| 12/22/2024 3:53:14 AM |
| Changed Course |
| CATALOG INFORMATION
|
| Discipline and Nbr:
MA 171 | Title:
ELECTRONIC HEALTH RECS |
|
| Full Title:
Electronic Health Records in the Medical Office Setting |
| Last Reviewed:4/27/2015 |
| Units | Course Hours per Week | | Nbr of Weeks | Course Hours Total |
| Maximum | 2.00 | Lecture Scheduled | 1.50 | 17.5 max. | Lecture Scheduled | 26.25 |
| Minimum | 2.00 | Lab Scheduled | 1.50 | 8 min. | Lab Scheduled | 26.25 |
| | Contact DHR | 0 | | Contact DHR | 0 |
| | Contact Total | 3.00 | | Contact Total | 52.50 |
| |
| | Non-contact DHR | 0 | | Non-contact DHR Total | 0 |
| | Total Out of Class Hours: 52.50 | Total Student Learning Hours: 105.00 | |
Title 5 Category:
AA Degree Applicable
Grading:
Grade Only
Repeatability:
00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As:
Formerly:
Catalog Description:
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Structural components of the interactive Electronic Health Record (EHR) and how it supports communication and continuity of care. Perspectives on how the EHR impacts work and workflow. Practical hands-on experience utilizing an educational version of an EHR to manage patient visit information, such as examination/assessment notes and treatment plans. Perform basic functions of practice management facilitating everyday financial operations in a medical practice.
Prerequisites/Corequisites:
Course Completion of MA 160
Recommended Preparation:
Eligibility for ENGL 1A or equivalent
Limits on Enrollment:
Schedule of Classes Information
Description:
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Structural components of the interactive Electronic Health Record (EHR) and how it supports communication and continuity of care. Perspectives on how the EHR impacts work and workflow. Practical hands-on experience utilizing an educational version of an EHR to manage patient visit information, such as examination/assessment notes and treatment plans. Perform basic functions of practice management facilitating everyday financial operations in a medical practice.
(Grade Only)
Prerequisites:Course Completion of MA 160
Recommended:Eligibility for ENGL 1A or equivalent
Limits on Enrollment:
Transfer Credit:
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP
ARTICULATION, MAJOR, and CERTIFICATION INFORMATION
| Associate Degree: | Effective: | | Inactive: | |
| Area: | | |
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| CSU GE: | Transfer Area | | Effective: | Inactive: |
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| IGETC: | Transfer Area | | Effective: | Inactive: |
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| CSU Transfer: | | Effective: | | Inactive: | |
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| UC Transfer: | | Effective: | | Inactive: | |
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| C-ID: |
Certificate/Major Applicable:
Both Certificate and Major Applicable
COURSE CONTENT
Student Learning Outcomes:
At the conclusion of this course, the student should be able to:
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1. Analyze the major components of an Electronic Health Record (EHR) and the purposes for a health care record.
2. Utilize the EHR in the work environment.
3. Utilize the software to document total patient encounter from clerical/administrative to clinical.
Objectives:
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Upon completion of the course, students will be able to:
1. Demonstrate understanding of the transition from paper medical charts to EHR.
2. Demonstrate an understanding of privacy, confidentiality, and security as it relates to EHR.
3. List the major components of an EHR.
4. Discuss the functional components of an EHR framework, such as: architecture, human-computer-interface, data content and vocabulary standards, and security control.
5. Categorize EHR content, purpose, formats and type of data, record standard, and documentation practices.
6. Document the clinical encounter so that it captures charge and patient revenue.
7. Document medical problem by applying: subjective, objective, assessment, plan (SOAP) format, to medication, and allergy data.
8. Integrate functional and content standards into examination/assessment notes, graphics and charts.
9. Outline the workflow patterns, standards, reference information, and alerts and reminders for medication orders and administration.
10. Select appropriate diagnostic and procedural codes in the preparation of billing and practice reports.
11. Create and manage electronic patient files.
12. Compare and contrast the federal, state, and regional electronic record initiatives.
Topics and Scope
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1. Introduction to Electronic Health Records (EHR)
A.The medical record
B.The EHR
C. Functions of a practice management program
D. Advantages and disadvantages of the EHR
E. Transition from paper to electronic health records
2. Overview of Electronic Health Records
A. Components within an EHR
B. Data entry into various fields
C. Printing and saving
D. Privacy and security
E. The EHR framework
F. EHR initiatives
G. Importance of the EHR
3. Health Care Regulation
A. Documentation of the medical record
B. Federal regulations
C. Health Insurance Portability and Accountablility Act (HIPAA) and EHR
D. Security and maintaining privacy
E. State and regional initiatives
4. Utilizing the EHR for reimbursement
A. Documentation of telephone messages and patient correspondence
B. Documentation of E-visits (email from patients)
C. Documentation of patient and family medical histories
D. Create a patient letter with clinical information
E. Documentation of vital signs and chief complaint
F. Scheduling
G. Consents, acknowledgements, advance directives, and authorizations
i. Consents and notices.
ii. Advance Directives.
iii. Authorization for release of information.
H. Documentation tools:
i. Templates and free-text narrative.
ii. Graphics and charts.
iii. Results reporting.
I. Medication orders and administration
Assignments:
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1. Required chapter readings (1-2 chapters per week).
2. Write one (2-3 page) research paper.
3. Complete assigned written review questions (10-15 per chapter) from textbook.
4. Multiple choice quizzes (2-4) and final exam.
5. Weekly computer lab exercises.
Methods of Evaluation/Basis of Grade.
| Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing. | Writing
10 - 15% |
| Research paper, | |
| Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills. | Problem Solving
10 - 30% |
| Review questions | |
| Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams. | Skill Demonstrations
30 - 35% |
| Computer exercises. | |
| Exams: All forms of formal testing, other than skill performance exams. | Exams
20 - 40% |
| Quizzes and final exam | |
| Other: Includes any assessment tools that do not logically fit into the above categories. | Other Category
0 - 0% |
| None | |
Representative Textbooks and Materials:
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The Electronic Health Record for The Physician Office with SIM Chart for the Medical Office, Devore, A., 2015, Saunders, Elsevier, Inc.
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