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HIM1123 — Electronic Health Records

3 credits · 15 hours

HIM 1123 - Electronic Health Records HIM 1123 - Electronic Health Records Description Students are introduced to the use of computers and the Internet in utilizing, creating, and updating an electronic medical record. Commercial software packages are used to simulate the electronic health records of healthcare providers including hospitals and physician offices. This course prepares students interested in patient care, health information management, and business professionals seeking employment in the healthcare industry. Recognize, define, and use correct medical terminology for level of education. Discuss legal and ethical issues in regards to medical information. Apply HIPAA privacy policy in collection, recording, and release of protected healthcare information. List items commonly found in the medical record. Discuss role and responsibilities in data collection and recording. Understand prominent EHR code sets and billing code sets. Show how Evaluation and Management (E & M) codes are determined and why they are important in an EHR system. Demonstrate starting the software, screen navigation, selecting the patient, and exiting the software. Create a patient encounter to include recording subjective findings, removing findings, adding detail (values, free text), and record the patient assessment, treatment plan, and physician’s orders. Demonstrate how the EHR improves patient care. Compare the use of workstations, laptop computers, Tablet PC’s and PDA devices. Genera

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