This course traces the development of IT systems in healthcare and public health, beginning with the experiments of the 1950s and 1960s and culminating in the HITECH Act. Introduces the concept of meaningful use.
It covers public policy, relevant organizations and their interrelationships, professional roles, legal and regulatory issues, and payment systems. It also addresses health reform initiatives in the US.
At the completion of this course students will be able to:
- Define health care terms.
- Describe paradigm shifts in health care.
- Describe the medical model of health care in the US.
- Describe the administrative and functional organization of entities that deliver health care in the US, both in the inpatient as well as the outpatient settings.
- Discuss the role of various health care professionals, their education, and certification/licensure requirements.
- Distinguish between public and private funding for health care
- Describe health care financing structures, including insurance plans, third-party payers, Medicare, and Medicaid.
- Describe the organization and structures of Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Independent Practice Associations (IPAs).
- Describe methods of billing and reimbursement in health care.
- Describe elements of coding and charge capture in health care.
- Compare and contrast the function of the Joint Commission, Food and Drug Administration (FDA), Centers for Disease Control (CDC), and National Institutes of Health (NIH), with an emphasis on Electronic Health Records (EHRs).
- Discuss legal issues in medicine including the Health Insurance Portability and Accountability Act (HIPAA), confidentiality, medical malpractice, and tort reform.
- Describe the organization of public health in the US at the federal, state, and local levels, and discuss the role of public health in averting epidemics and bio-terrorism.
- Describe evidence-based medicine, clinical practice guidelines, and quality indicators in medicine. Identify key organizations involved in developing clinical guidelines.
- Discuss the key issues driving health care reform in the US.
- Describe the implementation of meaningful use of health information technology in the context of the Health Information Technology for Economic and Clinical Health (HITECH) Act.
NOTE: This course is part of the Health Information Technology Certificate Program
but is opened to those not enrolled in the certificate program as well.