10x10 with University of Kansas

Survey Course of The Field of Health Informatics

This web-based interactive course provides a broad survey of health informatics focused on five themes: health informatics foundations; clinical decision support; human factors/organization; public health informatics and current issues in health informatics including best practices.

10x10 with Kansas: Course Description

Course Description

The goal of the AMIA-Kansas 10x10 course is to provide a broad survey of health informatics focused on five themes:  health informatics foundations; clinical decision support; human/organizational factors; public health informatics and current issues in health informatics including best practices.  The AMIA 10x10 course is based on NRSG 859/IDSP 970: Introduction to Healthcare Informatics. Nursing 859 is equivalent to 45 class hours.  Students enrolled for the optional 3 credit offering will develop and demonstrate a practical, innovative small-group information technology (IT) project from one of a set of faculty recommended projects or from a student-proposed idea. 

KU agrees with AMIA that strengthening the health informatics workforce is a critical component in transforming the American health care system. KU is committed to the education and training of clinical informaticians to lead the transformation of the American health care system through the design, implementation, and evaluation of clinical information systems and other information technology supportive of patient care and safety. Therefore, this 10x10 offering includes education concerning foundational informatics, semantic interoperability, decision support, safety initiatives, and the emerging fields of consumer, biomedical, and public health informatics.

Target Audience

The target audience for this Internet enduring material activity is clinicians, physicians, public health practitioners and researchers, IT professionals, and others interested in the field of health informatics. 

Course Logistics

This survey course provides a broad overview of the field highlighting the key issues and challenges; however the electronic health record (EHR) is covered in another course. The course is taught primarily in an asynchronous manner; however, students are strongly encouraged to keep up with the course materials in order to benefit from the interactive discussion with faculty and other students.

The course uses the following teaching modalities:

  • Voice-over-Powerpoint lectures - PowerPoint lectures are used to deliver selected course content.
  • Interactive threaded discussion - Students will engage in discussion on important& issues using the on-line discussion board. The responsible faculty will provide feedback to students either as part of the discussion or at the conclusion of the discussion.
  • Reading assignments - The course will use selected readings from textbooks and journal articles designed to provide a practical overview of key issues in the informatics field. In addition, students are pointed to other key documents, reports, and papers from the field.
  • Project Presentations
  • Additional Assignments: The students will complete 25 question quizzes following completion of Modules 1, 2, and 3.

The Web-based portion of the course will be provided through readings, on-line lectures and interactive discssions. The in-person sessions will bring together attendees to meet leaders in the field and other students. Students will also have the opportunity to take targeted training through AMIA education programs. The tuition covers tuition and fees for both the on-line and in-person sessions. Additionally, 10x10 students will receive a complimentary affiliate membership to AMIA for the 2014 calendar year (January 1st through Dec. 31st).

Textbooks: None

Methods of Evaluation:
25% of course grade: 25 question quiz at end of Module 1
25% of course grade: 25 question quiz at end of Module 2
25% of course grade: Quiz for Module 3
25% of course grade: Quiz for Module 4

To Earn CE credit:
Each student must earn 70% or higher on each quiz
The course project must be assigned 70% or higher


The following appendix outlines the module number, week number, and covered topics.

  Covered Topics Instructor Dates
Module 1: Domains of Informatics Team
Unit 1: Overview, History and Milestones: Clinical Informatics (Medicine, Nursing, Other)
  • Evolution of the Field
  • Major historical applications in the field
  • Perennial changes
  • Professional organizations and certification
  • Current topics


Sept. 15-21, 2014
Unit 2: Population Health Informatics/ Consumer Health Informatics
  • Evolution of the field
  • Major historical applications in the field
  • Perennial changes
  • Professional organizations and certification
  • Current topics
Connors Sept. 22-28, 2014
Unit 3: Translational
  • Evolution of the field
  • Major historical applications in the field
  • Perennial changes
  • Professional organizations and certification
  • Current topics
Connors  Sept. 29 -Oct. 5, 2014
  25 Question Quiz at end of Module 1 Connors Test will be available Oct.1, 2014
Module Two: Impact of HIT
Unit 4: Overview of Federal and state initiatives for Health Information Technology and Health Information Exchange
  • Purpose and definition of HIT/HIE
  • Examples-EHR's, PHR's, Biosurveillance Systems and Registries
  • Benefits and Return on Investment
  • Federal Initiatives:  ONC, ARRA. HISPC, NwHIN, CCHIT, HIPAA
  • Private initiatives:  IHE, AMIA/AHIMA, IOM
  • Health Information Standards: ISO, ANSI-HITSP, HL7, etc.
  • Terminologies: SNOMED CT, LOINC, IDC-10 CM, etc.
Connors Oct. 6-19, 2014
Unit 5: Privacy and Security
  • Security and Privacy definitions
  • Impact of HIPAA
  • Categories of protective safeguards
  • Information security policy development
  • IT security services lifecycle
  • Security considerations for developing software
  • Roles of information security professionals
Connors  Oct. 20-26, 2014
Unit 6: Using Health Data
  • Data and database management
  • Searching health data
  • Health data analytics
  • Secondary uses of health data
  • Tools to collect and manage health data
Connors  Oct. 27 - Nov. 2, 2014
  25 Question Quiz at end of Module II   The test will be available Oct. 30, 2014
Module Three: Applications of Health Informatics
Unit 7: Guideline Development, Assessment and Deployment
  • Creating an answerable question
  • Finding current evidence
  • Grading evidence
  • Assessing the "implementability" of evidence and guidelines in electronic systems
  • Cultural issues in guideline development and deployment
  • The guideline life-cycle
Nov. 3-9, 2014
Unit 8: Clinical Rules and Decision Support
  • Alerts and Reminders
  • Diagnostic Assistance
  • Therapeutic Planning
  • Critique pharmaco-therapeutic decision support rule-based systems
  • Methods of inference
  • Decision support
Nov. 10-16, 2014
AMIA 2014 Fall Symposium
  • Washington, DC
  Nov. 15-19, 2014
Unit 9: Medical Devices
  • Overview of medical devices
  • Medical device design and medical errors
  • Human factors and medical device design
  • Patient safety and purchasing medical devices
Nov. 24-30, 2014
  Quiz at end of Module 3   The test will be available Nov. 26, 2014
Module Four: Implementation of Informatics Projects & Programs
Unit 10: Human Factors
  • Provide an overview of human factors
  • Discuss the use of human factors principles to understand medical errors and improve patient safety
  • Provide an overview of medical error/patient safety taxonomies
  • Discuss reporting of medical errors and the identification of implicit and explicit human factors described in medical error reports
  • Demonstrate the use of medical error taxonomy
Dec. 1-7, 2014
Unit 11: Training, Implementation, Organizational Change, and Unintended Consequences
  • System development lifecycle
  • Information system implementation strategies
  • Complexity and organizational change
  • Unintended consequences of health information technology


Dec. 8-14, 2014
   Quiz at end of Module IV   The test will be available Dec. 10, 2014

Instructors and Course Directors Information

Helen R. Connors, PhD, RN, DrPS (Hon), FAAN
Associate Dean for Integrated Technologies and
E. Jean M. Hill Endowed Professor,
University of Kansas, School of Nursing
Executive Director, Center for Health Informatics
Phone - (913) 588-3362

Timothy McNamara MD, MPH/TM
Adjunct Clinical Assistant Professor, School of

LaVerne Manos, DNP, RN-BC
University of Kansas, School of Nursing
Director of Nursing Informatics, Center for Health Informatics

Beyond 10x10

The goal of the AMIA 10x10 program is to train future leaders in the development, dissemination, and evaluation of information technology as it relates to the healthcare environment. The 10x10 program alone will not make one a full-time professional in informatics (any more than a semester of medicine or nursing will make one a doctor or nurse!). The program is being structured, however, to allow those who complete the course to carry the credits forward into other graduate programs in informatics. The details need to be arranged with each individual program.

More details about further training opportunities are available on The University of Kansas website at www2.kumc.edu/healthinformatics.

Learning Objectives

After participating in this activity the learner should be better able to:

  1. Use various controlled medical terminology systems for health IT applications using formal criteria.
  2. Describe key strategies for software/technology design that results in improved usability.
  3. Describe key strategies for organizational change and leadership.
  4. Discuss current Federal initiatives relevant to clinical and public health informatics, regarding health IT use and dissemination.
  5. Begin to assume a leadership role in the implementation of health IT in professional and organizational life.
  6. Work in a team to create a health informatics application project.
  7. Present the findings and analysis of a health informatics application project to colleagues.

Accreditation Statement

The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 

Credit Designation Statement

The American Medical Informatics Association designates this enduring material for a maximum of 45 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Estimated Time Expected to Complete Activity

Estimated time to complete this activity: 45 hours

Criteria for Successful Completion

Completion of this enduring material is demonstrated by participation in all online sessions, completion of all course quizzes, completion of participant survey, attendance at an in-person session for class participants with the faculty is optional (if one is scheduled).

Commercial Support

No commercial support was received for this activity.

Disclosure Policy

As a provider accredited by the ACCME, AMIA requires that everyone who is in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest for 12 months prior to the educational activity.

The ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Faculty and planners who refuse to disclose relevant financial relationships will be disqualified from participating in the CME activity. For an individual with no relevant financial relationship(s), the participants must be informed that no conflicts of interest or financial relationship(s) exist.

AMIA uses a number of methods to resolve potential conflicts of interest, including: limiting content of the presentation to that which has been reviewed by one or more peer reviewers; ensuring that all scientific research referred to conforms to generally accepted standards of experimental design, data collection, and analysis; undertaking review of the educational activity by a content reviewer to evaluate for potential bias, balance in presentation, evidence-based content or other indicators of integrity, and absence of bias; monitoring the educational activity to evaluate for commercial bias in the presentation; and/or reviewing participant feedback to evaluate for commercial bias in the activity.

Disclosures for this Activity

Helen Connors, PhD, RN, DrPS (Hon), FAAN, discloses that neither she nor her spouse have relevant financial relationships with commercial interests.  
LaVerne Manos, DNP, RN-BC, discloses that neither she nor her spouse have relevant financial relationships with commercial interests.

Instructions for Claiming CME Credit

The instructor will send a list of all participants who satisfied course requirements to AMIA.  Participant will communicate with Susanne Vellucci, Education Program Manager, susanne@amia.org, about completing the evaluation and receiving the CME certificate.

Hardware/Software Requirements

  • A computer with an Internet connection.
  • Internet Explorer 8 or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • HTML5-capable browser for video or audio play or download
  • Additional software such as PowerPoint® or Adobe Acrobat Reader software

Contact Information

For questions about the 10x10 course please contact Susanne Vellucci, Education Program Manager at susanne@amia.org or (301) 657-1291.