Mar 28, 2024  
2021-2022 Catalog 
    
2021-2022 Catalog [ARCHIVED CATALOG]

MR 107 - Health Information Assessment and Reporting Principles


Credit Hours: 3

This course covers the standards and the basic areas of quality management/improvement, and the knowledge and skills needed to apply these principles in assessing the quality of patient care. In addition, the course includes the principles, standards and regulations pertaining to risk management, utilization review and health care statistical processes.

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

  • Quality Management:
    • differentiate between quality management, quality assurance, quality assessment and quality improvement;
    • define quality as per the accreditation organization/CMS standards definition;
    • describe the evolution of quality assurance in health care;
    • identify management information standards per the current accreditation organization/CMS standards;
    • state the components of a hospital-wide QI plan per the accreditation organization/CMS standards;
    • identify the tools used in the quality management process and know how to utilize them;
    • describe the role of the health information professional in quality health care data collection, analysis and display and reporting; and
    • conduct clinical pertinence review based on established criteria.
  • Risk Management:
    • describe the evolution of risk management in health care;
    • identify legal imperatives and accrediting organization requirement for risk management;
    • define the fundamental concepts of risk management;
    • identify the role of the medical staff in risk management; and
    • define outcome in relation to risk and interpret risk data.
  • Utilization Review:
    • define and know the purpose of utilization review in the health care setting;
    • describe the external influences that have a significant impact on the development of UR programs;
    • describe the current process of utilization monitoring and review programs; and
    • evaluate and assess the implementation and effectiveness of a utilization review program.
  • Statistical Reporting Principles:
    • define health statistics and identify their sources and uses;
    • calculate basic mathematical measures of rounding, metric conversion, percentage, measure of central tendencies, and measures of variability;
    • define and compute common health rates and percentages;
    • distinguish between raw and display data, and prepare various types of data displays;
    • compile and retrieve complete and accurate clinical information using a variety of methodologies;
    • accurately report vital statistics information using both manual and computerized processes;
    • generate statistical reports and display statistical data through manual and computer means; and
    • accurately abstract health records for generation of meaningful statistical data.


Prerequisites: MR 101, MR 102, MR 103
S (N)