TSU 2004-2005 Undergraduate Catalog

Department of Health Information Management

Elizabeth Kunnu, M.Ed., RHIA, Head
314 Industrial Arts Building
615-963-7441

Faculty: C. Fouche’

General Statement: Health Information Management (HIM) is the profession that focuses on health care data and the management of healthcare information resources. Health Information Management professionals collect, integrate, and analyze primary and secondary health care data, disseminate information, and manage information resources related to the research, planning, financing, and evaluation of health care services.

Job opportunities: Health Information Management professionals, as part of a quality patient care team, work as HIM department director, HIM system manager, data quality manager, information security/privacy officer, educator, consultant, health data analyst, quality improvement analyst, physician office manager, claims and reimbursement coordinator in a variety of health care settings. The settings include hospitals, outpatient clinics, managed-care organizations, consulting firms, accounting firms, medical group practices, hospice and home healthcare agencies, long-term care facilities, correctional facilities, pharmaceutical companies, rehabilitation facilities, behavioral healthcare organizations, healthcare research facilities, insurance companies, law firms, or state and federal healthcare agencies.

The Department of Health Information Management offers a four-year program leading to the Bachelor of Science degree. Its goals are to prepare interested students as competent, confident, innovative and contributing health information professionals who can identify and use a variety of information management resources and technologies to accomplish the objectives of various health care facilities and related organizations; and to prepare students for the National Registration Examination for credentialing by the American Health Information Management Association.

The Health Information Management curriculum takes a career-ladder approach and is divided into a technical phase and a professional phase. It is designed to accommodate high school graduates, transfer students, graduates from accredited community colleges who have completed prerequisite science courses, and Registered Health Information Technicians (RHITs) who wish to progress to the professional level of a Health Information Administrator. The curriculum is comprised of general education, management principles, computer technology/information systems, professional education requirements and integrated supervised professional practice.

The Bachelor of Science (BS) degree is awarded after satisfactory completion of 120 credit hours. Graduates of this program are required to demonstrate entry-level competencies for Registered Health Information Administrators (RHIAs) and are eligible to sit for the National Registration Examination administered by the American Health Information Management Association (AHIMA). The graduates are strongly encouraged to take the National Registration Examination in the same year of graduation to be recognized as a leader in Health Information Management by employers and other healthcare professionals.

ADMISSION REQUIREMENTS

There are two options available to students interested in the Health Information Management Program. Option I is for freshmen and transfers. Option II is for students who have completed an associate degree in Health Information Technology. In addition to University admission criteria, the program admission and retention requirements include:

Entering Freshmen

  1. High school graduation with a minimum cumulative grade point average of 2.5 on a 4.0 scale or G.E.D. scores of 50 or above for the five subjects tested.
  2. A minimum composite test score of 19 on the ACT. (This may change according to University entrance requirements.)
  3. First-time freshmen are required to have successfully completed any remedial or developmental courses before consideration for unconditional admission into the HIM program.

Transfer Students

  1. Applications will be accepted from students transferring from other colleges, universities or other departments at Tennessee State University.
  2. Transfers, students changing the major to HIM, and continuing students are required to have successfully completed any remedial or developmental courses before consideration for unconditional admission into the program.
  3. Applicants must have a minimum cumulative grade point average of 2.5 on a 4.0 scale.
  4. Students transferring from other departments within Tennessee State University are required to complete a Change of Major form.

Advanced Standing

  1. Students who already have a degree in health related and other fields may be admitted to the program if they meet admission criteria.
  2. Individuals who have an associate degree in medical record/health information technology and who are interested in receiving a baccalaureate degree in Health Information Management must have completed a minimum of 60 semester credit hours including directed practice. These individuals are required to complete general education requirements for a BS degree, as well as management, sciences, other prerequisite courses for the program and all the 3000-4000 level courses as indicated in the curriculum.

Additional Requirements

  1. Submission of application to the program is due by June 30 for fall semester and December 1 for spring semester.
  2. Two letters of recommendation from persons (non-family member) who know the applicant.
  3. A personal interview by Admissions and Retention Committee or its designee.
  4. Applicants will be informed of the final decision regarding acceptance into the program.
  5. Responsible for transportation expenses and other costs relating to clinical experience and field trips.
  6. Responsible for a physical examination and malpractice insurance prior to professional practice rotations.
  7. Acceptance of professional practice rotation in and out-of-state health care facilities.
  8. Students are encouraged to complete a minimum of 20 volunteer hours in Medical Record/Health Information Management Department at any health care facility prior to or during the first semester of enrollment in the program. Students with work experience in the HIMA field may provide evidence in writing from the health care facility.
  9. Students are required to complete these courses (ENGL 1010 & 1020 with minimum grades of C; three hours of college mathematics; HIST 2010 and 2020 or 3410; at least six hours of natural sciences; and nine hours in Humanities and/or Fine Arts, including three hours of English Literature prior to their junior year, and to take the RISING JUNIOR EXAMINATION for admission to upper HIMA courses (2000-4000) level.

RETENTION POLICY

The Health Information Management program retention policy requires the following:

  1. Students must maintain a minimum cumulative grade point average of 2.0.
  2. Students must earn a C or better in all major courses, supporting Science, Business, Health Care Administration, English, and Mathematics courses. Failure to maintain a C in any of these courses will result in repeating the course the next semester the course is offered with approval of the advisor.
  3. Students who earn a grade less than C in HIMA courses for more than one semester will be dismissed from the program.
  4. Students who have been dismissed from the Health Information Management Program may apply for readmission. Students who request readmission should present evidence to the Admissions and Retention Committee of substantial change in circumstances warranting reconsider-ation.

General Education Core Courses: A minimum of 69 semester hours including ACCT 2010; HLSC 1000; BISI 2150; 3230; BIOL 2210; 2211, 2220, 2221; CHEM 2500; ENGL 1010, 1020, HCAP 4500; 4900; HIST 2010, 2020; MATH 1110; MGMT 3010; 4030; PHIL 1030; COMM 2200; ECON 2010; SOCI 3000; Humanities/Fine Arts Elective (3 semester hours); Social/Behavioral Sciences Elective (3 semester hours); English Literature 3 semester hours).

Departmental Requirements Bachelor of Science for Health Information Management

MAJOR CORE: A minimum of 51 hours including HIMA 1010, 1040, 2020, 2100, 2200, 2250, 2300, 2350, 2400, 2704, 3010, 3020, 3030, 3300, 4000, 4400, 4424 and 4430.

Students who have completed these courses (ACCT 2110, ECON 2010, MGMT 3010, MGMT 4030, BISI 3230) in HIM curriculum and are interested in getting minor in general business may contact the College of Business for detailed information.

PLAN I

Suggested Four-Year Plan
for students entering at freshman level:

Bachelor of Science in Health Information Management
FRESHMAN YEAR
Fall Semester Courses HR Spring Semester Courses HR
HLSC 1000 1 HIMA 1010 1
BISI 2150 3 ACCT 2110 3
ENGL 1010 3 ENGL 1020 3
BIOL 2210/2210 4/0 BIOL 2220/2221 4/0
MATH 1110 3 HIST 2010 1
14 14
SOPHOMORE YEAR
Fall Semester Courses HR Spring Semester Courses HR
COMM 2200 3 BISI 3230 3
HIST 2020 3 ENGL Literature 3
HIMA 1040 3 ECON 2010 3
PHIL 1030 3 Social/Behavioral Sciences 3
PSYC 2180 or SOCI 3000 3 Humanities/Fine Arts 3
15 15
JUNIOR YEAR
Fall Semester Courses HR Spring Semester Courses HR
MGMT 3010 3 MGMT 4030 3
HIMA 2020 3 HIMA 2300 3
HIMA 2100 3 HIMA 2350 3
HIMA 2200 2 HIMA 2400 3
HIMA 2250 2 HIMA 3030 3
CHEM 2500 3 15
16
Summer Session HR
HIMA 2704 3
3
SENIOR YEAR 
Fall Semester Courses HR Spring Semester Courses HR
HIMA 3010 2 HIMA 4424 6
HIMA 3020 3 HIMA 4430 3
HIMA 3300 2 HCAP 4900 3
HIMA 4000 3 12
HIMA 4400 3
HCAP 4500 3
16
Total Credit Hours Required: 120

Plan II

Suggested Two-Year Plan Option
for students with an Associate Degree in Health Information Technology.

All general education requirements of the University must be met.
JUNIOR YEAR
Fall Semester Courses HR Spring Semester Courses HR
ACCT 2010 3 ENGL Literature 3
HIST 2020 3 PHIL 2010 3
ECON 2010 3 HIMA 3030 3
CHEM 2500 3 BISI 3230 3
HIMA 3010 2 PSYC 2180 or SOCI 3000 3
14 Humanities/Fine Arts 3
18
Summer Session HR
MGMT 3010 3
MGMT 4030 3
6
SENIOR YEAR
Fall Semester Courses HR Spring Semester Courses HR
HIMA 3020 3 HIMA 4424 6
HIMA 3300 2 HIMA 4430 3
HIMA 4000 3 HCAP 4900 3
HIMA 4400 3 12
HCAP 4500 3
14
Total Credit Hours Required: 64

The information contained in this catalog was prepared as a guide for current and prospective students, and may be changed without notice.

Adjunct Instructional Staff and Clinical Instructors: Shonda Cannon Baptist Hospital, Nashville, TN; R. Bowen, RHIA, Erlanger Medical Ctr., Chattanooga, TN; R. Callender, RHIA, Grady Memorial Hosp., Atlanta GA, M. Lampley, RHIA, Metropolitan General Hosp., Nashville, TN; M. Coley, RHIA, Columbia/HCA Health Systems, Nashville, TN; K. White, Southern Hills Medical Ctr., Nashville, TN; S. Barnicle, RHIA, Centennial Medical Ctr., Nashville TN; Teresa Holbert, RHIA, Tennessee Christian Medical Ctr., Madison TN; B. Grossheim, RHIT, Williamson Medical Ctr., Franklin TN; K. Milam, RHIA, Summit Medical Ctr., Hermitage TN; B. Totty, RHIA, Maury Regional Hosp., Columbia TN; B. Samuels, RHIA, Skyline Medical Ctr., Madison TN; C. Ehiemua, RHIA, Matthew Walker Comprehensive Health Ctr., Nashville TN; T. Perkins, THIA, Meharry Medical Services Foundation, Nashville TN; L. Tate, RHIT, Middle Tennessee Mental Health Inst., Nashville TN; T. Taylor, RHIA, Sumner Regional Medical Ctr., Gallatin TN; T. Woodson, RHIA, Methodist Hospital, Lexington, TN; B. Vanderford, RHIA, Jackson Regional Hosp., Jackson TN; L. Howell, RHIT, Bolivar General Hospital, Bolivar TN; M. Clement, RHIA, National Institutes of Health, Betheseda, E. Berry, RHIA, LeBonheur Children’s Medical Hosp., Memphis, TN.

ACCREDITATION

The Health Information Management Program is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) in collaboration with the Council on Education of the American Health Information Management Association (AHIMA).

COURSE DESCRIPTIONS

Health Information Management (HIMA)

HIMA 1010 Introduction to Health Record Management (1). This course is designed for health related majors who have interest in learning more of health records and documentation practices in various health care delivery systems. The course focuses on the purpose and use of the health record, the role of the health information management department, and its relationship with other services within the health care facility. (Formerly HIM 101) Prerequisites: None

HIMA 1040 Medical Terminology (3). A study of the language of medicine with emphasis on body systems, prefixes, suffixes, root terms, pronunciation and spelling. Emphasis on surgical instruments and procedures, diseases, laboratory tests, clinical procedures, and abbreviations for each system. Terms related to cancer medicine, radiology, nuclear medicine, pharmacology, psychiatry, systemic disorders, and autopsy procedures will be included. (Formerly HIM 104) Prerequisites: BIOL 2210, 2211 with a grade of a C or better. Corequisite: BIOL 2220, 2221.

HIMA 2020 Foundations of Health Information Management (3). A study of Health Information Management systems with emphasis on health care delivery systems; the health information management profession; regulatory and accrediting requirements of patient care data; health care data development, content, structure, and use; data collection, quality, access and retention of paper-based records, electronic information, and image-based records. This course requires a laboratory component (2 lecture & 2 lab hours/week). (Formerly HIM 202) Prerequisites: Completion of HLSC 1000; BIOL 2210, 2211, 2220, 2221; BISI 2150; HIMA 1010, 1040 with a minimum grade of a C or better. Corequisites: HIMA 2100, 2200, 2250. Student must be accepted into the HIMA program and/or with instructor’s approval.

HIMA 2100 Fundamentals of Medical Science (3). A study of the nature, cause, treatment and management of pathologic, microbiologic and clinical disease processes. (Formerly HIM 210) Prerequisites: BIOL 2210, 2211, 2220, 2221; HIMA 1010, 1040.

HIMA 2200 Legal and Ethical Aspects of Health Information (2). The American legal and court systems, terminology and procedures; principles of liability; patient record requirements with emphasis on regulations for content, retention, and destruction; access to health information; confidentiality and informed consent; the judicial process of health information; HIPAA privacy standards, fraud and abuse; specialized patient records; risk management and quality assessment of patient records as it relates to internal and external reporting; HIV information; computerized patient records with emphasis on accreditation, licensure; liability issues and ethical standards for health information practices. (Formerly HIM 220) Prerequisite HIMA 1010. Corequisites: HIMA 2020, 2100, 2250.

HIMA 2250 Health Statistics and Analysis (2). A study of the basic knowledge and skills in health statistics and focus on the applications of the techniques for analyzing and calculating hospital, health, and vital statistics for administrative use and health care planning utilizing manual and computerized health information systems for the purpose of graphic display and required reporting. (Formerly HIM 225) Prerequisite: MATH 1110. Corequisites: HIMA 2020, 2100, 2200.

HIMA 2300 Alternative Health Record Systems and Registries (3). A course designed to expose students to health record management in a non-traditional healthcare setting with focus on health record content and structure; regulatory and accreditation requirements; data access, collection, and retention. The overall purpose, organization, development, and maintenance of various registries and indexes will be discussed. Field trips will be required as part of the classroom experience. This course requires a laboratory component (2 lecture & 2 lab hours/week). (Formerly HIM 230) Prerequisites: HIMA 1010, 2020, 2100, 2200, 2250. Corequisites: HIMA 2350, 2400.

HIMA 2350 Coding and Classification of Health Data (3). An introduction to ICD-9-CM classification and coding of symptoms, diseases, operations, and procedures with emphasis on the UHDDS; basic coding steps and guidelines; coding guidelines for operations and procedures; supplementary classifications; signs & symptoms; and ethical coding standards. This course requires a laboratory component (2 lecture & 2 lab hours/week). (Formerly HIM 235) Prerequisites: BIOL 2210, 2211, 2220, 2221; HIMA 1010, 1040, 2100. Corequisites: HIMA 2300, 2400.

HIMA 2400 CPT/HCPCS Coding Classification Systems (3). A basic introduction to CPT and HCPCS coding classification systems for ambulatory care with focus on their structure, application, and purpose as well as related reimbursement issues. Activities for this course will include coding, classification, and indexing of procedures in CPT/HCPCS for the purpose of standardization, retrieval, and analysis. This course requires a laboratory component (2 lecture & 2 lab hours/week). (Formerly HIM 240) Prerequisites: BIOL 2210, 2211, 2220, 2221; HIMA 1010, 1040, 2100. Corequisites: HIMA 2300, 2350.

HIMA 2704 Directed Professional Practice and Seminar in Health Information Services (3). Students are assigned to health information centers during the summer for practice experience under the direct supervision of either an RHIA or RHIT. Students will gain experience through observation and demonstration in applying theory and knowledge of technical aspects of Health Information Management previously and currently studied. A seminar will be held to discuss the experiences acquired during directed professional practice. Focus will be on presentation of the outcome of assigned projects and activities. Capstone examination will be administered to evaluate student competency-based knowledge at the technical level in Health Information Management. (Formerly HIM 270) Prerequisites: Completion of HLSC 1000; BIOL 2210, 2211, 2220, 2221; HIMA 1010, 1040, 2020, 2100, 2200, 2250, 2300, 2350, 2400. All HLSC, BIOL, and HIMA courses completed with a minimum grade of a C or better. An overall minimum grade point average of C or better.

HIMA 3010 Healthcare Billing (2). A study of health insurance process and responsible health care payers. The course includes discussion on professional and uniform billing; the claim process; managed care including accounts receivable, collections, and terminology; electronic data interchange (EDI); commercial plans; federal and state plans; workers compensation and disability compensation programs. (Formerly HIM 301) Prerequisites: HIMA 2020, 2300, 2350, 2400.

HIMA 3020 Current Issues in Health Information Management (3). A study of trends, updates and practical problems related to Health Information Management. Other topics include perspectives n health care. (Formerly HIM 302) Prerequisites: Junior standing in HIMA curriculum or with permission of the instructor.

HIMA 3030 Quality Assessment and Performance Improvement (3). The study of quality management in healthcare with emphasis on quality improvement, utilization review, risk management, clinical outcomes management, case management/critical path concepts, and accreditation and licensure standards. Student will acquire knowledge, skills, and tools needed to coordinate quality and resource management activities in healthcare facilities. This course requires a laboratory component. (Formerly HIM 303) Prerequisites: HIMA 1010, 2020, 2100, 2200, 2250, 2300, 2350, 2400, 2704.

HIMA 3300 Advanced Coding and Classification of Health Data (2). An advanced study of ICD-9-CM coding and reimbursement systems with special emphasis on the complexities of coding related to principle diagnosis selection and sequencing, problem diagnoses and procedures by body system, DRG assignment and PPS regulations for DRG validation, PRO requirements, case-mix concepts, and methods to ensure coding accuracy in automated and manual coding systems. This course requires a laboratory component (1 lecture & 2 lab hours/week). (Formerly HIM 330) Prerequisites: BIOL 2210, 2211, 2220, 2221; CHEM 2500; HIMA 2100, 2350, 2400. This course is designed for HIMA majors only or with permission of the HIMA instructor.

HIMA 4000 Computerized Health Information Systems (3). Development of managerial skills in Systems Analysis and Computer Applications in Health Information Management. (Formerly HIM 400) Prerequisites: MATH 1110; BISI 2150, 3230; HIMA 2020.

HIMA 4400 Organization and Management of Health Information Services (3). This course is designed to provide students with managerial skills in the areas of planning, organizing, directing, and controlling. Emphasis will be on the processes of budgeting, staffing, directing, decision making, development and evaluation of policies and procedures, and establishing standards for the quality of health information services. Special assignments include in-service education. (Formerly HIM 440) Prerequisites: MGMT courses, senior standing in the HIMA curriculum with a minimum grade point average of 2.0 or better.

HIMA 4424 Management Professional Practice in Health Information Services (6). Students are assigned to a Health Information center for supervised Management Professional Practice experience to observe employee relations and interact with healthcare professionals and consumers while under the direct supervision of a qualified Registered Health Information Administrator. Students are provided the opportunity to apply the skills and knowledge previously gained through classroom, directed professional practice, and laboratory experiences in carrying out management and administrative activities. A pre-practice seminar will be held to discuss practice expectations and explore potential methods of identifying and solving problems that may be encountered during management practice. (Formerly HIM 442) Prerequisites: Completion of all HIMA, MGMT, BIOL, HLSC and HCAP courses with a minimum grade of a C or better, have an overall minimum grade point average of C (2.0) or better, and senior standing in the HIMA curriculum.

HIMA 4430 Management Professional Practice Seminar (3). Student will participate in seminar to discuss the experiences acquired during Management Professional Practice. Focus will be on presentation of the outcome of assigned projects and activities; employment opportunities and preparation for job search; and discussion on graduate and professional studies. Students will participate in preparation for the registration examination. Focus will be on test-taking skills and assimilation of AHIMA required competencies. Capstone examination will be administered to evaluate student competency-based knowledge of Health Information Management. Prerequisites: Completion of all HIMA, MGMT, BIOL, HLSC and HCAP courses with a minimum grade of a C or better have an overall minimum grade point average of C or better (2.0), and senior standing in the HIMA curriculum. (Formerly HIM 443) Corequisite: HIMA 4424.
 

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