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HIT 120
Full Course-Latest 2016 December
[ All
Discussion , Quizes, Course Project And Final ]
Question
week 1
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Evolution
of Healthcare (graded)
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- In this first thread, we will explore the
healthcare system in the United States (US). As you will learn by reading chapter 11 in
Sayles' textbook, healthcare services have evolved over the years and the
US has become one of the world leaders in healthcare technologies. Yet, we face various challenges in terms of
access, cost, and quality. Learning about
healthcare system in general is important for a health information
professional for many reasons:
- We work in
healthcare, so we need to know our work environment and adapt accordingly;
- Many HIT and coding
practices vary depending on the type of healthcare setting;
- Learning about the
healthcare system helps you understand the big picture and the impact of
health information technology in patient care;
- General knowledge
about healthcare systems along with HIT or coding specialization prepares
you to move up the ladder and advance your career.
In starting this topic,
identify and elaborate on some of the healthcare challenges. In your responses, reflect on your textbook
readings as well as any other literature and your experiences.
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Health
Information Professionals (graded)
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This topic is dedicated to discussing the
role of health information professionals, medical coders, and billers. What do you know about these professions?
What education is required to work in these professions? What certifications or
credentials are required or preferred? What job skills are required to
accommodate the shift towards greater automation and the electronic medical
record environment?
week 2
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Forces
Affecting Healthcare (graded)
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- United States healthcare delivery is affected
by multiple forces, including legislation (particularly,
healthcare-related laws), technology, medical and biological advances, and
professional associations. In this topic, we will
discuss some of these forces and their impact on healthcare delivery. In starting this topic, select one healthcare
law presented in your resources; discuss when it came into effect and what
it is about; and its impact in healthcare then and today.
In your response, demonstrate understanding
of Sayles' Chapter 11, pages 651-660. Use the Flash Timeline tool available in the
lecture, and any other resources as needed.
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Hospital
Structure and Operation (graded)
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Hospitals are one of the major healthcare
delivery settings. In this topic, explain the definition of a
hospital; discuss various types of hospitals based on size, services provided,
or ownership; and discuss the evolution of hospitals in the U.S. over the years. In your response, refer to Sayles Chapter 11,
pages 671-673.
week 3
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Health
Record Purpose, Format & Usage (graded)
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After studying Sayles chapter 2, discuss
primary and secondary purposes of the health record and the importance of
health information. Why is there an investment in health
information and the health information profession? What is the value of health
information? Why did the Federal Government invest millions of dollars in
Health Information Technology as part of the HITECH Act of 2009?
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Health
Record Functions & Data Attributes (graded)
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Discuss functions of the health record. Connect functions of the health records to
the quality of data and information in the health record. How do these functions support the purpose of
health records?
week 4
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Healthcare
Information Systems & Their Development (graded)
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General Hospital has determined that within
three years, it will replace the nurses' paper documentation with an electronic
system. Nurses will use the new system to document progress notes on the
patient, vital signs, and any other nursing care activities. The new system needs to communicate with the
patient registration, admission, discharge, and transfer system (R-ADT) as well
as support the clinical decision support system (CDSS). General Hospital is in the process of
creating a committee in order to start the process of analysis and defining the
requirements of the system. The committee will follow the process of the
systems development life cycle (SDLC). You have been appointed to this committee and
before giving your contribution to this project, need to understand and explain
the information systems and the Systems Development Life Cycle. Describe different types of systems being
discussed and explain the category they fit in (operations support,
enterprise-wide, or management support information system). Identify the SDLC phases and provide a
thorough description of each phase, including basic activities that occur in
each phase.
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Databases
& Other Information Systems Components (graded)
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After studying Sayles, pages 879-887, explain
what is a database and what is it used for? What is the difference between
relational databases, object-oriented databases, and object-relational
databases? What are the basic functions of a database? Give an example of a
database and tell us if it is a relational, object-oriented, or
object-relational database.
week 5
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Healthcare
Information Applications (graded)
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Describe and discuss the four basic
categories of information systems applications used in healthcare, clinical
information systems, administrative information systems, management support
systems, research, and data analytics systems. In your response, refer to Sayles, pages
910-926.
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Transformation
to Centralized HIM (graded)
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Read and discuss the Real-World Case adapted
from the presentation "In Search of eHIM: A Case Study of Transformation
to a Centralized HIM Record Archival and EDMS Processing Center in
Multihospital Network" at AHIMA's 79th National Convention, as shared in
Sayles, page 941.
week 6
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Principles
of Ethics (graded)
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Have the principles of ethical practice been
a cornerstone for the HIT profession? How or how not?
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HIPAA
(graded)
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- Compare and contrast privacy, confidentiality,
and security as addressed by HIPAA. Illustrate with
examples.
week 7
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Quality and
Performance Improvement (graded)
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Explain performance improvement in healthcare
and how it supports licensure, accreditation, and certification of healthcare
organizations.
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Final Exam
Review (graded)
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In preparation for the final exam in week 8,
review prior content related to health information, healthcare delivery in the
United States, and healthcare information systems.
Objectives
Apply knowledge gained pertaining to
healthcare services in the United States, users of health information,
information systems, and their use in healthcare.
Guidelines
For the Course Project, you are asked to
research a healthcare organization along with an information system used at
this facility. Your report should identify the type of healthcare setting, identify
services offered, identify users of health information and their needs, discuss
how user needs are met, and describe a system used in this facility and key
system components and their functions. Application of knowledge attained in this
class will support your ability to critically analyze your findings, to assess
the strengths and weaknesses of this organization's health information system,
and provide recommendations for improvement as may be appropriate to the
situation. This project is valued at 180 points (18% of your grade).
Examples of the types of healthcare
organization that may be appropriate subjects for this type of project include
hospitals, hospital systems, integrated healthcare systems, multispecialty
medical clinics, physician group practice offices, ambulatory surgical centers,
mental health service providers, public health clinics, rehabilitation or
long-term care facilities, insurance companies, pharmacies, Urgent care
clinics, etc. The organization chosen must be complex enough to offer sufficient
challenge and must be realistic in terms of information available at a level
needed to complete the project in the required time frame. For example, an assisted living facility that
does not make use of information systems would not be appropriate for this
project. There is no need to, nor would it be appropriate to access any
confidential patient information in order to complete the project. Students who are not able to interview an HIM
professional or other healthcare practitioners or administrators may use AHIMA
resources, articles, and case studies available online or library resources,
and reach out to the professor for more guidance.
For successful completion of the project, please follow the guidelines below and comply with the criteria listed in the grading rubric for deliverables, organization, grammar, and resourcefulness.
For successful completion of the project, please follow the guidelines below and comply with the criteria listed in the grading rubric for deliverables, organization, grammar, and resourcefulness.
- Describe and analyze
the chosen healthcare facility. (20
points)
- Location - where is
the organization located.
- Type of setting -
acute care hospital, skilled nursing facility, physicians office,
surgical center, insurance company, etc.
- Size of the facility
- research the number of beds if applicable or other information on the
size.
- Ownership - private,
government owned, proprietary, voluntary, etc.
- Population served
- Services offered
- Any accreditation or
certification facts (You can find these from the organization's website
- Work
on this section after completing Week 2 content and reviewing Chapter 11
- Draft due on Week 4, Completed in Week 7.
- Describe users of the
health information at this organization. (20 points)
- Physicians
- Nurses
- Administrators
- Support services
- External users
depending on the type of the facility (such as accrediting agencies,
payors, state department of health, CMS, and others as applicable).
- Any other users not
listed above (therapists, pharmacists, etc.)
- Clarify whether this
facility has paper medical records only, electronic only, or both.
- If the facility has
paper records, describe how users access these records.
- If the facility has
electronic records, describe how users access these records.
- Work on this section
after completing Week 3 content and reviewing Chapter 2 - Draft due on
Week 4, Completed in Week 7.
- Discuss at least one
information system used in the facility. (50 points)
- Identify the name of
the system and the vendor (e.g., Chart Locator software by 3M, Sunrise software by
Eclipsys, etc.).
- Identify the type of
system (e.g., registration, billing, coding, computerized
physician order entry [CPOE], nursing system, picture archiving
communication system [PACS], medication administration, finance system,
etc.).
- Classify the system
(to the best of your ability) based on the description you are given (e.g., clinical, administrative,
decision support, transaction-processing, MIS, EIS, etc.) and what you have learned from Sayles, chapters 14
and 15.
- Describe the function
of the system as explained by the interviewer or other sources of
information.
- What is their
purpose, or what functions do they perform?
- Does it connect or
interface with other systems?
- Is it user friendly?
- Is the system
secure?
- Do vendors support
the maintenance and updates of the system?
- Describe strengths (e.g., ask about benefits of
using this system; has it made a difference in the way care is delivered
and decisions are made?).
- Describe weaknesses
(e.g., functions that the system
does not currently perform and you would like it to perform).
- Describe any details
learned about the planning, design, implementation, and maintenance of
this system.
- Ask if it is possible
to obtain copies of a screenshot, policies and procedures, brochures,
training guidelines, or anything else that they may be willing to share.
- Work
on this section after completing Weeks 4 and 5 content and reviewing
Chapters 14 and 15 - Due on Week 7.
- Provide comments and
conclusions. (15
points)
- Reflect on the
learning experience as a result of working on this project.
- Summarize your
findings about the organization.
- Summarize your
findings about the system described.
- Identify key
strengths and weaknesses of the system.
- Identify any
opportunities for improvement (based on identification of weaknesses or
your knowledge about systems).
- Work
on this section after completing all other sections of the project - Due
on Week 7.
Milestones
- First Deliverable: Healthcare facility
selection (10 points), due in Week 2
- Students must select
a healthcare organization and state whether this organization has at
least one information system, and submit it in the Dropbox.
- Second Deliverable: Section 1 & 2
Draft (40 points), due in Week 4
- Students must
complete the description of the healthcare facility selected and users of
health information at the facility, and submit it in the Dropbox.
- Final Deliverable: Complete project - All
sections including those that were submitted as a draft, cover page,
conclusions, and references (130 points), due in Week 7
- Students must
complete the project in a Word document, APA format, and submit it in the
Dropbox.
See the Syllabus section "Due Dates for
Assignments & Exams" for due date information.
QUIZES
week 1
: Ensure that every hospital that is part of
an integrated delivery system is equipped to meet all of its patients' needs
Ensure that patients receive high-quality,
cost-effective care in the most appropriate setting
Ensure that every American has equal access
to healthcare services
Ensure that healthcare-related information
can be shared among all the facilities operating in the same community
Question 2. Question : (TCO 1) Which one of the first
hospital established in the British Colonies of North America?
: Massachusetts General Hospital
New York Hospital
Pennsylvania Hospital
Cortez Hospital
Question 3. Question : (TCO 1) Why was American Medical
Association (AMA) not able to reform medical profession until 1874?
: Because it was a small organization
Because it encouraged state licensing boards
Because members had ties to the medical schools
Because of its large membership base
: appointed by the AHIMA Board of Directors.
elected by the AHIMA Board of Directors.
elected by members in state component
organizations.
elected by the AHIMA Nominating Committee.
Question 5. Question : (TCO 2) The primary function of
the American Health Information Management Association is to
: ensure that accurate and complete medical
records are written for every hospital patient.
standardize the content and format of the
health records maintained by acute and emergency care facilities.
promote the accuracy, confidentiality, and
accessibility of health records in every healthcare setting.
provide support for two- and four-year health
information management educational programs.
Question 6. Question : (TCO 2) Which organization's goal
is centered primarily on health information technology?
: HIMSS
AHDI
AHIMA
AAPC
Question 7. Question : (TCO 2) Which of the following
funded grants to educate health information technology professionals?
: American Health Information Management
Association (AHIMA)
American Recovery and Reinvestment Act (ARRA)
of 2009
American Academy of Professional Coders
(AAPC)
None of the above
Question 8. Question : (TCO 2) Which of the following is
true about Medical Billing and Coding professionals?
: They assign medical codes to patient
diagnoses and procedures
They process medical bills and/or claims for
healthcare providers or payers
They may perform these duties together or
separate
All of the above
Question 9. Question : (TCO 2) As a health information
professional, if you end up working as a _____________ , you will mostly design
and manage the compliance program which assures that the healthcare
organization is operating conform state and federal government requirements, as
well as accrediting agency requirements.
: Project Manager
Compliance officer
Domain manager
Data quality manager
Question 10. Question : (TCO 1) Which of the following was
(were) effect(s) of the Great Depression on US Healthcare?
: There was a decrease in the use of medical
services
There was a decrease in hospital revenues
It made physicians willing to accept
government-sponsored health insurance
All of the above
4 of 4
Comments:
Question 11. Question : (TCO 1) The Joint Commission
provides accreditation services for the following:
: Ambulatory care
Acute care
Long-term care
All of the above
Question 12. Question : (TCO 2) This allied health
professional evaluates and treats patients with injuries from psychological,
physical or work-related impairment.
: An Audiologist
An occupational therapist
A physical therapist
A speech-language pathologist
: Nurses serve the same roles within an
organization
Nurses are required to have a license in
order to practice
Nurses graduate from nonacademic training
programs
Nurses must have a bachelor's degree in order
to practice
: CCS
CCS-P
CCA
All of the above
: Information based
Department based
Electronically based
Analytically based
(TCOs 1-8) Describe in
details two forms of delivering ambulatory care services in the United States. (Points : 20)
Spellchecker
Question 2. 2. (TCOs 1-8) Discuss performance improvement and its
role in today's healthcare environment. How can health information professionals, coders or
billers contribute to higher quality in a healthcare organization? (Points :
20)
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Question 3. 3. (TCOs 1-8) Explain the main activities that occur
during the planning, analysis, and implementation phases of a systems
development life cycle. (Points : 20)
Spellchecker
Question 4. 4. (TCOs 1-8) Describe the source-oriented and
problem-oriented medical record formats. In what healthcare setting are they most useful?
Why? (Points : 20)
Spellchecker
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