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Jan 02, 2025
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HINM 146 - Introduction to and Legal Aspects of Health Information Laboratory (TP/SS only)
This course provides laboratory experience for topics covered in HINM 140 and HINM 145 . Basic computer literacy and keyboarding skills are necessary. PRE- or COREQUISITE(S): HINM 140 and HINM 145 , or consent of program coordinator. Two hours laboratory each week. Formerly HI 106.
1 semester hour
Course Outcomes: Upon course completion, a student will be able to:
- Describe historical growth of health delivery in the United States.
- Discuss the corporate structure of hospitals in the United States.
- Identify the functions of health care facilities other than hospitals.
- Describe the structure and function of the hospital voluntary medical staff.
- Identify role of voluntary and governmental agencies in the delivery of health care.
- Identify the functions of medical information service and health information personnel.
- Describe the development of the professional organization and the difference between the two levels of Health Information Personnel.
- Discuss the historical influence leading to improvement of records and the purpose and value of the medical record.
- Describe the admitting office and emergency room roles in effective hospital information systems.
- Describe the Problem Oriented Medical Record System .
- Demonstrate knowledge of the following: statute of limitations and retention implications; methods of record retention; retention schedules and aspects relating to microfilmed records.
- Correctly locate medical information from microfilmed records.
- Recognize medicolegal terminology.
- Describe the U.S. legal system as it pertains to hospital information systems.
- Describe issues relating to privacy and health records, including the impact of national and state legislation and study commission results.
- Discuss issues relating to confidential and privileged communications, national and state legislation relating to confidentiality and computer implications on this issue.
- List the principles of data security principles and the role of the health information professional in protecting health data.
- Differentiate between informed consents and medical authorizations for the release of medical information.
- Apply general rules for preparing records for court, including validity evaluation and control systems.
- Interpret release of information policies according to an established procedure in order to respond appropriately to situational problems and release of information requests.
- Apply the principles of form design to redesign a health record form.
- List legal requirements for form design.
- Recognize the 5 basic components of an ACS Approved Cancer Program.
- State the purpose of a cancer program.
- Define Cancer Registry by: defining Cancer Registry; stating the two purposes stating the four basic components and 6 areas reported on annually; being able to recognize data found in the four basic sections of an abstract; stating four areas of the hospital where information on new cancer patients may be found; stating when a cancer registry should be automated.
- Recognize cancer terminology by: being able to recognize the four stages of cancer (extent of spread) when evaluating cancer diagnoses; recognizing the four categories of gray area tumors.
- Discuss ICD-O by stating: the publisher; the purpose for its development; the methodology used to locate a diagnostic code.
- Apply ICD-O principles to cancer records
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