Electronic Health Records-Online

Course reviews the implementation and management of electronic health information using common electronic data interchange systems and maintaining the medical, legal, accreditation, and regulatory requirements of the electronic health record.

Course topics include:

• Overview of various healthcare delivery systems with an emphasis on content and documentation requirements of the health record in various healthcare settings.
• Designed to provide students with “real life” computer experience using Medcin software and performing tasks in health information departments. Tasks include admission procedures, information retention and retrieval, data entry, chart assembly, data collection, abstracting, code sets, and the release of information.
• Structural components of the interactive EH R and how it supports communication and continuity of care including clinical standards such as SNOWMED CT, LOINC, and UMLS.
• Perspective on how the EH R impacts work and workflow.
• Importance of the medical record as a legal document and the effect of confidential communication laws on the release of medical information such as protected health information and HIPAA.
• The legal procedures involved in court disclosure of medical records.
• Tasks include admission procedures, information retention and retrieval, data entry, chart assembly, data collection, code sets, and the release of information