HIT 360 - Introduction to HIT

1. Explain the current healthcare environment
   1. Review the U.S. health care delivery system
   2. Summarize key issues facing today’s health care providers
   3. Describe types of health care providers and health care settings
   4. Discuss payment mechanisms
   5. Explain the role of government in health care
   6. Describe roles of health information management/health IT professionals
2. Evaluate the health care technology environment
   1. Examine components and information systems in the HIT environment
   2. Evaluate and research trends in healthcare clinical, administrative and financial applications
   3. Discuss current federal e-health initiatives and efforts to create a eHealth Exchange
   4. Explain highlights of the 2009 ARRA HITECH Act and the Office of the National Coordinator for Health IT (ONC)
   5. Describe current Iowa-based e-health initiatives, including the Iowa e-health project
   6. Define CPOE, eRx, CDS, EHR, PHR, e-health, HIE, telehealth
   7. Summarize recognized e-health resource websites, including healthit.hhs.gov, ehealthinitiative.org
   8. Describe recognized e-health professional associations, such as HIMSS and AHIMA, and available health IT professional certifications
   9. Discuss consumer access to electronic health information
3. Examine the current emphasis on electronic health records (EHRs).
   1. Summarize the advantages of electronic health records over paper-based and hybrid health records
   2. Describe the current state of EHR adoption and the common implementation challenges
   3. Explain the Medicare and Medicaid incentive and quality payment programs that provide financial incentives and penalties to providers and healthcare organizations
   4. Differentiate between Medicare and Medicaid Meaningful Use incentive programs
   5. Summarize the common health information standardized data and code sets and types of data
   6. Discuss types of data standards and their importance
4. Discuss electronic health information exchange
   1. Describe the concepts of regional health information organizations (RHIOs), health information exchanges (HIEs) and eHealth Exchange (formerly NwHIN) and the ONC grant program utilized for the development of HIEs
   2. Explain how standards are needed to support transitions of care, lab exchange, patient engagement and public health measures to meet interoperability needs of HIEs
   3. Review the benefits and challenges of HIEs including privacy and security issues
   4. Define the terms HL7, C-CDA, S&I (formerly HITSP), NIST, HISP and how they relate to HIE
   5. Summarize governance and funding models for HIEs
   6. Review the importance of consumer involvement in HIE & personal health record development
   7. Define a Transitions of Care Summary/Summary of Care Record/Continuity of Care Document (CCD) as it relates to the Summary of Care Meaningful Use objective
   8. Explain the concept of “middleware” and how it relates to HIE
   9. Discuss HIE readiness and the changing workflow to incorporate HIE and EHR use as they impact providers and health care organizations
   10. Report on a local meeting that was attended related to HIT/HIE, such as the Iowa e-health Advisory Council, IA-HIMSS chapter meeting, IA-AHIMA chapter meeting, etc
5. Outline basic principles of systems analysis and design
   1. Explain systems analysis in healthcare information technology
   2. Describe the system development life cycle
   3. List systems design steps
   4. Describe sources of information for technology evaluation
   5. Compare the selection of a design approach: Build or Buy
   6. Discuss supporting business needs
   7. Explain interoperability and standards
   8. Differentiate between requests for information and requests for proposal
6. Explain system selection, implementation, support & maintenance
   1. Describe the components of system selection
   2. Discuss vendor demonstrations
   3. Summarize the system implementation process
   4. Review training needs
   5. Understand Help Desk logs and log analysis
   6. Explain disaster recovery, backup, contingency planning and downtime procedures
7. Summarize systems testing and evaluation
   1. Explain testing and evaluation
   2. Discuss post-implementation review/maintenance and support
8. Examine systems privacy and security
   1. Describe systems privacy and security
   2. Differentiate between privacy vs. security
   3. Describe the basic concepts of HIPAA and how it relates to electronic data
   4. Explain key components of privacy and security laws and individual rights
   5. Summarize the compliance process
   6. Define access, authorization, authentication and audits
   7. Discuss privacy and security incidents/breaches
9. Explain the role of administration leadership/management in health IT
   1. Discuss leadership and management roles
   2. Describe strategic planning and alignment within the organization