
George Mason Department of Health Administration & Policy
An introduction to basic information management in health care service organizations. Provides an overview of health information systems for selected administrative functions and clinical care services, including electronic data interchange for billing and claims management, institutional approaches to ensuring data security and privacy, and information management and decision support for managers and clinicians.
At the conclusion of the course
students will be able to:
- Describe the evolution of information technology in healthcare
- Describe the impact of components of electronic health records and financial information systems on quality of care
- Assess information needs of an organization.
- Plan process improvement through design of information technology
- Assess business value of information technology
- Conduct participatory vendor selection
- Manage technology implementation projects
- Manage
expectations during project initiation
- Plan project
tasks
- Plan project
schedule and budget
- Maintain
budgetary control of projects
- Understand use of social media in marketing and delivery of health services
- Analyze risk of privacy and security violations in operating information systems
- Evaluate impact of information technology on cost
- Use information technology for performance measurement and monitoring
- Evaluate impact of information technology on quality of services
- Evaluate comparative effectiveness of services through use of data in electronic health records
Following competencies are addressed in this course:
- A3. Demonstrate the use of information systems and application software in heath services, e.g., electronic medical records, GIS, and use of software tools for management decision-making.
- A.2 Integrate operational planning and management tools for performance and quality improvement. This topic is taught at the level of "Analysis."
- B.1. Shape operational and strategic plans and integrate with marketing initiatives.
- B.5. Integrate and demonstrate effective written oral communication
- C.2. Comprehend and explain the legal and regulatory environment for health services.
- A.6. Manage and assess operational performance
- A.4. Explain and demonstrate the application of quantitative analysis, e.g., descriptive and inferential statistics, regression, forecasting.
- D.5. Execute financial mathematics, e.g., time value of money calculations, capital budgeting, return on investment, and project risk analyses.
For an overview of competencies needed for management of health information systems, see some of these resources: Slides►
You Tube►
Read►
AUPHA HIMSS IT Competencies
Following competencies are addressed in this course:
- Data analysis and quantitative methods including, manipulation, understanding of, and ability to explain data.
- Application of project management tools and techniques
- Outcomes assessment: return-on- investments, cost-benefits, cost-effectiveness, and benefits realization analyses
- Essential concepts of systems theory and its application to information management
- Characteristics of clinical systems/programs (e.g., electronic medical records, medical decision support, diagnostic information systems)
- The clinical process and the information needs of physicians and other caregivers centered around patient safety.
- Characteristics of IT governance and administrative systems/programs e.g., financial, scheduling, supply-chain, productivity, human resources)
- Methods for planning, selecting, implementing, and evaluation health care information systems including RFI and RFP
- Aligning the information systems plans with the overall strategic plans of an organization to improve performance, i.e. balanced score card.
- Recommend policies and procedures for information systems management (e.g., data security; confidentiality, HIPAA, medical records, acquisition of software and hardware)
- Sources of health care financing and reimbursement and the impact on the investment in healthcare technology.
- Capable of interacting and communicating with IT professionals as a member of a team.
- Measuring, demonstrating and valuing information technology for improving care for patients using evidence based management techniques.
- E-health technology and emerging national, regional and local policies regarding electronic medical records
- Research and evaluate emerging technologies and their applicability to solving healthcare problems.
Following AUPHA HIMSS IT competencies are not addressed in this course and are addressed in a separate courses:
- Decision modeling techniques for managerial problems in health care administration (e.g. decision analysis, decision trees, simulation, linear programming, process improvement).
- Health informatics (e.g., coding; communication standards; data standards)
- Principles of database and file management
- Characteristics of a sound information technology infrastructure includes system architecture; technology lifecycles)
- Components of information systems, including hardware, software and network components
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No textbook is required.
Required reading is posted to the web.
Home►
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Kropf R, Scalzi G. Managing information technology work: maximizing the benefits for health care organizations. Health Forum, Chicago, 2007
Amazon►
Each class will consist of four parts:
- Learn one: online or in person brief interactive lecture
- Do one: Laboratory work. Complete assignments during class time.
- Teach one: Students teach the topic they have learned to one another
- Evaluation: Students evaluate all lectures, not just at end of the
course
We rely on a method typically used in training of medical residents:
"Learn one, do one, teach one." Each student is expected to not
only learn the concepts in the course, and do the assignments, but also
teach a portion of the course. This active participation in teaching
helps students learn the concepts in the course in more depth. The
best way to learn a topic is to teach it. Students are expected to
teach by preparing a brief video. Students select which topic they wish
to teach. They can teach about any aspect within the topic.
Typically students teach how
to do the assignment in the week's topic.
Video Preparation
In several assignments you are asked to prepare videos. Following tools are needed for preparing an online project presentation:
- A microphone is necessary to narrate your slides. Please do not rely on built in microphones for portable computers.
- You can capture screen shots and insert it into your slide presentation using Command and Print Screen keys.
MAC Users►
- Narrate your slides or use other video making software.
Narrate► Free Camstudio►
Camtasia►
SWF►
IMovie►
- Convert the narrated slides to a video format that can be uploaded to
the web.
- Upload your narrated slides
Author Stream►
You-Tube►
- Share your narrated slides publicly so all students in the class can view it.
- Put within the description the following statement: "This presentation was prepared as part of the
HAP 360 course on Information Systems in
Health Care Management taught by Farrokh Alemi, Ph.D. at George Mason
University Department of Health Administration and Policy."
Add a sentence about you to the description. Keep in mind that the
work you are uploading will remain on the web for years to come and will
help shape your career.
- If you wish to be exempted from sharing your work publicly, make a request to the instructor with your justification and alternative plans.
- Email your URL to the students in the course or post your URL in
Blackboard discussion so others can find it.
Modern
health systems administrators must present their ideas
effectively. Effective
presentation includes:
- Use appropriate content.
Managers are often called upon to give voice to
customers concerns. This is best done
through use of multi-media.
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Have a consistent style (the same font, capitalization policy, color, and size
through out the video).
- Make one, and only one, point per slide.
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Make sure all texts on slides are readable,
even after compression to fit the
video requirements. A U-tube video reduces Power Point slides to
1/4 of their original size. Phone views have additional
reductions.
- Make
sure the narration is clear and continuous. Occasional hiccups
are ok, keep them they add color. Set compression levels high enough
to be understood in a noisy room.
- Be brief. Do not exceed 10 minutes. If you need
more time, make multiple videos.
The Teach One assignment must be completed one week ahead of
the related lecture.
Missing this deadline reduces the Teach One grade by 20%. The
URL for the Teach One assignment must be posted to Blackboard to receive
a grade for it. No Teach One
assignment are accepted after the midterm or after final exams.
You are required to complete all assignments one week after
lecture day; assignments for lectures over two weeks are due one day after 2nd
week's lecture.
3. Exams (40%)
The exam covers the material in the course. The questions asked are nearly the same as the weekly assignments and "What do you know?" section of the web pages. You would need access to
Excel and to Project Management software. The exam is timed, open-book, with full access to Internet, Google, and to the course web page. Do not rely on the open-book access as time limitations typically prohibit learning the content
during the exam time.
Grading
University grading policies are followed.
A
4.00
94-100%
A-
3.67
90-93%
B +
3.33
87-89%
B
3.00
83-86%
B-
2.67
80-82%
C + 2.33
77-79%
C
2.00
73-76%
C -
1.67
70-72%
F
69% and below
Please note that course syllabus may change at anytime prior to the date of the lecture. Do not print ahead of schedule. Check this page regularly for updates. Assignments are due within 7 days of
date of topic, unless otherwise noted. Late assignments are accepted prior
to mid-term or final exams. Late assignments will receive 20% less grade.
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Date: Jan 27
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Topic
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Overview of the Course and Introduction to EHR
Lecture►
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Objectives
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- Discuss
course requirements
- Describe the
evolution of information technology in healthcare
- Describe the
components of electronic health records
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Assignments
Due Feb 2
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- Select topics you will teach. Post your selection on the
discussion group in Blackboard. Post your Linked In page.
Indicate contact information for your accademic advisor.
Blackboard►
- Use an electronic health
record. Take screen shots that you have completed the required
assignments. Insert the images into Power Point and send to
the instructor through Blackboard More►
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Date: Feb
3
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Topic
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Overview of the Course and Introduction to EHR
Lecture►
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Objectives
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- Discuss
meaningful use of electronic health records
- Assess
patient safety using electronic health records
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Assignments
Due Feb 9
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- Make sure you complete the introductory assignments,
including Linked In page, selection of Teach One topic, and
advisor's contact information.
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Date: Feb 10
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Topic
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Plan IT:
Assess Business Value of Information Technology Lecture►
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Objectives
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- Assess
business value of information technology
- List problems
associated with selective listing of benefits and cost of information technology
- Problems with
listing cost of information technology
- Causal
interpretation of return on investment
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Assignment Due Feb 16
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- Evaluate business value of
IT. Use Excel and Power Point to complete this
assignment and to submit it via Blackboard
More►
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Date:
Feb 17
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Topic
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Plan IT:
Participatory Vendor Evaluations
Lecture►
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Objectives
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- Conduct
participatory vendor selection
- Conduct
effective team meetings
- Analyze
preferences of a group of decision makers
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Assignment Due Feb 23
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- Conduct participatory vendor selection.
More►
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Date:
Feb
24
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Topic
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Plan IT:
Assess Information Needs
Lecture►
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Objectives
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- Assess
information needs of an organization
- Distinguish
between wanted information and needed information
- Plan for
relevant information to be available on time
- Examine role
of information in future decisions
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Assignment Due Mar
2
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- Assess information you need 6 months from now. More►
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Date: Mar 3
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Topic
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Plan
IT: Plan
Process Improvement through Information Systems
Lecture►
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Objectives
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- Plan process
improvement through design of information technology
- Create use
cases linked to quality improvement
- Specify system
requirements based on process changes
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Assignment Mar 9
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Date:
Mar 10-12
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Topic
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Midterm Exam
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- 2-hour long exam. Exam will be available
from Friday noon to Sunday noon. Must be returned 2 hour after
start. Open book, open Internet. No group
answers.
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Date:
Mar 31
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Topic
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Implement IT:
Project Planning
Lecture►
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Objectives
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- Manage
information technology projects
- Plan project
schedule
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Assignment Due Apr
6
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- Plan
an EHR implementation project.
More►
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Date:
Apr 7
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Topic
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Implement IT: Project Control
Lecture►
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Objectives
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- Manage
information technology projects
- Estimate
project duration
- Assess
critical path
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Assignment
Apr
13
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- Control implementation of an EHR. More►
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Date: Apr 14
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Topic
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Use of IT: Comparative effectiveness
Lecture►
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Objectives
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- Examine quality of care through electronic health records
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Assignment
Apr 20
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- Complete a comparative effectiveness study
More►
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Date: Apr
21
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Topic
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Use of IT: Precision & Predictive Medicine
Lecture►
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Objectives
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- Organize evaluations of electronic health records
- Examine quality of care through electronic health records
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Assignment
Apr 27
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- Predict
treatment outcomes
More►
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Date: May
5-7
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Topic
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Final Exam
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- 2-hour long exam will be posted at start of
exam time. Open book, open Internet. No group answers.
Sample
Exam►
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Bruce Slater MD talks about
electronic health records (online)
Bio►
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Suniti Ponkshe, MS, author of Medical Informatics 20/20,
talks about IBM's approach to EHR vendor evaluations
Bio►
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Ken Rubin from EDS talks about designing real world electronic health
records
Bio►
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Jim Oakes Planning for the Successful Deployment of an Electronic
Medical Record
Bio►
- John K.
Cuddeback, MD, PhD Chief Medical
Informatics Officer Anceta talks on benefits of adoption of
electronic health records
Bio►
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Julian Safran, MD a practicing physician who
has implemented EHR in his office will discuss the cost and benefit
of EHRs.
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Mia Cambronero is an online community organizer.
Bio►
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David Pattie, Ph.D. lecture on bio-surveillance
Contact►
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Patrick Schmitt is a Campaign Director at Move On.org.
Bio►
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Dean Browell, PhD is director of New Media at ND&P Inc. (Neathawk
Dubuque & Packett Inc.)
Contact►
Bio►
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Laura Benson, MS, Manager, Quality Improvement Clinical Quality
Improvement Health Net Federal Services
Bio►
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John Bott works under contract with Agency for Healthcare Research and
Quality Bio►
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Captain Andy Spencer from United States Navy Bio►
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Karla Loper RN speaks on value of quality indicators for Health Net Inc.
Bio►
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Dr. Noele Nelson, Deputy Director of Operations and Research at ISIS
Bio►
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Syed Tirmizi, MD,
Medical Informatician at the
Veterans Administration, will speak on impact of Clinical Decision
Support Systems Bio►
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Linda Randolph MD, MPH is President and CEO of Developing
Families Clinic in District of Columbia
Bio►
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Amy Filmore Nassar FNP, CDE is a faculty at Georgetown University
Bio►
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Tim Thompson's lecture on participatory implementation of EHR
Slides► Bio►
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Coletta Dorado, CEO and Founder of Azzly Inc.
Bio►
Slides►
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Mark Hulse, RN, CIO of MOFFITT
Bio►
Slides►
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Steve Short is Tampa General Hospital's Sr. Vice President & Chief
Financial Officer Bio►
Slides►
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