THE UNIVERSITY OF TEXAS AT DALLAS SCHOOL OF MANAGEMENT SPRING 2009 HMGT 6323: Healthcare Informatics Course Outline Instructor

: Mark F. Thouin, Ph.D. Office: SOM 3.217 Office Phone: 972-883-4011 Class Hours: Saturday 8:30 am – 11:15pm Office Hours: TBD E-mail: Mandatory Course Materials Text: “Managing Health Care Information Systems” by Karen Wager, Frances Lee, and John Glaser. Josey-Bass Publishers. 2005. ISBN 0-7879-7468-4. Readings packet: HMGT 6323 readings packet in bookstore. The instructor will also supplement course materials with other readings occasionally. Topic Outline: Major topics include: • Healthcare information/data management • Clinical information systems • Healthcare information technology architecture • Security of healthcare information systems • IT Governance in healthcare organizations • Senior management IT challenges This is an approved core course for the M.S. degree in Healthcare Management. It is also an approved elective course for the M.S. degree in Information Technology Management and the MBA degree. Course Overview This course is intended for students in the M.S. in Healthcare Management degree program, as well as MBA students and other School of Management graduate students. Typical career paths would include (but not be limited to) positions as business analyst, IT systems analyst, IT project manager, management consultant, and/or healthcare administrator. Having easy access to timely, complete, accurate and reliable information is critical to the core mission of healthcare organizations, providers, plan sponsors, and the patients they serve. As the demand for healthcare information has increased, so have advances in information technology and investments in these technologies by healthcare organizations. Such advances have the potential to

radically change how healthcare services are accessed and delivered in the future (Wager, Lee & Glaser, 2005). The purpose of information technology is to provide a robust resource for the building, compounding and sustaining of competitive advantage for organizations. As spending on healthcare consumes an ever-increasing percentage of our GDP, healthcare executives must have the knowledge and capabilities to effectively manage both clinical and administrative information within their organizations. As electronic medical records continue to proliferate and replace paper-based medical systems, healthcare managers must be able to develop strategic IT initiatives to leverage access to real-time, relevant administrative and clinical data. This course has been designed to explore the strategic information technology planning and control issues associated with decision making in healthcare organizations. IT provides a framework to understand the types of information systems prevalent in healthcare organizations, evaluate specific strategies related to healthcare IT investments, and understand the ramifications of health data standards and privacy concerns on information management policies. In this course, you will learn how the core competencies of healthcare informatics can be developed and applied using real-world case studies. You will be exposed to specific concepts related to development of IT architecture, sourcing analysis, and valuation of IT investments in healthcare. Upon completion of the course, you should be able to explain the key information requirements for effective health adapt management and decision support, plan and develop the governance and oversight requirements of healthcare IT projects, understand the specification and selection process of healthcare projects, and apply these competencies to real-world problems. You will also be exposed to the Strategic Enterprise Management (SEM) module within SAP and how it is used to develop performance management and reporting templates including the balanced scorecard. Course Format Classes will include a mixture of lectures, case discussions, published articles, student participation, and class presentation by students. The textbook and readings articles will provide the basis for lectures on various healthcare informatics topics. Students will be evaluated based on a mid-term exam, final exam, group case analysis and presentation, and in-class participation. Lecture notes will be provided electronically via WebCT. It is your responsibility to print and bring a copy to class. Lecture notes are meant only for students who register for this course will not be provided to students who are not registered. Students are expected to come prepared for the assigned readings prior to class. Occasionally, I will invite guest speakers from industry to lecture on specific topics related to healthcare informatics and discuss specific applications within their organizations. Prerequisites There are no prerequisites for this course. However, it is restricted to UTD graduate students only.

Grading: Course grades will be based on the following components: 1. Class participation (15%): You are expected to prepare beforehand for each class, participate actively in the discussion of cases and readings, and contribute to the learning experience of the class. Attendance will be taken. 2. Group case analysis and presentation (25%): The class will be split into groups. Each group will discuss an assigned case in class which I will provide at least three weeks prior to the presentation date. Case analysis and presentation is a group effort, and each presentation should be approximately 40 minutes in duration. 3. Mid-term Exam (30%): There will be a take-home mid-term exam. Students will be tested on the course material taught until that time. 4. Final Exam (30%): The final exam will be a take-home exam during finals week. Students will be tested on the course material taught through lectures, readings and case discussions. Mid-term Case • Alliant Health System case: Describes a case on IT architecture, governance, and integration. Case Studies for Classroom Discussion • CareGroup case (HBS 2005): Describes a case study on how to manage the IT Infrastructure. • • • “Intermountain Healthcare” Richard Bohmer, Amy Edmondson, HBS case. “Better Medicine through Information Technology” Stanford University case. “EMR Implementation” IDEA Publishing case.

Course Learning Objectives • • • • • Develop a better understanding of current and emerging issues in healthcare information technology management. Articulate the key issues related to the management, access, and quality of healthcare data. Develop an understanding of the IT architecture for healthcare information management, including sourcing, security and governance decisions. Craft a business case to justify the business value of healthcare IT investments. Develop appropriate performance measurement and reporting mechanisms to plan and evaluate the impact of IT initiatives in healthcare settings.

CLASS SCHEDULE Session I. Introduction to Healthcare Information Systems Lecture Topics
• Role of healthcare information technology • Major trends in healthcare management

Assigned Readings
• Chapter 1 • “Information Technology Comes to Medicine,” New England Journal of Medicine, June 2007. • Chapter 2 • “The making and adoption of health data standards” Health Affairs, Vol. 24(5), 2005 • Chapters 3 and 9

II. Healthcare Data Quality

• Types of healthcare data • Data quality management • Data integration: challenges and implications
• Health records • Health data interchange standards • Electronic medical record • Patient billing Systems

III. Healthcare Information Regulations & Standards IV. Clinical Information Systems

• Chapter 4 • “Can electronic medical record systems transform healthcare”? Health Affairs, Vol. 24(5), 2005.

V. Emerging Usage of Hospital Information Systems VI & VII. IT Architecture for Health Information Management VIII. Sourcing of Healthcare Information Systems IX. Security of Healthcare Information Systems

• Enterprise resource planning systems • Mobile IT devices in healthcare • IT architecture in healthcare organizations • Different types of IT architecture • Strengths and weaknesses • Factors affecting sourcing decisions • Application Service Providers • IT security • Confidentiality and privacy of health data

• Chapter 5
• Chapter 8 • “Designing & Managing the Information Age IT architecture” HBR (Lynda Applegate) • “How to Manage an IT Outsourcing Alliance” Sloan Management Review, Winter 1995 (McFarlan) • Chapter 10

X. Managing the IT Organization

• IT alignment and governance • IT integration for M&A

• Chapter 11, 14 • R. Agarwal, V. Sambamurthy “Principles and Models for Organizing the IT Function” MIS Quarterly Executive 1(1): (2002). • Chapter 12 & 13 • “Having trouble with your strategy” HBR Sep – Oct 2000 • Montefiore Medical Center, HBS Case • Chapter 15 • “B&K Distributors: Calculating return on investment from a web-based customer portal” Kellogg case study.

XI. Planning & Reporting in Healthcare Organizations

• IT planning and project management • Balanced scorecard and performance reporting • IT business value • Risk management

XII. Value Assessment of Healthcare IT Investments

XIII. Process Management and the Role of Information Systems XIV. Impact on Healthcare Policy

• Business process reengineering • Workflow management • Crafting a healthcare technology solution • “Action through collaboration” Health Affairs, 24(5), 2005.

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