In this course the learner will explore:
- Quality and utilization management concepts and terminology
- Regulatory and accreditation requirements for quality management
- The components of quality performance and utilization management
- Systems theory in quality management
- Data sources used to calculate quality performance and utilization measures
- The tools and strategies used to assess quality performance and utilization
- The key quality and utilization management activities in the health sector
- The impact of e-health on quality performance and utilization of health care and services
- The roles and responsibilities of the health information management professional
Students will learn healthcare quality performance improvement and management through a combination of experiential learning and independent study. Some or all of the following methods will be used:
- case study analysis
- group work
- group discussions and exercises
- independent research
- instructor feedback on students' work
- individual consultation
- presentation (individual or group)
The course evaluation is consistent with the Douglas College Evaluation Policy. An evaluation schedule is presented at the beginning of the course. This is a graded course. All assignments must be completed to pass the course.
At the end of the course, successful learners will be able to:
- Define key quality management terminology
- Identify major societal and regulatory drivers for quality initiatives in the health sector
- Identify regulatory and accreditation requirements for quality management activities in health care organizations
- Describe the primary stakeholders in quality management
- Differentiate among structure, process, and outcome measures of performance
- Identify sources of data for calculating performance measures
- Apply tools frequently used in problem analysis and performance management
- Conduct root cause analysis
- Demonstrate components of performance analytics including descriptive, diagnostic, predictive and prescriptive analytics
- Identify key quality and utilization management activities in health care organizations
- Describe the process for ensuring clinician competence
- Identify performance indicators, standards and benchmarks
- Apply quality improvement tools and strategies for problem identification, problem-solving and decision-making
- Discuss the utilization management process and its impact on quality outcomes and resources
- Describe the role and responsibility of health information management professionals in quality improvement, utilization management and accreditation
A list of required and optional textbooks, materials and electronic applications is provided for students at the beginning of each semester.
Students in the PBD-HIM program are required to maintain a passing grade of 65% (C+) in all courses in order to progress in the program.
No equivalent courses.
Course Guidelines for previous years are viewable by selecting the version desired. If you took this course and do not see a listing for the starting semester / year of the course, consider the previous version as the applicable version.
|Institution||Transfer Details||Effective Dates|
|There are no applicable transfer credits for this course.|