HCM 366: Health Information Management



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HCM 366: Health Information Management
Fall Semester 2019
*Office hours are subject to change without notice at the instructor’s discretion.
Instructor Response Time: Emails and phone messages will be returned within 24 hours during the work week, and within 48 hours on the weekends/holidays. Please include your name and the course name/number in the email subject line. Please allow the full 24 or 48 hours for a response before emailing or calling again about the same question or issue.

Course Description:
This course provides a multi-disciplinary analysis of the strategic application of information systems technology and the management of such in health care organizations and focuses on using leveraging information systems to analyze clinical data. Students will review reimbursement mechanisms used to track service utilization patterns which assist in the decision making processes within an overall organizational capacity and for the purposes of quality/performance improvement. Leadership aspects pertaining to evidence based management and governance will be explored as well as challenges facing the health care industry in terms of the management of information systems. Restricted to HCM major/minor.

Prerequisite:
None.

Required Textbook(s):
Balgrosky. (2020). Understanding Health Information Systems for the Health Professionals. 1st Edition. Jones and Bartlett Learning. Burlington, MA. ISBN# 978-1284148626.
NOTE: The textbook is REQUIRED. No exceptions, no excuses. Not having a textbook or registering late is not an acceptable excuse for late work.


Course Objectives:

Upon completion of this course, the student will be able to:

·         Identify and discuss the evolution of information technology in the healthcare industry.
·         Identify and describe various types of information system applications common in the health care industry.
·         Understand how data are used in terms of strategic management, assessment, financial management, clinical outcomes management, and public health/population management.
·         Explore emerging technologies in healthcare such as electronic medical records, E-Health telemedicine, and clinical information systems with the broad scope of a wide range of healthcare services and patient care providers.
·         Understand the project management process and how it aligns with information systems.
·         Discuss the legal and ethical issues which pertain to information technology specific to clinical settings in the healthcare environment including privacy, confidentiality, and security.
·         Follow detailed instructions without deviation, meet deadlines, take initiative to self-resolve problem issues, communicate in a professional manner in both written and verbal form, and exercise good time management skills and other managerial competencies.


Course Outline:
Topics                                                                                                                               Percentages

I.        Connecting Information Management To Organizational Strategies in the                  25%
Healthcare Environment                                                                                                                                      
a.       Overview and evolution of information system management in health care
b.      The role of information in healthcare
c.       Future health care systems and trends
d.      Using information management in strategic planning
e.       Using information management in the clinical setting
f.       The importance of systems integration
II.     Information Technology Applications in Healthcare                                                  40%
a.       Electronic health/medical records
b.      Clinical information systems
c.       Management/Administrative financial systems
d.      Information systems for nonhospital organizations
e.       Project management tools and processes
f.       Patient portals and E-Health/health informatics and the internet
III.   Information Transfer                                                                                                  10%
a.       Knowledge management
b.      Data warehousing, data mining, workflows & analytics
IV.  The Legal and Ethics Environment                                                                             25%
a.       Governmental oversight in healthcare and information technology’s role
b.      Health information portability and accountability act
c.       Security and ethics of healthcare and patient information


RESEARCH PAPER:

For this course you will be required to write a research paper to fulfill the course project requirement, worth 200 points. Your written report must follow APA format and be 3 pages (without title page, abstract, and references). Below is a brief description of the project with additional information available on D2L:

Research Paper:
For this course you will write an original, well-researched, and sound discussion of a topic relevant to health care information management. The paper should minimally address the following:
1.      Introduction that clearly outlines your research question and thesis statement
2.      Critical review of the literature relevant to your topic, focusing on the financial content and perspectives
3.      Synthesis and critical evaluation of the literature. A synthesis means go beyond simply summarizing the ideas and evidence you found- integrate and organize the ideas in a way that provides insight on your specific question. A critical evaluation means to assess whether we have good reason to believe the arguments and evidence presented.
4.      Discuss what the evidence and your conclusions imply about your research topic.

Expectations for the Course Project:
·         You are expected to turn in college level work free from grammatical errors. If you are experiencing problems with these types of issues, you are encouraged to contact the Center for Basic Skills on the SIUC campus. Points will be deducted for poor writing mechanics.
·         All assignments are to be typed- no handwritten assignments will be accepted.
·         All assignments should be submitted via D2L unless otherwise instructed. Do not email assignments to the instructor.
·         All assignments must be submitted in a Word document (.doc or .docx). Nothing else will be accepted- please do not submit PDFs. If the document cannot be opened, it cannot be graded; therefore, you will receive a zero. No second submissions allowed.

ASSIGNMENTS:   

·         Students are expected to turn in college level work free from grammatical errors.  Students experiencing problems with these types of issues are encouraged to contact the Center for Basic Skills on the SIUC campus.     
·         All assignments are to be typed – no handwritten assignments will be accepted.  
·         All assignments/quizzes/tests should be submitted via D2L unless otherwise instructed. 
·         No late assignments will be accepted.  This is a management-related degree and time is an asset that cannot be wasted.     
·         Tests will only be given on the scheduled test days.  NO early exams or make-up tests will be given except for those rare exceptions outlined by the University.     
·         All assignments must be submitted in a Word document (doc. or docx.).  Nothing else will be accepted.  If I can’t open the document, I can’t grade it. Therefore, the student will receive a zero.  No second submissions allowed.  All assignments must be submitted through D2L unless otherwise instructed. 
·         Research Papers must use APA format.  See a librarian for assistance.  




STUDENT CONDUCT CODE:   
 


Professionalism is expected at all times!  This is a management degree; therefore, students should be prepared and knowledgeable about course expectations.  Don’t ask for special privileges because the instructor does not believe in them.  For example…No late assignments means No late assignments etc.   

Students demonstrating inappropriate behavior will be subject to a deduction of points and/or an automatic F for the course.  The student agrees that the instructor has the right to determine the severity of the issue and deduct points at a level he believes is commensurate with the behavior.  Some violations of classroom professionalism include but are not limited to: 

·         Being late with assignments or class discussions. 
·         Being unprepared for the course; Example - no textbook, computer not accessible, failure to provide instructor with email address etc.). 
·         Use of foul or inappropriate language. 
·         Being disrespectful of the opinions of others.   
·         Displaying an argumentative and uncooperative attitude.  
·         Falsifying any attendance or academic records/assignments/tests/quizzes etc. otherwise known as Academic dishonesty.   
·         Failure to follow guidelines in syllabus.  




Solution

Research
Submitted by:






Date:





Abstract
The current research is based on a latest information system which can be incorporated into the healthcare. The impact of telemedicine is discussed. Telemedicine is the use of electronic and digital devices to improve efficiency of treatment, diagnosis and treatment plan. Patients can get specialized services with the help of telemedicine. Telemedicine utilizes mobile applications like video chat to correspond with physicians. Patients can get instant health services with the help of telemedicine. The physicians can use telemedicine to correspond with specialists to get an accurate diagnosis. The telemedicine was initially developed for remote areas, but presently it is a convenient treatment for most of the individuals.










Telemedicine and Telehealth
1. Introduction that clearly outlines your research question and thesis statement
Introduction
The California telehealth resource center defined telehealth as “Telehealth is a collection of means or methods for enhancing health care, public health, and health education delivery and support using telecommunications technologies”. Telehealth is an application which alerts the public related to outbreak of a disease. This can be video conferencing medium for education of medical sciences. Telemedicine is an application which enables physicians to treat their patients through video chat remotely.
Telemedicine is a software based solution which helps primary health caregivers to send photos of patients’ condition like skin allergy to a specialized doctor like dermatologist. The field of telemedicine is advancing faster as compared to the past. The excess to telemedicine tools have become easier with the advancement in telemedicine. There is a widespread affordability for telemedicine. There are facilities like online video chat applications and live video telemedicine facilities. The mobile and computer devices are easily available to everyone.
Traditionally, telemedicine was originated to facilitate the patients located in remote areas, far away from health facilities and communities. In remote areas where there is a shortage of medical professionals can use telemedicine. Nowadays, telemedicine is a convenient medical care given to patients who want to waste minimum time in waiting rooms. The patients connect to online services when they don’t want to sit and wait in waiting rooms. The patients can get instant care via telemedicine.  There is an expectation of healthcare via online sources or telemedicine; therefore more companies provide telemedicine services to accommodate the burden of medical professionals.
The companies provide access to patients 24/7. The mobile companies gave rise to the telemedicine. There is a wide range of mobile devices, applications which can help patients check their health status and monitor their health. The user-friendly devices attract patients to use technology for their benefit in health sector. People can use medical applications and devices to see signs of disease and diagnose infections, check glucose levels, monitor hypertension. There is no need to visit a doctor for such tasks. The patients can collect medical information needed by a doctor for proper diagnosis with the help of their mobile devices (The Ultimate Telemedicine Guide | What Is Telemedicine?, 2018). Telemedicine helps patients take a proactive approach, and enable them to utilize alternate ways of healthcare.
2. Critical review of the literature relevant to your topic, focusing on the financial content and
Every year, the united states spend more than 2.9 trillion dollars on healthcare. This rate is higher than any other developed country. Estimates show that two hundred billion dollars among these costs are unnecessary and avoidable spend. Telemedicine can be applied to cut short the expenses related to health sector. The unnecessary ER visits, medication non adherence, and problems like that can be avoided by telemedicine. Typical doctor visits can be more effective with telemedicine.  Telemedicine can enable a doctor or hospital system to gain access to medical specialists from all over the world. Primary care doctors can consult specialists via online applications to consult on serious matters, like rare of forms of cancer, and so on.
There are many studies which were conducted to show the efficiency of telemedicine in terms of finances and treatment strategies.
The current study states that there are many problems related to shortage of physicians, nurses, and so on. This problem tends to get worse if proper solution is not suggested. The application of telemedicine can be helpful in this regard. The health providing organizations can use telemedicine to promote standards of healthcare. The developed and developing countries are facing challenges related to healthcare. The application of telemedicine can help alleviate these problems. Telemedicine can provide cost effective, high quality access to healthcare facilities. To overcome geographical barriers, ICTs are used in telemedicine clinics. The technology is particularly beneficial for people in rural and remote areas. The access of health is easy and cost is reduced as compared to traditional healthcare services where the patient needs to visit different specialists to get an accurate diagnosis. The rural doctors are not isolated because they can use telemedicine to have opinion of other specialist physicians. Ordinary doctors can perform extra ordinary tasks with the help of telemedicine (Fouad, 2014).
In Australia more than three quarter area is classified as geographically remote. There is socio economic inequality, geographic isolation, cultural diversity, inequality of resources, and so on in the remote areas. The climatic conditions are extreme. In 2007, a working group of academicians and doctors developed a curriculum for remote medication.  The doctors were trained about remote medicine. The main features of remote medical practice included telemedicine. Telemedicine can help doctors to communicate with specialized physicians via online sources like video chat to discuss symptoms of disease and treatment strategies. This is a cost effective way to deal with health problems in remote areas (Janie D Smith, 2008).
This article focuses on the teleconsultation to remove geographical barriers in healthcare. When there is a significant distance between two areas then health care providers can utilize online applications for telemedicine.  The article analyzes telecommunications based on physician to physician. The PubMed electronic catalog was found out. There is reporting of results from electronic catalog. But the most significant factor was the use of telecommunication which resulted in change of diagnosis, treatment plan, rapid decision making, and so on. The study analyzed recent articles published on teleconsultations. It is indeed a less expensive way if diagnosing a disease. There is reliance on online sources to access specialists rather than visit them in their clinics and locations (Kolsoum Deldar, 2016).
3. Synthesis and critical evaluation of the literature. A synthesis means go beyond simply summarizing the ideas and evidence you found- integrate and organize the ideas in a way that provides insight on your specific question. A critical evaluation means to assess whether we have good reason to believe the arguments and evidence presented.


Discussion
The current research is to find out how information systems and information technology can have a positive or negative impact on the health care system. The world is progressing in information technology. There is much advancement like mobile devices, health related applications, computer based record system, and so on which can be integrated into the health care (Fouad, 2014). The healthcare system which is based on information technology can yield better outcomes for the patients, doctors, hospitals and so on. We have studied the utility of telemedicine in healthcare. The secondary sources were considered to see the overall impact of telemedicine. It was highlighted that telemedicine was originated to be a treatment strategy for people in the remote areas. But, the advance in information technology made it a convenient source of healthcare facilities (Janie D Smith, 2008). Apart from remote areas, people living in populated areas also depend on telemedicine to avoid wasting time in waiting rooms of hospitals. The physicians are using telemedicine to correspond with specialists regarding diagnosis and treatment plan. Patients can use health related applications to heck that health status like glucose, blood pressure and so on. Patients can choose the best medical professional based on their online search. Patients can video chat with physicians to get instant access to health care. The healthcare systems which are spending too much on healthcare can rely on telemedicine to lessen the cost (Kolsoum Deldar, 2016). Telemedicine would be a far better approach in the next few years because the advancement s in information technology is huge enough.
4. Discuss what the evidence and your conclusions imply about your research topic.
Conclusion
Telemedicine is an application which enables physicians to treat their patients through video chat remotely. Telemedicine is a software based solution which helps primary health caregivers to send photos of patients’ condition like skin allergy to a specialized doctor like dermatologist. The field of telemedicine is advancing faster as compared to the past. The excess to telemedicine tools have become easier with the advancement in telemedicine. There is a widespread affordability for telemedicine. There are facilities like online video chat, applications, and live video telemedicine facilities. The mobile and computer devices are easily available to everyone. There are many studies which were conducted to show the efficiency of telemedicine in terms of finances and treatment strategies. The healthcare system which is based on information technology can yield better outcomes for the patients, doctors, hospitals and so on. There is utility of telemedicine in healthcare.
















Works Cited

Fouad, H. (2014). Implementation of Remote Health Monitoring in Medical Rural Clinics for Web Telemedicine System. Int. J. Advanced Networking and Applications .
Janie D Smith, S. A. (2008). Defining remote medical practice. The Medical Journal of Australia , 1-3.
Kolsoum Deldar, K. B. (2016). Teleconsultation and Clinical Decision Making: a Systematic Review. 286-292.
The Ultimate Telemedicine Guide | What Is Telemedicine? (2018). Retrieved from https://evisit.com/resources/what-is-telemedicine/