Medical Biller Proposal by xls71334

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									(original will be on file in Curriculum Services)                                                       Form 1, Page 1


                                    CURRICULUM PROPOSAL REVIEW FORM

Proposal Title: Medical Coder Biller (Course Modifications)_____________________________ _________

Proposal Originator(s): ___N eal Henning______________________________ Date: __15 Nov 05_______

Campus: __North________________________                            Phone Number: __766-4448________________




I have reviewed the attached curriculum proposal and I:
                                                                                     DO NOT            SUPPORT WITH
                                                                      SUPPORT        SUPPORT           CONDITIONS

                                                                          □              □                    □
 _________________________ / ________
 I. *Campus President                            Date
 CONDITIONS/COMMENTS:




 ____________________________ / ________                                  □              □                   □
 II. *Appropriate Associate Vice Presid ent             Date
 CONDITIONS/COMMENTS:




 _______________________ / ________                                       □              □                   □
 III. Chair, Curriculum Committee            Date
 CONDITIONS/COMMENTS:




________________________________                          _________________        Approval:    □ YES □ NO
IV. Executive Vice President For Instruction                       Date
And Student Services
CONDITIONS/COMMENTS:



*Above signatures are required, with the exception of EVP, before submission for review by curriculum committee .




                                                               1
Tracking #: _2006-23                                                                 Form 1, Page 2

                                      CURRICULUM ACTION INFORMATION

1. Curriculum action(s) proposed: Check all items below tha t apply to this proposal.
        PART A                                        PART B
        ___ *New Progra m                             College Credit

       ___ Progra m Modification                       _X_ Associa te in Science
                                                       _X_ Associa te in Applied Science
       ___ Progra m Inacti va tion                     ___ Associa te in Science Transfer Option
                                                       ___ Associa te in Arts
       ___ Progra m Reactiva tion                      ___ Tec hnical Certificate
                                                       ___ Applied Tec hnology Diploma
       ___ New Course(s)                               ___ College Prepara tory

       _X_ Course Modification(s)                      Non-College Credit

       ___ Course Inactiva tion(s)                     ___ Workforce Credi t Certifica te
                                                       ___ High Sc hool Credi t
       ___ Course Reactiva tion(s)                     ___ Other (Specify: ________________)

       ___ Internal Articula tion Agreement            College Credit or Non-College Credit

       ___ General Educa tion Requirement          ___ Applied Tec hnology Diploma (ATD)
       (the following informa tion must be                College __    Non -College __
       completed)
       General Education Requirement -- Prerequi si te to upper division progra m, ____ ____
                                                                                       YES NO
                                                           ______________________________
                                                                      Insti tution Na me

2. Identify the effective semester for i mplementa tion:     __Spring 2006_________________. This term
    should be a future term tha t would not affect current students nega ti vely. All actions in this package will be
    effective during the term indica ted, unless otherwise reflec ted. Exa mple: Fall Term, 2006

3. Proposal Actions.

   a. Progra m Informa tion, if applicable (list ti tle, progra m code, degree, sta te CIP code and summary of the
      changes to progra m). Additionally, if applicable, program layout must include information about
      “Record of Conviction of a Crime”, drug sc reen, background check, immunizations and any other
      information required for licensing or certifying agents.




*See Progra m Development handbook loca ted a t http://www1.fccj.org/progra m_development/ to find out other
 informa tion tha t must completed prior to curriculum submission for all new progra ms.


                                                           2
                                                                                                   Form 1, Page 3

   b. Course Informa tion (if applicable) (list prefix, number and ti tle, credi t hours and contac t hours, fee if
      non-credi t course.




   New Courses:
      COURSE PREFIX                                                                      CREDIT          CONTACT
      AND NUMBER              COURSE TITLE                                               HOURS           HOURS
      ===============         =======================================                    =======         =======




  Course Modifications:

   HIM 1224 ICD 9-CM Coding and Lab, 3cr – eliminate prerequisite and corequisite
   HIM 2012 Health Law, 3 cr – eliminate prerequisite
   HIM 1800 Professional Practice Experience I, 2 cr – eliminat e prerequisite




 Course Inactivations:




4. Should thi s course be offered in a distance learning or other unique instruc tional forma t. (ple ase specify which
   forma t)? Why or why not?

   These courses require hands-on practice of job -cri tical skills and should not be offered via distance learning.




5. Include appropria te background informa tion. The following questions are informa ti on to include in your
   response. Is this a sta te requirement? Wha t is the requirement and why must we i mplement i t? Has history
   shown students need thi s course/progra m for some reason? Will this meet some specific workforce, universi ty
   transfer or student success need? Are there pa rtners, grant requirements, faculty collaborations or other
   reasons leading to the development of this course/progra m?

   HIM 1224, HIM 2012, and HIM 1800 are currently required courses in the Medical Coder/Biller ATD progra m.
   The existing prerequisi te of HIM 1110 for all of these courses, and the existing co-requisi te of BSC 2086C f or
   HIM 1224, are inappropria te for these courses. HIM 1110 and BSC 2086C a re required courses in the Heal th
   Informa tion Management d egree progra m and are appropria te a t thi s level, but are not required for student
   success or certifica tion in the lower-level ATD progra m.



                                                            3
                                                                                                         Form 1, Page 4

6. Wri te a ra tionale/need for the above action(s). This response should address the following questions. Is there
   a need for thi s course/progra m in our service distric t? How will thi s i mpac t student success for upper di vision
   instruction or job placement? If the College already has a si milar course/progra m, why are we developing this
   progra m/course and wha t are the differences between the progra ms and courses? How many students and
   what businesses or transfer insti tutions will benefit? Does this course/progra m support a College goal or
   initia tive?


    This proposal represents a correction to the course outlines for HIM 1224, HIM 2012, and HIM 1800.
    Students do not require the previously identified prerequisi te or corequi si te courses to successfully complete
    the progra m and become certified in medical coding. Required prerequisi tes and co requisi tes are being retained
    on the course outlines.




7. Progra ms, articulated agreements, or courses affec ted by this proposal :

            a.   Identify other existing progra ms of study or courses tha t thi s proposal will affect, and explain how
                 they will be affected. (Progra m ti tle, progra m code, required or elec ti ve)

            None



            b. If there are existing internal or ex ternal (inter-insti tutional) articulation agreements tha t will be
               impacted by this proposal request, please contac t a s appropriate:
                    Courses intended for transfer and Ex ternal Upper division articula tions (2+2): Lynne Crosby,
                      lcrosby@fccj.edu : 632-5066
                    Internal articula tions(i.e. workforce c redi t certifica te progra ms to a college credi t
                      progra m): Debora h Morri s, d morri s@fccj.edu : 633-5909
                    Tech Prep (High School) articula tions: Debbie Berbig, dberbig@fccj.edu: 632-3277.



8. Fiscal Notes: This response must include specific informa tion on the financial impac t to students and the
   insti tution. Thi s section should be concise, unless there are special circumstances related to the
   course/progra m. This section should address the following questions. Will there be unusua l costs to students?
   Are facul ty salaries to teach course/progra m higher or lower than standard ra tes? Will additional staff or
   faculty be required and if so, wha t are the costs to the insti tution? Will the insti tution have to purc hase
   additional equipment, supplies, sof tware, and/or ma terials not currently owned by the college? Are there grant
   or business partnerships tha t will provide funds to establish the course/progra m? Will business partnerships
   cover the course/progra m costs?

No fiscal impact is anticipa ted .




                                                            4
                                                                                                     Form 1, Page 5


9. Financial Informa tion:
   Special fees: (Specify course prefix and number, a mount per student, type of fee, justifica tion, and
    esti ma ted annual academic enroll ment. Plea se be aware the fee must be uniquely rela ted to this course only
    and the a mount charged must not exceed the cost to the College. Contac t Finance if you have any questions.)

       Budget number: _____________________                Departmen t:       _____________________

10. If you selected this course as a General Educa tion Requirement, you must identify which ca tegory below.
    The course outline, nex t to course topic must identify the goal number the course topic addresses (a
     package with the selection cri teria will be provided by Curriculum Services).
    (Place an "X" next to ca tegory).
    COURSE AREA                        CATEGORY
    Category I. --                     Communications                  A __ B __ C __
    Category II. --                    Humanities                      A __ B __
    Category III. --                   Ma thema tics                     __
    Category IV. --                    Na tural Sciences               A __ B __
    Category V. --                     Social Environment              A __ B __ C __

11. Evaluation: This response requests specific informa tion on how you will assess the effec tiveness of the
    course/progra m as i t benefi ts students and the college. This sec tion is also concise but should address the
    following: credit transfer course: review of student enroll ment, completion and grades, as well as students
    ability to move to higher level courses if applicable; credit or non-credit workforce: review of student
    enrollment, completion, job placement, a s well as business involvement in development, revision and eval ua tion
    of the course/progra m and stud ent success; and, adult educa tion courses should include the sa me informa tion
    as credi t transfer courses but should also include job placement analysis.

    Student course and progra m completions will continue to be tracked as pa rt of the College’s progra m review
    process.



12. Do you feel tha t this proposal will have any special impac t on the rec rui tment and retention of disadvanta ged
students? If so, please explain.

        None



13. Answer the following (if appropriate).

  Earn credi t how many ti mes: ___
  Gordon Rule course: ____ ____ Number of words: ______________
                        yes      no (if yes, please answer)
  Grading Method or any special instructions: ________________________________
  __________________________________________________________________

(Include in package as appropriate: program layout for college catalog-see recent catalog for format, course outline(s) in
appropriate for mat & OCP information if appropriate.) You may request this from the Curriculum offi ce. E-mail package to
KPOPE@FCCJ.EDU. If you have any questions, please call 632-3292. The curriculum services office is located at
MCCS/367. Our fax number is 633-8280.

                                                              5
                                                                                            Form 2A, Page 1

                              FLORIDA COMMU NITY COLLEGE AT JACKSONVILLE

                                      COLLEGE CREDIT COURSE OUTLINE



COURSE NU MBER:                                      HIM 1224

COURSE TITLE:                                        ICD-9-CM Coding and Lab

PREREQUISITE(S):                                     HIM 1110, BSC 2085C and HIM 1433  CHANGE TO: HIM 1433

COREQUISITE(S):                                      BSC 2086C and HIM 1436        CHANGE TO: HIM 1436

CREDIT HOURS:                                        3

CONTACT HOURS/WEEK:                                  3

CONTACT HOUR BREAKDOWN:

       Lecture/ Discussion:
       Labora tory:
       Other Lecture/lab:                            3

FACULTY WORKLOAD POINTS:                             3

STANDARDIZED CLASS
SIZE ALLOCATION:                                     24

CATALOG COU RSE DESCRIPTION:

This course provides an introduction to diagnosis and procedure coding using ICD -9-CM and includes both ma nual
and computer-ba sed practice.

SUGGESTED TEXT(S):                                   Brown, Faye, ICD-9-CM Basic Coding Handbook. Chicago, IL:
                                                     American Hospi tal Associa tion, current edi tion.

                                                     Interna tional Classification of Di seases - Clinical
                                                     Modification (volumes 1, 2, & 3). Various publishers, current
                                                     edition.

IMPLEMENTATION DATE:                                 Fall Term, 2002 (20031)

REVIEW OR MODIFICATION DATE:                         Spring Term, 2006 (20062)




                                                          6
                                                                         Form 2A, Page 2

CONTACT HOURS                                                            COURSE TOPICS
                                                                         __PER TOPIC__

I. Overview of ICD-9-CM Coding                                                 4

       A. Brief Introduction and Overview of the Course
       B. Definitions and Brief History
          1. Nomencla tures
          2. Classification Systems
          3. Coding
       C. Reasons and Purposes of Coding
       D. The Role of the Coder
       E. Coding Certifications
       F. Ethical Problems in Coding
          1. AHIMA Standard s of Ethical Coding
       G. Quality of Coded Da ta
          1. Importance of Accuracy
          2. NCCI: Na tional Correct Coding Ini tia tive
          3. HIPAA: Health Insurance Portability and
              Accountability Act of 1996
              a. Fraud and Abuse
              b. Qui Ta m Action
              c. Compliance Plan
          4. Elements of Quali ty Coding
              a. Reliability
              b. Validity
              c. Completeness
              d. Timeliness
       H. Causes of Errors in Coding
          1. Failure to Review Entire Record
          2. Selection of Incorrect Principal Diagnosis
          3. Selection of Incorrect Code
          4. Coding Diagnoses or Procedures
              Not Validated by Record Content
          5. Clerical Errors in Da tabase or on Bill
       I. The Future and ICD-10

II. Forma t, Conventions, and Current Practices                               5

       A. Introduction to the ICD-9-CM Classification
          1. Volume 1: Tabular List of Disea ses and Injuries
          2. Volume 2: Alphabetic Ind ex of Disea ses and Injuries
              a. Alphabeti zing Rules
              b. Index Tables
          3. Volume 3: Tabular List and Alphabetic Index of Procedures




                                                      7
                                                                Form 2A, Page 3


CONTACT HOURS                                                   COURSE TOPICS
                                                                __PER TOPIC__

       B. ICD-9-CM Conventions
          1. Instructional Notes
             a. General Notes
             b. Inclusion and Exclusion Notes
               c.   ―Code First Underlying Condition‖
              d. ―Use Additional Code‖
          2. Abbrevia tions
              a. NEC
              b. NOS
          3. Cross-Reference Notes
              a. ―See‖
              b. ―See Also‖
              c. ―See Ca tegory‖
              d. ―See Condi tion‖
          4. Punctua tion Marks
              a. Parentheses
              b. Square Bracket
              c. Colons
              d. Braces and Double Braces
          5. Relational Terms
              a. ―And‖
              b. ―Due To‖
              c. ―Wi th‖
       C. Uniform Hospi tal Discharge Da ta Set
          1. Da ta Items
              a. Principal Diagnosis
              b. Other Diagnoses
              c. Reporting Guidelines for Other Diagnoses
              d. Ad mi tting Diagnosis
          2. Procedures
          3. Relationship of UHDDS to Outpa tient Reporting
          4. Ethical Coding and Reporting
       D. The Medical Record as a Source Document
       E. Lab exercises for each of these principles

III. Basic Coding Guidelines                                      5
        A. Basic Coding Steps
            1. Locate the Code Entry in the Alphabetic Ind ex
            2. Verify the Code Number in the Tabular List
            3. Coding Demonstra tions




                                                        8
                                                                              Form 2A, Page 4


CONTACT HOURS                                                                COURSE TOPICS
                                                                             __PER TOPIC__

     B. Basic Coding Guidelines
        1. Use Both the Alphabetic Indexes and the Tabular Lists
        2. Assign Codes to the Highest Level of Specificity
        3. Assign Residual Codes as Appropria te
            a. NEC: Not Elsewhere Classified
            b. NOS: Not Otherwise Specified
        4. Assign Combina tion Codes When Available
        5. Assign Mul tiple Codes as Needed
            a. Manda tory Mul tiple Coding
            b.   Discretionary Multiple Coding
             c. Avoid Indiscri mina te Mul tiple Coding
        6. Coding Unconfirmed Diagnoses a s if Established
             a. Rule Out vs. Ruled Out
        7. Acute, Subacute and Chronic Conditions
        8. Impending or Threa tened Condi tion
        9. Late Effects
             a. Locating La te Effects
             b. Two Codes Required
        10. La te Effects vs. Current Illness or Injury
     C. Coding Guidelines for Opera tions and Procedures
        1. Uniform Hospi tal Di scharge Da ta Set for Reporting Procedures
             a. Principal Procedures
        2. Forma t and Organiza tion
        3. Conventions
             a. ―Code Also‖
        4. Locating Procedure Terms in the Alphabetic Index
             a. Eponyms
             b. Excision of Organ or Lesion
             c. Bilateral Procedures
        5. Coding Opera ti ve Approaches and Closures
             a. Laparoscopic and Thoracoscopic Approaches
             b. Other Endoscopic Approaches
        6. Coding Biopsies
             a. Closed Biopsy
             b. Open Biopsy
        7. Coding Diagnosis-Rela ted Procedures
        8. Coding Canceled Procedures
        9. Coding Incomplete Procedures
        10. Coding Shunt Procedures
        11. Coding Stent Insertions
        12. Stereotactic Radiosurgery




                                                     9
                                                                                 Form 2A, Page 5

CONTACT HOURS                                                                    COURSE TOPICS
                                                                                   _PER TOPIC __

        D. Lab exercises for each of these principles

IV. Supplementa ry Classifica tions: V & E Cod es                                      5

        A. Using the Supplementary Classifica tions
        B. Locating V Codes and E Cod es
        C. V Codes
           1. Ad mission or Encounter for Af tercare Management
           2. Ad mission for Follow -up Examina tion
           3. Ad mission for Observa tion and Evalua tion
           4. Ad mission for Palliative Care
           5. Special Investiga tions and Exa mina tions
           6. Screening Exa mina tions
           7. Codes Representing Pa tient History, Sta tus, and Problems
             8.   V Code Table: Effective October 1, 2000
        D. Lab exercises for each of these principles

V.      Coding of Signs, Symptoms and Ill-Defined Condi tions                           5

        A.   Signs and Symptoms as Principal Diagnoses
        B.   Signs and Symptoms as Addi tional Diagnoses
        C.   Abnormal Findings
        D.   Ill-Defined Condi tions
        E.   Lab exercises for each of these principles

VI.     Coding Diseases and Procedures                                                     21

        A. Infectious and Parasi tic Diseases
           1. Organism vs. Si te or Other Subterm
           2. AIDS and Other HIV Infections
           3. Lab exercises
        B. Endocrine, Metabolic, and Nutri tional Disea ses and Immune -System
           Disorders
           1. Diabetes Mellitus
           2. Lab exercises
        C. Mental Di sorders
           1. Mental Di sorders
           2. Substance Abuse
           3. Psychotherapy and Substance Abuse Therapy
           4. Lab exercises
        D. Blood and Blood-Forming Organs




                                                            10
                                                                    Form 2A, Page 6


CONTACT HOURS                                                       COURSE TOPICS
                                                                    __PER TOPIC__

          1. Anemias
          2. Lab exercises
     E.   Nervous System and Sense Organs
          1. Lab exercises
     F.   Respira tory System
          1. Pneumonia
          2. COPD: Chronic Obstructive Pul monary Disease
          3. Procedures
          4. Lab exercises
     G.   Digesti ve System
          1. Diseases of the Biliary System
          2. Procedures
          3. Lab exercises
     H.   Genitourinary System
          1. Procedures
          2. Lab exercises
     I.   Skin and Subcutaneous Tissue
          1. Diseases
          2. Procedures
          3. Lab exercises
     J.   Musculoskeletal System and Connective Tissue.Procedures
          2. Lab exercises
     K.   Complications of Pregnancy, Childbirth,
          and the Puerperium
          1. Fifth-Digi t Sub classification
          2. Outcome of Delivery
              a. Normal Deliveries
              b. V23 and V22
          3. Selection of Principal Diagnosis
          4. Procedures Assisting Delivery
          5. Abortion and Ectopic Pregnancy
          6. Congenital Anomalies
          7. Perinatal Condi tions
          8. Lab Exercises
     L.   Circulatory System
          1. Ischemic Heart Di sease
              a. Myocardial Infarction
          2. Angina Pectoris
          3. Heart Failure
          4. Cardiac Arrest
          5. Aneurysm




                                                        11
                                                                      Form 2A, Page 7


CONTACT HOURS                                                       COURSE TOPICS
                                                                    __PER TOPIC__

        6. Cerebrovascular Disorders
            a. Hypertension
            b. Hypertension Table
            c. Hypertensive Heart and Renal Disease
            d. Atherosclerosis of Ex tremi ties
            e. V code sta tus
        7. Procedures for the Circula tory System
        8.       Lab Activi ties
     M. Neoplastic Diseases
        1.       Beha vior Classifica tion
        2.       Basic Types of Malignant Neoplasms
        3.       Coding of Solid Malignant Neoplasms
        4.       Coding of Malignancies of the Hema topoietic
            and Lympha tic Systems
        5.       Sequencing Codes for Neoplastic Disea ses
        6. Coding for Ad missions or Encounters for
            Follow-up Examinations
        7. Lab exercises
     N. Injuries, Burns, Poisoning, and
        Complications of Care
        1.       Injuries
            a. Mul tiple Coding of Injuries
            b. Sequencing of Injury Codes
             c.   External Causes of Injury: E Codes
        2.        Fractures and Procedures Rela ted to Frac tures
        3.        Burns
        4.        Poisoning and Adverse Effec ts of Drugs
        5.        Complications of Surgery and Medical Care
        6.        Lab exercises




                                                       12
                                                                              Form 2A, Page 8

PROGRAM TITLE:                                     Health Informa tion Management

COURSE TITLE:                                      ICD- 9-CM Coding and Lab

AS HIM CIP NU MBER:                                0317.050600

LIST PERFORMANCE STANDARD ADDRESSED:

       Note: Only ICD-9-CM i s taught in thi s course.
20.0   USE CLASSIFICATION SYSTEMS FOR HEALTH CARE INFORMATION --The student will be able to:

       20.01     Trace the development of nomenclatures and classification systems.
       20.02     Identify conventions and cha rac ters used in classification systems.
       20.03     Follow existing procedures to code diagnoses and procedures (CPT and ICD-9-CM).
       20.04     Perform DRG a ssignment.




                                                     13
                                                                                    Form 2A, Page 9

LIST PERFORMANCE STANDARD ADDRESSED:

ATD Medical Coder/Biller CIP NU MBER:                                        0317.050603

       Note: Only ICD-9-CM i s taught in thi s course.
15.0   DEMONSTRATE PROFICIENCY IN U SE OF ICD AND CPT CODING SYSTEMS, BOTH MANU AL AND
       AUTOMATED--The student will be able to:

       15.01    Outline the development of nomencla tures and classification systems.
       15.02    Identify conventions and cha rac teri stics used in coding.
       15.03    Analyze and code diagnoses, procedures, and symptoms.
       15.04    Demonstra te ability to code, classify, and sequence.
       15.05    Explain the relationship of Diagnosis Related Groups (DRGs) and Ambula tory Pa tient Groups
                (APGs).
       15.06    Identify the various ex ternal regulating agencies and their i mpac t on the coding systems.
       15.07    Use procedures for ensuring data quali ty.
       15.08    Describe the process to annually update coding resources.

16.0   UTILIZE MEDICAL CODING REFERENCES --The student will be able to:

       16.01    Use medical dictionaries.
       16.02    Identify and use trade generic and chemical drug na mes utilizing reference sources.
       16.03    Identify and use diagnostic test terminology.




                                                      14
                            Florida Community College              Course Learning Outcomes & Assessment
                                  At Jacksonville                       For All College Credit Courses

NOTE: Use either the Tab k ey or mouse click to move from field to field. The box will expand to accommodate your entry.

Section 1
COURSE PREFIX AND NUMBER: HIM1224                                          SEMESTER CREDIT HOU RS: 3
COURSE TITLE: ICD-9-CM Coding and Lab

Section 2
TYPE OF COURSE: (Click on the box to check all tha t apply)
          AA Elective                        AS Required Prof essional Course                      College Prep
          AS Professional Elective       AAS Required Professional Course               Technical Certificate
          Other
          General Education: (For General Education courses, you must al so complete Section 3 and Section 7)

Section 3 (If applicable)
INDICATE BELOW THE DISCIPLINE AREA FOR GENERAL EDUCATION COU RSES:
      Communications           Social & Behavioral Sciences                                        Math ematics
      Natural Sciences         Humanities

Section 4
INTELLECTU AL COMPETENCIES:
                                                                     Quantitative              Scientific Method of
        Reading         Speaking         Critical Analysis
                                                                     Skills                    Inquiry
                                         Information                 Ethical
        Writing         Listening                                                              Working Collaboratively
                                         Literacy                    Judgment

Section 5
                     LEARNING OUTCOMES                                            METHOD OF ASS ESSMENT
         Use classification systems for health care information
          1                                                          Written tests, practical exams, clinical performance
          Demonstrate proficiency in use if ICD and CP T coding
         2                                                          Written tests, practical exams, clinical performance
          systems, both manual and automated
         Utilize medical coding references
          3                                                          Written tests, practical exams, clinical performance
         4
         5
         6
         7
         8
         9
         9
Section 6
Name of Person Completing This Form: Neal Henning                          Date: 11/18/05




                                                             15
                                                                                                 Form 2A, Page 1
                                  FLORIDA COMMU NITY COLLEGE AT JACKSONVILLE
                                        COLLEGE CREDIT COURSE OUTLINE

COURSE NU MBER:                                        HIM 1436

COURSE TITLE:                                          Pathophysiology II

PREREQUISITE(S):                                       HIM 1433

COREQUISITE(S):                                        None                     CHANGE TO: HIM 1224

CREDIT HOURS:                                          2

CONTACT HOURS/WEEK:                                    2

CONTACT HOUR BREAKDOWN:

       Lecture/ Discussion:                            2
       Labora tory:
       Other ____________:

FACULTY WORKLOAD POINTS:                               2

STANDARDIZED CLASS
SIZE ALLOCATION:                                       24

CATALOG COU RSE DESCRIPTION:
This course presents the na ture and cause of human disea ses; the study of the etiology, signs and symptoms,
diagnostic evaluation procedures, complications, trea tment, management, and prognosi s of disease. Heal th rec ord
documenta tion i s incorpora ted. A parallel course to BSC 2086C covering: basic concepts of al tered sta tus, growth
and development, as well as the nervous, endocrine, reproduc tive, respira tory, and urinary systems.

SUGGESTED TEXT(S):                                     Gould, Barbara E. Pathophysiology for the Heal th-Related
                                                       Processions. Philadelphia, PA: W.B. Saunders, current edition

                                                       Woodrow, Ruth. Essentials of Pharmacology for Heal th
                                                       Occupa tions. Albany, NY: Del mar, current edi tion.

                                                       Taber's Cyclopedic Medical Dictionary, Philadelphia, PA: F.A.
                                                       Davis Company, current edition.

                                                       Physician's Desk Reference, current edi tion

                                                       Davis’ Drug Guide, Philadelphia, PA: F.A. Davis Company,
                                                       current edi tion.

IMPLEMENTATION DATE:                                   Fall Term, 2002 (20031)

REVIEW OR MODIFICATION DATE:                           Spring Term, 2006 (20062)

                                                            16
                                                                      Form 2A, Page 2

                                                                   CONTACT HOURS
COURSE TOPICS                                                      __PER TOPIC__

I.   Al tered Sta tus/Grow th and Development                           6
        A. Brief Introduction and Overview of the Course
        B. Congenital and Genetic Disorders
            1. Review of Genetic Control
            2. Congenital Defects
            3. Genetic Disorders
               a. Single-Gene Disorders
                    1) Autosomal Recessive Di sorders
                    2) Autosomal Dominant Disord ers
                    3) X-linked Recessive Disorders
               b. Chromosomal Disorders
               c. Mul tifactorial Disorders
            4. Developmental Disorders
            5. Diagnostic Tools
            6. Example: Down’s Syndrome
        C. Health Problems Associa ted with Adolescence
            1. Review of Changes of Adolescence
            2. Musculoskeletal Abnormalities
               a. Kyphosi s and Lordosi s
               b. Scoliosis
               c. Osteomyeli tis
               d. Juvenile Rheuma toid Arthri tis
            3. Eating Disorders
               a. Anorexia Nervosa
               b. Bulimia Nervosa
            4. Skin Disord ers
               a. Acne Vulgaris
            5. Infection
               a. Infectious Mononucleosis
            6. Disorders Affecting Sexual Development
               a. Chromosomal Disorders
               b. Tumors
               c. Menstrual Abnormali ties
        D. Effects of Pregnancy
            1. Fetal Development
            2. Significant Pathological Changes During Pregnancy
               a. Diagnosis of Pregnancy
               b. Physiologic Changes and Their Implica tions
                    1) Hormonal Changes
                    2) Reproductive System Changes
                    3) Weight Gain and Nutri tion
                    4) Digesti ve System Changes
                    5) Musculoskeletal Changes
                    6) Cardiovascular Changes
               c. Potential Complications of Pregnancy

                                                       17
                                                                        Form 2A, Page 3

                                                                    CONTACT HOURS
COURSE TOPICS                                                       __PER TOPIC__

                 1) Ectopic Pregnancy
                 2) Pregnancy-Induced Hypertension:
                     Preecla mpsia and Ecla mpsia
                 3) Placental Problems
                 4) Blood-Clotting Problems
                      a) Thrombophlebi tis and Thromboembolism
                      b) Dissemina ted Intravascular Coagula tion
                 5) Rh Incompa tibility
                 6) Infection
                 7) Adolescent Pregnancy
     E.   Aging and the Disease Process
          1. The Aging Process
          2. Significant Physiologic Changes with Aging
              a. Hormonal Changes
              b. Reproductive System Changes
              c. Cardiovascular Changes
              d. Musculoskeletal Changes
              e. Respira tory Changes
              f. Neurologic Changes
              g. Gastrointestinal Changes and Nutri tion
              h. Urinary System Changes
          3. Other Factors
          4. Pharmacology: Drugs and Geriatrics
     F.   Effects of Immobility
          1. Musculoskeletal Effects
          2. Cutaneous Effects
          3. Cardiovascular Effects
          4. Respira tory Effects
          5. Gastrointestinal Effects
          6. Urinary Effects
          7. Effects on Children
     G.   The Influence of Stress
          1. Review of the Stress Response
          2. Stress and Di sease
              a. Potential Effects of Prolonged or Severe Stress
              b. Stress-Rela ted Disorders
              c. Coping with Stress
     H.   Pain
          1. Causes of Pain
          2. Pain Pathways
          3. Theory of Pain and Pain Control
          4. Characteristics of Pain
              a. Signs and Symptoms
              b. Referred Pain

                                                     18
                                                                          Form 2A, Page 4

                                                                        CONTACT HOURS
COURSE TOPICS                                                           __PER TOPIC__

             c. Factors Affecting Pain Perception and Response
             d. Young Children and Pain
         5. Acute Pain
         6. Chronic Pain
         7. Headache
         8. Pain Control
             a. Methods of Managing Pain
             b. Anesthesia
         9. Pharmacology: Analgesics, Seda tives, and Hypnotics
         10 Pharmacology: Preopera ti ve Medications and Anesthetic s
      I. Substance Abuse
         1. Terminology
         2. Predisposing Factors
         3. Recogni tion of Abuse
         4. Potential Complications of Substance Abuse
             a. Overdose
             b. Wi thdrawal
             c. Pregnancy
             d. Cardiovascular Problems
             e. Psychedelic Experiences
             f. Infection
             g. Alcohol
                 1) Cirrhosis (Laënnec’s Cirrhosis)
                 2) Nervous System Da mage
         5. Assistance with Substance Abuse
         6. Pharmacology: Psychotropic Medica tions,
             Alcohol, Drug Abuse
      J. Environmental Hazards
         1. Chemicals
             a. Heavy Metals
             b. Inhalants
         2. Physical Agents
             a. Hyperthermia
             b. Hypothermia
             c. Radiation
             d. Noise
         3. Biologic Agents
             a. Bites and Stings
             b. Food Poisoning
      K. Web Si tes: Representa tive si tes

II:   Neurologic Disorders & Special Senses                                        6
      A. Review of the Nervous System
         1. The Brain
         2. The Spinal Cord and Peripheral Nerves

                                                     19
                                                            Form 2A, Page 5

                                                           CONTACT HOURS
COURSE TOPICS                                               __PER TOPIC__

          3. The Neuron and Conduction of Impulses
          4. The Autonomic Nervous System
     B.   General Effects of Neurologic Dysfunc tion
          1. Local (Focal) Effects
          2. Supra tentorial and Infratentorial Lesions
          3. Lef t and Right Hemi spheres
          4. Level of Consciousness
          5. Motor Dysfunction
          6. Sensory Defici ts
          7. Visual Loss – Hemianopia
          8. Language Disorders
          9. Seizures
          10. Increa sed Intracranial Pressure
              a. Early Signs
              b. Vi tal Signs
              c. Visual Signs of Intracranial Pressure
              d. Changes in Cerebrospinal Fluid
              e. Hernia tion
     C.   Acute Neurologic Problems
          1. Brain Tumors
          2. Vascular Di sorders
              a. Transient Ischemic Attacks
              b. Cerebral Vascular Accidents
              c. Cerebral Aneurysms
          3. Infections
              a. Meningi tis
              b. Brain Abscess
              c. Encephali tis
              d. Infection -Rela ted Syndromes
          4. Head Injuries
          5. Seizure Disord ers
     D.   Congenital and Genetic Neurologic Di sorders
          1. Hydrocephalus
          2. Spina Bifida
          3. Cerebral Palsy
     E.   Chronic Degenera tive Disorders
          1. Mul tiple Sclerosi s
          2. Parkinson’s Disease (Paralysis Agi tans)
          3. Amyotrophic La teral Sclerosis
              (Lou Gehrig’s Disease)
          4. Myasthenia Gra vis
          5. Huntington’s Disease
          6. Alzhei mer’s Disea se
     F.   Spinal Cord Problems
          1. Hernia ted Intervertebral Di sc

                                                      20
                                                                         Form 2A, Page 6

                                                                     CONTACT HOURS
COURSE TOPICS                                                         __PER TOPIC__

          2. Spinal Cord Injury
       G. Mental Di sorders
          1. Schizophrenia
          2. Depression
          3. Panic Disorder
       H. Disorders of the Eye and Ear
          1. The Eye
              a. Review of Normal Structure and Function
              b. Diagnostic Tests
              c. Structural Defects
              d. Infections and Trauma
              e. Glaucoma
              f. Cataracts
              g. Detached Retina
          2. The Ea r
              a. Review of Normal Structure and Function
              b. Hearing Loss
              c. Ear Infections
              d. Otosclerosis
              e. Meniere’s Syndrome
       I. Pharmacology: Autonomic Nervous System Drugs
       J. Pharmacology: Eye Medica tions
       K. Pharmacology: Anticonvulsants and Antiparkinsonian Drugs
       L. Case Studies and Health Record Documenta tion
       M. Web Si tes: Representa tive si tes

III:   Endocrine Disorders                                               4
       A. Review of the Endocrine System
       B. Endocrine Disorders
          1. Diagnostic Tests
          2. Trea tment
       C. Parathyroid Hormone and Calcium
       D. Insulin and Diabetes Melli tus
          1. Comparison of Type I (IDDM) and Type II (NIDDM)
          2. Pathophysiology
              a. Initial Stages
              b. Progressive Effects
          3. Signs and Symptoms
          4. Diagnostic Tests
          5. Trea tment
          6. Complications
              a. Acute
              b. Chronic
       E. Pitui tary Hormones
          1. Growth Hormone

                                                     21
                                                                 Form 2A, Page 7

                                                               CONTACT HOURS
COURSE TOPICS                                                   __PER TOPIC__

      F. Antidiuretic Hormone
         1. Diabetes Insipidus
         2. Inappropria te ADH Synd rome
      G. Thyroid Di sorders
         1. Goiter
         2. Hyperthyroidism (Graves’ Disease)
         3. Hypothyroidism
      H. Adrenal Glands
         1. Adrenal Medulla
         2. Adrenal Cortex
      I. Pharmacology: Endocrine System Drugs
      J. Case Studies and Health Record Documenta tion
      K. Web Si tes: Representa tive si tes

IV:   Reproductive System Disorders                                4
      A. Disorders of the Male Reproductive System
         1. Review of the Normal Male Reproduc tive System
             a. Structures and Function
             b. Hormones
         2. Infertility
         3. Congenital Abnormali ties of the Penis
             a. Epispadias and Hypospadias
         4. Disorders of the Testes and Scrotum
             a. Cryptorchidism
             b. Hydrocele, Sperma tocele, and Vericocele
         5. Inflamma tion and Infections
             a. Prosta ti ti s
         6. Tumors
             a. Benign Prosta tic Hypertrophy
             b. Cancer of the Prosta te
             c. Cancer of the Testes
      B. Disorders of the Female Reproductive System
         1. Review of the Normal Female Reproduc tive System
             a. Structure and Function
             b. Hormones and the Menstrual Cycle
         2. Infertility
         3. Structural Abnormali ties
         4. Menstrual Di sorders
             a. Menstrual Abnormali ties
             b. Endometriosis
         5. Infections
             a. Candidiasis
             b. Pelvic Inflamma tory Di sease (PID)
         6. Benign Tumors
             a. Leiomyoma (Fibroids)

                                                   22
                                                                        Form 2A, Page 8

                                                                   CONTACT HOURS
COURSE TOPICS                                                      __PER TOPIC__

             b. Ovarian Cysts
             c. Fibrocystic Brea st Disea se
          7. Malignant Tumors
             a. Carcinoma of the Brea st
             b. Carcinoma of the Cervix
             c. Carcinoma of the U terus (Endometrial Carcinoma)
     C.   Sexually Transmi tted Disea ses (STDs)
          1. Bacterial Infections
             a. Chla mydial Infection
             b. Gonorrhea
             c. Syphilis
          2. Viral Infections
             a. Genital Herpes
             b. Condyloma ta Acumina ta (Geni tal Warts)
          3. Protozoan Infection
             a. Trichomoniasis
     D.   Pharmacology: Reproductive System Drugs
     E.   Case Studies and Health Record Documenta tion
     F.   Web Si tes: Representa tive si tes

V:   Respira tory Disorders                                              5
     A. Review of Normal Structures in the Respi ra tory System
        1. Purpose and General Organization
        2. Structures in the Respi ra tory System
        3. Ventila tion
        4. Gas Exchange
        5. Diagnostic Tests
     B. General Manifesta tions of Respira tory Di sease
     C. Infectious Di seases
        1. Upper Respira tory Tract Inf ections
             a. Common Cold (Infectious Rhini tis)
             b. Sinusiti s
             c. Laryngotracheobronchi tis (Croup)
             d. Epiglotti ti s
             e. Influenza (Flu)
        2. Lower Respira tory Tract Infections
             a. Bronchioli tis (RSV Inf ection)
             b. Pneumonia
             c. Tuberculosis
     D. Obstructive Disease
        1. Cystic Fibrosis
        2. Lung Cancer
        3. Aspi ra tion
        4. Asthma
     E. Chronic Obstructi ve Pul monary Disea se

                                                    23
                                                                                        Form 2A, Page 9

                                                                                     CONTACT HOU RS
COURSE TOPICS                                                                        __PER TOPIC__

           1. Emphysema
           2. Chronic Bronchi tis
           3. Bronchiecta sis
      F.   Vascular Di sorders
           1. Pulmonary Ed ema
           2. Pulmonary Embolus
      G.   Expansion Disorders
           1. Atelecta sis
           2. Pleural Effusion
           3. Pneumothorax
           4. Flail Chest
           5. Infant Respi ra tory Distress Syndrome
           6. Adult Respira tory Distress Synd rome
           7. Acute Respi ra tory Failure
      H.   Pharmacology: Respira tory System Drugs and Anti hista mines
      I.   Case Studies and Health Record Documenta tion
      J.   Web Si tes: Representa tive si tes

VI:   Urinary System Di sorders                                                             5
      A. Review of the U rinary System
      B. Incontinence and Retenti on
      C. Diagnostic Tests
          1. Urinalysis
          2. Blood Tests
          3. Other Tests
      D. Diuretic Drugs
      E. Dialysis
      F. Disorders of the U rinary System
          1. Urinary Tract Infections
          2. Inflamma tory Di sorders
              a. Glomerulonephri tis (Acute Poststreptococcal Glomerulonephri tis)
              b. Nephrotic Syndrome (Nephrosis)
      G. Urinary Tract Obstructions
          1. Urolithiasis (Calculi or Kidney Stones) \
          2. Tumors
              a. Renal Cell Carcinoma
              b. Bladder Cancer
      H. Vascular Di sorders
          1. Nephrosclerosi s
      I. Renal Failure
          1. Acute Renal Failure
          2. Chronic Renal Failure
      J. Pharmacology: Urinary System Drugs
      K. Case Studies and Health Record Documenta tion
      L. Si tes: Representa ti ve si tes

                                                       24
                                                                           Form 2A, Page 10

PROGRAM TITLE:                                        Health Informa tion Management

COURSE TITLE:                                         Pathophysiology II

AS HIM CIP NU MBER:                                   0317.050600

LIST PERFORMANCE STANDARD ADDRESSED:

Note: The most recent HIM Fra mework is from 1998 and does not include specific Pathophysiology requirements
as indicated in the Coder Fra mework.

04.0   DEMONSTRATE AN U NDERSTANDING OF AND APPLY WELLNESS AND DISEASE CONCEPTS -- The
       student will be able to:

       04.01 Develop a basic understanding of the struc ture and function of the body systems.
       04.02 Identify personal heal th practices and environmental factors which affec t opti mal func tion of eac h
                of the ma jor body systems.
       04.03 Identify psychological reactions to illness including defense mec hanisms.
       04.04 Recognize the steps in the grief process.
       04.05 Explain basic concepts of posi tive self-i mage, wellness and stress.
       04.06 Develop a wellness and stress control plan tha t can be used in personal and professional life.
       04.07 Explain the nutri tion pyra mid.



ATD Medical Coder/Biller CIP NU MBER:                                           0317.050603
LIST PERFORMANCE STANDARD ADDRESSED:

04.0   DEMONSTRATE AN U NDERSTANDING OF AND APPLY WELLNESS AND DISEASE CONCEPTS -- The
       student will be able to:

       04.01 Develop a basic understanding of the struc ture and function of the body systems.
       04.02 Identify personal heal th practices and environmental factors which affec t opti mal func tion of each
                of the ma jor body systems.
       04.03 Identify psychological reactions to illness including defense mec hanisms.
       04.04 Recognize the steps in the grief process.
       04.05 Explain basic concepts of posi tive self-i mage, wellness and stress.
       04.06 Develop a wellness and stress control plan tha t can be used in personal and professional life.
       04.07 Explain the nutri tion pyra mid.

14.0   DEMONSTRATE AN UNDERSTANDING OF THE FU NDAMENTALS OF DISEASE PROCESS IN
       RELATIONSHIP TO THE HUMAN BODY, INCLUDING PHARMACOLOGY --The student will be able to:

       14.01      Demonstra te an understanding of the predisposing fac tors and direc t causes of disease as they
                  relate to the human body.
       14.02      Demonstra te an understanding of the general morphology of organisms and thei r role in the
                  disease process.
       14.03      Demonstra te an understanding of the pa thogenesis of diseases of all the body systems.


                                                         25
                                                                                              Form 2A, Page 1

                                  FLORIDA COMMU NITY COLLEGE AT JACKSONVILLE

                                           COLLEGE CREDIT COURSE OUTLINE

COURSE NU MBER:                                        HIM 1800

COURSE TITLE:                                          Professional Prac tice Experience I

PREREQUISITE(S):                                       HIM 1110 and HIM 1224           CHANGE TO: HIM 1224

COREQUISITE(S):                                        HIM 1253

CREDIT HOURS:                                          2

CONTACT HOURS/WEEK:                                    5

CONTACT HOUR BREAKDOWN:
     Lecture/ Discussion:
     Labora tory:
     Other Heal th Ca re Facility:                     5

FACULTY WORKLOAD POINTS:                               by formula

STANDARDIZED CLASS
SIZE ALLOCATION:                                       24

CATALOG COU RSE DESCRIPTION:

This course will provide students with a supervised experi ence in a Heal th Informa tion Management Department.
Emphasis will be placed on the pri mary functions of record content, assembly and analysis, filing and retention of
records, coding of outpa tient records, and use of office equipment.

SUGGESTED TEXT(S):                                     Abdelhak, et al. Heal th Informa tion: Management of a
                                                       Stra tegic Resources, tex t and workbook. Philadelphia, PA:
                                                       W.B. Saunders, current edi tion.

IMPLEMENTATION DATE:                                   Fall Term, 2002

REVIEW OR MODIFICATION DATE:                           Fall Term, 2002 (20031)




                                                            26
                                                                            Form 2A, Page 2

                                                                  CONTACT HOURS
COURSE TOPICS                                                     __PER TOPIC__

I. HIM Department Ori enta tion                                              8

       A. Brief Introduction and Overview of the Course
       B. Overview of the Facility
          1. Ownership
          2. Size and Services
          3. Accredi ta tion
          4. Organiza tion Cha rt
              a. HIM Chain of Command within the Organiza tion
              b. Relationship of the HIM Department to
                  other Departments
       C. Overview of the HIM Department
          1. Hours of Opera tion
          2. Department Organization Chart
              a. Identify Chain of Command
          3. Employees
              a. Number of Employees
              b. Job Descriptions
          4. Crea te a Diagra m of the Department Work Flow
          5. Departmental Policies and Procedures
              a. Confidentiality
              b. Dress Cod e
              c. Others
          6. Learn Telephone Systems for:
              a. Appropria te Caller and Recei ver Identification
              b. Transferring Calls, Holding, Intercom, and Conference Calls
              c. Telephone Manners and Conclusion of a Call
              d. Taking and Leaving Telephone Messages
          7. Learn Computer Systems (a s available):
              a. Logon and Securi ty, Password Controls
              b. Main Depa rtment Functions/Sc reens

II. Equipment Loca tion and Use                                         8

       A. Demonstra tion of Equipment
       B. Hands-on Experience of Equipment (if possible)
          1. Copier
          2. Typewriter
          3. Computer System
          4. Computerized Ma ster Pa tient Index (MPI)
          5. Transcription System
          6. Calculator
          7. Electronic Filing Systems
          8. Microfilm Reader/Printer
          9. Microfilm Ca mera
          10.Optical Imaging

                                                      27
                                                                               Form 2A, Page 3

                                                                  CONTACT HOURS
COURSE TOPICS (con tinued)                                         __PER TOPIC__

III. Orienta tion to the Health Record                                     4

       A. Identify/Follow Applicable Policies and Procedures
       B. Identify Patient Numbering System
          i.e., Serial, Unit, Serial Unit
       C. Identify Record Forms and Forma t Type
       D. Become Fa miliar with the Chart Order(s)
       E. Identify File Folder Fea tures including Color Coding
       D. Identify Parallel Computer-Based Record Fea tures

IV. Da ta Access and Retenti on                                        6

       A. Identify/Follow Applicable Policies and Procedures
       B. Learn Alphabetic and/or Phonetic Filing System through Use
          of the Master Pa tient Index (MPI)
       C. Paper-Based Records
          1. Identify File System Used
              a. Active Files Centralized or Decentralized
              b. Any Addi tional Storage Areas
              c. Type of Filing, i.e., Terminal Digit
          2. Learn Folder Color Coding System and Prepara tion
              of File Folders
          3. Learn Chart Loca tion/Tracking System
          4. File and Retrieve Records
          5. Learn to Receive, Sort, and File Loose Reports
          6. Learn How and When Records are Destroyed
       D. Computer-Ba sed Records
          1. Identify Computer System U sed
              - Hardware, Sof tware, Network, etc.
       E. Image-Based Record s
          1. Identify Image-Based Systems
              a. Microfilm, Microfiche
              b. Optical Imaging
          2. Learn to Prepare a Record for Microfil ming
              - Validate the Readability of Microfil m
          3. Learn to Retrieve, Print and Re-file Records
       F. Identify whether Contract Services Are Used

V. Ad mission and Discha rge Processing                                    6

       A. Identify/Follow Applicable Policies and Procedures
       B. Ad missions/Registra tion Processing
          1. Inpa tient
          2. Outpa tient including Emergency Department
          3. Birth Certifica tes
       C. Discha rge Processing
          1. Inpa tient


                                                        28
                                                                                     Form 2A, Page 4

                                                                      CONTACT HOURS
COURSE TOPICS (continued)                                              __PER TOPIC__

            2. Outpa tient including Emergency Department

VI. Record Retrieval and Assembly                                           8

        A. Identify/Follow Applicable Policies and Procedures
        B. Learn to Id entify Discharged Pa tients
           1. Inpa tients f rom Nursing Uni ts
           2. Outpa tients and Emergency Department Pa tients
        C. Retrieve Record s of Discharged Pa tients
        D. Learn Facility Chart Order(s)
        E. Assemble Discharged Records
        F. Add Reports to Permanent File Folders

VII. Record Analysis and Incomplete Records                                     10

        A. Identify/Follow Applicable Policies and Procedures
        B. Identify Record Deficiencies
           1. Missing Signatures
           2. Missing Reports (H&P, Di scharge Summary, etc.)
        C. Flag Deficiencies for Each Physician/Depa rtment
        D. Document Deficiencies Manually or on Computer
        E. Route Records to Permanent or Incomplete File
        F. Delinquent Cha rt System
           1. File and Retrieve Delinquent Record s
           2. Document Record Completion Manually or on Computer
           2. Calculate the Delinquent Chart Count
           3. Notify Physicians/ Departments of Delinquent Charts

VIII. Da ta Quali ty                                                            10

        A. Identify/Follow Applicable Policies and Procedures
        B. Identify Computer System Fea tures
           1. Hardware and Data Entry Devices
           2. Software, including Databases - Edi ts and Validation Checks
           3. Output and Output Devices
        C. Review Record s for Da ta Quality - Perform Clinical Pertinence Reviews
        D. Design/Re-design a Form or Vi ew

IX.     ICD-9-CM and CPT4 Coding    and Reimbursement                                12

        A. Identify/Follow Applicable Policies and Procedures
        B. Learn the Outpa tient Coding Process
           1. Review Coding Ethics
           2. Review Causes of Coding Errors
        C. Identify and Use Available Coding Resources
        D. Code Outpa tient Records
        E. Code Emergency Department Record s



                                                        29
                                                                     Form 2A, Page 5



                                                                  CONTACT HOURS
COURSE TOPICS (continued)                                           __PER TOPIC__

       F. Participa te in Coding Valida tion
       G. Discuss the Impact of Computers on the Coding Process
       H. Rei mbursement
          1. Identify Major Payers for the Facility
          2. Discuss Rei mbursement Issues
       I. Discuss Use of Contract Services

X. Registers and Index es                                              3

       A. Retrieve da ta from index /database
          1. Diagnosis
          2. Procedure
          3. Physician
       B. Identify the following registers:
          1. Ad mission
          2. Discha rged
          3. Dea th




                                                     30
                                                                               Form 2A, Page 6

PROGRAM TITLE:                                         Health Informa tion Management

COURSE TITLE:                                          Professional Prac tice Experience I

AS HIM CIP NU MBER:                                    0317.050600

LIST PERFORMANCE STANDARD ADDRESSED:

12.0   DESCRIBE MANAGEMENT FU NCTIONS OF HEALTH INFORMATION SERVICES --The student will be
       able to:

       12.01     Assist in preparing reports, which reflect the sta tus of a health informa tion service.
       12.02     Apply policies and procedures of a heal th informa tion service.
       12.03     Maintain quality and quanti ty of work performed in a health informa tion service using
                 established standard s.
       12.04     Maintain a systema tic work flow for a health informa tion service.
       12.05     Retrieve informa tion and prepare reports for the ad ministra tive and prof essional staff.
       12.06     Define the role of the heal th informa tion technician as a manager.

16.0   FOLLOW PROCEDU RES TO ASSURE ADEQU ATE DOCU MENTATION OF HEALTH CARE--The student
       will be able to:

       16.01     Follow procedures for quanti ta ti ve and qualita tive analysis of heal th records.
       16.02     Identify purposes and uses of health records.
       16.03     Identify basic heal th record forms and required content.
       16.04     Assemble and analyze a heal th record.
       16.05     Follow procedures for the retention of heal th informa tion.
       16.06     Follow procedures designed to control the flow of health care da ta.
       16.07     Follow procedures for the destruc tion of health records.
       16.08     Identify heal th informa tion i maging tec hniques and equipment.

17.0   FILE, MAINTAIN AND RETRIEVE HEALTH INFORMATION --The student will be able to:

       17.01     Identify and describe ad mission numbering systems and their advantages and disadvantages.
       17.02     Identify and describe filing systems and their advantages and disadvantages.
       17.03     File and retrieve health informa tion.
       17.04     Retrieve heal th informa tion from manual or automa ted systems.

20.0   USE CLASSIFICATION SYSTEMS FOR HEALTH CARE INFORMATION --The student will be able to:

       20.01     Trace the development of nomenclatures and classification systems.
       20.02     Identify conventions and cha rac ters used in classification systems.
       20.03     Follow existing procedures to code diagnoses and procedures (CPT and ICD-9-CM).
       20.04     Perform DRG assignment.




                                                          31
                                                                           Form 2A, Page 7

LIST PERFORMANCE STANDARD ADDRESSED:

15.0   DEMONSTRATE PROFICIENCY IN U SE OF ICD AND CPT CODING SYSTEMS, BOTH MANU AL AND
       AUTOMATED--The student will be able to:

       15.01    Outline the development of nomencla tures and classification systems.
       15.02    Identify conventions and cha rac teri stics used in coding.
       15.03    Analyze and code diagnoses, procedures, and symptoms.
       15.04    Demonstra te ability to code, classify, and sequence.
       15.05    Explain the relationship of Diagnosis Related Groups (DRGs) and Ambula tory Pa tient Groups
                (APGs).
       15.06    Identify the various ex ternal regulating agencies and their i mpac t on the coding systems.
       15.07    Use procedures for ensuring data quali ty.
       15.08    Describe the process to annually update coding resources.

16.0   UTILIZE MEDICAL CODING REFERENCES --The stud ent will be able to:

       16.01    Use medical dictionaries.
       16.02    Identify and use trade generic and chemical drug na mes utilizing reference sources.
       16.03    Identify and use diagnostic test terminology.

17.0   EXPLAIN THE BASICS OF HEALTH INFORMATION SERVICES—The student will be able to:

       17.01    Describe origin, history and definition of medical record s.
       17.02    Describe the functions of the medical record department, i.e., data collec ting, filing, retrieving,
                coding, indexing, etc.
       17.03    Explain the classification and func tions of health informa tion management personnel and chain of
                command .
       17.04    Sta te reasons medical records a re i mportant in the heal th care delivery system.
       17.05    Explain different filing systems used in health care insti tutions.
       17.06    Describe the development of the medical record.
       17.07    Explain the i mportance of the medical record in relation to sta te and federal agencies,
                accrediting and licensing agencies.
       17.08    Demonstra te the use of a master pa tient index (MPI) system.




                                                       32
                            Florida Community College              Course Learning Outcomes & Assessment
                                  At Jacksonville                       For All College Credit Courses

NOTE: Use either the Tab k ey or mouse click to move from field to field. The box will expand to accommodate your entry.

Section 1
COURSE PREFIX AND NUMBER: HIM1800                                          SEMESTER CREDIT HOU RS: 2
COURSE TITLE: Professional Practice Experience I

Section 2
TYPE OF COURSE: (Click on the box to check all tha t apply)
          AA Elective                        AS Required Prof essional Course                      College Prep
          AS Professional Elective       AAS Required Professional Course               Technical Certificate
          Other
          General Education: (For General Education courses, you must al so complete Section 3 and Section 7)

Section 3 (If applicable)
INDICATE BELOW THE DISCIPLINE AREA FOR GENERAL EDUCATION COU RSES:
      Communications           Social & Behavioral Sciences                                        Math ematics
      Natural Sciences         Humanities

Section 4
INTELLECTU AL COMPETENCIES:
                                                                     Quantitative              Scientific Method of
        Reading         Speaking         Critical Analysis
                                                                     Skills                    Inquiry
                                         Information                 Ethical
        Writing         Listening                                                              Working Collaboratively
                                         Literacy                    Judgment

Section 5
                     LEARNING OUTCOMES                                            METHOD OF ASS ESSMENT
         Use classification systems for health care information
          1                                                          Written tests, practical exams, clinical performance
          Demonstrate proficiency in use if ICD and CP T coding
         2                                                          Written tests, practical exams, clinical performance
          systems, both manual and automated
         Utilize medical coding references
          3                                                          Written tests, practical exams, clinical performance
          Describe management functions of health information
         4                                                          Written tests, practical exams, clinical performance
          systems
          Follow procedures to assure adequate doc ument ation
         5                                                          Written tests, practical exams, clinical performance
          of health care
         File, maintain and retrieve healt h information
          6                                                          Written tests, practical exams, clinical performance
         Explain the basics of health information services
          7                                                          Written tests, practical exams, clinical performance
         8
         9
         9
Section 6
Name of Person Completing This Form: Neal Henning                          Date: 11/18/05




                                                             33
                                                                                               Form 2A, Page 1

                                 FLORIDA COMMU NITY COLLEGE AT JACKSONVILLE

                                      COLLEGE CREDIT COURSE OUTLINE



COURSE NU MBER:                                      HIM 1253

COURSE TITLE:                                        CPT-4 Coding and Lab

PREREQUISITE(S):                                     HIM 1224

COREQUISITE(S):                                      None                    CHANGE TO: HIM 1800

CREDIT HOURS:                                        3

CONTACT HOURS/WEEK:                                  3

CONTACT HOUR BREAKDOWN:
     Lecture/ Discussion:
     Labora tory:
     Other: Lab/lecture                              3

FACULTY WORKLOAD POINTS:                             3

STANDARDIZED CLASS
SIZE ALLOCATION:                                     24

CATALOG COU RSE DESCRIPTION:

This course provides an introduction to coding outpa ti ent proc edures using CPT -4 including both manual and
computer-based practice. CPT -4 is then integra ted with ICD-9-CM coding Rei mbursement i ssues are reviewed.

SUGGESTED TEXT(S):                                   Beck, Donald. Physician's Current Procedural Terminology.
                                                     Chicago, IL: American Medical Association, current edi tion

                                                     AHIMA. CPT-4 / HCPCS Basic Coding Handbook. Chicago, IL:
                                                     AHIMA, current edi tion.

                                                     Interna tional Classification of Di seases – Clinical
                                                     Modification (volumes 1, 2, & 3). Various publishers, current
                                                     edition.

                                                     Gartee, Ric hard and Dori s Humphrey. Medisof t Pa tient
                                                     Accounting

IMPLEMENTATION DATE:                                 Fall Term 2002 (20031)

REVIEW OR MODIFICATION DATE:                         Spring Term, 2006 (20062)

                                                          34
                                                                                              Form 2A, Page 2

                                                               CONTACT HOURS
COURSE TOPICS                                                  __PER TOPIC__

      I. Overview of CPT- 4 Coding                                          4
         A. Brief Introduction and Overview of the Course
         B. Basic Principles
            1. Composi tion of HCPCS: Levels 1, 2, 3
            2. CPT Development, Ownership and Oversight
            3. Subsections
            4. Inclusions
            5. Index
                a) Procedure or Service
                b) Organ
                c) Condition
                d) Synonyms
                e) Eponyms
                f) Abbrevia tions
            6. Modifiers
            7. General Rules
         C. CPT in the Future

      II. Medicine                                             ................................................... 6
          A. Separa tion or Mul tiple Procedures
          B. Subsections
          C. Unlisted Services
          D. Special Reports
          E. Modifiers
          F. Ma terials Supplied by Physician
          G. Lab exercises for each of these principles

      III. Surgery                                             .................................................. 6
          A. Physician Services
          B. Listed Surgical Procedures
          C. Follow-up Therapeutic Procedures
          D. Follow-up Care for Diagnostic Procedures
          E. Ma terial Supplied by Physician
          F. Separa te or Multiple Procedures
          G. Modifiers
          H. Starred Procedures
          I. Surgical Destruction
          J. Lab Exercises for each of these principles

IV.      Anesthesia                                               ............................................... 5
         A. Time Reporting
         B. Physician Services
         C. Ma terials Supplied by Physician
         D. Separa te or Multiple Procedures
         E. Special Reports

                                                          35
                                                                                                           Form 2A, Page 3

                                                                                                               CONTACT HOURS
COURSE TOPICS                                                                                                  __PER TOPIC__

         F. Modifiers
            1. Physical Sta tus
            2. Others
         G. Qualifying Circumstances
         H. Lab Exercises for each of these principles

V.       Radiology                                                               .............................................. 5
         A. Subject Listing
         B. Separa te or Multiple Procedures
         C. Subsections
         D. Unlisted Service or Procedures
         E. Special Report
         F. Complete Procedures
         G. Supervision – Interpreta tion Only
         H. Modifiers
         I. Lab Exercises for each of these principles

VI.      Pathology and Labora tory                                                        .................................... 5
         A. Services in Pa thology and Labora tory
         B. Separa te or Multiple Procedures
         C. Subsections
         D. Unlisted Service
         E. Special Report
         F. Modifiers
         G. Lab Exercises for each of these principles

VII. Rei mbursement Revi ew                                          ....................................... 6
      A. Role of the Federal Government
           1. HCFA: Health Care Financing Ad ministra tion
              a. Medicare
              b. Medicaid
           2. OIG: Office of Inspector General
           3. Federal Register
      B. APCs: Ambula tory Payment Classifica tion
      C. HIPAA: Health Insurance Portability and Accountability Ac t

VIII.    Coding Review and Practice                                                         .................................. 8
         A. Using actual medical records in a given heal th
            care facility, code diagnoses using ICD-9-CM and procedures
             using CPT-4 coding principles.
         B. Review of HCFA 1500 Form Completion
         C. Review of Medical Office Sof tware




                                                                   36
                                                                           Form 2A, Page 4

PROGRAM TITLE:                       Health Informa tion Management

COURSE TITLE:                        CPT-4 Coding and Rei mbursement Issues

AS HIM CIP NU MBER:                  0317.050600

LIST PERFORMANCE STANDARD ADDRESSED:

       Note: Only CPT-4 is taught in this course.
20.0             USE CLASSIFICATION SYSTEMS FOR HEALTH CARE INFORMATION --The student will be
       able to:

       20.01     Trace the development of nomenclatures and classification systems.
       20.02     Identify conventions and cha rac ters used in classification systems.
       20.03     Follow existing procedures to code diagnoses and procedures (CPT and ICD-9-CM).
       20.04   Perform DRG a ssignment.



ATD Medical Coder/Biller CIP NU MBER:                                         0317.050603
LIST PERFORMANCE STANDARD ADDRESSED:

       Note: Only CPT-4 is taught in this course.
15.0             DEMONSTRATE PROFICIENCY IN USE OF ICD AND CPT CODING SYSTEMS, BOTH
       MANU AL AND AUTOMATED--The student will be able to:

       15.01     Outline the development of nomencla tures and classification systems.
       15.02     Identify conventions and cha rac teri stics used in coding.
       15.03     Analyze and code diagnoses, procedures, and symptoms.
       15.04     Demonstra te ability to code, classify, and sequence.
       15.05     Explain the relationship of Diagnosis Related Groups (DRGs) and Ambula tory Pa tient Groups
                 (APGs).
       15.06     Identify the various ex ternal regulating agencies and their i mpac t on the coding systems.
       15.07     Use procedures for ensuring data quali ty.
       15.08     Describe the process to annually update coding resources.

16.0             UTILIZE MEDICAL CODING REFERENCES--The student will be able to:

       16.01     Use medical dictionaries.
       16.02     Identify and use trade generic and chemical drug na mes utilizing reference sources.
       16.03     Identify and use diagnostic test terminology.




                                                       37
                                                                                                Form 2A, Page 1

                                   FLORIDA COMMU NITY COLLEGE AT JACKSONVILLE

                                            COLLEGE CREDIT COURSE OUTLINE

COURSE NU MBER:                                         HIM 2012

COURSE TITLE:                                           Health Law

PREREQUISITE(S):                                        HIM 1110 and HIM 1300         CHANGE TO: HIM 1300

COREQUISITE(S):                                         None

CREDIT HOURS:                                           3

CONTACT HOURS/WEEK:                                     3

CONTACT HOUR BREAKDOWN:

        Lecture/ Discussion:                            3
        Labora tory:
        Other ____________:

FACULTY WORKLOAD POINTS:                                3

STANDARDIZED CLASS
SIZE ALLOCATION:                                        24

CATALOG COU RSE DESCRIPTION:

This course is an in-depth study of Federal, Sta te, and Local Laws tha t govern the prepa ra tion and use of hea lth
records and heal th informa tion in the health care d elivery system.

SUGGESTED TEXT(S) and RESOURCES:                        Abdelhak, et al. Heal th Informa tion: Management of a
                                                        Stra tegic Resources, tex t and workbook. Philadelphia, PA:
                                                        W.B. Saunders, current edi tion.

                                                        Roach. Medical Records and the Law . Gathersburg, MD:
                                                        Aspen Publishers, Inc., current edition.

                                                        Care Communica tions. The Record Tha t Defend s Its Friends .
                                                        Chicago, IL: Care Communica tions, current edi tion.

IMPLEMENTATION DATE:                                    Fall Term, 2002 (20031)

REVIEW OR MODIFICATION DATE:                            Spring Term, 2006 (20062)




                                                             38
                                                                           Form 2A, Page 2

CONTACT HOURS                                                          COURSE TOPICS
                                                                       __PER TOPIC__

I. Introduction to Heal th Law                                               6
        A. Brief Introduction and Overview of the Course
        B. The Importance of Legal Issues to Heal th
           Informa tion Managemen t Professionals
           1. Review of the AHIMA Code of Ethics
           2. Legal Resources for HIM Professionals
        C. Fundamental s of the American Legal System
           1. The Na ture of Law
                a. Public Law
                b. Priva te Law
           2. Sources of Law
                a. The Consti tution
                     1) Due Process
                     2) Equal Protection
                     3) Right of Pri vacy
                     4) Sta te Consti tutions
                b. Federal and Sta te Sta tues
                c. Ad ministra tive Agencies Rules and Regula tions
                     1) Quasi-legisla tive and quasi-judicial powers
                     2) Ad ministra tive procedure ac ts
                     3) Federal Register
                     4) Florida Agencies
                d. Court Decisions (Case Law)
                     1) Common Law
                     2) Stare Decisis
                     3) Chari table Immuni ty
                     4) Res Judica ta
           3. Governmental Organiza tion and Function
                a. Three branches of government
                     (executi ve, legisla tive, judicial)
                b. Separa tion of powers
           4. Organiza tion of the Court System
                a. Sta te Court System
                     1) Trial courts
                     2) Intermedia te Appella te
                     3) Supreme Courts
                b. Federal Court System
                     1) U.S. District Courts
                     2) U.S. Court of Appeals
                     3) U.S. Supreme Court
                     4) Wri t of certiorari
                     5) Certiorari
                c. Stare Decisis
                     1) Following Procedures
                     2) Judicial Solutions
                                                                       Form 2A, Page 3

                                                                       CONTACT HOURS
COURSE TOPICS                                                          __PER TOPIC__

              d. Court Procedures: Roles of the K ey Players
           5. Cases Tha t Involve Heal th Ca re Facilities
              and Providers
              a. Malpractice and Negligence
              b. Intentional Torts
              c. Products Liability
              d. Contractual Disputes
              e. Anti trust Clai ms
              f. Cri mes and Corpora te Compliance
              g. Noncompliance with Sta tues, Rules and Regula tions

II. Heal th Records and Managed Care                                              4
        A. The Impact of Managed Care on
             Health Informa tion Management
        B. Managed Care Organiza tions and R elated Enti ties
             1. HMOs: Health Maintenance Organiza tions
             2. PPOs: Preferred Provider Organiza tions
             3. EPOs: Exclusive Provider Organiza tions
             4. IPAs: Independent Practice Associations
             5. Group Practice Wi thout Walls
             6. Consolidated Medical Group
             7. PHOs: Physician/Hospi tal Organiza tions
             8. MSOs: Management Services Organiza tions
             9. IDS: Integra ted Delivery System:
                  Foundation Mod el
             10. IDS: Integra ted Delivery System:
                  Physician Ownership Model
             11. Utiliza tion Review Organiza tions

III. Duty to Maintain and Retain
       Health Record Informa ti on                                                6
       A. Duties to Pa tients in General
       B. Medical Record Requirements
            1. Records tha t Must be Kept
            2. Content Requirements
            3. Record Retention Requirements
               a. Sta tutory and Regulatory Concerns
               b. Sta tutes of Li mi ta tions
               c. Medical Resea rch and Storage Space
                    Considera tions
               d. Association Guidelines
               e. Developing a Record Retention Policy
            4. Destruction of the Record
       C. Medical Record Entries
            1. Legible and Complete Medical Record Entries
                                                                      Form 2A, Page 4

                                                                      CONTACT HOURS
COURSE TOPICS                                                         __PER TOPIC__

           2. Timely Medical Record Entries
           3. Authorship and Countersigna ture
           4. Authentica tion of Record s and Auto -Authentica tion
           5. Verbal Orders
           6. Correction, Al tera tions, and Addenda
       D. Documenting Consent to Trea tment
           1. Legal Theories of Consent
              a. Express and Implied Consent
              b. Informed Consent
                   1) Wha t Informa tion Must Be Disclosed
                   2) Proving Causa tion
                   3) Medical Experi menta tion and Research
              c. Exceptions to the Informed Consent Requirement
                   1) Emergencies
                   2) Therapeutic Privilege
                   3) Patient Waiver
                   4) Trea tment of Cri minal Suspec ts
                       and Prisoners
       2. Who Can Give Consent or Refuse Consent
       a. Competent Adults
       b. Incompetent Adults
       c. Minors
               1) Emergency Care
               2) Emancipated Minors
               3) Ma ture Minors
               4) Parental or Guardian Consent
           3. Responsibility for Obtaining Consent
           4. Documenta tion
           5. Types of Consent Forms
              a. Short Consent Forms
              b. Long Consent Forms
              c. Challenges to Consent Forms
              d. Wi thdrawal of Consent
              e. Impact of Sta tutes

IV. Heal th Record Access                                                    6
       A. Ownership of the Heal th Record
       B. Confidentiality Requirements
            1. Sta te Law - Sta te Open Records Law
            2. Federal Law
                 a. Consti tution
                 b. Privacy Act of 1974
                 c. FOIA: Freedom of Informa tion Ac t
                 d. HIPAA: Health Insurance Portability and
                    Accountability Act of 1996
                                                                             Form 2A, Page 5

                                                                             CONTACT HOURS
COURSE TOPICS                                                                __PER TOPIC__

                        1) Portability and Continuity of
                            Health Insurance Coverage
                        2) Fraud and Abuse
                            a) Compliance Progra m Guidance
                                for Physician Practices
                            b) CCI: Correct Coding Ini tia tive
                        3) Medical Savings Accounts
                        4) Access to Long -Term Care Services and Coverage
                        5) Ad ministra tive Si mplification
                        6) Electronic Heal th Da ta Submi ssion Standard s
                        7) Privacy Sta tements
                 d. Medicare Condi tions of Participa tion
                 e. Regulations on Confidentiality of
                       Alcohol and Drug Abuse Records
           3. Accredi ta tion Organiza tions
       C. Internal and Ex ternal Users of Heal th Informa tion
       D. Access to Medical Record Informa ti on
           1. Authoriza tions for Disclosure of Pa tient
                 Informa tion
           2. Access by or on Behalf of the Pa tient
           3. Records of Minors
           4. Access by Staff
           5. Psychia tric Records
           6. Alcohol and Drug Abuse Pa tient Records
           7. Genetic Informa tion
       E. Disclosures for Medical Research
       F. Disclosures for Payment Purposes
       G. Disclosure to Attorneys
       H. Record Duplica tion and Fees
       I. Record Securi ty
       J. PRO Recordkeeping
       a. PRO Access to Individual Patient Records
       b. Third Party Access to Informa tion Collec ted by a PRO
       c. Patient Access to PRO Informa tion
   K. Utiliza tion Review and Quality Assurance
   L. Ad mini stra ti ve Purposes

V. Reporting and Disclosure Requirements                                             6
       A. Child Abuse
       B. Abuse of Adul ts and Injuries to Disabled Persons
       C. Controlled Drug Prescription and Abuse
       D. Occupa tional Diseases
       E. Abortion
       F. Birth Def ects and Other Condi tions in Children
       G. Cancer
                                                                   Form 2A, Page 6

                                                                  CONTACT HOURS
COURSE TOPICS                                                      __PER TOPIC__
     H. Dea th or Injury from Use of Medical Device
     I. Communicable Diseases
     J. Misad ministra tion of Radioactive Ma terials
     K. Dea th
     L. Gunshot and Knife Wounds
     M. Other Heal th-Related Reporting Requirements
     N. Required Di sclosure by Managed Care Organiza tions

VI. Documenta ti on and Disclosure:
       Special Concerns                                                  5
       A. Special Documenta tion Concerns
          1. Emergency Department Records
          2. Celebri ty Pa tients
          3. Hostile Pa tients
          4. Recording Indicators of Child Abuse
          5. Patients Refusing Trea tment and/or Near Dea th
                 a. Background
                 b. Patient Self-Determina tion Ac t
                 c. Living Will Legisla tion
                 d. Durable Power of Attorney
                 e. DNR: Do-Not-Resusci ta te Orders
          6. Deceased Pa tients and Autopsy Authoriza tions
          7. Recording Disagreements a mong Prof essional Staff
       B. Special Disclosure Concerns
          1. Records Sought by Managed Care Organiza tions
          2. Records Sought by Parties to Adoption
                 a. ―Good Cause‖ to Obtain Adoption Record
                      Informa tion
                 b. Responding to Record Requests
          3. Records Indicating Child Abuse
          4. Record Sought by Law Enforcement Agencies
          5. Warrants and Sea rches
          6. Responding to Subpoenas and Court Ord ers
                 a. Subpoenas
                 b. Court Orders
                 c. Compliance Requirements
                 d. Fraud and Abuse Investiga tions
          7. Use of Outside Test Reports in Hospi tal
                 Patients’ Record s
                 a. Licensure and Accredi ta tion
                 b. Anti trust Issues
       8. Change of Ownership or Closure:
                 Disposi tion of Records
                 a. Merger and Acquisi tions
                 b. Change of Ownership
                 c. Closure
                                                                        Form 2A, Page 7

                                                                         CONTACT HOURS
COURSE TOPICS                                                            __PER TOPIC__

           9. Redisclosure
           10. Record U se by Outsourcing Firms Handling
                 Health Informa tion Functions
           11. HIM Department Securi ty Measures
        C. HIV/ AIDS: Mandatory Reporting and Confidentiality
           1. Duty to Report
           2. Protecting Confidentiality of HIV-rela ted Informa tion
           3. Sta tutory Provisions Rega rding Disclosure
                a. Disclosure to Third Parties with
                     Patient Authoriza tion
                b. Disclosure to Heal th Care Workers
        c. Disclosure Wi thout Consent to EMS:
                     Emergency Medical Personnel
                d. Disclosure Wi thout Consent to Spouse
                     or Needle-Sharing Partner
                e. Other Permi ssible Di sclosures Wi thout
                     Consent of Pa tient
                f. Disclosure of Heal th Ca re Provider’s Sta tus
                     to Pa tients
                g. Disclosure by Court Order
                     1) Court Orders and Disclosure
                         in Blood Donor Cases
        h. Liability for Unauthorized Disclosure
                 of HIV-rela ted Informa tion
           4. Recommended Policies and Procedures

VII.    Discoverability and Ad mi ssibility of Medical Records           2
        A. Discoverability of Medical Records
            1. Physician-Pa tient Pri vilege
               a. Waiver of the Physician-Pa tient Privilege
               b. Physician-Pa tient Pri vilege
                    vs. The Public Interest
        B. Ad missibility of Medical Records
            1. Medical Records a s Hearsay
               a. Business Record Exception to the Bar
                    on Hearsay
               b. Other Exceptions to the Ba r on Hearsay
        C. Other Heal th Ca re Documenta tion
            1. Ad missibility of Peer Review Records
            2. Ad missibility of Incident Reports

VIII.   Legal Theories in Improper Disclosure                             3

        A. Sta tutory Bases for Liability
        B. Theories of Liability
                                                                                       Form 2A, Page 8

                                                                                       CONTACT HOURS
COURSE TOPICS                                                                          __PER TOPIC__

            1. Defa ma tion
               a. Privileges Against Defa ma tion
               b. Consent as a Defense
            2. Invasion of Privacy
               a. Photographs
               b. Invasion of Privacy Wi thin the
                   Health Care Setting
               c. Payment-Rela ted Di sclosures
               d. Disclosure to the News Media
           3. Breach of Confidentiality - Defenses Against Breach of Confidentiality

IX. Risk Management & Quali ty Review                                                             3

       A. Relationship Between Ri sk Management and Quality Review
          1. Duty to Provide Care Tha t Meets Professional
              Standards
          2. Duty to Provide a Safe Environment for
               Patients and Visi tors
          3. Duty to Supervise the Actions of Employees
               and the Professional Staff
               a. Respondent Superior
               b. Medical Staff Credentialing
               c. Accessibility of Credentialing Files
               d. Legal Risks
       B. Risk Management
       C. Quality Management
       D. Compliance Progra ms
       E. Contract Liability Issues and the HIM Department
       F. Medical Records in Ri sk Management, Quality
          Review, and Compliance Acti vi ties

X. Electronic Heal th Record s                                                                     4

       A. Emerging Trends in Computeriza tion of Medical Records
       B. Legal Issues Raised by Computerized Pa tient Record s
          1. Confidentiality and Integri ty Issues
          2. System Securi ty Mea sures
              a. Patient Identification and Use Verification
              b. Access Control Sof tware and Audit Trails
              c. Computer Archi tecture
              d. Communications Linkage Safegua rds
              e. Encryption
              f. Implementing Internal Securi ty
              g. Implementing Ex ternal Securi ty
          3. Computer Sabotage
                                                          Form 2A, Page 9

                                                       CONTACT HOU RS
COURSE TOPICS                                          __PER TOPIC__

        4. Preserving Access to Computerized Records
        5. Durability Concerns
        6. Accuracy Issues
     C. Computerized Medical Records as Evidence
        1. The Rule Against Hearsay
        2. Best Evidence Rule
     D. Specific Electronic Pa tient Informa tion
        Securi ty Issues
        1. Facsimile Transmission of Medical Records
        2. Electronic Claims Processing
        3. Telemedical Records
        4. Electronic Mail
        5. The Internet
                                                                                              Form 2A, Page 10

PROGRAM TITLE:                                         Health Informa tion Management

COURSE TITLE:                                          Health Law

AS HIM CIP NU MBER:                                    0317.050600

LIST PERFORMANCE STANDARD ADDRESSED:

NUMBER(S):         TITLES(S):

13.0   IDENTIFY THE LEGAL ASPECTS FOR THE CONTROL AND USE OF HEALTH INFORMATION --The
       student will be able to:

       13.01     Identify informa tion in a heal th record tha t is confidential and non -confidential.
       13.02     Determine wha t informa tion may be relea sed without an authoriza tion.
       13.03     Use legal terminology encountered in heal th informa tion services.
       13.04     Interpret and respond to various legal documents.
       13.05     Assist in designing proper consent forms for relea se of informa tion.
       13.06     Identify local, sta te and federal laws and regulations pertinent to the heal th informa tion field.
       13.07     Discuss the Code of Ethics of the American Heal th Informa tion Management Association
                 (AHIMA).

16.0   FOLLOW PROCEDU RES TO ASSURE ADEQU ATE DOCU MENTATION OF HEALTH CARE--The student
       will be able to:

       16.01     Follow procedures for quanti ta ti ve and qualita tive analysis of heal th records.
       16.02     Identify purposes and uses of health records.
       16.03     Identify basic heal th record forms and required content.
       16.04     Assemble and analyze a heal th record.
       16.05     Follow procedures for the retention of heal th informa tion.
       16.06     Follow procedures designed to control the flow of health care da ta.
       16.07     Follow procedures for the destruc tion of health records.
       16.08     Identify heal th informa tion i maging tec hniques and equip ment.
                            Florida Community College             Course Learning Outcomes & Assessment
                                  At Jacksonville                      For All College Credit Courses

NOTE: Use either the Tab k ey or mouse click to move from field to field. The box will expand to accommodate your entry.

Section 1
COURSE PREFIX AND NUMBER: HIM2012                                         SEMESTER CREDIT HOU RS: 3
COURSE TITLE: Professional Practice Experience I

Section 2
TYPE OF COURSE: (Click on the box to check all tha t apply)
          AA Elective                        AS Required Prof essional Course                     College Prep
          AS Professional Elective       AAS Required Professional Course               Technical Certificate
          Other
          General Education: (For General Education courses, you must al so complete Section 3 and Section 7)

Section 3 (If applicable)
INDICATE BELOW THE DISCIPLINE AREA FOR GENERAL EDUCATION COU RSES:
      Communications           Social & Behavioral Sciences                                       Math ematics
      Natural Sciences         Humanities

Section 4
INTELLECTU AL COMPETENCIES:
                                                                    Quantitative              Scientific Method of
        Reading         Speaking         Critical Analysis
                                                                    Skills                    Inquiry
                                         Information                Ethical
        Writing         Listening                                                             Working Collaboratively
                                         Literacy                   Judgment

Section 5
                      LEARNING OUTCOMES                                          METHOD OF ASS ESSMENT
          Identify the legal aspects for the control and use of
         1                                                         Written tests, practical exams, clinical performance
          health information
          Follow procedures to assure adequate doc ument ation
         2                                                         Written tests, practical exams, clinical performance
          of health care
         3
         4
         5
         6
         7
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Section 6
Name of Person Completing This Form: Neal Henning                         Date: 11/18/05

								
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