CAHIIM Curriculum Requirements – AHIMA 2011 Curriculum Competencies and Knowledge Clusters for Health Information Management (HIM) Education at the Baccalaureate Degree Level Program/Institution Name/City/State: To use this template for CAHIIM accreditation purposes, please document the course or courses (in Column 3) by prefix and number, that contain the knowledge clusters listed in Column 2 and those courses that address achievement of Entry-Level Competency for each Domain and Subdomain (Column 1). Note that each knowledge cluster contains the term and number corresponding to the New Version of Bloom’s Taxonomy (see last page of this document). Where a knowledge cluster is specified at a higher taxonomy level, it is expected that the content will be introduced and reinforced in the curriculum, which in some cases may occur in more than one course in the program. When this occurs please list all courses that cover the knowledge cluster and that build toward entry-level competence. Column 1 - HIM Baccalaureate Degree Competencies (Student Learning Outcomes) Column 2 - Knowledge Clusters (Curricular Components) Column 3 – List the Course(s) Prefix and Number that contain each of the Knowledge Clusters as listed in Column 2 and those courses that address achievement of Entry-Level Competency for each Domain and Subdomain (Column 1). I. Domain: Health Data Management I.A. Subdomain: Health Data Structure, Content, and Standards 1. Manage health data (such as data elements, data sets, and databases). 2. Ensure that documentation in the health record supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status. Health Data Structure, Content, and Acquisition Capture, structure, and use of health information (Evaluating, 5) Health information media (paper, electronic) (Evaluating, 5) Data quality assessment and integrity (Evaluating, 5) Secondary data sources such as registries and indexes (Applying, 3) Healthcare data sets (such as HEDIS, UHDDS, OASIS) (Analyzing, 4) Health information archival and retrieval systems (Evaluating, 5) Data capture tools and technologies (such as forms; data input screens; templates, other health record documentation tools) (Evaluating, 5)
I.B. Subdomain: Healthcare Information Requirements and Standards 1. Develop organization-wide health record documentation guidelines. 2. Maintain organizational compliance with regulations and standards. 3. Ensure organizational survey readiness for accreditation, licensing and/or certification processes. 4. Design and implement clinical documentation initiatives. Healthcare Information Requirements and Standards Standards and regulations for documentation (such as Joint Commission, CARF, COP) (Evaluating, 5) Health information standards (such as HIPAA, ANSI, HL-7, UMLS, ASTM ) (Applying, 3) Patient Identity Management Policies (MPI) (Applying, 3) I.C. Subdomain: Clinical Classification Systems 1. Select electronic applications for clinical classification and coding. 2. Implement and manage applications and processes for clinical classification and coding. 3. Maintain processes, policies, and procedures to ensure the accuracy of coded data. Clinical Classification Systems Healthcare taxonomies, clinical vocabularies, nomenclatures (such as ICD-9-CM, ICD-10-CM/PCS, CPT, SNOMED-CT, DSM-IV, LOINC) (Understanding, 2) Severity of illness systems (Analyzing, 4) Data integrity, coding audits (Analyzing, 4) CCI, electronic billing, X12N, 5010 (Applying, 3) I.D. Subdomain: Reimbursement Methodologies 1. Manage the use of clinical data required in prospective payment systems (PPS) in healthcare delivery. 2. Manage the use of clinical data required in other reimbursement systems in healthcare delivery. Reimbursement Methodologies Clinical data and reimbursement management (Evaluating, 5) Compliance strategies and reporting (Analyzing, 4) Chargemaster management (Analyzing, 4) Case mix management (Analyzing, 4)
V.B. Subdomain: Strategic Planning and Organizational Development 1. Apply general principles of management in the administration of health information services. 2. Assign projects and tasks to appropriate staff. 3. Demonstrate leadership skills. 4. Apply project management techniques to ensure efficient workflow and appropriate outcomes. 5. Facilitate project management by integrating work efforts, as well as planning and executing project tasks and activities. Strategic Planning and Organizational Development Organizational assessment and benchmarking (Analyzing, 4) Critical thinking skills, emotional intelligence, employee engagement (Analyzing, 4) Project management (Evaluating, 5) Process reengineering and work redesign (Analyzing, 4) Change management (Analyzing, 4) Facilitation of teams and meetings (Applying, 3) Principles of management (Evaluating, 5) Negotiation techniques (Analyzing, 4) Communication and interpersonal skills (Evaluating, 5) Team/consensus building (Evaluating, 5) Professional development for self and staff (Creating, 6) Problem solving and decision making processes (Evaluating, 5) Biomedical Sciences Anatomy (Applying, 3) Physiology (Applying, 3) Medical Terminology (Evaluating, 5) Pathophysiology (Analyzing, 4) Pharmacotherapy (Analyzing, 4) Bloom’s Taxonomy: Revised Version