texas health information technology higher education inventory report

Transcription

TEXAS HEALTH INFORMATION TECHNOLOGY
HIGHER EDUCATION INVENTORY REPORT
February 3, 2012
Texas State University-San Marcos
Susan H. Fenton, PhD
Project Director
Acknowledgements
The Texas State University-San Marcos project staff wish to thank the Executive Committee for their
support, expertise and assistance.
Texas HIT Workforce Development Project Executive Committee Members
Amerigroup, Ann-Marie Price and Celia Manlove
Austin Community College, Kirk White and Pamela Stone
Baylor College of Medicine, Jenifer Jarriel
Capital Area Health Education Center, Becky Conditt
CentrEast Regional Extension Center, Teneka Duke and Yvonne Sanchez
CTG Health, J.A. “Joe” Miccio
Dallas Community College District, Shannon Ydoyaga
Gulf Coast Regional Extension Center, James Turley, PhD, RN
Health Information Management and Systems Society, Col. Ralph Franco, MBA, MHA, FACHE, FHIMSS,
DSHS, CISSP, CAP
Houston Community College, Carla Tyson-Howard
Midland Community College, Melinda Teel, RHIA, CCS
North Texas Regional Extension Center, Sally Williams
Office of e-Health Coordination
Sandlot Solutions, Telly Shackelford and Terry Richardson
Texas A&M Health Sciences Center, Kathy Mechler
Texas e-Health Alliance, Michael Stearns, MD, CPC, CFPC™
Texas Health Information Management Association, Rae Freeman
Texas Health Services Authority, Tony Gilman
Texas Medical Association, Shannon Moore
Texas Nurses Association, Mari Tietze, PhD, RN-BC, FHIMSS
Texas Office of e-Health Coordination, Stephen Palmer and Catherine Colman
Texas Organization of Rural & Community Hospitals, David Pearson, FACHE, MPA
Texas Workforce Solutions Dallas County, Eric Griffin and Laurie Bouillion Larrea
Texas Workforce Solutions Gulf Coast, Mary Koch and Rodney Bradshaw
Texas Workforce Solutions South Plains, Martin Aguirre and Rocky Brown
The University of Texas at Austin, Diane Kneeland, Ph.D. and Leanne H Field, Ph.D.
The University of Texas Health Science Center at Houston, James Turley, RN, Ph.D., and Juliana Brixey,
RN, Ph.D.
The University of Texas System, Kenneth I. Shine, M.D.
West Texas HIT Regional Extension Center, John Delaney and Mehdi Rais, M.D.
Texas State University-San Marcos Texas HIT Workforce Development Project staff:
Project Director:
Susan H. Fenton, Ph.D., RHIA, FAHIMA
Project Manager:
Elizabeth Joost
Project Secretary:
Cheryl Perez
Student Assistant:
Jimena Gongora
The project staff would also like to thank Nora Belcher, Executive Director of the Texas e-Health Alliance
and Brian Owens of the Governor’s office for their continued input and support.
Table of Contents
EXECUTIVE SUMMARY .................................................................................................................................. ii
Introduction .................................................................................................................................................. 1
Background ................................................................................................................................................... 1
Project Outline .............................................................................................................................................. 2
Methods ........................................................................................................................................................ 2
Higher Education Inventory Summary .......................................................................................................... 2
Figure 1 List of Texas HIT Programs January 31, 2012 .................................................................... 3
Figure 2 HIM/HIT Degrees Awarded 2009-2010 ............................................................................. 8
Figure 3 Map of Texas HIT Related Programs ................................................................................. 9
Regional Strategy for HIT Market in Texas ................................................................................................. 10
CAHIIM Accreditation ................................................................................................................................. 10
About CAHIIM ....................................................................................................................................... 11
Discussion.................................................................................................................................................... 11
References .................................................................................................................................................. 12
Appendix A List of Texas HIT Programs by Program Type .......................................................... A-1
Appendix B Definitions.................................................................................................................B-1
Appendix C .................................................................................................................................... C-1
Appendix D CAHIIM Curriculum Requirements AHIMA 2011 Curriculum
Competencies and Knowledge Clusters for Health Information
Management (HIM) Education at the Associate Degree Level ...................................... D-1
Appendix E 2011 AHIMA Curriculum Competencies and Knowledge Clusters Health Information Management Baccalaureate Degree ............................................... E-1
Appendix F Curriculum Map – Health Information Management (HIM) Master’s
Degree .............................................................................................................................. F-1
i
EXECUTIVE SUMMARY
The Texas economy stands to save as much as $14.2 billion in unnecessary healthcare expenditures
annually if it can effectively implement and maintain an interoperable electronic health information
infrastructure (IEHI) including electronic health records (EHRs) and health information exchanges (HIEs).
However, a requirement for achieving these savings will be a trained health information technology
(HIT) workforce capable of implementing and maintaining the hardware and software, as well as a
trained healthcare workforce capable of using the HIT in their day-to-day duties. Texas currently has
higher education programs that focus on Health Information Technology as follows:
•
•
•
•
•
48 (credit + non-credit) certificates available
26 associate degree programs
2 baccalaureate degree programs
2 master’s degree programs
1 doctoral degree program
These programs do not currently have a process for coordinating across the educational levels.
However, these findings, combined with the results from the HIT employer needs assessment will
inform the development of a long-term, collaborative HIT educational plan for Texas.
ii
Introduction
The Texas economy stands to save as much as $14.2 billion in unnecessary healthcare expenditures
annually if it can effectively implement and maintain an interoperable electronic health information
infrastructure (IEHI) including electronic health records (EHRs) and health information exchanges (HIEs).
However, a requirement for achieving these savings will be a trained health information technology
(HIT) workforce capable of implementing and maintaining the hardware and software, as well as a
trained healthcare workforce capable of using the HIT in their dayto-day duties. To implement the new technology
effectively and reap the benefits, Texas employers,
The Texas economy stands to save as
providers, consultants, EHR vendors and technology
much as $14.2 billion in unnecessary
companies, needs for a well-trained HIT
healthcare expenditures annually if it can
workforce are expected to number in the
effectively implement and maintain an
thousands and include skills, knowledge, and
interoperable electronic health
roles not included in current federally funded
information infrastructure (IEHI) including
programs. The Higher Education Inventory
electronic health records (EHRs) and
data, combined with the Employer Needs
health information exchanges (HIEs).
Assessment data, will serve as the
foundational core for developing a long-term
Health Information Technology Workforce Education
plan in grant Year 2. This report will provide a brief
background of the emergence of HIT education, a description
of the Year 1
grant program requirements, and the process for compiling
data in Year 1.
The
information provided is a snapshot of the current status of
Health
Information
Management (HIM) and Health Information Technology (HIT) Higher Education programs in Texas
including a current program list, the program locations in the state, if programs are Commission on
Accreditation for Health Informatics and Information Management Education (CAHIIM) accredited, and
if programs have received funding from the Health Information Technology for Economic and Clinical
Health (HITECH) Act for HIT training.
Background
At one time, physicians treated patients in their community throughout the patient’s life cycle, from
birth to death, relying on a paper-based medical record stored in their office. Since then, the complexity
of healthcare, the cost of healthcare and the potential for medical errors has skyrocketed. As
technological advancements have increased, Electronic Health Records are naturally emerging and many
practitioners are transitioning from paper-based to electronic record keeping processes. The
advancement of electronic health record implementation is being stimulated through funding from the
United States Department of Health and Human Services and promoted through the Office of the
National Coordinator for Health Information Technology. As privacy and security standards are achieved
and quality implementation procedures become the norm, electronic health records stand to reduce the
cost of healthcare and increase patient safety.
P a g e |1
Texas HIT Higher Education Inventory Report
Project Outline
The Year 1 grant program required a statewide higher education inventory of the identifiable health
information technology-related degree programs and the institution’s capacity to increase HIT
programs, collection of the program’s health information technology curriculum content, and the
number of students registered and graduated. In addition to the inventory-required data, the following
information was also compiled: a list of HIT certificate programs (degree and non-degree professional
education), which Texas HIT related programs are CAHIIM accredited, and which listed programs have
received HITECH funding.
Methods
A modified survey method was used to acquire the data for the Texas HIT Higher Education Inventory
Report. Rather than a “sample” of statewide educational programs, the grant team completed an
inventory of all of the Texas programs through internet searches, emails to program directors, and
phone calls to program directors. The search for program syllabi was aided by Texas House Bill 2504
which requires all public institutions of higher education in Texas to have course syllabi readily
accessible on the institutions website. A database was created to assimilate the data in one location
and the database is maintained by the Graduate Research Assistant. The database is stored in TRACS, a
secure Texas State University teaching, research, and collaborative virtual environment.
Higher Education Inventory Summary
Syllabi from the HIT related programs have been gathered in Year 1, and will be analyzed in Year 2 to
determine gaps in the Texas HIT Degree and Non-Degree Higher Education Programs. Although some
MBA and Public Health programs in the state offer a course in Health Information Technology, the
survey did not find dedicated HIT programs in the MBA programs.
Figure 1 provides a comprehensive list of the identified higher education organizations having HIT
related programs in the state of Texas. It is a snapshot in time, as programs are continuously being
added or closed. Also included are the HIT related certificate programs and associate degree programs
which outnumber the bachelor degree programs, masters programs, and doctorate programs that focus
on Health Information Technology.
Page | 2
Figure 1
List of Texas HIT Programs
January 31, 2012
College/University
HITECH Grantee * Proprietary School $
HIT Related Programs
Available Credentials: RHIA RHIT
**Program Discontinuing
Basic
CAHIIM
Intermediate
Accredited
Advanced
Amarillo College
Medical Data Certificate
Basic
Austin Community College
Medical Coding Certificate
Basic
Austin Community College*
Associate degree in HIM
Intermediate
Central Texas College
Health Information Management
Certificate
Basic
College of the Mainland
Associate degree in HIM (RHIT)
Collin County Community College
Medical Coding and Billing Certificate
Dallas Community College- Mountain View *
Medical Records Coding Certificate
Basic
Dallas Community College-Richland College*
Healthcare IT Support Specialist
Certificate
Basic
Insurance Coding and Billing
Certificate
Basic
Del Mar College
Coding Specialist Certificate
Basic
Del Mar College
√
Intermediate
DeVry University Dallas $
√
Intermediate
DeVry University Houston $
√
Intermediate
El Paso Community College
√
Intermediate
Hallmark College-San Antonio $
Health Information Specialist
Certificate
Basic
Houston Community College System
Health Information Analysis
Certificate
Basic
Page | 3
√
Intermediate
Basic
√
Intermediate
College/University
Basic
CAHIIM
Intermediate
Accredited
Advanced
Health Information Coding Certificate
Basic
Cancer Data Management Certificate
Basic
√
Intermediate
Howard College
√
Intermediate
Lamar Institute of Technology
Health Informatics Certificate
Laredo Community College
Medical Office Assistant Certificate
Basic
Basic
Lee College
Basic
Lee College
Basic
Lee College
Medical Transcription Technician
Certificate
Basic
Lee College
Associate Degree in HIM (RHIT)
Lone Star College
Hospital Based Coding Certificate
Basic
Lone Star College
Physician Based Coding Certificate
Basic
Lone Star College
Associate Degree in HIM (RHIT)
McLennan Community College
Midland College*
Health Data Coordinator Certificate
Basic
Midland College*
Health Data Specialist – Health Care
Facility
Basic
Midland College*
Health Data Specialist – Physician
Practice Management
Basic
Page | 4
Basic
√
√
√
Intermediate
Intermediate
Intermediate
Basic
√
Intermediate
College/University
Basic
CAHIIM
Intermediate
Accredited
Advanced
Midland College*
Midland College*
Odessa College
Medical Transcription Certificate
Basic
Odessa College
Basic
Odessa College
Intermediate
Panola College
Medical Coding Technician Certificate
Basic
Panola College
Medical Office Management
Certificate
Basic
Panola College
Paris Junior College
Basic
Saint Phillip's College
Basic
Documentation Coding Specialist
Certificate
Basic
Certificate
Basic
San Jacinto College North
Medical Billing and Coding Certificate
√
Intermediate
South Plains College
Associate degree in HIM (RHIT)**
√
Intermediate
South Texas College
South Texas College
√
Intermediate
Tarrant County College- Northeast
√
Intermediate
Temple College*
HIT CE Training
Page | 5
Basic
√
√
√
Intermediate
Intermediate
Intermediate
Basic
Basic
Basic
College/University
Basic
CAHIIM
Intermediate
Accredited
Advanced
Texas Southern University
Baccalaureate degree in HIM (RHIA)
Texas State Technical College- Abilene
Texas State Technical College at Harlingen
Medical Information Specialist
Certificate
Basic
Transcriptionist Certificate
Basic
Texas State University- San Marcos*
Health Information Management
Certificate
Basic
Privacy & Security Certificate
Basic
Baccalaureate degree in HIM (RHIA)
Trinity Valley Community College
Medical Administrative Assistant
Certificate
Basic
Certificate
Basic
Tyler Junior College
UT Austin*
Privacy and Security Certificate
Intermediate
UT Austin*
Health IT & Exchange Specialist
Certificate Program
Intermediate
UT Austin*
Public Health Leader Certificate
Advanced
UT Brownsville
Certificate
Basic
UT Brownsville
Basic
UT School of Biomedical Informatics at
Houston*
Certificate of Health Informatics
Intermediate
Houston*
Certificate of Public Health
Intermediate
Houston*
Master of Science in Health
Informatics
Advanced
Page | 6
√
Intermediate
Basic
√
√
√
√
Intermediate
Intermediate
Intermediate
Intermediate
College/University
Basic
CAHIIM
Intermediate
Accredited
Advanced
Houston*
Master of Science in Applied Health
Informatics
Advanced
Houston*
Ph.D. in Health Informatics
Advanced
Vernon College
√
Intermediate
Wharton Junior College
√
Intermediate
The state of Texas currently has 40 colleges/universities that have programs that focus on Health
Information Technology as follows:
•
•
•
•
•
48 (credit + non-credit) certificates available
26 associate degree programs
2 baccalaureate degree programs
2 master’s degree programs
1 doctoral degree program
Only 2 of the schools out of 40 are proprietary schools, DeVry University (at Houston and Dallas) and
Hallmark College at San Antonio. The other 38 schools are public colleges/universities. Of the total
number of programs responded, the reported enrollment figures follow:
•
•
•
•
•
1,029 enrolled in (credit + non-credit) certificate programs
846 enrolled at the associate degree level
139 enrolled at the baccalaureate degree level
109 enrolled at the master’s level
29 enrolled at the doctoral level (plan to admit 10 more in 2012)
**Even as this report is created, our Executive Committee members are providing live feedback on
changes in program status across the state. As of May 2011, South Plains College has closed their AAS
HIT program with their last graduates in May 2011. Although schools are discussing new programs, no
definitive plans were found. To increase the number of HIT programs at public universities, programs
must first be approved through the Texas Higher Education Coordinating Board. The next step, in
program Year 2, will be to analyze the syllabi in conjunction with TWC to develop a statewide plan for
HIT Higher Education.
Page | 7
Figure 2
HIM/HIT Degrees Awarded 2009-2010
School Year
HIT/HIM Related Degrees Awarded
Total for CIP Code 51070600-Health
Information/Medical Records
Administration
TOTAL for CIP Code 51070700-Health
Information/Medical Records Technician
Total for CIP Code 51070800-Medical
Transcriptionist
Total for CIP Code 51071300-Medical
Insurance Coding Specialist
TOTALS
Certificate
Level
Associate
Level
2009-10
Bachelor
Level
40
56
192
45
193
294
192
40
“The Texas CIP Codes are used to identify degree and certificate programs, courses, and declared majors
on the reports and inventories of the Texas Higher Education Coordinating Board.”
Texas Higher Education Coordinating Board - 02/03/2012
http://www.txhighereddata.org/
The 2010-2011 data is currently being reviewed and will be accessible publicly on the Texas Higher
Education Data site in mid-February 2012.
Page | 8
Figure 3
Map of Texas HIT Related Programs
Copyright © and (P) 1988–2010 Microsoft Corporation and/or its suppliers.
All rights reserved. http://www.microsoft.com/mappoint/ Certain mapping and direction data © 2010 NAVTEQ. All
rights reserved.
Page | 9
Regional Strategy for HIT Market in Texas
The location of HIT-related programs across the state provides a visual which will be helpful in mapping
a regional workforce strategy for the long-term Health Information Technology Workforce Education
plan.
The HITECH-funded Community College Consortia Programs provide assistance to five regional
recipients to establish a multi-institutional consortium within each designated region. The five regional
consortia include 70 community colleges in total. Each college creates non-degree training programs
that can be completed in six months or less by individuals with appropriate prior education and/or
experience. Three schools in Texas were given funding for this project:
•
•
•
Dallas County Community College District in Consortium with Austin Community College and
Temple College
Houston Community College
Midland College
The HITECH-funded University-based training programs produce trained professionals for vital, highly
specialized health information technology roles. Most trainees in these programs will complete intensive
courses of study in 12-months or less and receive a university-issued certificate of advanced training.
Other trainees supported by these grants will study toward master’s degrees. Funding was given to
Texas State University-San Marcos through The Professional University Resources and Education for
Health Information (PURE-HIT consortium).
PURE-HIT is a consortium project supported by the U.S. Department of Health and Human Services
Office of the National Coordinator for Health Information Technology (ONC). PURE-HIT disbursed
funding to the following schools:
•
•
•
Texas State University-San Marcos
University of Texas at Austin, College of Natural Sciences
University of Texas Health Science Center at Houston
CAHIIM Accreditation
Based on the Higher Education Skills Inventory, there is evidence showing that there are many programs
that have been CAHIIM (Commission on Accreditation for Health Informatics and Information
Management Education) accredited in Texas. CAHIIM accredits associate and baccalaureate degree
programs in health information management, and masters’ degree programs in the health informatics
and health information management professions in the United States and Puerto Rico. It is a rigorous
process to become CAHIIM accredited.
For program completers to sit for one of the American Health Information Management Association
(AHIMA) Certifications, such as the Registered Health Information Technician (RHIT) or the Registered
Health Information Administration (RHIA) credential, the program must be CAHIIM accredited.
Page | 10
About CAHIIM
CAHIIM accredits associate and baccalaureate degree programs in health information management, and
masters’ degree programs in the health informatics and health information management professions in
the United States and Puerto Rico. It is a rigorous process to become CAHIIM accredited.
CAHIIM has reviewed and accredited 27 associate and baccalaureate programs in Texas which are
indicated by an asterisk in Figure 1. Currently, there are no Master’s programs that are CAHIIM
accredited in the state.
The standards for each level of education are provided in the appendices. Appendix D depicts the
CAHIIM requirements for an associate degree in HIM, Appendix E depicts the CAHIIM requirements for a
baccalaureate degree in HIM, and Appendix F depicts the CAHIIM requirements for a master’s degree in
HIM.
Additional CAHIIM information can be obtained at: http://www.cahiim.org/
Discussion
It is evident that the majority of HIT programs in Texas are associate degree programs and/or
undergraduate certificate programs. The majority of the workforce training consists of these programs.
There are only two baccalaureate degree programs and one institution offering graduate degrees in
Texas. In the emerging field of HIT, it is reasonable to expect that this will not be adequate for the
future.
Page | 11
References
1.
The Texas Higher Education Coordinating Board. Texas Higher Education Data. Available at:
http://www.txhighereddata.org/. Accessed February 3, 2012.
Page | 12
Appendix A
List of Texas HIT Programs by Program Type
College/University
*HITECH Grantee $Proprietary School
Certificate Programs
Amarillo College
Medical Data Certificate
Central Texas College
Health Information Management Certificate
Dallas Community College- Mountain View *
Medical Records Coding
Healthcare IT Support Specialist Certificate
Del Mar College
Hallmark College-San Antonio $
Health Information Analysis Certificate
Health Information Coding Certificate
Health Informatics Certificate
Medical Office Assistant Certificate
Lee College
Medical Transcription Technician Certificate
Lone Star College
Hospital Based Coding Certificate
Physician Based Coding Certificate
Midland College*
Medical Coding and Billing Certificate Healthcare Facility
Certificate
Health Data Coordinator Certificate
Health Data Specialist-Practice Management Certificate
Health Data Specialist- Healthcare Facility Certificate
Odessa College
Medical Transcription Certificate; Medical Coding Certificate
Panola College
Medical Coding Technician Certificate
Medical Office Management Certificate
Paris Junior College
Documentation Coding Specialist Certificate
Health Information Specialist Certificate
Medical Billing and Coding Certificate
South Texas College
Medical Information Specialist Certificate
A-1
College/University
Certificate Programs
Transcriptionist Certificate
Health Information Management Certificate
Medical Administrative Assistant Certificate
UT Austin*
Public Health Leader Certificate
UT Brownsville Texas Southmost College
Houston*
Certificate of Health Informatics
Certificate of Public Health
College/University
Associate Degree Programs
**Discontinuing
College of the Mainland
Dallas County Community College
Del Mar College
DeVry University Dallas $
DeVry University Houston $
El Paso Community College
Howard College
Lee College
Lone Star College
Midland College*
Odessa College
Panola College
South Plains College
Associate degree in HIM**
South Texas College
Tarrant County College- Northeast
A-2
College/University
Associate Degree Programs
Tyler Junior College
Vernon College
Wharton Junior College
College/University
Baccalaureate Degree Programs
Texas Southern University
Baccalaureate degree in HIM
Baccalaureate degree in HIM
College/University
Houston*
Graduate Degree Programs
Master of Science in Health Informatics
Master of Science in Applied Health Informatics
College/University
Houston*
Doctoral Degree Programs
Ph.D. in Health Informatics
A-3
Appendix B
Definitions
Basic/Entry Level Skills- having operational medical terminology knowledge, basic computer skills, and
an understanding of how patient information should flow in clinical settings.
Intermediate Level Skill- having knowledge of HIT products; familiarity with vendors; the ability to
negotiate contracts; proficient knowledge of HIPAA, state privacy and security regulations; knowing
“meaningful use”; having problem solving and critical thinking skills relative to implement and using HIT
systems (ex: root cause analysis, flowcharting);having advanced clinical knowledge; having advanced
understanding of uses of HIT for patient management/education needs; ability to use data
management, data mining/report creating and data sharing skills; having project management skills
related to HIT projects.
Advanced Level Skills- Must possess management skills to direct technical and non-technical staff; must
be able to strategically think in relation to EHR/HIT implementation/management; ability to interact
with senior management and above in HIT governance; must have advanced use of analytics/data from
HIT systems for planning; be able to use financial decision making and negotiating skills; ability to design
HIT databases and systems.
Non-provider core competencies:
Basic/Entry Level Skills- is able to provide customer service, be able to communicate with others, have
interpersonal skills and be able to train.
Intermediate Level Skills- have knowledge of HIT products, familiarity with vendors, ability to negotiate
contracts; have knowledge of data management, data mining and data sharing; understand “meaningful
use” and which HIT system can produce data needed for demonstrating compliance
Advanced Level Skills- have the ability to strategically plan and have prominent analysis skills; know
database system design; be proficient in HIT systems implementation and management; be able to
software/hardware engineer.
B-1
Appendix C
Entry Level
Title
Health Information Management Intern
Requirements
RHIT or RHIA credentials
Intermediate Level
Informatics Specialist
Bachelor's degree required in Nursing or Science
along with appropriate clinical system
implementation experience. Course work in
project management and/or training preferred.
Product Manager
Bachelor’s Degree in Healthcare, Marketing,
Engineering, or Business Administration.
3+ years’ experience in clinical product
management or related clinical informatics
experience. 5+ years’ experience in Medical
Informatics applied to healthcare IT. Excellent Oral
and written communication skills. Strong analytical
and process skills.
Supervisory Medical Records Administrator
Three years of experience in the field of medical
record. An associate's degree in the health
information field.
Clinical Documentation Specialist Consultant (CDI) Require 5 years of HIM coding experience
Hands-on expertise with IP coding.
RHIA, RHIT, CCS, RN, BSN desired. Masters
preferred
HIM Supervisor
RHIA, RHIT. Previous hands-on supervisory
experience.
Health Information Management Informaticist
Bachelor’s degree in HIM, IT or related field.
Preferred Master’s degree. 4 years of HIM
experience to include 2 years in computer
operations. Preferred experience in health related
environment. Prefer RHIT, RHIA
HIM Database/Reporting Administrator
Must have a Bachelor's degree in HIM, IT,
mathematics, Business Administration. Prefer HIM
experience or IT experience. Prefer experience
working with the Epic software application. Prefer
experience in health related environment
ICD-10 Consultant
ICD-10 Subject Matter Expert. Operational
Assessments and Follow-up. Training / education /
auditing. Thorough knowledge of the hospital
revenue cycle. Project Management. Excellent
written and verbal communication skills.
C-1
Intermediate Level
Medical Data Specialist
Bachelor’s degree; Biomedical and
Biomathematics graduates encouraged to apply.
Attention to detail. Proficient with Excel and/or
access. Familiarity with PowerPoint.
Background in pharmaceutical industry preferred.
HIM/Revenue Cycle Consultant
Advanced knowledge of the principles and
practices of ICD-10-CM and CPT coding guidelines.
Bachelor’s Degree in Health Information
Management. RHIA and CCS certification
Quality, Risk, and Health Information Manager
RHIT/RHIA certified. A minimum of five (5) years
position-related healthcare experience in project
management, data analysis, and creation of
spreadsheets. Strong communication skills and
proficiency with Microsoft applications. RN/CPHQ
Specialist-health Information Management
Knowledge of medical record processing. Good
communication skills.
Onsite Adjunct Healthcare Management Instructor Bachelor’s degree in a Health Care, Master’s
degree preferred. Letters of recommendation or
attestations from previous employer(s). Zero to
two years’ experience in instruction or formalized
education process. Membership in a professional
association tied to area of instruction preferred
Excellent verbal and written communication skills.
QA Leader-HC
Bachelor's degree in Engineering, Medical Device
Technology or Scientific Field and 3+ years of
Quality Assurance, Quality Control and/or
Regulatory Affairs experience in medical device or
pharmaceutical industry.
Shared Services Consultant
Strong verbal and written communication skills.
Possess strong project management and
organizational skills, be detail oriented, and be
proficient in using Microsoft Office products.
Bachelor’s degree and 5+ years of healthcare
experience.
Administrator-Health Information Management
Master's degree in health information
Job
management or related field. 3-5 years’
experience in HIM/ and or administration
required.
Senior Application Analyst/RN
Bachelor's Degree in Nursing. Minimum of three
years clinical experience as a Registered Nurse
Experience in patient care management
Experience in computer applications and
implementation processes desirable.
C-2
Intermediate Level
HIM Specialist
Three years of experience in a healthcare
environment or equivalency. Demonstrated
knowledge of basic health information processes,
medical terminology, anatomy and physiology, and
HIPAA regulations.
HIM Operations manager (Acute care hospital)
Must have Bachelor’s Degree. Prefer CPEHR or
RHIA/RHIT. Must have 5 years Acute Care HIM
experience and leadership skills. Must have
excellent Customer Service skills
Informatics Terminology Specialist
Bachelor's degree in a clinical and/or health care
field. At least three years of project leadership
experience in medical terminology. Previous
experience with SNOMED, LOINC, ICD9, or CPT4 is
preferred. Experience with medications knowledge
base, such as First Databank, Medispan preferred
Data analysis/query experience preferred
Computer science backgrounds either through
courses or work experience, preferred.
Manager Clinical Effectiveness
Bachelor’s Degree required. Master's level
education or course work preferred. Certification
in quality improvement strongly desired. Three
years’ experience in project management and
leading/facilitating teams utilizing performance
improvement methodology such as Six Sigma or
Lean required. Two years’ experience in
performance/quality improvement required.
Health Record Clinical Transformation Specialist
Bachelor of Science in a clinical/HIM area and
Five or more years of related clinical experience.
Bachelor of Science in Health Information
Management analyzing clinical workflow processes
utilizing PDCA, Lean, Six Sigma or other clinical
improvement methodologies. Leadership and
management experience Familiarity with
information systems and clinical software
Excellent organizational, advanced analytical,
presentation, interpersonal, written and verbal
communication skills.
HIM Facility Leader
RHIA or RHIT required. Undergraduate degree
required, strongly prefer a HIM degree. A
minimum of one year of HIM department
experience is preferred. A minimum of one year
healthcare management experience is strongly
preferred.
C-3
Advanced Level
Physician leader-CMIO
Certified Licensed Technician. Minimum of 3 years’
experience with medical informatics leadership
role.
Data & Interface Analyst
Bachelor’s degree in information systems, finance,
or similar field of study. 5+ years in healthcare
clinical data analysis and 2+ years in HL7 interface
development management of HL7 interfaces.
Database Administrator
or similar field of study. 5+ years in database
management and 2+ years in Microsoft SQL
experience.
Service and Security Administrator
or similar field. 5+ years in management of UNIX or
AIX environments and 2+ years of experience
managing information security requirements
Clinical Information Analyst
Experience in clinical information systems,
healthcare terminology required. Clinical
Document Architecture (CDA), Continuity of Care
Document (CCD). HLC standards a plus. Basic
knowledge of XML and UML required. Clinical
and/or informatics degree preferred.
Clinical Data Analyst (for Joint Commission)
Bachelor's degree in Health Information
Technology, Computer Science. Masters preferred.
Three to five years of quality assurance and/or
application development work experience,
preferably within a health care setting. Ability to
understand concepts governing relational
database structures, use reporting/query tools and
construct SQL statements.
Medical Records Director (Health Information
Associate’s degree in Medical Records
Director/Privacy Officer)
Science/Health Information Technology. RHIA or
RHIT certification. 2-5 years medical records
experience. Proficiency with coding and Microsoft
applications (especially Excel) required. Previous
supervisory experience required.
Director of Performance Improvement
Bachelor's degree in healthcare profession or
industrial engineering. Certification in Lean Six
Sigma. Prior experience in continuous quality
improvement in a healthcare/hospital
environment. Ability to lead, manage and drive
lean/six sigma footing. Previous clinical experience
is a plus.
HIM Director and Privacy Officer
RHIA or RHIT. Minimum 3 years’ experience as an
acute care hospital HIM manager/director.
*Note: HIT job titles are evolving in the industry.
C-4
Appendix D
CAHIIM Curriculum Requirements
AHIMA 2011 Curriculum Competencies and Knowledge Clusters for Health Information
Management (HIM) Education at the
Associate Degree Level
Program/Institution Name/City/State:
To use this template for CAHIIM accreditation purposes, please document the course or courses (in
Column 3) by prefix and number, that contain the knowledge clusters listed in Column and those
courses that address achievement of Entry-Level Competency for each Domain and Subdomain (Column
1). Note that each knowledge cluster contains the term and number corresponding to the New Version
of Bloom’s Taxonomy (see page 6 of this document). Where a knowledge cluster is specified at a higher
taxonomy level, it is expected that the content will be introduced and reinforced in the curriculum,
which in some cases may occur in more than one course in the program. When this occurs please list all
courses that cover the knowledge cluster and that build toward entry-level competence. Please upload
all program professional course syllabi in the CAS self-assessment online system when requested.
[Note: The template also includes: Column 3 – List the Course(s) Prefix and Number that contain each
of the Knowledge Clusters as listed in Column 2 and those courses that address achievement of EntryLevel Competency for each Domain and Subdomain (Column 1)].
Column 1 - HIM Associate Degree Entry-Level Competencies
(Student Learning Outcomes)
I. Domain: Health Data Management
Health Data Structure, Content, and Standards
•
•
I.A. Subdomain: Health Data Structure,
Content, and Standards
1.
•
Collect and maintain health data
(such as data elements, data sets, and
databases).
2.
Conduct analysis to ensure that documentation
in the health record supports the diagnosis and
reflects the patient’s progress, clinical findings, and
discharge status.
3.
Apply policies and procedures to ensure the
accuracy of health data.
Column 2 - Knowledge Clusters
(Curricular Components)
•
•
•
•
I.B. Subdomain: Healthcare Information
Requirements and Standards
Data versus information (Analyzing, 4)
Health information media (such as paper,
computer, web-based) (Analyzing, 4)
Structure and use of health information
(individual, comparative, aggregate) (Analyzing,
4)
Health record data collection tools (forms,
screens, etc.) (Analyzing, 4)
Data sources (primary/secondary) (Analyzing, 4)
Data storage and retrieval (Analyzing, 4)
Healthcare data sets (such as OASIS, HEDIS,
DEEDS, UHDDS) (Understanding, 2)
Healthcare Information Requirements and
Standards
1.
Monitor and apply organization-wide
health record documentation guidelines.
•
2.
Apply policies and procedures to ensure
•
D-1
Type and content of health record (paper,
electronic, computer-based, e-health-personal,
web-based) (Evaluating, 5)
Health record documentation requirements
organizational compliance with regulations
and standards.
•
3.
Maintain the accuracy and completeness
of the patient record as defined by
organizational policy and external regulations
and standards.
4.
Assist in preparing the organization for
accreditation, licensing, and/or certification
surveys.
I.C. Subdomain: Clinical Classification Systems
1.
Use and maintain electronic applications
and work processes to support clinical classification
and coding.
2.
Apply diagnosis/procedure codes
according to current nomenclature.
Clinical Classification Systems
•
•
3.
Ensure accuracy of diagnostic/procedural
groupings such as DRG, MSDRG, APC, and so on.
4.
Adhere to current regulations and established
guidelines in code assignment.
5.
Validate coding accuracy using clinical
information found in the health record.
6.
Use and maintain applications and processes
to support other clinical classification and
nomenclature systems (ex. DSM IV, SNOMED-CT).
7.
Resolve discrepancies between coded data
and supporting documentation.
(such as accreditation, certification, licensure)
(Evaluating, 5)
Data quality and integrity (Analyzing, 4)
•
•
•
•
•
D-2
Classifications, taxonomies, nomenclatures,
terminologies, and clinical vocabularies such as
SNOMED-CT (Analyzing, 4)
Principles and applications of coding systems
(such as ICD, CPT, DSM) (Evaluating, 5)
Diagnostic and procedural groupings (such as
DRG, APC, RUGs) (Evaluating, 5)
Case mix analysis and indexes (Analyzing, 4)
Severity of illness systems (Analyzing, 4)
Coding compliance strategies, auditing, and
reporting (such as CCI, plans) (Evaluating, 5)
Coding quality monitors and reporting
(Evaluating, 5)
I.D. Subdomain: Reimbursement Methodologies
Reimbursement Methodologies
1.
Apply policies and procedures for the use of
clinical data required in reimbursement and prospective
payment systems (PPS) in healthcare delivery.
2.
Apply policies and procedures to comply with the
changing regulations among various payment systems
for healthcare services such as Medicare, Medicaid,
managed care, and so forth.
3.
Use established guidelines to comply with
reimbursement and reporting requirements such as
the National Correct Coding Initiative.
5.
Compile patient data and perform data quality
reviews to validate code assignment and
compliance with reporting requirements, such as
outpatient prospective payment systems.
6.
Ensure accuracy of diagnostic/procedural
groupings such as DRG, APC, and so on.
•
•
•
•
Collect, maintain, and report data for clinical
indices/databases/registries to meet specific
organization needs such as medical research and
disease registries.
Collect, organize, and present data for quality
management, utilization management, risk
management, and other related studies.
3.
Comprehend basic descriptive, institutional,
and healthcare vital statistics.
Commercial, managed care and federal
insurance plans (Analyzing, 4)
Compliance strategies and reporting (Applying,
3)
Payment methodologies and systems (such as
capitation, prospective payment systems,
RBRVS) (Analyzing, 4)
Billing processes and procedures (such as claims,
EOB, ABN, electronic data interchange)
(Analyzing, 4)
Chargemaster maintenance (Evaluating, 5)
Regulatory guidelines (NCDs and QIOs) (3)
Reimbursement monitoring and reporting
(Evaluating, 5)
Healthcare Statistics and Research
II.A. Subdomain: Healthcare Statistics
and Research
2.
•
•
•
•
II. Domain: Health Statistics, Biomedical
Research, and Quality Management
1.
•
•
Support accurate billing through coding,
chargemaster, claims management, and bill
reconciliation processes.
4.
•
•
•
•
Indices, databases, and registries (Analyzing, 4)
Vital statistics (Evaluating, 5)
Healthcare statistics (Evaluating, 5)
Descriptive statistics (such as means, frequencies,
ranges, percentiles, standard deviations)
(Understanding, 2)
Statistical applications with health care data
(Applying, 3)
Data selection, interpretation, and presentation
(Evaluating, 5)
Knowledge-based research techniques (such as library,
MEDLINE, web-based)(Evaluating, 5)
II. Domain: Health Statistics, Biomedical Research,
and Quality Management
Quality Management and Performance
Improvement
II.B. Subdomain: Quality Management and
Performance Improvement
•
D-3
Quality assessment and improvement (such as
process, collection tools, data analysis,
reporting techniques) (Applying, 3)
1.
2.
Abstract and report data for facility-wide quality
management and performance improvement
programs.
•
•
Analyze clinical data to identify trends that demonstrate
quality, safety, and effectiveness of healthcare.
III. Domain: Health Services Organization and Delivery
III.A. Subdomain: Healthcare Delivery Systems
1.
2.
Utilization management, risk management, and
case management (Understanding, 2)
Regulatory quality monitoring requirements
(Applying, 3)
•
Outcomes measures and monitoring
(Applying, 3)
Healthcare Delivery Systems
•
Apply current laws, accreditation, licensure, and
certification standards related to health information
initiatives from the national, state, local, and
facility levels.
•
Differentiate the roles of various providers and
disciplines throughout the continuum of healthcare
and respond to their information needs.
•
•
III.B. Subdomain: Healthcare Privacy, Confidentiality,
Legal, and Ethical Issues
Organization of healthcare delivery in the
United States (Analyzing, 4)
Healthcare organizations structure and
operation (Analyzing, 4)
External standards, regulations, and initiatives
(such as licensure, certification, accreditation,
HIPAA, ARRA) (Analyzing, 4)
Healthcare providers and disciplines
(Analyzing,4)
Healthcare Privacy, Confidentiality, Legal, and
Ethical Issues
1.
Adhere to the legal and regulatory requirements
related to the health information infrastructure.
2.
Apply policies and procedures for access and
disclosure of personal health information.
3.
Release patient-specific data to authorized users.
•
4.
Maintain user access logs/systems to track access
to and disclosure of identifiable patient data.
•
5.
Apply and promote ethical standards of practice.
•
•
•
•
IV. Domain: Information Technology & Systems
Legislative and regulatory processes (Applying,
3)
Legal terminology (Applying, 3)
Health information/record laws and regulations
(such as retention, patient rights/advocacy,
advanced directives, privacy) (Evaluating, 5)
Confidentiality, privacy, and security policies,
procedures, and monitoring (Evaluating, 5)
Release of information policies and procedures
(Evaluating, 5)
Professional and practice-related ethical issues
(Evaluating, 5)
Information Technology & Systems
IV.A. Subdomain: Information and Communication
Technologies
•
1.
Use technology, including hardware and software,
to ensure data collection, storage, analysis, and
reporting of information.
•
2.
Use common software applications such as
spreadsheets, databases, word processing, graphics,
presentation, e-mail, and so on in the execution of
work processes.
•
•
D-4
Computer concepts (hardware components,
systems architectures, operating systems and
languages, and software packages and tools)
(Applying, 3)
Communication and internet technologies (such
as networks, intranet, standards) (Applying, 3)
Common software applications (such as word
processing, spreadsheet, database, graphics)
(Applying, 3)
Health information systems (such as
administrative, patient registration, ADT, EHR,
PHR, lab, radiology, pharmacy) (Analyzing, 4)
3.
4.
5.
Use specialized software in the completion of
HIM processes such as record tracking, release of
information, coding, grouping, registries, billing,
quality improvement and imaging.
•
•
•
Apply policies and procedures to the use of
networks, including intranet and Internet applications,
to facilitate the electronic health record (EHR),
personal health record (PHR), public health, and
other administrative applications.
•
Voice recognition technology (Applying, 3)
Health information specialty systems (such as
ROI, coding, registries) (Evaluating, 5)
Application of systems and policies to health
information systems and functions and health
care data requests (Evaluating, 5)
System acquisition and evaluation (Applying, 3)
Participate in the planning, design, selection,
implementation, integration, testing, evaluation, and
support for EHRs.
IV.B. Subdomain: Data, Information, and File Structures
1.
Apply knowledge of database architecture and design
(such as data dictionary) to meet departmental needs.
IV.C. Subdomain: Data Storage and Retrieval
1.
Use appropriate electronic or imaging technology
for data/record storage.
2.
Query and generate reports to facilitate information
retrieval using appropriate software.
3.
Apply retention and destruction policies for health
information.
Date Storage and Retrieval
•
•
IV.D. Subdomain: Data Security
1.
Data Security and Healthcare Information
Systems
Apply confidentiality and security measures to
protect electronic health information.
2.
Protect data integrity and validity using software
or hardware technology.
3.
Apply departmental and organizational data and
information system security policies.
4.
Use and summarize data compiled from audit trails
and data quality monitoring programs.
Document archival, retrieval, and imaging
systems (Analyzing, 4)
Maintenance and monitoring of data storage
systems (Analyzing, 4)
•
•
•
•
•
•
V. Domain: Organizational Resources
System architecture and design (Applying, 3)
Screen design (Analyzing, 4)
Data retrieval and maintenance (Analyzing, 4)
Data security concepts (Applying, 3)
Data integrity concepts (Analyzing, 4)
Data integrity and security processes and
monitoring (Applying, 3)
Organizational Resources
V.A. Subdomain: Human Resources
•
1.
Apply the fundamentals of team leadership.
•
2.
Participate in and work in teams and committees.
•
3.
Conduct orientation and training programs.
•
D-5
Roles and functions of teams and committees
(Evaluating, 5)
Teams/consensus building and committees
(Analyzing, 4)
Communication and interpersonal skills
(Evaluating, 5)
Team leadership concepts and techniques
(Analyzing, 4)
•
4.
5.
6.
Monitor and report staffing levels and productivity
standards for health information functions.
Use tools and techniques to monitor, report,
and improve processes.
•
Orientation and training (such as content,
delivery, media) (Evaluating, 5)
Workflow and process monitors (Analyzing, 4)
Comply with local, state, and federal labor
regulations.
V.B. Subdomain: Financial and Resource Management
Financial and Resource Management
1.
Make recommendations for items to include in
budgets and contracts.
•
•
2.
Monitor and order supplies needed for work
processes.
•
3.
Monitor coding and revenue cycle processes.
4.
Recommend cost-saving and efficient means
of achieving work processes and goals.
5.
Contribute to work plans, policies, procedures,
and resource requisitions in relation to job functions.
Revenue cycle monitors (Analyzing, 4)
Organizational plans and budgets (framework,
levels, responsibilities, etc.) (Analyzing, 4)
Resource allocation monitors (Analyzing, 4)
BIOMEDICAL SCIENCES
Anatomy (Analyzing, 4)
Physiology (Analyzing, 4)
Medical Terminology (Analyzing, 4)
Pathophysiology (Analyzing, 4)
Pharmacotherapy (Analyzing, 4)
Bloom’s Taxonomy: Revised Version
1 = Remembering: Can the student recall or remember the information?
2 = Understanding: Can the student explain ideas or concepts, and grasp the meaning of
information?
3 = Applying: Can the student use the information in a new way?
4 = Analyzing: Can the student distinguish between the different parts, break down information,
and infer to support conclusions?
5 = Evaluating: Can the student justify a stand or decision, or judge the value of?
D-6
Appendix E
2011 AHIMA Curriculum Competencies and Knowledge Clusters - Health Information
Management
Baccalaureate Degree
E-1
E-2
E-3
E-4
E-5
E-6
E-7
E-8
E-9
E-10
E-11
E-12
E-13
E-14
Appendix F
Curriculum Map – Health Information Management (HIM)
Master’s Degree
F-1
F-2
F-3
F-4
F-5
F-6
F-7

texas health information technology higher education inventory report

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