Welcome to IT128

1. Welcome to IT128 Qing Yan, M.D., Ph.D.

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

3. INSTRUCTOR INFORMATION Instructor Name and Credentials: Qing Yan, M.D., Ph.D. Kaplan Email Address: QYan@kaplan.edu

4. SEMINAR INFORMATION Seminar Day and Time (EST): Wednesday 9:00-10:00 PM AIM Instant Messenger Name: qingyansf@gmail.com AIM Office Hours (EST): Wednesday 8:00-9:00 PM, Thursday 8:00-9:00 PM

5. COURSE MATERIALS Textbook Information Wager, 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/

6. COURSE DESCRIPTION • 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.

7. COURSE OUTCOMES • 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.

8. COURSE CALENDAR

9. GRADING CRITERIA/COURSE EVALUATION

10. KAPLAN UNIVERSITY GRADING SCALE

11. INSTRUCTOR’S GRADING CRITERIA/TIMETABLE 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. 

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

13. LATE POLICY (1) 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.

14. LATE POLICY (2) Without Extenuating Circumstances: Up to one week (1-7 calendar days) late 20% deduction in points After one week (8-14 calendar days) late 30% deduction in points No 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 mustcontact me by email at least one dayprior 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. 

15. PROJECTS Projects Projects 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.

16. DISCUSSION BOARDS 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.

17. Discussion Guidelines 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.

18. RUBRICS: Discussion Board Participation Rubric

19. Seminar Participation Rubric

20. Q & A Questions?

21. Week 1 Objectives 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.

22. Week 1 To-Do List Introduce yourself: Meet your classmates and professor Complete the readingChapter 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

23. Week 1: What is health care informatics? Other names: health informatics, healthcare informatics, medical informatics, or biomedical informatics An interdisciplinary area that integrates information science, computer science, and health science.

24. What is health care informatics? (2) 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.

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

26. What is the relationship between health care information and health care data? Health Data Health Information Health Knowledge Processing from Data to Knowledge “Health care information is processed health care data.” Knowledge is a “combination or rules, relationships, ideas, and experience” (Johns, 1997). 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.

27. Types of Health Care Information • 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 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.

28. Patient specific - clinical • 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 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.

29. Aggregate • 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 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.

30. Problems of poor quality data • 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 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.

31. Data Characteristics Accessibility Consistency Currency Granularity Precision Accuracy Comprehensiveness Definition Relevancy Timeliness 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.

32. Data error prevention 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 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.

33. Health care information regulations, laws, standards • 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 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.

34. Patient confidentiality • 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 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.

35. Patient confidentiality • HIPAA Privacy Rule: • Five major components • Boundaries • Security • Consumer control • Accountability • Public Responsibility 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.

36. Summary 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

37. Q & A Questions?