COURSE DESCRIPTION

Presents medical care evaluation techniques, utilization review activities, peer review organization requirements, and risk management. Lecture 2 hours per week.

GENERAL COURSE PURPOSE

This course is designed to give the student an introduction to the broad topic of quality management in the health care environment. Special emphasis is placed on developing analytical skills for performance improvement and utilization review activities.

ENTRY LEVEL COMPETENCIES

Prerequisite is HIT 215 - "Health Data Classification Systems". Concurrent enrollment in HIT 220 - "Health Statistics" or permission of instructor.

COURSE OBJECTIVES

Upon completion of the course, the student should be able to:

1. gain an understanding of the theory and methodology of a hospital-based quality management program
2. gain an understanding of the structure and function of a Peer Review Organization
3. understand the role of the health information technician in relationship to the medical staff committee structure
4. gain practice in preparing reports and statistical displays for medical care evaluation
5. gain practice in performing concurrent review in accordance with federal regulations

1. Concepts of quality management in health care
2. Quality Management Function
3. PRO functions and responsibilities
4. Risk Management