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MIS 34161 Fall 2012 Datta

Healthcare Information Systems (HIS)

 

Course Delivery: Hybrid with most online self-paced content

Course Design: Dr. Pratim Datta

 

Instructors: Dr. Pratim Datta

 

 

1. Course Description

 

With a major push toward healthcare reform and the appropriation of nearly $20 billion in federal stimulus funds as part of ARRA (The American Reinvestment and Recovery Act), there is rapid push towards technology. Information technology is becoming more important to the health care industry. HIS (health information systems) has become a large segment of the market in its own right.

 

The purpose of this course is to provide students with the ability to define operational and strategic objectives for HIS to guide the design of systems to meet those objectives. Particular emphasis will be placed upon the conceptualization of variables to be included in such systems; the design of systems (including an understanding of the hardware, software and communication links); and the proper interpretation and utilization of processed information for program management purposes.

 

TEXTBOOK: None. All Articles and Cases provides on the website.

 

 

2. Lesson Goals and Objectives:

 

At the conclusion of the course the student should be able to understand:

 

1             Explain the functions of computerized information systems designed for the            management of health services programs;

2             Analyze health services management objectives and translate them into output             requirements, while integrating clinical and business information; 

3             Describe the operation of computers, input/output devices, secondary storage              devices, and  communication networks which support information systems;

4             Compare the costs and benefits of various types of health care data processing            systems, and make decisions concerning the purchase and use of such  systems;

5             Understand the features of software designed for health care personnel                         management, facilities management, equipment management and supply chain                management;

6             Understand the features of software designed for electronic medical records, automated patient scheduling, automated prescription generation, and other health care clinical functions;

7             Explain medical records privacy and ethical issues related to patient  information, use data encryption tools, digital signatures and other user authentication methods to protect medical  records privacy.

 

This course will introduce students to the main components of health care information technology, with emphasis on the components that distinguish the health care delivery system for other business enterprises. It will prepare them as managers and consultants who must rely upon or manage information technology to accomplish their objectives.

 

 

3. Instructional Methods and Grading:

 

Short-Answer Quizzes (4 quizzes) based on Readings and Case Studies:      40% (400 points)

Assorted articles, cases and videos from a variety of sources including Harvard Business Review, Sloan Management Review, California Management Review, devoted to “Health Information Systems” All articles will be posted on the course web site.

 

Group Project:                                                                                       30% (300 points)

Students will complete a group project. The project will focus on the design of an interface and workflow (http://en.wikipedia.org/wiki/Workflow) for a patient health records system that will propose best practices for heath data collection in lines of policy, good IS design principles and user experience. For purposes of the project, you can interview various people (e.g. IT group, nurses, patients, physicians). If you do not have access to physicians and patients, talk to your family members or others you see fit. A good project can have the opportunity to be submitted, presented and be published at a conference. The project will not require any technical IS development expertise. The project will span approximately 4000 words (including summary, body, figures, tables and references) printed in double-spaced, 12-font Times New Roman.  The first page will carry the title as well as an Executive Summary of the project. Students can use Balsamiq (www.balsamiq.com) to build their interface mockups and the workflow using any diagramming technique, e.g. flowchart (example: http://www.library.cornell.edu/elicensestudy/dlfdeliverables/DLF-ERMI-AppendixB.pdf).

 

Group Presentations [IDNKT (I Did Not Know That!)]:                      30% (300 points)

Students will prepare and present a narrated PowerPoint Slideshow lasting ~10 minutes on topics related to HIS. Topics will include:

1. RFID for health-tagging in HIS;

2. Telemedicine Trends and Techniques;

3. Impact of Cloud Computing on HIS;

______________________________________________________________________________

Total                                                                                                        100% (1000 points)

 

Letter Grades will be assigned based on University Guidelines of A, A-, B+, B, B-…..:

 

>93             %      A      

>90-93        %      A-    

>87-90        %      B+    

>83-87        %      B      

>80-83        %      B-

>77-80        %      C+    

>73-77        %      C      

>70-73        %      C-

 

 

        


4. Weekly Schedule

 

Session

Topic

1

 

Fundamentals of the Health Information Systems.

 

Learning Objectives:

1. Trends and Characteristics of HIS.

2. eHealth evolution (e.g. ePrescribing)

3. Product vs. Patient Centric HIT adoption.

 

Readings: Enabling the 21st Century Health Care Information Technology Revolution, CACM (http://www.almaden.ibm.com/cs/projects/iis/hdb/Publications/papers/cacm06pitac.pdf)

Information technology in health care, MedPac Report to Congress (http://www.medpac.gov/publications%5Ccongressional_reports%5CJune04_ch7.pdf)

 

Quiz 1 (due 24th September)

 

2

 

Information and Document Acquisition, Storage and Exchange in HIS.

 

Learning Objectives:

1. Hospital information requirements for decision support - the provider approach to quality and patient safety.

2. Fundamentals of data warehouses and datamarts.

3. Patient-centered usability and privacy.

4. Electronic data and document exchange workflow and design.

5. Data Integration and collaborative design.

6. EMR and PHR management.

 

Readings and Video:

Google Health's Demise Shows Limitations of PHR Market (http://www.ihealthbeat.org/features/2011/google-healths-demise-shows-limitations-of-phr-market.aspx)

Patient-centric: the 21st Century Prescription for Healthcare, IBM Papers,  (http://www-03.ibm.com/industries/ca/en/healthcare/files/060516_PatientCentric_Briefing.pdf)

Patient Health Information Management: Searching for the Right Model (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2047307/)

 

Quiz 2 (due 23rd October)

 

3

Management and Strategy in HIS.

 

Learning Objectives:

1. Technology adoption and life cycle management.

2. Impact of regulation on HIT adoption (JCAHO, State agencies, HIPAA, ONCHIT).

3. Make or buy decisions in HIS.

4. Vendor assessment and management.

 

Readings:

Information Technology and Clinical Operations at Beth Israel Deaconess Medical Center (http://hbr.org/product/information-technology-and-clinical-operations-at-/an/607150-PDF-ENG)

The Future of Medical Informatics (http://www.imise.uni-leipzig.de/Archiv/2009/winter-a-2009-62-a.pdf)

 

4

 

Management and Strategy in HIS (contd.).

 

Learning Objectives:

1. Trends in CRM: Social Media, ERP

2. Standards-based integration, collaboration and coordination.

3. Integrated Clinical Systems.

4. Linking the hospital to physician practices and other cross-site-of-care coordination.

 

Readings:

The Making And Adoption Of Health Data Standards (http://ehealthecon.hsinetwork.com/Hammond_HA_2005.pdf)

Hawn, Cathleen(2009) Take Two Aspirin And Tweet Me In The Morning: How Twitter, Facebook, And Other Social Media Are Reshaping Health Care, Health Affairs, March/April 2009 vol. 28 no. 2 361-368

ERP integration in a healthcare environment: a case study, Journal of Enterprise Information Systems, 2007.

Quiz 3 (due 24th November)

 

5

 

Security and reliability in HIS.

 

Learning Objectives:

1.     Privacy and Security in the international context.

2.     IRP, DRP, and BCP. EMR/PHR security.

3.     Security infrastructure and security planning.

4.     Records encryption and transmittals (including Digital Signatures).

5.     TQM, Six-Sigma and QA metrics and evaluations.

6.     QA in patient care, Standards for Interoperatbility.

 

Readings:

An Electronic Health Record - Public Health (EHR-PH) System Prototype for Interoperability in 21st Century Healthcare System (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1560434/)

The HIPAA-potamus in Health Care

Data Security (http://www.notable-software.com/Papers/HIPAA.pdf

The quality case for information technology in healthcare (http://www.biomedcentral.com/1472-6947/2/7)

Datta,Pratim, A Novel Telemedicine Apparatus and Process Design for Health-Education and Reporting – A Patent Application

7

 

Project Due

 

 

 

 

  1. University Course Administration and Policies

 

Registration Requirements

 

Check the official registration deadline with the EMBA office. University policy requires all students to be officially registered in each class they are attending. Students who are not officially registered for a course by published deadlines should not be attending classes and will not receive credit or a grade for the course. Each student must confirm enrollment by checking his/her class schedule (using Student Tools in FlashFast) prior to the deadline indicated. Registration errors must be corrected prior to the deadline.

 

Course-related Technology

 

It is the responsibility of all students to check that they have access to the Web-platform (e.g. Vista) where the course is being offered). Ensure that you make backups of your files as all deliverables are electronic. Students must be familiar with basic computer operations (e.g., copying and printing files, moving among directories and subdirectories), logging on to a network, etc. Students must have a working version of word processing and spreadsheeting software. Additional software, if any, will be made available as free downloads.  

 

Students with Disabilities

 

University policy 3342-3-01.3 requires that students with disabilities be provided reasonable accommodations to ensure their equal access to course content. If you have a documented disability and require accommodations, please contact the instructor at the beginning of the semester to make arrangements for necessary classroom adjustments. Please note, you must first verify your eligibility for these through Student Accessibility Services (330-672-3391) or visit www.kent.edu/sas or http://www.registrars.kent.edu/disability for more information on registration procedures.

 

Policy on Incomplete Grades

 

A complete statement on INCOMPLETE grades is available upon request. In summary, it states that the student must be earning a "C" (2.0) grade or better and be unable to complete the work before the end of classes due to extenuating circumstances. The request for an Incomplete grade is not to be used as an excuse for making up for poor performance. The student must initiate the request, provide appropriate documentation, and make arrangements to make up the incomplete work. For undergraduate students, Incompletes must be made up by the end of the following semester, and for graduate students, Incompletes must be made up within one calendar year, or an extension granted, otherwise a default grade of "U" will be assigned. However, while the university policy is set for a maximum for one semester for undergraduate students and one calendar year for graduate students, the instructor has the right to set earlier deadlines, based on circumstances and other considerations.

 

Cheating and Plagiarism

 

Cheating and plagiarism constitute fraudulent misrepresentation for which no credit can be given and for which appropriate sanctions are warranted and will be applied. The university

affirms that acts of cheating and plagiarism by students constitute a subversion of the goals of the institution, have no place in the university and are serious offenses to academic goals

 

and objectives, as well as to the rights of fellow students. Both cheating and plagiarism are prohibited. One area that many students may not realize as cheating is the following. "Using a substantial portion of a piece of work previously submitted for another course or program to meet the requirements of the present course or program without notifying the instructor to whom the work is presented." [For the complete policy and procedure, go to www.kent.edu/policyregister and search for policy 3342-3-01.8, or see http://www.kent.edu/policyreg/chap3/3-01-8.cfm or http://www.kent.edu/policyreg/chap3/upload/3342.3.01.8.pdf ]

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