Standard |
HIT 204 COMPARATIVE RECORDS FOR HEALTH INFORMATION
MANAGEMENT
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This course introduces
students to health information management in a wide variety of settings.
Students will examine regulatory issues; documentation; reimbursement;
quality improvement and utilization management; and risk management and legal
issues in each of these settings.
Topics include: hospital-based
ambulatory care, freestanding ambulatory care, managed care, dialysis,
correctional facilities, dental care settings, veterinary settings, substance
abuse, facilities for mentally challenged, mental health, long-term care,
subacute care, home health care, hospice, rehabilitation, and consulting. |
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Competency Areas |
Hours |
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Class/Week – 5 Lab/Week – 0 Credit - 5 |
Prerequisites:
HIT 200
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Curriculum Guide |
Competency
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After completing this section,
the student will:
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Hours
Class Lab |
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HOSPITAL-BASED
AMBULATORY CARE |
Describe various
types of ambulatory care provided by hospitals. Discuss
documentation issues in hospital-based ambulatory care. Identify coding and
classification systems used in hospital-based ambulatory care. |
4 0
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FREESTANDING
AMBULATORY CARE |
List the types of freestanding ambulatory centers and differentiate among them regarding the kinds of programs and services they offer. Define basic terms related to these facilities. List the major agencies or
organizations that set standards for the facility and interpret their
standards. |
3 0
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MANAGED CARE |
Identify the various forms of managed care organizations and compare
how they are structured. Determine the accreditation organization most appropriate for each form of managed care organization. Describe the types of reimbursement that a managed care organization
receives and the various methods of reimbursing providers of care. Describe the concept of coordination of benefits and explain why it is
important to a managed care organization. Explain why the health plan employer data and information set (HEDIS)
is helping improve the quality of health care delivery in managed care. |
4 0
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DIALYSIS |
Describe the care given to patients with end-stage renal disease. List key documentation requirements for dialysis patient records. State the source of payment for most dialysis treatment in the United
States. Describe the role of the health information management professional in
organizations dealing with end-stage renal disease. |
3 0
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CORRECTIONAL FACILITIES |
Identify the various health care delivery methods that may exist in
correctional institutions. Distinguish between the various types of licensure and certification
available for correctional professionals. |
3 0
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DENTAL CARE SETTINGS |
Describe documentation requirements specific to the practice of
dentistry. Explain the importance of medical history in dentistry. Describe utilization management strategies used in dentistry. List the information needs of the dental office. |
3 0
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VETERINARY SETTINGS |
List at least five similarities between veterinary and human health
records. Explain the structure of the SNVDO and SNOMED INTERNATIONAL
nomenclatures to be able to reference databases. Describe the client’s rights in information ownership and be able to
identify the client in a given situtation. |
3 0
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SUBSTANCE ABUSE |
Describe the various settings and caregivers commonly associated
with substance abuse treatment. Describe the components of a “typical” substance abuse client record,
both inpatient and outpatient. Discuss current reimbursement issues related to substance abuse
treatment. Identify the specific legal and ethical considerations associated with
the confidentiality of substance abuse client records. |
3 0
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MENTALLY CHALLENGED |
Identify the major differences in services provided to an ICF/MR client
as compared to other ICF settings. Explain various methods of record-keeping procedures and the natural
separation of information into sections or divisions for long-term care in an
ICF/MR setting. Explain the need for utilizing various coding systems, all of which are
designed to provide for the care of the client. |
3 0
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MENTAL HEALTH |
Evaluate the impact of state and federal laws and regulations on the
treatment of mentally ill persons. Describe the components of a “typical” mental health treatment record,
both inpatient and outpatient. Discuss the current state and use of computer technology in managing
mental health treatment information. |
3 0
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LONG-TERM CARE |
Identify the significance of state and federal surveys to long-term
care facilities. Describe the purpose of the Minimum Data Set 2.0 and its use in the
federal survey process and its relationship to the HCFA case-mix
demonstration projects for long-term care. |
3 0
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SUBACUTE CARE |
Describe the importance of accurate and efficient documentation systems
on regulatory compliance and reimbursement in the subacute setting. Describe the importance of automation in the successful and efficient
use of individual and aggregate minimum data set information. |
3 0
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HOME HEALTH CARE |
Discuss the importance of data collection, analysis, and reporting to
be competitive in the current managed care environment. Identify the types and services of home health agencies. Explain why home health care is increasing in the current health care
delivery system. |
3 0
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HOSPICE |
Define the term hospice and describe the difference between
hospice care and traditional acute care. Define the four reimbursement levels of hospice care—routine home care,
respite care, pain and symptom management, and continuous care—and discuss
components appropriate documentation of these levels of care. Describe the use of hospice benefit periods, reimbursement caps, and
per diem versus per service payments. |
3 0
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REHABILITATION |
Gain a working knowledge of basic rehabilitation terms and distinguish between
the concepts of impairment, disability, and handicap. Review sample forms used to track
a person’s progress in rehabilitation. |
3 0
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Suggested Resources |
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Peden, Ann H.
(1998). Comparative
Records for Health Information Management. Albany: Delmar . |