HINM 144 - Health Data Content, Structure and Standards

CE-TP/SS

Introduces the student to health data structure, content, and standards including the collection and maintenance of health data; application of policies and procedure to ensure the accuracy of health data; verification of timeliness, completeness, accuracy, and appropriateness of data and data sources for patient care, management, billing reports, registries, and databases; collection, maintenance, and reporting of data for clinical indices, databases, and registries to meet organizational needs. PREREQUISITE(S): Admission to the Health Information Management or Coding Certificate Program. Assessment Level(s): ENGL 101/ENGL 011, MATH 117. Two hours lecture, one hour laboratory each week.

3 semester hours

May not be taken concurrently with MATH 017 or MATH 020 or MATH 030 without appropriate Math assessment score.

Course Outcomes:
Upon completion of this course, a student will be able to:

Analyze the documentation in the health record to ensure it supports the diagnosis and reflects the patient’s progress, clinical findings and discharge status.
Verify the documentation in the health record is timely, complete and accurate.
Identify a complete record according to organizational policies, external regulations, and standards.
Apply policies and procedures to ensure the accuracy and integrity of health data.
Identify and use secondary data sources.
Validate the reliability and accuracy of secondary data sources.
Collect and maintain health data.

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