Week 11 through 15

PART C:  ELECTRONIC HEALTH RECORD FUNCTIONS

During Weeks 11 through 15, students will continue to learn core technical standards and functions of an EHR system as well as the adoption of certified EHR technology in hospitals to improve interoperability in support of nationwide exchange and use of health information across the public and private sector. Students will read through the websites and view the videos that are posted below. From these activities, you should be able to define terms, provide examples, and describe the existing health IT infrastructure.

It is recommended that you write notes as you review these materials because they will be helpful when completing written assignments and preparing for the online exams.  

College Closed – No Class – Nov 23rd through Nov 26th

Week 11 – ONLINE EXAM #2. Instructions provided on Blackboard.

Week 12 – EHR in Hospital Environment

Student Learning Outcome(s) for This Session: Upon completion of this session’s readings/activities, students will be able to:

  1. Identify the components of an in-patient EHR and understand how they are used to capture and store patient data in a hospital environment.
  2. Explain the complexity of EHRs in a hospital environment and recognize the potential benefits and drawbacks of using computerized systems to manage patient care.
  3. Understand the role of coordinated care in the context of EHRs and the importance of interprofessional collaboration in using EHRs to improve patient outcomes.
  4. Understand the basics of computerized physician order entry (CPOE) and explain how it can improve patient safety, reduce medication errors, and streamline the ordering process in a hospital setting.
  5. Understand the use of reports and decision support tools in EHRs and recognize how they can be used to improve patient outcomes, increase efficiency, and support clinical decision-making in a hospital environment.

Readings & Resources

REQUIRED:

  1. Case Studies by EHRA HIMSS Electronic Health Record Association is licensed under CC BY-NC-SA 4.0.
  2. Medication Reconciliation by Agency for Healthcare Research and Quality (AHRQ) is licensed under CC BY-NC-SA 4.0.
  3. ACR Appropriateness Criteria by American College of Radiology is licensed under CC BY-NC-SA 4.0.

RECOMMENDED:

  1. Promoting Interoperability Programs (2023) by 4. Centers for Medicare & Medicaid Services (CMS) is licensed under CC BY-NC-SA 4.0.
  2. Electronic Health Records (EHRS) by The National Institute for Occupational Safety and Health (NIOSH), 4. Centers for Disease Control and Prevention (CDC) is licensed under CC BY-NC-SA 4.0.
  3. The impact of computerized provider order entry systems on medical-imaging services: a systematic review by Andrew Georgiou, Mirela Prgomet, Andrew Markewycz, Edwina Adams, Johanna, Journal of the American Medical Informatics Association (JAMIA) is licensed under CC BY-NC-SA 4.0.

DUE:  Lab Exercise #5 Apr 30th. Instructions are posted on Blackboard.

Week 13 – EHR as a Tool for Administrative Support

Student Learning Outcome(s) for This Session: Upon completion of this session’s readings/activities, students will be able to:

  1. Identify the key components of EHR and their importance in administrative support for healthcare settings, including case mix, patient demographics, and morbidity profile.
  2. Analyze the ways in which EHR can be used to improve workflow and enhance the quality of patient care.
  3. Develop an understanding of how to generate system data reports from EHR, including understanding the types of data that can be captured and reported on, and the benefits and limitations of these reports.
  4. Evaluate the ethical and legal implications of using EHR for administrative support in healthcare, including issues related to privacy, security, and confidentiality of patient data.
  5. Apply knowledge of EHR as an administrative tool by designing a data report or workflow improvement plan that addresses a specific challenge in healthcare administration.

Readings & Resources

REQUIRED:

  1. Benefits of EHRs. Health IT and Health Information Exchange Basics. HealthIT.gov.
  2. Advantages of Electronic Health Records. Frequently Asked Questions. HealthIT.gov.
  3. 7 EHR Usability, Safety Challenges and How to Overcome Them (2018) by Tanya Albert Henry. American Medical Association (AMA).
  4. Management Information Systems by Lawrence J. Gitman, Carl McDaniel, Amit Shah, Monique Reece, Linda Koffel, Bethann Talsma, James C. Hyatt , OpenStax, Rice University is licensed under CC BY 4.0.
  5. How Electronic Health Records Improve Patient Care? by CureMD Healthcare is in the Public Domain, CC0.

RECOMMENDED:

  1. Michigan Electronic Medical Records Project Provides Lessons Learned for Data Exchange. Digital Healthcare Research. Agency for Healthcare Research and Quality (AHRQ)
  2. Ehrenstein, V., Kharrazi, H., Lehmann, H., & Taylor, C. O. (2019). Chapter 4/Obtaining Data From Electronic Health Records. In R. Gliklich, M. Leavy , & N. Dreyer (Eds.), Tools and Technologies for Registry Interoperability, Registries for Evaluating Patient Outcomes: A User’s Guide, 3rd Edition, Addendum 2. Rockville (MD): Agency for Healthcare Research and Quality (US).

Week 14 – EHR Functions Supporting Financial Operations

Student Learning Outcome(s) for This Session: Upon completion of this session’s readings/activities, students will be able to:

  1. Understand the role of Electronic Health Records (EHR) in supporting financial operations, specifically insurance, billing, payment, and fee structures.
  2. Explain the key functions and features of EHR systems that facilitate efficient insurance processing, including verifying coverage, submitting claims, and managing reimbursement.
  3. Analyze the processes involved in billing and payment within an EHR system, including generating accurate invoices, tracking payments, and managing outstanding balances.
  4. Identify the components of financial reports generated by EHR systems and their significance in assessing the financial health of healthcare organizations, such as revenue, expenses, and reimbursement trends.
  5. Evaluate the impact of effective utilization of EHR functions on financial operations, including improved revenue cycle management, reduced billing errors, enhanced financial decision-making, and compliance with regulatory requirements.

Readings & Resources

REQUIRED:

  1. Murphy, K. (2014). Where does finance fit into EHR adoption, meaningful use? Adoption & Implementation News. TechTarget.
  2. gov (2018). Medical practice efficiencies & cost savings. Benefits of EHRs.
  3. Siwicki, B. (2019). Implementation best practices: Ringing up success with finance. Financial/Revenue Cycle Management. HealthcareITNews.
  4. Aguirre, R. R., Suarez, O., Fuentes, M., & Sanchez-Gonzalez, M. A. (2019). Electronic Health Record Implementation: A Review of Resources and Tools. Cureus, 11(9), e5649. https://doi.org/10.7759/cureus.5649

RECOMMENDED:

  1. Coquerel, J. (2016). How using an EHR can help improve revenue cycle management. SYNTRIX.
  2. Fortin, J. (2023). Capitalizing on tighter EHR-ERP integration. Impact Advisors.

DUE:  Writing Assignment #3 May 14th. Instructions are posted on Blackboard.

Week 15   ONLINE EXAM #3. Instructions provided on Blackboard.

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