Welcome to IT128

Welcome to IT128Qing Yan, M.D., Ph.D.

Term: 1005A Dates: 12/8/2010-2/22/2011 Course Number/Section: IT128-01 Course Title: Health Informatics I Credit Hours: 5

COURSE INFORMATION

Instructor Name and Credentials:

Qing Yan, M.D., Ph.D. Kaplan Email Address:

[email protected]

INSTRUCTOR INFORMATION

Seminar Day and Time (EST):Wednesday 9:00-10:00 PM

AIM Instant Messenger Name:[email protected]

AIM Office Hours (EST):Wednesday 8:00-9:00 PM, Thursday 8:00-9:00

PM

SEMINAR INFORMATION

Textbook InformationWager, K., Lee, F., & Glaser, J. (2009). Health Care

Information Systems: A Practical Approach for Health Care Management (2nd. Ed.). Jossey-Bass. CA. San Francisco

ISBN: 978-0-470-38780-1 Software Requirements

Microsoft Office Professional 2003 (or Later)**Includes Microsoft Word, Excel, and PowerPoint

AOL Instant Messenger: (for visiting Prof during Office Hours): If you are not an AIM Member you can download the free service by visiting the following site: http://www.aim.aol.com/

COURSE MATERIALS

This is an introductory course in health informatics. We will discuss:

The various types of health care information; The quality, laws, regulations, and standards that

apply. Topics in this course include:

Health care information systems; System implementation and support; Information security, assessment; IT leadership.

COURSE DESCRIPTION

Course Outcomes: By the end of this course, you should be able to: Discuss healthcare information regulations, laws,

and standards. Analyze healthcare information systems.

General Education Outcomes: The following General Education outcomes are assessed during this course: Demonstrate college-level communication through

the composition of original materials in Standard American English.

Analyze the impact of human expressions on culture.

COURSE OUTCOMES

Unit # and Topic Learning Activities Assessments Unit 1: Course Overview/Introduction

Introductions, Reading, Discussion, Assignment, Seminar, Homework Zero

Discussion PostsHomework Zero

Unit 2: History & Evolution of Health Care Systems

Reading, Discussion, Assignment, Seminar

Discussion PostsHealth Care Overview Paper

Unit 3: System Acquisition, Implementation, and Support


Discussion Posts

Unit 4: Health Care Information System Standards & Security


Discussion PostsHealth Care Impact Paper

Unit 5: Information Technology Services


Discussion PostsMidterm Exam

Unit 6: Strategic Planning


Discussion PostsOrganizational Improvement Paper

Unit 7: IT Governance & Management in the Health Care Organization


Discussion Posts

Unit 8: Management & IT Initiatives


Discussion PostsIT Project Failures Paper

Unit 9: Value in Health Care Information Systems


Discussion PostsGEL 1.1 Reflection Paper

Unit 10: Health IT Leadership & the Future

Reading Review, Discussion, Final Project

Discussion PostsFinal Project Deliverable

COURSE CALENDAR

Assessments Number Points each Total Points

Discussions 10 20 200

Assignments 9 @

1 @

1 @

1 @

1 @

2 @

20

65

95

100

10

75

180

65

95

100

10

150

Final Project 1 200 200

Total Points 1000 Points

GRADING CRITERIA/COURSE EVALUATION

Grade Points Percentage Grade Point

A 930 – 1000 93-100% 4.0

A- 900 – 929 90-92% 3.7

B+ 870 – 899 87-89% 3.3

B 830 – 869 83-86% 3.0

B- 800 – 829 80-82% 2.7

C+ 770 – 799 77-79% 2.3

C 730 – 769 73-76% 2.0

C- 700 – 729 70-72% 1.7

D+ 670 – 699 67-69% 1.3

D 600 – 669 60-66% 1.0

F 0 – 599 0-59% 0.0

W Withdrawal in first 25% of term Withdrawal N/A

AU Audit N/A

EC Experiential Credit N/A

I Incomplete 0.0

P Pass N/A

S Satisfactory N/A

U Grading Unsatisfactory N/A

TC Transfer Credit N/A

R Repeat N/A

No Grade

KAPLAN UNIVERSITY GRADING SCALE

All course projects submitted on time will be graded within five days of their due date (the Sunday of the following unit).

Late work will be graded within five days of the submission date.

Discussion board grades will be updated each week no later than Sunday of the week following the Unit’s completion.

INSTRUCTOR’S GRADING CRITERIA/TIMETABLE

Students who wish to review current policies (academic appeals, attendance/tardiness, plagiarism, etc.) should refer to the current Kaplan University Catalog and/or Addendum.

POLICIES

Extenuating Circumstances: Please contact me to make alternative arrangements. We will work together to come up with a mutually acceptable alternative. Prior notification does not automatically result in a waiver of the late penalties.

Examples of extenuating circumstances: personal/family member hospitalization, death in the family, weather/environmental evacuation due to fire/hurricane. Computer-related issues and internet connectivity issues are not considered extenuating circumstances.

LATE POLICY (1)

Without Extenuating Circumstances: Up to one week (1-7 calendar days) late 20% deduction in pointsAfter one week (8-14 calendar days) late 30% deduction in pointsNo work will be accepted more than two (2) weeks after the due date.Note: In order for you to make up a quiz, exam or discussion thread, you must contact me by email at least one day prior to the day you want to make up the work so that access can be provided. Additionally, you must notify me by email when you have submitted late work.

LATE POLICY (2)

ProjectsProjects are assignments that require you to

submit coursework to the instructor via the dropbox.

Projects are due Tuesday 11:59 pm ET of their assigned Unit.

PROJECTS

The Discussion Board Requirement:Post a minimum of three posts per discussion question. One initial response and two replies to your classmates.Posting on a minimum of three different days, for example: Wednesday, Friday and Monday.The first post must be made by Saturday.

DISCUSSION BOARDS

Be clear about which message you're responding to. Make sure your contribution adds something new to the

discussion. Divide longer messages into paragraphs. Address classmates by name or user name. Feel free to pose new questions to your classmates. Use correct spelling, capitalization, grammar, and

punctuation. You can type your response in Word, then copy and paste

it. If you have any questions on the procedures, please

contact Kaplan University Student Services.

Discussion Guidelines

Quality (40%) of your post will be measured on the following criteria:

All assigned discussion questions were answered completelyPosts were on topic and unique in contentAll posts demonstrated analysis of the topic Score

No quality criteria

were met. 0 points)

One criterion was met.

(8 points)

Two criteria were met.

(24 points)

Criteria were fully met.

(40 points)

____ ptsParticipation Guidelines (30%) will be measured on the following criteria:

Initial post no later than Saturday, midnight ESTPosts made to each discussion question on at least 3 different daysThe original post to be no less than 100 words

No participation criteria met.(0 points)

One criterion was met.(6 points)

Two criteria were met. (18 points)

Criteria were fully met.(30 points)

____ pts

Clarity and Organization of Writing (20%) of your post will be measured on the following criteria:

Posts were organized and logical No spelling or grammatical errorsReferences were used and cited properly

Criteria were not met at all.(0 points)


Two criteria were met.(12 points)

Criteria were fully met.(20 points)

____ pts

Professional & Netiquette (10%) in your post will be measured on the following criteria:

Respect and consideration toward peers/instructorsAppropriate language Professional use of abbreviations and acronyms

Criteria were not met at all.(0 points)


Two criteria were met.(6 points)

Criteria were fully met(10 points)

____ pts

Total Points in percentage _____% Total points x (DQ post

value)( ___% x __ pts)____ pts

RUBRICS: Discussion Board Participation Rubric

Points Seminar Criteria

100-90%

- Substantial, original contributions that further the work of the class

- Frequent, informed references to unit material

- Frequent interaction with students and instructor within sessions

- Clear and fluent writing

89-70%

- Student's responses met the minimum guidelines. Some vague or summary references to unit material

- Inconsistent and/or unclear writing

69-0%

- Student failed to respond in the Seminar session or the comments were brief and did not demonstrate an understanding of the material (example: "Good point" or “I agree”).

- Significant writing errors.

0%Student failed to post any messages or did not log into the Seminar session.

Seminar Participation Rubric

Questions?

Q & A

Describe the major types of health care information that are captured or used in health care organizations.

Analyze the relationship between health care data and health care information.

Discuss how accreditation, facility licensure, and certification influence the information needs of health care facilities.

Week 1 Objectives

Introduce yourself: Meet your classmates and professor Complete the reading

Chapter 1: An introduction to health care information systems. Chapter 2: Provides information about health care data quality. Chapter 3: Covers the importance of health care information regulations, laws, and standards.

Participate in the discussion boardTwo questions this week (>= 6 posts, 3 for each question) 20 points

Attend the introductory seminar or complete FLA quiz(Flexible Learning Assignment) 20 points

Week 1 To-Do List

Other names: health informatics, healthcare informatics, medical informatics, or biomedical informatics

An interdisciplinary area that integrates information science, computer science, and health science.

Week 1: What is health care informatics?

It uses computational approaches, resources, and devices to solve problems and optimize the communication, understanding, and management (including acquisition, storage, retrieval, and use) of information in health and biomedicine.

What is health care informatics? (2)

Health informatics is needed in the areas including: Clinical care Public health Nursing Pharmacy Dental and vision care Biomedical research

Why is health informatics needed?

“Health care information is processed health care data.”

Knowledge is a “combination or rules, relationships, ideas, and experience” (Johns, 1997).

What is the relationship between health care information and health

care data?

Health Data

HealthInformatio

n

Health Knowledge

Processing from Data to Knowledge

Reference:Wager, K., Lee, F., & Glaser, J. (2009). Health Care Information Systems: A Practical Approach for Health Care Management (2nd. Ed.). San Francisco, CA: Jossey-Bass.

Patient specific-clinical Patient Records

Identification Sheet; Problem List; Medication Record; History and Physical; Progress Notes; Consultation; Imaging and X-ray reports; Laboratory reports; Consent and authorization forms; Operative Reports; Pathology Reports; Discharge Summary; Other

Inpatient Encounter Scheduling; Preadmission;

Admission/Registration; Treatment; Discharge

Types of Health Care Information


Physician’s Office Patient Flow Check In; Move to Exam Room; Examination;

Check Out; Later activities Administrative

Data Needed for Reimbursement; Other Uniform Data Sets

Combined Coding systems: ICD-9-Cm; CPT Coding standards

Patient specific - clinical


Clinical Disease and Procedure Indexes; Specialized

Registers; Ad hoc Reports Administrative

E.g., Medicare Cost Reports; Health Care Statistics

Combined Trend analysis; Statistical reports; Quality

improvement

Aggregate


Poor quality data -> problems with Patient care; Communication among providers

& patients; Documentation; Reimbursement; Outcomes assessment; Research

Patient safety; Public safety; Continuity of Patient Care; Health Care Economics; Clinical Research and Outcomes

Problems of poor quality data


Accessibility Consistency Currency Granularity Precision Accuracy Comprehensiveness Definition Relevancy Timeliness

Data Characteristics


A minimum set of necessary data items Define data and features in a data dictionary A data collection protocol User friendly data entry forms or interface Data checks A quality assurance plan Train and motivate users Data quality audits Check completeness of data entry

Data error prevention


Facility Licensure Certification Accreditation Standards and Processes

Joint Commission (www.jcaho.org) NCQA (www.ncqa.org) Other Accrediting Bodies

Health Record as a Legal Document Authentication of Health Information Privacy and Confidentiality HIPAA Privacy Rule

Health care information regulations, laws, standards


In health care— “the right to limit access to health care information”

Confidentiality— “information will only be used for its intended purpose”

HIPAA Privacy Rule: Protected Health Information (PHI)

Relates to physical or mental health, provision of or payment for health care

Identifies the person Created or received by a covered entity Transmitted or maintained in any form

Patient confidentiality


HIPAA Privacy Rule: Five major components

Boundaries Security Consumer control Accountability Public Responsibility

Patient confidentiality


Overview of syllabus Health care data vs. information Types of health care data Prevention of data errors and improving data

quality Health care information regulations, laws,

standards Patient confidentiality

Summary

Questions?

Q & A

Documents

Welcome to IT128