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