H lth I f ti M tH lth I f ti M tHealth Information ManagementHealth Information Management(3110E0039)(3110E0039)

An Essential Element of HCA An Essential Element of HCA

John Hsyien-Chia Wen, Associate Professory ,

Dept. of Healthcare Administration of TMU

Phone extension：3623

Email：hcwenn@tmu edu twEmail：hcwenn@tmu.edu.tw

歡迎加入北醫醫管!!!

Welcome on Board!!!

Welcome on Board !!!!!!

Self-IntroductionGroup #: Leader:

‧Name: Sex: Age:

G d t h l ( t ) M j‧Graduate school (country): Major:

‧Most interested domain in HCA:

‧Work experience (title):

‧Hobby: Sign of Zodiac(horoscope):

‧Expectation for this class:‧Expectation for this class:

‧Cell phone： E-mail:S H ll Sh kS H ll Sh k

‧Motto: Say Hello, Shake Say Hello, Shake hand & hand & Sit togetherSit together!!

Modern Healthcare EnvironmentModern Healthcare Environment

Increased competition among healthcare providersChanges in overall healthcare

reimbursement stimulated by manyreimbursement stimulated by many implementation of prospective payment systemssystemsEmergence of difference care delivery

systemssystemsImproved health care quality by Information

T h lTechnology

Future TrendsFuture Trends

Implementation of new reimbursement systems (DRGs, long term care insurance..)

Health Information TechnologyIncreased technological productivity improvementsIncreased technological productivity improvements

to address work force shortages (EHR)Prevention of medical errors (patient safety)Prevention of medical errors (patient safety)Integration of user-friendly health information

systems: Internet related healthcare applicationssystems: Internet-related healthcare applications (PHR)

I l t ti f t l ti Implementation of new government regulations (HIPAA) : security and privacy

Contemporary Health Information Contemporary Health Information Management 1/2

• Core professional concern: quality of data collected during the delivery of healthcarecollected during the delivery of healthcare services

• Unique skill set and core competencies– Laws and regulations on accuracy, integrity, g y, g y,

completeness, and security of health information

– Healthcare data standardsHealthcare statistical methods– Healthcare statistical methods

Contemporary Health Information Contemporary Health Information Management 2/2

– Clinical coding and classification systemsi i l f h l h d d i f i– Principles of health record and information

systems– Organizational and cross-disciplinary modes

of functioning• Movement toward electronic health records

& P l h lth d& Personal health records• Emergence of healthcare informaticsg

Objecti es of HIM ClassObjectives of HIM Class

• The main purpose of this class is to integrate Health Information Management (HIM) theory and practice thus students not(HIM) theory and practice, thus students not only learned the HIM theory and skills but also can apply them effectively in hospital operationsoperations.

Topics of HIM Class• DRGs and Coding (ICD-9-CM)• Electronic health record• Electronic health record• Privacy and security of medical record

(HIPAA)• EHR standards• EHR standards• HIM project management• Personal Health Records (PHR)

– ……

Health Information ManagementHealth Information Management

week contents (chapter)

1. Introduction

2. DRGs and hospital claim reviewp

3. ICD-9-CM Coding rules

4 ICD 9 CM C di P i4. ICD-9-CM Coding Practice

5. Electronic Health Records (EHR) (Ch9)

6. Informatics in Healthcare (Ch3)

7. Data and Information Management (Ch5 )7. Data and Information Management (Ch5 )

8. Information System Development (Ch6)

9 l h f i S d d ( )(Ch )9. Healthcare Information Standards (HL7)(Ch7))

Health Information ManagementHealth Information Management

week contents (chapter)

10. Clinical Classifications and Vocabularies (SNOMED CT,Ch13)

11. Mid-Term Report (Term paper Title and Outline)

12 Legal Issues in HIM (HIPAA privacy)12. Legal Issues in HIM (HIPAA, privacy)

13. Expert Systems and Decision Support (Ch19)

14. Knowledge Management (Ch20)

15. Project Management in HIM (ROI)(Ch26)

16. Term paper Report (1)

17 Term paper Report (2)17. Term paper Report (2)

f CImportant issues of HIM Class

• This class conducted majorly by lectures and students presentations. Student-teacher pinteraction and group discussion were highly encouragedencouraged.

• Students’ performance will be reviewed by class ti i ti i d t tipresence, participation, assigned papers presentation

and term paper.• Score percentage: 25% class presence and

participation, 35% assigned papers presentation and 40% term paper

Reference of HIM ClassReference of HIM Class1 K hl M L T d Shi l Ei h ld H l h1. Kathleen M.LaTour and Shirley Eichenwald Health

Information Management - Concepts, Principles, and

Practice, AHIMA, 2010

2. Margaret Skurka Health Information Management, g g ,

AHA,2000

3 Ed K H ff M di l R d M t Ph i i3. Edna K. Huffman Medical Record Management, Physician

Record Company, 1990

4. Journal of American Health Information Management

Association(AHIMA)Association(AHIMA)

5. The Journal of Medical Informatics (AMIA, IMIA...)

Term paper of HIM Class Term paper of HIM Class

Mid-term report (each group):

10＇- 15＇presentation, 10＇ discussion10 15 presentation, 10 discussion

Final report (each group):

20-25 ＇presentation, 10＇ discussion

Term paper p p

1. Content: Specific topic(10 pages)2 Findings comments and discussions2. Findings, comments and discussions

3. Power point & Digital file

4. Reference(at least 10 references)

Class rulesClass rules

Be on time and no interference (cell phone). Critical thinking, question, interaction Critical thinking, question, interaction and discussion are encouraged.

Presentation or report: group leader hand Presentation or report: group leader hand in power point one day before the class (My2 TMU 「HIM」)(My2 TMU HIM」)

Check the internet resource when you doubt t h i l t t (Wiki b it )any technical term or concept. (Wiki website)

Please make an appointment if you need a discussion with me.

Theory vs PracticeTheory vs. Practice i l di i i h d b ildRational prediction requires theory and builds

knowledge through systematic revision and extension of theory based on comparison of prediction with observation. ... It is an extension of application that discloses inadequacy of a theory, and need for revision, or even new theory. Again, without theory, there is nothing to revise. Without theory, experience has no meaning. Without theory, one has no questions g y, qto ask. Hence without theory, there is no learning. -William Edwards Demingg

" Eg. supplier induced demand (SID)

Sharing your ideas with usSharing your ideas with us

"If you have an apple and I have an If you have an apple and I have an apple, and we exchange apples, we b h ill l h l B ifboth still only have one apple. But if you have an idea and I have an idea, y ,and we exchange ideas, we each now h t id “have two ideas. “

- George Bernard Shaw，1856~1950

Thank You for Your AttentionThank You for Your Attention