Syllabus: HCA 416 Management & Information Systems Shimoga 1

COLLEGE OF HEALTH AND HUMAN SERVICES

California State University, Long Beach

Health Care Administration Department

HCA 416 – Management and Information Systems Fall 2017

I. INSTRUCTOR INFORMATION Hello Class -- My name is Sandhya Shimoga and I am your instructor for HCA 416, Management & Information Systems.

I am an Assistant Professor in the department of Health Care Administration. I have a Ph.D. in Health Policy & Management from UCLA; a Masters degree in Management & Health Care from University of Maryland and a Masters degree in Physics from Indian Institute of

Technology Madras (IITM), India. I have worked in the healthcare industry for over a decade in both provider and payer sides of the business.

This course is an introduction to the management and information systems in healthcare settings. We will explore systems architecture and data standards; different uses of data in healthcare organizations; health information security and concepts of system life cycle. We will utilize hands-on lab sessions to learn data manipulation for supporting managerial functions. This is a fast-paced class with lots of hands on learning

in class and hence, it is important to do your assigned readings before class. This class is a ‘shared journey’ where we both will commit to do our parts and learn from each other. Do not hesitate to reach out to me or to

your classmates if you need help.

Remember - just like Hogwarts “Help will be given to those who ask for it”, always! Cheers,

Sandhya Shimoga

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Contact Information

Sandhya V Shimoga, PhD, MS, MSc Assistant Professor (Tenure-Track)

Health Care Administration Department Phone: 562 985 2462

Email: Sandhya.Shimoga@csulb.edu (preferred mode)

Office Location: HHS2 Faculty Office 06 On-Campus Office Hours: Monday 9:30-11:30 am; Tuesday

2:30-3:30 pm and by appointment

Additional Contact Info: HCA Department Administrative Coordinator:

Deby McGill dmcgill@csulb.edu Phone: 562 985 5694

Fax: 562 985 5886

Communication Policy

Announcements will be posted on BeachBoard regularly on the class website’s home page and the same will be

sent via emails which are linked to your BeachBoard accounts. Please make sure to check your email (that is linked to BeachBoard) and also the class website for announcements and updates.

I will usually respond to your emails within 24-hours on weekdays and within 48 hours on weekends and holidays. If you do not receive a response within this time frame, assume that I did not receive your email and resend it or

reach out via telephone. You can also drop-in during the on-campus office hour or make an appointment.

II. COURSE INFORMATION HCA 416 : SECTION 3

On-Campus

Meeting Times & Location

Tuesdays 4:00-6:45 pm in SPA 005

Catalog Description Evaluation of concepts, analysis and design of management information systems; management decision models,

and strategies for implementing system changes. Letter grade only (A-F). Pre-requisite/Co-requisite: HCA 300.

Course Structure First meeting is on August 29th. If you miss this class, you will be dropped from class as per university policy.

Materials for the next week will be available Wednesday mornings by 9:00 am. It is important to complete the BEFORE CLASS readings BEFORE coming to on class on Tuesdays.

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Learning Objectives Describe the background and overview of the analysis, design, evaluation, selection, installation, use, and management of information systems in health care settings

Explain the information management function and the value of information.

Discuss the role of information technology in the provision of high quality care and management decision making

Describe topics on computer hardware, software, networking, and telecommunications sufficient for understanding of concepts and relevant to health care managers and staff.

Learning Domains and Competencies

Each learning objective is linked to a domain and a competency as listed in the Health Leadership Alliance directory: http://www.healthcareleadershipalliance.org/directory.htm.

Learning Objective

Domain Competency Activity (A1),

Assignment (A2) or Assessment (A3)

1. Demonstrate an understanding of computer hardware,

software and related terminology.

5 F A2, A3

2. Demonstrate understanding of relational database, data warehouse and data mart concepts. Understand the

importance of data standards.

5 F A1, A2, A3

3. Analyze the nature of information needs in the organization

by using healthcare data utilizing MS Excel and MS Access including creating reports with Graphs and charts to present

data.

5 F A1, A2, A3

4. Demonstrate an understanding of Electronic Medical Records, decision support systems and processes and basic

statistical data used in healthcare industry.

5 F A1, A2, A3

5. Demonstrate an understanding of information security

including HIPAA and other regulations in the context of healthcare information and information management.

5 F A1, A2, A3

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III. COURSE REQUIREMENTS

Text Book Required Textbook (eBook or print):

Fenton, Susan H., Biedermann, Sue, Introduction to Healthcare Informatics. American Health Care Information

Management Association, 2014. First Edition. Other readings will be available as eBooks or articles from the CSU LB library:

Data Resource Integration: Understanding and Resolving a Disparate Data Resource by Michael Brackett, Technics Publications, LLC (2012) Chapters 11 and 12.

Utley, Craig (2008). Designing the Star Schema Database. CIOBriefings, 1.1. Retrieved from:

http://www.ciobriefings.com/Publications/WhitePapers/DesigningtheStarSchemaDatabase/tabid/101/Default.aspx

Provost, Lloyd P, Murray, Sandra K, The Health Care Data Guide, Learning from Data for Improvement, Josey Bass

(2011), Chapters 1-2.

Austin, Charles J., Boxerman, Stuart B, Information Systems for Health Services Administration AUHPA Press/Health Administration Press, 6th

Computer Requirements

For this class, most of your readings and assignments will be on BeachBoard so you need to make sure that you will have access to a computer and internet to complete your course. Your computer should have some basic software

and hardware in order to use BeachBoard. Minimum Computer Requirements:

Operating System: Windows 7 or newer versions; Mac

Internet Connection: DSL or Cable

Software: PDF Reader, Word, Excel, Access, PowerPoint (available via CSULB for students)

Plugin: Java, Shockwave/Flash Player

Two open access computer labs are available for current CSULB students. Both the Horn Center (located in lower campus) and the Spidell Technology Center (located in Library) are great resources for students needing to use a computer. Visit the Open Access Computing Facilities website for an extensive list of all available software installed in

both computer labs. Most public libraries also have computers with internet access that you can use for free. However, please make sure that these machines satisfy the minimum computer requirement stated above. You will need to use MS Excel and MS Access for your data analysis.

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Technology Skills

To work on this course, it is assumed you have: • Basic computer skills (word processing, e-mail, file management)

• Introductory skills with Excel • Basic Internet skills (use of browser, searches, uploading/downloading files) • Familiarity with discussion boards

An open mind and willingness to try new things!

Time

Commitment

Completion of this course including readings, discussions, assignments and projects should take at least 10 hours per

week. It is best if you commit to working about 2 hours per day for 5 days a week so that you are not overwhelmed with all the content all at once. The time spent may vary depending on your familiarity with online platforms such as discussion boards and quizzes.

BeachBoard

Access

BeachBoard is our virtual classroom where you can access course materials and assignment instructions as well as participate in class discussions and submit requirements.

To access this course on BeachBoard you will need access to the Internet and a supported Web browser. You log in to BeachBoard with your CSULB Campus ID and password. Bookmark this link for future use, or you can

access it by going to CSULB’s homepage and clicking on the BeachBoard link at the top of the page.

Once logged in to BeachBoard, you will see the course listed in the My Courses widget on the right; click on the title to enter the course. To use BeachBoard, please refer to the BeachBoard Help Pages.

If you need technical assistance at any time during the course or need to report a problem with BeachBoard, please contact the Technology Help Desk using their online form or by phone at (562) 985-4959 or visit them on campus in the Academic Service (AS) building, room 120.

IV. COURSE POLICIES

Drop Policy Students who fail to show up for the first meeting will be dropped from class. Withdrawal

Policy

University policy on withdrawal:

http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2002/02/. Withdrawal after 2nd week and before final 3 weeks “permissible for serious and compelling reasons;” instructor will evaluate student withdrawal requests on a case by case basis.

Attendance Policy

Students are expected to attend classes regularly and arrive on time. Students should not miss classes except for valid reasons such as illness, accident or participation in officially approved University activities. Students are expected to

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notify their instructor in advance when they know they will have an excused absence. It is the student’s responsibility to arrange to make up any work missed.

Academic Honesty

Please see University policy on cheating and plagiarism: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2008/02.

Commitment to Inclusion

California State University, Long Beach is committed to maintaining an inclusive learning community that values diversity and fosters mutual respect. All students have the right to participate fully in university programs and

activities free from discrimination, harassment, sexual violence, and retaliation. Students who believe they have been subjected to discrimination, harassment, sexual violence, or retaliation on the basis of a protected status such as age, disability, gender, gender identity/expression, sexual orientation, race, color, ethnicity, religion, national origin,

veteran/veteran status or any other status protected by law, should contact the Office of Equity and Diversity at (562) 985-8256, University Student Union (USU) Suite 301, http://www.csulb.edu/depts/oed.

Academic &

Technical Assistance

Please see CSU LB Resources for academic and technical assistance:

Tutoring at CSU LB Technology Help Desk

Electronic Device Use

Please turn off and put away cell phones, computers and tablets during class. Using social media or being on personal text messages etc. disrupts class and hence learning for your classmates and yourself. Please note that repeat offenders will lose in-class activity points. You may use electronic devices only for in-class exercises or notes

taking if needed.

V. ASSIGNMENTS & ACTIVITIES In Class Exercises

(ICE)

In class exercises are based on the current week’s lecture(s) and readings and should be done in class. Except for hands-on ICEs, most of these are GROUP exercises and the instructor will randomly assign you to a group during the first week of class. Lab based ICEs are considered practice sessions and are to be done individually but you can consult with neighbors or

teammates. The type of exercise is specified under the ‘Class Schedule’ section.

You have to be in-class to get credit for ICEs. In case of excused absence, please email instructor ahead of time to get the assignment and make sure to turn it in by the end of the class that same day that you are going to be absent. Late assignments will NOT be graded nor will the instructor entertain late requests for turning in these assignments. In case of

an undocumented emergency, instructor will decide on whether to allow submission and the time allowance on a case-by- case basis.

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Lab Assignments

There will be 3 lab assignments that include hands-on assignments that are due by the end of the lab session. The software used are MS Excel and MS Access.

LABS ARE NOT PRACTICE SESSIONS. It is very important to complete all the lab related ICEs before labs; otherwise, you will not be efficient in labs nor will you fully benefit from lab activities.

Lab 1: Access database exercises – build queries for calculating statistics

Lab 2: Excel Calculations of Health Statistics and Graphs Lab 3: Comprehensive exercise using Excel and Access together to build a report and interpreting results

Term Paper

(Please save this

assignment for your e-portfolio)

Term paper is based on the data on medical care utilization per state per year which are provided by the instructor. Each student will be randomly assigned a state and a year. The completed product should utilize the assigned state data for the assigned year to calculate several healthcare aggregate statistics and compare them to the corresponding national

statistics. The report should provide recommendations based on the role chosen by the student which is to be specified in the beginning of the report. Please note that this paper will undergo a turnitin check for plagiarism and any score of more

than 25% will be further scrutinized for potential plagiarism. If the paper is assessed to be plagiarized, further action will ensue as per university policy including but not limited to awarding zero points for this assignment.

For more information on this assignment, please refer to the project template on Beach Board. Grading for the term project is by the following categories (see template, example and grading rubric for additional information): Data Analysis and Presentation: Data accuracy (30%); Data format (15%); Graphs (15%)

Interpretation: Analysis (15%) Writing: Grammar (15%); Structure (10%)

Any delays (other than documented emergencies) will result in an automatic reduction of 5 percentage points per day.

Exams There will be a mid-term and a final exam. Questions will be based on the textbook readings and lectures, and include

information from guest speaker presentations (if any), class discussions & Before and In-Class Exercises. The mid-term will cover the first half of instruction; the final will cover topics from post-midterm sessions.

All exams are ONLINE and OPEN BOOK and have to be taken online during the assigned time period.

Make up

Assignment Policy

Students absent for in-class activities, mid-term or final exams must provide written third party documentation of the

unavoidable circumstances in order to be eligible to take a make-up exam or turn in a make-up assignment. The reason must fall under excused leave policy of the university. In the case of emergency absences, please discuss your case with the instructor and instructor will decide on the make-up assignments on a case by case basis. Repeated absences or

Syllabus: HCA 416 Management & Information Systems Shimoga 8

requests for make-up assignments without documentation of acceptable reasons will not be entertained unless there is a strong reason to make exceptions.

If your make-up assignment is approved, please submit it to the dropbox within the timeline specified by the instructor. No late or make up assignments will be accepted after the last day of instruction.

Disabled students who qualify for alternative testing arrangements: Please advise the instructor and make arrangements well in advance of the exams.

VI. Grading Grading Assignments Total % Grade

12 IN-class exercise (ICE: 12x5)

3 Lab Exercises (25x3)

Term Paper

2 Exams (Mid Term and Final: 25x2)

Product Presentation: Group

Attendance (1*15)

TOTAL

60 points 75 points

100 points 50 points 20 Points

15 Points 320 points

19% 23%

31% 16% 6%

5% 100%

Letter Grade

Assignments

Students receive a letter grade for this course based on the percentage of total points earned weighted as noted below—

please note that I DO NOT round grades/percentages up and the letter grades are based on the point accumulation as below:

90-100% = A performance at the highest level showing sustained excellence.

80-89% = B performance at high level showing consistent and effective achievement. 70 -79% = C performance at an adequate level meeting basic requirements. 60-69% = D performance is less than adequate meeting minimum course requirements.

Below 60% = F performance in which minimal course requirements have not been met.

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Additional Readings and Class Discussion Materials may be posted on Beachboard. Make sure check Beachboard each week BEFORE class to

complete any additional assigned readings. The course schedule may change to accommodate guest lectures.

VII. CLASS SCHEDULE

Module Name Date BEFORE CLASS IN-CLASS

Readings In-Class Activities

Week 1: Introduction to

HCA 416

8/29 Syllabus

Introduction to Health IT

ICE #1: In Class Quiz

Week 2: Introduction to Health Care Information

Systems & Data Concepts

9/5

Fenton & Biedermann (F&B) Chapters 1 & 3

Lecture, Lecture Slides

ICE #2: Building a database table from data forms

Week 3: Introduction to

Data Base Systems

9/12

F & B Chapter 4

Fundamentals of Relational Database Design: http://r937.com/relational.html

Lecture, Lecture Slides, Videos

ICE#3: Intro to MS Access –

Building a Relational Database

Week 4: Data Management and

Standards

9/19 F & B Chapter 9

OPTIONAL: Data Resource Integration: Understanding and

Resolving a Disparate Data Resource by Michael Brackett, Chapters 11 and 12.

Lecture, Lecture Slides, Videos

ICE #4: Short Quiz ICE #5: Group Activity based on

standardization and interoperability

Week 5: MS Access Lab 9/26 Lecture, Lecture Slides, Videos

ICE #6: MS Access in-class exercise based on the tables you

created during ICE#2

Week 6: 10/3 F & B Chapter 2 ICE #7: Short Quiz on EMRs

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VII. CLASS SCHEDULE

Module Name Date BEFORE CLASS IN-CLASS

Readings In-Class Activities

Electronic Medical Records

Electronic Medical Records." Open Clinic. 4 Nov. 2006:

http://www.openclinical.org/emr.html

Lecture, Lecture Slides, Videos

Lab #1: Queries using HealthCare data

Week 7: MS Access Lab

10/10 F & B Chapter 9

OPTIONAL: Data Resource Integration: Understanding and Resolving a Disparate Data Resource by Michael Brackett, Chapters 11 and 12.

Lecture, Lecture Slides, Videos

ICE #8: MS Access exercises

based on previous in-class exercises and class materials

Week 8:

Mid Term Exam

10/17 Mid Term Exam Review Online Mid Term Exam

Week 9: MS Excel

10/24 Lecture, Lecture Slides, Videos ICE #9: Excel Practice

Week 10: Outcomes measurement using key

healthcare statistics

10/31 F&B Chapter 5 (may skip pages 100-107)

Calculation of the Office of Statewide Health Planning and

Development’s (OSHPD) Case Mix Index (CMI)

http://www.oshpd.ca.gov/HID/Products/PatDischargeDat

a/CaseMixIndex/default.asp

Online – posted link to calculating statistics

Lecture, Lecture Slides, Videos

ICE #10: Calculate Excel Statistics

Week 11: Decision Making using Data

11/7 F&B Chapters 7

What is Care Management?

Lab #2: Excel Charts & Graphs

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VII. CLASS SCHEDULE

Module Name Date BEFORE CLASS IN-CLASS

Readings In-Class Activities

http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2009/rwjf49853

What criteria should we use when screening measures of

quality for public reporting?

http://www.ahrq.gov/qual/perfmeasguide/perfmeasp

t4a.htm#q22

Lecture, Lecture Slides, Videos

Week 12: Interpreting

Results

11/14 Lecture, Lecture Slides, Videos

Lab #3: Access assignment for the

term paper

Optional: Time to create graphs

Week 13: No Class THANKSGIVING BREAK

Week 14:

Privacy and Security of Health Information

11/28 F & B Chapters 10 & 11

HIPAA - PHI: List of 18 Identifiers and Definition of PHI."

UCSF Human Research Protection Program.

http://www.research.ucsf.edu/chr/HIPAA/chrHIPAAphi.as

p

Lecture, Lecture Slides, Videos

ICE #11: Short HIPAA Quiz

ICE #12: HIPAA Situation discussion: Air force pilot case study

Weeks 15: Systems

Implementation Life Cycle

12/5 F&B Chapter 6

Lecture, Lecture Slides, Videos

TERM PAPER DUE

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VII. CLASS SCHEDULE

Module Name Date BEFORE CLASS IN-CLASS

Readings In-Class Activities

Week 16: Consumer Informatics

12/12 NO LATE OR MAKE UP ASSIGNMENTS ACCEPTED AFTER THIS MODULE PERIOD

Text Book Chapters 13 & 14

Lecture Videos, Slides, Videos

Consumer Informatics: Group Presentation of a wearable technology product

Week 17: Finals Week 12/19 Final Exam Review

Final Exam

VIII. STUDENT SUPPORT

Special Needs Students with disabilities who need reasonable modifications, special assistance, or accommodations in this course should promptly direct their request to the course instructor. If a student with a disability feels that modifications, special assistance, or accommodations offered are inappropriate or insufficient, they should seek the assistance of

the Director of the CSULB Disabled Student Services, contact them email at dss@csulb.edu or by phone at (562) 985-4635 and check out for more info on their website: http://www.csulb.edu/divisions/students/dss/.