FALL 2008SPPD 511 SYLLABUS – Health Information Systems

School of Policy, Planning and Development

University of Southern California

James Hale

213.284.3984(c) 323.866.8492(o)

or

Gail Hybl Medeiros, MPA, MHA

760-859-7993 © or 949-764-8713(w) or (760)529-9487

or

Dates:Session I: Sept26-27, 2008

Session II: October17-18

Time:Fri: 1:00-8:30 PM & Saturday: 9:30-5:00 PM

Location: tbd

Course Overview

Purpose and Scope

Thepurpose of this course is to give students an overview of the challenges facing health information technology adoption within different settings. The course will also provide context for the national discussion on health information exchange through discussion and review of key research studies defining problems in health care. With a broad understanding of the myriad of disconnects within the healthcare system, the discussion will then explore current trends in health information systems to address these challenges. The discussions will be two part, first, it will look internally within various institutional settings to explore the challenges and issues facing HIT adoption. Demonstrations of emerging clinical systems will highlight challenges faced in project management, planning and implementation of information systems.. The course will consider initiatives addressingcommunity level data exchange, security risks, national identifiers and personal health records. We will explore how individual institutional constraints affect interoperability across disparate settings and ultimately the implications for the continuity of care. Designed to provide a broad perspective of the health information technology adoption challenges, the course discussion will integrate a guest speaker(s) from a variety of healthcare settings.

Goals & Objectives

Goal: The goal of the course is to provide students with a broad understanding of the challenges facing health executives in selecting and implementing a health information system. The course is also designed to provide context for the growing discussion on health information exchange and its impact on the internal and external environments shaping the healthcare industry.

Objectives: The objective of the course is to provide students with an understanding for the:

  • Challenges facing healthcare executives relative to HIT in different institutional settings
  • Case studies highlighting implementation challenges and successes within local healthcare organizations
  • The functionality and flavor of leading clinical information systems in today’s market
  • Understanding of how Enterprise Resource Planning software packages are used within the healthcare field
  • Understanding Project Management
  • The emerging field of health information exchange and its impact on internal HIT decisions

Required Texts & Readings

Recommended Text:

Managing Healthcare Information Systems - A Practical Approach for Healthcare Executives Karen A. Wager, Frances Wickham Lee, and John P. Glaser

Articles:

” 2000 Institute of Medicine,“To Err is Human:Building a Safer Health System”

“Designing Websites for Limited Literacy Population for Health Education”

Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project

The final reports produced under RTI International's contract with the Agency for Healthcare Research and Quality (AHRQ). The contract, entitled Privacy and Security Solutions for Interoperable Health Information Exchange, was managed by AHRQ and the Office of the National Coordinator for Health Information Technology (ONC). The reports provide a summary and an analysis of work performed by 33 States and one territory as subcontractors to RTI; these subcontractors form the Health Information Security and Privacy Collaboration (HISPC).

EXECUTIVE SUMMARY

Nationwide Summary of Appendices

This report provides a comprehensive review of the work conducted by the subcontractors throughout the course of the project. Although the primary sources of information described in the Nationwide Summary report are necessarily State-specific, the report affords the opportunity to look across the activities conducted by the 34 State teams and to better understand what policies and practices need to be in place within and across States to both protect health information and promote nationwide electronic health information exchange. The report is an effort to expand the ideas and plans the subcontractors developed by identifying common challenges and areas for ongoing collaboration.

The report also incorporates issues raised during discussions at the regional and national meetings and presents discussions of key issues, based on the expertise of the members of RTI's Technical Advisory Panel (TAP) regarding the often complex interactions between State and federal law. This report further addresses the broader implications of the project, makes recommendations for federal action that can facilitate nationwide electronic health information exchange, and may serve as a roadmap for State and federal agencies establishing privacy and security policies governing nationwide electronic health information exchange.

The Health Information Security and Privacy Collaboration Toolkit

The toolkit provides guidance for conducting organization-level assessments of business practices, policies, and State laws that govern the privacy and security of health information exchange (HIE). The toolkit serves as an appendix to the AVAS with the intention of providing tools that others can use locally or Statewide.

RHIO's IHE

RHIO's Definitions & Acronyms

Other Materials to be Distributed in Class

Optional Reading:

Patient Safety – Achieving a New Standard for Care, Institute of Medicine The National Academies Press

Strategic Application of Information Technology in Healthcare Organizations, John P. Glaser

Effective Management of Healthcare Information, David S. Memel

CLASS SCHEDULE

Sept26THDay One: Start Time 1:00 p.m.

Introductions

  • Introduction to Enterprise Resource Planning
  • What is an ERP
  • Why are they used
  • Who uses them
  • How is the decision made as to which one to buy?
  • Introduction to ERP Project Management
  • What is Project Management?
  • The phases of Project Management
  • Project Management Best Practices

Stakeholder Perspectives on ERP and Project Management

  • Case Study ePharmacy
  • What was the problem?
  • How was it solved?
  • In class presentation/discussion
  • Project Assignment
  • Presentation
  • Final Paper
  • Presenting to Key Stakeholders
  • implementation.
  • BREAK

Accessible HIT for Populations with Limited Literacy

Review of literature:

“Designing Websites for Limited Literacy Population for Health Education”

Assignment ofMidterm & Final Project

  • Design a website for a specific healthcare topic. Demonstrate how the website addresses specific needs of the targeted audience, considers limited literacy or other limitations of the anticipated OR
  • Written assignment: Evaluate Healthcare Website’s Effectiveness, ease of navigation, content, design and accessibility to target population, address public health concerns? Suggest improvements

Sept27th Day Two: Start Time 9:30 A.M.

Historical Perspective of IT in Healthcare, Common Terminology within Health Information Systems-Glossary

  • E Prescribing, CPOE, EMR, PHRs, Telemedicine, Servers, Portals, Health Information Exchange, Data Standards, Privacy and Security

Break

Privacy and Security Solutions for Interoperable Health Information Exchange Project

Group Exercise: Scenarios representing a wide range of purposes for the exchange

of health information (eg, treatment, public health, biosurveillance, payment, research,

marketing) across a broad array of organizations involved in health information exchange

and actors within those organizations.

October17thDay Three:Start Time 1:00 p.m.

**DUE today:

Designing Healthcare Education Websites for Limited Literacy Populations

  • Written assignmentor Presentation of Website(see Website Final Project requirements)

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Demonstration of a Remote Presence Telemedicine Technology

  • Discussion of Project mgt with high tech implementation in a clinical setting
  • Breakout session: Group Case Study: Implementation of Telemedicine Robot: Pathways around Roadblocks. Participate as a member of the implementation team.
  • BREAK OUT Workgroups
  • Group Presentations on Case Study: Create a project plan and telemedicine policy. Cite possible roads of resistance and solutions to successful project implementation.
  • BREAK
  • Review National Trends & Research in Health Information Technology and Impact on Quality
  • Breakout session: Group Case study: HIPAA & Security: Potential Security Risks along a Patient’s Pathway, Interoperability and Data Exchange
  • Discussion of Case Study

October18thDay Four: PresentationsStart Time 9:30 a.m.

  • ERP Project presentations
  • Best Practices
  • Questions and Answer
  • Evaluation

Class Format

The class will be taught in two intensive weekends. Students are required to come to the first class prepared to incorporate concepts from their outside class readings(the optionalclass text book and suggested references in the syllabus)duringclass. Designed to provide a real life view of the challenges facing health information technology adoption, the course will integrate a number of topics ranging from consumer-driven healthcare, remote monitoring, interoperability, security & privacy, system selection,project managementand implementation. This is an overview of Healthcare Information Technology to expose future healthcare managers to the trends, emerging healthcare technologies and resources to keep abreast of this ever-changing aspect of healthcare.Material presented by guest speakers will not be found in the text book and/or policy briefs. Students are therefore strongly encouraged to attend the full days for both weekends.

Recognizing that the course is designed for graduate students who will ultimately be seeking positions in the healthcare industry, the class assignments are designed to develop and test skills required as successful healthcare administrators. Managers, for example, are required to hear multiple perspectives, understand and process the information, and make strategic decisions based on the various input. Successful managers also make organizational decisions based on their understanding not only of their particular institutional challenges but of the environment in which the organization works.

Lastly, as healthcare involves multiple service providers, understanding the potential stakeholders and their often times competing perspectives is essential for improved collaboration. To this end, students will be asked to solve a critical problem using an innovative HIT solution and be asked to participate in group projects.

Evaluation & Grading

Midterm20%

Midterm assignments consist of 2 outlines of Final Projects Due

1)Evaluating Healthcare Websites Effectiveness with Consideration of Limited Literacy or other Special Need Populations (10%) AND

2)An outline of the final ERP project: Enterprise Resource Planning Implementation. (10%)

Project Outlines due Wednesday October 8,2008 5:00 p.m. Email to Professors.

Website FINAL Project35%

Written assignment:

Evaluate a Healthcare Website’s Effectiveness: ease of navigation, content, design and accessibility to target population (Limited Literacy or other Special Needs), address public health concerns? Suggest improvements.

(OR)

Design a website for a specific healthcare topic.

Demonstrate how the website addresses specific needs of the targeted audience, considers limited literacy or other limitations of the anticipated audience, and cite the added value of the website to consumers.

Submit link to website and/or presentto class.

Website Final Project due Friday October 17, 2008 at 1:00 P.M.

ERP FINAL Project and PowerPoint Presentation35%

Ability to capture and recall the perspectives presented, synthesize the material and provide a thoughtful presentation on the Benefits and Challenges of an Enterprise Resource Planning Implementation. Specific assignment details will be discussed first day of class.

REQUIRED:A five to ten page presentation that discusses the benefits and challenges of an Enterprise Resource Planning implementation.

Please submit copy of presentation October 18th.

Final Project due Saturday October 18,2008 at 9:30 A.M.

Class Participation and Demonstrated Understanding of Material10%

Students should come prepared and on time. Students will be expected to act professionally and engage their peers with thoughtful questions and discussions.

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