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HI 6001 Health Information Technology for Patient Safety and Quality
This course gives an introduction to the theoretical basis and practical skills needed to design, evaluate, and select health information technology (HIT) that improves patient safety and the quality of care. The course covers the history and current state of patient safety and quality of care in healthcare, the role of HIT in safety and quality, the theoretical bases for human error and quality of care, and practical skills on how to use knowledge of human error and human factors engineering methods to design, evaluate, and select HIT to improve safety and the quality of care. The course uses recent case studies and research reports to illustrate the concepts and methods. Students will learn to apply basic human factors engineering methods for HIT evaluation and design, including heutistic evaluation user-task analysis, and representational analysis; and to conduct both retrospective and prospective error analyses, including risk/hazard analysis, failure modes and effects analysis, and root cause analysis. Students will gain additional hands-on experience by completing a group project centered on HIT and quality.
Draft Syllabus
Prerequisites:
- Foundations of Health Information Sciences I
OR Approval of coordinator.
Course Learning Objectives
At
the end of the course, students will be able to:
- Explain the 6 dimensions of Quality as given in the IOM report, Crossing the Quality Chasm
- Describe at least 2 ways (including specific kinds of applications) in which HIT can improve each of the 6 dimensions of quality
- Describe the limitations of HIT for improving quality and the barriers to its implementation, adoption, and use
- Apply,
modify, build or analyze a HIT solution for improving one or more of
the quality dimensions. This may include an insightful review of the
literature to answer a specific research question related to HIT and
quality. For example, is there any evidence to suggest that electronic
checklists improve quality and if so, under what conditions? Or what
are the advantages and limitations of techniques for decreasing errors
during data entry, such as when programming an infusion pump. Another
example is to look at the literature to assess to what extent
preventable adverse events are due to use errors vs. other kinds of
errors or malfunctions.
- Evaluate a HIT solution's affect on one or more of the quality dimensions
- Compose
a report that describes a project that applies, modifies, builds, or
analyzes a HIT solution for improving quality and the results of
evaluating that solution
Method of Instruction
Blended
(Lectures, Readings, Homework Assignments, hands-on, group projects).
Students are required to complete assigned readings. Readings from outside sources are assigned as
part of the class, no additional materials need to be purchased.
Student Evaluation
The final course grade is calculated in the following
way:
Group/Individual project report and symposium presentation: 30%
Midterm
exam: 20 %
HW
assignments: 20%
Final
exam: 30 %
Grades
given are A, B, C, F, I. Incompletes are given only when situations
outside of the student's control occur. They must be completed by the
end of the next semester.
Note on Quizzes and Exams
The
midterm
and final
exam will consist of a
mixture question types. Please read
the instructions for the exam carefully. You are permitted to use any
resource to complete the exams except another person.
Topical Outline by week
- (Jan 12) Introduction and overview of quality and the role of HIT in improving quality. [Todd Johnson and Eric Thomas]
- (Jan 19) HOLIDAY (no class on Jan. 19th)
- (Jan 26) Medical Errors and the Role of HIT in Reducing Errors [Todd Johnson and Sandra Hanneman]
- (Feb 2) User-Centered Design Techniques for Improving Quality (Human Factors Engineering) [Todd Johnson]
- (Feb 9) Prospective and Retrospective Error Analysis [Todd Johnson]
(Feb 16) Health Information Exchange [Kim Dunn]
- (Feb 23) Computer-aided decision support, Order entry, and CPOE. [Dean Sittig]
(Mar 2) Midterm (no lecture)
(Mar 9) SPRING BREAK (no class on March 9)
- (Mar 16) The role of HIT in evidence-based practice [Kim Dunn]
- (Mar 23) Computer-assisted health education for providers and consumers [M. Sriram, Ross Shegog, Cynthia Phelps]
- (Mar 30) Information retrieval [Elmer Bernstam]
- (Apr 6) Consumer informatics [Elmer Bernstam]
- (Apr 13) Automated Reminder Systems [Hardeep Singh]
- (Apr 20) Accessibility and Equity of Care [Jim Turley and Lex Frieden]
(Apr 27) Final (no lecture)
(May 4) Symposium (Poster Session)
Textbooks and Other Materials
Selected readings.
Hardware
Every
student is required to meet the school’s requirements for computer
access. Updated requirements are located on the website Hardware
Requirements.
Excused Absence on Holy Days
Absence
from any class or excuse for a late assignment or test/quiz/examination
because the date is a holy day will be permissible only if the form for
holy day absence, available from the Office of Academic Affairs
(UCT600), has been completed by the student and the instructor, and
submitted by the student to the Office of Academic Affairs within the
first 15 days of the semester. Documentation of a holy day, other than
well-known holy days in the community, by a religious official also is
required.
Intellectual Property
Information on
intellectual property issues may be found
at:
http://www.utsystem.edu/OGC/IntellectualProperty/ippol.htm
Academic Honesty
It is expected that you will submit only your own work unless group work is indicated in the assignment. It is also expected that you will demonstrate academic honesty by indicating the use of works other than your own. Plagiarism is not acceptable and most instances of plagiarism can be avoided by simply citing a source for material that is used and thus indicating that it is not your original material. Plagiarism may include: words or ideas taken from someone else without acknowledgment; giving incorrect information about the source; changing the sequence or structure but using ideas without citation; not including material in quotes if directly take from someone else’s material and/or copying amounts of other’s material and using it in violation of fair use copyright laws. With the advent of the web and access to materials the need to guard against using other’s material without acknowledgment is especially important. So when in doubt cite, prevention is the best deterrent and thus avoids the academic consequences that may follow. Refer to the Student handbook concerning the Scholastic Dishonest Policy at HTTP://www.shis.uth.tmc.edu/information-for/students/studenthandbook/scholastic-dishonesty-policy. Information on plagiarism issues may be found at: HOOP Policy 6.03 Conduct and Discipline If you have questions or need additional information let your instructor(s) know.
Copyright Policy
Information on copyright policy issues may be found at: HOOP policy 4.15 Classroom and Research use of Copyrighted Material
Course Accommodation
Course
accommodations are made in response to individual requests for
accommodation. If you need accommodation please let your instructor(s)
know. Information on disability issues may be found at: HOOP policy
2.18C Disability
Symposium
Students will be required to create a poster for the end of semester symposium on May 4th from 4-6 pm. This will be graded as part of the final exam and group project report.