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					             Suffolk County Community College - College Curriculum Committee
                             Letter of Intent to Campus Dean(s)

Proposer___Diane P. Fabian_________________ Campus: A____       E____                     W__X___
               (name)
Department/Area__Department of Health Sciences___________________

Telephone__851-6342________________________E-mail__fabiand@sunysuffolk.edu____

Attach a brief description of the course or curriculum being proposed with rationale for adding
this course/curriculum. Demonstrate the need for this course/curriculum as it relates to existing
courses/curriculum. Attachment must be in electronic format (ex. MS Word.)

Associate Dean to fill out information below this line
******************************************************************************
Type of Curriculum/Course Proposal/Revision

Course

New_________________________________

Revised_______________________________

Adoption______________________________

Curriculum

New_______________________________                              A.A._____ A.S. _____ A.A.S _____

Revised__X__________________________                            Certificate    __

Adoption____________________________

Recommendations:
This proposal requires the following approval(s)
Campus __X__                                                    College_____

*SEE LETTER OF SUPPORT FORM (NEXT PAGE) FOR VERIFICATION OF APPROVAL*
copies to:       Proposer
                 Chairs of Campus Curriculum Committees
                 Academic Chairs of affected Departments
                 Campus Deans
                 Chair of College Curriculum Committee
                 Associate Dean for Curriculum and Assessment
                 Vice President for Academic and Student Affairs
                 Associate Dean of Library Services

                 ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
Revised 9/2004
To:      Dr. Allen Jacobs
         Associate Dean for Curriculum and Assessment

From:    Diane P. Fabian
         Academic Chair, Department of Health Sciences

Subject: Program Revisions to Health Information Technology curriculum
         Letter of Intent

Date:     9/23/05


There has been a turn of events in the healthcare field whereby the government has begun an
aggressive public and private campaign to build a national health information infrastructure.
This means that health information will be collected, maintained, disseminated and stored
electronically. Many healthcare facilities and providers are adopting new technologies in
preparation for an electronic medical record. The Joint Commission of Healthcare Organizations
(JCAHO), the accrediting agency for many healthcare facilities, has included a requirement for
electronic medical records within the next few years, as early as January 2007. Because of these
initiatives, I have redesigned the Health Information Technology curriculum to meet the needs of
the industry. This program revision incorporates more technology courses and focuses on the
electronic medical record, as opposed to the paper medical record. While there have been some
issues with declining enrollment in the past, I am confident that there will be a renewed interest
as the public becomes more aware of the health information technology field. The proposed
curriculum has been designed to allow students to complete the Health Information Technology
courses within sixteen months including the Summer sessions. This would allow students to
complete their general education requirements either before or after they complete the Health
Information Technology courses. This format would also assist those students who have a degree
and who are looking for a career change.



_______Diane P. Fabian_______________




Health Information Technology       (A.A.S. degree)
First Semester (17 credits)
FALL
EG 11 Freshman Composition                                   3.0
CS 13 Intro to Information Technology                        4.0
MD11 Medical Terminology                                     3.0
HI14 Introduction to Health Information Technology           3.0
HI16 Electronic Health Record                                4.0

Second Semester (15.5 credits)
SPRING
MA23 Statistics                                              3.0
HI25 Regulatory issues with the EHR                          3.0
CS33 Relational Database applications and concepts           4.0
BY38 (Not in current catalog) (Dept vote 9/22/05)            4.0
OS15 Freshman Seminar                                        1.5
Third Semester (6 credits)
SUMMER
HI 20 Study of Disease (Session I)                           3.0
HI 35 Coding and Classification Systems (Session II)         3.0

Fourth Semester (14 credits)
FALL
HI36 Advanced Coding/CPT4 and Reimbursement Methodologies    3.0
HI 39 Managing the Electronic Health Record                  4.0
HI 18 Privacy and Security of the Electronic Health Record   3.0
HI37 Directed Clinical Practice                              3.0
PExx Physical Education                                      1.0

Fifth Semester (13 credits)
SPRING
EGxx Elective                                                3.0
SSxx Social Science Elective                                 3.0
Humanities Elective                                          3.0
PC 11 Intro to Psych                                         3.0
PExx Physical Ed                                             1.0
Computer Science               8 credits
English                        6 credits
Humanities                     3 credits
Social Science                 6 credits
Mathematics/Science            7 credits
Health Information Technology 29 credits
Medical Assisting               3 credits
Physical Education              2 credits
Freshman Seminar              1.5 credits



                  HEALTH INFORMATION TECHNOLOGY
                            PROGRAM REVISIONS

Current                                  Proposed
HI14 Introduction to Health              Changes to course description
Information Technology
HI16 Health Information: Data Content    Title change: Electronic Health Record
and Structure                            Changes to course description
                                         Converted to a 4 credit course
HI18 Legal Aspects of Health             Title change: Privacy and Security of the
Information                              Electronic Health Record
                                         Changes to course description
HI20 Study of Disease                    No change
HI 22 Quality Improvement                Combined with HI 39
                                         Converted HI39 to 4 credit course
HI25 Health Information Statistics       Title change: Regulatory issues with the
                                         Electronic Health Record
                                         Changes to course description
HI27 Directed Clinical Practice I        Combined with HI37 Directed Clinical
                                         Practice (Added 1 credit to HI37)
HI35 Coding and Classification Systems   No change
HI36 Advanced Coding/CPT4 and            No change
Reimbursement Methodologies
HI 37 Directed Clinical Practice II      Title change: Directed Clinical Practice
                                         Converted to a 3 credit course
                                         (Combined with HI27)
                                         Changes to course description
HI39 Health Information Management       Title change: Management Issues in the
and Supervision                          Electronic Health Record Environment
                                         Converted to a 4 credit course
                                         Combined with HI22 Quality
                                         Improvement
           Suffolk County Community College - College Curriculum Committee
                        Letter of Support from Campus Dean(s)

TO: Diane P. Fabian
Academic Chair, Department of Health Sciences

FROM: Shaun McKay, Campus Dean
DATE: 10/11/05

Re: Letter of Support for Program Revisions to the Health Information Technology curriculum


Please accept this letter of support for this program revision because as the proposal indicates,
this change allows for the incorporation of technology courses and focuses on the electronic
medical record, as opposed to the paper medical record. The proposed curriculum is designed to
allow students to complete the Health Information Technology courses within sixteen months
including the Summer sessions. As indicated in the proposal, The Joint Commission of
Healthcare Organizations (JCAHO), the accrediting agency for many healthcare facilities, has
included a requirement for electronic medical records within the next few years, as early as
January 2007.
Copies to:       Proposer
                 Chairs of Campus Curriculum Committees
                 Academic Chairs of affected Departments
                 Campus Deans
                 Chair of College Curriculum Committee
                 Associate Dean for Curriculum and Assessment
                 Vice President for Academic and Student Affairs
                 Associate Dean of Library Services

                 ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
Revised 9/2004
     FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
         OR COURSE/CURRICULUM MODIFICATION

 ORIGINATING CAMPUS:                       ( ) Ammerman                 ( ) Eastern          ( X ) Western

To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.

Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.

I.       Votes   and Recommendation Checklist
         (X )    Electronic Letter of Intent
         (X)     Electronic Letter of Support from Campus Dean(s)
         (X )    Vote of Department:
                 Name of Affected Department: Department of Health Sciences_____
                 For: _6____ Against: _0____ Abstentions: _____
                 Date of Vote: _9/15/05_________        Proposer's Initials: _DF____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
         ( )     Vote of Distance Education Committee (if applicable)
                 Circle One: APPROVED             Date of Vote: _______


(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
--------------------------------------------------------------------------------------

               ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY

         cc:      Vice President for Academic and Campus Affairs
         Associate Vice President for Curriculum and Instruction
         Campus Deans
         Chairs of Curriculum Committees
         Academic Chairs of affected Departments
         Associate Dean of Library Services
( )    Vote of Curriculum Committee
       For: _____ Against: _____    Abstentions: _____
       Date of Vote: __________     CCC Initials: _____
             Circle One: APPROVED

( )    Vote of Full Faculty Senate/Assembly/Congress
       For: _____ Against: _____       Abstentions: _____
       Date of Vote: __________        CCC Initials: _____
             Circle One: APPROVED
       For: _____ Against: _____       Abstentions: _____
       Date of Vote: __________        CCC Initials: _____
             Circle One: APPROVED
       For: _____ Against: _____       Abstentions: _____
       Date of Vote: __________        CCC Initials: _____
             Circle One: APPROVED


      ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI39 MANAGEMENT ISSUES IN THE ELECTRONIC HEALTH RECORD
ENVIRONMENT
CATALOG DESCRIPTION:
Students will explore the functions of management such as, human resources financial and
physical resources and performance improvement as it relates to managing a health information
management environment where the electronic health record is being developed. Prerequisite:
HI35 with a “C” grade or higher. (3 hours lecture) Co-requisite: HI36.

I.     STATEMENT OF OBJECTIVES (should be stated in the form of precise,
       measurable learning outcomes, e.g. “Upon successful completion of this
       course, students will be able to: ”)
Upon completion of the course the student will be able to:
1. Explain the role of the supervisor, develop job descriptions, and perform interviews.
2. Develop concept of teams and team building.
3. Formulate and conduct an in-service education program.
4. Plan a work environment for the electronic health record that will accommodate employees
and comply with regulatory requirements.
 5. Communicate the changes in the healthcare environment that directly impacts the health
   information department, such as, reimbursement, correct coding initiative, HIPAA, cancer
   registry, corporate compliance.
 6. Apply methods and techniques to improve and monitor performance.
 7. Develop a resource allocation plan.
 8. Define the relationship between the medical staff committees and hospital-wide
    performance improvement.
 9. Explain the development of risk management and its importance to the healthcare facility.

II.    RELATIONSHIP TO STUDENTS
       A. Credits/Contact Hours                 4 credits
       B. Required/Elective                      Required
       C. Transferability                       N/A
       D. Proposed cycle for offering           Fall
       E. Estimate of student enrollment        24
       F. Prerequisites and/or corequisites     Prereq: HI35 with a C gread or higher;
          Corequisite: HI36

III.   RELATIONSHIP TO FACULTY
       A. Number of current faculty available to teach proposed course and number
          of additional faculty required.   One
       B. Number of other staff positions required. One Adjunct
       C. Discipline(s) required and/or minimum preparation in order to teach the
          course.      Masters prepared with R.H.I.A. or R.H.I.T. credential

IV.    RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
       A. If this is a general education course, how does it incorporate the SUNY
          infused competencies of critical thinking and information management?
             *The ten SUNY knowledge and skill areas are: Mathematics, Natural
             Sciences, Social Sciences, American History, Western Civilization, Other
             World Civilizations, Humanities, The Arts, Foreign Language, Basic
             Communication. N/A
       B. If this is a general education course, what are its assessment measures,
          i.e. instruments to measure the attainment of student learning outcomes?
          N/A

V.     RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
       A. List other colleges that offer this course. Molloy College


VI.    ADDITIONAL COSTS
       List additional costs and space requirements that have not already been
       recorded in the document.            None Anticipated

VII.   COURSE OUTLINE
       Include electronic course outline following prescribed format from the Faculty
       Handbook. (See Attachment I)



           ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY
ATTACHMENT I

SUFFOLK COUNTY COMMUNITY COLLEGE
                    WESTERN CAMPUS
                    COURSE SYLLABUS

COURSE TITLE:
 MANAGEMENT ISSUES IN THE ELECTRONIC HEALTH RECORD ENVIRONMENT

CATALOG NO:           HI 39                                INSTRUCTOR:
CREDIT HOURS          4 hours                              SEMESTER:

COURSE DESCRIPTION:
Students will explore the functions of management such as, human resources financial and
physical resources and performance improvement as it relates to managing a health information
management environment where the electronic health record is being developed. Prerequisite:
HI35 with a “C” grade or higher. (3 hours lecture) Co-requisite: HI36.


OBJECTIVES:
Upon completion of the course the student will be able to:
1. Explain the role of the supervisor, develop job descriptions, and perform interviews.
2. Develop concept of teams and team building.
3. Formulate and conduct an in-service education program.
4. Plan a work environment for the electronic health record that will accommodate employees
and comply with regulatory requirements.
 10. Communicate the changes in the healthcare environment that directly impacts the health
   information department, such as, reimbursement, correct coding initiative, HIPAA, cancer
   registry, corporate compliance.
 11. Apply methods and techniques to improve and monitor performance.
 12. Develop a resource allocation plan.
 13. Define the relationship between the medical staff committees and hospital-wide
     performance improvement.
 14. Explain the development of risk management and its importance to the healthcare facility.

INSTRUCTIONAL/TEACHING METHODS:
Lecture
Role playing
Case Studies
Homework assignment
Oral Presentations
JCAHO
Sample Report Cards, minutes and medical record screening tools
Internet Search
EVALUATION:
Successful completion of the course will depend upon the performance on the
eight projects, two quizzes, midterm and final exam. (See attachment for list of projects)
                       QUIZZES (2)                          10%
                       PROJECTS (8)                         50%
                       MIDTERM                              20%
                       FINAL                                20%
                        (will include multiple choice, essays, case analysis)
Project #1 10%
 Write job descriptions for a function in Health Information Department.
  (Function will be assigned)


Project #2        5%
The Health Information Management Department is moving into a new office space. You have
been selected as the team members who will design the office floor plan. You will have to
decide where to place the desks, equipment (files) computers, entrances, and office for director.
Be visionary and creative in your design. Also, include ergonomic principles in the design. Your
floor plan will be shared with the other groups. Be prepared to defend it.


Project #3         5%
Working in groups you will be performing ongoing medical record review for the Medical
Record Committee. The students will review 25 medical records and will prepare a report
showing results.
Use statistics to report and use a graph to display results. You will have to develop a collection
tool for the group to use. Prepare an agenda, conduct a mock medical records committee and
keep minutes.


Project #4      5%
Your group is working on case mix analysis. Calculate the case mix index (CMI) for the
following scenario. Compare the calculations to the previous years. Discuss what factors would
have contributed to the changes.

Previous Years          Case Mix Index
2003
2004
2005
Project # 5     5%
Your group will be selecting a particular software vendor, determining what hardware will be
required with the specific application and what benefits would this offer. You will be assigned
one of the following applications:
  Chart Tracking/ Chart Deficiency
  Dictation/Transcription System
  Encoder
  HIM coding and abstracting system

Project #6      5%
Western Community Hospital just merged with the Main Campus Hospital in Selden. The two
hospitals would like to merge their MPI. Both hospitals have to reduce the number of duplicate
medical record numbers first. What steps should these facilities take to accomplish this. Include
reasons why there may be duplicate medical record numbers and provide solutions.

Project #7     10%
Prepare an in-service where you will discuss NHII and the Electronic Medical Record.

Project #8       5%
After searching the DOH web sites for:
   SPARCS
   Registries (Alzheimers, Congenital Malformations, AIDS)
   NY State Cancer Reporting (Instructions for completion)
   Requirements of a Cancer Registry
You will be assigned one of the above and will share with other groups.
Prepare a power point presentation.

Students require a “C” or better for HIT coursework.

ATTENDANCE:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from this class roster.

TEXT:
Health Information Management Technology edited by Merida Johns, Chicago, American Health
Information Management Association, 2002.

Fundamentals of Health Care Quality Management 2nd edition, by Patrice Spath, Brown-Spath
Associates, Oregon, 2005.

ADDITIONAL READING: Journal of the Health Information Management Association
American Health Information Management Association (student membership)
DOMAINS, SUBDOMAINS, TASKS
I.D.1. Apply policies and procedures for the use of clinical data required in reimbursement and
prospective payment systems (PPS) in healthcare delivery.
I.D.2. Support accurate billing through coding, chargemaster, claims management and bill
reconciliation processes.
I.D.3. Use established guidelines to comply with reimbursement and reporting requirements
such as the National Correct Coding Initiative.
I.D.4. Compile patient data and perform data quality reviews to validate code assignment and
compliance with reporting requirements such as outpatient prospective payment systems.
II.A.2. Collect, organize and present data for quality management, utilization management, risk
management and other patient care related studies.
II.B.1. Abstract and report data for facility-wide quality management and performance
improvement programs.
II.B.2. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness
of healthcare.
V.A.1. Apply the fundamentals of team leadership.
V.A.2. Organize and contribute to work teams and committees.
V.A.3. Conduct new staff orientation and training programs.
V.A.4. Conduct continuing education programs.
V.A.5. Monitor staffing levels and productivity standards for health information functions, and
provide feedback to management and staff regarding performance.
V.A.6. Communicate benchmark staff performance data.
V.A.7. Prioritize job functions and activities.
V.A.8. Use quality improvement tools and techniques to monitor, report and improve processes.
V.B.1. Make recommendations for items to include in budgets and contracts.
V.B.2. Monitor and order supplies needed for work processes.
V.B.3. Monitor coding and revenue cycle process.
V.B.4. Recommend cost-saving and efficient means of achieving work processes and goals.
V.B.5. Contribute to work plans, policies, procedures and resource requisitions in relation to
job functions.
         MANAGEMENT ISSUES IN THE ELECTRONIC HEALTH RECORD
                           ENVIRONMENT
                                HI 39
                         GENERAL OUTLINE

OBJECTIVE # 1 Explain the role of the supervisor, develop job descriptions, and
perform interviews.
   The student will be able to perform a job analysis and write a job description.
                       Supervision
                          Management
                          Theories of Management
                               Table of Organization
                           Line vs Staff authority
                           Theories of motivation
                           Authorities vs. Responsibility
                           Scope of authority
                           Delegation of authority
                        Interviewing
                          Writing job descriptions
                          Job analysis
                         Affirmative Action
                         Equal Employment opportunity
                             Legislation affecting labor practices
                         Preparing the resume based on personal history
                             Cover letters
                             Skills
                         Supervisory role in interviewing
                              Setting, questions, nature
                              Screening vs. Placement interviews
                         Trends in health information hiring today
                         Budgets
                         Workflow
                          Performance Monitors
                         Benchmarking
                         Staffing levels
                         Productivity Standards

OBJECTIVE #2 Develop concept of teams and team building.
Students will work develop teams to assist with managing:
                          Role of committees
                          Team meetings
                          Communication
                          Interpersonal skills
                          Leadership theory
                          Workflow within the teams
                          Team budgets


OBJECTIVE # 3 Formulate and conduct an inservice education program.
The student will be able to provide inservice and continuing education.
                             Inservice/Orientation
                             Communication
                             Memos/Policies
                             Data presentations to specified groups
                             Supervisor’s role
                             Changing past practice
                             Unionized department


OBJECTIVE # 4 Plan a work environment that will accommodate employees and comply
with regulatory requirement.
The student will be able to design a work area by determining the needs of the department.
                             Ergonomic Design
                             Principles of ergonomics
                             Compliance with legal accommodation
                             Environmental issues in ergonomics
                             Work space design
                             Design of an ergonomic area in Health Information Management
                             Department

OBJECTIVE # 5 Communicate the changes in the healthcare environment that directly
impacts the health information department.
The student will be able to communicate work related change.
                      Health care environment today
                      Electronic Medical Record, EHR, PHR, CCR
                      ICD 10 and ICD 10 PCS
                      Fraud and abuse issues
                      Compliance programs
                      Outsourcing vs. inhouse staff
                        Retention/ Transcription/Correspondence
                      Downsizing
                      Consulting
                      AHIMA Vision 2006
                      Reimbursement
                      Correct Coding Initiative
                      HIPAA
                      Cancer Registry
                      NHII




OBJECTIVE #6 Apply methods and techniques to improve and monitor performance.
                  Team Dynamics
                  Quality Assessment/Improvement
                  Performance Measures
                    Customers and suppliers
                   Reporting
                     Indicators, Report Cards
                   Performance Assessment
                      Process Analysis
                      Data Displays
                      Statistical Process Control
                      Control Charts
                      Data Presentation
                      Graphs: Pareto, Pie, Scatter, Line graph,
                       PDCA
                       Evaluation
                       Trend Analysis
                    Performance Improvement
                       Brainstorming
                       Flow chart
                       Cause and Effect Diagram
                       Histogram
                       Check Sheet
                       Nominal Group
                       Gantt Chart
                       Root Cause Analysis

                                                                                17
                               FMEA




OBJECTIVE #7 Develop a resource allocation plan.
                        Budgets
                        Contracts
                        Supplies
                        Equipment
                        Software




OBJECTIVE #8 Define the relationship between the medical staff committees and
hospital-wide performance improvement.
                            Performance Improvement Organizational structure
                            Mission, Vision, Strategic Plan
                            Governing Board
                            Medical Staff Committees
                            Performance Improvement Committee
                            Peer Review
                            Ancillary Department Review
                            Credentialing
                            Appointment/Reappointment to Medical Staff
                            Risk Management
                            JCAHO
                            ORYX
                            CORE MEASURES (Electronic Reporting)
                            CMS Scope of Work
                             NYPORTS
                            Individual Competence

OBJECTIVE #9 Explain the development of risk management and its importance to the
healthcare facility.
   The student will be able to define a hospital risk management program and participate in risk
   identification and analysis.
               Darling vs. Charleston Community Memorial Hospital
               American Society for Hospital Risk Managers (ASHRM)

                                                                                              18
                  CPHRM Credential
            Risk Management Program
                  Objectives
                          Enhance quality
                          Minimize risk
                          Insure against financial loss
                  Components
                          Risk Identification
                                  Results of PI
                                  Medical Staff Committee minutes
                                  Infection Control Reports
                                  Incident Reports
                                  Occurrence Screening
                                  Patient Surveys
                                  Potential Compensable Event (P.E.T.)
                                  NYPORTS
                                  Sentinel Events & “Near Miss Events”
                  Patient Safety Program
                          National Patient Safety Goals (JCAHO)
                          FMEA
Fall 2005


        MANAGEMENT ISSUES IN THE ELECTRONIC HEALTH RECORD
                                   ENVIRONMENT
                                          HI 39
                                 WEEKLY OUTLINE
Week      Topic                                             Homework
Week #1   Introduction to course; principles of management, p.723-726
          overview of managerial functions
          Role of Supervisor;

Week #2     Planning function; goal setting; planning a new            p.726-732
            procedure in HIM; budgeting
            Organizing for action; table of organization/manuals/job   p. 750-751
            descriptions; centralization vs. decentralization; job
            sharing; flex time; work at home                           p. 714-723

Week #3     Leading and Managing; Controlling function; types of       p.734-750
            control; performance practice standards; theories of
            communication and motivation; disciplinary ;

            Theories of management; writing procedures and job         p.792-795
            descriptions; interviewing; line vs staff authority


                                                                                    19
           PROJECT #1 (Functions will be assigned)
Week #4    Supervision/Human Relations; Laws & Regulations         p.734-735
           affecting employees; job interviews; job descriptions
           Role Play: Resume review and job interview
           Designing work space; floor plans, purchase equipment
           and desks; ergonomics; environment                      p. 764-767
           PROJECT #2 Designing work environment                   p. 782-788
           QUIZ #1
Week #5    Committee structures; JCAHO; meetings; minutes;         p.771-781
           preparing an agenda; data display; medical records
           committee, Forms design; CORE measures; CMS and
           Scope of Work; NYPORTS;
           PROJECT #3 Review medical records for open &
           closed medical record review; prepare agenda; conduct
           mock medical record committee with minutes

Week #6    Performance Measurements and Performance                Fundamentals
           Assessment                                              Chapter 2 & 3
Week #7    Performance Improvement Tools; Individual               Fundamentals
           Competence; Credential Committee Credentialing;         Chapter 4 & 5
           Appointment/Reappointment; Privileges; NPDB;            HIM 151-152
           Physician Profiles; Managed Care; NCQA                  231-233; 266
Week #8    History of Healthcare Reimbursement; Medicare Part A,   p. 332-362
           Part B; Medicaid; Tricare; CHAMPVA; Managed Care;
           HMO; Reimbursement Methodologies; (Medicare
           inpatient and outpatient PPS); Acute Care; Skilled
           Nursing Facility; Home Health; Corporate Compliance;    p. 363-403
           Correct Coding initiative; Billing for Medicare, blue
           cross, insurance companies, managed care; RBRVS;
           HCFA 1450; HCFA 1500; EDI; Chargemaster; Prepare
           UB
           PROJECT #4 Calculate case mix index

Week #9    MIDTERM



Week #10   NO CLASS

Week #11   Planning the purchase of new software application;      p. 622-640
           vendor selection
           PROJECT #5 Selecting vendor for assigned HIM            (Review
           application                                             Ch.15)


                                                                                   20
Week #12    Health Care environment and factors affecting HIM;       p. 769-772
            HIPAA; Health Care systems and acquisitions;
            How to handle MPI;                                       p. 783-784
            PROJECT #6 Duplicate Medical Record Numbers and
            combining MPI from several sites

Week #13    QUIZ #2
            Students will present their in-service on NHII and the
            EHR
            PROJECT #7
Week #14    Cancer Registry; SPARCS; Physician Index, Disease        p. 141-143
            Index and Op Index;
                                                                     p. 789-792
            PROJECT #8
            Search DOH web site for SPARCS
            registries;(Alzheimers, Congenital Malf., AIDS) and NY
            State Cancer reporting; Using Power Point outline the
            requirements of one of the above

Week #15    REVIEW FOR FINAL

Week #16    FINAL




           ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                                                  21
     FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
         OR COURSE/CURRICULUM MODIFICATION

 ORIGINATING CAMPUS:                       ( ) Ammerman                ( ) Eastern           ( X ) Western

To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.

Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.

I.       Votes   and Recommendation Checklist
         (X )    Electronic Letter of Intent
         (X)     Electronic Letter of Support from Campus Dean(s)
         (X )    Vote of Department:
                 Name of Affected Department: Department of Health Sciences_____
                 For: __6___ Against: __0___ Abstentions: _____
                 Date of Vote: _9/15/05_________        Proposer's Initials: _DF____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
         ( )     Vote of Distance Education Committee (if applicable)
                 Circle One: APPROVED             Date of Vote: _______


(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
--------------------------------------------------------------------------------------

               ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY

         cc:      Vice President for Academic and Campus Affairs
         Associate Vice President for Curriculum and Instruction
         Campus Deans
         Chairs of Curriculum Committees


                                                                                                         22
Academic Chairs of affected Departments
Associate Dean of Library Services



( )     Vote of Curriculum Committee
        For: _____ Against: _____    Abstentions: _____
        Date of Vote: __________     CCC Initials: _____
              Circle One: APPROVED

( )     Vote of Full Faculty Senate/Assembly/Congress
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED


      ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                              23
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI37 Directed Clinical Practice
CATALOG DESCRIPTION:
Develops skills through clinical experience in various affiliated health care settings. Students
attend a weekly on-campus seminar during clinical experience to discuss clinical experience and
review completed fieldwork. Registration in this course requires that students purchase liability
insurance through the college. Prerequisite: HI 35 with a C grade or higher.

VIII. STATEMENT OF OBJECTIVES (should be stated in the form of precise,
      measurable learning outcomes, e.g. “Upon successful completion of this
      course, students will be able to: ”)
Upon completion of this Directed Clinical Practice the student should be able to:
1. Apply knowledge and skill to department activities in various healthcare settings.
2. Demonstrate competency on projects as indicated by the preceptor’s signature.
3. Evaluate the management of the Health Information Department.
4. Determine status of requests for Release of Information.
5. Prepare a Performance Improvement study on delinquent medical records.
6. Prepare a report on organization wide guidelines on documentation.
7. Code medical records.

IX.    RELATIONSHIP TO STUDENTS
       G. Credits/Contact Hours                     3 credits
       H. Required/Elective                          Required
       I. Transferability                           N/A
       J. Proposed cycle for offering               FALL
       K. Estimate of student enrollment            24
       L. Prerequisites and/or corequisites         Prereq:HI35 with a C grade/ higher

X.     RELATIONSHIP TO FACULTY
       D. Number of current faculty available to teach proposed course and number
          of additional faculty required.     One
       E. Number of other staff positions required. One Adjunct
       F. Discipline(s) required and/or minimum preparation in order to teach the
          course. Masters prepared with R.H.I.A. or R.H.I.T. credential

XI.    RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
       C. If this is a general education course, how does it incorporate the SUNY
          infused competencies of critical thinking and information management?
               *The ten SUNY knowledge and skill areas are: Mathematics, Natural
               Sciences, Social Sciences, American History, Western Civilization, Other
               World Civilizations, Humanities, The Arts, Foreign Language, Basic
               Communication. N/A




                                                                                              24
       D. If this is a general education course, what are its assessment measures,
          i.e. instruments to measure the attainment of student learning outcomes?
          N/A


XII.   RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
       B. List other colleges that offer this course. Molloy College


XIII. ADDITIONAL COSTS
      List additional costs and space requirements that have not already been
      recorded in the document.
                           None Anticipated
XIV. COURSE OUTLINE
      Include electronic course outline following prescribed format from the Faculty
      Handbook. (See Attachment I)



           ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                                                  25
ATTACHMENT I


                       SUFFOLK COUNTY COMMUNITY COLLEGE
                             WESTERN CAMPUS
                             COURSE SYLLABUS

COURSE TITLE:
  DIRECTED CLINICAL PRACTICE
CATALOG NO: HI 37                                       INSTRUCTOR:
CREDIT HOURS: 3 hours
                                                                           SEMESTER:

CLINICAL HOURS: 45 hours

COURSE DESCRIPTION:
Develops skills through clinical experience in various affiliated health care settings. Students
attend a weekly on-campus seminar during clinical experience to discuss clinical experience and
review completed fieldwork. Registration in this course requires that students purchase liability
insurance through the college. Prerequisite: HI 35 with a C grade or higher.

OBJECTIVES:
Upon completion of this Directed Clinical Practice the student should be able to:
1. Apply knowledge and skill to department activities in various healthcare settings.
2. Demonstrate competency on projects as indicated by the preceptor’s signature.
3. Evaluate the management of the Health Information Department.
4. Determine status of requests for Release of Information.
5. Prepare a Performance Improvement study on delinquent medical records.
6. Prepare a report on organization wide guidelines on documentation.
7. Code medical records.

INSTRUCTIONAL/TEACHING METHODS:
Weekly discussions regarding the experience
Case discussions
Student presentations

EVALUATION:
Successful completion of the course will depend on completion of hours, evaluations of
completed projects and demonstrated competencies as indicated by the clinical preceptor’s
signature and discussion with the preceptor.
              Completion of clinical practice projects     80%
              Evaluation of clinical preceptor             20%




                                                                                               26
STUDENT WORK STATEMENT:
Student and Clinical Preceptor must sign the student work statement on the initial visit to the
facility.

TEXT:
Comparative Health Records, Peden, Ann, Delmar Publishing, Philadelphia.
All medical records texts should be referenced.

ATTENDANCE:
Students are expected to attend one hour session on campus each week and to be present on all
assigned days at the facility.



DOMAINS, SUBDOMAINS, TASKS
I.B.1. Monitor and apply organization-wide health record documentation guidelines.
I.B.2. Apply policies and procedures to ensure organizational compliance with regulations and
standards.
I.C.2. Apply diagnosis/procedure codes using ICD-9-CM.
I.C.3. Apply procedure codes using CPT/HCPCS.
II.B.1. Abstract and report data for facility-wide quality management and performance
improvement programs.
III.B.3. Release patient-specific data to authorized users.
V.A.1. Apply the fundamentals of team leadership.
V.A.2. Organize and contribute to work teams and committees.
V.A.5. Monitor staffing levels and productivity standards for health information functions and
provide feedback to management and staff regarding performance.




                                                                                                  27
Fall 2005




SUFFOLK COUNTY COMMUNITY COLLEGE
                            HI 37

                           DIRECTED CLINICAL PRACTICE II


ACTIVITIES, OBJECTIVES, AND PROJECTS:


ACTIVITY: DEPARTMENT OVERVIEW
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Describe the type of facility, ownership, services offered, organizational structure and
   mission statement.
2. Describe the health information department, including the number of employees, the
   functions, the type of filing/number systems, and the computer systems used.
3. Develop a floor plan of the physical/environmental health information department.
4. Describe the relationship of the health information to other departments.
5. Relate the departmental policies to the employee work schedules.

       PROJECT #1
In your own words describe the health information department. This will be graded on
content and writing.

       PROJECT #2
Evaluate all job descriptions and functions. Develop your own productivity analysis for
coders based on the number of employees coding and the number of records to be coded.
Project an average number of records to be coded per employee. Submit in a graph.


ACTIVITY: RELEASE OF INFORMATION
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Determine the procedures for releasing information.
2. Identify valid authorizations for release of information.
3. Explain the rules for releasing specialized records.
4. Prepare the records for release according to the department’s policies and procedures.

                                                                                              28
5. Accept subpoena from process server, pull and review record, prepare and copy record.
6. Prepare patient access request for record according to the New York State regulations.
7. Describe the procedure that is in place if facility is in contract with a copy service.



        PROJECT #3
Process requests for medical records from each of the following: physician, other hospital,
insurance company, attorney and patient. Identify valid authorizations, and enter request
information in the ROI software, if available. Pull record and photocopy pages according
to the department’s procedure. Prepare release letters. Prepare a list of records by M.R.#
and requesting party and submit.


       PROJECT #4
Prepare and release records for a court issued subpoena. Review the subpoena, check for
receipt of fee, check for dates and signature. Pull the record and copy according to
departmental procedure. Submit a copy of the subpoena redacted to indicate the
completion of this project.

       PROJECT #5
Prepare and release records for patient access according to New York State regulations.
Pull the records and copy according to departmental procedure. Submit a written report
indicating the procedure that was in place.

      PROJECT #6
Prepare and release records for specialized records, if possible, release for mental health
records, release for substance abuse record and/or release for HIV record. Pull the records
and copy according to departmental procedure. Submit a written report on the types of
records released.


ACTIVITY: INCOMPLETE/ DELINQUENT RECORDS
OBJECTIVES:
Upon completion of the activity, the student will be able to:
1. Explain the process used for tracking incomplete records.
2. Describe the computerized system (vendor) used.
3. Review the policies and procedures for the medical staff which address requirements for the
   completion of medical records and failure to comply.
4. Compare JCAHO and N.Y. State DOH regulations regarding completion of medical records.
5. Identify which departments are involved in receiving the incomplete record status report.
6. Relate the procedure for notifying physicians.




                                                                                             29
   PROJECT #7
Review MR Committee Minutes and outline what is reviewed and discussed at each
meeting. Prepare a report on delinquent medical records and submit to Performance
Improvement Committee with an action plan


ACTIVITY:        PERFORMANCE IMPROVEMENT
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Explain the relationship of the health information department and the Q.I./P.I. department.
2. Develop a performance improvement plan that includes indicators, review, action and
   followup.
3. Decide the time frame for the study, the number of records in the sample and retrieve the
   records.
4. Prepare a report to the Director of health information department and outline the results of
   the study.
5. Prepare a memo to the Medical Record Committee Chairman outlining the results.


       PROJECT #8
Rotate through the QI/PI department and explain the relationship of the HI department to
the QI/PI process. Write a 2-3 page paper explaining the process.


ON CAMPUS DIRECTED CLINICAL PRACTICE
IN CLASS PROJECT


ACTIVITY: CODING
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Describe the procedure that is used for coding.
2. Identify the staffing ratio of number of coders, inpatient and outpatient, to the number of
   beds and encounters.
3. Design a form to be used for coding purposes only.
4. Describe the computerization of coding functions.
5. Code medical records.

        PROJECT #9
Code 15 inpatient records. The coding will be compared to the attestation and reviewed by
the instructor.

                                                                                                  30
       PROJECT #10
Code 15 ambulatory surgery records. The coding will be compared to the coded records
and reviewed by the instructor.



ACTIVITY: ALTERNATE SITE VISITS
OBJECTIVES:
Upon completion of this activity, the student will be able to:
1. Describe the differences in HI procedures between the acute care, ambulatory clinic setting
   and skilled nursing facility.

        PROJECT #11
Students will visit a Psychiatric facility and will prepare a report explaining the differences
between acute care and long term psychiatric HIM departments.
        PROJECT #12
Students will visit Nursing Care Facility (Long Term) and will prepare a report contrasting
differences and/ or similarities of the overall HIM department.
         PROJECT #13
Students will visit an acute care facility and will prepare a report on casemix and the benefit of
concurrent documentation review.
         PROJECT #14
Students will visit a Family Health Center and will prepare a report on the status of the electronic
health record in the facility.




Fall 2005

            ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                                                                 31
     FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
         OR COURSE/CURRICULUM MODIFICATION

 ORIGINATING CAMPUS:                       ( ) Ammerman                ( ) Eastern           ( X ) Western

To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.

Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.

I.       Votes   and Recommendation Checklist
         (X )    Electronic Letter of Intent
         (X)     Electronic Letter of Support from Campus Dean(s)
         (X )    Vote of Department:
                 Name of Affected Department: Department of Health Sciences_____
                 For: _6___ Against: _0____ Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _DF____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
         ( )     Vote of Distance Education Committee (if applicable)
                 Circle One: APPROVED             Date of Vote: _______


(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
--------------------------------------------------------------------------------------

               ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY

         cc:      Vice President for Academic and Campus Affairs
         Associate Vice President for Curriculum and Instruction
         Campus Deans
         Chairs of Curriculum Committees


                                                                                                         32
Academic Chairs of affected Departments
Associate Dean of Library Services



( )     Vote of Curriculum Committee
        For: _____ Against: _____    Abstentions: _____
        Date of Vote: __________     CCC Initials: _____
              Circle One: APPROVED

( )     Vote of Full Faculty Senate/Assembly/Congress
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED


      ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                              33
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI25 REGULATORY ISSUES WITH THE ELECTRONIC HEALTH RECORD

CATALOG DESCRIPTION:
Students will examine regulatory issues that relate to healthcare data. Statistical application;
research; reimbursement regulations and the electronic health record will be discussed.
 (3 hour lecture.) Prerequisites: HI14 with C grade or higher Corequisite: MA23.


XV.    STATEMENT OF OBJECTIVES (should be stated in the form of precise,
       measurable learning outcomes, e.g. “Upon successful completion of this
       course, students will be able to: ”)
Upon completion of the course the student will be able to:
1. Retrieve health data from various computer applications.
2. Prepare graphic presentations of data using bar graphs, pie diagrams, and tables.
3. Calculate and interpret healthcare statistics, occupancy rates and length of stay reports.
4. Prepare reports for reporting vital statistics to state agencies. (Birth and death statistics)
5. Apply Institutional Review Board (IRB) policies and procedures.
6. Explain the reimbursement/payment systems used in healthcare.

XVI.   RELATIONSHIP TO STUDENTS
       M. Credits/Contact Hours          3 credits
       N. Required/Elective              Required
       O. Transferability                N/A
       P. Proposed cycle for offering   SPRING
       Q. Estimate of student enrollment 24
       R. Prerequisites and/or corequisites Prerequiste:HI14 with C grade or
          higher; Corequisite: MA23

XVII. RELATIONSHIP TO FACULTY
      G. Number of current faculty available to teach proposed course and number
         of additional faculty required.  One
      H. Number of other staff positions required. No new staffing required
      I. Discipline(s) required and/or minimum preparation in order to teach the
         course.        Masters prepared with R.H.I.A. or R.H.I.T. credential

XVIII. RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
       E. If this is a general education course, how does it incorporate the SUNY
          infused competencies of critical thinking and information management?
               *The ten SUNY knowledge and skill areas are: Mathematics, Natural
               Sciences, Social Sciences, American History, Western Civilization, Other
               World Civilizations, Humanities, The Arts, Foreign Language, Basic
               Communication. N/A



                                                                                                    34
       F. If this is a general education course, what are its assessment measures,
          i.e. instruments to measure the attainment of student learning outcomes?
          N/A

XIX.   RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
       C. List other colleges that offer this course. Molloy College


XX.    ADDITIONAL COSTS         None anticipated
       List additional costs and space requirements that have not already been
       recorded in the document.

XXI.   COURSE OUTLINE
       Include electronic course outline following prescribed format from the Faculty
       Handbook. (See Attachment I)



           ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                                                   35
ATTACHMENT I


                         SUFFOLK COUNTY COMMUNITY COLLEGE
                               WESTERN CAMPUS
                               COURSE SYLLABUS
COURSE TITLE:
REGULATORY ISSUES WITH THE ELECTRONIC HEALTH RECORD

CATALOG NO:  HI 25                                           INSTRUCTOR:
CREDIT HOURS 3 hours                                         SEMESTER:

COURSE DESCRIPTION:
Students will examine regulatory issues that relate to healthcare data. Statistical application;
research; reimbursement regulations and the electronic health record will be discussed.
 (3 hour lecture.) Prerequisites: HI14 with C grade or higher Corequisite: MA23.

OBJECTIVES:
Upon completion of the course the student will be able to:
1. Retrieve health data from various computer applications.
2. Prepare graphic presentations of data using bar graphs, pie diagrams, and tables.
3. Calculate and interpret healthcare statistics, occupancy rates and length of stay reports.
4. Prepare reports for reporting vital statistics to state agencies. (Birth and death statistics)
5. Apply Institutional Review Board (IRB) policies and procedures.
6. Explain the reimbursement/payment systems used in healthcare.

INSTRUCTIONAL/TEACHING METHODS:
Lecture
Reading Assignments
Sample forms
Medical records
Practice Activities
 Manual preparation of census and automated census (META CHARMS)
Demonstrations (META)
Site Visits




                                                                                                    36
EVALUATION:
Successful completion of the course will depend upon the performance of preparing and
displaying statistics, calculating census data, and midterm and final exam.
                      Project preparing statistics and graphic presentations 20%
                      Calculating statistics and census                      15%
                      Quizzes                                                15%
                      Midterm                                                25%
                     Final Exam                                              25%
Students require a “C” or better to progress in the program.

ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from the class roster.

TEXT:
Basic Healthcare Statistics for Health Information Management Professionals, Revised edition
Karen G. Youmans, American Health Information Management Association, 2000.

Health Information Management Technology: An applied approach, edited by Merida L. Johns,
PhD, R.H.I.A., American Health Information Management Association, 2002.

ADDITIONAL READING:
Health Information: Management of a Strategic Resource, Mervat Abdelhak, et.al., Philadelphia,
W.B. Saunders Company. 2000.


CALCULATOR REQUIRED
DOMAINS, SUBDOMAINS, TASKS
I.D.1. Apply policies and procedures for the use of clinical data required in reimbursement and
prospective payment systems (PPS) in healthcare delivery.
I.D.2. Support accurate billing through coding, chargemaster, claims management and bill
reconciliation processes.
I.D.3. Use established guidelines to comply with reimbursement and reporting requirements
such as the national correct coding initiative.
II.A.3. Compute and interpret healthcare statistics.
II.A.4. Apply Institutional Review Board (IRB) processes and policies.
II.A.5. Use specialized databases to meet specific organization needs such as medical research
and disease registries.
III.A.3. Apply policies and procedures to comply with the changing regulations among various
payment systems for healthcare services such as Medicare, Medicaid, managed care and so forth.
IV.A.2. Use common software applications such as spreadsheets, databases, word processing,
graphics, presentation, email and so on in the execution of work processes.

                                                                                               37
   REGULATORY ISSUES WITH THE ELECTRONIC HEALTH RECORD
                                           HI25
           GENERAL OUTLINE

OBJECTIVE # 1 Retrieve health data from various computer applications.
  The student will be able to apply statistical analysis to various forms of data.
                       Measure of Central Tendency
                            Mean, mode, median
                       Measures of Variance
                             Range
                             Variance
                             Standard Deviation
                       Percentages, fractions, decimals
                       Database creation
                             Patient
                             Physician
                       Data collection form (source document)
                       Data sets
                         UHDDS
                           Definitions
                             Principal diagnosis
                             Other diagnosis
                             Principal procedure
                             Other procedure
                          S.P.A.R.C.S. (Statewide database)
                         Data element definition
                         Data dictionary
                        Agencies that require data
                           AHA
                           H.A.N.Y.S. (Hospital Assoc of NYS)
                           JCAHO
                           BX/BS
                           AMA
                           PRO
                           IRS
                           Nofault/workers comp
                           Social Security Administration
                             Medicare
                           Local and State medicaid
                        3M Database
                        Microsoft Access



                                                                                     38
                                                       HI25


                          ADT — Mainframe
                          Supporting systems
                            Administrative applications Management Reports/Census
                            Clinical Patient related (diagnosis,ops, physicians)
                            Financial Patient billing/General Ledger/Chargemaster

 OBJECTIVE #2        Prepare graphic presentation of data using bar graphs, pie diagrams,
and tables.
  The student will be able to display data using desktop tools.
                            Importance of data presentation
                            Computer aided presentation
                            Microsoft Excel Graphs, diagrams, histograms, line graphs
                            Power Point
                            Microsoft Word Tables
                            Interpret data when presented in graph.

OBJECTIVE # 3         Calculate and interpret healthcare statistics, occupancy rates and
length of stay reports.
   The student will be able to determine data needs, and compute statistics and interpret data as
needed.
                             Census data (ADT)
                             Inpatient Admission and Discharge
                             Medical/Surgical
                             Critical Care Units
                             Obstetrics
                             Newborns (live births)
                             Pediatrics
                             Psychiatry
                             Detox
                             Short Stay
                             Transfers
                             Leave of Absence (LOA)
                             Outpatient
                               Emergency Room
                               Ambulatory Surgery
                               Outpatient visit
                               Clinics
                                Encounter
                               Referred Ambulatory


                                                                                               39
                                                                     HI25
                             Inpatient Census
                                Discharge Days
                                Occupancy Rate
                                Daily average census
                                Bed count/ bassinet count
                                Automated vs. Manual
                              Discharge analysis
                                 Manual vs. Automated
                                 L.O.S. (A.L.O.S.)
                                 Death Rate Gross, Net
                                 Death rate by service
                                    Maternal
                                    Neonatal (Perinatal)
                                    Fetal
                                    Post op
                                 Autopsy Rate
                                    M.E./coroner
                               O.B. Delivery Rate
                                    C/Section Rate
                                Infection rate
                                      Nosocomial
                                 Surgical rate
                                 Quality Indicator Reporting

OBJECTIVE # 4          Prepare reports for reporting vital statistics to state agencies.
The student will be able to complete birth certificate preparation form and discuss steps for
submission to state agency, prepare an infection control report for submission and complete
forms for registries, cancer/tumor, Alzheimers, congenital malformation.
                                 Importance of Vital Statistics
                                 Birth reporting (electronic submission)
                                    Live birth (paternity)
                                    Death
                                    Fetal Death
                                    Stillborn
                                 Role of Health information department/nursing/admitting
                                 Death Reporting
                                    Autopsy
                                    M.E./coroner case
                                    Funeral director’s role
                                 Public Health reporting

                                                                                    HI25

                                                                                                40
                            Registry reporting
                              Cancer/Tumor
                              Tumor Registry
                                  Definition
                                  Requirements (manual vs. automated)
                                  Sample abstracting
                              Alzheimer’s Disease
                              Congenital Malformation Registry

OBJECTIVE # 5 Apply Institutional Review Board (IRB) policies and procedures.
  The student will be able to develop policies and procedures for research:.
                                 IRB Processes
                                 Guidelines for Research on Human Subjects
                                 Research protocol monitoring
                                 Knowledge bases research techniques
                                     Web based
                                      Library
                                      On line searches
                                      Medline
                                  Pharmaceutical Industry




                                                                                41
                                                                           HI25


OBJECTIVE #6        Explain the reimbursement/payment systems used in healthcare.
  The student will be able to relate patient’s financial class and encounter to reimbursement.
                                Prospective Payment System
                                    DRG’s
                                    Medicare
                                     Part A, Part B (HCPCS), Part C, Part D
                                    Local Medical Review Policy (LMRP)
                                    Claims Management
                                    E.O.B.
                               Commercial Payors
                               Charge Description master
                               Outpatient Prospective Payment System
                                APC
                                National Correct Coding Initiative
                                 Managed Care
                                  Negotiated rates (Competitive market)
                                  Capitation
                               Corporate Compliance
                                Advance Beneficiary Notice (ABN)
                                HIPAA (Standards for Electronic Claims Submission)
                                Healthcare Clearinghouse
                                Physician Billing
                                RBRVS




                                                                                                 42
Fall 2005
               SUFFOLK COUNTY COMMUNITY COLLEGE
                              HI 25

REGULATORY ISSUES WITH THE ELECTRONIC HEALTH
RECORD
                                WEEKLY OUTLINE
Week #1     Course objectives and requirements                 Homework
            Use of statistics in healthcare; Review of         Ch. 1
            measurements, (mean, median, mode, standard        Appendix A
            deviation);                                        Appendix B
                                                               HIM Text
                                                               p. 417-430
Week #2     Presentation of Data:                              HIM Text
            Tables, Graphs, Histogram, Pictogram, Pie Chart;   p. 430-441
            Glossary of Terms
            Project: Create data entry forms to enter
            information from paper medical records to
            database
Week #3     Census Data: Avg Daily Census; Inpatient Service   Ch. 2
            Days; Discharge Days; Medical Services;            HIM Text
            Discharge Analysis                                 p. 441-445
            Project: Prepare manual census; calculate census   Ch. 3
            data; Bed Occupancy Rate; Bed Count Days;          HIM Text
            Occupancy Rate; Bed Turnover Rate                  p. 445-447

Week #4     LOS Data; ALOS; LOS days; Newborn LOS              Ch. 4
            Add data to manual census; calculate los           HIM Text
            Quiz                                               p.447-449


                                                                            43
Week #5    Vital Statistics reporting/live births & deaths;      Ch. 5
           Obstetrical & Perinatal rates; C/Section rates;       HIM Text
           Fetal Death Rate; Project: Review birth & death       p.450-454
           registers/calculate statistics

           Death rates (Gross/Net); maternal death rate;         Ch. 6
           Autopsy Rate (Gross/Net)                              HIM Text
           Morbidity; infection rate; Postop infection rate;     p.454-456
           nosocomial infections;                                Ch. 8
                                                                 HIM text
                                                                 p. 457-458


Week #6    HIM Statistics; ROI; Medical Transcription;           Ch. 9 & 10
           staffing; storage; workspace; alternative care
           settings; ambulatory care; long term care
           Project: Calculate statistics
Week #7    Chart tracking; Chart deficiency; correspondence;     Ch. 12
           transcription/dictation; vendors; computerized
           medical records; report writer; Confidentiality
           Clinical Information Systems
           Graphic presentation of data
           Project: Preparing a statistical presentation

Week #8    MIDTERM (Multiple Choice/ Calculate Statistics)

Week #9    Clinical Vocabularies: ICD9CM; ICD10; ICDO;           HIM Text
           HCPCS; CPT; SNOMED; DSMIV;                            p. 291-324
           Encoders; Corporate Compliance

Week #10   Reimbursement/payment systems; PPS; DRG’s;            HIM Text
           RBRVS; Medicare Part A,B&C; RUGS; HCPCS;              p. 359-375
           EOB; Payors: Medicaid, Worker’s Comp, No
           Fault, Managed Care, Fee for Service; Home            p. 378-402
           Health PPS; Ambulance fee; Rehab
           Review CDM; UB92; revenue codes

Week #11   Outpatient Prospective Payment system; APC’s;         HIM Text
           Charge Description Master;                            p. 375-378
           N.Y.S.deregulation (HCRA); Managed care;              Web search of
           negotiated rates; (competitive market); capitation;   cms.gov/opps
           Corporate compliance
           Review HCFA 1500


                                                                                 44
Week #12   NO CLASS (THANKSGIVING)                        HIM Text
                                                          p. 327-359

Week #13   Research; Role of Institutional Research
           Board; IRB Processes; Guidelines regarding
           human subjects research. Pharmaceutical
           industry
Week #14   Knowledge based research techniques:
           Library; web based; online services; medline
           REVIEW
Week #15   FINAL




                                   NICALLY




                                                                       45
     FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
         OR COURSE/CURRICULUM MODIFICATION

 ORIGINATING CAMPUS:                       ( ) Ammerman                ( ) Eastern           ( X ) Western

To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.

Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.

I.       Votes   and Recommendation Checklist
         (X )    Electronic Letter of Intent
         (X)     Electronic Letter of Support from Campus Dean(s)
         (X )    Vote of Department:
                 Name of Affected Department: Department of Health Sciences_____
                 For: __6___ Against: __0___ Abstentions: _____
                 Date of Vote: __9/15/05________        Proposer's Initials: _DF____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
         ( )     Vote of Distance Education Committee (if applicable)
                 Circle One: APPROVED             Date of Vote: _______


(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
--------------------------------------------------------------------------------------

               ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY

         cc:      Vice President for Academic and Campus Affairs
         Associate Vice President for Curriculum and Instruction
         Campus Deans
         Chairs of Curriculum Committees


                                                                                                         46
Academic Chairs of affected Departments
Associate Dean of Library Services



( )     Vote of Curriculum Committee
        For: _____ Against: _____    Abstentions: _____
        Date of Vote: __________     CCC Initials: _____
              Circle One: APPROVED

( )     Vote of Full Faculty Senate/Assembly/Congress
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED


      ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                              47
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI18 Privacy and Security of the Electronic Health Record
CATALOG DESCRIPTION:
Students will examine the legal proceedings; privacy and security regulations; and the
technology that will secure the confidentiality of the electronic health record (EHR) and
personal health record (PHR). HIPAA, network security, interoperability and regional health
information organizations (RHIO) will be presented. (3 hours lecture).
 No prerequisite.

XXII. STATEMENT OF OBJECTIVES (should be stated in the form of precise,
      measurable learning outcomes, e.g. “Upon successful completion of this
      course, students will be able to: ”)
Upon completion of the course, the student will be able to:
l. Describe the structure of the American legal system.
2. Define court and legal practices.
3. Explain principles regarding confidentiality and release of information.
4. Define HIPAA Privacy and Security Regulations.
5. Demonstrate familiarity with concepts such as malpractice and negligence.
6. Discuss landmark decisions regarding legal aspects of health information.
7. Distinguish between federal and state laws as they apply to the Electronic Health Record.

XXIII. RELATIONSHIP TO STUDENTS
       S. Credits/Contact Hours        3 Credits
       T. Required/Elective            Required
       U. Transferability               N/A
       V. Proposed cycle for offering FALL
       W. Estimate of student enrollment 24
       X. Prerequisites                 No prerequisites
XXIV. RELATIONSHIP TO FACULTY
       J. Number of current faculty available to teach proposed course and number
          of additional faculty required. One
       K. Number of other staff positions required. One Adjunct
       L. Discipline(s) required and/or minimum preparation in order to teach the
          course.          Masters prepared with R.H.I.A. or R.H.I.T.

XXV. RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
     G. If this is a general education course, how does it incorporate the SUNY
        infused competencies of critical thinking and information management?
              *The ten SUNY knowledge and skill areas are: Mathematics, Natural
              Sciences, Social Sciences, American History, Western Civilization, Other
              World Civilizations, Humanities, The Arts, Foreign Language, Basic
              Communication. N/A




                                                                                               48
      H. If this is a general education course, what are its assessment measures,
         i.e. instruments to measure the attainment of student learning outcomes?
         N/A


XXVI. RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
      D. List other colleges that offer this course. Molloy College


XXVII.ADDITIONAL COSTS
      List additional costs and space requirements that have not already been
      recorded in the document.      None anticipated

XXVIII.     COURSE OUTLINE
      Include electronic course outline following prescribed format from the Faculty
      Handbook. (See Attachment I)



          ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                                                  49
ATTACHMENT I


                       SUFFOLK COUNTY COMMUNITY COLLEGE
                             WESTERN CAMPUS
                             COURSE SYLLABUS

COURSE TITLE:
PRIVACY AND SECURITY OF THE ELECTRONIC HEALTH RECORD
CATALOG NO: HI18                      INSTRUCTOR:
CREDIT HOURS: 3 hours                SEMESTER:

COURSE DESCRIPTION:
Students will examine the legal proceedings; privacy and security regulations; and the
technology that will secure the confidentiality of the electronic health record (EHR) and
personal health record (PHR). HIPAA, network security, interoperability and regional health
information organizations (RHIO) will be presented. (3 hours lecture).
 No prerequisite.

OBJECTIVES:
Upon completion of the course, the student will be able to:
l. Describe the structure of the American legal system.
2. Define court and legal practices.
3. Explain principles regarding confidentiality and release of information.
4. Define HIPAA Privacy and Security Regulations.
5. Demonstrate familiarity with concepts such as malpractice and negligence.
6. Discuss landmark decisions regarding legal aspects of health information.
7. Distinguish between federal and state laws as they apply to the Electronic Health Record.

INSTRUCTIONAL/TEACHING METHODS:
Lectures/Discussions
   Teams to compare and contrast N.Y.State vs. Federal requirements
   Teams to develop policies and procedures for release of information
   Teams to prepare a mock EBT
Internet searches (NPDB and NYSDOH)
Oral Presentations
Reading assignments
Correspondence Software (META Power Release)
EVALUATION:
Successful completion of the course will depend upon the performance on release of information
projects, written policies and procedures, and on the midterm, and final exam.
                             Midterm                                         25%
                             Final Exam (Multiple Choice & ROI Scenarios 30%
                             Oral Presentations                              10%


                                                                                               50
                           Team participation in EBT                         10%
                           Project for R.O.I.(Policies & Procedures)         25%
Students require a “C” or better for HIT coursework to progress in the program.


                                                                            HI18
ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from this class roster.

TEXT:
Legal Aspects of Health Information, Diana McWay, J.D., R.R.A., Delmar Publications.

Health Information Management Technology edited by Merida Johns, Chicago, American Health
Information Management Association, 2002


DOMAINS, SUBDOMAINS, TASKS
III.B.1. Participate in the implementation of legal and regulatory requirements related to the
health information infrastructure.
III.B.2. Apply policies and procedures for access and disclosure of personal health information.
III.B.3. Release patient-specific data to authorized users.
III.B.4. Maintain user access logs/systems to track access to and disclosure of indetifiable
patient data.
III.B.5. Conduct privacy and confidentiality training programs.
III.B.6. Investigate and recommend solutions to privacy issues/problems.
III.B.7. Apply and promote ethical standards of practice.
IV.A.3. Use specialized software in the completion of HIM processes such as record tracking,
release of information, coding, grouping, registries, billing, quality improvement and imaging.
IV.A.4. Apply policies and procedures to the use of networks, including intranet and internet
applications to facilitate the electronic health record (EHR), personal health record (PHR),
public health, and other administrative applications.
IV.D.1. Apply confidentiality and security measures to protect electronic health information.
IV.D.3. Apply departmental and organizational data and information system security policies.
IV.D.5. Contribute to the design and implementation of risk management, contingency planning
and data recovery procedures.




                                                                                               51
                    Privacy and Security of the Electronic Health Record
                                            HI18
                                  GENERAL OUTLINE

OBJECTIVE #1             Describe the structure of the American legal system.
    The student will be able to compare the federal and state legal system including court
structure.
                       Sources of law
                       Public vs. Private law
                       Jurisdictions
                       Contract law
                       Constitutional law
                       Statutes and regulations
                       Federal and State Court structure
                       Branches of Federal Government
                       Torts
                       Malpractice/negligence
                       Appeals court — Role in New York State
                       Legal concepts Stare decis, resjudicata
                       Medicare and medicaid creation
                         Regulatory agencies role
                       Rescinding law

OBJECTIVE #2 Define court and legal practices.
  The student will be able to explain the preceding of a lawsuit.
                      Court Systems and Legal Procedures
                         Beginning a lawsuit
                         Complaint
                         Discovery
                         Pretrial conference
                         Trial
                         Appeal
                         Satisfying judgments
                         Discovery
                           Deposition
                           Interrogatories
                           Physical and Mental examination
                         Trial Protocols
                         Appeals process



                                                                                             52
                                                                            HI18
OBJECTIVE # 3 Explain principles regarding confidentiality and release of information.
  The student will be able to write a protocol for release of information.
                       Patient Record Requirement
                       Functions of the medical record
                      Ownership of the record
                       Authorship vs. Identification
                       Patient requests for information
                         Standard protocols
                       Clinician’s role in general information release
                       Proper correction of the record
                       Record Retention policies and influences
                       Rules of destruction
                       Special categories of records
                         Drug and Alcohol
                         During facility closure
                       Access to Health Information
                         Policies and Procedures
                         Release forms-types and requirements (HIPAA compliant forms)
                         Authority to release information
                            Authorized users
                            In person requests, emergency, routine requests
                            Patient Access
                            Third Party access
                       Reasonable fees
                       Researcher access
                       Public Health reporting
                       Access to adoption records
                       Correspondence in a routine setting
                        Work division and release
                        Monitoring validity and productivity

OBJECTIVE # 4 Describe HIPAA Privacy and Security Regulations.
The student will be able to conduct an inservice on HIPAA Privacy and Security Regulations:
                          HIPAA Privacy Regulations
                          Training programs
                          Confidentiality and Privacy
                          Sources of law determining the right to privacy
                          Open record statutes and privacy statutes
                          Informed consent doctrine
                          Minors and exceptions

                                                                                              53
                        Advanced directives
                        Patient self determination act
                        Emergency “Good Samaritan” statutes
                        Release of Information
                         HIPAA Security Regulations
                         Policies and Procedures
                         Monitoring Access




OBJECTIVE # 4 continued                                                           HI18

                        Professional disclosure standard
                        Reasonable patient standard
                        Durable powers of attorney
                        Living wills
                        Hippocratic oath

OBJECTIVE #5 Demonstrate familiarity with concepts such as malpractice and
negligence.
   The student will be able to prepare a medical record for response to a subpoena/summons.
                         Judicial Process
                         Evidence
                         Admissable
                         Hearsay
                         Record professional’s role in court
                         “Foundation and trustworthiness”
                         Subpoena
                         Subpoena ad testificandum
                         Subpoena duces tecum
                         Validating a subpoena
                         Court ordered subpoenas
                         Business rule/hearsay rule/exceptions
                         Specialized records vs. General records
                         Government regulations re patient identification
                         Right to privacy vs. Public need to know
                         Disclosure without consent (child abuse)
                         Sexually transmitted disease
                         Failure to warn
                         Mental health records
                         Home health records
                         Redisclosure statements
                         Court orders

                                                                                              54
                                                                 HI18
OBJECTIVE # 6        Discuss landmark decisions regarding legal aspects of health
information.
    The student will be able to relate the cases to legal decisions that have shaped the functions of
risk management and performance improvement.
                           Incident reports
                           Discovery and admissability
                           Attorney/client privilege
                           Peer review and statutes
                           Healthcare Quality Improvement Act
                           Healthcare Practitioner Data Bank
                           HIV Information
                           Types of testing/anonymous testing
                           Steps in the voluntary testing process
                           Employers and requirements testing for HIV/AIDS
                           Confidentiality Statutes and how they affect AIDS
                           Ethics and HIV (public safety vs. Privacy concerns)
                           Voluntary testing
 OBJECTIVE #7 Distinguish between federal and state laws as they apply to the
Electronic Health Record.
    The student will be able to compare federal and state regulations regarding patient access and
the computerized patient records.
                          National Health Information Infrastructure (NHII)
                          Interoperability
                          Regional Health Information Organizations (RHIO)
                          Effect of Computerization on health records
                          Categories of law and regulations governing computerized records
                          Creation and storage
                          Medical records and business exception to the hearsay rule
                          Breech of confidentiality issues
                          Physical security/Personnel security/Risk preventions techniques
                          Correspondence (HIPAA)
                              Valid authorizations
                              Proper forms
                              Disseminating work
                              Role of the health professional in release of information
                          Computerized Release of Information (ROI) systems on the market
                          Outsourcing vs. Inhouse systems
                          Delegation of work
                          Productivity controls
                          Interrelationship of quality improvement, utilization, risk managment

                                                                                                  55
                        in the correspondence function
                  Contingency planning
                  Data Recovery
Fall 2005
        PRIVACY AND SECURITY OF THE ELECTRONIC HEALTH RECORD
HI18
                           WEEKLY TOPICS


Week         Topic                                               Homework
Week #1      Course Objectives and Requirements;                 Ch. 1
             Private vs. Public Law; Sources of law; statutes;
             regulations, judicial decisions;                    (p.193-198)
             Branches of Government; Case Study                  HIM Tech
Week #2      Court Systems; jurisdiction; court structure;       Ch. 2
             legal process; Steps of civil lawsuit, beginning
             the lawsuit; discovery; methods of discovery;
             Pretrial conference; trial; appeal; satisfying      (p. 199-201)
             judgment                                            HIM Tech
Week #3      Theories of liability; HIPAA Privacy;Role of        Ch. 3
             Correspondence/ROI in HIM Dept.
             Case Study to determine theory of liability         (p. 202)
                                                                 HIM Tech
             QUIZ #1
Week #4      Medical Record as evidence; subpoena,               Ch. 7
             subpoena duces tecum; Students will prepare to
             be a witness in a mock EBT

Week #5      Patient Record Requirements; Record Retention Ch. 4
             Requirements
             Students will participate in a mock EBT        (p. 203-208)
                                                            HIM Tech
Week #6      Confidentiality; Doctrine of Informed Consent; Ch. 6
             Implied/Express Consent; Patient Self          p. 263-274 in
             Determination Act (PSDA) (Search NYSDOH        Legal Text
             web site)
Week #7
             MIDTERM
Week #8      National Health Information Infrastructure          Ch. 5
             (NHII); Interoperability and Regional Health
             Information Organization (RHIO);                    (p. 209-212)
             Ownership of medical record; sharing health         HIM Tech


                                                                                56
           information; Students will prepare an in-service
           on importance of confidentiality; HIPAA
           Security
Week #9                                                       (p. 212-230)
           Evidence; Hearsay; subpoenas;                      HIM Tech
           court orders; Prepare records for
           release under a subpoena
Week #10   HIPAA Release of Information                       Ch. 8
           Release of Information for specialized records;
           Drug and Alcohol Abuse;            with consent;   Ch. 10
           without consent; mental health; home health;
           Students will work in groups to develop
           policies and procedures release for
           specialized records with and without consent.
           QUIZ #2



Week #11
           NO CLASS
Week #12   Requests from insurance companies, attorneys,      Ch. 5
           patient, mental health, and
            patient access; HIPAA
            Students will present their policies and
           procedures for release of information
Week #13   Role of Quality Assurance and Risk                 Ch. 9
           Management;                                        p. 243-246
           Students will present their policies and
           procedures for release of information Patient’s
           Bill of Rights; Principles of medical record
           documentation;
           Students will check internet for NYSDOH web
           site
Week #14   Teams will compare and contrast NYS vs.            Ch. 11
           Federal regulations regarding HIV;                 Ch. 12
           Corporate Compliance; PSDA; Durable Power          Appendix
           of Attorney; Advance Directives;
           Healthcare Fraud and Abuse; Computerized
           Patient Records
           REVIEW FOR FINAL
Week #15
           FINAL


                                                                             57
     FORMAT FOR NEW COURSE/CURRICULUM PROPOSALS
         OR COURSE/CURRICULUM MODIFICATION

 ORIGINATING CAMPUS:                       ( ) Ammerman                ( ) Eastern           ( X ) Western

To meet the ideals of Suffolk County Community College, new courses/curriculum
should, if appropriate, consider issues arising from elements of cultural diversity.
Among the areas in which this can be realized are: textbook choice, selection of
library and audio-visual materials, and teaching methodology.

Guidelines:
Not every item in this format is applicable to every course proposal. Responses of
NOT APPLICABLE are acceptable in such instances. The Counseling Office and
Library of each campus have materials that can help locate answers about
transferability (II d.) and other colleges that offer similar courses (VI a. and b.).
Information about offerings at other colleges does not require complete listings
where such offerings are numerous. A summary or sampling will suffice.

I.       Votes   and Recommendation Checklist
         (X )    Electronic Letter of Intent
         (X)     Electronic Letter of Support from Campus Dean(s)
         (X )    Vote of Department:
                 Name of Affected Department: Department of Health Sciences_____
                 For: _6___ Against: _0____ Abstentions: _____
                 Date of Vote: __9/15/05________        Proposer's Initials: _df____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
                 Name of Affected Department: _______________________________
                 For: _____ Against: _____        Abstentions: _____
                 Date of Vote: __________         Proposer's Initials: _____
                        Circle One: APPROVED
         ( )     Vote of Distance Education Committee (if applicable)
                 Circle One: APPROVED             Date of Vote: _______


(Proposer needs to fill out to this line before sending to the Curriculum Committee Chair)
--------------------------------------------------------------------------------------

               ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY

         cc:      Vice President for Academic and Campus Affairs
         Associate Vice President for Curriculum and Instruction
         Campus Deans
         Chairs of Curriculum Committees


                                                                                                         58
Academic Chairs of affected Departments
Associate Dean of Library Services



( )     Vote of Curriculum Committee
        For: _____ Against: _____    Abstentions: _____
        Date of Vote: __________     CCC Initials: _____
              Circle One: APPROVED

( )     Vote of Full Faculty Senate/Assembly/Congress
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED
        For: _____ Against: _____       Abstentions: _____
        Date of Vote: __________        CCC Initials: _____
              Circle One: APPROVED


      ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                              59
AREA/DIVISION: Health Information Technology DEPARTMENT: Health Sciences
TITLE: HI14 Introduction to Health Information Technology
CATALOG DESCRIPTION:
    This course will introduce the students to the Health Care Delivery system, the role of the
electronic health record and health informatics as it relates to data content, format and
management. The National Health Information Infrastructure and the role of the Health
Information Management professional will be presented.

XXIX. STATEMENT OF OBJECTIVES (should be stated in the form of precise,
      measurable learning outcomes, e.g. “Upon successful completion of this
      course, students will be able to: ”)
Upon completion of the course the student will be able to:
1. Discuss the factors affecting health care delivery in the United States.
2. Explain the general structure and function of a hospital including
     governing and committee structures.
2. Discuss the factors affecting health care delivery in the United States.
3. Identify the role of the Health Information professional.
4. Describe the purpose, content and format of the medical record.
5. Describe the difference between primary and secondary health records and give examples.
6. Perform concurrent and retrospective quantitative, qualitative, and statistical
    analysis.
7. Set up numbering and filing systems.
8. Explain the retention requirements for health information.
9. Develop policy and procedures for work flow.

XXX. RELATIONSHIP TO STUDENTS
     Y. Credits/Contact Hours       3 credits
     Z. Required/Elective           Required
     AA.   Transferability              N/A
     BB.   Proposed cycle for offering FALL
     CC.   Estimate of student enrollment 24
     DD. Prerequisites and/or corequisites Corequisites: MD11

XXXI. RELATIONSHIP TO FACULTY
      M. Number of current faculty available to teach proposed course and number
         of additional faculty required.     One
      N. Number of other staff positions required. None
      O. Discipline(s) required and/or minimum preparation in order to teach the
         course.          Masters prepared with R.H.I.A. or R.H.I.T. credential

XXXII.RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS*
      I. If this is a general education course, how does it incorporate the SUNY
         infused competencies of critical thinking and information management?
               *The ten SUNY knowledge and skill areas are: Mathematics, Natural

                                                                                                  60
            Sciences, Social Sciences, American History, Western Civilization, Other
            World Civilizations, Humanities, The Arts, Foreign Language, Basic
            Communication.                              N/A
      J. If this is a general education course, what are its assessment measures,
         i.e. instruments to measure the attainment of student learning outcomes?
         N/A

XXXIII.      RELATIONSHIP TO OTHER COLLEGES AND/OR CAREER GOALS
      E. List other colleges that offer this course. Molloy College


XXXIV.      ADDITIONAL COSTS
     List additional costs and space requirements that have not already been
     recorded in the document.       None anticipated

XXXV. COURSE OUTLINE
      Include electronic course outline following prescribed format from the Faculty
      Handbook. (See Attachment I)



          ALL OF THESE FORMS MUST BE SUBMITTED ELECTRONICALLY




                                                                                       61
ATTACHMENT I

                      SUFFOLK COUNTY COMMUNITY COLLEGE
                               WESTERN CAMPUS
                               COURSE SYLLABUS

COURSE TITLE:
  INTRODUCTION TO HEALTH INFORMATION

CATALOG NO:             HI14                                   Semester:
CREDIT HOURS:           3 hours                                Professor:

COURSE DESCRIPTION:
This course will introduce the students to the Health Care Delivery system, the role of the
electronic health record and health informatics as it relates to data content, format and
management. The National Health Information Infrastructure and the role of the Health
Information Management professional will be presented.
 Corequisites: MD11

OBJECTIVES:
Upon completion of the course the student will be able to:

1. Discuss the factors affecting health care delivery in the United States.
2. Explain the general structure and function of a hospital including
    governing and committee structures.
2. Discuss the factors affecting health care delivery in the United States.
3. Identify the role of the Health Information professional.
4. Describe the purpose, content and format of the medical record.
5. Describe the difference between primary and secondary health records and give examples.
6. Perform concurrent and retrospective quantitative, qualitative, and statistical
   analysis.
7. Set up numbering and filing systems.
8. Explain the retention requirements for health information.
9. Develop policy and procedures for work flow.


INSTRUCTIONAL/TEACHING METHODS:
Lectures
Discussion
Reading Assignments
Demonstrations/Power Abstract
Handouts
Sample Forms
Practice using medical records


                                                                                              62
Collaborative Projects



EVALUATION:
Successful completion of the course will depend upon the performance on the quiz, midterm,
final, and project that includes filing records in terminal digit order.
Students will receive weekly feedback on assigned homework.
                             Assigned Homework                  10%
                             Quiz                               10%
                             Project                            10%
                             Midterm                            35%
                              Part I Multiple Choice,
                              Part II Analysis
                             Final Exam                         35%
                              Part I Multiple Choice
                              Part II Record Search
                              Part III Essay questions (2)
ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more than one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from this class roster.

TEXT:
Health Information Management Technology: An applied approach, edited by Merida L. Johns,
PhD, R.H.I.A., American Health Information Management Association, 2002.

Documentation Requirements for the Acute Care Patient Record, Barbara Glondys, RHIA,
American Health Information Management Association, 1999.

ADDITIONAL READING:
Health Information Management of a Strategic Resource, Mervat Abdelhak, et.al., Philadelphia,
W.B. Saunders Company, 2000.




                                                                                               63
DOMAINS, SUBDOMAINS, AND TASKS
I.A.2. Conduct analysis to ensure that documentation in the health record supports the diagnosis
and reflects the patient’s progress, clinical findings and discharge status.
I. B. 1. Monitor and apply organization-wide health record documentation guidelines.
I.B.2. Apply policies and procedures to ensure organizational compliance with regulations and
standards.
I.B.3. Report compliance findings according to organizational policy.
I.B.4. Maintain the accuracy and completeness of the patient record as defined by
organizational policy and external regulations and standards.
I.B.5. Assist in preparing the organization for accreditation, licensing and/or certification
surveys.
II. A. 1. Abstract and maintain data for clinical indices/databases/registries.
III. A. 1. Apply information system policies and procedures required by national health
information initiatives on the healthcare delivery system.
III.A.2. Apply current laws, accreditation, licensure and certification standards related to
health information initiatives from national, state, local and facility levels..
III.A.4. Differentiate the roles of various providers and disciplines throughout the continuum of
healthcare and respond to their information needs.
IV.A.3. Use specialized software in the completion of HIM processes such s record tracking,
release of information, coding, grouping, registries, billing, quality improvement, and imaging. .




                                                                                               64
             INTRODUCTION TO HEALTH INFORMATION
                                    HI14
                           GENERAL OUTLINE
OBJECTIVE #1. Discuss the factors affecting health care delivery in the United States.
     Student will be able to discuss the various types of healthcare delivery.
                   Acute Care Facilities
                   Ambulatory Care Facilities
                   Long Term Care Facilities
                      Nursing Homes
                      Mental Health Facility
                   Home Health Care
                   Managed Care
                   HMO
                   Integrated Delivery Systems
                   Mergers and Acquisitions
                    Reimbursement System

      The student will be able to determine the functions and requirements of health agencies.
                      Accreditation, Licensure, and Certification
                      Federal and State agencies
                      American Hospital Association
                      American Medical Association
                      Joint Commission on Accreditation of Health Care Organizations
                      World Health Organization
                      American Health Information Management Association
                      Center for Medicare and Medicaid Services (C.M.S.)
                      New York State Department of Health (D.O.H.)

OBJECTIVE # 2. Explain the general structure and function of a hospital including
governing body and committee structures.
Health Care Facility Organizations
       Student will be able to describe the organization and functioning of an
acute care hospital.
                     Governing Board
                     Medical Staff
                     Rules and Regulations
                     Documentation Requirements
                     Departments
                     Committees


                                                                                             65
Importance of confidentiality of health information
       The student will be able to explain the purpose and importance of maintaining
confidentiality in healthcare.
                            Privacy issues (HIPAA)
                            A.H.I.M.A. position on Confidentiality
                            Confidentiality issues with electronic medical record
                            Legal issues

OBJECTIVE # 3            Identify the role of the Health Information professional.
         The student will be able to explain the Health Information Technology field and how it
relates to the health care field.
                               Role of the health information management professional
                               Knowledge and skills
                               Relationship to the patient, providers, administrators,
                               A.H.I.M.A. Credentials and Requirements and Professional
                                           Practice standards
                               National, (A.H.I.M.A.) State (N.Y.H.I.M.A.), Local
                                          (L.I.H.I.M.A.)
                               HIPAA

OBJECTIVE # 4 Describe the purpose, content, and format of the Medical Record.
       The student will work with copies of medical records. The student will be able to discuss
the purpose, content, and format of the medical record.
                              Format (Paper vs. computer based)
                              Electronic Health Record (EHR)
                              Personal Health Record (PHR)
                              Continuity Care Record (CCR)
                              Source oriented
                              Advantages and Disadvantages
                              Problem Oriented Medical Record
                              Database
                                 Problem List
                                 Initial Plans
                                 Progress Notes
                                     Integrated
                                     S.O.A.P.
                               Medical Record vs. Health Record
                               Integrated Delivery System
                               Required characteristics of entries in Medical Record
                               Medical Staff ByLaws Rules and Regulations
                                  Obstetrics, Newborns, Mental Health

                                                                                                  66
OBJECTIVE #5. Describe the differences between primary and secondary health
records and give examples.
         The student will be able to differentiate between the primary and secondary records and
will be able to give examples.
                               ADT
                               E.R. log manual vs. automated
                               EKG log manual
                               O.R. log manual and automated
                               D.R. .log manual and automated
                               Registries
                                  Birth (electronic)/Death
                                  Cancer/Tumor (automated)
OBJECTIVE # 6. Perform concurrent and retrospective quantitative, qualitative, and
statistical analysis.
        Student will be able to assemble, analyze, and abstract a medical record (concurrent and
retrospective)
                                   Quantitative Analysis
                                          ADT
                                           Discharge Notification
                                           Master Patient Index (MPI)
                                           Chart Tracking/Deficiency Systems/Abstracting
                                           Relationship to Record Completion Tracking
                                           Delinquent vs. Incomplete
                                           Regulatory Requirements
                                              Medical Staff Rules and Regs
                                           Assembly order
                                           Universal Chart Order
                                           Deficiency Form Design
                                           Data elements for Chart Deficiency System
                                                    design
                                     Qualitative Analysis
                                           Documentation Review
                                           Inconsistencies & omissions
                                           Medical record content & requirements
                                           Knowledge of course of treatment
                                           Importance of completeness
                                                 Continuity of patient care
                                                 Legal interests of patient, physician, &
                                                            hospital
                                                 Licensing/Accrediting/Certifying
                                                             requirements
                                      Statistical Analysis

                                                                                              67
                                       Abstracting Records
                                         Purpose
                                         Prime source of data is medical record
                                         Demographic information
                                              Planning
                                         Clinical
                                            Diagnosis/Operations/Physician Indices
                                         Financial
                                             Reimbursement
                                         Forms design for data collection
                                         Data element definition
                                         Data accuracy
                                         Data collection for facility wide needs
                                            Survey form design
                                            Interpret/Present Data




OBJECTIVE # 7 Set up numbering and filing system.
      The student will work with copies of medical records. The student will be able to set up
a numbering and filing system.
                               Master Patient Index (MPI)
                               Serial numbering
                               Unit numbering
                               Serial unit numbering
                               Advantages and Disadvantages
                               Other: SS #, Family #, or Alpha
                                Different systems in different settings
                                     Hospitals vs. Doctor’s offices
                                Straight numeric filing
                                Terminal digit filing
                                Modified Terminal Digit filing
                                Middle digit filing
                                    Physical facilities in the File Area
                                Compute filing inches
                                Filing shelves
                                    Stationary
                                    Moveable
                                Procedures for monitoring quality
                                Determining floor space needs
                                Determining disk space needs
                                    Network and Server



                                                                                             68
OBJECTIVE # 8. Explain the retention requirements for health information.
    Student will be able to discuss the importance of record retention.
                           State and Federal Government Retention
                               requirements
                           Paper Records
                           Microfilm
                           Microfiche
                           Imaging Systems
                           Offsite
                           Primary and Secondary Records
                           Administrative/Financial/Legal issues
                           Data storage
                                Purging system
                                Tape storage
                                Data Warehouse




     OBJECTIVE # 9         Develop Policy and Procedure for workflow.
            Student will be able to evaluate the performance and effectiveness of Health
     Information Management Department workflow.
                                       How to write Policy
                                       Develop Procedure
                                       Chart Assembly Order
                                       Quality Monitors by employee, unit,
                                               department
                                       Data accuracy for Abstracting
                                       Routine monitoring
                                       Documentation Review for completeness
                                       Productivity
                                          Measurement and Analysis
                                          Benchmarking
                                          Quantity Monitors
                                          Work sampling



                                                                                           69
      Fall 2005
                  SUFFOLK COUNTY COMMUNITY COLLEGE

                            HI 14 WEEKLY OUTLINE
INTRODUCTION TO HEALTH INFORMATION
Week #1    Course Objectives & Requirements; Introduction              Homework
           to Health Information Technology; Student                   Ch. 1 p.3-19
           Handbook; AHIMA credentials; C.E.                           Do application
           requirements; Importance of Confidentiality;                exercises:
           Different types of records                                  #1 and #3 (p.19)
           Electronic Health Record
Week #2    Users and uses of health information; JCAHO;                Ch. 2 p.21-41
           Purpose of the health record; Format of the record;         Do application
           Project: Review actual medical records/META                 exercise:
                                                                       #5 (p.42)

Week #3           Content and Structure of the Health Record; paper    Ch. 3 p.45-83
                  and electronic
                  Specialized Health Record content.                   Glondys Ch. 1
                  Project: Review actual medical records/specialized
                  records
Week #4           Regulatory agencies and accreditation                Ch. 3 p.83-99
                  organizations; Format of the Health Record;
                  Computerized patient record and technology;
                  National Health Information Infrastructure (NHII)
                  QUIZ
Week #5           NO CLASS
Week #6           Data Collection for healthcare facilities;           Chapter 4
                  Institutional data needs & data sets; Ambulatory     p.105-131
                  Care; Acute Care (hospitals);
                  Emergency Department; Long Term Care; Rehab;         Glondys:
                  Home Health (OASIS); Hospice; Mental                 Chapters 3,4,5
                  Health/Psych Facilities; Managed Care HEDIS;
                  DEEDS; Standards for Electronic Data Interchange
                  (EDI)


                                                                                          70
           PROJECT: Teams will examine different
           types of facilities; Prepare a table of
           organization and outline the data needs

Week #7    MIDTERM




Week #8    Review primary; secondary records; Disease index; Ch. 5
           registries; emergency room records;               p.135-165
           Healthcare databases;                             Application
                                                             Exercises #1
                                                             (p. 165)
                                                             Glondys:
                                                             Ch. 26
Week #9    Concurrent and retrospective Quantitative,        Textbook
           Qualitative, & Statistical Analysis; Collecting p.775-777
           data; Quality of data; timeliness
                                                                    Glondys:
           Project: Form/screen design for collection               Ch. 6-10
           of deficiency data                                       Ch. 23
Week #10   Importance of quality documentation; Review each         Textbook
           page of medical record; purpose of each form;            p. 778-782
           (E.R. forms)
           Project: Design a form for collection of data            Glondys:
                                                                    Ch. 11-14
                                                                    Ch. 21, Ch.22,
                                                                    Ch. 24
Week #11   Record identification; numbering systems, filing         Textbook
           equipment; filing methods; filing rules; file folders;   p.763-774
           record tracking;                                         p. 782-785
           Project: Students will retrieve records using the
           MPI in META and will file records in terminal
           digit order
Week #12   PROJECT DUE (Data Collection Form)                       Textbook
           Automated record tracking systems; record                p. 786-792
           retention; microfilm; imaging systems; offsite
           storage; data storage; voice recognition; Master
           Patient Index (MPI);
           Indexes & Registers
           QUIZ
Week #13   Importance of policies & procedures for health           Textbook

                                                                                     71
           information management department;                    p. 792-801
           Write policies for work flow & confidentiality;       Application
           Review parts of a surgical record                     Exercise #1
                                                                 (p. 801)
                                                                 Glondys
                                                                 Ch. 15-19,
                                                                 Ch. 25
           WEEKLY OUTLINE


Week #14   REVIEW
           Healthcare Delivery System; Hospital structure and
           function; purpose, content and format of the
           medical record; primary and secondary records;
           quantitative, qualitative and statistical analysis;
           numbering and filing systems; policy and
           procedures for workflow and role of the health
           information professional and technology
Week #16   FINAL




                                                                               72
                       SUFFOLK COUNTY COMMUNITY COLLEGE
                             WESTERN CAMPUS
                             COURSE SYLLABUS
COURSE TITLE:
 ELECTRONIC HEALTH RECORD                               INSTRUCTOR:
                                                       SEMESTER:
CATALOG NO: HI 16
CREDIT HOURS 4 hours

COURSE DESCRIPTION:
Examines the content and structure, maintenance, storage and security of the electronic health
record and the personal health record. Standards and guidelines that refer to the
interoperability, networks and internet will be discussed. Corequisite: HI14
OBJECTIVES:
Upon completion of the course the student will be able to:
l. Examine the role of technology on the Health Information Management Department.
2. Discuss the information systems where patient related data is collected and stored and how it
is     integrated into the medical record.
3. Design a monitoring program to ensure data accuracy and data integrity.
4. Review medical records and evaluate the documentation in paper and electronic records.
5. Explain the purpose and role of healthcare data sets.
6. Discuss the security measures to protect electronic health information.
7. Retrieve patient related data from computerized database given a hypothetical situation.

INSTRUCTIONAL/TEACHING METHODS:
Lectures/Discussions
Demonstrations
Sample Forms
Practice using medical records
Projects using META software(CHARMS)
Projects using 3M Health Record Management System




EVALUATION:


                                                                                               73
Successful completion of the course will depend upon the performance on the quizzes, projects
(), midterm, final exam and demonstration of accurate assembling and analysis.
          Quizzes (2)                                          10%
          Project #1                                            5%
               Students will analyze medical records and prepare a report on incomplete/
                delinquent medical records.
          Project #2                                            5%
              Students will work in groups to develop a patient table, admission table, and
              physician table. The groups will compare their tables to identify similarities
              and how they are relational.
          Project #3                                           5%
            Students will abstract medical records for department indices. Students will design a
form that would be used to verify that all elements are abstracted. They will
determine what elements are abstracted in HIM, how often they will be checked, the
sample size, and what standard will be used to measure.
          Project #4                                             5%
              Students will work in groups and will be assigned a particular medical record form
              where they will develop a computer screen design of the form.
         Project #5                                              5%
              Students will work in groups and will abstract a medical record and enter into the
              META Power Abstract. A report will be developed from the information entered.
Project #6                                              5%
              Students will work in groups and each will develop a component of Information
              Security; Physical, Technical and Managerial.
         Project #7                                               5%
              Students will develop a flow chart of a hospital information system which will
               include ancillary departments.
         Project #8                                             5%
              Students will be given a situation and will retrieve data from META and will
              verify patient related data, financial status, and codes in the medical record.

         Midterm                                            20%
         Final Exam                                         30%

ATTENDANCE POLICY:
Students are expected to attend all classes. The College defines excessive absence or lateness as
more that one week of class meetings during the semester. Excessive absence or lateness may
lead to failure or removal from this class roster.




TEXT:
Electronic Health Records A practical guide for professionals and organizations, Margaret
Amatayakul, Chicago, American Health Information Management Association, 2004.

                                                                                               74
Health Information Management Technology edited by Merida Johns, Chicago, American Health
Information Management Associaiton, 2002.

ADDITIONAL READING:
Health Information Management of a Strategic Resource, Mervat Abdelhak, et.al., Philadelphia,
W.B. Saunders Company, 2000.


DOMAINS, SUBDOMAINS, TASKS
  I.A.1. Collect and maintain health data (such as data elements, data sets and databases)
  I.A.3. Apply policies and procedures to ensure the accuracy of health data.
  I.A.4. Contribute to the definitions for and apply clinical vocabularies and terminologies used
in the organization’s health information systems.
  I.A.5. Verify timeliness, completeness, accuracy, and appropriateness of data and data sources
for patient care, management, billing reports, registries and/or databases.
III.B.4. Maintain user access logs/systems to track access to and disclosure of indentifiable
patient data
 IV.A.1. Use technology, including hardware and software, to ensure data collection, storage,
analysis, and reporting of information.
 IV.A.2. Use common software applications such as spreadsheets, databases, work processing,
graphics, presentation, email and so on in the execution of work processes.
 IV.A.3. Us specialized software in the completion of HIM processes such as record tracking,
release of information, coding, grouping, registries, billing quality improvement and imaging.
 IV.A.4. Apply policies and procedures to the use of networks, including intranet and internet
applications to facilitate the electronic health record (EhR), personal health record (PHR),
public health and other administrative applications.
 IV.B.1. Apply knowledge of data base architecture and design (such as data dictionary, data
modeling, data warehousing) to meet departmental needs.
 IV.C.1. Use appropriate electronic or imaging technology for data/record storage.
 IV.C.2. Query and generate reports to facilitate information retrieval.
 IV.C.3. Design and generate reports using appropriate software.
 IV.C.4. Maintain archival and retrieval systems for patient information stored in multiple
formats.
 IV.C.5. Coordinate, use and maintain systems for document imaging and storage.
 IV.D.1. Apply confidentiality and security measures to protect electronic health information.
 IV.D.2. Protect data integrity and validity using software or hardware technology.
 IV.D.3. Apply departmental and organizational data and information system security policies.
 IV.D.4. Use and summarize data compiled from audit trail and data quality monitoring
programs.
IV.D.5. Contribute to the design and implementation of risk management, contingency planning
and data recovery procedures.
IV.E.1. Participate in the planning, design, selection, implementation, integration, testing,
evaluation and support for organization-wide information systems.


                                                                                              75
                        ELECTRONIC HEALTH RECORD
                               H.I. 16

                            GENERAL OUTLINE

OBJECTIVE #1: Examine the role of technology on the Health Information Management
Department.

                                                                                76
   The student will be able to discuss the impact of the changes on the processes in the health
information management department and the healthcare delivery system as there is an evolving
shift from paper to computerized records.
                  History, 1960's, 1970's, 1980's, 1990's
                  HIPAA
                   I.O.M.
                   C.P.R.I.
                   A.S.T.M.
                   E-HIM Vision
                   A.H.I.M.A. Vision 2006
                   National Health Information Infrastructure (NHII)
                   Data content and structure
                   Documentation issues
                      Signatures
                       Forms
                       Networks
                   Master Patient Index (MPI)
                   Standardization
                   HIPAA
                   Encryption
                   Passwords
                   Internet
                   Security
                   User access and logs
                   Wireless Technology
                   Data Repository
                   Data Mining
                   Data Modeling
                   Data Warehousing




                                                        H.I. 16
OBJECTIVE #2. Discuss the information systems where patient related data is collected
and stored and how it is integrated into the medial record.
   The student will be able to flow chart the systems that are in use in departments directly
related to patient care.
                    Hardware and Software
                    Electronic Health Record
                    Personal Health Record
                    Registration Systems (ADT)

                                                                                                77
                    Laboratory Systems
                    Radiology/Imaging Systems
                    Document Imaging systems
                    Dictation/Transcription Systems
                    Voice Recognition System
                    Pharmacy system
                    Dietary system
                    Nursing
                       Bed side terminals
                       Clinical Decision Support
                    Clinical Information Systems
                       Health Information Department System
                    Integration of Systems
                       Interface
                       Health Level 7 (HL7)
                       XML
OBJECTIVE #3. Design a monitoring program to ensure data accuracy and data
integrity.
    The student will be able to communicate the importance of data accuracy and the importance
of integrity of data.
                    What is the importance of data accuracy
                    Decision Making
                       Decision Support Systems--Administration
                       Clinical Decision Support --Nursing, Physicians, Pharmacists
                       Financial Decision Support--Planning, Accurate billing, Accounting
                    Reporting information (Indices)
                       Diagnosis Information
                         Number & types of cases treated
                       Operations Information
                         Number & types of cases
                       Physician information
                         Number of cases
                         Credentialing
                      Quality Monitoring for coding and abstracting
                         Error rate by employee
                      Quality Control Checks
                         Edits
                           Hard wired edits
                           Edit reports
OBJECTIVE #3 continued                                                       H.I. 16
                      Data Consistency
                      Data Definitions
                      Data Dictionary
                      Medical Vocabularies (SNOMED)
                      Accountability

                                                                                            78
                   Information Management Committee

OBJECTIVE # 4 Review medical records and evaluate the documentation in paper and
electronic records..
   The student will be able to analyze medical records, ensure the documentation supports the
    diagnosis and justifies the treatment.
                    Review documentation guidelines
                    J.C.A.H.O.
                    D.O.H.
                    Ongoing Medical Record Review
                    Medical Staff Rules and Regulations
                    Medical Record Content
                    Design deficiency sheet to review for clinical pertinence/
                         Design data elements
                    Analyze each form/ Design of form
                         H&P
                         Progress Notes
                         Consultation
                         Discharge summary
                           Role of transcription
                         Consents
                         Physicians Orders
                         Anesthesia/Recovery
                         Operative Report
                         Pathology Report
                         X-ray/Imaging Report
                         EKG
                         EEG
                         Nurses Notes
                         Lab Reports/Data
                         Graphic Sheet
                         Medication Administration Record (M.A.R.)
                         Physical Therapy Evaluation
                         Respiratory Therapy notes
                         Social Service Report
                         Special Records
                           Obstetrics
                           Newborn


                                                                     H.I. 16

OBJECTIVE # 5 Explain the purpose and role of healthcare data sets.
 The student will be able to discuss and explain the role of healthcare data sets:
                 HIPAA

                                                                                                79
                  UHDDS
                  MDS
                  Home Health
                  OASIS
                  DEEDS
                  HEDIS

OBJECTIVE # 6 Discuss the confidentiality and security measures to protect the
electronic health record.
   The student will be able to describe how systems are designed to protect the confidentiality
and integrity of the data stored in an electronic health record.
                     Information Systems Planning
                     Systems Acquisition and Evaluation
                     Equipment selection
                     Furniture selection (ergonomically designed)
                     Information Technology infrastructure
                     System architecture and design
                     Screen Designs
                     Data Security
                     Monitoring
                     Disaster Recovery and Risk Management




                                                                                                  80
                                                                     H.I. 16

OBJECTIVE #7 Retrieve patient related data from computerized database given a hypothetical
situation.
   Given a research request, the student will be able to retrieve the patient data from the medical
   record and from the database, prepare a report and present the data.
                  Data Storage and Retrieval
                  Requests for information
                  Administration
                  Physician Requests
                        Credentialing
                        Board Certification
                         Research Papers
                  Patient related
                         Q.A./P.I.
                         U.R./U.M.
                   Financial
                          Reimbursement
                   Department of Health (DOH)
                          Communicable Disease
                   Where to look
                           Medical Record
                           Indices (Diagnoses, Operations, Physician Activity)
                           Database Retrieval
                   Data Presentation Tools
                        Excel
                        Power Point
                        Word Tables




Fall 2005




                                                                                          81
          HEALTH INFORMATION: DATA CONTENT AND STRUCTURE
                                           H.I. 16
                                       WEEKLY OUTLINE
Week       Topic                                                       Homework
Week #1    Introduction to course; course objectives; texts;           p. 21-33
           resources; weekly outline. Data Content and Structure;      p. 34-38
           Overview of medical record; users; uses; data collection
           standards; Data Quality Management; NHII

Week #2    Content; analysis; forms and screen design; JCAHO;          p. 45-85
           Data Quality; ambulatory care and emergency room
           record; Documentation guidelines;
            PROJECT #1 Analyze medical records and prepare
           report on incomplete/delinquent medical records.

Week #3    Database Structure; data quality; types of data; file       p. 90-100
           management system; relational database;
           PROJECT #2 Develop data table
           QUIZ #1
Week #4    NO CLASS

Week #5    Acute Care record; UHDDS; Long term care record;            (Review
           MDS; Rehab records; Home Health records; OASIS;             p.107-121)
           Hospice; Behavioral Health; Standardization and
           computerized records; E1384; ASC X12; HL7;ASTM;             p. 122-131
           WEDI; IOM; GAO; XML; DEEDS; HEDIS
           PROJECT #3 Develop a quality control check for
           abstracting data elements
Week #6    Role of Health Information Technology in Information        p. 557-570
           Applications; Evolution of I.S. and Application in
           healthcare; Form Design and screen design
           PROJECT #4 Computer form design
           PROJECT #5 Enter data in META and retrieve
           information

Week #7    Hardware, mainframe, input/output; LAN; WAN; Client         p. 591-612
           Server; Microfilm; PACS; OCR; COLD; cache; GUI;
           UPS; UML; Imaging Technology; Document Retrieval
           Archival

Week #8    Database Management; Relational database; object            p. 612-622
           oriented; row/record; Data Dictionary; Data modeling
           telecommunication; network; Records management
           issues; master patient index; record tracking; manual and
           automated systems; data warehousing; maintaining data


                                                                                    82
           storage systems.
Week #9    MIDTERM
Week #10   Information Systems planning; purposes; requirements;      p. 570-586
           I.T. infrastructure; Systems Analysis

Week #11   NO CLASS                                                   p. 661-681

Week #12   Data security; ADT; data monitoring; internet tools;        p. 661-681
           authentication; passwords; security; physical security;
           firewall; encryption; data integrity; data security;
           HIPAA
           PROJECT #6 Information Security
Week #13   Computer based patient records; barriers; order entry       p. 622-627
           results reporting; clinical systems; administrative systems p. 648-658
           PROJECT #7 Develop a flow chart of a Hospital

           Information System

           QUIZ #2
Week #14   Emerging Technologies; virtual teamwork;                 p. 685-707
           videoconferencing; groupware; kiosks; speech
           recognition; personal digital assistants (PDA); Wireless
           networking; smart cards; data warehousing; data mining
Week #15   Retrieving patient related data from Meta; Requests for  Review for
           information; preparing reports;                          Final
           PROJECT #8 Retrieve data from META and prepare
           reports
           REVIEW FOR FINAL
Week #16   FINAL




                                                                                    83