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College of Health Sciences Health Informatics and Management
Course Number 32.531.031
Course Title Health Informatics
Credits 3
Semester/Time Online
Faculty John Poikonen
Chat Session Hours Thursday 6:30pm-8:00pm
Office Pinanski Hall
Phone/Email via Blackboard Mail / [email protected]
978-934-6628
Course Description A graduate-level course introducing healthcare professionals to the principles and use of
information and communication systems. The student will gain an understanding of the
challenges for a Healthcare Informatics professional to analyze and deliver usable and
accurate systems and solutions.
The objective of the course is to give healthcare professionals a foundational and practical
understanding of health informatics in the fast evolving discipline of health informatics. The
student should gain a solid understanding of the fundamentals of health informatics so as to
maximize the use of information and systems in the delivery of efficient, high quality health
care.
Teaching Methods Each week of this course begins on a Monday and ends on a Sunday. The course calendar
at the end of this syllabus provides additional details with regards to the course schedule,
assignments, readings and supplemental material.
Although we are online, this is a very structured class. You will need to stay self- motivated
and participatory throughout the entire semester.
Textbooks: 1) Guide to Health Informatics Second Edition, Enrico Coiera, Hodder Arnold, 2003
2) Health Informatics: Practical Guide For Healthcare And Information Technology
Professionals Robert E Hoyt (Editor), Nora Bailey (Editor), Ann Yoshihashi (Online
edition) http://informaticseducation.org/
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 2
Lecture Notes Each week lecture notes will be posted to the week’s session home page. You are required
to read the notes and related links as it relates to the weeks topics. Links may include
other articles and videos to view.
Discussion Board: Discussion Board participation is the principal mode of communication used. Each folder
(week) has its own discussion board.
A note on nomenclature: The discussion board is the tool in Blackboard (Bb), our
learning management system, we are using in the course for asynchronous
interaction. A discussion forum is an individual topic. So we may have multiple
forums with in each week’s discussion board.
Blogs The "blog of the week" is a required element of the course. They will be posted in the
Blackboard Blog section. As leaders in informatics you need to apply and relate what is
learned. Explaining the application of informatics in a first person story is part of this
application of learning. You select the blog topic that best fits your care setting or
experience. The posts can be speculative or factual on the application of the technology or
processes that we are studying. You will be required to enter a total of 7 blog posts
(averaging every other week), related to the course subjects applied to a care process,
observation, patient or provider experience familiar to you or speculated on.
Blog Comments Blog comments are encouraged to keep an open and ongoing dialog in the class. Blog
comments will not be specifically graded on an individual basis. Extra credit is given to a
sustained effort of commenting and understanding of your fellow student’s blog posts.
Class Wiki It is critical that we all keep up to date on these ever evolving subjects in healthcare
informatics. There are volumes of sites and information to keep up to date on healthcare
information systems. You may have expertise in specific areas that you can share
particularly good information to the class. You will be expected to post at least 10 updates
over the semester to the Class’s Wiki site on Blackboard. Pages on subjects related to the
weeks subjects will put in the Wiki for you to add and edit.
Special Project Report A special project is required as follows. Consider that you are a Healthcare Informaticist.
You have been asked to evaluate the current internal workflow and make a recommendation
regarding the workflow, communications, protocol and architecture required in order to
select a new healthcare information system for a hospital, clinical department or other
provider entity. The project will be a paper (approximately 10 pages) and presentation that
will be suitable for presenting to senior management.
Based on your research, you will prepare a 10-minute Slide presentation that presents your
findings and includes the following:
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 3
1) Situation Analysis. Describe the "real" or hypothetical work environment,
provider objectives and current information systems configuration, as well as any
unmet needs or issues.
2) Workflow Requirements. List or otherwise characterize the key workflows,
protocols, communications, etc., requirements to be met by the new or upgraded
health information system.
3) Architecture Alternatives. Describe and evaluate several workflow alternatives.
Indicate pros, cons and unresolved issues for each alternative. Give special attention
to the effects of each alternative on “human factor”, care pathways and protocols.
4) Provisional Recommendation. Given the admittedly incomplete information
available to you, what would you recommend as next steps? Options include doing
nothing, upgrading the current system, performing more analysis and modeling etc.
Be specific and indicate your rationales for each recommendation.
Students are strongly encouraged to come forward with their own project ideas and then
secure approval. Project topic will be mailed to the instructor via Blackboard. The instructor
can set up time to discuss various options, if needed. This can be also be discussed in the
weekly chat sessions.
Much of the information required for this assignment is available from the Web and industry
trade journals (e.g., Modern Healthcare, Healthcare Informatics, Hospitals & Health
Networks, etc). You may also wish to request product literature from vendors, or obtain it
through your own or another organization. Although not required, you may also wish to
interview one or more individuals with relevant experience and expertise.
Project DeliverablesThe project consists of 2 deliverables:
1) A report to senior management. The report length is to be approximately 10 pages
single spaced. The report will contain:
Sections addressing each of the four topics indicated above;
One or more tables enumerating protocols; pros/cons of each alternative or
unmet needs
One or more graphic representations depicting the model and workflows found in
the work environment.
2) A presentation is a subset of the report and is intended to be as if you are
presenting your findings in 10 minutes (<10 slides) to Senior Management for approval
of the Provisional recommendations.
Anyone using "real" information should "blind" his or her presentation such that institutional
confidentiality is protected.
Students are encouraged to come forward with their own project ideas and then secure
approval. Otherwise, I will work with you to “brainstorm” alternatives. The subject must be
approved, via Blackboard mail, by the end of Week 6, March 3, 2014.
Much or most of the information required for this assignment should be available from the
Web. However, you may also wish to obtain product information through your own or
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 4
another organization. You may also interview one or more individuals with relevant
experience and expertise.
Final Exam Your final exam will be assigned during finals week. You can take your final exam at any
point during that week. Your Special Project is due the week prior to finals.
Participation Requirements This is an on-line course, therefore it will require a different kind of discipline than
traditional lecture courses. Staying up on the week’s readings, discussion topics, blogs, wiki
and comments are requirements. Dedicating time each day with concentrated time on
other days will be required to keep up with all of the assignments.
This is a dynamic and changing field that we all can learn from each other. As health
professionals you may have more information on a given topic than your peers. You are
encouraged to help us all learn through the discussion forums, blogs, blog comments, wiki
and chat sessions.
For each week, you will read one or more chapters from Coiera, Guide to Health
Informatics, the online Hoyt textbook, lecture notes and supplemental readings.
For many of the week's assignments, you will also have one or more additional readings.
These are available as PDF documents or URLs will be provided. These readings are
selected to provide a broader perspective on the topic and students may be asked to
provide their insights/observations on the topics.
Readings and lecture notes are assigned to provide the basis for topics to be discussed that
week. It is expected that all readings and links will be completed and you will be ready to
contribute to the on-line class discussion on the topics.
The discussion board participation must be done by the Sunday of the week’s assignments,
which starts on the prior Monday. That means that reading should be done early in the
week to join the discussion as it develops.
Blog posts are assigned approximately every other week. Blog comments can be done at
any time. Wiki entries can be done throughout the semester.
Deciding on the specific subject matter of your special project in the first half of the course
is required, by March 2, 2014. This will give you enough time to prepare and submit it by
the Sunday April 27, 2014 due date.
The final exam will be a timed single session on-line test that will be automatically graded
by Blackboard.
Communication
Interaction Guidelines – Communication and Participation Online participation is vital for this course to succeed. Much of the learning comes from
applying your experience to the material and interaction with other students. There are five
methods of electronic communication used in this course. They are: email, chat, blog, wiki
and discussion boards.
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 5
Mail: Mail is internal to Blackboard. It is used for personal issues. In most cases, questions
belong on the discussion board, so everyone can benefit from seeing the answer. I will
typically answer mail within 24 hours. The instructor will not respond to external emails
about the course. Address all course related personal items in the Blackboard Mail system
only.
Working tip for posting to Discussion forums, blogs, wikis and comments: We recommend that you draft postings offline in a word processor and then “cut and paste”
your finished work into the posting message facility in Blackboard. This is not a
requirement as Bb does have some editing tools in the posting areas.
Do not attach postings as a WORD or any other document.
Discussion Board: Discussion Board participation is the principal mode of communication used. Each folder
(week) has its own discussion board. You should both post and answer questions, and check
the discussion board regularly. The instructor’s role in the discussion board is to facilitate
and add topics to the discussion based on the week’s material.
The delivery of health care is varied and the information system challenges often have
multiple solutions. Therefore it is common to debate their various pros and cons on the
discussion boards. This give and take is desirable and frequently is how the best solutions
are illuminated.
Blog: You all are working health professionals. Using the blogging feature is a way to internalize
and express the lessons learned based on your practice and environment. Use the blog to
articulate how you might use the week’s subject matter in your work place or draw from
your experience as a patient or caregiver. Not all of the week’s subject matter will be
applicable to your practice, therefore, speculation on topics can be done. You will be graded
on 7 blog entries.
Wiki: Participation in the Wiki is mandatory. One of the text books used in the course is coming
out with a new edition, unfortunately it will be after the course is completed. We will use
the Wiki as a supplement to the course to update material in the text and to provide
additional references around a topic. If you have particular expertise or knowledge you will
use the Wiki to keep the class up to date on the latest developments in the week’s subject.
If you do not have something to add to a topic doing a web search or asking colleagues
about the weeks’ subject matter will help you add relevant information to the Wiki. We do
not want duplicate material in the wiki. This provides a small incentive to post wiki entries
earlier than later. Participation in the Wiki is mandatory, with a minimum of 10 entries.
Blackboard (Bb) Collaborate Chat Sessions: Chat sessions, conducted through Bb Collaborate are the opportunity to have a conversation
with the instructor in real time. You need to become familiar with Blackboard Collaborate
prior to chat sessions.
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 6
Please update your Bb profile with a photo. Using a web cam and audio headset greatly
enhances the communication through this medium. The Chat sessions are not mandatory.
I may have supplemental and additional information for students to better understand the
week’s lessons.
Chat is for live interaction in a group setting. This class will normally schedule chat sessions
Thursday evenings from 6:30 to 8PM EST, and they will be recorded for later reference.
Participation in the chat session is strongly encouraged but not required. A chat session is
intended as a way to drop by and chat about the week’s topic and ask questions.
Please keep subject matter related to the course material for that week or previous
weeks.
When you are talking to someone in particular, enter that person’s name followed
by a colon. For example, if you wanted to ask John Smith a question, you would
enter “John: what do you think about...”
Incidents of profanity or other harassment will not be tolerated, and will result in
being prohibited from using the chat room in the future.
Netiquete Netiquette stands for Network Etiquette. It refers to proper behavior while interacting
online. The golden rule of netiquette is essentially to treat people as you would want to be
treated. Please be polite and considerate. Think about whether your comment could cause
hurt feelings. Be careful about how your words can come across because misunderstandings
can be common online. Feel free to use emoticons to show your tone.
The twitter account @UMLInformatics is maintained by the instructor. You are not required
to follow this account. The account will however post ongoing comments on healthcare
information system material that is related to the class. Therefore it may help in your
understanding of the material and what type of emphasis the test questions on the final
exam might hold.
Evernote | https://www.evernote.com/pub/umlinformatics/HI
The URL is used as an open and public posting of relevant healthcare information system
and informatic issues, articles and insights. It is intended as a supplement, not a
requirement, to the course materials. It is also intended as a resource for you after the
conclusion of the class.
Evaluation Methods:
Discussion Board Participation Participation in the week’s discussion board will be graded each week, based on the criteria
below. The discussion posting should be done in the week that the reading and topics are
assigned. For example the week starts on Monday and all discussion board participation for
that week topics and reading must be posted by Sunday evening.
The discussion board grading will be based on the entire weeks participation, not necessarily
on a single post (or topic). The weeks grade is based on original posts and responding to
other students’ posts. The grade is based on the totality of the week’s discussion board
participation.
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 7
9-10 Points: Demonstrates excellence in grasping key concepts; respectful critiques of others works; stimulates discussion; provides sample citations and/or Web links for support of opinions; readily offers new interpretations of discussion material.
Ideas are expressed clearly, concisely; uses appropriate vocabulary. 7-8 Points: Shows evidence of understanding most major concepts; will offer an
occasional respectful divergent viewpoint or challenge; shows some skill in support for opinions. Some signs of disorganization with expression; transition wording may be faulty.
5-6 Points: Has mostly shallow grasp of the material; rarely takes a stand on issues;
offers inadequate levels of support. Poor language use garbles much of the message; only an occasional idea surfaces clearly; expression seems disjointed; overuse of the simple sentence and a redundancy with words and commentary; paragraphs often appear unrelated to each other. This student requires constant prompting for contributions.
1-4 Points: A minimal posting of material. Shows no significant understanding of
material. Language is mostly incoherent. Does not respond readily to prompting.
Make Up Policy for Discussion Board Participation:
Emergencies happen during the week that might prevent you from posting to the
week’s topics and readings. If this happens you must mail the instructor (via
Blackboard mail) as to the circumstance and when postings will be made up. Any
postings made after the week’s assignment will not be graded, unless prior approval
has been made.
Blogs The "blog of the week" is a required element of the course. You will be required to enter a
total of 7 blog posts (averaging every other week), related to the week’s subject applied to
a care process or patient experience familiar to you. There are a total of 7 required blogs (1
every other week). You select the week and topics that best fit your care or experience
setting. For eligible credit each blog posting must be at least 3 grammatically correct,
complete, thoughtful paragraphs on a related subject matter in the course as it applies to a
care or patient process. See the class schedule on the specific due dates.
3 Points: Clear blog post that applies to the week’s topic that shows understanding of the material and can reference or speculate some evidence of success or patient safety.
2 Points: Clear blog post that applies to the week’s topic that shows understanding of the material.
1 Point: Clear blog post that does not apply or show understanding of the material.
Blog Comments Extra credit will be given to students with >10 comments of a relevant, thoughtful or
respectfully critical nature. This means more than commenting on a posting as “nice post”.
See the criteria for Discussion forum postings for the criteria of a relevant blog post
comment. A sustained effort (>10 in the semester) of blog comments posting of a level of
7+ nature (Discussion Group grading) will earn up to 5 points extra credit added to your
final grade.
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 8
Wiki The Wiki will be organized by subject matter from each week’s readings. Updates to the
Wiki can be done at any time during the semester. You will be expected to make at least 10
Wiki updates through the semester on the subject matters. Entries will be graded:
1 Point: The update to the week’s subject matter is relevant, referenced and
summarized.
0.5 Point: The update to the week’s subject is only a relevant reference.
0 Points: The entry is a duplicate of another entry on the subject or the update is not
relevant or not done.
Special Project The Special Project will be graded as S–Satisfactory, U-Unsatisfactory or INC–Incomplete.
The Special Project will be worth 20% of your final grade.
Final Exam Your final exam will be taken online, and will be completely self-grading by Blackboard. That
is, as soon as you submit your exam, your grade will be calculated, however note that you
will not be able to see your grade or your results until after the availability period of the
exam. You will be timed, and must complete the exam in a single seating. That is, you
cannot "pause" the exam, and return to it at a later time. The exam consists of 40
questions, each worth 0.5 points, for a maximum total of 20 points to your final grade. You
will have 1 hour (60 minutes) to complete the exam. If you have to look up every answer in
the book, you will run out of time. The exam will be released on Monday morning,
12/09/2013 and will be due by midnight, Saturday 12/14/2013. Your final exam is
worth 20% of your total grade.
Chat Sessions Chat session are not mandatory and do not contribute to your grade.
Grading Your final course grade will be based on the following:
Requirement % Total
Grade
Discussion Board Participation 30%
Blogs* 20%
Special Project 20%
Wiki Participation 10%
Final Exam 20%
Total: 100%
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 9
Your final course letter grade will be determined as follows:
Requirement Calculated
based on
Score Score Applied
to Numeric Grade
Discussion Board Participation
14 Week Average Score
9-10 30
7-8 25
5-6 20
1-4 10
Blogs * 7 Posts 1-3 per post 0-21
Wiki entries 10 posts scores 0-10 0-10
Special Project Final Paper and Presentation
material
Satisfactory
20
Unsatisfactory 10-19
Incomplete 0-10
Final Exam Final Score of exam
0-20 0-20
(*) Extra Credit: Up to 5 points will be added to final grade for a sustained effort of relevant
blog comment postings. See Evaluation Methods for more detail.
Numeric Grade: Letter Grade:
98-100 A+ (4.0)
94-98 A (4.0)
90-93 A-(3.7)
87-89 B+(3.3)
84-86 B (3.0)
80-83 B-(2.7)
77-79 C+(2.3)
74-76 C (2.0)
0-73 F
http://www.uml.edu/Catalog/Graduate/Policies/Grading-Policies.aspx
Academic Integrity Policy: All students are advised that there is a University policy regarding academic integrity. It is
the students’ responsibility to familiarize themselves with these policies. If necessary,
contact your advisor regarding these policies. For details, see the Academic Integrity Policy
at http://www.uml.edu/Catalog/Graduate/Policies/Academic-Integrity.aspx It is your
responsibility to review and understand this policy.
Student Disability Services: For detailed information contact: Office of the Student Disability Services, 240 O’Leary
Library Building, UMass Lowell South, Ph. 978-934-4574 and http://www.uml.edu/STUDENT-
SERVICES/disability/
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 10
Services for Learning: For detailed information contact: Division of Student Affairs, Cumnock Hall, UML North. Ph
978-934-2100 (http://www.uml.edu/STUDENT-SERVICES/ )
Credit Hour Policy: Federal definition of a credit hour requires that for every course credit awarded, a course
must offer 15 hours of instructor led course activities and 30 hours of out -of -class student
work.
Health Informatics 32.531 Spring 2014
Instructor: John Poikonen, Pharm.D.
Course Calendar Wk
Week Start/End Date
Coiera Reading Assignment
Hoyt Health Informatics Online Textbook
Supplemental Reading & Assignments
Other Assignments Due
1 Tue
1/21
to
Sun
1/26
Ch. 1: Models Ch. 2: Information
Ch 1: Overview of Health Informatics
Content Curators are the new superstars
Introduction in Discussion Board Discussion Forum Questions and responses
2 Monday 1/27 to
Sunday 2/2
Ch. 3 Information
Systems
Ch 2: Healthcare Data, Information
and Knowledge
Simulated Learning in nursing posts Patient simulation in Second Life The EMR use rule: Open letter to Massachusetts Physicians
Discussion Forum Questions and
responses
3 Monday 2/3 to Sunday 2/9
Ch. 4: Communicating Ch. 5: Structuring
Ch 5: Health Information Exchange
Grice’s Maxim: Do the Right Thing http://en.wikipedia.org/wiki/Gricean_maxims#Grice.27s_Maxims http://www.cs.cmu.edu/~ref/grice-final.pdf
1st Blog Post Due Discussion Forum Questions and responses
4 Monday
2/10 to Sunday 2/16
Ch 6:
Questioning Ch. 7: Searching
Ch 13: Online Medical
Resources Ch 14: Search Engines
Abraham Verghese: A doctor's touch Slow Ideas
2nd Blog Post due
Discussion Forum Questions and responses
5 Monday 2/17 to Sunday 2/23
Ch. 8 Making Decisions
Ch 3: Electronic Health Records
Informatics Competencies for Every Practicing Nurse: Recommendations from the TIGER Collaborative
Discussion Forum Questions and responses
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 11
Wk
Week Start/End Date
Coiera Reading Assignment
Hoyt Health Informatics Online Textbook
Supplemental Reading & Assignments
Other Assignments Due
6 Monday 2/24 to Sunday 3/2
Ch. 9: Information Management Systems Ch 10: The
Electronic Medical Record
Ch 11: Consumer Health Informatics
Defining and Testing EMR Usability: KLAS Evaluations of Inpatient and Outpatient EMR Usability
3rd Blog Post Due Discussion Forum Questions and responses Special Project Subject Due and
Approved this week
7 Monday 3/3 to Sunday 3/9
Ch. 11: Designing and Evaluating Information
Systems Ch. 12: Protocols and Evidence-based Healthcare
Ch 8: Health Information Privacy Ch 9: Health
Information Security
AHRQ Health Information Technology Ambulatory Safety and Quality (pdf) The Privacy and Security Gaps in Health Information Exchanges
Discussion Forum Questions and responses
8 Monday 3/10 to Sunday 3/16
Ch. 13: Computer based Protocol Systems in Healthcare Ch. 14: Disseminating and Applying Protocols
Ch 15: Evidence Based Medicine and Clinical Practice Guidelines
Meaningful Use Review 10_Steps_to_Securing_the_Federal_EHR_Incentive_Payment_FINAL.pdf
4th Blog post due Discussion Forum Questions and responses
3/17 to 3/23
Spring Break Spring Break Spring Break Spring Break
9 Monday
3/24 to Sunday 3/30
Ch. 15:
Designing Protocols Ch. 16: Terms, codes and classification
Ch 6: Data Standards Viewpoint: Clinical Classification and Terminology: Some History and Current Observations
Discussion Forum
Questions and responses
10
Monday 3/31 to Sunday 4/6
Ch. 17: Healthcare Terminologies and Classification Systems
Ch 18: The Trouble with Coding
Ch 17: Quality Improvement Strategies
Interface Terminologies: Facilitating Direct Entry of Clinical Data into Electronic Health Record Systems
5th Blog post due Discussion Forum Questions and responses
Health Informatics Course Syllabus Spring 2014
John Poikonen, Pharm.D.
Page | 12
Wk
Week Start/End Date
Coiera Reading Assignment
Hoyt Health Informatics Online Textbook
Supplemental Reading & Assignments
Other Assignments Due
11
Monday 4/7 to Sunday 4/13
Ch. 19: Communication System Basics Ch 20: Communication
Technology Ch. 21: Clinical Communication and Telemedicine
Ch16: Disease Management and Registries Ch 20: Telemedicine
Natural Language Processing article
Discussion Forum Questions and responses
12
Monday 4/14 to Sunday 4/20
Ch. 25: Clinical Decision Support Systems Ch 26: Intelligent Systems Ch 27: Intelligent Monitoring and Control
Ch 18: Patient Safety and Health Information Technology
Decision support; practitioner performance and patient outcomes 10 Commandments of Clinical Decision Support
6th Blog post due Discussion Forum Questions and responses
13
Monday 4/21 to Sunday 4/27
Ch 28: Biosurveillance
Ch 23: Public Health Informatics
Unintended consequences of health information technology: A need for biomedical informatics
Discussion Forum Questions and responses Special Projects due Sunday 4/27!
1
4
Monday
4/28 to
SAT 5/3
Ch 29:
Bioinformatics
Ch 22:
Bioinformatics
Final Blog posts due
Timed final due by SATURDAY 5/3!