systems
6. Data integrity
concepts
5A. Organizational Resources
1. Roles and
functions of teams and committees
2. Teams/consensus
building and committees
3. Communication and
interpersonal skills
4. Team leadership
concepts and techniques
5. Orientation and
training (such as content, delivery, media)
6. Workflow and process
monitors
7. Performance monitors
9. Organizational plans
and budgets (framework, levels, responsibilities, etc.)
10. Resource allocation monitors
The following are the American Health Information Management Baccalaureate Degree Entry-Level competencies applicable to this class.
I. Domain: Health Data Management
A. Subdomain: Health Data Structure, Content and Standards
No applicable tasks.
B. Subdomain: Healthcare Information Requirements and Standards
T2.
Maintain organizational compliance with regulations and standards.
T3.
Ensure organizational survey readiness for accreditation, licensing and/or
certification processes.
C. Subdomain: Clinical Classification Systems
No applicable tasks.
D. Subdomain: Reimbursement Methodologies
No applicable tasks.
II. Domain: Health Statistics, Biomedical Research and Quality Management
A. Subdomain: Healthcare Statistics and Research
T2. Analyze and present data for quality management, utilization
management, risk
management, and other related studies.
B. Subdomain: Quality Management and Performance Improvement
T1. Organize and coordinate facility-wide quality management and
performance
improvement program.
T2.
Analyze clinical data to identify trends.
T3.
Analyze and present data for healthcare decision-making (such as demonstrating
quality, safety, and effectiveness of healthcare).
III. Domain: Health Services Organization and Delivery
A. Subdomain: Healthcare Delivery Systems
T2. Interpret, communicated, and apply current laws, accreditation,
licensure and
certification standards related to health information initiatives at the national,
state, local, and facility
levels.
T3.
Analyze and respond to the information needs to internal and external customers
throughout the continuum of healthcare services.
T4.
Revise policies and procedures to comply with changing health information
regulations.
B. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues
T3. Develop and implement organization-wide confidentiality policies
and
procedures
IV. Domain: Information Technology & Systems
A. Subdomain: Information and Communication Technologies
No applicable tasks.
B. Subdomain: Data, Information, and File Structures
No applicable tasks.
C. Subdomain: Data Storage and Retrieval
T4. Design and generate administrative reports using appropriate software.
D. Subdomain: Data Security
T4.
Recommend elements that must be included in the design of audit trail and data
quality monitoring programs.
E. Subdomain:
Healthcare Information Systems
No applicable tasks.
V. Domain: Organization and Management
A. Subdomain: Human Resources Management
T6. Monitor staffing levels and productivity, and provide feedback to staff
regarding
performance.
T7.
Benchmark staff performance data.
B. Subdomain: Financial and Resource Management
No applicable tasks.
C. Subdomain: Strategic Planning and Organizational Development
No applicable tasks.
D. Subdomain: Project and Operations Management
T1. Apply general principles of management in the administration of health
information services.
Knowledge Cluster Content - Baccalaureate Degree
1A. Health Data Structure, Content,
and Standards
4. Data quality
assessment and integrity
1B.
Healthcare Information Requirements and Standards
1. Standards and
regulations for documentation (such as JCAHO, CARF, COP, AAAHC, AOA)
1C.
Clinical Classification Systems
No applicable knowledge clusters.
1D.
Reimbursement Methodologies
No applicable knowledge clusters.
2A.
Healthcare Statistics, Biomedical Research and Quality Management - Healthcare
Statistics and Research
6. Data reporting and
presentation techniques
8. Research
design/methods (such as quantitative, qualitative, evaluative, outcomes)
9. Knowledge-based
research techniques (such as Medline, CMS, libraries, web sites)
2B.
Quality Management and Performance Improvement
1. Quality assessment
and management tools (such as benchmarking, ORYX, SQC)
2. Utilization and
resource management
3. Risk Management
4. Disease management
process (such as case management, critical paths)
5. Outcomes measurement (such
as patient, customer satisfaction, diease-specific)
3A.
Health Services Organization and Delivery
3. Accreditation
standards (such as JCAHO, AOA, NCQA, CARF, CHAP, URAC)
4. Regulatory and
licensure requirements (such as COP, state health departments)
3B.
Healthcare Privacy, Confidentiality, Legal and Ethical Issues
3. Health information
laws, regulations, and standards (such as HIPAA, e-health, JCAHO, state laws)
4A.
Information Technology and Systems
5. Data storage and
retrieval (storage media, query tools/applications, data mining, report design,
search engines)
4B.
Applied Health Informatics
No applicable knowledge clusters.
5A.
Organization and Management
1. Principles of management
4. Team/consensus building
6A.
Human Resources Management
1. Employment laws
6B.
Financial and Resource Management
3. Budget process
(capital and operating)
6C.
Strategic Planning and Organizational Development
No applicable knowledge clusters.
6D.
Project and Operations Management
No applicable knowledge clusters.
INSTRUCTIONAL
METHODOLOGIES:
Lecture,
handouts, internet retrieval, assigned readings, article summaries, simulation
exercises, and any other experiences the instructor deems necessary to enhance
the student’s learning experience.
COURSE POLICIES:
Academic Honesty Policy: Ethical conduct is a requirement. Cheating, plagiarism, or other forms of academic dishonesty including the acquisition without permission of tests or other academic material belonging to a member of the University faculty or staff, or the providing of one’s own work in hard copy or on disk to another student for the purpose of copying any portion is not allowed. Disciplinary action as deemed appropriate by the instructor will result as a consequence to unethical conduct regarding completion of this course. All the students are required to work independently in this class. Any forms of cheating will result in a grade of F. The following is a link to the University policy concerning academic honesty: http://www.departments.dsu.edu/hr/newsite/policies/040500.htm
Student Behavioral Guidelines (Policies):
Treat your classes as you would a desirable job. The instructor is your team leader (supervisor), and your fellow students are co-workers. All must work together to complete learning objectives. You are expected to:
Attendance: Campus Students: your attendance in class is expected. Success in this class, and others, has been associated directly with attendance and participation in class. Internet Students: watching each class video equates to attending class. Establish a schedule that permits your 'attendance' by watching the videos.
Exams:
Unless advance arrangements have been made, there will be no makeup exams except
under unusual circumstances and only at the discretion of the instructor. If an
unusual set of circumstances does occur, it is the student's responsibility to
contact the instructor to schedule the makeup exam. Makeup exams must be taken
as soon as possible upon return to school. There will be no penalties for
pre-approved makeup examinations.
Homework: There will be several homework assignments during the
semester. If you turn in an assignment late, I may elect to not accept it, or
apply penalties. Be sure to save backup copies of any assignments submitted.
Cell Phones: Cell phones are not allowed in this class. If an extreme emergency exists where contacting you during class may be a necessity, have those contacting you call Susan Eykamp in Extended Programs at (605)256-5049. Susan will see that you get the message immediately.
No Food or Drink: As the etching on the window states, there is no food or drink permitted in the classroom. This policy is enforced with the exception of having covered drinks.
E-mail: Students are required to use their Pluto email accounts in order to receive messages from the university, which includes messages regarding the HIM Program. No other accounts like hotmail, yahoo, etc. will be used.
Reminder! When sending email to you instructors, please remember to use professional language. Such things as symbols, all lower/upper case, no punctuation, etc. are not acceptable standards for communicating in a professional manner.
Must earn a 'C': Students must earn at least a “C” or they will be required to repeat the course in order to be admitted to the HIA program. If a student receives less than a “C” in this course, he/she may not do subsequent professional practice experiences or practicum(s). No student may graduate or write the national certification exam with less than a “C” in this course.
Use of Tablets in the Classroom (formerly called the WMCI Statement): The Tablet PC platform has been adopted across the DSU campus for all students and faculty, and tablet usage has been integrated into all DSU classes to enhance the learning environment. Tablet usage for course-related activities, note taking, and research is allowed and encouraged by DSU instructors. However, inappropriate and distracting use will not be tolerated in the classroom. Instructors set policy for individual classes and are responsible for informing students of class-specific expectations relative to Tablet PC usage. Failure to follow the instructor’s guidelines will hinder academic performance and may lead to disciplinary actions. Continued abuse may lead to increased tablet restrictions for the entire class. Examples of misuse of the tablet computer in class include, but are not limited to, are: instant messaging, other emailing, surfing the web, game playing, etc.
Because tablet technology is an integral part of this course, it is the student’s responsibility to ensure that his/her Tablet PC is operational prior to the beginning of each class period.
Freedom in Learning Statement: Students are responsible for learning the content of any course of study in which they are enrolled. Under Board of Regents and University policy, student academic performance shall be evaluated solely on an academic basis and students should be free to take reasoned exception to the data or views offered in any course of study. It has always been the policy of Dakota State University to allow students to appeal the decisions of faculty, administrative, and staff members and the decisions of institutional committees. Students who believe that an academic evaluation is unrelated to academic standards but is related instead to judgment of their personal opinion or conduct should contact the dean of the college which offers the class to initiate a review of the evaluation.
Early Alert: We have an early alert system at DSU. If you do not attend class, have a disruptive class behavior, or are not performing well, your instructor will 'alert' student services. The staff in student services will contact you to advise you on methodologies that will improve your classroom status.
Please Note: By registering for this class, you have agreed to be video graphed as a student in the class. The video tapes will be protected by password to enter WebCT OR for internal training operations.
For Internet Students: Internet students proceed through the same course of study as the on campus students, but are directed and assisted by computer technology. One of which is watching video-graphs of the class. You will find it very difficult to watch the videos without the use of high-speed internet with a high broad-band width. Examples of high-speed internet include: wireless, cable, or a dedicated service line. Dial-up service is not a recommended method of internet delivery when watching videos, which is an integral part of the class. Mastery of the course content is based on achieving the same competencies and benchmarks as the on campus students and in the same time-frame.
EVALUATION COMPONENTS and PROCEDURES:
Five
tests are scheduled for this course. The
first four tests will be administered during regular class periods and the last
one will be given during the final examination class period.
These tests may consist of multiple-choice, true/false, matching, and/or
short answer questions. Unless advance arrangements have been made, there will be no make-up
tests. Any missed tests will
constitute a zero for that test. There
is no grade penalty for pre-approved make up test.
Information regarding expectations, point value and due date of assignment/projects will be provided at the time the assignment is announced.
All assignments/projects and tests will be combined to receive one final grade. The following fixed-percentage scale is used to determine final grades:
| 90-100 | A |
| 80-89 | B |
| 70-79 | C |
| 60-69 | D |
| 59 & Below | F |
Components:
| Tests (each test is 15%) | 75% |
| Assignments/Quizzes | 25% |
The mid-term grade will be reflective of all assignments, quizzes, and tests scheduled
for completion up to and through mid-term week.
Should
a student's cumulative grade calculation fall near or on the borderline of two
letter grades, the instructor will give consideration to that student's class
attendance, class participation, effort, and attitude in determining the final
grade assignment for the course.
Students
are reminded that they must earn at least a "C" or they will be
required to repeat the course in order to be admitted to the HIA Program.
If a student receives less than a "C" in this course, he/she
MAY NOT do the subsequent practicum. No
HIT/HIA student may graduate or write the national certification exam with less
than a "C" in this course.
MINIMUM
COURSE BIBLIOGRAPHY: