Configuring Electronic Health Records (EHRs)

Configuring Electronic Configuring Electronic Health Records (EHRs)Health Records (EHRs)

HCIT 132 OrientationHCIT 132 Orientation

Instructor: Buddy SpisakInstructor: Buddy Spisak• Office Hours:Office Hours:

– Mondays 7:30-8:40 p.m. in BS-143 (Aug. 25 to Dec. 15, 2014)Mondays 7:30-8:40 p.m. in BS-143 (Aug. 25 to Dec. 15, 2014)– I am also available through Email.I am also available through Email.

• Phone:Phone: (916) 286-3691 x14162 or (800) 486-8156 x14162 (916) 286-3691 x14162 or (800) 486-8156 x14162

• Email:Email: [email protected] (put [email protected] (put ““HCIT132HCIT132”” in the subject line). in the subject line). The turn around time for most Email is about one to two days. Be The turn around time for most Email is about one to two days. Be sure to include your name in each Email so that I can identify who sure to include your name in each Email so that I can identify who you are and what the Email is about.you are and what the Email is about.

• Course Web page:Course Web page: https://d2l.losrios.edu/https://d2l.losrios.edu/

• Instructor Web page:Instructor Web page: http://wserver.crc.losrios.edu/~spisakj/ http://wserver.crc.losrios.edu/~spisakj/

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Course DetailsCourse Details

• Class Credits: 2 unitsClass Credits: 2 units

• Prerequisite: NonePrerequisite: None

• Lecture: OnlineLecture: Online

• Lab Hours:Lab Hours:– Monday 6:00 to 7:20 p.m. (Monday 6:00 to 7:20 p.m. (19421)

• Accepted for Credit: N/AAccepted for Credit: N/A

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Required Textbook:Required Textbook:

There is no required textbook for HCIT 132.There is no required textbook for HCIT 132.

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Optional Materials:Optional Materials:

• a flash drive to store your work for the class.a flash drive to store your work for the class.

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Course Description:Course Description:

• This course offers a practical experience with a laboratory This course offers a practical experience with a laboratory component, addressing approaches to assessing, selecting, component, addressing approaches to assessing, selecting, and configuring EHRs to meet the specific needs of and configuring EHRs to meet the specific needs of customers and end-users.customers and end-users.

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Student Learning Outcomes Student Learning Outcomes and Course Objectives:and Course Objectives:As a result of completing this course, you will be able to:As a result of completing this course, you will be able to:

• EXPLAIN THE IMPORTANCE OF MIGRATING TO AN ELECTRONIC HEALTH EXPLAIN THE IMPORTANCE OF MIGRATING TO AN ELECTRONIC HEALTH RECORD (HER) SYSTEM (SLO #01).RECORD (HER) SYSTEM (SLO #01).– Describe the migration to the electronic health record.Describe the migration to the electronic health record.– Determine the appropriate members for a steering committee, who are Determine the appropriate members for a steering committee, who are

planning to move to electronic health records.planning to move to electronic health records.– Define the steps in a basic strategic management plan.Define the steps in a basic strategic management plan.

• RELATE THE IMPORTANCE OF MEANINGFUL USE TO DEFINE RELATE THE IMPORTANCE OF MEANINGFUL USE TO DEFINE THIS FIELD (SLO #02).THIS FIELD (SLO #02).– Understand the process and purpose of EHR certification and the work Understand the process and purpose of EHR certification and the work

of CCHIT and other possible certifying bodies.of CCHIT and other possible certifying bodies.– Understand how the exchange of electronic health data relates to Understand how the exchange of electronic health data relates to

meaningful use.meaningful use.– Understand how clinical quality measures relate to meaningful use.Understand how clinical quality measures relate to meaningful use.

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Student Learning Outcomes Student Learning Outcomes and Course Objectives:and Course Objectives:• DEFINE A CLINICAL DECISION SUPPORT (CDS) SYSTEM (SLO #03).DEFINE A CLINICAL DECISION SUPPORT (CDS) SYSTEM (SLO #03).

– Define what is meant by clinical decision support (CDS) systems.Define what is meant by clinical decision support (CDS) systems.– Discuss key factors in the development of CDS for clinical and administrative Discuss key factors in the development of CDS for clinical and administrative

use.use.– Given a case study, analyze the issues related to provider fatigue related to Given a case study, analyze the issues related to provider fatigue related to

alerts and reminders.alerts and reminders.• EVALUATION OF AN EHR SYSTEM AND SELECTION CRITERIA FOR A HOSPITAL AND A EVALUATION OF AN EHR SYSTEM AND SELECTION CRITERIA FOR A HOSPITAL AND A

DOCTOR’S OFFICE (SLO #04).DOCTOR’S OFFICE (SLO #04).– Analyze/interpret user specification requirements against vendor specifications.Analyze/interpret user specification requirements against vendor specifications.– Assess interpersonal skills between IT and user.Assess interpersonal skills between IT and user.– Discuss/role-play the interaction between IT and user for successful Discuss/role-play the interaction between IT and user for successful

development of user data entry screens and templates.development of user data entry screens and templates.– Discuss key issues in electronic health record development and implementation Discuss key issues in electronic health record development and implementation

affecting acute care.affecting acute care.– Discuss key issues in electronic health record development and implementation Discuss key issues in electronic health record development and implementation

affecting long-term care, including interchange of health information with acute affecting long-term care, including interchange of health information with acute care.care.

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Student Learning Outcomes Student Learning Outcomes and Course Objectives:and Course Objectives:

– Discuss key issues in electronic health record development and Discuss key issues in electronic health record development and implementation affecting ambulatory care, including interoperability implementation affecting ambulatory care, including interoperability with acute care, ASP and community offerings for an EHR.with acute care, ASP and community offerings for an EHR.

– Discuss key issues in electronic health record development in other Discuss key issues in electronic health record development in other health care settings, including physician practice, home health and health care settings, including physician practice, home health and hospice, behavioral health, and health departments.hospice, behavioral health, and health departments.

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Student Obligations:Student Obligations:

• It is important that you understand what is It is important that you understand what is expected of you in this course.expected of you in this course.

• Refer to the Syllabus if you have any Refer to the Syllabus if you have any questions.questions.

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Attendance:Attendance:• Since this course is an online-hybrid class, only attendance at the Since this course is an online-hybrid class, only attendance at the

Final Exam on Dec. 8 is necessary. There will be weekly lab time Final Exam on Dec. 8 is necessary. There will be weekly lab time on campus, and it is up to you to complete the lab assignments on campus, and it is up to you to complete the lab assignments during the lab time or at home. Please note that failure to during the lab time or at home. Please note that failure to complete 10% of the total course work by the third week of the complete 10% of the total course work by the third week of the class may result in your being dropped from the course.class may result in your being dropped from the course.

• Doing the labs themselves is not optional, but doing them at the Doing the labs themselves is not optional, but doing them at the college is.college is.

• I will be giving credit for students attending the lab On-Campus.I will be giving credit for students attending the lab On-Campus.

• Typically each week we will be covering 1-2 units.Typically each week we will be covering 1-2 units.

• Attendance for the On-Campus Final Exam is required. Photo Attendance for the On-Campus Final Exam is required. Photo identification is required at the time of the exam to verify your identification is required at the time of the exam to verify your identity.identity.


Quizzes:Quizzes:

• Most weeks there will be a quiz that will Most weeks there will be a quiz that will test you on the material covered.test you on the material covered.

– It is open book and open notes.It is open book and open notes.– You can take the quiz multiple times to You can take the quiz multiple times to

improve your score, but be aware that the improve your score, but be aware that the questions may change each time you take questions may change each time you take quiz and that your last quiz score will be the quiz and that your last quiz score will be the one counted as your grade.one counted as your grade.

• Each quiz is worth 30 points.Each quiz is worth 30 points.


Desire 2 Learn (D2L):Desire 2 Learn (D2L):

• I want everyone to take a proactive approach to I want everyone to take a proactive approach to learning this material. This includes using the D2L learning this material. This includes using the D2L Discussions feature to ask questions and also answer Discussions feature to ask questions and also answer other studentsother students’’ questions. I will be posting questions questions. I will be posting questions to further your understanding of the material.to further your understanding of the material.

• I expect each student to post at least two times per I expect each student to post at least two times per discussion item.discussion item.– You can accomplish this task by asking questions about the You can accomplish this task by asking questions about the

current discussion topic or by responding to existing questions.current discussion topic or by responding to existing questions.– My expectation from you is that you will write at least two- to My expectation from you is that you will write at least two- to

three-sentence responses that add substance to the three-sentence responses that add substance to the discussion.discussion.

• Each discussion assignment is worth 20 points.Each discussion assignment is worth 20 points.


Labs:Labs:

• We will be spending a lot of time working We will be spending a lot of time working on lab activities. on lab activities.

• You are responsible for making sure that You are responsible for making sure that your instructor receives your completed your instructor receives your completed lab work.lab work.

• Each lab assignment is worth 50 points.Each lab assignment is worth 50 points.


Final Exam:Final Exam:

• The final exam will consist of two parts. The final exam will consist of two parts. One part will be a hands-on practical One part will be a hands-on practical demonstration of assigned tasks, and the demonstration of assigned tasks, and the other part will be an exam taken in D2L.other part will be an exam taken in D2L.

• The final exam will be on December 4.The final exam will be on December 4.– I will be having a review session the week I will be having a review session the week

before to help you.before to help you.


Due Dates:Due Dates:

• Unless noted, all assignments will be submitted in Unless noted, all assignments will be submitted in D2L under the D2L under the ““DropboxDropbox”” link. link. – If, for any reason, you cannot access D2L or are unable If, for any reason, you cannot access D2L or are unable

to submit the assignment on time, please Email it to me to submit the assignment on time, please Email it to me instead so that you are not penalized for being late.instead so that you are not penalized for being late.

• Quizzes and discussion items cannot be taken Quizzes and discussion items cannot be taken past their due date.past their due date.


Late Work:Late Work:

• Unless noted, all assignments are due on Unless noted, all assignments are due on Sunday by midnight each week.Sunday by midnight each week.– I have identified the due dates in the course I have identified the due dates in the course

schedule.schedule.– Late work will be accepted ONLY if you have Late work will be accepted ONLY if you have

contacted me prior to the due date either by contacted me prior to the due date either by Email or voice mail.Email or voice mail.

– In general, late work is due the next week, and In general, late work is due the next week, and no late assignments may be turned in after one no late assignments may be turned in after one week from the original due date regardless of week from the original due date regardless of the reason.the reason.

– For every day an assignment is late, you will For every day an assignment is late, you will lose 10% of its grade.lose 10% of its grade.


Plagiarism Policy/Cheating:Plagiarism Policy/Cheating:

Plagiarism:Plagiarism:• It is inappropriate, and a violation of academic policy, to copy It is inappropriate, and a violation of academic policy, to copy

information from any source (including, but not limited to, textbooks, information from any source (including, but not limited to, textbooks, magazine articles, newspaper articles and Internet articles) without magazine articles, newspaper articles and Internet articles) without giving proper credit to the author by using standard quotation giving proper credit to the author by using standard quotation procedures such as in-line quotes, footnotes, endnotes, etc. Quotes procedures such as in-line quotes, footnotes, endnotes, etc. Quotes may not exceed 25% of the assignmentmay not exceed 25% of the assignment’’s total length.s total length.

• You will receive no credit (0 points) for any assignment that copies You will receive no credit (0 points) for any assignment that copies any material from any other source without giving proper credit to any material from any other source without giving proper credit to the author(s). Repeat offenders of this policy are subject to the author(s). Repeat offenders of this policy are subject to academic discipline as outlined in the polices published by the academic discipline as outlined in the polices published by the college.college.

Cheating:Cheating:• Students who cheat will receive a failing grade for the course. See Students who cheat will receive a failing grade for the course. See

the Students Rights and Responsibilities page of the college website the Students Rights and Responsibilities page of the college website athttp://www.crc.losrios.edu/College_Catalog/General_Information/Stuathttp://www.crc.losrios.edu/College_Catalog/General_Information/Students_Rights_and_Responsibilities.htm for additional information.dents_Rights_and_Responsibilities.htm for additional information.


Honor CodeHonor Code

• Academic integrity requires honesty, fairness, Academic integrity requires honesty, fairness, respect and responsibility. See the Cosumnes respect and responsibility. See the Cosumnes River College Honor Code posted on the college River College Honor Code posted on the college website website ((http://www.crc.losrios.edu/files/resourceguide/CRC-HonorCodeForm.pdf ). ).


Dropping:Dropping:

• Students are responsible for dropping the Students are responsible for dropping the course.course.


Email/Discussion Etiquette:Email/Discussion Etiquette:

• Every student will be required to have an Email account. Every student will be required to have an Email account. If you do not have an email account, the college If you do not have an email account, the college provides free email accounts for all current students. To provides free email accounts for all current students. To activate your account, go to activate your account, go to https://imail.losrios.edu/https://imail.losrios.edu/ and follow the directions provided. and follow the directions provided.

• I will not tolerate rude and demeaning comments or I will not tolerate rude and demeaning comments or Emails to anyone in this class. Please keep your Emails to anyone in this class. Please keep your comments and Emails topic-related.comments and Emails topic-related.

• If I determine that a comment or Email to anyone else in If I determine that a comment or Email to anyone else in the class is rude or demeaning, I will warn you once. If the class is rude or demeaning, I will warn you once. If your behavior continues to be unacceptable, I will refer your behavior continues to be unacceptable, I will refer you to the administration of the college for disciplinary you to the administration of the college for disciplinary action.action.


Personal Belongings:Personal Belongings:

• No food or drinks are allowed in the No food or drinks are allowed in the classroom.classroom.

• All cell phones, beepers, pagers, etc. All cell phones, beepers, pagers, etc. should be turned off or set to vibrate.should be turned off or set to vibrate.– Any telephone calls need to be taken outside.Any telephone calls need to be taken outside.


Disabilities:Disabilities:

• If you have a documented disability and If you have a documented disability and wish to discuss academic wish to discuss academic accommodations, please contact me after accommodations, please contact me after class or contact the Office of Disabled class or contact the Office of Disabled Student Programs and Services at 691-Student Programs and Services at 691-7275 as soon as possible.7275 as soon as possible.


Online Course Online Course Responsibilities: Responsibilities: • This course requires significant self-motivation. You must This course requires significant self-motivation. You must

not get behind. Labs and weekly assignments can take up not get behind. Labs and weekly assignments can take up to eight hours to finish. Please donto eight hours to finish. Please don’’t try to finish them in t try to finish them in one day. Not all activities are created equal. Some may one day. Not all activities are created equal. Some may take a bit longer than others. take a bit longer than others.

• You would normally spend three hours per week in class for You would normally spend three hours per week in class for this course: a total of 54 hours. Allow yourself at least eight this course: a total of 54 hours. Allow yourself at least eight hours per week to complete the activities online, including hours per week to complete the activities online, including the time spent writing for online class discussion postings. the time spent writing for online class discussion postings. You should plan additional time to read the textbook and You should plan additional time to read the textbook and study for the quizzes.study for the quizzes.

• Some people believe the online format provides a much Some people believe the online format provides a much easier way to study this subject than an on-campus easier way to study this subject than an on-campus framework because they love to read and avoid the parking framework because they love to read and avoid the parking problems. Others feel very intimidated at first. Be patient problems. Others feel very intimidated at first. Be patient as you work your way through the activities. as you work your way through the activities.


Using Desire 2 Learn:Using Desire 2 Learn:• How to log in:How to log in:

– You will not be able to participate in the online portion of You will not be able to participate in the online portion of your class using Los Rios Online until you have enrolled your class using Los Rios Online until you have enrolled in your course through your college's registration in your course through your college's registration system. system.

– Students registered as of the first day of the term should Students registered as of the first day of the term should already have Los Rios Online accounts and be linked to already have Los Rios Online accounts and be linked to the classes in which they are enrolled.the classes in which they are enrolled.

• To log on to your D2L account, open your web To log on to your D2L account, open your web browser and go to the following URL: browser and go to the following URL: https://d2l.losrios.edu/https://d2l.losrios.edu/

• Your User Name is the letter w followed by your Your User Name is the letter w followed by your Student ID# Example: w0123456.Student ID# Example: w0123456.

• Your default password is your eServices Your default password is your eServices password.password.


Grading:Grading: Course Topic Points Total Approximate % the of

Grade

Labs (7) 50 350 43

Orientation Quiz (1) 10 10 1

Quizzes (4) 30 120 15

D2L Discussions (7) 20 140 17

Final Exam (1) 200 200 24

Point System:Point System:There are 820 total assigned points.There are 820 total assigned points.

Grade Ranges:Grade Ranges:A=738-820, B=656-737, C=574-655, D=492-573, F=0-A=738-820, B=656-737, C=574-655, D=492-573, F=0-

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Sample Schedule:Sample Schedule:

Day: Lecture/Lab Schedule:Assignment

Due:

Due Date(By

Midnight):

Week 1

Mon.

(10/20) Orientation and Introductions

View the OnlineOrientation

Sun., 10/26

Unit 1: Migration to an Electronic Health Record System

Unit 2: Patient Care Clinical Workflow, Multiple Perspectives of Patient Care

Orientation Disc.Orientation Quiz

Lab #1

Spring Recess: March 25 - 29

Week 2

Mon.

(10/27) Unit 3: Implementing Clinical

Decision Support

Disc. #1 Quiz #1 (Units 1-2) Sun. , 11/2

Lab #2 Lab Review #1


Conclusion:Conclusion:

• Log into D2L and take the Orientation Quiz. Log into D2L and take the Orientation Quiz. It is due on Sunday, October 26, 2014.It is due on Sunday, October 26, 2014.

• Go to the Orientation Discussion and Go to the Orientation Discussion and introduce yourself to the class.introduce yourself to the class.

• Registered students for the class have access Registered students for the class have access to D2L can log into the campus network.to D2L can log into the campus network.

• Email any questions you might have to me.Email any questions you might have to me.


Documents

Configuring Electronic Health Records (EHRs)