Entry Level Clinical Research Associate Job by pju20777

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									                                      American Health Information Management Association
                                    HIM Associate Degree Entry-Level Competencies
                                              And Knowledge Clusters
                                                  2006 and Beyond
       Your Program                  HIM Associate Degree Entry-Level                 Your Program                 2006 and Beyond
Course(s) where Competencies         Competencies for 2006 and Beyond           Course(s) where Knowledge    Knowledge Cluster Content
       Are Addressed                                                               Clusters are Taught
                               I. Domain: Health Data Management
                                                                                                             Health Data Structure,
                                   A. Subdomain: Health Data                                                 Content and Standards
                               Structure, Content and Standards                                               Data versus information (4)
                                      1. Collect and maintain health data                                     Structure and use of health
                                           (such as data elements, data                                         information (individual,
                                           sets and databases).                                                 comparative, aggregate) (4)
                                      2. Conduct analysis to ensure that                                      Health information media
                                           documentation in the health                                          (such as paper, computer,
                                           record supports the diagnosis                                        web-based) (4)
                                           and reflects the patient’s                                         Health record data
                                           progress, clinical findings and                                      collection tools (forms,
                                           discharge status.                                                    screens, etc.) (4)
                                      3. Apply policies and procedures to                                     Data sources (primary/
                                           ensure the accuracy of health                                        secondary) (4)
                                           data.                                                              Data definitions,
                                      4. Contribute to the definitions for                                      vocabularies, terminologies,
                                           and apply clinical vocabularies                                      and dictionaries (4)
                                           and terminologies used in the                                      Data storage and retrieval
                                           organization’s health information                                    (4)
                                           systems.
                                                                                                              Data quality and integrity
                                      5. Verify timeliness, completeness,
                                                                                                                (4)
                                           accuracy, and appropriateness
                                                                                                              Healthcare data sets (such as
                                           of data and data sources for
                                                                                                                OASIS, HEDIS, DEEDS,
                                           patient care, management,
                                                                                                                UHDDS) (4)
                                           billing reports, registries and/or
                                           databases.                                                         Data monitoring and
                                                                                                                compliance reporting (5)
                                                                                                              National Healthcare
                                                                                                                Information Infrastructure
                                                                                                                (NHII) (4)




                                                                                                            AHIMA ESC 10/2004    1
   American Health Information Management Association
 HIM Associate Degree Entry-Level Competencies
           And Knowledge Clusters
               2006 and Beyond

 B. Subdomain: Healthcare
Information Requirements and                             Healthcare Information
Standards                                                Requirements and
    1. Monitor and apply organization-                   Standards
        wide health record                                Type and Content of health
        documentation guidelines.                           record (paper, electronic
    2. Apply policies and procedures to                     computer-based, e-health-
        ensure organizational                               personal, web based) (5)
        compliance with regulations and                   Health record
        standards.                                          documentation requirements
    3. Report compliance findings                           (such as accreditation,
        according to organizational                         certification, licensure) (5)
        policy.                                           Health record monitoring
    4. Maintain the accuracy and                            and compliance reporting
        completeness of the patient                         (5)
        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                                  Clinical Classification
Classification Systems                                   Systems
    1. Use and maintain electronic                        Classifications, taxonomies,
        applications and work processes                      nomenclatures,
        to support clinical classification                   terminologies, and clinical
        and coding.                                          vocabularies (4)
    2. Apply diagnosis/procedure codes                    Principles and applications
        using ICD-9-CM.                                      of coding systems (such as
    3. Apply procedure codes using                           ICD, CPT, DSM) (5)
        CPT/HCPCS.




                                                        AHIMA ESC 10/2004     2
       American Health Information Management Association
     HIM Associate Degree Entry-Level Competencies
               And Knowledge Clusters
                   2006 and Beyond
       4. Ensure accuracy of                                    Diagnostic and procedural
           diagnostic/procedural groupings                       groupings (such as DRG,
           such as DRG, APC, and so on.                          APC, RUGs, SNOMED) (5)
       5. Adhere to current regulations and                     Casemix analysis and
           established guidelines in code                        indexes (4)
           assignment.                                          Severity of illness systems
       6. Validate coding accuracy using                         (4)
           clinical information found in the                    Coding compliance
           health record.                                        strategies, auditing, and
       7. Use and maintain applications                          reporting (such as CCI,
           and processes to support other                        plans (5)
           clinical classification and                          Coding quality monitors and
           nomenclature systems (ex. ICD-                        reporting (5)
           10-CM, SNOMED, etc.).
       8. Resolve discrepancies between                      Biomedical Sciences
           coded data and supporting                          Anatomy (4)
           documentation.                                     Physiology (4)
                                                              Medical terminology (4)
                                                              Pathophysiology (4)
  D. Subdomain: Reimbursement
Methodologies                                                 Pharmacotherapy (4)
      1. Apply policies and procedures for
          the use of clinical data required
          in reimbursement and                               Reimbursement
          prospective payment systems                         Commercial, managed care
          (PPS) in healthcare delivery.                         and federal insurance plans
                                                                (4)
       2. Support accurate billing through                    Payment methodologies and
           coding, chargemaster, claims                         systems (such as capitation,
           management and bill                                  prospective payment
           reconciliation processes.                            systems, RBRVS (4)
       3. Use established guidelines to                       Billing processes and
           comply with reimbursement and                        procedures (such as claims,
           reporting requirements such as                       EOB, ABN, electronic data
           the National Correct Coding                          interchange) (4)
           Initiative                                         Chargemaster maintenance
       4. Compile patient data and perform                      (5)




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      American Health Information Management Association
     HIM Associate Degree Entry-Level Competencies
               And Knowledge Clusters
                   2006 and Beyond
           data quality reviews to validate                     Regulatory guidelines (such
           code assignment and                                  as LMRP, peer review
           compliance with reporting                            organizations) (3)
           requirements such as outpatient                     Reimbursement monitoring
           prospective payment systems.                         and reporting (5)
                                                               Compliance strategies and
                                                                reporting (3)

II. Domain: Health Statistics, Biomedical
Research and Quality Management                             Healthcare Statistics and
                                                            Research
   A. Subdomain: Healthcare Statistics                       Indices, databases, and
and Research                                                   registries (4)
      1. Abstract and maintain data for                      Vital statistics (5)
          clinical                                           Healthcare statistics (5)
          indices/databases/registries.                      Descriptive statistics (such
      2. Collect, organize and present                         as means, frequencies,
          data for quality management,                         ranges, percentiles, standard
          utilization management, risk                         deviations) (5)
          management, and other patient                      Statistical applications with
          care related studies.                                health care data (5)
      3. Compute and interpret                               Institutional Review Board
          healthcare statistics.                               processes (4)
      4. Apply Institutional Review Board                    National guidelines
          (IRB) processes and policies.                        regarding human subjects
      5. Use specialized databases to                          research (4)
          meet specific organization needs                   Research protocol
          such as medical research and                         monitoring (4)
          disease registries.
                                                             IRB processes (4)
                                                             Data selection,
                                                               interpretation, and
                                                               presentation (5)
                                                             Knowledge-based research
                                                               techniques (such as library,
                                                               MEDLINE, web-based)(5)




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     HIM Associate Degree Entry-Level Competencies
               And Knowledge Clusters
                   2006 and Beyond




   B. Subdomain: Quality Management                         Quality Management and
       and Performance Improvement                          Performance Improvement
       1. Abstract and report data for                       Quality assessment and
           facility-wide quality management                     improvement (such as
           and performance improvement                          process, collection tools,
           programs.                                            data analysis, reporting
       2. Analyze clinical data to identify                     techniques) (4)
           trends that demonstrate quality,                  Utilization management,
           safety and effectiveness of                          risk management, and case
           healthcare.                                          management (3)
                                                             Regulatory quality
                                                                monitoring requirements (4)
                                                             Outcomes measures and
                                                                monitoring (4)
III. Domain: Health Services Organization
and Delivery                                                Healthcare Delivery
                                                            Systems
   A. Subdomain: Healthcare Delivery                         Organization of healthcare
      Systems                                                  delivery in the United States
      1. Apply information system                              (4)
          policies and procedures required                   Healthcare organizations
          by national health information                       structure and operation (4)
          initiatives on the healthcare                      External standards,
          delivery system.                                     regulations, and initiatives
      2. Apply current laws, accreditation,                    (such as licensure,
          licensure and certification                          certification, accreditation,
          standards related to health                          HIPAA) (4)
          information initiatives from the
                                                             Payment and
          national, state, local and facility
                                                               reimbursements systems (4)
          levels.
                                                             Healthcare providers and
      3. Apply policies and procedures to
                                                               disciplines (4)
          comply with the changing




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   American Health Information Management Association
 HIM Associate Degree Entry-Level Competencies
           And Knowledge Clusters
               2006 and Beyond
        regulations among various
       payment systems for healthcare
        services such as Medicare,
       Medicaid, managed care, and so
        forth.
    3. Differentiate the roles of various
        providers and disciplines
        throughout the continuum of
        healthcare and respond to their
        information needs.



B. Subdomain: Healthcare Privacy,                        Healthcare Privacy,
   Confidentiality, Legal, and Ethical                   Confidentiality,
   Issues                                                Legal, and Ethical Issues
   1. Participate in the implementation                   Legislative and regulatory
       of legal and regulatory                              processes (3)
       requirements related to the                        Legal terminology (5)
       health information infrastructure.                 Health information/record
   2. Apply policies and procedures                         laws and regulations (such
       for access and disclosure of                         as retention, patient
       personal health information.                         rights/advocacy, advanced
   3. Release patient-specific data to                      directives, privacy) (5)
       authorized users.                                  Confidentiality, privacy, and
   4. Maintain user access                                  security policies,
       logs/systems to track access to                      procedures, and monitoring
       and disclosure of identifiable                       (5)
       patient data.                                      Release of information
   5. Conduct privacy and                                   policies and procedures (5)
       confidentiality training programs.                 Professional and practice-
   6. Investigate and recommend                             related ethical issues (5)
       solutions to privacy
       issues/problems.
   7. Apply and promote ethical
       standards of practice.




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       American Health Information Management Association
     HIM Associate Degree Entry-Level Competencies
               And Knowledge Clusters
                   2006 and Beyond



IV. Domain: Information Technology &                         Information and
Systems                                                      Communication
                                                             Technologies
   A. Subdomain: Information and                              Computer concepts (such as
Communication Technologies                                       hardware components,
      1. Use technology, including                               operating systems,
         hardware and software, to ensure                        languages, software
         data collection, storage, analysis                      packages) (3)
         and reporting of information.                        Communication and internet
      2. Use common software                                     technologies (such as
         applications such as                                    networks, intranet,
         spreadsheets, databases, word                           standards) (3)
         processing, graphics,                                Common software
         presentation, email and so on in                        applications (such as word
         the execution of work processes.                        processing, spreadsheet,
      3. Use specialized software in the                         database, graphics) (5)
         completion of HIM processes                          Health information systems
         such as record tracking, release                        (such as administrative,
         of information, coding, grouping,                       patient registration, ADT,
         registries, billing, quality                            EHR, PHR, lab, radiology,
         improvement, and imaging.                               pharmacy) (4)
      4. Apply policies and procedures to                     Voice recognition
         the use of networks, including                          technology (3)
         intranet and internet applications                   Health information specialty
         to facilitate the electronic health                     systems (such as ROI,
         record (EHR), personal health                           coding, registries) (5)
         record (PHR), public health, and                     Application of systems and
         other administrative applications.                      policies to health
                                                                 information systems and
                                                                 functions and health care
                                                                 data requests (5)




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       American Health Information Management Association
     HIM Associate Degree Entry-Level Competencies
               And Knowledge Clusters
                   2006 and Beyond

     B. Subdomain: Data, Information, File
Structures

        1. Apply knowledge of data base
           architecture and design (such as
            data dictionary, data modeling,
            data warehousing) to meet
            departmental needs.




     C. Subdomain: Data Storage and
Retrieval                                                    Date Storage and Retrieval
       1. Use appropriate electronic or                       Document archival,
           imaging technology for                               retrieval, and imaging
           data/record storage.                                 systems (5)
        2. Query and generate reports to                      Maintenance and
            facilitate information retrieval.                   monitoring of data storage
        3. Design and generate reports                          systems (5)
            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.




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       American Health Information Management Association
     HIM Associate Degree Entry-Level Competencies
               And Knowledge Clusters
                   2006 and Beyond

     D. Subdomain: Data security
      1. Apply confidentiality and security                  Data Security and
           measures to protect electronic                    Healthcare Information
           health information.                               Systems
       2. Protect data integrity and validity                 System architecture and
           using software or hardware                           design (3)
           technology.                                        System acquisition and
       3. Apply departmental and                                evaluation (3)
           organizational data and                            Screen design (4)
           information system security                        Data retrieval and
           policies.                                            maintenance (4)
       4. Use and summarize data                              Data security concepts (3)
           compiled from audit trail and data                 Data integrity concepts (4)
           quality monitoring programs.                       Data integrity and security
       5. Contribute to the design and                          processes and monitoring
           implementation of risk                               (5)
           management, contingency                            Data recovery and risk
           planning, and data recovery                          management (4)
           procedures.                                        Work process design (such
                                                                as ergonomics, equipment
                                                                selection (3)
       E. Subdomain: Healthcare
Information Systems
       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.




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      American Health Information Management Association
    HIM Associate Degree Entry-Level Competencies
              And Knowledge Clusters
                  2006 and Beyond



V. Domain: Organizational Resources                         Organizational Resources
                                                             Roles and functions of
   A. Subdomain: Human Resources                               teams and committees (5)
                                                             Teams/consensus building
       1. Apply the fundamentals of team                       and committees (4)
          leadership.                                        Communication and
       2. Organize and contribute to work                      interpersonal skills (5)
          teams and committees.                              Team leadership concepts
       3. Conduct new staff orientation                        and techniques (4)
          and training programs.                             Orientation and training
       4. Conduct continuing education                         (such as content, delivery,
          programs.                                            media) (5)
       5. Monitor staffing levels and                        Workflow and process
          productivity standards for health                    monitors (4)
          information functions, and                         Performance monitors (4)
          provide feedback to                                Revenue cycle monitors (4)
          management and staff regarding
                                                             Organizational plans and
          performance.
                                                               budgets (framework, levels,
       6. Communicate benchmark staff
                                                               responsibilities, etc.) (4)
          performance data.
                                                             Resource allocation
       7. Prioritize job functions and
                                                               monitors (4)
          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




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 American Health Information Management Association
HIM Associate Degree Entry-Level Competencies
          And Knowledge Clusters
              2006 and Beyond
    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.




                                                      AHIMA ESC 10/2004   11
                                         American Health Information Management Association
                                       HIM Associate Degree Entry-Level Competencies
                                                 And Knowledge Clusters
                                                     2006 and Beyond


KEY: Learning Competency Levels*

1 = Awareness – Introductory recall and recognition
2 = Literacy – Knowledge of framework and content
3 = Concept – Comprehension, translation, extrapolation and
    interpretation of meaning
4 = Detailed understanding – Appropriate application of knowledge in a
    structured or controlled context
5 = Skilled use – Application using analysis, synthesis, and evaluation in
    new situations




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