The Office of the National Coordinator funded the development of excellent resources for educating people about Health Information Technology and Informatics. These materials were created by leaders from institutions like Columbia University, Oregon Health Sciences University, and the University of Alabama Birmingham.
The materials on the ONC site are zipped up into very large archive files which may make it hard for those with a causal interest to access the videos and PowerPoint lecture materials.
I’ve created this page to host links to the videos I have uploaded on to YouTube and organize the PowerPoint files. I am using these materials in a Master’s of Clinical Research course we teach at the University of Kansas Medical Center, PVRM 868: Medical Informatics Driven Clinical Research. Class notes and archives of student projects are hosted here:
Preliminary independent study classes are here and here
PVRM 868 in 2016, 2017, and current 2018 class.
The class also references the Center for Medical Informatics and Enterprise Analytics materials on how we use our HERON integrated data repository (powered by i2b2) together with REDCap at KUMC so check out our videos and HERON manual on those pages
ONC Materials.
Component 1: Introduction to Health Care and Public Health in the U.S.
Component Description:
This component is a survey of how health care and public health are organized and services delivered in the U.S. 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 U.S.
Component Objectives:
At the completion of this component, the student will be able to:
- Define key terms in health care and public health.
- Describe components of health care delivery and health care systems.
- Discuss examples of improvements in public health.
- Define core values and paradigm shifts in U.S. health care.
- Describe the technology used in the delivery and administration of health care.
- Describe the organization of healthcare at the federal, state, and local levels.
- Describe the organization of the VA system and Military Health System.
- Describe the structure and function of hospital clinical and administrative units.
- Describe different types of long-term care facilities, with an emphasis on their function.
- Describe the organization of clinical health care delivery in the outpatient setting and the organization of outpatient health care.
- Describe the organization of ancillary health care delivery in the outpatient setting.
- Compare the role of different health care providers, with an emphasis on the delivery of care in an interdisciplinary setting.
- Describe the history and role of the health insurance industry in financing health care in the United States, and the federal laws that have influenced the development of the industry.
- Explain the importance of the health care industry in the U.S. economy and the role of financial management in health care.
- Describe models of health care financing in the U.S. and in selected other countries.
- Explain the differences among various types of private health insurance and describe the organization and structure of network-based managed care health insurance programs.
- Describe the various roles played by government as policy maker, payor, provider, and regulator of health care.
- Describe the organization and function of Medicare and Medicaid.
- Describe the revenue cycle and the billing process undertaken by different health care enterprises.
- Explain the billing and coding processes, and standard code sets used in the claims process.
- Identify different fee-for-service and episode-of-care reimbursement methodologies used by insurers and health care organizations in the claims process.
- Review factors responsible for escalating health care expenditures in the U.S.
- Discuss methods of controlling rising medical costs.
- Describe the role of accreditation, regulatory bodies, and professional associations in health care in the U.S.
- Describe the basic concepts of law in the U.S.: the legal system, sources of law, classification of laws, the court system, and the trial process.
- Describe legal aspects of medicine involving the Affordable Care Act, professional standards in health care, medical malpractice, tort reform, and Medicare and Medicaid fraud and abuse.
- Describe key components of the Health Insurance Portability and Accountability Act (HIPAA) and efforts to promote patient safety in the U.S.
- Discuss the need for quality clinical documentation for the use of the health record as a legal document, communication tool, and a key to prove compliance for health care organizations.
- Discuss the main similarities and differences between public and private health.
- Describe the historic timeline and achievements of public health in the U.S.
- Define and discuss key terminology of public health.
- Illustrate the general organization of public health agencies and public health data flow.
- Evaluate and explain the effect and value of public health.
- Give examples of and explain the general program categories of public health, including communicable disease, chronic disease, terrorism response, and environmental public health.
- Discuss the activities and achievements of public health in the realm of communicable disease.
- Compare and contrast the different types of terrorism and the different public health responses.
- Describe chronic disease activities and achievements of public health, and the work of public health in the realm of environmental health hazards.
- Describe the application of evidence-based medicine and clinical practice guidelines
- Discuss quality indicators in medicine.
- Describe the patient-centered medical home and other models of care coordination.
- Define meaningful use (MU) of health information technology in the context of the Health Information Technology for Economic and Clinical Health (HITECH) act.
- Describe the major goals of meaningful use.
- Discuss the criteria for Stages 1-3 of meaningful use for eligible professionals, eligible hospitals, and critical access hospitals.
- Describe the standards specified for MU.
- Discuss the likely evolution of the MU program
Component 1; Unit 1: Introduction and History of Modern Health Care in the U.S.
Description:
This introductory unit covers definitions of terms used in the component, with an emphasis on paradigm shifts in health care, including the transition from physician-centric to patient-centric care, the transition from individual care to interdisciplinary team-based care, and the central role of technology in health care delivery. This unit also emphasizes the core values in U.S. health care.
Objectives:
- Define key terms in health care and public health.
- Describe components of health care delivery and health care systems.
- Discuss examples of improvements in public health.
- Define core values and paradigm shifts in U.S. health care.
- Describe the technology used in the delivery and administration of health care.
Component 1; Unit 1; Lecture 1a. comp1_unit1a_Lecture_Slides
Components of Health Care Delivery and Finance (25:54)
Component 1; Unit 1; Lecture 1b. comp1_unit1b_Lecture_Slides
How Public Health has Improved Health Care (11:35)
Component 1; Unit 1; Lecture 1c comp1_unit1c_Lecture_Slides
Core Values and Paradigm Shifts in U.S. Health Care (11:19)
Component 1; Unit 1; Lecture 1d comp1_unit1d_Lecture_Slides
Technological Advances in the Administration of Health Care (14:42)
Suggested Readings
Trivedi, A (2016). Overview of Health Care Financing. Merck Manual, Professional Edition. R. Porter. Kenilworth, NJ, Merck Sharp & Dohme Corp.
Component 1; Unit 2: Delivering Health Care, Part 1
Description:
This unit depicts the medical model of health care in the U.S., with an overview of the organization of health care and the physical structure of health care delivery in outpatient, inpatient, and long-term care settings, including an overview of the organization of the Veterans Affairs (VA) system. This unit is intended primarily for the student who does not have a background in health care, though the topics of this unit are described at a relatively advanced level.
Objectives:
- Describe the organization of healthcare at the federal, state, and local levels.
- Describe the organization of the VA system and Military Health System.
- Describe the structure and function of hospital clinical and administrative units.
- Describe different types of long-term care facilities, with an emphasis on their function.
Lectures:
- Organization of Health Care and the Federal, State, and Local Levels (20:25)
- The Organization of the VA and Military Health Systems (17:46)
- Structure and Function of Health Care Facilities and Hospital Units (20:30)
- Long-term Care Facilities (20:27)
Component 1; Unit 2; Lecture 2a Comp1_Unit2a_Lecture_Slides
Component 1; Unit 2; Lecture 2b Comp1_Unit2b_Lecture_Slides
Component 1; Unit 2; Lecture 2c Comp1_Unit2c_Lecture_Slides
Component 1; Unit 2; Lecture 2d Comp1_Unit2d_Lecture_Slides
Suggested Readings
O’Leary, Margaret R., and Joint Commission on Accreditation of Healthcare Organizations. Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform. Oakbrook Terrace, Ill.: Joint Commission on Accreditation of Healthcare Organizations, 1994. Print.
Siegler, Eugenia L., Mirafzali, Saeid, and Foust, Janice B. An Introduction to Hospitals and Inpatient Care. New York: Springer Pub., 2003. Print.
Component 1; Unit 3: Delivering Health Care, Part 2
Description:
This unit depicts the medical model of health care in the U.S., with an overview of the organization of health care and the physical structure of health care delivery in the outpatient setting, including an overview of the people involved in the delivery of health care, their education and licensing. This unit is intended primarily for the student who does not have a background in health care, though the topics of this unit are described at a relatively advanced level.
Objectives:
- Describe the organization of clinical health care delivery in the outpatient setting and the organization of outpatient health care.
- Describe the organization of ancillary health care delivery in the outpatient setting.
- Compare the role of different health care providers, with an emphasis on the delivery of care in an interdisciplinary setting.
Lectures:
- Outpatient Facilities and Primary Care (11:07)
- Outpatient Primary and Secondary Care (10:34)
- Retail Clinics, Urgent Care Centers, and Emergency Departments as Venues for Health Care (09:24)
- Laboratory, Pathology, Radiology, and Ancillary Services (11:45)
- Roles of Different Health Care Providers (09:25)
Component 1; Unit 3; Lecture 3a comp1_unit3a_lecture_slides
Component 1; Unit 3; Lecture 3b comp1_unit3b_lecture_slides
Component 1; Unit 3; Lecture 3c comp1_unit3c_lecture_slides
Component 1; Unit 3; Lecture 3d comp1_unit3d_lecture_slides
Component 1; Unit 3; Lecture 3e comp1_unit3e_lecture_slides
Suggested Readings
Stanfield, Peggy., Cross, Nanna, and Hui, Y. H. Introduction to the Health Professions. 6th ed. Burlington, MA: Jones & Bartlett Learning, 2012. Print.
Malone, Michael L., Capezuti, Elizabeth, and Palmer, Robert M. Acute Care for Elders A Model for Interdisciplinary Care. New York: Springer, 2014. Print. Aging Medicine.
Component 1; Unit 4: Financing Health Care, Part 1
Description:
This unit provides an overview of the role of health care in the economy and a description of various models of health care financing. The unit provides a history of the current U.S. system and laws that have influenced its development. It also includes discussion of health care financing at the government, health care organization, and consumer levels.
Objectives:
- Describe the history and role of the health insurance industry in financing health care in the United States, and the federal laws that have influenced the development of the industry.
- Explain the importance of the health care industry in the U.S. economy and the role of financial management in health care.
- Describe models of health care financing in the U.S. and in selected other countries.
- Explain the differences among various types of private health insurance and describe the organization and structure of network-based managed care health insurance programs.
- Describe the various roles played by government as policy maker, payor, provider, and regulator of health care.
Describe the organization and function of Medicare and Medicaid.
Lectures:
- The history of the health insurance industry in the U.S. (20:54)
- The role of health care in the U.S. economy (11:24)
- Types of Health Care Systems (19:49)
- Payors in the U.S. Health Care System (26:03)
- The Government as an Insurance Payor (17:38)
Component 1; Unit 4; Lecture 4a Comp1_unit4a_lecture_slides
Component 1; Unit 4; Lecture 4b Comp1_unit4b_lecture_slides
Component 1; Unit 4; Lecture 4c Comp1_unit4c_lecture_slides
Component 1; Unit 4; Lecture 4d Comp1_unit4d_lecture_slides
Component 1; Unit 4; Lecture 4e Comp1_unit4e_lecture_slides
Suggested Readings
Trivedi, A (2016). Overview of Health Care Financing. Merck Manual, Professional Edition. R. Porter. Kenilworth, NJ, Merck Sharp & Dohme Corp.
Component 1; Unit 5: Financing Health Care. Part 2
Description:
This unit continues the discussion of health care financing at the governmental, organizational, and consumer levels. The unit describes the revenue cycle for health care organizations, identifies the different reimbursement methodologies, and standards developed for the billing (reimbursement) process. Finally, this unit reviews some of the factors responsible for the escalating health care expenditures in the U.S. and discusses some methods for controlling rising medical costs.
Objectives:
- Describe the revenue cycle and the billing process undertaken by different health care enterprises.
- Explain the billing and coding processes, and standard code sets used in the claims process.
- Identify different fee-for-service and episode-of-care reimbursement methodologies used by insurers and health care organizations in the claims process.
- Review factors responsible for escalating health care expenditures in the U.S.
- Discuss methods of controlling rising medical costs.
Lectures:
- The Revenue Cycle of Various Health Care Enterprises (16:58)
- The Billing Process of Various Health Care Enterprises (14:35)
- Factors Contributing to Increasing U.S. Health Care Costs (16:37)
- Methods of Controlling Rising Medical Costs (24:52)
Component 1; Unit 5; Lecture 5a comp1_unit5a_lecture_slides
Component 1; Unit 5; Lecture 5b comp1_unit5b_lecture_slides
Component 1; Unit 5; Lecture 5c comp1_unit5c_lecture_slides
Component 1; Unit 5; Lecture 5d comp1_unit5d_lecture_slides
Trivedi, A (2016). Overview of Health Care Financing. Merck Manual, Professional Edition. R. Porter. Kenilworth, NJ, Merck Sharp & Dohme Corp.
Component 1; Unit 6: Regulating Health Care
Description:
This unit provides an overview of the regulation of health care, including regulatory and professional organizations, the regulation of safety in medicine, and key legal aspects of medicine. This unit also covers compliance issues including privacy violations, reimbursement, and fraud and abuse.
Component 1; Unit 6; Lecture 6a comp1_unit6a_lecture_slides
Component 1; Unit 6; Lecture 6b comp1_unit6b_lecture_slides
Component 1; Unit 6; Lecture 6c Comp1_unit6c_Lecture_Slides
Component 1; Unit 6; Lecture 6d Comp1_unit6d_Lecture_Slides
Component 1; Unit 6; Lecture 6e Comp1_unit6e_Lecture_Slides
Component 1; Unit 7: Public Health, Part 1
Description:
This unit provides a discussion of public health origins and history, the differentiation from private health, and the significant value provided by public health. It also reviews important terminology and includes an examination of the general organization of public health agencies and the flow of data within public health.
Component 1; Unit 7; Lecture 7a comp1_unit7a_lecture_slides
Component 1; Unit 7; Lecture 7b comp1_unit7b_lecture_slides
Component 1; Unit 7; Lecture 7c comp1_unit7c_lecture_slides
Component 1; Unit 8: Public Health, Part 2
Description:
This unit provides an overview of public health topics, including: important communicable diseases and public health responses; terrorism, including biological, agricultural, and chemical surveillance; and chronic diseases and environmental health.
Component 1; Unit 8; Lecture 8a comp1_unit8a_lecture_slides
Component 1; Unit 8; Lecture 8b Comp1_Unit8b_lecture_slides
Component 1; Unit 8; Lecture 8c Comp1_Unit8c_lecture_slides
Component 1; Unit 9: Evolution of and Trends in Health Care in the U.S.
Description:
This unit provides an overview of health care trends including evidence-based medicine, quality and practice-care recommendations, comparative effectiveness research, and an overview of health care reform initiatives in the U.S., including the Affordable Care Act (ACA).
Component 1; Unit 9; Lecture 9a comp1_unit9a_Lecture_Slides
Component 1; Unit 9; Lecture 9b comp1_unit9b_Lecture_Slides
Component 1; Unit 9; Lecture 9c comp1_unit9c_Lecture_Slides
Component 1; Unit 9; Lecture 9d comp1_unit9d_Lecture_Slides
Component 1; Unit 10: Meaningful Use
Description:
This unit describes the meaningful use program of the Health Information Technology for Economic and Clinical Health (HITECH) Act of the American Recovery and Reinvestment Act (ARRA). It discusses eligibility for meaningful use incentive payments and the criteria for achieving those payments. It also describes the clinical quality measures and standards that are required for the program.
Component 1; Unit 10; Lecture 10a comp1_unit10a_lecture_slides
Component 1; Unit 10; Lecture 10b comp1_unit10b_lecture_slides
Component 1; Unit 10; Lecture 10c comp1_unit10c_lecture_slides