Course Number and Title: HIM 225 Technical Practicum
In this course, students apply concepts in a healthcare facility or in the health information management lab. Emphasis is placed on data collection, data verification, filing, abstraction, professionalism, legal issues, Health Information Portability and Accountability Act (HIPAA), release of information, documentation guidelines, electronic health records (EHR), record storage and imaging, the master patient index (MPI), and database usage.
Allied Health/Science Department Program Student Policy Manual Instructor handouts
- Use a healthcare facility’s organizational chart to classify the ownership, level of care, and role of the facility in the healthcare delivery system. (CCC 2, 4; PGC 5)
- Demonstrate skill in accurate collection, storage processing, and retrieval of health record information. (CCC 2, 4, 6; PGC 2, 3, 4)
- Perform quantitative and qualitative analysis of the health record content. (CCC 1, 2, 6; PGC 2, 4)
- Abstract information from the health record into a registry. (CCC 2, 6; PGC 2)
- Apply confidentiality laws, regulations, and policies in order to process and release appropriate health record information. (CCC 1, 2, 4; PGC 3, 4, 6)
See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.
Upon completion of this course, the student will:
- Use a healthcare facility’s organizational chart to classify the ownership, level of care, and role of the facility in the healthcare delivery system.
- Locate the facility and departmental organizational charts.
- Compare and contrast the various roles of healthcare professionals throughout the continuum of healthcare services.
- Compare and contrast the American Health Information Management Association (AHIMA) Code of Ethics with the code of ethics of another healthcare profession.
- Demonstrate skill in accurate collection, storage processing, and retrieval of health record information.
- Use a health information database to retrieve records or generate a report for a specified purpose.
- Generate and interpret a report detailing a patient’s recent discharge.
- Describe how the patient record and other patient data not yet part of the record arrives in the health information management (HIM) department and in the patient’s chart.
- Determine how data entered electronically in one part of an organization becomes a part of the official/legal and interoperable health record.
- Use a database tool and data elements for a specified time period and population to create a working index.
- Identify examples of external databases that support specific clinical or administrative work in a given setting.
- Perform quantitative and qualitative analysis of the health record content.
- Apply accreditation or licensing standards to determine the organization’s compliance with documentation standards.
- Identify the professional credentials of each contributor/provider.
- Conduct record analysis to ensure that documentation supports the diagnosis and reflects the progress, clinical findings, and discharge status.
- Inspect the accreditation certificates and licenses for a given facility.
- Review the process for developing facility-specific documentation guidelines.
- Identify procedures for reporting, tracking, and completing documentation deficiencies.
- Abstract information from the health record into a registry.
- Identify the types of registries used in a given setting.
- Determine the current case definition for a particular type of registry (i.e., a tumor or diabetes).
- Identify the hardware and software used to support a given registry.
- Identify the data elements applicable to a particular registry.
- Abstract data from cases, and correctly enter these data into a registry.
- Apply confidentiality laws, regulations, and policies in order to process and release appropriate health record information.
- Review various authorizations (i.e., court orders, subpoenas, insurance, and legal) for release of information.
- Apply and follow existing organization policies for the control, use, and release of medical information.
- Identify examples of specific federal and state laws that address confidentiality of patient information in a given setting.
- Review a request for health information to determine if the request meets regulatory and facility rules for release; as appropriate, process the request or follow procedures for denying the request, and identify the ethical challenges involved.
Students must demonstrate proficiency on all CCPOs at a minimal 75 percent level to successfully complete the course. The grade will be determined using the Delaware Tech grading system:
Students should refer to the Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.
- Apply clear and effective communication skills.
- Use critical thinking to solve problems.
- Collaborate to achieve a common goal.
- Demonstrate professional and ethical conduct.
- Use information literacy for effective vocational and/or academic research.
- Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
- Synthesize knowledge of medical sciences, clinical classification systems, vocabularies, and terminologies to effectively use, apply, and interpret health data.
- Consistently demonstrate leadership through the appropriate interpretation and evaluation of professional behaviors and ethical standards.
- Interpret regulatory, coding, legal, and clinical documentation standards to develop, implement, and evaluate compliance.
- Synthesize knowledge of health data and payment methodologies to evaluate the efficiency and effectiveness of revenue cycle processes.
- Apply legal, regulatory, privacy, and security standards to employ policies and procedures for health information collection, access, and disclosure.
- Analyze data to identify trends through the use of health information technologies.
The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. A listing of campus Disabilities Support Counselors and contact information can be found at the disabilities services web page or visit the campus Advising Center.