Portland Community College | Portland, Oregon

Course Number:
HIM 293
Course Title:
Health Information Directed Practice
Credit Hours:
Lecture Hours:
Lecture/Lab Hours:
Lab Hours:
Special Fee:

Course Description

Provides practicum experience in health information management functions utilizing medical record technologies in a classroom simulation and/or under the direct supervision of facility personnel in local health care facilities. Prerequisites: HIM 270.

Intended Outcomes for the course

Students who successfully complete this course will be able to:

  1. Demonstrate competency in a variety of skills required of Registered Health Information Technicians.
  2. Correctly assign ICD9-CM diagnosis and procedure codes to hospital inpatient records.
  3. Analyze records to assure that the documentation in the record supports the diagnosis and reflects the progress, clinical findings, and discharge status.
  4. Collect and report data on incomplete records and timeliness of record completion.
  5. Audit filing and retrieval systems for accuracy.
  6. Release patient information to third party payers.
  7. Respond to a subpoena for a medical record.
  8. Design and implement a questionnaire for collection of data.
  9. Present data in verbal and written forms.
  10. Perform a data research request including determination of data needed, collection of data, and presentation of data.
  11. Perform generic screening on medical records and design graphic display of results.
  12. Consistently display a professional attitude.
  13. Demonstrate both written and oral communication skills.
  14. Audit transcribed reports for timeliness and accuracy.

Outcome Assessment Strategies

Students will demonstrate these learning outcomes by these tasks conducted individually and in cooperation with other students by:

  1. Completing the entire 40 hours at the assigned hospital.
  2. Completing all requirements of the assigned data research project.
  3. Turning in all required paperwork by the date on the course syllabus.

Course Content (Themes, Concepts, Issues and Skills)

To complete the outcomes the student must have skills and knowledge in:

  • health record content
  • ICD9-CM coding
  • state and federal laws on release of patient information
  • state laws regarding subpoenas
  • data display
  • critical thinking
  • written and oral communications
  • quantitative and qualitative analysis
  • anatomy and physiology and medical science
  • ancillary testing and imaging
  • pharmacology
  • documentation requirements
  • registries and indices
  • data collection tools
  • data searching
  • accreditation standards
  • data quality
  • generic screening
  • physician incomplete records
  • filing and retrieval systems
  • patient confidentiality