Section 1. Proposed Course Outline (A general statement of course content that informs class syllabus construction. Once approved, all sections of a given course must include this content, no matter which instructor teaches the course, or the mode of delivery. Divisions must include this new course outline in the Divisional Course Outline binder as required by COPPs.)
Course Number: HIT 207 Full Course Title for print catalog: EHR for the Provider Office
Abbreviated Course Title for Banner: EHR for the Provider Office (30 character limit)
Prerequisites:  HI 107 or instructor approval 
Co-requisites:      
Grade Option:  Graded (with P/NP option)  	 Pass/No Pass only

Number/Type Credits	Term Minimum Contact	Term Maximum Contact	11-Week Term Contact	
   Lecture	   hours (lecture credits x 10)	   hours (lecture credits x 12)	   hours (lecture credits x 11)	
3 Lec/Lab	3 hours (lec-lab credits x 20)	3 hours (lec-lab credits x 24)	3 hours (lec-lab credits x 22)	
   Lab	   hours (lab credits x 30)	   hours (lab credits x 36)	   hours (lab credits x 33)	
3 Total credits (sum)	60 Total hours (sum)	72 Total hours (sum)	66 Total hours (sum)	

Course Description (300 character limit):	
Pre-req: HI107 or instructor consent. This course provides students the opportunity to deepen their understanding and establish proficiency in creating patient charts, complete electronic progress notes for a variety of practice patients, and will complete electronic history forms, lab requisition forms, electronic prescriptions, electronic telephone notes, proof of appointment letters and electronic forms, and enter coding and billing information. This course utilizes an applied approach using simulation software that features assignments directly mapped to ABHES and CAAHEP competencies. This course may be offered online. 	
Course Outcomes and Proficiencies	Assessments Planned	
What will the student know or be able to do at the end of the course?
What attitudes related to the subject will the student hold?	What evidence will demonstrate that students have achieved course outcomes? (assessment tools may include departmental tests, written products, portfolios, juried performances, quizzes and exams, or alternative assessments such as qualitative studies, capstone projects, external reviewers, etc.)	
Upon successful completion of this course, the student will:	How each outcome will be assessed:	
Demonstrate proficiency creating patient medical records with accurate demographic and financial information. Demonstrate the process that will avoid duplication of medical records.	 Evaluation of created patient medical records, quizzes, and exams.	
Demonstrate proficiency in posting charges, entering medical codes; prepare billing statements, post payments from payers and insurers, post overpayments, and process refunds.	Evaluation of accuracy of data entry into patient medical records, quizzes, and exams.	
Demonstrate proficiency in clinical documentation in the patient EHR	Evaluation of documented clinical chart note, lab results, vaccination administration, medication orders, provider performed procedures, student performed procedures (e.g. injection), patient allergies, chief complaint and History of Present Illness (HPI), as well as patient medication list and medication administration. Also, evaluation of patient problem list management, documentation of vital signs, immunizations. Quizzes and exams may also be used to evaluate workflow processes and procedures.	
Demonstrate accurate administrative documentation in the patient record.	Evaluation of documented telephone encounters, authorization to release medical records; incident reports, patient consent forms, prior authorization requests, as well as quizzes and exams to evaluate understanding.	
Demonstrate understanding accessing patient information in the EHR based on a need to know, within scope of practice for various office staff and care providers.	Class discussions, essays, quizzes and exams.	
Demonstrate understanding of issues of confidentiality in relation to the medical record.	Class discussions, essays, quizzes and exams.	
Demonstrate proficiency of evaluating a medical record for completeness in regards to regulatory requirement and medical necessity.	Review student created EHR visit records for completion (audits), enter pertinent data required to complete the medical, such as Authorization to Release Medical Information form, entering procedure and diagnosis codes, as well as quizzes and exams to evaluate understanding.	
Demonstrate proficiency in completing insurance claim forms	Review of completed insurance claim form, as well as quizzes and exams.	
Demonstrate proficiency in obtaining preauthorization, including documentation.	Using role-playing scenarios, contact the insurance company and obtain preauthorization, then document appropriately in the EHR, as well as quizzes and exams.	
Demonstrate proficiency of verifying eligibility for managed care services and complete appropriate documentation in EHR.	Using role-playing scenarios, contact the insurance company and obtain preauthorization, then document appropriately in the EHR, as well as quizzes and exams.	
Define and explain the purpose of keeping a personal health record (PHR), identify the steps of creating a PHR,  and identify steps in maintaining a PHR.	Class forums, essays, quizzes, and exams.	
Demonstrate proficiency in accessing and printing appropriate patient education documents	Create and maintain patient education materials; using role playing scenarios, access and print appropriate patient education documents	

Course Content by Major Topics
What topics will be presented? What are the main activities of the course? What are the central themes?
(See sample at http://www.lanecc.edu/copps 
Topics:
1.	Maintaining patient records: quantitatively and qualitatively
2.	Managing appointments: adding and changing patient appointments and appointment templates
3.	Administrative use of the electronic medical record
a.	Patient Correspondence
b.	Provider referrals
c.	Telephone encounters
d.	Managing EHR’s
i.	Eliminating duplicate charts
ii.	Purging patient records
4.	Clinical use of the electronic medical record
a.	Documenting remote patient-provider encounters
b.	Clinical documentation:
i.	Allergies
ii.	Patient History
iii.	Medical and Surgical History
iv.	Chief Complaint
v.	Pain Scale
vi.	Problem List creation/management
vii.	Medication list creation/management
viii.	CPOE
ix.	Immunization administration and management (tracking health screenings)
x.	Patient Education
xi.	Vital signs
xii.	Progress notes
5.	EHR for Reimbursement
a.	Revenue Cycle/AR day management
b.	Coding systems and coding data entry based on visit encounter
c.	Pay for Performance
d.	Superbill
e.	HIPAA 5010 Claim processing (or current claim form)
f.	Medical Necessity
g.	Patient Ledger
h.	Fraud and Abuse
6.	Personal Health Records – as role of patient advocate
a.	Difference between PHR and EHR
b.	Types of PHR’s available
c.	Creation and maintenance of a PHR

Section 2. Proposal Information
Course Developer:	Type of Proposal	Type of Course: 	
Shelley Williams	 New course	 Lower Division Collegiate (transfer) 	
Date: 11/5/2014	     Currently 199 or 299 	 Professional/Technical (required or elective) 	
Catalog year to take effect: 	 Experimental Course	 Developmental, numbered below 100	
2014-2015___  	     199 Experimental Course		
2015-2016_x__  	     299 Experimental Course		
	 Revised course (If increasing credits, use credit change form)	
	 Reactivated course with no change	
	 Reactivated course with changes 	

Rationale:
How does this proposal further the goals of the program or department? 	
This course meets the MOA accreditation requirements of Accrediting Beureau of Health Education Schools (ABHES) and Commission on Accreditation of Allied Health Education (CAAHEP) regarding applied use of an EHR.
	
What assessment evidence supports this proposal? 	
The simulation software has 100 built in assignments that are directly mapped to the ABHES and CAAHEP requirements.	
How do you know there is a demand for this course? 	
Both HRT and MOA Advisory Committees recommend additional hours of hands-on EHR practicum following the respective workflows. Additionally, accreditation requires more for the MOA program than we currently have available, which can also be used by the HRT Program to better prepare students for employment. This course may also be used by other division programs.	

Section 3. Curriculum Equity http://www.lanecc.edu/copps 
To promote an environment where all learners are encouraged to develop their full potential, this course will support Lane’s Curriculum Equity policy in the following way(s):
     

Section 4. For revised courses only: PREVIOUS Catalog/Course Information:
Course Number:       Course Title in Banner:       (30 characters maximum)	
Full Course Title in print catalog:      	
Prerequisites:       
Co-requisites:      
Grade Option:  Graded (with P/NP option)  	 Pass/No Pass only

Number/Type Credits	Term Minimum Contact	Term Maximum Contact	11-Week Term Contact	
   Lecture	   hours (lecture credits x 10)	   hours (lecture credits x 12)	   hours (lecture credits x 11)	
   Lec/Lab	   hours (lec-lab credits x 20)	   hours (lec-lab credits x 24)	   hours (lec-lab credits x 22)	
   Lab	   hours (lab credits x 30)	   hours (lab credits x 36)	   hours (lab credits x 33)	
   Total credits (sum)	    Total hours (sum)	    Total hours (sum)	    Total hours (sum)	

Course Description:
     
What will change? Course Number   Title   Course Description   Credit hours   Contact hours

Section 5. Support Courses (New Professional/Technical course proposals must complete.) 
Professional/Technical courses are tracked within programs for purposes of Carl Perkins funding and budgetary planning. Indicate all degree or certificate programs for which this course will be required.
Program	Division	
     	     	
     	     	

Section 6. Overlap Courses  (New course proposals must complete.)
While overlap of course materials is not necessarily a flaw, duplication of course materials may lead to inefficient use of college resources. If there is overlap, the faculty of overlapping courses must agree on the extent of overlap and attach a rationale explaining its necessity if it is more than 10%.

Indicate all departments/courses that this course may overlap. Division Dean of existing course enters one of two options at right. Note: N/A is not an option.

Options:
1.  No overlap.
2.  Approved: overlap is acceptable. Rationale attached.
3.  Disapproved: reasons attached.
Division	Course Number / Title	% Overlap	Option	Division Dean of existing course
(Signature required for all options)	Date	
BCIT	HI 107	20%	2		     	
     	     	     	     		     	

Section 7. Qualification to fulfill degree requirements (complete all relevant forms, available at http://www.lanecc.edu/currsched/curriculum-forms and send to Curriculum/Scheduling for the Degree Requirements Review Committee):

 Form(s) applying for the following degree requirement status have been attached. (Only check this box when forms have been completed and attached.)

AAOT, ASOT-Bus, OTM:
 Arts & Letters 
 Social Sciences
 Science /Computer Science 
 Mathematics
 Cultural Literacy Option 
(please submit with course syllabus to Michael Samano in Social Science)

All degrees:
 Health/Wellness/Fitness
AAS, 1-year and 2-year certificates:
 Human Relations 

Optional designation:
 Sustainability status

Section 8. Library Impact Statement
Under accreditation standards, Library consultation is essential for new programs, new courses and for substantively revised courses when the revisions entail any change in library use. 

What assignments will require the use of library and information resources? 
Students may use computers located in the library to complete assignments and to search the internet for information. 

Each academic area has a Liaison Librarian http://www.lanecc.edu/library/services/liaison.htm. Contact the designated librarian to discuss the library needs of your course. Please allow the librarian at least one week to assess library resources.

To be completed by Liaison Librarian:
 Library resources are adequate to support this proposal.
 Additional resources are needed but can be obtained from current funds. 
 Significant additional Library funds/resources are required to support this proposal. 

					     
	Liaison Librarian			Date

Section 9. Divisional Approval (To be completed by Division Chair and Administrative Assistant) 
Human, Physical, and Financial Resources:
 Additional instructional costs (staff, materials, services or facilities) will be incurred to offer this course.  Source of funding:      
 No additional instructional resources (staff, materials, services or facilities) are needed to offer this course.
Explain: Qualified part-time faculty is currently available to teach this course.
Required Certifications:
 We have developed minimum course certification standards according to the COPPs procedure “Instructor Qualifications: Credit,” to be filed with ASA upon course approval.
 We have completed faculty certification form(s) for faculty qualified to teach this course, to be filed with ASA and Human Resources upon course approval. 

		      	     
Administrative Assistant/Coordinator	Date

Fees:
 We have completed fee rationale and fee request forms to be submitted to ASA upon course approval, in compliance with the COPPs procedure, “Fees: Special”
 No special fees will be required for this course.

Divisional Recommendation:
 The Academic Dean and Administrative Assistant have reviewed this course proposal and kept a copy for divisional files.
 Faculty review of this course was completed within the division on 11/20/(date).

 Pass	 Do Not Pass 

			     
Academic Dean			Date

Section 10.  College Approval 	 

				     							     
Curriculum Committee Chair				Date		Executive Dean for Academic Affairs	Date

Curriculum Approval Committee hearing:  		     		_____________________________	     
				Date		Vice President for Academic &	              Date
						Student Affairs