OADM70014
Essentials in Health Record Management
Sheridan
 
  I: Administrative Information   II: Course Details   III: Topical Outline(s)  Printable Version
 

Land Acknowledgement

Sheridan College resides on land that has been, and still is, the traditional territory of several Indigenous nations, including the Anishinaabe, the Haudenosaunee Confederacy, the Wendat, and the Mississaugas of the Credit First Nation. We recognize this territory is covered by the Dish with One Spoon treaty and the Two Row Wampum treaty, which emphasize the importance of joint stewardship, peace, and respectful relationships.

As an institution of higher learning Sheridan embraces the critical role that education must play in facilitating real transformational change. We continue our collective efforts to recognize Canada's colonial history and to take steps to meaningful Truth and Reconciliation.


Section I: Administrative Information
  Total hours: 36.0
Credit Value: 3.0
Credit Value Notes: N/A
Effective: Winter 2019
Prerequisites: N/A
Corequisites: N/A
Equivalents: N/A
Pre/Co/Equiv Notes: N/A

Program(s): Office Administration -Medical
Program Coordinator(s): Radica Bissoondial
Course Leader or Contact: N/A
Version: 20190107_00
Status: Approved (APPR)

Section I Notes: This is a Loyalist College course that is offered through Sheridan FCAPS. Students who register for the course through Sheridan will receive credit from Sheridan College only. Access to the course materials will be through OntarioLearn.com.

 
 
Section II: Course Details

Detailed Description
This course is designed to study the record keeping practices in the hospital and physician's office. Emphasis is placed on hospital and medical staff organization, patient record content, procedures in filing, numbering and retention of patient records, qualitative analysis, release of patient information, forms control and design, indexes and registers, reimbursements, regulatory and accrediting agencies and alternate health care delivery systems.

Program Context

 
Office Administration -Medical Program Coordinator(s): Radica Bissoondial
N/A


Course Critical Performance and Learning Outcomes

  Critical Performance:
N/A
 
Learning Outcomes:

To achieve the critical performance, students will have demonstrated the ability to:

  1. Health information management concepts common to allied health professionals
  2. The role of the health information management professional
  3. The types of patient records, including documentation issues associated with each
  4. Numbering and filing systems
  5. Record storage and circulation methods
  6. Indexes, registers and health data collection
  7. Legal aspects of health information management
  8. Coding and reimbursement issues

Evaluation Plan
Students demonstrate their learning in the following ways:

 Evaluation Plan: ONLINE
 Assignment 125.0%
 Assignment 225.0%
 Assignment 325.0%
 Final Exam25.0%
Total100.0%

Evaluation Notes and Academic Missed Work Procedure:
The Passing Grade for Essentials in Health Records Management is 65%. The final grade will be issued by the registering college. The course will be divided into 3 study modules that will guide your studies. You will work independently on these guided studies with instructor support as needed. Following each study module the student will be required to complete an assignment for marking. A closed-book in-person final exam must be written at the end of the course. Online chats will not be required. We will utilize the discussion area as needed. Please post questions at any time on the discussion board.

Provincial Context
The course meets the following Ministry of Colleges and Universities requirements:


 

Prior Learning Assessment and Recognition
PLAR Contact (if course is PLAR-eligible) - Office of the Registrar
Students may apply to receive credit by demonstrating achievement of the course learning outcomes through previous relevant work/life experience, service, self-study and training on the job. This course is eligible for challenge through the following method(s):

  • Other
    Notes:  This course is delivered through OntarioLearn at ontariolearn.com and is hosted by (Loyalist College) LO-HLTH8103.

 
 
Section III: Topical Outline
Some details of this outline may change as a result of circumstances such as weather cancellations, College and student activities, and class timetabling.
Instruction Mode: Online
Professor: N/A
Resource(s):
 TypeDescription
RequiredTextbookEssentials of Health Information Management, Michelle A. Green & Mary Jo Bowie, Delmar Learning, 4th, ISBN 9781337553674

Applicable student group(s): Continuing Education Students
Course Details:

Module 1

Health Care Delivery Systems

  • Health care delivery
  • Health care facility ownership
  • Licensure, regulation and accreditation

Health Information Management Professionals

  • Careers
  • Professional ethics
  • Professional practice experience

Health Care Settings

  • Acute care settings
  • Ambulatory and outpatient care
  • Behavioural health care facilities
  • Home care and hospice
  • Managed care

Module 2

The Patient Record in Hospital, the physician office and alternative care settings

  • Definition and purpose of the patient records
  • Provider documentation responsibilities
  • Development of the patient records
  • Patient record formats
  • Archived records
  • Patient record completion responsibilities

Content of the patient records: inpatient, outpatient and physician office

  • General documentation issues
  • Hospital inpatient record – administrative data
  • Hospital inpatient record – clinical data
  • Hospital outpatient record
  • Physician office record
  • Forms control and design

Numbering & filing systems, and record storage & circulation

  • Numbering systems
  • Filing systems
  • Filing equipment
  • File folders
  • Filing controls
  • Loose filing
  • Circulation systems
  • Security of health information

Module 3

Indexes, registers and health data collection

  • Indexes
  • Registers
  • Case abstracting
  • Health data collection

Legal aspects of health information management

  • Legal and regulatory terms
  • Maintaining the patient record in the normal course of business
  • Confidentiality of information and privacy & security provisions
  • Legislation that affects health information management

Coding and Reimbursement

  • Nomenclatures and classification systems
  • Third-party payers
  • Health care reimbursement systems 


Sheridan Policies

It is recommended that students read the following policies in relation to course outlines:

  • Academic Integrity
  • Copyright
  • Intellectual Property
  • Respectful Behaviour
  • Accessible Learning
All Sheridan policies can be viewed on the Sheridan policy website.

Appropriate use of generative Artificial Intelligence tools: In alignment with Sheridan's Academic Integrity Policy, students should consult with their professors and/or refer to evaluation instructions regarding the appropriate use, or prohibition, of generative Artificial Intelligence (AI) tools for coursework. Turnitin AI detection software may be used by faculty members to screen assignment submissions or exams for unauthorized use of artificial intelligence.

Course Outline Changes: The information contained in this Course Outline including but not limited to faculty and program information and course description is subject to change without notice. Nothing in this Course Outline should be viewed as a representation, offer and/or warranty. Students are responsible for reading the Important Notice and Disclaimer which applies to Programs and Courses.


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