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. Students will learn through labs and hands-on opportunities to use real EHR software.

(3 credits)

This course meets certain CAHIIM competencies for HIM Majors.

Prerequisites

  • ENG 101: English Composition 1
  • ENG 102: English Composition 2

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. Enter, edit and retrieve patient data using an EHR.
  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. Explain the relationship between EHRs and HIEs.
  10. Compare/contrast paper records and EHRs.
  11. Identify challenges and barriers to EHR and HIE implementation and success.
  12. Identify and describe advanced components of EHRs such as CPOE, Problem Lists, Flow Sheets and others.
  13. Analyze and respond to the information needs of internal and external customers throughout the continuum of healthcare services.
  14. Revise policies and procedures to comply with the changing health Information regulations.
  15. Translate and interpret health information for consumers and their caregivers.
  16. Construct and maintain the standardization of data dictionaries to meet the needs of the enterprise.
  17. 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)

20%

Quizzes (Weeks 1-7)

25%

Lab Assignments (Weeks 2-7)

50%

Competency Assigment (Weeks 6 & 8 )

5%

Total

100%

Required Textbooks

Available through Charter Oak State College's online bookstore

  • Foltz, D. and K. Lankisch. (2018). Exploring Electronic Health Records. 2nd ed. EMC/Paradigm Pub., Inc. ISBN-13: 978-0-7638-8136-8
  • 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: Overview of Electronic Health Records; Content of the Health Record

  • Reading:
    • Foltz and Lankisch's Exploring
      • Chapter 1
      • Chapter 2
    • Oachs' HIM
      • Chapter 11, pgs 305-309
      • Chapter 12, pgs 367-381
      • Chapter 4, pgs 105-116
  • Read assigned chapters
  • Participate in the Discussions
  • Complete Review Quiz

2

1,3,5,10

Topic: Introduction to EHR Software

  • Reading:
    • Foltz and Lankisch's Exploring
      • Chapter 3
  • Read assigned chapter
  • Participate in the Discussions
  • Complete EHR Navigator Tutorials 3.1, 3.2, 3.3, 3.4 and associated assessments
  • Complete Review Quiz

3

1,5

Topic: Administrative Management

  • Reading:
    • Foltz and Lankisch's Exploring
      • Chapter 4
  • Read assigned chapter
  • Participate in the Discussions
  • Complete EHR Navigator Tutorials 4.1, 4.2, 4.3, 4.4, 4.5, 4.6 and associated assessments
  • Complete Review Quiz

4

2,12

Topics: Scheduling and Patient Management; Privacy Security, and Legal Aspects of the EHR

  • Readings:
    • Foltz and Lankisch's Exploring
      • Chapter 5
      • Chapter 6
    • Oachs' HIM
      • Chapter 12, pgs 362-366
  • Read assigned chapters
  • Participate in the Discussions
  • Complete EHR Navigator Tutorials 5.1 through 5.9 and 6.1 through 6.5 and all associated assessments
  • Complete Review Quiz

5

5,14,15,16

Topics: Clinical Documentation and Reporting; Medical Coding; Insurance, Billing and Reimbursement

  • Reading:
    • Foltz and Lankisch's Exploring
      • Chapter 7
      • Chapter 8
      • Chapter 9
  • Read assigned chapters
  • Participate in the Discussions
  • Complete EHR Navigator Tutorials 7.1 through 7.7; 8.1 and 9.1 through 9.6 and all associated assessments
  • Complete Review Quiz

6

4,7

Topics: Data Management and Analytics; Clinical Decision Support Systems and Quality Improvement

  • Readings:
    • Foltz and Lankisch's Exploring
      • Chapter 10
      • Chapter 11
    • Oachs' HIM
      • Chapter 12, pgs 373-375
      • Chapter 17 (Optional)
  • Read assigned chapters
  • Participate in the Discussions
  • Complete EHR Navigator Tutorials 10.1 through 10.5 and 11.1 through 11.3 and all associated assessments
  • Competency Assignment: Data Dictionary
  • Complete Review Quiz

7

8,9,11,12,13

Topics: The Personal Health Record; Patient Portals; Implementation and Evaluation of an EHR System

  • Readings:
    • Foltz and Lankisch's Exploring
      • Chapter 12
      • Chapter 13
    • Oachs' HIM
      • Chapter 14
  • Read assigned chapters
  • Participate in the Discussions
  • Complete EHR Navigator Tutorials 12.1 through 12.4 and 11.1 through 13.1 and all associated assessments
  • Complete Review Quiz
 8 5

Topic: Health Information Exchange

  • Read assigned chapter
  • Participate in the Discussions
  • Submit Competency Assignment: Health Information Exchange
  • Complete Course Evaluation

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.