Medical Assisting Department. Title: Electronic Health Records Course Number: MDAS Course Syllabus

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Medical Assisting Department Title: Electronic Health Records Course Number: MDAS 125-01 Cross-listed as HLTH 125-01 Credit Hours: 3 Instructor: Loreen W. MacNichol CMRS, RMC, CCS-P Semester: Spring 2017 1/17/2017-5/13/2017 Instructor e-mail: lmacnichol@smccme.edu Office Hours: By Request Course Description Course Syllabus MDAS-125 Electronic Medical Records (EMR) 3 cr. This course provides instruction in the use of an electronic health record system with an understanding of how EHRs change healthcare delivery workflows that affect quality improvement, patient safety and care coordination. Included is the use of industry-standard software for hands-on experience with electronic input to establish patient demographics for charting and clinical documentation generated during patient encounters. Various methods of capturing and recording EMR data are used including source documents and the creation of templates. Decision support productivity tools are introduced. The course reviews standards criteria, aspects of compliance and related regulations including the linking of Meaningful Use (MU) criteria and measures to the function of EHRs. Prerequisite(s): Medical Assisting Program acceptance and MDAS 110 or Health Science Program Acceptance. Course Learning Goals Trace the history of the EHR and perceived obstacles to implementation Discuss the impact of federal initiatives (NHIN, HITECH, ONC, AARA, CCHIT) for EHRs in physician practices

Describe meaningful use (MU) criteria and requirements Identify and describe the administrative, clinical and financial IT applications for the physician practice Recognize core data sets for the physician practice management system (PPM), electronic health record (EHR) Define and understand privacy, confidentiality, and security in healthcare and the relationship to the electronic health record and health information management Recognize the use of current EHR technologies (reminder systems, CPOE (computerized physician order entry) and speech recognition and their effectiveness in disease prevention and health promotion. Demonstrate skill and competence in the basic operations of the EHR features, as well as compliance with clinical standards. Outside work and hours: The expectation is you spend 2 hours per semester credit- this is a 3 credit course- so 6 hours per week or a total of 96 hours for the 16 week semester. This time should be spent on the following: Reading Homework Assessments- testing Research Project All other relevant assignments Required Text Materials The Paperless Medical Office Using Harris CareTracker, Ferrari, Heller, Cengage Learning, 2015 (ISBN: 978-1-133-27895-5 Computer with high-speed internet access; Print-screen and printer capability Appropriate computer software (MS Word, Excel, Adobe Reader, PDF) Blackboard Access at https://blackboard.smccme.edu Harris CareTracker Access with Cengage Learning login password and Internet Explorer Teaching Procedures

This is a hybrid course using Blackboard for course delivery. Class meetings will include lecture, demonstration, and supplemental activities using Harris CareTracker software. Class Protocols A detailed explanation of class protocols is located on the class Blackboard site in a document titled How We Will Work Competency Requirements Writing: All assignments involving writing will be graded on the basis of correct use of Standard English grammar and punctuation as well as proper spelling and use of medical terminology. Demonstration of this competency is also expected from participation in discussion board items. Reading: Reading assignments from the text are required as stated in course activities. Demonstration of this reading competency will include the abilities to read and comprehend the material, to evaluate the material, and to use critical thinking skills in use of this information Communication: The exchange of information between students as well as the instructor is a vital component of this course. Effective communication will be demonstrated by using the proper resource and presenting the message in a positive, professional, grammatically correct manner. Information Literacy: Students will be required to retrieve, analyze and use information effectively in the completion of their written and discussion assignments. Demonstration of this competency will include the abilities to access, evaluate and use information effectively to complete required tasks. Problem Solving: Students will utilize critical thinking skills to solve typical electronic medical record issues that may occur in the medical office. will include a critical thinking skill component. Interpersonal Skills: Skills emphasized in the class focus on keeping the group on task, supporting and encouraging participation, and checking for accuracy. The class encourages cooperative learning. This skill will further prepare the student for today s workplace. Demonstration of this competency will include the ability to demonstrate positive interaction with classmates and the instructor. Computer Literacy: Internet websites on related medical topics and health organizations will be offered to students to expand their knowledge base. Students will also learn to navigate the webbased Harris CareTracker PM and EMR an electronic health record solution.

Grading Criteria The final grade for the course will be a percentage of the following averages: Discussion/Participation 10% Chapter Assignments 20% Chapter Case Studies 20% 30% Applied Learning 20% Grading System Letter Grade Percentage Grade Point A 93-100 4.00 A- 90 92 3.67 B+ 87 89 3.33 B 83 86 3.00 B- 80 82 2.67 C+ 77 79 2.33 C Minimum required passing grade for the Medical Assisting and HIT Programs. 73 76 2.00 C- 70 72 1.67 D+ 67 69 1.22 D 63 66 1.00 F 0 62 0.00

Course Calendar/ MDAS 125 COURSE SCHEDULE SPRING 2017 WEEK TOPIC HIGHLIGHTS TEXT REFERENCE BLACKBOARD RESOURCES LINKS 1. 1/17/2017-1/21/2017 Introduction to Course Chapter 1 Introduction to the Paperless Medical Office: Part I Preview Resource Links Discussion Board item Who We Are Read/study Ch. 1: Part I Pages 1-25 Instructor Information How We Will Work Syllabus Communication Discussion A by 1/21/2017 Comm. Rubric Discussion Board Course Documents E-mail 2. 1/22/2017-1/28/2017 Chapter 1 Introduction to the Paperless Medical Office: Part II Read/Study remaining Ch. 1 Submit Ch. 1 by 1/28/2017 Pages 26-44 E-mail

3. 1/29/2017-2/4/2017 Chapter 2 Introduction to Harris CareTracker PM and EMR Submit Ch. 1 Test by 1/31/2017 Read/study Ch. 2 Activities 2-1- 2-9; place print screen copies in Activity Folder. Pages 45-112 (Check Errata handout) Assignments Submit Ch. 2 mini-cases 2-1 and 2-2 bv 2/4/2017 4. 2/5/2017-2/11/2017 Chapter 3 Patient Demographics and Registration Submit Ch. 2 Test by 2/7/2017 Read/Study Ch. 3 Pages 113-159 Activities 3-1- 3-8; place screen copies in Activity Folder Assignment Submit Ch. 3 mini-cases 3-1 and 3-2 by 2/11/2017

5. 2/12/2017-2/18/2017 Chapter 4 Appointment Scheduling: Part I Submit Ch. 3 Test by 2/15/2017 Read/study Ch. 4 Activities 4.1 4.13; place screen copies in Activity Folder Pages 161-205 (Check Errata handout) Discussion Board Note: No submissions this week. Discussion B by 2/18/2018 6. 2/19/2017-2/25/2017 Chapter 4 Appointment Scheduling: Part II Continue Ch. 4 read/study Activities 4.14 4.20; place screen copies in Activity Folder Submit Ch. 4 mini-cases 4-1- 4-5 by 2/25/2017 Pages 205-228 Assignments

7. 2/26/2017-3/4/2017 Chapter 5 Preliminary Duties in the EMR Submit Ch. 4 Test by 2/28/2017 Read/study Ch. 5 Pages 229-265 Activities 5.1 5.13; place screen copies in Activities Folder Submit Ch. 5 mini-cases 5-1- 5-3 by 3/4/2017 Assignments 8. 3/5/2017-3/11/2017 Submit Ch. 5 Test by 3/8/2017 Read/study Ch. 6 Pages 267-318 Activities 6.1-6.16; place screen prints in Activity Folder Assignments Submit Ch. 6 mini-cases 6-1- 6-6 by 3/11/2017 3/13/2017-3/18/2017

SPRING BREAK 9. 3/19/2017-3/25/2017 Chapter 7 Completing the Visit; Part I Submit Ch. 6 Test by 3/22/2017 Read/study Ch. 7 Pages 319-396 Activities 7.1-7.21; place screen prints in Activity Folder Discussion Board (Note: no submissions this week) Submit Discussion C by 3/25/2017 10. 3/26/2017-4/1/2017 Chapter 7 Completing the Visit: Part II Submit Ch. 7 Check your minicases 7-1- 7-8 by 4/1/201716 Pages 397-400 Assignments

11. 4/2/2017-4/8/2017 Chapter 8 Other Clinical Documents Part I Ch. 7 test by 4/5/2017 Read/study Ch.8 Pages 401-435 Activities 8-1- 8-17 place screen prints in Activity Folder. Discussion D by 4/8/2017 Discussion Board 12. 4/9/2017-4/15/2017 Chapter 8 Other Clinical Documents Part II Read/study Ch. 8 Activities 8-18- 8-26 place screen prints in Activity Folder Pages 436-459 Submit Ch. 8 mini-cases 8-1- 8-5 by 4/15/2017 Assignments E-mail 13. 4/16/2017-4/22/2017 Chapter 9 Billing Ch. 8 test by 4/19/2017 Activities 9-1- Pages 461-533

9-12 place screen prints in Activities Folder Activities 9-1- 9-12 place screen prints in Activities Folder Assignments E-mail Submit Ch. 9 mini-cases 9-1 by 4/22/2017 14. 4/23/2017-4/29/2017 Chapter 10 ClaimsManager and Collections Ch. 9 Test by 4/25/2017 Read/study Ch. 10 Pages 535-591 Activities 10-1- 10-10 place screen prints in Activities Folder Submit Ch. 10 mini-cases 10-1-10-4 and Discussion D by 4/29/2017 Discussion Board Assignments E-mail

15. 4/30/2017-5/6/2017 Chapter 11 Applied Learning for the Paperless Office Part I Ch. 10 Test by 5/3/2017 Supplementary in-class Clinical Cases Pages 593-607 Case Studies 1, 2, 3 and submit by 5/6/2017 Applied Learning I 16. 5/7/2017-5/13/2017 Chapter 11 Applied Learning for the Paperless Office Part II Supplementary in-class Clinical Cases Case Studies 4,5,6 and submit by 5/13/2017 609-616 Applied Learning II Note: All assignments and tests are due by midnight of the designated day. SMCC Medical Assisting Attendance Policy Note: for everyone hour spent in class, you at minimum need to spend 2-3 hours per week outside of class Classes on Campus 1. If course only meets twice a week, students are allowed two (2) absences per course per semester and if course only meets one (1) time per week, student is allowed one (1) absence per course per semester.). For each subsequent absence, the student s grade will drop a whole letter i.e. for a student has a B or 83% average- their grade will automatically drop to a 73%. 2. Exceptions to the above are illness documented by a note from a physician or death in the immediate family. These would constitute a written or faxed excused absence. 3. Per school policy, if a student misses 3 consecutive classes s/he will be withdrawn from the course unless student has been in contact with instructor and made arrangements. Three consecutive absences results in a grade of AF (Administrative Failure).

4. If a student must miss a scheduled class time the expectation is that the instructor will be notified before the beginning of the class. If this is not possible, then the expectation is that the instructor will be notified as soon as possible afterwards. Punctuality: Any student more than ten (10) minutes late for class will be allowed to participate only at the discretion of the instructor. An absence will be assigned for accumulation of two (2) late warnings and apply towards Attendance Policy. Leaving Class Early: An absence will be assigned for accumulation of two (2) instances where a student leaves class early and will be applied towards the Attendance Policy. Online Classes 1. A student is required to log into the course once a week-failure to do so will result in an absence. 2. The instructor will accept two excused absences per semester with makeup work allowed. For each subsequent absence, the student s grade will drop a whole letter i.e. for a student has a B or 83% average- their grade will automatically drop to a 73%. 3. Students are expected to be active participants and engage in all required course activities as described in the course syllabus. If a student does not log in and meaningfully engage for a period of two consecutive weeks the student will be withdrawn from the course. Exceptions to this policy will be evaluated at the discretion of the instructor teaching the course. The Medical Assistant Department Chair also has the option to evaluate instructor expectations. Course Sequence To continue in the Medical Assisting program a grade of C or better must be attained in all core courses prior to taking advanced core courses or participating in the PRACTICUM. Student is expected to meet all pre-requisites and take core courses in appropriate approved sequence. Communication All communication regarding the class should be through the Blackboard either by email or appropriate Discussion forums link. Students are responsible setting up email accounts and for checking Blackboard for announcements and other communications. Students will have access to computers in SMCC computer labs and library. End-of-Course Evaluation

In order to gain access to final course grades, students must complete evaluations for each course attended at SMCC. Evaluations are submitted on-line and can be accessed through the student portal site. Students can access the course evaluation report beginning two weeks before the end of classes. The deadline for submission of evaluations occurs 24 hours after the last day of classes each semester. Instructors will announce when the on-line course evaluation is available. ADA (Americans with Disabilities Act): Southern Maine Community College is an equal opportunity/affirmative action institution and employer. For more information, please call 207-741-5798. If you have a disabling condition and wish to request accommodations in order to have reasonable access to the programs and services offered by SMCC, you must register with the Disability Services Coordinator, Sandra Lynham, who can be reached at 741-5923. Further information about services for students with disabilities and the accommodation process is available upon request at this number. Course policies about online testing are modified to suit each individual s accommodations. SMCC Pay-for-Print Policy Students can print 100 pages per semester for free. If you print over 100 pages, you will be charged 10 cents per page to your Beacon Bucks account. Left-over pages will roll over to the following semester but will zero out at the end of the academic year. A pilot project tracking public printing has shown that this amount of free printing meets the needs of the vast majority of students. The College s pay-for-print system monitors printing on all public printers (i.e., those in general access labs, library printers, the AAC, and technology labs). Each time you log in to the system, the print station displays the remaining print quota. Once the printing quota has been exceeded, users will be charged $0.10 per page on their Beacon Bucks accounts. Color printouts will be charged at 11-page units. This means each color printout will count as 11 pages toward the quota and cost $1.10. Students can add money to their cards using a credit card online. Add-Drop Policy Students who drop a course during the one-week add/drop period in the fall and spring semesters and the first three days of summer sessions receive a 100% refund of the tuition and associated fees for that course. Please note any course that meets for less than the traditional semester length, i.e., 15 weeks, has a pro-rated add/drop period. There is no refund for nonattendance. Withdrawal Policy A student may withdraw from a course only during the semester in which s/he is registered for that course. The withdrawal period is the second through twelfth week of the fall and spring semesters and the second through ninth week of twelve-week summer courses. This period is

pro-rated for shorter-length courses. To withdraw from a course, a student must complete and submit the appropriate course withdrawal form, available at the Enrollment Service Center (no phone calls, please). The designation W will appear on the transcript after a student has officially withdrawn. A course withdrawal is an uncompleted course and may adversely affect financial aid eligibility. Failure to attend or ceasing to attend class does not constitute withdrawal from the course. There is no refund associated with a withdrawal. Plagiarism Statement Adherence to ethical academic standards is obligatory. Cheating is a serious offense, whether it consists of taking credit for work done by another person or doing work for which another person will receive credit. Taking and using the ideas or writings of another person without clearly and fully crediting the source is plagiarism and violates the academic code as well as the Student Code of Conduct. If it is suspected that a student in any course in which s/he is enrolled has knowingly committed such a violation, the faculty member should refer the matter to the College s Disciplinary Officer and appropriate action will be taken under the Student Code of Conduct. Sanctions may include suspension from the course and a failing grade in the course. Students have the right to appeal these actions to the Disciplinary Committee under the terms outlined in the Student Code of Conduct. Academic Achievement Center The Academic Achievement Center (AAC) is located next to the Library. They offer a wide range of services that include study techniques, test-taking techniques, and math refresher courses customized to fit the individual student s needs. Academic Integrity Southern Maine Community College requires all students to adhere to high standards of integrity in their academic work. Activities such as plagiarism and cheating are not acceptable and will not be condoned by the College. Students involved in such activities are subject to serious disciplinary action. PLAGIARISM is defined as the use, whether by paraphrase, or direct quotation of a work, published, or unpublished of another person s ideas, words, statistics, or other creative materials, without full or clear acknowledgement that the work belongs to that other person. CHEATING would include the giving or receiving of unauthorized assistance on quizzes, examinations, and written assignments from any source not approved by the instructor. STEALING, DESTROYING, or UNAUTHORIZED COPYING of another person s computer program of files, deliberately preventing another s access to the college computer system, or impeding the system s performance in any way are also included in this policy.

Syllabus Revised August 2016 by Loreen W. MacNichol