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RULE §130.228Health Informatics (One Credit), Adopted 2015

(a) General requirements. This course is recommended for students in Grades 11 and 12. Prerequisites: Business Information Management I and Medical Terminology. Students shall be awarded one credit for successful completion of this course.

(b) Introduction.

  (1) Career and technical education instruction provides content aligned with challenging academic standards and relevant technical knowledge and skills for students to further their education and succeed in current or emerging professions.

  (2) The Health Science Career Cluster focuses on planning, managing, and providing therapeutic services, diagnostic services, health informatics, support services, and biotechnology research and development.

  (3) The Health Informatics course is designed to provide knowledge of one of the fastest growing areas in both academic and professional fields. The large gap between state of the art computer technologies and the state of affairs in health care information technology has generated demand for information and health professionals who can effectively design, develop, and use technologies such as electronic medical records, patient monitoring systems, and digital libraries, while managing the vast amount of data generated by these systems.

  (4) Students are encouraged to participate in extended learning experiences such as career and technical student organizations and other leadership or extracurricular organizations.

  (5) Statements that contain the word "including" reference content that must be mastered, while those containing the phrase "such as" are intended as possible illustrative examples.

(c) Knowledge and skills.

  (1) The student demonstrates professional standards/employability skills as required by business and industry. The student is expected to:

    (A) demonstrate verbal and non-verbal communication in a clear, concise, and effective manner;

    (B) demonstrate adaptability skills such as problem solving and creative thinking;

    (C) develop a career plan;

    (D) employ teamwork;

    (E) create a job-specific resume; and

    (F) appraise the characteristics desired by employers such as work ethics and professionalism.

  (2) The student interprets fundamental knowledge of concepts of health information systems technology and the tools for collecting, storing, and retrieving health care data. The student is expected to:

    (A) discuss and define the common information systems;

    (B) differentiate between the six types of information systems;

    (C) explain how each of the six information systems support the administrative, financial, clinical, and research needs of a health care enterprise;

    (D) describe the components of an information system; and

    (E) implement the concepts of health informatics by creating a culminating project.

  (3) The student employs the various types of databases in relation to health informatics. The student is expected to:

    (A) define the function of a database management system;

    (B) identify the purpose of data modeling;

    (C) define the customary steps in the data modeling process;

    (D) differentiate between entities, attributes, and relationships in a data model; and

    (E) explain various types of organizational databases.

  (4) The student distinguishes between data and information. The student is expected to:

    (A) discuss the importance of data security, accuracy, integrity, and validity; and

    (B) demonstrate an understanding of data information concepts for health information systems and electronic health records.

  (5) The student examines the evolution of the health information system. The student is expected to:

    (A) evaluate the growing role of the electronic health record;

    (B) review the progress of the development of the electronic health record; and

    (C) explain functional requirements for electronic health records.

  (6) The student examines the process of medical diagnostic and coding concepts as well as current procedural practices. The student is expected to:

    (A) examine Health Insurance Portability and Accountability Act (HIPAA) guidelines for confidentiality, privacy, and security of a patient's information within the medical record;

    (B) differentiate between insurance fraud and insurance abuse;

    (C) discuss the linkage between current procedural technology (CPT) codes, International Classification of Diseases, 10th revision, clinical modification (ICD-10-CM) codes, and medical necessity for reimbursement for charges billed;

    (D) search ICD-10-CM code system for correct diagnosis code using patient information;

    (E) identify the two types of codes in the health care common procedure coding system (HCPCS); and

    (F) explain how medical coding affects the payment process.

  (7) The student identifies agencies involved in the health insurance claims process. The student is expected to:

    (A) define Medicaid and Medicare;

    (B) discuss health care benefit programs such as TRICARE and CHAMPVA;

    (C) explain how to manage a worker's compensation case;

    (D) complete a current health insurance claim form such as the Centers for Medicare and Medicaid Service (CMS-1500) form; and

    (E) identify three ways to transmit electronic claims.

Source Note: The provisions of this §130.228 adopted to be effective August 28, 2017, 40 TexReg 9123

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