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HIM 320: Electronic Health Records and Health Information Exchange

Course Description

This course will focus on the basics of electronic health records and health information exchanges. Students will learn the purpose, design, and function of these systems along with the legal and regulatory guidelines. Emphasis will be placed on the organizational demands and healthcare user needs. (3 credits)

This course meets certain CAHIIM competencies for HIM Majors.

Prerequisites

  • ENG 101: English Composition 1
  • ENG 102: English Composition 2
  • HIM 300: Medical Vocabularies and Classification System

Student Learning Outcomes (SLOs)

Upon successful completion of the course, the student will be able to:

  1. Identify the major components of an EHR.
  2. Understand the workflow of information in an EHR.
  3. Discuss coded data and interoperability.
  4. Provide examples of EHR decision support.
  5. Utilize technology for data collection, storage, analysis, and reporting of information
  6. Define Meaningful Use criteria.
  7. Interpret HIPAA Privacy and Security Rules as they apply to EHR and HIE.
  8. Discuss the HITECH Act in relation to EHR and HIE creation.
  9. Differentiate between various models for health information exchange
  10. Compare/contrast paper records and EHRs.
  11. Identify challenges and barriers to EHR and HIE implementation and success.
  12. Develop operational policies and procedures for health information exchange.
  13. Conduct system testing to ensure data integrity and quality of health information exchange.
  14. Identify and describe advanced components of EHRs such as CPOE, Problem Lists, Flow Sheets and others.
  15. Construct and maintain the standardization of data dictionaries to meet the needs of the enterprise.
  16. Demonstrate compliance with internal and external data dictionary requirements.

General Education Outcomes (GEOs)

Please check the applicable GEOs for this course, if any, by outcomes at GEO Category Search, or by subject area at GEO Discipline Search.

Course Activities and Grading

Assignments

Weight

Discussions (Weeks 1-8)

10%

Quizzes (Weeks 1 & 7)

20%

Lab Assignments

30%

Midterm Exam (Week 4)

20%

Final Exam (Week 8)

20%

Total

100%

Required Textbooks

Available through Charter Oak's online bookstore

  • Gartee, Richard. Electronic Health Records (EHRs) - with My Health Professionals Lab Student Access Code. 3rd ed. Prentice Hall, 2017. ISBN-13: 9780134458786
    Note: This textbook should be purchased new only.
  • Oachs, P. and A. Watters. (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. A previous edition that students may have purchased would also be acceptable.
  • AHIMA Virtual Lab Access Code. (Good for one year from the date of purchase)

Note: Students need to purchase only one code/subscription to the AHIMA E-HIM Virtual Lab per year. A single code provides the access required for all Charter Oak State College HIM courses.

Course Schedule

Week

SLOs

Readings and Exercises

Assignments

1

1,2,6,7

Topics: History and Evolution of EHRs

  • Reading:
    • EHRs
      • Chapter 1
    • HIM Concepts
      • Chapter 4, pgs 98-104
      • Chapter 12, 362-364
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Review Internet material
  • Complete Week 1 Quiz

2

1,3,5,10

Topic: EHR Systems

  • Reading:
    • EHRs
      • Chapter 2
      • Chapter 3
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Submit Week 2 MyHealthProfesions Labs and Quippe Lab assignments

3

1,5

Topic: Building Competence in an EHR & Point of Care Documentation

  • Reading:
    • EHRs
      • Chapter 4
      • Chapter 5
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Submit Week 3 Quippe Lab assignments in MyHealthProfessions Lab
  • Prepare for the Week 4 Midterm Exam

4

2,12

Topic: Electronic Orders

  • Readings:
    • EHRs
      • Chapter 6
  • Read assigned chapter
  • Participate in the Discussions
  • Review the Lecture material
  • Submit Week 4 Quippe Lab assignments in MyHealthProfessions Lab
  • Complete Midterm Exam Part 1 and Part 2

Midterm Exam
EHRs - Chapters 1-6
SLOs 1-5, 8, 10, 11 & 12

5

5,14,15,16

Topic: Advanced EHR Components

  • Reading:
    • EHRs
      • Chapter 7
      • Chapter 8
    • HIM Concepts
      • Chapter 12, pages 367-381
  • Read assigned chapters
  • Participate in the Discussions
  • Review the Lecture material
  • Submit Week 5 Quippe Lab assignments in MyHealthProfessions Lab

6

4,7

Topics: EHR Role in Quality of Care & Decision Support

  • Readings:
    • EHRs
      • Chapter 9
      • Chapter 10
    • Selected readings posted in course
  • Read assigned chapter
  • Read instructed-selected readings
  • Participate in the Discussions
  • Review the Lecture material
  • Submit Week 6 Quippe Lab assignments in MyHealthProfessions Lab.
  • Complete Virtual Lab: Hospital EHR (Due Wednesday of Week 7)

7

8,9,11,12,13

Topic: Health Information Exchanges

  • Readings:
    • HIM Concepts
      • Chapter 15
  • Read assigned chapter
  • Participate in the Discussions
  • Review the Lecture material
  • Competency Assignment: HIE Planning
  • HIE Quiz
  • Prepare for the Final Exam

8

5

Topics: Privacy and Security of Health Records

  • Reading:
    • EHRs
      • Chapter 11
    • HIM Concepts
      • Chapter 12 pages 365-367
  • Read assigned chapter
  • Participate in the Discussions
  • Complete Critical Thinking Exercise 11G from the EHR textbook in the MyHealthProfessionsLab
  • Complete Final Exam
  • Complete Course Evaluation

Final Exam
EHRs - Chapters 7-11
SLOs 1-16

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.