<p>COURSE NAME/NUMBER: Electronic Health Records MEDA 123 HOURS/CREDITS: 2 Credits CLASS LOCATION/TIMES: Building B, Room 125 Days: Monday, Wednesday, Friday Times: 10-11:20</p><p>PREREQUISITES: Successful completion of Front Office Procedures I-II MEDA 120-121 COURSE DESCRIPTION: This course is an introduction to the electronic medical records system, paperless charting and paperless scheduling. Students are provided with practical experience in data entry of patient information and generating insurance forms using a computerized billing program known as Spring charts. INSTRUCTOR: Lea Hoffman, CMA OFFICE HOURS/CONTACT INFORMATION: 7:30-8:00 a.m. and 2:30-3:00 p.m. (by appointment) Office Location: Building B, Room (425) 235-2352 Ext. 5734 Email: [email protected] COURSE OBJECTIVES (Course Competencies): Upon successful completion of this course the student will be able to: 1. Define electronic health records</p><p>2. Understand the core functions of an electronic health record as defined by the Institute of Medicine</p><p>3. Discuss social forces that are driving the adoption of electronic health records </p><p>4. Describe federal government strategies to promote electronic health record adoption </p><p>5. Explain why electronic health records are important</p><p>6. Describe the flow of medical information into the chart</p><p>7. Compare the workflow of an office using paper charts with an office using an electronic health record</p><p>8. Contrast inpatient and outpatient charts</p><p>9. Explain why patient visits should be documented at the point of care</p><p>Electronic Health Records 1 MEDA 123 Revised April 2013 10. Compare various types of electronic health record computers such as workstation, laptop, and Tablet PC</p><p>11. Compare different formats of EHR data</p><p>12. Describe the importance of codified EHR</p><p>13. Have an understanding of prominent EHR code sets such as SNOMED-CT, MEDCIN, LOINC, and CCC</p><p>14. Explain different methods of capturing and recording EHR data</p><p>15. Catalog and retrieve documents and images from a digital image system</p><p>16. Discuss the exchange of data between EHR and other systems</p><p>17. Discuss the benefits of patient-entered data</p><p>18. Describe the functional benefits from a codified EHR</p><p>19. Compare different formats of lab result data</p><p>20. Discuss alert systems and drug utilization review</p><p>21. Describe two important components of health maintenance </p><p>22. Provide examples of EHR decision support</p><p>23. Start and stop the Student Edition Software</p><p>24. Navigate the screen</p><p>25. Select a patient</p><p>26. Create a new encounter</p><p>27. Access the Symptoms, History, Physical Exam, Assessment, and Therapy tabs to add appropriate findings in each portion of the exam</p><p>28. Select findings for edit and remove findings</p><p>29. Add entry details, values, free text, results, status, and episodes to findings</p><p>30. Enter a chief complaint</p><p>31. Enter vital signs</p><p>32. Create a new encounter</p><p>33. Document a patient visit</p><p>34. Print a copy of the completed encounter note</p><p>Electronic Health Records 2 MEDA 123 Revised March 2012 35. Load and use Lists of Findings to speed up the data entry</p><p>36. Describe Review of Systems</p><p>37. Change Symptoms from History of Present Illness to Review of Systems</p><p>38. Know how to quickly record “pertinent negatives”</p><p>39. Understand and use Forms</p><p>40. Use Lists and Forms together</p><p>41. Discuss the importance of electronic orders and results </p><p>42. Compare paper and electronic workflow of orders and results</p><p>43. Search for a finding using the Search button</p><p>44. Understand and use the Prompt feature</p><p>45. Record orders for tests</p><p>46. Describe the workflow of radiology orders and reports</p><p>47. Use a CPOE to write a prescription</p><p>48. Discuss Closed Loop Safe Medication Administration</p><p>49. Name the five rights of medication administration</p><p>50. Order medication using a quick-pick list</p><p>51. Compare ICD-9-CM codes and ICD-10 codes</p><p>52. Use a diagnosis to find protocols</p><p>53. Order tests to confirm or rule out a diagnosis</p><p>54. Understand and use Patient Management</p><p>55. Understand and use Problem Lists</p><p>56. Cite information from previous visits in a new encounter</p><p>57. View pending orders</p><p>58. Review lab test results</p><p>59. Create a graph of lab results</p><p>60. Create a graph of vital signs in the chart</p><p>Electronic Health Records 3 MEDA 123 Revised March 2012 61. Describe flow sheets</p><p>62. Work with a flow sheet</p><p>63. Create a Form-based flow sheet</p><p>64. Create a Problem-based flow sheet </p><p>65. Use an EHR drawing tool to annotate drawings in an encounter</p><p>66. Document a well-baby checkup using a wellness form</p><p>67. Explain the relationship between vital signs and growth charts</p><p>68. Create a pediatric growth chart</p><p>69. Understand Body Mass Index</p><p>70. Calculate Body Mass Index</p><p>71. Understand immunization schedules</p><p>72. Order immunizations for a child</p><p>73. Describe how patients can be involved in their own health</p><p>74. Discuss preventive care guidelines</p><p>75. Understand how EHR preventive care systems work</p><p>76. List HIPAA transactions and uniform identifiers</p><p>77. Understand HIPAA privacy and security concepts</p><p>78. Apply HIPAA privacy policy in a medical facility</p><p>79. Discuss HIPAA security requirements and safeguards</p><p>80. Follow security policy guidelines in a medical facility</p><p>81. Explain electronic signatures</p><p>82. Discuss the effect of the impact of Internet Technology on healthcare</p><p>83. Explain how EHR systems use the internet</p><p>84. Describe support available on the web</p><p>85. Understand how the internet works</p><p>86. Discuss methods of remote access and secure Internet communications</p><p>Electronic Health Records 4 MEDA 123 Revised March 2012 87. Compare different types of telemedicine</p><p>88. Describe the advantages and workflow of patient-entered data</p><p>89. Contrast differences between provider-to-patient e-mail and secure messaging</p><p>90. Understand the workflow of the E-visit</p><p>91. Discuss patient success to electronic health records</p><p>92. Explain the criteria for Patient-Centered Medical Home</p><p>93. Understand and compare Personal Health Records</p><p>94. Explain why billing codes are important in an EHR system</p><p>95. Show how Evaluation and Management (E&M) codes are determines</p><p>96. Name and describe key components of E&M codes</p><p>97. Read and understand the tables used in CMS guidelines</p><p>98. Explain how the level of key components determines the level of E&M codes</p><p>99. Use E&M calculator software</p><p>100. Correctly use and document the time factor to change the level of an E&M code</p><p>ATTENDANCE AND MAKE-UP POLICY: Throughout the Medical Assistant Program, an outstanding work ethic is emphasized and encouraged. Participation and professionalism are essential to your success as a student and as a Medical Assistant. Ten percent of your grade involves participation and professionalism. Professionalism points will be deducted at a total of 1 point per 60 minutes of class time missed for each subject. Point deductions will be broken down in 15 minute increments. For example: 0- 15 minutes = 0.25 points, 16 -30 minutes = 0.50 minutes, etc. </p><p>If you must be absent, make arrangements beforehand to have a fellow student obtain any handouts and reading assignments you miss. You are also responsible for getting assignments from a fellow student by phone or email when you are absent in order to complete an assignment on time. Students missing three (3) or more consecutive class days due to illness are required to submit a note from their healthcare provider certifying they are physically able to return to the classroom. The full attendance policy is outlined in your medical assistant packet.</p><p>NATURE OF THE COURSE: To accommodate a wide variety of learning and personal styles many different instructional approaches may be used including: lecture, group discussion, demonstrations, interactive exercises, role playing, video programs, computer based training, student research, self directed learning projects and collaborative teaching with Program Instructors.</p><p>Electronic Health Records 5 MEDA 123 Revised March 2012 COURSE OUTLINE: See attached document</p><p>GRADING: Grades are based on the following weighted categories and assigned the corresponding decimal grade: Professionalism/Participation 15% Homework 10% Quizzes 20% Mid Term/Paper 25% Final Exam 30%</p><p>TEXT: Neehr Perfect subscription</p><p>EMERGENCY INSTRUCTIONS FOR INCLEMENT WEATHER: In case of weather closure of the RTC Campus, class will be cancelled. Call the school at (425) 235-2352 and choose option 9 for weather closure information. Information will also be available on the website (www.RTC.edu) and local television and radio stations. CLASSROOM MANAGEMENT POLICIES: Renton Technical College recognizes and values diversity between students on campus, including cultural diversity, diversity of age, life style, race, religion, and financial backgrounds. Students are expected to listen respectfully to others and conduct themselves professionally in the classroom, at clinical sites, and at all campus related activities. Certain behaviors will not be tolerated. Students engaging in those behaviors will be asked to leave the classroom and appropriate disciplinary steps will be taken. Students will also lose all their professionalism points for the day. Examples are: </p><p> Unprofessional or disruptive behavior  Sleeping in class  Inappropriate attire  Foul language  Sexual harassment Cheating and Plagiarism: As outlined in the Allied Health Department Handbook, Renton Technical College has a zero tolerance policy towards cheating and plagiarism. On a paper or presentation, if wording is taken directly from any source without giving credit to the source, the student will receive a zero (0) on that paper or presentation. When there is doubt, the instructor will make the final judgment on whether plagiarism has occurred. </p><p>Electronic Health Records 6 MEDA 123 Revised March 2012 Cheating occurs on a quiz, mid-term or final the student will not receive credit and will be subject to disciplinary action. Disciplinary action includes, but is not limited to, the student receiving a zero (0) on a test, paper or presentation up to and including immediate expulsion from the program. Reading Assignments: The student is responsible for reading all assigned material prior to the lecture. Much more can be gained from the classroom discussion if there is some basic familiarity with the content. Quizzes: There will be quizzes given approximately once a week. A Pop Quiz could be given at any point when the instructor needs to evaluate how much information is being assimilated by the students. Pop Quizzes cannot be made up. The first time an absence occurs 10% of the total possible points will be deducted from the quiz; the second absence 30% will be deducted and the third absence 50% will be deducted from the quiz. Students will not receive credit for a pop quiz if they are absent. The student must make arrangements with the instructor outside of class time to make up a quiz. Arriving more than 10 minutes late for a quiz will be considered an absence. Mid Term and Final: There will be a mid-term given after which the student and instructor will meet and discuss progress as necessary. A final exam will be given during the last week of the quarter. You will lose one letter grade for every day the final examination is not taken from the date it is offered to the rest of the class. The mid-term and cumulative final will be proctored and may be administered in any form (written, oral, online, etc.). Homework: is due on the assigned date and must be complete to earn homework points. If a student is absent on the day homework is due the homework is considered late and must be submitted the day the student returns to school to earn points, unless a copy of the homework is submitted via email before class starts. Points are earned as follows:</p><p>Submitted on time and complete 10 points</p><p>Submitted late and complete 5 points</p><p>Note: Information contained in this syllabus is subject to change</p><p>Electronic Health Records 7 MEDA 123 Revised March 2012 Decimal Grade Letter Grade Percent Grade Equivalent 4.0 100 A 3.9 99 3.8 98 A- 3.7 97 3.6 96 3.5 95 3.4 94 B+ 3.3 93 3.2 92 3.1 91 B 3.0 90 2.9 89 2.8 88 B- 2.7 87 2.6 86 2.5 85 2.4 84 C+ 2.3 83 2.2 82 2.1 81 C 2.0 80 1.9 79 C- 1.8 78 1.7 77 1.6 76 1.5 75 1.4 74 D+ 1.3 73 1.2 72 1.1 71 D 1.0 70 0.9 69 D- 0.8 68 0.7 67 0.0 66 or less F</p><p>Note: Students must earn at least a grade or 2.0 (80%) in each course to continue in the Medical Assistant Program. </p><p>Electronic Health Records 8 MEDA 123 Revised March 2012</p>