MBA 781: Fundamentals of Healthcare IT Management

Transcription

1 MBA 781: Fundamentals of Healthcare IT Management Syllabus - Fall 2017 Catalog Description This course provides an introduction to the dynamic world of management of information technology in health care. A description of information processing, the content and evolution of healthcare information systems and the current and future methodologies being employed to acquire and manage information are discussed. Course Description The intent of this course is to discuss the usage of myriad information technologies in healthcare organizations. It will first discuss some of the technologies used for diagnosis and treatment, followed by the IT infrastructure in hospitals and clinics. This course will cover the billing codes and different reimbursement methods currently in use for healthcare systems. It will then present concepts of electronic health records (EHRs) in significant detail. This course will present HIPAA (Health Insurance Portability and Accountability Act) and its implications on healthcare IT. Detailed Course Topics Preamble: Overview of Healthcare in the United States: Key players, Healthcare costs and finances, Flow of funds (This unit is for students to get a broad overview of healthcare in the US. The students will not be tested on this material.) Unit 1: Technologies for Diagnosis and Treatment, Big Data and Its Applications in Healthcare Unit 2: Electronic Health Records: Needs Assessment, Process Mapping, Data Infrastructure Unit 3: Electronic Health Records: Return on Investment, Technical Infrastructure, EHR selection and Contract Negotiation Unit 4: Mobile Healthcare: Mobile Solutions for Chronic Diseases, Mobile Monitoring, Medical Smart Homes, Telemedicine, and HIPAA (HIPAA compliance, Security standards and procedures, Personal Health Information, EHRs and HIPAA aspects) Unit 5: Healthcare Coding, Billing, and Reimbursement: Processes for Coding, Billing, Technologies used to process reimbursements for Medicare, Case Mix Index, Reimbursement examples: Inpatient Prospective Payment System, Inpatient Psychiatric Facility Prospective Payment System Unit 6: Healthcare Revenue Cycle Management, Charge Description Master, Personal Health Records Unit 7: Health Information Exchanges, Accountable Care Organizations Course Learning Outcomes Upon completion of this course, students will be able to: Differentiate between different technologies used for diagnosis and treatment Create implementation plans for significant healthcare IT infrastructure projects such as Electronic Health Records Discuss implications of HIPAA rules for clinical practices Optimize processes used for healthcare reimbursement and analyze technologies to implement them Critique different models of Accountable Care Organizations

2 Evaluate the use of mobile healthcare solutions for disease monitoring, telemedicine and medical smart homes Develop architectural plans for Health Information Exchanges Unit Learning Outcomes Upon completion of this course, students will be able to: Unit 1 Compare and contrast different technologies used for diagnosis and treatment Identify basic functions of health management information systems (HMIS) List data needs of laboratory information systems in a clinical setting Apply revenue-based decision making concepts to purchasing healthcare equipment Discuss big data applications of healthcare data Identify the relationship between healthcare data and health information management Describe the principles for designing a legal health record Unit 2 Identify three different enterprise software systems and discuss their relationship to HMIS List benefits of electronic health records Compare and contrast the differences between EHR, CPOE, CDSS, and PHR Construct process maps for workflow with and without EHRs Discuss key functions of EHRs Install an Electronic Health Record System Unit 3 Describe a process for computing the ROI for EHR implementations Discuss key factors that contribute to successful implementation and adoption of EHRs Compare and contrast three different techniques for chart conversion during an EHR implementation Explain the key criteria for achieving meaningful stage 1 (MU Stage 1) Explain the key criteria for achieving meaningful stage 2 (MU Stage 2) Distinguish EHR features that help achieve MU Stage 1 and MU Stage 2 Identify the key components of an RFP for procuring EHR system Describe the criteria used for selecting an appropriate EHR system Unit 4 Identify common applications of mobile technologies in healthcare Discuss the benefits and risks of mobile technologies in healthcare

3 Explain the costs incurred and quantitative benefits obtained in order to compute ROI for mobile healthcare technologies Describe the applications of Telemedicine Discuss the benefits and risks of Telemedicine Identify the technologies used in Smart Medical Homes Describe the significance of Smart Medical Homes in terms of patient care Explain the risks of Smart Medical Homes and barriers to implementing Smart Medical Homes Apply HIPAA privacy and security rules to a clinical setting Discuss the policies and procedures that need to be implemented at a clinic to achieve compliance with HIPAA Unit 5 Describe DRGs and their structure. Using spreadsheets, compute case-mix index, given a sample set of cases. Identify various provisions and payment systems of MS-DRGs. Analyze principles of reimbursement and, using spreadsheets, compute reimbursement amount for Hospital Acute Care Inpatient Prospective Payment System (IPPS). Analyze principles of reimbursement and, using spreadsheets, compute reimbursement amount for Inpatient Psychiatric Facility Prospective Payment System (IPFPPS). Distinguish between different payment systems at a managerial level. Using spreadsheets, compute IPPS and IPFPPS Reimbursement Amounts. Unit 6 Describe the components of the revenue cycle. Discuss the process steps in revenue cycle management. Describe the importance of effective revenue cycle management for a provider s fiscal stability. Identify the key data pieces that CDM needs to maintain Describe effective steps to keep CDM up-to-date Describe the key information contained in PHRs Discuss the benefits of and barriers to implementing PHRs Unit 7 Describe the key benefits and challenges of implementing HIEs Discuss the technical components of HIEs Distinguish between different types of HIEs Identify the benefits and risks of ACOs Analyze the implications of ACOs on health information management Describe steps and infrastructure needed to support e-discovery at healthcare facilities

4 Coursework and Grading Students are assessed using discussions, discussion summaries, and homework assignments. Unit coursework may include one or more of the following learning activities: Responses to specific discussion questions relevant to the weekly study topics Review and summarization of discussion messages. Homework assignments, some of which will involve hands-on experiments with SpringCharts EHR software. Some homework questions may involve applying concepts using quantitative methods. All submitted written work is to be in Microsoft Word, Excel and other formats specified by the instructor. Grade will be approximately distributed among different components as follows: Discussion Messages: 40.8% Discussion Summaries: 7.2% Assignments: 52% Grading Policy Assignment Type Personal Introduction (One time) 6 (For each of the seven discussions) (For each of the seven discussions) Discussion: Completion of Summary and Submission of Summary to the (For each of the seven discussions) Written Assignment: Completion of Assignment and Submission to the (For each of the seven assignments) Policies on Late Work Max. Points Maximum Total Points 1,000 Please note that discussion postings (including initial messages, follow-up messages and discussion summaries) need to be submitted by the deadline and credit may not be given for late work on discussions. Similarly, discussion summaries need to be submitted by the deadline. Late discussion summaries will not receive any credit. For homework assignments, late submissions are permitted. Assignments that are turned in late will have points deducted as follows: Deduct 10 percent of available points each day the homework assignment is late for up to five days. For example, if the homework is late by 3 days, it will be graded for 70% of the maximum points. If a homework assignment is more than 5 days late, it will not receive any points.

5 If you have a business problem, illness, business trip, or domestic situation, arrangements should be made and approvals granted before the due date if the late assignment is to receive full credit. Grade Scales For UW-Eau Claire and Consortium Students: Student Total Points Range A A B B B C C C D D D- At or below 450 F Letter Grade For UW-Oshkosh Students: Student Total Points Range Letter Grade A A B B B C C At or below 650 F For UW-La Crosse Students: Student Total Points Range Letter Grade A AB B BC C D At or below 600 F For UW-Parkside Students:

6 Student Total Points Range A A B B B C C C- At or below 600 Required Books Letter Grade F There is no need for books for this course. If you are interested in getting more experience with an electronic health records system, you are required to obtain the following book. For those of you interested in doing exercises related to EHRs, please contact Prof. Chalasani so that he can assign alternate homework assignments based on the following book for you. Otherwise, you are not required to purchase any book. Hamilton, Electronic Health Records, 3rd Edition, McGraw-Hill, 2013, ISBN-13: Third edition of this book is preferred. If you are unable to get the third edition and have the second edition (Hamilton, Electronic Health Records, 2nd Edition, McGraw-Hill, 2011, ISBN-13: ), some of the assignments may be different. Reference Books Please see this list of valuable reference books. Netiquette Postings to the discussion boards require a polite behavior or the learning process breaks down, people s feelings are hurt, and your grade may be impacted. Polite online behavior is called netiquette. The following guidelines are basic to this class. Please follow the netiquette guidelines for this course.

7 MBA 781: Fundamentals of Healthcare IT Management Course Calendar - Fall 2017 All assignments are due at 11:59 pm central on the day listed. Unit 1: Healthcare Technologies An Overview & Foundation Concepts of Health Management Information Systems Personal Introduction Post by Mon, 9/11 9/12 Thurs, 9/14 Submit by Sun, 9/17 9/18 Unit 2: EHRs: Needs Assessment, Process Mapping, and Data Infrastructure 9/19 Thurs, 9/21 Submit by Sun, 9/24 9/25 Unit 3: ROI for EHRs, EHR Implementation, and Meaningful Use 9/26 Thurs, 9/28 Submit by Sun, 10/1 10/2

8 Unit 4: Mobile Technologies in Healthcare 10/3 Thurs, 10/5 Submit by Sun, 10/8 10/9 Unit 5: Healthcare Reimbursement - Processes and Technologies 10/10 Thurs, 10/12 Submit by Sun, 10/15 10/16 Unit 6: Revenue Cycle Management, CDM, Personal Health Records 10/17 Thurs, 10/19 Submit by Sun, 10/22 10/23 Unit 7: HIEs and ACOs 10/24 Thurs, 10/26 Submit by Sun, 10/29

9 10/30