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Mar 29, 2024
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BSTEC 206 - Electronic Health Records
5.0 Credits Introduction to the electronic health record in various health care settings; structure, content, uses, and basic processing procedures for health records in acute and ambulatory care settings with emphasis on electronic health records (EHR) and practice management applications. Prerequisite BSTEC 104; BSTEC 129, BSTEC 130, or CIS 100. Course-level Learning Objectives (CLOs) Upon successful completion of this course, students will be able to:
- Identify various types of health care delivery systems, settings, providers, and allied health professionals in the United States.
- Differentiate between licensure, certification, and accreditation.
- Identify the functions of the Health Information Management (HIM) Department within the health care facility.
- Describe the role of health records in medical coding and billing.
- Identify and evaluate health record data sources and collection tools.
- Identify and describe the content, structure, use, storage, retrieval, and destruction of health information.
- Identify, define, and apply health data vocabulary.
- Describe the importance of data quality, integrity, monitoring, and compliance reporting.
- Identify and define terms and functions of the master patient index (MPI) and the patient registry.
- Identify regulatory guidelines, including confidentiality and release of information (ROI).
- Describe the evolution of the electronic health record (EHR) and the personal health record (PHR).
- Abstract data from collection tools and accurately enter it into EHR and practice management software.
- Demonstrate the ability to use the practice management software to create and edit correspondence, reporting forms, and appointments.
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