Electronic Health Records

Foundation of Clinical Informatics (INLS 725)

 

Dr. Javed Mostafa

Tuesday & Thursday, 11:00-12:15PM

014 Manning Hall

School of Information and Library Science

University of North Carolina at Chapel Hill

 

 

Course Description

 

Electronic Health Record (EHR) systems are the backbone of modern clinical data management systems. In this class we will focus on EHR data standards with a strong emphasis on associated data management requirements, applications, and services.

 

Along with a close examination of the standards criteria being developed by the Office of the National Coordinator (ONC), the course will also focus on a set of widely adopted standards such as the Health Level 7, SNOMED, ICD9/10, CPT, and MeSH. The course is aimed at data management specialists, data management administrators, and students interested in health data analytics.

 

 

 

Objectives include learning about the following areas and engaging in related activities:

 

o   Standards that ensure EHR systems are both secure and interoperable with other systems

o   Data management, architecture and information exchange platforms

o   Informatics principles that support quality of care and evidence-based practice

o   Data governance and regulations associated with securing health data

o   EHR future and evolution: Next generation technologies being shaped by the Federal Government through financial incentives/penalties (meaningful use)

o   Practical experience with EHR tools and applications

 

 

 

 

Course Requirements

 

 

*  Project (Group Effort)

- 5%           Topic Selection and Overview Presentation

- 5%           Abstract and Outline

- 10%          Draft of project report submission (emphasizing usability data) -- April 21st

- 25%          Final Project Report -- April 23rd is Project Presentation and May 1st is Final Project Report Due

 

*  15%         Field Report

 

*  25%         Take-home final exam

 

*  15%         Class participation: Activities in class, regular attendance, and contributions to class list

 

 

 

 

Grading

 

Based on current UNC grading scales, the following grades and corresponding numeric ranges are applicable:

 

Graduate Students

 

Grad Grade

Range

H

95-100

P

80-94

L

70-79

F

69 or below

 

 

 

Undergraduate Students

 

 

UG Grade

Range

A

94-100

A-

90-93

B+

87-89

B

84-86

B-

80-83

C+, C, C-

70-79

D

60-69

F

59 or below

Required Text-book

 

 

The previous edition of the book is adequate to fulfill most of the requirements of this course.

 

 

Additional Recommended Book

 

 

Additional readings will be assigned and shared as needed.

 

 

 

 

 

Course Outline & Calendar

 

 

Class 1 - Jan 8

 

Introduction to the class and distribution of the syllabus. Important dates, exam, and assignments described.

Class project requirements discussed.

 

 

 

Class 2 - Jan 13

 

Overview of EHR; platform, standards, applications, and evolution

 

Readings: Chapter 1

 

 

 

 

Class 3 - Jan 15

 

EHR as a gateway and integration hub. Applications contd.

 

Readings: Chapter 1

 

 


Class 4 - Jan 20

EHR in action from the perspectives of patients & clinicians

 

 

 

Class 5 - Jan 22

 

Health data architectures, standards, and protocols I.

 

Readings: Chapters 6

 

 

Readings: Payne et al., 2010 (Current Case Study); Fernandopulle & Patel, 2010 (Current Case Study)

 

 

Class 6 - Jan 27

 

Health data architectures, standards, and protocols II.

 

Readings: Chapter 2, Payne, T. (2008). In Practical Guide to Clinical Computing Systems (Thomas Payne, Ed.). Architecture of Clinical Computing Systems (Chapter 2);

 

 

 

 

Class 7 - Jan 29

 

Health vocabularies, taxonomies, and ontologies I.

 

Readings: Cimino, J. (2000). From Data to Knowledge through Concept-Oriented Terminologies: Experience with Medical Entities Dictionary. J. Am Med Inform Assoc (7): 288-297.

 

 

 

Class 8 - Feb 3

 

 

Health vocabularies, taxonomies, and ontologies II.

 

 

 

Class 9 - Feb 5

 

Data management I.

 

Readings: Chapter 4

 

 

 

 

Class 10 - Feb 10

 

Data management II. Architecture and information exchange platforms.

 

 

Readings: Chapter 4

 

Project Part1: Project System Selection and Overview Presentations. Due: February 17th, 2015


For assistance with project scope and system selection please consult the guide distributed in the class.

 

 

 

Class 11 - Feb 12

 

Data modelling in basic and data warehousing contexts. Usabilty.

 

Readings: Chapter 4.

 

 

 

 

Class 12 - Feb 17

 

Implementing EHR: coding, vocabularies, interfaces, XML, and APIs.

 

Readings: Chapter 6.

 

 

 

Class 13 - Feb 19

 

Coding and interfacing (contd.). Clinical workflows and clinical processes.

 

Readings: Chapter 8

 

 

 

 

 

Class 14 - Feb 24

 

Usability Testing Methodology

 

 

Readings: Health Information Tech Usability

 

 

 

Class 15 - Feb 26

 

Make-up class: Coding and Usability testing.

 

 

 

 

 

 

Class 16 - Mar 3

 

Evidence-based care and quality improvement I

 

 

Readings: Chapter 10.

 

 

 

Class 17 - March 5

 

Guest Speaker.

 

 

 

Class 18 - March 17

 

Evidence-based care and quality improvement II.

 

Reading: Buntin, et. al. (2011).

 

Clinical decision support

 

Reading: Chapter 9

 

 

 

 

Class 19 - March 19

 

Clinical decision support II. Usability of CDS systems.

 

Reading: Chapter 9.

 

 

Class 20 - March 24

 

 

Data analytics, visualization, and challenges.

 

Readings: To be assigned.

 

 

 

 

Class 21 - March 26

 

Guest Lecture: Clinical data warehouse and integration of data.

 

 

 

 

Class 22 - March 31

 

 

Implementing EHR and evaluating systems. Data Governance. Meaningful use I.

 

Reading: Chapters 16 and 17

 

 

 

Class 23 - April 2

 

Data Governance & Meaningful use II.

 

Field Trip: 5PM with Dr. Carlton Moore. Meet *** Dr. Moore at the Health Science Library lobby *** (new location!)

 

Field Trip Report Guidelines - Take it with you.

 

The report is due on April 11.

 

 

 

 

 

Class 24 - April 7

 

Meaningful Use II contd.

 

 

Reading: Caleen, J.L., Braithwaite, J. & Westbrook, J.A. (2008). Hamalka, J.D. (2010).

 

Take Home Exam Review. Exam questions distributed on April 9th; completed exam due by April 14th.

 

 

 

 

Class 25 - April 9

 

EHR regulations, privacy, and security

 

Reading: Chapters 12 and 13

 

 

 

 

 

Class 26 - April 14

 

Advanced Topics: Information Security & Consumer-centric Health Information I

 

Due date for draft project report (with emphasis on usability data) is on April 21st. The project presentation is on April 23rd and the final written report is due by May 1st. The presentation and the report will be graded together, and counted toward the 25% the total grade.

 

 

Class 27 - April 16

 

 

Advanced topics: Consumer Health Information II.

 

 

 

 

Class 28 - April 21

 

Guest Lecture: UNC Hospital IT Environment and Governance

 

 

 

 

 

Class 29 - April 23

 

Class presentations.  Wrap-up.

 

 

 

Contact Information

 

Instructor Office hours: Thursday 2P-3PM. The instructor will be in Room 300A, Manning Hall.

TA Office hours: Thursday 1P-2PM. The TA will be in Room 300, Manning Hall.

Please do not hesitate to contact the instructor or the TA to schedule other meeting times.

 

Ph:          (919) 610-6230

Fax:         (919) 962-8071

Email:     jm@unc.edu (instructor) and vcarrasc@live.unc.edu) (TA)