Month: September 2018

Component 9; Networking and Health Information Exchange

Component Description:

In-depth analysis of data mobility including the hardware infrastructure (wires, wireless, and devices supporting them), the ISO stack, standards, Internet protocols, federations and grids, and nationwide approaches to health information exchange.

Component 9; Unit 1: ISO Open Systems Interconnection (OSI)

Description:

This unit will address the OSI, including the purpose and content of each of its seven layers:  physical, data link, network, transport, session, presentation, and application. Products, processes, protocols and tools at each level will be explained. This unit will also focus on the flow of data through the models as data is transmitted and receive by end devices.

 

Component 9; Unit 1; Lecture 1a comp9_unit1a_lecture_slides

Component 9; Unit 1; Lecture 1b comp9_unit1b_lecture_slides

 

Component 9; Unit 2: Network Media and Hardware Communication Devices

Description:

This unit is designed to help the student understand network media, hardware devices, and how to select appropriate items to meet the guidelines for usage.

Component 9; Unit 2; Lecture 2a comp9_unit2a_lecture_slides

Component 9; Unit 2; Lecture 2b comp9_unit2b_lecture_slides

Component 9; Unit 2; Lecture 2c comp9_unit2c_lecture_slides

Component 9: Unit 3: Standards Developing Organizations

Description:

This unit introduces students to the national and international organizations that create standards used in networking and health information exchange.

Component 9: Unit 3; Lecture 3a comp9_unit3a_lecture_slides

Component 9: Unit 3; Lecture 3b comp9_unit3b_lecture_slides

Component 9: Unit 3; Lecture 3c comp9_unit3c_lecture_slides

Component 9: Unit 4: Basic Health Data Standards

Description:

This unit provides and orientation to the important data-related standards that enable interoperable health data interchange

Component 9: Unit 4: Lecture 4a comp9_unit4a_lecture_slides

Component 9: Unit 4: Lecture 4b comp9_unit4b_lecture_slides

Component 9: Unit 4: Lecture 4c comp9_unit4c_lecture_slides

Component 9: Unit 4: Lecture 4d comp9_unit4d_lecture_slides

Component 9: Unit 4: Lecture 4e comp9_unit4e_lecture_slides

Component 9: Unit 4: Lecture 4f comp9_unit4f_lecture_slides

Component 9; Unit 5: Health Data Interchange Standards

Description:

This unit introduces some recognized standards for data interchange between disparate systems. In particular, HL7 versions 2 and 3 are discussed.

Component 9; Unit 5; Lecture 5a comp9_unit5a_lecture_slides

Component 9; Unit 5; Lecture 5b comp9_unit5b_lecture_slides

Component 9; Unit 6: EHR Functional Model Standards

Description:

This unit explores the functional requirements and some of the standards that exist for electronic health records (EHRs).

Component 9; Unit 6; Lecture 6 comp9_unit6_lecture_slides

Component 9; Unit 7: Supporting Standards for EHR Applications

Description:

This unit presents a set of standards that support the application layer of the OSI and extend EHR Functionality.

Component 9; Unit 7; Lecture 7a comp9_unit7a_lecture_slides

Component 9; Unit 7; Lecture 7b comp9_unit7b_lecture_slides

Component 9; Unit 7; Lecture 7c comp9_unit7c_lecture_slides

Component 9; Unit 7; Lecture 7d comp9_unit7d_lecture_slides

Component 9; Unit 8: Enterprise Architecture Models

Description:

This unit addresses different enterprise architecture models that provide an infrastructure for healthcare networks.

Component 9; Unit 8; Lecture 8 comp9_unit8_lecture_slides

Component 9; Unit 9: Privacy, Confidentiality, and Security Issues and Standards

Description:

This unit explores issues related to creating an environment in which to transport data in a secure manner that ensures privacy and confidentiality.

Component 9; Unit 9; Lecture 9a comp9_unit9a_lecture_slides

Component 9; Unit 9; Lecture 9b comp9_unit9b_lecture_slides

Component 9; Unit 10: Health Information Exchange

Description:

This unit explores the networking standards and the standards required for interoperability to enable the creation of Health Information Exchanges

Component 9; Unit 10; Lecture 10a comp9_unit10a_lecture_slides

Component 9; Unit 10; Lecture 10b comp9_unit10b_lecture_slides

 

Component 8; Installation and Maintenance of Health IT Systems

Component Description:

Instruction in installation and maintenance of health IT systems, including testing prior to implementation. Introduction to principles underlying system configuration. Hands-on experiences in computer labs and on-site in health organizations.

Component 8; Unit 1: Elements of a Typical EHR System

Description:

This unit will give a brief overview of a typical Electronic Health Record (or EHR) system, including discussion of the Institute of Medicine’s six aims for improving healthcare, what an EHR is, and how it has evolved. Additionally, it will outline the types of network elements an EHR system needs to function, as well as its typical hardware and software components.

Component 8; Unit 1; Lecture 1a comp8_unit1a_lecture_slides

Component 8; Unit 1; Lecture 1b comp8_unit1b_lecture_slides

Component 8; Unit 2: Software and Certification

Description:

This unit will discuss the differences in COTS (Commercial Off-The-Shelf) and in-house/homegrown systems and how to select the system to meet the needs of the end users.

Component 8; Unit 2; Lecture 2 comp8_unit2_lecture_slides

Component 8; Unit 3: System Selection – Functional and Technical Requirements

Description:

This unit explores aspects of functional requirements of systems (by users) and technical requirements (by the system), including how to determine, document, prioritize, and act on those requirements.

Component 8; Unit 3; Lecture 3 comp8_unit3_lecture_slides

Component 8; Unit 4 Structured Systems Analysis and Design

Description:

This unit will discuss generalities about project management along with the role of the project manager.  It will also cover in some detail the various components of a typical project plan and how to design a project plan for a typical EHR system.

Component 8; Unit 4; Lecture 4 comp8_unit4_lecture_slides

Component 8; Unit 5: Software Development Life Cycle

Description:

This unit will discuss generalities about project management along with the role of the project manager.  It will also cover in some detail the various components of a typical project plan and how to design a project plan for a typical EHR system.

Component 8; Unit 5; Lecture 5 comp8_unit5_lecture_slides

Component 8; Unit 6: Installation and Maintenance of Health IT Systems

Description:

This unit will discuss the security rules required by regulation and best practices for implementation and monitoring of security in EHR systems.

Topics in this unit include: Federal, state, and local health information regulations for EHRs, computer and network system vulnerabilities and best practices for identification and mitigation of those vulnerabilities, information access and protection measures, and user security training.

Component 8; Unit 6; Lecture 6a comp8_unit6a_lecture_slides

Component 8; Unit 6; Lecture 6b comp8_unit6b_lecture_slides

Component 8; Unit 7: System Interfaces and Integration

Description:

This unit will define interface and integration and explain their importance, discuss common interface methods point to point and interface engines and the types of protocols they use, examine HL7 and how it simplifies the process of communicating between various dissimilar components, and connecting your EHR system to the outside world.

Component 8; Unit 7; Lecture 7 comp8_unit7_lecture_slides

Component 8; Unit 8: Troubleshooting, Maintenance and Upgrades, and Interaction with Vendors, Developers, and Users

Description:

This unit will discuss ways you can implement an infrastructure for troubleshooting, and maintaining EHRs and their existing infrastructure introduction.

Component 8; Unit 8; Lecture 8a comp8_unit8a_lecture_slides

Component 8; Unit 8; Lecture 8b comp8_unit8b_lecture_slides

Component 8; Unit 9: Creating Fault Tolerant Systems, Backups, and Decommissioning

Description:

This unit will discuss ensuring availability and resiliency through fault tolerance, data reliability through backup, and secure decommissioning of EHR systems.

Component 8; Unit 9; Lecture 9a comp8_unit9a_lecture_slides

Component 8; Unit 9; Lecture 9b comp8_unit9b_lecture_slides

Component 8; Unit 9; Lecture 9c comp8_unit9c_lecture_slides

Component 8; Unit 10: Developing a Test Strategy and Test Plan

Description:

This unit will discuss the various elements required for developing a test strategy and plan for testing your EHR software prior to final acceptance.

Component 8; Unit 10; Lecture 10 comp8_unit10_lecture_slides

Component 8; Unit 11 Pilot Testing and Full-Scale Deployment

Description:

This unit will discuss rollout phases of an EHR system, to smaller test user communities and to the entire organization.

Component 8; Unit 11; Lecture 11 comp8_unit11_lecture_slides

 

 

 

 

Component 7: Working with Health IT Systems

Component Description:

This is a laboratory component.  Students will work with simulated systems or real systems with simulated data.  As they play the role of practitioners using these systems, they will learn what is happening “under the hood.”  They will experience threats to security and appreciate the need for standards, high levels of usability, and how errors can occur. Materials must support hands-on experience in computer labs and on-site in health organizations.

Component 7; Unit 1: Introduction & Overview: Components of HIT Systems

Description:

This unit is an introductory unit where the core definitions and concepts of systems in general and healthcare specifically are presented.  Using hands-on exploratory lab exercises, students will be introduced to an example HIT system where they will learn basic navigation and gain familiarity with components common to many clinical HIT systems. Specific examples of HIT systems from a variety of settings will be discussed.

Component 7; Unit 1 unified slides comp7_unit1_lecture_slides

Component 7; Unit 1; Lecture 1a

Component 7; Unit 1; Lecture 1b

Component 7; Unit 1; Lecture 1c

Component 7; Unit 1; Lecture 1d

Component 7; Unit 1; Lecture 1e

Component 7; Unit 1; Lecture 1f

Component 7; Unit 2: Under the Hood

Description:

Unit 2 is designed to introduce students to the generic functions of HIT systems that underpin inpatient and outpatient (ambulatory) processes. Crafted HIT lab exercises will lead the student through a simulated patient encounter to highlight how HIT systems support, and sometimes thwart, information flow.

Component 7; Unit 2; Lecture 2a comp7_unit2a_lecture_slides

Component 7; Unit 2; Lecture 2b comp7_unit2b_lecture_slides

Component 7; Unit 3: Understanding Information Exchange in HIT Systems

Description:

Unit 3 will focus upon the functional aspects of interoperability within and between systems.  Applying didactically presented concepts to hands on lab assignments, students will be challenged to locate and collate data from disparate systems and to assist users in planning for enhanced information flow in HIT systems.

Component 7; Unit 3; Lecture 3 comp7_unit3_lecture_slides

Component 7; Unit 3; extra video

Component 7; Unit 4: The Effective IT System

Description:

Unit 4 is designed to emphasize the aspects of HIT that contribute to effectiveness and meaningful use.  The concepts of usability, consistency, and reliability in regards to HIT systems and how each contributes to, or detracts from, effectiveness will be presented.  Definitions of evidence-based practice and guideline-enhanced care will be covered in addition to how HIT can support effective, safe, and efficient patient-centered care.

Component 7; Unit 4; Lecture 4 comp7_unit4_lecture_slides

Component 7; Unit 4; extra video part 1

Component 7; Unit 4; extra video part 2

Component 7; Unit 4; extra video part 3

Component 7; Unit 4; extra video part 4

Component 7; Unit 4; extra video part 5

Component 7; Unit 5: Fundamentals of Usability in HIT Systems – What Does it Matter?

Description:

Unit 5 will present the basic concepts of usability in general and HIT usability specifically.  Students will be exposed to usability bottlenecks and learn to identify usability roadblocks in the EHRS lab system, hypothesizing potential downstream effects of poor usability, and suggesting solutions/alternate designs.  This unit will detail the relationships between usability, user satisfaction, and workarounds.

Component 7; Unit 5; Lecture 5a comp7_unit5a_lecture_slides

Component 7; Unit 5; Lecture 5b comp7_unit5b_lecture_slides

Component 7; Unit 5; extra video part 1

Component 7; Unit 5; extra video part 2

Component 7; Unit 6: HIT Facilitated Error – Cause and Effect

Description:

Unit 6 is a unit that will focus upon error in health and healthcare that can be facilitated and propagated by HIT.  Different classes of HIT errors (slips/mistakes, omission/commission) will be discussed and differentiated.  Specific scenarios that create opportunities for HIT facilitated error will be presented to students in the lab exercises.  In these exercises, students will apply concepts learned in the didactic portion of this unit to identify error, classify error, analyze root cause, and propose solutions.

Component 7; Unit 6; Lecture 6a comp7_unit6a_lecture_slides

Component 7; Unit 6; Lecture 6b comp7_unit6b_lecture_slides

Component 7; Unit 7: Protecting Privacy, Security, and Confidentiality in HIT Systems

Description:

Unit 7 is designed to present an overview of the concepts of privacy, security, and confidentiality of protected health information (PHI) in relation to HIT systems.  Threats to PHI frequently encountered in HIT environments such as password sharing, offsite access to EHRS, challenges of staff turn-over and student access, unauthorized access, etc. will be detailed.  Students will be exposed to simulated breeches of privacy, security and confidentiality of PHI in lab exercises, asked to identify, and propose strategies to thwart

Component 7; Unit 7; Lecture 7a comp7_unit7a_lecture_slides

Component 7; Unit 7; Lecture 7b comp7_unit7b_lecture_slides

Component 7; Unit 8: HIT System Planning, Acquisition, Installation, &Training:  Practices to Support & Pitfalls to Avoid

Description:

Unit 8 is a unit where the core definitions and concepts of HIT systems planning, acquisition, installation, and training are presented.  A variety of different settings will be used as examples in the unit, including small office practices, community clinics, acute care facilities, and skilled nursing facilities. Students will conduct simulated user needs analysis, and using the lab EHRS, will identify gaps in meeting those needs.  Students will develop training plans for a variety of settings

Component 7; Unit 8; Lecture 8a comp7_unit8a_lecture_slides

Component 7; Unit 8; Lecture 8b comp7_unit8b_lecture_slides

Component 7; Unit 9: Potential Issues with Adoption and Installation of an HIT system

Description:

Unit 9 discusses the basics of human behavior, change, and adaptation.  Strategies for dealing with barriers to implementation (human and structural) will be covered.

Component 7; Unit 9; Lecture 9 comp7_unit9_lecture_slides

Component 7; Unit 10: HIT and Aspects of Patient-Centered

Description:

Unit 10 will define and explain patient-centered care.  It discusses the aspects of HIT that support (and detract) from patient-centered care. Specific examples will be provided.  Students will explore aspects of HIT that currently support patient-centered care and will propose new methods for enhancing patient-centered care.

Component 7; Unit 10; Lecture 10a comp7_unit10a_lecture_slides

Component 7; Unit 10; Lecture 10b comp7_unit10b_lecture_slides

Component 7; Unit 11: Health IT in the Future

Description:

Unit 11 will focus upon future directions for HIT.  New areas of research and development in HIT will be examined.  Students will gain a foundational understanding of these area

Component 7; Unit 11; Lecture 11 comp7_unit11_lecture_slides

 

 

 

 

 

Component 6: Health Management Information Systems

Component Description:

A “theory” component, specific to health care and public health applications. Introduction to health IT standards, health-related data structures, software applications; enterprise architecture in health care and public health organizations.

Component 6; Unit 1;  What is Health Informatics?

Description:

A definition of information management, information technology, and informatics, describe the fundamental theorem of informatics, explains the meaning of biomedical and health informatics as a field of study, and offers definitions of the major biomedical informatics areas of applications. Also, an overview of informatics drivers and trends in the health care field. A definition of the informatics team, their skills, roles and responsibilities, and identifies how health informaticians process data into information and knowledge for health care tasks with the support of information technology to improve patient care.

Component 6; Unit 1; Lecture 1a comp6_unit1a_lecture_slides

Component 6; Unit 1; Lecture 1b comp6_unit1b_lecture_slides

video missing

Component 6; Unit 2: Health Information Systems Overview

Description:

Defines the concept of an information system and its characteristics, describes the different types of information systems, and describe various types of technologies that support health care information systems. Examines the challenges presented by emerging trends in information technology (e.g., mobility, web services, the Internet, Intranet, and wireless computing), social media, and global communications and discusses the advantages and disadvantages of using the Internet as a platform for health care applications.

Component 6; Unit 2; Lecture 2a comp6_unit2a_lecture_slides

Component 6; Unit 2; Lecture 2b comp6_unit2b_lecture_slides

Component 6; Unit 3: Electronic Health Records

Description:

Defines an electronic medical record (EMR) and electronic health record (EHR) and explains their similarities and differences, identifies attributes and functions of an EHR, discusses the issues surrounding EHR adoption and implementation, and describes the impact of EHRs on patient care. Description of Certified Health IT Product List (CHPL) and the connection of meaningful use to EHR certification requirements. The evolution of EHRS to provide PHRs & basic exchange capabilities. Patient matching, record locators, lab interoperability, e-prescribing and alerting. Linking EHRs through Health Information Exchange (HIE) initiatives, discusses how HIE impacts health care delivery and the practice of health care providers, summarizes the governmental efforts related to EHR systems including meaningful use of interoperable health information technology and a qualified EHR, describes the Institute of Medicine’s vision of a health care system and its possible impact on health management information systems, and lists examples of the effects of developments in bioinformatics on health information systems.

Component 6; Unit 3; Lecture 3a comp6_unit3a_lecture_slides

Component 6; Unit 3; Lecture 3b comp6_unit3b_lecture_slides

Component 6; Unit 4: Computerized Provider Order Entry (CPOE)

Description:

Defines CPOE, states the purpose of CPOE, lists attributes and functions of CPOE, and explains how CPOE is currently being used in health care. Describe patient generated data and the push toward consumer-mediated data exchange using PHRs. Describes the major value to adopting CPOE applications, identifies the common barriers to adoption, and summarizes the potential impact CPOE has on patient care safety, quality and efficiency, and patient outcomes.

Component 6; Unit 4; Lecture 4a comp6_unit4a_lecture_slides

Component 6; Unit 4; Lecture 4b comp6_unit4b_lecture_slides

Component 6; Unit 5: Clinical Decision Support Systems

Description:

Defines clinical decision support, provides some historical context surrounding clinical decision support, describes the requirements of a clinical decision support system, and discusses the relationship of clinical practice guidelines and evidence-based practice to clinical decision support systems. Identify the challenges and barriers in building and using clinical decision support systems, explain how legal and regulatory technologies may affect their use, and introduce the future directions for clinical decision support systems.

Component 6; Unit 5; Lecture 5a comp6_unit5a_lecture_slides

Component 6; Unit 5; Lecture 5b comp6_unit5b_lecture_slides

Component 6; Unit 6: Patient Monitoring Systems

Description:

Definition of patient monitoring systems, describes the purpose, attributes, and functions of patient monitoring systems, discusses the primary applications and how automation can improve quality of care, and analyzes how the integration of data from many sources assists in medical decision making. Discusses how telehealth communication technologies support clinical care, explains the effectiveness and economic benefit of telehealth, and examines the role smart technology in the home and remote links to health information systems play in enhancing the quality of patient care.

Component 6; Unit 6; Lecture 6a comp6_unit6a_lecture_slides

Component 6; Unit 6; Lecture 6b comp6_unit6b_lecture_slides

Component 6; Unit 7: Medical Imaging Systems

Description:

Definition of medical imaging, describes the purpose, processes, and management issues of medical imaging systems, analyzes the economic and technological factors that must be considered in the adoption of digital displays in radiology departments, looks at the major challenges with imaging systems faced by health care institutions and informaticians, and examines the future directions for imaging systems.

Component 6; Unit 7; Lecture 7 comp6_unit7_lecture_slides

Component 6; Unit 8: Consumer Health Informatics

Description:

Definitions of health communication, e-Health, consumer health informatics, and interactive health communication, identifies how the Internet has impacted consumer health informatics, explains how current and emerging technologies may affect consumer health informatics, and introduces the role of genomics in consumer health informatics. Definitions of personal health records or PHRs, describes the role of PHRs and their implications within health care, and discusses the challenges of consumerism in health information systems.

Component 6; Unit 8; Lecture 8a comp6_unit8a_lecture_slides

Component 6; Unit 8; Lecture 8b comp6_unit8b_lecture_slides

Component 6; Unit 9: Administrative, Billing and Financial Systems

Description:

Examines the relationship of administrative, billing, and financial systems to the health care information system, explains applications that need to be integrated in health care information systems, explores health care organizations’ integration strategies, identifies the critical elements for integration of these systems with clinical information systems, and discusses how health care organizations may gain valuable insights from integrated data through data analytics and trending. Defines a master patient index or MPI and describes its core elements and discusses current trends to establish a unique patient identifier.

Component 6; Unit 9; Lecture 9a comp6_unit9a_lecture_slides

Component 6; Unit 9; Lecture 9b comp6_unit9b_lecture_slides

 

Component  5: History of Health Information Technology in the U.S.

Component Description:

This component traces the development of IT systems in health care and public health, beginning with the experiments of the 1950s and 1960s and culminating in the use of health IT to support the new models of care that have been developing after the passage of the Affordable Care Act, including the introduction of the concepts of “meaningful use” of electronic health records, population health and value-based care.

Component 5; Unit 1:  Evolution of Health IT: The Early Years

Description:

This unit describes the early years of the evolution of health IT.

Component 5; Unit 1; Lecture 1a comp5_unit1a_lecture_slides

Component 5; Unit 1; Lecture 1b comp5_unit1b_lecture_slides

Component 5; Unit 1; Lecture 1c comp5_unit1c_lecture_slides

Component 5: Unit 2: Evolution of Health IT: The Modern Era

Description:

This unit describes the evolution of health IT from 1990 – 2016.

Component 5; Unit 2; Lecture 2a comp5_unit2a_lecture_slides

Component 5; Unit 2; Lecture 2b comp5_unit2b_lecture_slides

Component 5; Unit 3: Evolution of Health IT: The HITECH Act

Description:  This unit describes the background and provisions of the HITECH Act.

Component 5; Unit 3; Lecture 3a comp5_unit3a_lecture_slides

Component 5; Unit 3; Lecture 3b comp5_unit3b_lecture_slides

Component 5; Unit 4: Evolution of Public Health Informatics

Description:

This unit describes the evolution of public health informatics.

Component 5; Unit 4; Lecture 4 comp5_unit4_lecture_slides

Component 5; Unit 5: Evolution of Nursing Informatics and HIT Tools Used By Nursing

Description:  This unit describes the evolution of nursing informatics and the HIT tools used by nursing.

Component 5; Unit 5; Lecture 5 comp5_unit5_lecture_slides

Component 5; Unit 6: History of Electronic Health Records (EHRs)

Description:

This unit describes the history of electronic health records.

Component 5; Unit 6; Lecture 6a comp5_unit6a_lecture_slides

Component 5; Unit 6; Lecture 6b comp5_unit6b_lecture_slides

Component 5; Unit 7: History of Clinical Decision Support Systems

Description:

This unit describes the history of clinical decision support systems.

Component 5; Unit 7; Lecture 7a comp5_unit7a_lecture_slides

Component 5; Unit 7; Lecture 7b comp5_unit7b_lecture_slides

Component 5; Unit 7; Lecture 7c comp5_unit7c_lecture_slides

Component 5; Unit 8:History of CPOE and E-Prescribing

Description:

This unit describes the history of CPOE and e-prescribing.

Component 5; Unit 8; Lecture 8a comp5_unit8a_lecture_slides

Component 5; Unit 8; Lecture 8b comp5_unit8b_lecture_slides

Component 5; Unit 9: History of Health Information Exchange

Description:

This unit describes the history of health information exchange.

Component 5; Unit 9; Lecture 9 comp5_unit9_lecture_slides

Component 5; Unit 10: History of Privacy and Security Legislation

Description:

This unit describes the history of privacy and security legislation in the US.

Component 5; Unit 10; Lecture 10a comp5_unit10a_lecture_slides

Component 5; Unit 10; Lecture 10b comp5_unit10b_lecture_slides

Component 5; Unit 10; Lecture 10c comp5_unit10c_lecture_slides

Component 5; Unit 11:  Software Certification and Regulation

Description:

This unit describes the history of software certification and regulation.

Component 5; Unit 11; Lecture 11 comp5_unit11_lecture_slides

 

Component 5; Unit 12: History of Mobile Computing

Description:

This unit describes the history of mobile computing in healthcare.

 

Component 5; Unit 12; Lecture 12 comp5_unit12_lecture_slides

Component 5; Unit 13. History of Telemedicine

Description:

This unit describes the history of telemedicine.

Component 5; Unit 13; Lecture 13 comp5_unit13_lecture_slides

Component 5; Unit 14: History of Quality Improvement and Patient Safety

Description:

This unit describes the history of the use of information technology as a part of quality improvement and patient safety.

Component 5; Unit 14; Lecture 14 comp5_unit14_lecture_slides

Component 5; Unit 15 History of Health IT Organizations

Description:

This unit describes the history of health IT organizations.

Component 5; Unit 15; Lecture 15a comp5_unit15a_lecture_slides

Component 5; Unit 15; Lecture 15b comp5_unit15b_lecture_slides