Course Overview

Students will engage in a comprehensive exploration of clinical documentation systems. This course offers a blend of theoretical knowledge and practical application, with a strong focus on experiential learning using an academic electronic health record system. Students will trace the historical trajectory of clinical documentation systems, gaining insight into their development and evolution over time. Students will examine the intricate hardware and software requirements essential for Electronic Health Records (EHRs). A problem-based learning approach is employed to cultivate students’ proficiency in developing clinical rules and alert systems for clinical information systems. These skills will be applied for purposes such as quality assessment, risk analysis, billing processes, bioinformatics, genomics, and research applications. Emphasis is placed on understanding the regulatory landscape surrounding EHRs, including compliance with the Health Insurance Portability and Accountability Act (HIPAA), the Genetic Information Nondiscrimination Act (GINA), requirements from the Centers for Medicare and Medicaid Services (CMS), and information security regulations.

Course Learning Outcomes

Upon completion of this course, the student will be able to:


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