In this course, students will investigate the importance of the patient health record in the health care system. They will discover the profession of Health Information Management and the many different roles and credentials that are possible in this career path. Professional membership associations and codes of ethics will be explored. Topics will include: purpose, format, content, and accuracy of health records; ownership of health information; access, retention and destruction; privacy and confidentiality; indexes and registries, and legal requirements including HIPAA. Students will learn how medical coding is dependent on the quality of patient health information. An exploration of paper records vs. electronic health records will be included. (3 credits)
This course meets certain CAHIIM competencies for HIM Majors.
- HCA 105: Medical Terminology
- ENG 101: English Composition 1
Student Learning Outcomes (SLOs)
Students who successfully complete this course will be able to:
- Summarize the evolution of healthcare in the U.S.
- Identify responsibilities and areas within a Health Information Management Department.
- Identify HIM roles and credentials.
- Explain the purpose and importance of professional membership associations such as AHIMA.
- Discuss professional code of ethics.
- Explain the purpose of the patient record and describe the various kinds of records
- Show how records are developed, analyzed, corrected, authenticated and stored.
- List the contents of inpatient, outpatient and physician's office records.
- Define alphabetic and numeric filing systems and the advantages of each.
- Compare and contrast the paper record and the electronic health record.
- Demonstrate an understanding of HIPAA laws and how they relate to the health care professional and the patient.
- Identify legal aspects of the medical record and the release of information.
- Identify future trends in medical information.
- Explain the purpose and use of indices and registries in healthcare information management.
- Describe the purpose, history and future of medical coding.
General Education Outcomes (GEOs)
Course Activities and Grading
Chapter Review Quizzes
Competency Assignments and other Written Assignments
Available through Charter Oak State College's online bookstore
- Green, Michelle and Mary Jo Bowie. Essentials of Health Information Management. 4th ed. Cengage Learning, 2019. ISBN-13: 9781337553674
- Oaches, P. (2016). Health Information Management Concepts, Principles and Practice. 5th ed. AHIMA Press. Chicago, IL. ISBN-13: 9781584264897
Notes: This textbook is used in several HIM courses and should be saved for preparation for the RHIA exam.
(Note: Course week runs Monday 12:00 am EST - Sunday 11:59 pm EST)
Readings and Exercises
Topics: History of Health Care and Introduction to HIM
Topics: The Patient Record and EHR's
Topic: Content of the Medical Record
Topic: Numbering, Filing, Storage and Retrieval of Health Records
Topics: Indexes, Registries and Data Sets
Topic: Legal Aspects of the Health Record; Patient - Centered Health Information Technologies
Topics: Coding and Reimbursement
Topics: HIM Department Customers
COSC Accessibility Statement
Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.
COSC Policies, Course Policies, Academic Support Services and Resources
Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.