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:
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
Reading, Discussion, Assignment, Seminar
Discussion Posts
Unit 4: Health Care Information System Standards & Security
Reading, Discussion, Assignment, Seminar
Discussion PostsHealth Care Impact Paper
Unit 5: Information Technology Services
Reading, Discussion, Assignment, Seminar
Discussion PostsMidterm Exam
Unit 6: Strategic Planning
Reading, Discussion, Assignment, Seminar
Discussion PostsOrganizational Improvement Paper
Unit 7: IT Governance & Management in the Health Care Organization
Reading, Discussion, Assignment, Seminar
Discussion Posts
Unit 8: Management & IT Initiatives
Reading, Discussion, Assignment, Seminar
Discussion PostsIT Project Failures Paper
Unit 9: Value in Health Care Information Systems
Reading, Discussion, Assignment, Seminar
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)
One criterion was met.(4 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)
One criterion was met.(2 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
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.
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
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.
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
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.
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
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.
Accessibility Consistency Currency Granularity Precision Accuracy Comprehensiveness Definition Relevancy Timeliness
Data Characteristics
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.
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
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.
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
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.
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
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.
HIPAA Privacy Rule: Five major components
Boundaries Security Consumer control Accountability Public Responsibility
Patient confidentiality
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.
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