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.

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 membership to AMIA for the 2013 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: combined quiz for Module 3 and Module 4
25% of course: Course Project (Presentation and Paper)

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

Curriculum

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	Connors	1/28-2/3, 2013
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	Wangia	2/4-2/10, 2013
Unit 3: Translational Bioinformatics	Evolution of the field Major historical applications in the field Perennial changes Professional organizations and certification Current topics	Connors	2/11-2/17, 2013
	25 Question Quiz at end of Module 1	Connors	Test will be available 2/18-2/22, 2013
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: HISPC, NHIN, CCHIT, HIPAA, MMA, ARRA Private initiatives: IHE, AMIA/AHIMA, IOM Health Information Standards: ISO, ANSI-HITSP, HL7, etc. Terminologies: SNOMED CT, LOINC, IDC-10 CM, etc.	Connors	2/18-2/24, 2013
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	Wangia	2/25-3/3, 2013
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	Wangia	3/4-3/10, 2013
	25 Question Quiz at end of Module II		The test will be available 3/11 - 3/15, 2013
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	Manos	3/11-3/17, 2013
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	Manos	3/18-3/24, 2013
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	Manos	3/25-3/31, 2013
	15 Question quiz at end of Module III		The test will be available 3/25 - 4/1, 2013
AMIA Annual Meeting, Chicago, IL	Face to Face Meeting, Teams Present Course Projects
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	Wangia	4/1-4/7, 2013
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	Wangia	4/8-4/14, 2013
	10 question quiz at end of Module IV		The test will be available 4/15-4/21, 2013
Project Presentation	Optional Webinar		Week of April 15th, 2013

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
hconnors@kumc.edu
Phone - (913) 588-1617

Timothy McNamara MD, MPH/TM
Adjunct Clinical Assistant Professor, School of
Medicine/Nursing
tmcnamara@kumc.edu

Victoria Wangia, PhD, MS
Coordinator for Public Health Informatics, Center for Health Informatics
Research Assistant Professor
vwangia@kumc.edu

Judith J. Warren, PhD, RN, BC, FAAN, FACMI
Christine A. Hartley Centennial Professor,
University of Kansas, School of Nursing
Director of Nursing Informatics, Center for Health Informatics
jwarren2@kumc.edu

LaVerne Manos, MS, RN
Clinical Instructor
University of Kansas, School of Nursing
KU Center for Healthcare Informaticd
lmanos@kumc.edu

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.

Course Objectives

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

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

The intended audience will be clinicians, public health practitioners and researchers, IT professionals, and others interested in the field of health informatics.

*For further questions or immediate assistance please contact Susanne Vellucci at: susanne @ amia.org

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