MDR 100 - Introduction to Health Data Content & Structure

 
Description
This course presents an introduction to the health information management profession and the health record. Some of the topics included are health data structure, content and standards; health information department functions; healthcare delivery systems; and data storage, retrieval and retention. Information presented will include paper, hybrid and electronic health records. This course requires a per credit health career fee; check the tuition and fee schedule for the current rate.

1. Explain the roles and functions of a health information management (HIM) department and HIM professionals.
2. Differentiate the roles of the various providers and disciplines throughout the continuum of healthcare services.
3. Identify the purpose, use and documentation requirements for customary reports contained within the health record.
4. Verify timeliness, completeness, accuracy and appropriateness of health data in the patient record.
5. Examine and develop health record data collection tools.
6. Determine storage, retention and destruction policies for health information.

1. Introduction to the HIM profession and HIM functions
2. Healthcare delivery systems
3. Purpose, function and users of the health record
4. Content, structure and standards of the health record
5. Health record data collection tools
6. Document archival, retrieval and imaging systems
7. Emerging technologies and initiatives in the HIM field

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