Weber State University
   

HAS - Health Information Management

Results of Assessment

2006-2007 (submitted 03/25/08)

Program Goal #1        Program Goal #3
Program Goal #2        Program Goal #4
Program Goal #5

Program Goal #1
Faculty will demonstrate current knowledge, skills, qualifications and professional development in the content areas they teach.

Standard/Outcome

  1. Director/faculty must have current HIM credentials when teaching HIM specific courses and should possess a Baccalaureate degree or higher.

Evaluation Method

  1. The HIM Program Director will maintain faculty files with a current resume and copy of AHIMA membership card.

Results:

  • All HIM credentialed faculty have current active membership with AHIMA.  All fulltime faculty are Masters Degree prepared or higher, and all other faculty who teach in the HIM program have a Baccalaureate degree or higher.

Responsive/Corrective Action:

  • None needed at this time.
  1. Director/faculty must demonstrate a variety of teaching strategies.

Evaluation Method

  1. Faculty will be evaluated by students on course evaluations in the average to excellent range for techniques that enhance learning.

Results:

  • Average of all mean scores from student course evaluations is 4.1 (on a 5 point scale or above average), indicating that students agree that teaching techniques in the course enhanced their learning.

Responsive/Corrective Action:

  • None needed at this time.
  1. 100% of HIM courses will incorporate technology for instructional delivery.

Evaluation Method

  1. Assignments are reviewed annually by HIM faculty to assure that technology is appropriately being applied to course activities.

Follow-up from 05-06 report:

Assignments using the web-enabled software have been added to the following courses: HIM 2000, 2200, 2300, 2320 and 2330.

Results:

  • Faculty have continued to develop assignments that utilize the Soft-Med  and 3M Coding and Abstracting function.  This year we added assignments in HIM 2500 Healthcare Database Management and Security on file maintenance, chart abstracting, terminology mapping and report querying.  In addition, we added Microsoft Access 2007 capabilities via the web-enabled server for use in HIM 3400 for database development and SQL practice.

Responsive/Corrective Action:

  • Continue you to add assignments as appropriate to courses using web-enabled access to software.  Faculty has developed voice over video capture demonstrations on the use of this software to further enhance student learning.

Follow-up:

  • Program Director will verify that additional assignments and use of the web-enabled software programs is working for both students and faculty.
  1. Director/faculty teaching HIM specific courses will attend relevant professional development activities to keep knowledge and skill current.

Evaluation Method

  1. Documentation of appropriate professional development to include attendance at at least one State or National HIM professional association meeting (CE certificate, travel documents, etc.)

Results:

  • Program Director and all faculty have attended appropriate professional development meetings to include:  2006 National Convention, Denver, CO: 2006 AHIMA Assembly on Education Summer Symposium, Chicago, IL; Utah Health Information Management Association’s Fall and Spring Meetings, Salt Lake City, UT.

Responsive/Corrective Action:

  • None needed at this time.
  1. Provide faculty with up-to-date instructional resources and computer software in areas that have frequent changes and updates.

Evaluation Method

  1. Faculty computers are updated every four years as recommended by WSU policy.

Results:

  • One new faculty member (Michele Snow) was supplied with a new laptop computer.
  • Three departmental faculty members (Heather Merkley, Lloyd Burton, Richard Dahlkemper) computers were replaced in the academic year 05-06.
  • One department faculty member's (Pat Shaw) computer was replaced in the 04-05 academic year.
  • HIT Clinical Coordinators (Darcy Carter) computer was replaced March 2006.

Responsive/Corrective Action:

  • Pat Shaw’s computer will need to be replaced this next year.

Follow-up:

  • Program Director will verify that a new computer is ordered for this faculty.
  1. Annually assess additional computer software requirements.

Results:

  • Continue to maintain web-enabled software using the Citrix server so all students will have access to Softmed Applications and 3M Coding and Abstracting. This has been incorporated into assignments for classroom and online students in HIM 2500 in addition to previous courses: HIM 2000, 2200, 2300, 2320 and 2330.  We purchased Microsoft Access software and make available on the web-enabled server for students to develop data dictionary assignments in HIM 2500 and for use in HIM 3400 for database development and SQL practice.

Responsive/Corrective Action:

  • Conduct a survey of students to evaluate that the web-enabled assignments and use of the web-enabled software programs are working for students.

Follow-up:

  • Program Director will conduct survey of all students using web-enabled software programs.
  1. 90% of HIM Course Evaluation forms will indicate HIM faculty performance is good to excellent.

Evaluation Method

  1. Course evaluations are reviewed annually by the Program Director.

Results:

  • Average of all mean scores from student course evaluation in 4.1 (on a scale of 5 or above average), indicating that students believe that department faculty are performing above average.

Responsive/Corrective Action:

  • None needed at this time.

Program Goal #2
Program graduates will demonstrate the HIM entry-level competencies.

Standard/Outcome

  1. 80% of all HIM graduates taking the RHIA certification examination will pass on the first writing.

Evaluation Method

  1. Annual review of the RHIA certification examination results to analyze student performance in each knowledge area in comparison to overall performance.

Results:

  • 2 of 3 first-time students passed the RHIA examination, or 67%.
  • Students scored higher than the national average in all but 4 of the 14 areas; these areas are 2A Healthcare Statistics and Research; 4C Data Storage and Retrieval; 4D Data Security and 4E Healthcare Information Systems.

Responsive/Corrective Action:

  • In a response to these results the program has added more emphasis in analyzing data in HIM 3300 to improve 2A; added assignments on reporting in SoftMed and HDM, and SQL in HIM 3400 to address the shortfall in domain area 4C;  in domain area 4D Data Security, we have added a security audit assignment, assessment, and case study to HIM 3000 and analysis of security audit trail data and assessments in HIM 2500; and to improve domain area 4E we added more emphasis on workflow design, return on investment in HIM 3450 and HIM 4100.

Responsive/Corrective Action:

  • Continue to monitor RHIA exam results to see if curriculum changes have had any impact.

Follow-Up:

  • Program Director will continue to monitor these results and make adjustments to curriculum if needed.
  1. 80% or more of the HIM areas of practice in exit surveys will show that the program was average to high quality.

Evaluation Method

  1. Detailed exit surveys are conducted annually and the results are analyzed and shared with the Program Advisory Committee.

Results:

  • Students ranked there overall satisfaction with the curriculum 3.4 (on a 4 point scale) and overall satisfaction with the program 3.5 (on a 4 point scale) on exit surveys, or above average.

Responsive/Corrective Action:

  • None needed at this time.
  1. 80% or more of the subject areas of the graduate surveys will show that instruction was satisfactory.

Evaluation Method

  1. Detailed graduate surveys are conducted annually and the results are analyzed and shared with the Program Advisory Committee.

Results:

  • Students ranked there overall satisfaction with the curriculum 4.0 (on a 4 point scale) and overall satisfaction with the program 4.0 (on a 4 point scale) on graduate surveys, or above average.

Responsive/Corrective Action:

  • None needed at this time.
  1. 95% of all HIM courses will reflect critical thinking/problem solving projects, activities or other types of assessment.

Evaluation Method

  1. Assignments, exams and other types of assessment are reviewed annually by HIM faculty to assure that practice and evaluation of critical thinking skills are available to students.

Results:

  • HIM faculty continue to evaluate curriculum content for critical thinking and analysis activities.  Case studies and assignments requiring student analysis have been added to HIM 2000, 2200, 2330, 2500, 3000, 3300, 3400, 3450, and 4100.  We have also added voice over video capture demonstrations to further enhance student learning of discipline-specific software in HIM 2500 and HIM 3400 followed by student assignments.

Responsive/Corrective Action:

  • Evaluate curriculum on an annual basis to determine where critical thinking/problem solving activities may be added with input from the program advisory committee.

Follow-up:

  • Program Director to schedule curriculum evaluation meeting each fall semester.
  1. Faculty will be evaluated by students on course evaluations in the average to excellent range for problem-solving and thinking analytically.

Results:

  • Average of all mean scores from student course evaluation is 4.1 (on a 5 point scale), or above average, indicating that students agree that course activities challenged them to apply problem-solving skills and to think analytically.

Responsive/Corrective Action:

  • None needed at this time.
  1. Employers will express adequate to excellent competence or unimportant regarding HIM skills expected of entry-level health information technicians.

Evaluation Method

  1. Employee surveys are completed by the HIM Program Director annually and the results are shared with the Program Advisory Committee.

Results:

  • Employers ranking of our students competence averaged 3.5 (on a 4-point scale) and overall satisfaction with entry-level performance 3.5 (on a 4 point scale), or above average.

Responsive/Corrective Action:

  • None needed at this time.

Program Goal #3
The HIM curriculum will include, at minimum, the required knowledge clusters with content and experiences to enable students to meet current entry-level competencies.

Standard/Outcome

  1. 80% of all HIM graduates taking the RHIA certification examination will pass on the first writing.

Evaluation Method

  1. AHIMA Domains, subdomains and tasks and knowledge cluster content assessments are reviewed annually by the HIM faculty and Program Advisory Committee.

Follow-up from 05-06 report:

PPE activities have been updated as recommended by the Program Advisory Committee to reflect use of the Electronic Health Record.

Results:

  • Students scored higher than the national average in all but 4 of the 14 areas; these areas are 2A Healthcare Statistics and Research; 4C Data Storage and Retrieval; 4D Data Security and 4E Healthcare Information Systems.
  • In a response to these results the program has added more emphasis in analyzing data in HIM 3300 to improve 2A; added assignments on reporting in SoftMed and HDM, and SQL in HIM 3400 to address the shortfall in domain area 4C;  in domain area 4D Data Security, we have added a security audit assignment, assessment, and case study to HIM 3000 and analysis of security audit trail data and assessments in HIM 2500; and to improve domain area 4E we added more emphasis on workflow design, return on investment in HIM 3450 and HIM 4100.
  • Faculty met in August and assessed our curriculum in relationship to the Knowledge Clusters.  From this assessment, faculty will add more emphasis on documentation standards and health information practices in non-acute care settings; continue to add more application and analysis assignments in privacy and security issues, add an assignment for students to train physicians on the Medical Staff Rules/Regulations for documentation requirements; add content to validate reimbursement, LMRP, NCCI issues; add application assignment for tracking user use of PHI, duplicate number reports in MPI and data quality of data abstracting and administrative functions of HDM software.  More emphasis will be place on health information archival systems in HIM 3000 and HIM 3400; an assignment will be developed for students to evaluate survey-readiness and use of computerized statistical packages in HIM 3200.
  • The Program Advisory Committee recommended the addition of the following assignments in the program:  Medication reconciliation process, medical identity issues and licensure/accreditation survey readiness.

Responsive/Corrective Action:

  • Continue to monitor RHIA exam results to see if curriculum changes have had any impact.  Verify that curriculum changes have been made.

Follow-Up:

  • Program Director will verify curriculum changes have been made and continue to monitor these results and make adjustments to curriculum if needed.
  1. 80% or more of the responses on the HIM graduate survey will show good to excellent preparation for their current position.

Evaluation Method

  1. Detailed graduate surveys are conducted annually and the results are analyzed and shared with the Program Advisory Committee.

Results:

  • Survey results were 4.0 (on a 4 point scale) or above average in how well the HIT program prepared them for their career in HIM.  In addition, 100% of the students ranked their preparation good or higher.

Responsive/Corrective Action:

  • None need at this time.
  1. Employers will express adequate to excellent competence or unimportant regarding HIM skills expected of entry-level health information technicians.

Evaluation Method

  1. Employee surveys are completed by the HIM Program Director annually and the results are shared with the Program Advisory Committee.

Results:

  • Employers ranking of our students competence averaged 3.5 (on a 4-point scale) and overall satisfaction with entry-level performance 3.5 (on a 4 point scale), or above average.

Responsive/Corrective Action:

  • None needed at this time.

Program Goal #4
The HIM program will demonstrate responsiveness to the needs of the community of interest.

Standard/Outcome

  1. 10 or more, HIM related professionals will participate in HIM required courses.

Evaluation Method

  1. Course schedules will reflect dates and identification of guest speakers or onsite visits by students.  Discussions regarding the quality of these presentations are done with students and faculty.

Results:

  • HIM 2000 included two scheduled site visits and four different guest speakers (UHIMA, ambulatory, long-term care, mental health, acute care).
  • PPE activities in HIM 2861 and 2862.
  • HIM 2330 had one guest speaker presenting the billing process in the acute care environment to include the billing denial process; and one speaker discussing MS-DRGs and Present of Admissions rules. These guest speakers were either video recorded or audio recorded to be included in our online courses.
  • HIM 2500 had two guest speakers presenting on secondary databases (Utah Birth Defects Network and Traumatic Brain and Spinal Cord Injuries). These guest speakers were either video recorded or audio recorded to be included in our online courses.
  • HIM 3000 included two guest speakers (Decision Support and Innovations in Health IT) and a Sim-Lab presentation.  These guest speakers were either video recorded or audio recorded to be included in our online courses.
  • 4 guest speakers in HAS 3000.

Responsive/Corrective Action:

  • None needed at this time.
  1. 100% of professional practice experience sites selected will demonstrate good to excellent instruction and adherence with instructional objectives.

Evaluation Method

  1. Evaluation forms completed by students regarding their Clinical Practice activities are reviewed by the Program Director/faculty and results shared with Professional Practice Preceptor.

Results:

  • PPE students completed an evaluation form on their Professional Practice Experience preceptor at the end of their internship or each rotation.  Students ranked the PPE site supervisors (on 4 point scale) or above average.  All HIM student internship sites were ranked as execellent by students on the evaluation forms.

Responsive/Corrective Action:

  • None needed at this time.
  1. 15 or more different community sites will be used for HIM professional practice experience annually.

Evaluation Method

  1. Program Director or HIT Clinical Coordinator will contact via onsite visit, telephone or email all professional practice sites to evaluate the site, discuss professional practice goals and to receive verbal evaluations of the students and the programs from the supervisors.

Results:

  • 7 long-term care sites and 2 ambulatory clinics were used for the alternate care PPE sites.
  • 8 acute care hospital sites were used for the acute care PPE sites.
  • Four students completed HIM internships this academic year. These internships were completed in Acute Care Hospital HIM Management and Utah VA Medical Center.

Responsive/Corrective Action:

  • None needed at this time. We have adequate sites available.
  1. Preceptors will be oriented to professional practice experience activities annually.

Results:

  • Darcy Carter met with each of these individuals and oriented them to our PPE needs in September, 2006. In addition, Darcy personally met with each PPE site supervisor to answer their questions and make sure they were aware of PPE requirements.
  • Pat Shaw meets or has a conference call with the student and internship preceptor at the beginning of all HIM-BS student internship. At this meeting all goals, projects, and assignments are mutually agreed upon by all parties.

Responsive/Corrective Action:

  • None needed at this time.
  1. 50% or more of the Program Advisory Committee members will be present at all meetings.

Evaluation Method

  1. Advisory committee minutes will be monitored annually for attendance.

Results:

  • HIT/HIM Program Advisory Committee met October 19, 2007. Nine of the eleven member were in attendance or 82%.

Responsive/Corrective Action:

  • None needed at this time.
  1. The HIM program will attain affiliation agreements with a sufficient number and a variety of health care facilities to meet the needs of the clinical practice.

Evaluation Method

  1. Validate that all PPE sites have current and up-to-date clinical affiliation or mentor agreements on file prior to assigning a student to the site.

Results:

  • All sites in which students were assigned to for their PPE had current clinical affiliation or mentor agreements in 2006-2007.

Responsive/Corrective Action:

  • None needed at this time.

Program Goal #5
To recruit/retain qualified students in the HIM program.

  1. HIM faculty will participate in recruitment activities on and off campus and undergraduate advisement activities.

Evaluation Method

  1. Participate in documented college recruitment activities and others, which includes, Program Advisory Committee referrals, the distribution of recruitment materials mailed, inquires answered via email, response to telephone messages, walk-ins, etc.

Results:

  • Program Director and all faculty participated in WSU Major Fest in Nov. 2007.
  • HIM Faculty attended the pre-application meeting offered by College Admissions distributing information on the program.
  • HIM Faculty attended the post-application meetings offered by College Admissions distributing information on the program to individuals not accepted into their first choice programs.
  • A direct mail letter was sent to all acute care hospitals and long-term care facilities in the State of Utah and surrounding region in an effort to increase enrollments.
  • Program packets were mailed out to all interested students.

Responsive/Corrective Action:

  • None needed at this time.
  1. To remain in the HIM Program, students must maintain a GPA of 2.5 on a scale of 4.0 and must attain a minimum of a “C” (2.0) or better in each professional course in the HIM curriculum.

Evaluation Method

  1. Each semester, review the WSU probationary report and grade reports of each student in the HIM program and appropriately advise students who fall below the minimum requirement. 

Results:

  • No HIM students were placed on probation.

Responsive/Corrective Action:

  • None needed at this time.

Follow-up:

  • Program Director to monitor this annually.
  1. Annually review each student’s progress toward graduation.

Results:

  • The Program Director counsels students during the fall semester each year to assess their progress toward graduation.

Responsive/Corrective Action:

  • None needed at this time.

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