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| ![               | # Indian Heal                                     |
| ](media/image1.p | th Service Office of Information Technology **&** |
| ng){width="0.989 |                                                   |
| 5833333333334in" | # Clinical Support Center                         |
| height="1.1972   |                                                   |
| 222222222222in"} |                                                   |
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| ![               | # **Course Announcement**                         |
| ](media/image2.j |                                                   |
| peg){width="1.11 | **RPMS-EHR**                                      |
| 3888888888889in" |                                                   |
| height="0.5722   | **EHR for HIM/BO Training**                       |
| 222222222222in"} |                                                   |
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#### Course Description and Learning Objectives

The Resource Patient Management System (RPMS) Electronic Health Record
(EHR) is a new suite of software applications designed to move most
clinical transactions from paper-based to an electronic environment. The
EHR uses upgrades of existing RPMS applications and clinical data, but
provides a graphical user interface (GUI) that facilitates access to and
direct entry of this data by clinical users. The two most significant
clinical enhancements provided by the EHR are the direct entry of orders
(pharmacy, laboratory, radiology, nursing, etc.) by providers, and the
on-line documentation of clinical encounter notes. In addition, the EHR
will make clinical decision support tools available to providers at the
point of care, and will make the medical record immediately accessible
to all authorized users.

Implementation of an electronic medical record at any health care
organization is a complex and lengthy process, requiring preparation and
changes in essentially all areas of a medical facility. Instituting an
electronic record system at any facility will require a considerable
training effort at the time of implementation, as well as an ongoing
program of training and support.

The "RPMS -- EHR for Health Information/Business Office" provides
ongoing operational support for certain RPMS packages that comprise
and/or interface with the Electronic Health Record. This training will
provide Patient Business personnel with basic skills for (a) utilizing
the Electronic Health Record for enhancing patient care business and (b)
instructing and mentoring other clinicians in its use.

This hands-on class provides an overview of the Indian Health
Service-Electronic Health Record (IHS-EHR) and its utilization in
providing comprehensive patient care. At the end of this session
participants will be able to:

-   Define expectations, roles and responsibilities of Health
    Information Management

> and Business Office Professionals concerning issues that surround the
> EHR

-   Identify policy and training issues

-   Set-up personal preferences and views

-   Navigate through the tabs of the Electronic Health Record

-   Enter and amend progress notes

-   Document exams, patient education, immunizations, and skin tests

-   Assign ICD-9, CPT, HCPC, and E-Codes

-   Perform late entry notes

-   Set up a User (Chief MIS, Medical Records Technicians, Coder,
    Biller)

-   Update the Problem List

-   Identify specific notifications that affect HIM/BO

-   Set-up basic document parameters that affect HIM/BO

-   Import a Text Integration Utility (TIU) template

-   Set-up keys and parameters needed to enter Patient Care Component
    (PCC)

> data to include (a) making a superbill, (b) making an ICD-9 pick-list,
> and (c) setting
>
> up a health summary

-   Delete a Progress Note

-   Review PCC Error Reports

-   Identify the functions of the Coding Queue

-   Documentation of Patients who leave

**Disclosure Statements:** All of the faculty for this course have
completed the disclosure process and have indicated that they have no
significant financial relationships or affiliations with any product or
commercial manufacturer that might constitute a conflict of interest.
Additionally, they have agreed to use generic or multiple trade names
when referring to medications and will identify an \"off-label\" or
experimental uses of medication.

**Instructors List:** (Instructors will rotate based upon availability):

> See Attached

**Training Length:** Four (4) hours, typically an afternoon session
structured as 1:00 PM

to 5:00 PM

**Location:** Various on-location sites

**Registration:** Varies depending on the number of site HIM/BO Staff

**Questions?** Email the contact person: <Megan.Powers@ihs.gov>

**Prerequisite:** This class will be oriented towards "RPMS -- EHR for
HIM/BO" at the Clinical Site. "RPMS - EHR for HIM/BO" is defined as
those individuals who will know how all EHR "components" affects all
aspects of patient care and patient business. HIM/BO professionals will
assist in training and deployment at the site. It is assumed that "RPMS
-- EHR for HIM/BO" participants have Intermediate/Advanced RPMS skills
and (a) area represented member(s) of the "EHR Implementation Team"; (b)
have attended "EHR Lessons Learned"; and (c) were a part of the "EHR
Setup" process.

+-----------------------------------------------------------------------+
| ##### "RPMS-EHR for HIM/BO" Training Agenda                           |
|                                                                       |
| > **Office of Information Technology IHS Programs Office**            |
| >                                                                     |
| > **and the**                                                         |
|                                                                       |
| ##### IHS Clinical Support Center (Accredited Sponsor)                |
|                                                                       |
| #####                                                                 |
+-----------------------------------------------------------------------+

**One Afternoon Session:**

**1:00 PM- 2:00 PM**

-   **Navigate through the Tabs of EHR**

-   **Enter and amend Progress Notes**

-   **Document Exams, Patient Education, Immunizations**

> **and skin tests**

-   **Assign ICD-9, CPT, HCPC and E Codes**

**2:00 PM - 3:00 PM**

-   **Perform late entry notes**

-   **Update the Problem List**

-   **Set-up Users (Chief MIS, Medical Records Technicians**

**Coders, Billers)**

-   **Set-up Personal Preferences and Views**

**3:00 PM - 4:00 PM**

-   **Set-up basic document parameters that affect HIM/BO**

-   **Set-up keys and parameters needed to enter PCC data to**

> **include making a superbill, ICD-9 pick-list, and setting-up**
>
> **a health summary**

-   **Templates**

-   **Documentation of Patients who leave**

> **4:00 PM -- 5:00 PM**

-   **Review PCC Error Reports**

-   **Identify Policy and Training Issues**

-   **Identify and formulate plan to address issues surrounding**

> **EHR that affect HIM/BO**

-   **Coding Queue**

**Comments: (Rob Byron, MD, MPH. Clinical Lead for RPMS-EHR)**

-   **When conducted at the site, attendees inevitably get called away
    during the training, especially physicians resulting in the need to
    repeat key parts.**

-   **Familiarizing users with their actual system (live) remains
    important, especially for initial users and also serves as a "dress
    rehearsal" for "Go-Live"**

-   **Training is ideally conducted with each user having a computer and
    logged on the EHR. Small groups or teams are possible, but less
    effective.**

-   **The CAC should be present throughout the training to assist
    individuals and answer questions that outside trainers will not be
    familiar with.**

+-----------------------------------------------------------------------+
| ##### "RPMS-EHR for HIM/BO"                                           |
|                                                                       |
| > **Learning Objectives**                                             |
| >                                                                     |
| > **Office of Information Technology IHS Programs Office**            |
| >                                                                     |
| > **and the**                                                         |
| >                                                                     |
| > **IHS Clinical Support Center (Accredited Sponsor)**                |
+-----------------------------------------------------------------------+

**Afternoon : 1:00 PM - 5:00 PM**

**Session**

**At the end of this session participants should be able to:**

-   **Identify the expectations, roles and responsibilities**

> **of HIM/BO professionals as they relate to the full**
>
> **implementation of EHR**

-   **Identify and formulate a plan to address policy issues**

> **and training needs**

-   **Navigate throughout EHR and its tabs**

-   **Documenting exams, patient education, immunizations,**

> **skin tests**

-   **Assign ICD-9, CPT, HCPC, and E Codes**

-   **Entering, amending, deleting progress notes**

-   **Updating the problem list**

```{=html}
<!-- -->
```
-   **Setting-up a user (MIS, Medical Records technicians, coding,**

**and billing staff)**

-   **Basic document parameters that affect HIM/BO processes**

-   **Setting-up keys and parameters needed to enter Patient Care**

**(PCC) data to include (a) making a superbill, (b) making an**

**ICD-9 pick-list, and (c) setting-up a health summary**

-   **Import a Text Integration Utility (TIU) template**

-   **Identify the function and be able to utilize the Coding Queue**

-   **Generate and correct deficiencies found in PCC Error Reports**