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  • 07 - Working With Health IT Systems - Instructor's Manual

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    Health IT Workforce Curriculum - 2012
    54 views44 pages
    The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found athttp://www.merlot.org/merlot/viewPortfolio.htm?id=842513. The full collection may also be accessed at http://knowledge.amia.org/onc-ntdc.

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    07- Working with Health IT Systems- Instructor's Manual

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    The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found athttp://www.merlot.org/merlot/viewPortfolio.htm?id=842513. The full collection may also be accessed at http://knowledge.amia.org/onc-ntdc.

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    54 views44 pages

    07 - Working With Health IT Systems - Instructor's Manual

    Uploaded by

    Health IT Workforce Curriculum - 2012
    The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found athttp://www.merlot.org/merlot/viewPortfolio.htm?id=842513. The full collection may also be accessed at http://knowledge.amia.org/onc-ntdc.

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    of 44

    Component 7:

    Working with Health


    IT Systems
    Instructors Manual
    Version 3!"Spring #!$#
    %otes to Instructors
    This Instructors Manual is a resource for instructors using this component. Each
    component is broken down into units, which include the following elements:
    Learning objecties
    !uggested student readings, te"ts, reference links to supplement the narrated
    #ower#oint slides
    Lectures $oiceoer #ower#oint in %lash format&' #ower#oint slides $Microsoft
    #ower#oint format&, lecture transcripts $Microsoft (ord format&' and audio files
    $M#) format& for each lecture
    !elf*assessment +uestions reflecting ,nit -bjecties with answer ke.s and/or
    e"pected outcomes
    0pplication 0ctiities $e.g., discussion +uestions, assignments, projects& with
    instructor guidelines, answer ke.s and/or e"pected outcomes
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 3
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Contents
    7otes to Instructors............................................................................................................3
    8isclaimer..........................................................................................................................9
    2omponent :/,nit 6...........................................................................................................;
    2omponent :/,nit 3.........................................................................................................66
    2omponent :/,nit ).........................................................................................................6)
    2omponent :/,nit <.........................................................................................................6=
    2omponent :/,nit =.........................................................................................................69
    2omponent :/,nit >.........................................................................................................36
    2omponent :/,nit :.........................................................................................................3<
    2omponent :/,nit 9.........................................................................................................3:
    2omponent :/,nit ;.........................................................................................................3;
    2omponent :/,nit 65.......................................................................................................)3
    2omponent :/,nit 66.......................................................................................................)=
    2omponent 0cron.m ?lossar.........................................................................................);
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems )
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component &'er'iew
    Working with Health IT Systems
    This is a laborator. component. !tudents will work with simulated s.stems or real
    s.stems with simulated data. 0s the. pla. the role of practitioners using these s.stems,
    the. will learn what is happening @under the hood.A The. will e"perience threats to
    securit. and appreciate the need for standards, high leels of usabilit., and how errors
    can occur. Materials must support hands*on e"perience in computer labs and on*site in
    health organiBations.
    Component (nits
    6. Introduction C -eriew: 2omponents of 1IT !.stems
    3. ,nder the 1ood
    ). ,nderstanding Information E"change in 1IT !.stems
    <. The Effectie 1IT !.stem
    =. %undamentals of ,sabilit. in 1IT !.stemsD(hat 8oes It MatterE
    >. 1IT %acilitated ErrorD2ause and Effect
    :. #rotecting #riac., !ecurit., and 2onfidentialit. in 1IT !.stems
    9. 1IT !.stem #lanning, 0c+uisition, Installation, C Training: #ractices to !upport C
    #itfalls to 0oid
    ;. #otential Issues with 0doption and Installation of an 1IT s.stem.
    65. 1IT and 0spects of #atient*2entered 2are
    66. 1ealth IT in the %uture
    Component &)*ecti'es
    0t the completion of this component, the student will be able to:
    6. Identif. common components of an 1IT s.stem and t.pes of 1IT applications $e*Mar,
    #-E, #02!, 08T, Lab, Fegistries, Gilling/2oding, etc, and acute care, communit.
    health, public health, small proider practices, etc.&
    3. 8escribe data flows across 1IT s.stems and implication of standards.
    ). Identif. root causes of 1IT*induced error $i.e. usabilit., workflow interference, s.stem
    error, etc.& and suggest solutions.
    <. 0ssess the strengths and weaknesses of identified solutions to identified 1IT
    problems $to emphasiBe the realit. of @solutionsA and illustrate the fre+uent domino
    effect/unintended conse+uences of change of an 1IT s.stem&
    =. 8efines usabilit., describes general usabilit. principles, and relates usabilit. to
    adoption in relation to 1IT.
    >. 8efine and differentiate securit., confidentialit., and priac. and identif. common
    threats.
    :. 8emonstrate beginning leel competenc. in general 1IT s.stem use
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems <
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component +uthors
    ,atricia -,atti. +))ott/ ,h0/ 1%/ 2++%/ 3H( School o4 %ursing
    #atricia 0bbott is an 0ssociate #rofessor in the Hohns 1opkins ,niersit. !chools of
    7ursing and Medicine. !he is a member of the 7ational Iualit. %orums 1ealth
    Information Technolog. 0disor. 2ouncil $1IT02&, a %ellow of the 0merican 2ollege of
    Medical Informatics, and a %ellow of the 0merican 0cadem. of 7ursing. !he has a
    masters degree in 7ursing Informatics. 1er second masters and #h8 are in
    -perations 0nal.sis/Information !cience, and and she recentl. completed a two .ear
    #ost*8octoral %ellowship in 1uman 2omputer Interaction. !he is the 8irector of the
    #01-/(1- 2ollaborating 2enter for 7ursing Jnowledge at the Hohns 1opkins !chool
    of 7ursing and seres on the E"ecutie Goard of the 8iision of 1ealth !ciences
    Informatics in the Hohns 1opkins !chool of Medicine.
    0a'i5 Hinton/ Howar5 Community College
    8aid M. 1inton is an 0ssociate #rofessor at 1oward 2ommunit. 2ollege, where he
    teaches a wide range of career and transfer technolog. courses. 1e has e"tensie
    knowledge in working with certificate and career seeking students. 1e has taught
    Introduction to 2omputer Fepair and 0danced 2omputer Fepair. 1e has also designed
    and taught curriculum for 2omputer*0ided 8esign, 2omputer ?ame 8esign and
    !imulation, )8 0nimation and 4isualiBation. 1e has sered as support liaison for
    training facult. online learning management s.stems. 8uring the summer months, he
    teaches middle school students )8 0nimation and 4isualiBation. 1e has a bachelor of
    science in Gusiness Information !.stems.
    1o)ert 6olo5ner/ M0/ 2+CMI
    Fobert M. Jolodner, M8 is co*founder and #resident of 2ollaboratie Transformations,
    LL2, which consults with goernment and non*profit organiBations regarding their health
    IT strategies and plans. In addition, he seres as the 2hief 1ealth Informatics -fficer
    for -pen 1ealth Tools, Inc. 8r. Jolodner brings to his current actiities a wealth of
    e"perience in health IT from )6 .ears of federal serice and leadership in two
    8epartmentsD4eterans 0ffairs and 1ealth and 1uman !erices.
    %rom 355> to 0pril 355;, 8r. Jolodner sered as the presidents designated lead for the
    ,nited !tates e1ealth initiatie as the 7ational 2oordinator for 1ealth Information
    Technolog. $IT& in -ffice of the !ecretar. of the ,! 8epartment of 1ealth and 1uman
    !erices $11!&. 8r. Jolodner receied his undergraduate degree from 1arard 2ollege,
    his medical degree from Kale ,niersit. !chool of Medicine, and completed his
    ps.chiatric residenc. at the (ashington ,niersit. !chool of Medicine. 8r. Jolodner
    has medical specialt. board certification in ps.chiatr. and is a %ellow in the 0merican
    2ollege of Medical Informatics.
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems =
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Michael Vaughn/ MS/ 3H( School o4 %ursing
    Michael 4aughn is currentl. assistant dean for information and technolog. integration at
    the Hohns 1opkins ,niersit. !chool of 7ursing, and was preiousl. an assistant dean
    for information s.stems at the Indiana ,niersit. !chool of 7ursing. 1e has oer twele
    .ears of e"perience leading the integration of technolog. into health education,
    research, and practice. In addition to oerseeing the da.*to*da. operations of a
    comple" IT organiBation and critical information s.stems, he has pioneered the
    introduction of man. cutting*edge technologies into nursing education, deeloped
    innoatie technologies to enhance patient education and improe health outcomes,
    and consulted on the design and construction of state*of*the*art clinical simulation
    facilities.
    Team Mem)ers
    7ecture %arration"Soun5 8ngineer

    Faland Technologies LL2
    6)9: %airport Foad
    !uite 65=5 %airport, 7K 6<<=5

    8aid %lass L #roject Manager

    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems >
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    0isclaimer
    These materials were prepared under the sponsorship of an a"ency of the United
    States *overnment) Neither the United States *overnment nor any a"ency thereof, nor
    any of their employees, makes any warranty, e+press or implied, or assumes any le"al
    liability or responsibility for the accuracy, completeness, or usefulness of any
    information, apparatus, product, or process disclosed, or represents that its use would
    not infrin"e privately owned ri"hts) ,eference herein to any specific commercial
    product, process, or service by trade name, trademark, manufacturer, or otherwise does
    not necessarily constitute or imply its endorsement, recommendation, or favorin" by the
    United States *overnment or any a"ency thereof) The views and opinions of authors
    e+pressed herein do not necessarily state or reflect those of the United States
    *overnment or any a"ency thereof)

    -ikewise, the above also applies to the urriculum Development enters .includin"
    olumbia University, Duke University, Johns Hopkins University, Ore"on Health /
    Science University, University of #labama at 0irmin"ham, and their affiliated entities1)
    The information contained in the Health !T 2orkforce urriculum materials is intended
    to be accessible to all) To help make this possible, the materials are provided in a
    variety of file formats) Some people may not find the 3lash video and )S23 files
    accessible and should instead utili4e the 5ower5oint slides to"ether with the )mp(
    audio file and6or 2ord transcript to access the lectures) 3or more information, please
    visit the website of the National Trainin" and Dissemination enter at http766www)onc8
    ntdc)or" or http766www)onc8ntdc)info to set up a profile and view the full accessibility
    statement)
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems :
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit $
    (nit Title
    Intro5uction 9 &'er'iew: Components o4 HIT Systems
    (nit 0escription
    This unit is an introductor. unit where the core definitions and concepts of s.stems in
    general and healthcare specificall. are presented. ,sing hands*on e"plorator. lab
    e"ercises, students will be introduced to an e"ample 1IT s.stem where the. will learn
    basic naigation and gain familiarit. with components common to man. clinical 1IT
    s.stems. !pecific e"amples of 1IT s.stems from a ariet. of settings will be discussed.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. 8efine a s.stem and relate s.stems concepts to 1ealth IT $1IT&.
    3. 8iscuss specific e"amples of settings where 1IT is used $acute, rural,
    public health, clinic, office, patient home, etc.&.
    ). Identif. common components of a clinical 1IT s.stem.
    <. 8emonstrate beginning leel competenc. in maneuering the
    demonstration E1F!.
    (nit Topics"7ecture Titles
    6.6 ,nderstanding !.stemsD2onceptualiBing 1IT ,se
    6.3 1IT !.stems
    6.) Gig #icture of 1IT !.stems
    6.< 2ommon 0spects of 2linical 1IT !.stems
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture $
    6. 7ationwide 1ealth Information 7etwork http://healthit.hhs.go/portal/serer.ptE
    openM=63CobjI8M66<3CparentnameM2ommunit.#ageCparentidM<CmodeM3
    3. ?oogle %lu Trends
    http://www.google.org/flutrends/
    7ecture $ Images
    !lide ): 4enn 8iagram of 1ealthcare. 2reated b. 8r. #atricia 0bbott.
    !lide <: 1ong Jong !ubwa. s.stem. 2ourtes. of N8ear EdwardOs #hotostreamN
    $2reatie 2ommons 0ttribution&. E. Fussell $6;9<&. 0ailable from:
    http://www.flickr.com/photos/erussell6;9</
    !lide =: Image 6: MIT -pen2ourse(are. 0ailable from:
    http://www.flickr.com/photos/mitopencourseware/)>;)<;55>:/I
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 9
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Image 3: %ood !erice as a !.stem. 2ourtes. 282. 0ailable from:
    http://www.cdc.go/nceh/ehs/E1!7et/images/%oodP!ericePasPaP!.stem.jpg
    !lide >: 2oncept -eriew of an Electronic 1ealth FecordD7ational Institutes of
    1ealth. 0ailable from: http://www.ncrr.nih.go/publications/informatics/E1F.pdf
    !lide :: Image 6: M. 1ealthe4et (ebsite. 4eterans 0dministration. 0ailable from:
    https://www.m.health.a.go/mh*portal*web/anon.mous.portalE
    PnfpbMtrueCPnftoMfalseCPpageLabelMmh1ome
    Image 3: 2linician and #atient: 2ourtes. 8r. #atricia 0bbott.
    Image ): (orld 1eath -rganiBation. 0ailable from:
    http://gamapserer.who.int/gho/interactiePcharts/roadPsafet./roadPtrafficPdeaths3/atla
    s.html.
    Image <: ?irl and #atients Like Me. 2ourtes. 8r. #atricia 0bbott. 0ailable from:
    http://www.morguefile.com/license/morguefile/
    !lide 9: The Gig #icture of 1ealth 2are. 0ailable from: 1ttp://healthit.hhs.go
    !lide ;: 7urse %iling Medical Fecords. 2ourtes. ,.!. 0rm.. ,! 0rm. Jorea*IM2-M.
    0ailable from: http://www.flickr.com/photos/imcomkorea/
    !lide 65: 0 single Fecord of #atient 8ata. 2ourtes. 8r. Hohn 1alamka
    !lide 66: 40 4ista s.stem. 2ourtes. ,! 8epartment of 4eterans 0ffairs
    (nit Suggeste5 1ea5ings
    6. 7ational 2enter for Fesearch Fesources. Electronic 1ealth Fecords: 0n
    -eriew. 355>. 0ailable from:
    http://www.ncrr.nih.go/publications/informatics/E1F.pdf
    3. (ager, J., Lee, %., C ?laser, H. Managing 1ealth 2are Information !.stems: 0
    #ractical 0pproach for 1ealth 2are E"ecuties. 355;. 0ailable from:
    www.uiowa.edu/.../635=355)/.ear.html
    +55itional Materials
    2omputeriBed #atient Fecord !.stem $2#F!&
    ,ser ?uide
    The 4ist0 2#F! is the award*winning electronic health records s.stem that is used b.
    the ,! 8epartment of 4eterans 0ffairs.
    Stu5ent +pplication +cti'ities
    comp:Punit6Pactiities
    comp:Punit6PactiitiesPke.
    comp:Punit6Passessment
    comp:Punit6PassessmentPke.
    +55itional Materials
    E1F! -rientation 4ideos $optional .swf ideo files&
    #art 6: (orking with 1IT !.stems
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems ;
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    #art 3: E"ploring the 2oersheet
    #art ): 8iing 8eeper into the Tabs
    #art <: 8iing 8eeper into the Tabs L #art 3
    #art =: Labs, Feports, C !tarting to !caenge
    #art >: !caenger 1unt $to be used with scaenger hunt actiit.& The scaenger
    hunt can be conerted into a graded assignment if desired. E"tra credit
    +uestions are included in the e"isting scaenger hunt materials $in the eent that
    this actiit. is conerted to a graded assessment&.
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 65
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit #
    (nit Title
    (n5er the Hoo5
    (nit 0escription
    ,nit 3 is designed to introduce students to the generic functions of 1IT s.stems that
    underpin inpatient and outpatient $ambulator.& processes. 2rafted 1IT lab e"ercises will
    lead the student through a simulated patient encounter to highlight how 1IT s.stems
    support, and sometimes thwart, information flow.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. Identif. the health IT functions that support a generic ambulator. patient
    care process.
    3. Identif. the health IT functions that support a generic inpatient care
    process.
    (nit Topics " 7ecture Titles
    3.6 Inpatient #rocesses 4s 0mbulator. #rocesses: 2omparing and 2ontrasting
    3.3 1ealth IT !upport of 2are #rocesses $Inpatient C -utpatient&
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture #a
    6. Middleton, G., ?andhi, T.J., Gates, 8.(. #atient !afet.: The Fole of Information
    Technolog.. In: Memel 8!' editor$s&. Effectie Management of 1ealthcare
    Information: Leadership Foles, 2hallenges, and !olutions. 2hicago, IL:
    1ealthcare Information C Management !.stems !ociet.' 355). 0ailable from:
    http://www.partners.org/cird/!taff#rj.aspEcGo"M#ubs
    3. 8esFoches 2.M., 2ampbell, E.?., Fao, !.F., et al. Electronic health records in
    ambulator. care**a national sure. of ph.sicians. N 9n"l J :ed) 3559 Hul
    )')=;$6&:=5*>5. 0ailable from:
    ). http://www.ncbi.nlm.nih.go/pubmed/69=>=9==
    <. 4incent, 2. 5atient Safety. %irst Edition. Elseier, 7ew Kork, 355>.
    7ecture #a Images
    !lide 3: 2omposite Image. 2ourtes. 8r. #atricia 0bbott
    !lide ): 2linician 8iscusses Medical Test Fesults. 0ailable from:
    http://www.flickr.com/photos/=;>)3=>)Q75</>65<5>935;/siBes/m/in/photostream/
    0ttribution 3.5 ?eneric $22 GK 3.5&
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 66
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    !lide <: Image 6D#aper 2hart #ile. 2ourtes. 8r. #atricia 0bbott
    Image 3. (oman Monitoring #atient 8ata. 2ourtes. 40. 0ailable from:
    http://www.minneapolis.a.go/features/thumbnailPphotosP695"6)5/thumbP3566593>Pt
    eleicu.jpg
    !lide =: Image 6D0rm. field hospital. 2ourtes. ,! 0rm.. 0ailable from:
    http://www.cs.amedd.arm..mil/
    Image 3D#oster. 0ailable from:
    http://www.flickr.com/photos/forumone/==35:=:>69/siBes/m/in/R35photostream/
    0ttribution*7on2ommercial*7o8eris 3.5 ?eneric $22 GK*72*78 3.5&
    !lide >: #atient Geing transported. %ort Geloir, 40D%ort Geloir 2ommunit. 1ospital.
    0ailable from:
    http://www.flickr.com/photos/beloirhospital/=9>):)96::/siBes/m/in/photostream/
    0ttribution*7on2ommercial 3.5 ?eneric $22 GK*72 3.5&
    !lide :: 2linician and #atient. 2ourtes. 7ational 2ancer Institute. 0ailable from:
    http://www.cancer.go/#ublished2ontent/Images/images/documents/>9>dbfa<*d6fc*
    <a=6*9956*6bfde33=c3b:/ldPcostPofPcare.jpg
    !lide 9: (ine ?lasses. 0ailable from:
    http://www.flickr.com/photos/nickwheeleroB/3335559>9;/siBes/m/in/photostream
    7ick (heeler 2reatie 2ommons 0ttribution*7on 2ommercial*!hare0like 3.5 ?eneric
    $22 GK*72*!0 3.5&
    7ecture #)
    6. 7ational 2enter for Fesearch Fesources. Electronic 1ealth Fecords: 0n
    -eriew. 355>. 0ailable from:
    http://www.ncrr.nih.go/publications/informatics/E1F.pdf
    7ecture #) Images
    !lide 3: Image 6DMan at 2ounter. International Institute for 2ommunication and
    8eelopment $II28 & The 1ague, 7etherlands $3559& . 0ailable from:
    http://www.flickr.com/photos/iicd/=)<;6555>3/siBes/m/in/photostream/
    0ttribution 3.5 ?eneric $22 GK 3.5&
    Image 3. #rocess 8iagram. 2ourtes. 8r. #atricia 0bbott
    !lide ): Image 6DMan at 2ounter. International Institute for 2ommunication and
    8eelopment $II28 & The 1ague, 7etherlands $3559& . 0ailable from:
    http://www.flickr.com/photos/iicd/=)<;6555>3/siBes/m/in/photostream/
    0ttribution 3.5 ?eneric $22 GK 3.5&
    Image 3. #rocess 8iagram. 2ourtes. 8r. #atricia 0bbott
    !lide <: Image 6D2omputer !creen with #atient 8ata. Lucas #ettinati, GraBil
    0ailable from:
    http://www.flickr.com/photos/lpettinati/))<=:993:>/siBes/m/in/photostream/
    0ttributionD7on2ommercial*7o8eris 3.5 ?eneric $22 GK*72*78 3.5&
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    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    (nit Suggeste5 1ea5ings
    6. 7ational 2enter for Fesearch Fesources. Electronic 1ealth Fecords: 0n
    -eriew. 355>. 0ailable from:
    http://www.ncrr.nih.go/publications/informatics/E1F.pdf $,se 2hapters
    6 C 3&
    Stu5ent +pplication +cti'ities
    comp:Punit3Pactiities.doc
    comp:Punit3PactiitiesPke.Pdoc
    comp:Punit3PselfPassess.doc
    comp:Punit3PselfPassessPke..doc
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 6)
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit 3
    (nit Title
    (n5erstan5ing In4ormation 8:change in HIT Systems
    (nit 0escription
    ,nit ) will focus upon the functional aspects of interoperabilit. within and between
    s.stems. 0ppl.ing didacticall. presented concepts to hands on lab assignments,
    students will be challenged to locate and collate data from disparate s.stems and to
    assist users in planning for enhanced information flow in 1IT s.stems.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. Identif. entities that are commonl. inoled in 1IT s.stem data e"change.
    3. E"plain the need for standards and wh. the. e"ist.
    ). 8efine and differentiate between ocabular., content e"change, and
    priac. and securit. standards.
    <. 2ompare current efforts to facilitate health information e"change between
    proiders, communities, regions, and nation $71I7, 1IEs, 71I7 8irect&.
    (nit Topics " 7ecture Titles
    ).6 L T.pes of Information E"change
    ).3 L @Meaningful ,seA and 1IT Information E"change
    ).) L T.pes of !tandards
    ).< L 1IE Initiaties
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture 3
    6. 7ational 0lliance for 1IT Feport to the -72 on 8efining Je. 1ealth Information
    Technolog. Terms $0pril 39, 3559&
    0ailable from:
    http://www.hhs.go/healthit/documents/m35595>5)/65P3PhitPterms.pdf
    3. 7ational Librar. of Medicine 1IT standards. 0ailable from:
    http://www.nlm.nih.go/healthit.htm
    7ecture 3 Images
    !lide 6: 1ealth 2are #rofessionals. 7ational 2ancer Institute $72I& Fhoda Gaer,
    #hotographer.
    !lide <: E"change. 2ourtes. Michael 4aughn
    !lide >: Man Moing from -ne 2it. to 0nother with 1is 1ealth Fecord. 2reated b.
    Michael 4aughn, used with permission. 2lip art obtained from
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 6<
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    http:""wwwopenclipartorg
    !lide 9: 2ommunication %low. 8epartment of 8efense. 0ailable from:
    http:""*itc4hu5isamil"5cr"gig*pg
    !lide ;: Hoint Initiatie 2ouncil -rganiBation 2hart. 01IM0. 0ailable from:
    http:""li)raryahimaorg
    !lide 65: 1ealth Information E"change 8iagram. 0ailable from: wwwahr;go'
    !lide 66: !creen !hot of M. 1ealthe4et. 0ailable from: http:""wwwmyhealth'ago'"
    (nit Suggeste5 1ea5ings
    1. @(hat is the 71I7EA 0ailable at:
    http://healthit.hhs.go/portal/serer.pt/gatewa./#T0F?!P5P65:<6P9::)>9P5P5P
    69/(hatIsThe71I7.pdf
    2. !imon !, Eans !, Genjamin 0, 8elano 8, Gates 8. #atients 0ttitudes Toward
    Electronic 1ealth Information E"change: Iualitatie !tud.. H Med Internet Fes.
    355;' 66$)&:e)5. 0ailable from: http://www.jmir.org/355;/)/e)5/
    3. Gouhaddou -, (arnekar #, #arrish %, 8o 7, Mandel H, Jilbourne H, Lincoln M.
    E"change of 2omputable #atient 8ata between the 8epartment of 4eterans
    0ffairs $40& and the 8epartment of 8efense $8o8&: Terminolog. Mediation
    !trateg.. H 0m Med Inform 0ssoc. 3559' 6=$3&: 6:<*69). 0ailable from:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M233:<:;:/EtoolMpubmed
    4. Feiew the 7I!T $7ational Institute of !tandards and Technolog.s 1ealth
    Information Technolog. $1IT& Implementation Testing and !upport web site at:
    http://healthcare.nist.go/
    Stu5ent +pplication +cti'ities
    comp:Punit)Pactiities.doc
    comp:Punit)PactiitiesPke..doc
    comp:Punit)PselfPassess.doc
    comp:Punit)PselfPassessPke..doc
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 6=
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit <
    (nit Title
    The 844ecti'e IT System
    (nit 0escription
    ,nit < is designed to emphasiBe the aspects of 1IT that contribute to effectieness and
    meaningful use. The concepts of usabilit., consistenc., and reliabilit. in regards to 1IT
    s.stems and how each contributes to, or detracts from, effectieness will be presented.
    8efinitions of eidence*based practice and guideline*enhanced care will be coered in
    addition to how 1IT can support effectie, safe, and efficient patient*centered care.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. Identif. characteristics of an effectie 1IT s.stem.
    3. 8efine and proide e"amples of how eidence*based practice can be
    supported in 1IT !.stems.
    ). 8efine and cite e"amples of usabilit. / configurabilit. / scalabilit. and
    reliabilit. in 1IT !.stems.
    <. List and contrast different t.pes of reports/+ueries $predefined s. ad hoc&
    re+uired for internal and e"ternal reporting.
    (nit Topics"7ecture Titles
    6.6 * Effectie 1IT
    6.3 * 2haracteristics of Effectie 1IT
    6.) * !upporting (orkflows
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture <
    6. 2rossing the Iualit. 2hasm: 0 7ew 1ealth !.stem for the 36
    st
    2entur.. $3556&.
    Institute of Medicine of the 7ational 0cademies. 0ailable from:
    http:""wwwiome5u"1eports"#!!$"Crossing=the=>uality=Chasm=+=%ew=
    Health=System=4or=the=#$st=Centuryasp:
    3. 8ennison H, Eisen !, Towers M, C 2lark 2I. $355>&. 0n Effectie Electronic
    !urgical Feferral !.stem. #nnals of The ,oyal olle"e of Sur"eons of 9n"land)
    99$>&: ==<*==> 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC$?@37@A"BtoolCpu)me5
    ). ?ibbons F, 0ntman E, C !mith !. $3565&. 1as guideline deelopment gone
    astra.E 7o. 0ritish :edical Journal, )<5:c)<).
    <. I!- 6)<5:. $6;;;&. 1uman 2entered 8esign #rocesses for Interactie !.stems.
    0ailable at: http:""wwwisoorg"iso"catalogueD5etailhtmBcsnum)erC#$$?7
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 6>
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    =. 7ational ?uideline 2learinghouse. 0genc. for 1ealthcare Fesearch and Iualit..
    0ailable from: http:""wwwgui5elinego'"a)out"a)outasp:
    >. (ebster L, C !hapiro F. $3565&. 1ealth information technolog.: 0 new world for
    pharmac.. Journal of the #merican 5harmacists #ssociation) 3565 0pril' =5$3&:
    e35*e)<. 0ailable from: http:""*aphametapresscom"openurlaspB
    genreCarticle9i5C5oi:$!$33$"3+,h+#!$!!?$7!
    7ecture < Images
    !lide ): ,.!. #ublic 1ealth !erice Logo. 0ailable from: http:""wwwusphsgo'"
    !lide <: 1ands on Je.board. 2reatie 2ommons Image !ource . 22 GK 3.5 b. Mike
    Traboe. 0ailable from:
    http:""www4lickrcom"photos"mtra)oe"3EE3!@E@E?"siFes"m"in"photostream"
    !lide =: #ersonal !creenshot. 0ailable from:
    http:""wwwiome5u"1eports"#!!$"Crossing=the=>uality=Chasm=+=%ew=Health=
    System=4or=the=#$st=Centuryasp:
    !lide >: Image 6D#ills. 0ailable from:
    http:""www4lickrcom"photos"sil'erline5winne)ago"$<!E#$@!A!"siFes"m"in"photost
    ream"
    0ttribution*7on2ommercial*7o8eris 3.5 ?eneric $22 GK*72*78 3.5&
    !ilerlined(innebago
    Image 3D0rm Gand. 4eterans 0dministration. 0ailable from:
    http:""wwwhouston'ago'"pressreleases"newsD#!!#!?$!aasp
    !lide :: (orkflow 8iagram. 0ailable:
    http:""www4lickrcom"photos"4enng"3#@#$#<<"siFes"m"in"photostream"
    8aid %eng. 0ttribution*7on2ommercial*!hare0like 3.5 ?eneric $22 GK*72*!0 3.5&
    !lide 9: Galancing Focks. 0ailable from:
    http:""www4lickrcom"photos"pree4"#@?<$#E@@" .
    Ton. Foberts 0ttribution*7on2ommercial*!hare0like 3.5 ?eneric $22 GK*72*!0 3.5&
    !lide ;: 1app. 2omputer. 0ailable from:
    http:""$)p)logspotcom"DaV6gl)Gug'<"SHCIi72,o6I"+++++++++uo";'c8,)aI
    cMG"s$@!!=h"happyJcomputer*pg.
    22 GK*72*!0 3.5 b. 2.cloneOs !ketchblog.
    (nit Suggeste5 1ea5ings
    1. (ebster L, !piro F. 1ealth information technolog.: 0 new world for pharmac..
    Hournal of the 0merican #harmacists 0ssociation. 3565 0pril' =5$3&: e35*e)<.
    0ailable from: http://japha.metapress.com/openurl.aspE
    genreMarticleCidMdoi:65.6))6/H0#h0.3565.5;6:5
    2. 8ennison H, Eisen !, Towers M, 2lark 2I. 0n Effectie Electronic !urgical
    Feferral !.stem. 0nnals of The Fo.al 2ollege of !urgeons of England. 355>'
    99$>&: ==<*==> 0ailable from:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M26;>):>9/EtoolMpubmed
    Stu5ent +pplication +cti'ities
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 6:
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    comp:Punit<Pactiities.doc
    comp:Punit<PactiitiesPke..doc
    comp:Punit<PselfPassess.doc
    comp:Punit<PselfPassessPke..doc
    +55itional Materials
    -rientation 4ideos $optional&
    #art 6: The Feports Tab
    #art 3: Feporting 2linical s 0d1oc
    #art ): %un with ?raphs
    #art <: Fesoling Feminders
    #art =: %acilitating Iualit. Efficienc. with Feminders
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 69
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit E
    (nit Title
    2un5amentals o4 (sa)ility in HIT SystemsKWhat 0oes It MatterB
    (nit 0escription
    ,nit = will present the basic concepts of usabilit. in general and 1IT usabilit.
    specificall.. !tudents will be e"posed to usabilit. bottlenecks and learn to identif.
    usabilit. roadblocks in the E1F! lab s.stem, h.pothesiBing potential downstream
    effects of poor usabilit., and suggesting solutions/alternate designs. This unit will detail
    the relationships between usabilit., user satisfaction, and workarounds.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. 8efine usabilit. in relation to 1IT s.stems
    3. E"plain the impact of 1IT usabilit. on user satisfaction, adoption, and
    workarounds in error rates or unintended conse+uences
    ). #roide alternaties to 1IT usabilit. bottlenecks
    (nit Topics"7ecture Titles
    =.6 * 8efining ,sabilit.
    =.3 * ,ser 2entered 8esign
    =.) * ,sabilit. in 1IT
    =.< * Impact of #oor 1IT ,sabilit.
    =.= * !trategies for Gottlenecks
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture Ea
    6. Ergonomic Fe+uirements for -ffice (ork with 4isual 8ispla. Terminals $48Ts& L
    #art 66 ?uidance on ,sabilit.. I!-/IE2 ;3<6.
    3. Joppel, F. #., (etterneck, T. M., Telles, H. L., C Jarsh, G.*T. $3559&.
    (orkarounds to Garcode Medication 0dministration !.stems: Their -ccurrences,
    2auses, and Threats to #atient !afet.. Journal of the #mericna :edical
    !nformatics #ssociation, <59*<36.
    ). 7ational Feiew -nline, NMarines Turned !oldiersA 8ecember 65, 3556. < !tar
    ?eneral Eric !hinseki, ,.!. !ecretar. of 4eterans 0ffairs. 0ailable from:
    http:""ol5nationalre'iewcom"comment"comment=owens$#$!!$shtml
    <. 7ational Transportation !afet. Goard E"ecutie !ummar. of its final report into
    the 8ener crash. Hanuar. 3>, 6;;;. 0ailable from:
    http:""wwwa'we)com"other"nts)??!Ehtml
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 6;
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    =. 7ielsen, Hakob. 8efinition of ,sabilit.. 0ailable from:
    http:""wwwuseitcom"alert)o:"#!!3!A#Ehtml
    7ecture Ea Images
    !lide 3: 8oor 0larm. 0ailable from:
    http:""www4lickrcom"photos")rettli5er"E@$E$?!!3<"siFes"m"in"photostream"
    0ttributionD!hare 0like 3.5 ?eneric $22 GK*!0 3.5& Grett L.Os #hotostream.
    !lide <: Man in %ront of #2 !creen, %ace in 1ands. 2ourtes. %ederal 8rug
    0dministration$%80&. 0ailable from:
    http:""wwwaccess5ata45ago'"scripts"c5rh"c45ocs"psn"printerc4mBi5C<?7
    !lide =: Image 6D7otification window: NThis is a generic notification bo". Kou should
    not be seeing this bo".A
    Image 3DError message : Error opening this file. 2ourtes. 8r. #atricia 0bbott
    !lide >: ,ser*centered 8esign. 0dapted from I!- standard 6)<5: b. 8r. #atricia 0bbott
    !lide :: Image 6. The !i" Iteratie !teps of ,ser*2entered 8esign.
    Image 3D-lder 0sian (oman. 2ourtes. Mark Glatt, M.8. $1IM!! #resentation' M20'
    355;&
    !lide 9: Eric !hinseki: :
    th
    ,! !ecretar. of 4eterans 0ffairs. 2ourtes. 4eterans
    0dministration. 0ailable from: http:""www$'ago'"opa")ios"
    !lide ;: 8octors and Medics in a Makeshift %ield 1ospital 8uring a Mass*2asualt.
    E"ercise on %ort Gragg, 7.2. 2ourtes. ,! 0rm.. 0ailable from:
    http:""+rmymilimages
    7ecture E)
    6. 2ampell, E.M., ?uappone, J.#., !ittig, 8.%., et al. 2omputeriBed #roider -rder
    Entr. 0doption: Implications for 2linical (orkflow. H ?en Intern Med 355;' 3<$6&
    36*3>. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#@!7E$?"
    3. Ergonomic Fe+uirements for -ffice (ork with 4isual 8ispla. Terminals $48Ts& L
    #art 66 ?uidance on ,sabilit.. I!-/IE2 ;3<6 * 66:6;;9 $E&. ?enea, !witBerland.
    6;;9.
    ). ?uappone, J.#., 0sh, H.!., !ittig, 8.%. %ield Ealuation of 2ommercial
    2omputeriBed #roider -rder Entr. !.stems in 2ommunit. 1ospitals. 0MI0
    0nnu !.mp #roc 3559. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#@EE?<A"BtoolCpu)me5
    <. 1IM!! E1F ,sabilit. Task %orce. 8efining and Testing EMF ,sabilit.: #rinciples
    and #roposed Methods of EMF ,sabilit. Ealuation and Fating. 355;. 0ailable
    from:
    http:""wwwhimssorg"content"4iles"HIMSSD0e4iningan5Testing8M1(sa)ility
    p54
    =. Joppel, F., (etterneck, T., Telles, H.L. (orkarounds to Garcode Medication
    0dministration !.stems: Their -ccurrences, 2auses, and Threats to #atient
    !afet.. Hour 0mer Med Inform 0ssoc 3559' 6=$<&: <59*<3). 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#<<##@<"BtoolCpmcentreF
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 35
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    >. ,sabilit. Gasics. 0ailable from: http:""wwwusa)ilitygo'")asics"in5e:html
    7ecture E) Images
    !lide 3: Image 6DGar 2ode on 0rm. 2ourtes. 8r. Foss Joppel, ,niersit. of
    #enns.lania
    Image 3D%l.ing Trauma ,nit. ,! Militar.. 0ailable from:
    http:""wwwa4mil"photos"me5iaDsearchaspB;Cme5icaL#7
    !lide ): E"ample of Gad (ebpage. 2ompiled image. 2ourtes. 8r. #atricia 0bbott
    !lide <: E1F !creen !hots. 2ourtes. 8r. #atricia 0bbott
    !lide =: Elderl. woman and 2aregier. 2ourtes. -n Geing. 0ailable from:
    http:""www4lickrcom"photos"speakingo44aith"<?$$#$<?@@"siFes"m"in"photostream
    0ttribution*7on2ommercial*!hare0like 3.5 ?eneric $22 GK*72*!0 3.5&
    !lide >: 2hessboard. 2ourtes. Hose 8aniel MartineB. 0ailable from:
    http:""www4otope5iacom"items"eks'a'A3iak43=5ICI4V@!;w+
    0ttribution*7on2ommercial*!hare0like ).5 ,nported $22 GK*72*!0 ).5&.
    !lide :: 0lbert Einstein. #hoto from the ,! 7ational Librar. of 2ongress. #ublic
    8omain.
    (nit Suggeste5 1ea5ings
    1. ?uappone J#, 0sh H!, !ittig 8%. %ield Ealuation of 2ommercial 2omputeriBed
    #roider -rder Entr. !.stems in 2ommunit. 1ospitals. 0MI0 0nnu !.mp #roc.
    3559. 0ailable from: http://www.ncbi.nlm.nih.go/pmc/articles/#M23>==;<9/E
    toolMpubmed
    2. Joppel F, (etterneck T, Telles HL. (orkarounds to Garcode Medication
    0dministration !.stems: Their -ccurrences, 2auses, and Threats to #atient
    !afet.. Hour 0mer Med Inform 0ssoc. 3559' 6=$<&: <59*<3). 0ailable from:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M23<<33></EtoolMpmcentreB
    3. 2ampell EM, ?uappone J#, !ittig 8%, 8.kstra F1, 0sh H!. 2omputeriBed
    #roider -rder Entr. 0doption: Implications for 2linical (orkflow. H ?en Intern
    Med. 355;' 3<$6& 36*3>. 0ailable from:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M23>5:=6;/
    4. 1IM!! 1EF ,sabilit. Task %orce. 8efining and Testing EMF ,sabilit.: #rinciples
    and #roposed Methods of EMF ,sabilit. Ealuation and Fating. 355;. 0ailable
    from:
    http://www.himss.org/content/files/1IM!!P8efiningandTestingEMF,sabilit..pdf
    Stu5ent +pplication +cti'ities
    comp:Punit=Pactiities.doc
    comp:Punit=PactiitiesPke..doc
    comp:Punit=PselfPassess.doc
    comp:Punit=PselfPassessPke..doc
    +55itional Materials
    -rientation 4ideos $optional&
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 36
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    #art 6P!imple Interface 0djustments %ont !iBe C #resentation -rder
    #art 3P2reated a ,ser !pecific 4iew with ?raphing
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 33
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit @
    (nit Title
    HIT 2acilitate5 8rrorKCause an5 844ect
    (nit 0escription
    ,nit > is a unit that will focus upon error in health and healthcare that can be facilitated
    and propagated b. 1IT. 8ifferent classes of 1IT errors $slips/mistakes,
    omission/commission& will be discussed and differentiated. !pecific scenarios that
    create opportunities for 1IT facilitated error will be presented to students in the lab
    e"ercises. In these e"ercises, students will appl. concepts learned in the didactic
    portion of this unit to identif. error, classif. error, anal.Be root cause, and propose
    solutions.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. E"plain the concept of facilitated error in 1IT
    3. 2ite e"amples of situations where 1IT s.stems could increase the
    potential for user error
    ). 0nal.Be sources of 1IT facilitated errors and suggest realistic solutions
    (nit Topics"7ecture Titles
    >.6 L Error in 1ealthcare
    >.3 L Error 4ocabular.
    >.) L Technolog. Induced Error
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture @a
    6. 0sh H., Gerg, M., 2oiera, E. !ome ,nintended 2onse+uences of Information
    Technolog. in 1ealth 2are: The 7ature of #atient 2are Information !.stem*
    related Errors) 355<. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC3E3!$E"
    7ecture @a Images
    !lide 6: 7a. -fficer E"amining a #aper Medical Fecord. Image 2ourtes. ,! 8ept. of
    7a.. 0ailable from: http:""commonswikime5iaorg"wiki"2ile:(SD%a'yD!@$!3!=%=
    $3#AC!@$D(SD%a'yDHospitalDCorpsmanD3osephDMalan5roD4romDHa55onDTow
    nship/D%3/D4ilesDme5icalDrecor5sDatDtheDMichau5DMe5ical=0entalD2acility*pg
    !lide 3: -perating Foom Team. 0ailable from:
    http:""www4lickrcom"photos"ooocha"3!E?@!E?@?"siFes"m"in"photostream"
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 3)
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    0ttribution*!hare0like 3.5 ?eneric $22 GK*!0 3.5& Marion 8oss
    !lide ): 7urse 2hecking a ManOs Glood #ressure. 2ourtes. 8r. #atricia 0bbott
    !lide <: 1eparin Gottles with the ,FL to the Iuaid Twins Moie. 0ailable from:
    http:""newsin*ury)oar5com"more=5eaths=reporte5=as=)a:ter=e:pan5s=heparin=
    recallasp:Bgooglei5C#?A@A
    0ttribution*7on2ommercial*!hare0like ).5 ,nported $22 GK*72*!0 ).5& Injur. Goard
    7ational 7ewsdesk
    !lide =: 1eparin Gottles. 0ailable from: http:""newsin*ury)oar5com"more=5eaths=
    reporte5=as=)a:ter=e:pan5s=heparin=recallasp:Bgooglei5C#?A@A
    0ttribution*7on2ommercial*!hare0like ).5 ,nported $22 GK*72*!0 ).5& Injur. Goard
    7ational 7ewsdesk
    !lide >: (oman Looking at Man !uspiciousl.. 0ailable from:
    http:""www4lickrcom"photos"tre'in"#!@37<@!?7"
    0ttribution*7on2ommercial*!hare0like 3.5 ?eneric $22 GK*72*!0 3.5& Trein 2how
    7ecture @)
    6. 01FI (eb MCM: ?lossar.. 0ailable from:
    http:""wwwwe)mmahr;go'"popupDglossaryasp:BnameCmistakes
    3. 0sh, H., !ittig, 8., 2ampbell, E., ?uappone, J., 8.kstra, F. !ome ,nintended
    2onse+uences of 2linical 8ecision !upport !.stems. 355:. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#A$3@@A"
    ). ?raham ,T.0.8., Jushniruk , 0.(., Gullard, M.H., et al. 1ow ,sabilit. of a (eb*
    Gased 2linical 8ecision !upport !.stem 1as the #otential to 2ontribute to
    0derse Medical Eents. 3559. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#@EE?7!"
    <. 1uman %actors 8efinition $3555&. 0ailable from:
    http:""wwwh4esorg"We)"85ucational1esources"H285e4initionsmainhtml
    =. Hoint 2ommission. c3566. 0ailable from:
    http:""www*ointcommissionorg"sentinele'ents"seDglossaryhtm
    >. -h !hnocksS The state of healthcare technolog. in @5;A med?adget. < 7oember
    355;. 0ailable from:
    http:""wwwme5ga5getcom"archi'es"#!!?"$$"ohDshnocksDtheDstateDo4Dhe
    althcareDtechnologyDinD!?html
    7ecture @) Images
    !lide 3: Images 6 and ). N SS!T-#SS 8o 7ot 8isturbS #assing Medications. 2reated b.
    8r. #atricia 0bbott.
    Image 3: 2orpsman ?iing !hot to %emale #atient. 0ailable from:
    http:""4armEstatic4lickrcom"<$#E"E!?<<AE7?!D55e#e$)73E*pg
    0ttribution*7on2ommercial 3.5 ?eneric $22 GK*72 3.5&
    !lide <: %rustrated Man. 2reatie 2ommons. 0ailable from:
    http:""www4lickrcom"photos"$<E$$#E3M%!<"<<$$<?7!A7"siFes"m"in"photostream"
    0ttribution 3.5 ?eneric $22 3.5&.
    4ideo: @-h !chnocksSA The state of healthcare technolog. in 355;.
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 3<
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    0ailable from: http:""wwwyoutu)ecom"watchB'CW:>7F57*wp<
    !lide =: 1uman %actors in !urger.. 4ideo %rom the Ma.o 2linic, 0ailable from:
    http:""wwwyoutu)ecom"watchB'C:17A5NTGy?c
    !lide >: ,rinal. 0ailable from:
    http:""www4lickrcom"photos"e:ecutionsin4o"#<@E#?!$$E/
    0ttribution*7on2ommercial 3.5 ?eneric $22 GK*72*!0 3.5&
    (nit Suggeste5 1ea5ings
    1. @1ow ,sabilit. of a (eb*Gased 2linical 8ecision !upport !.stem 1as the
    #otential to 2ontribute to 0derse Medical Eents.A 0ccessed Hune 39, 3565 at:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M23>==;:5/
    2. @!ome ,nintended 2onse+uences of 2linical 8ecision !upport !.stems.A
    0ccessed on Hune 39, 3565 at:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M2396)>>9/
    3. @!ome ,nintended 2onse+uences of Information Technolog. in 1ealth 2are:
    The 7ature of #atient 2are Information !.stem*related Errors;) 0ccessed Hune
    3, 3565 at: http://www.ncbi.nlm.nih.go/pmc/articles/#M2)=)56=/
    Stu5ent +pplication +cti'ities
    comp:Punit>Pactiities.doc
    comp:Punit>PactiitiesPke..doc
    comp:Punit>PselfPassess.doc
    comp:Punit>PselfPassessPke..doc
    +55itional Materials $#resentation ideos&
    Three ideos, aailable online at the time these materials were created, illustrate
    seeral of the concepts coered in the presentations and readings. These three ideos
    are integrated directl. into the presentation.
    6. Errors in Medication 0dministration from KouTube L The !tor. of the Iuaid
    Twins: http://www..outube.com/watchEMTEbf;bli-us $If the ideo is not
    aailable at the time of student access, on an. web ideo search engine using
    the terms @Iuaid Twins L Medication ErrorA will return nearl. the same ideo.&
    3. Technolog. Induced Error * @-h !chnocksSA The state of healthcare technolog.
    in 355;: http://www..outube.com/watchEM("ILBdLjwp<
    ). 1uman %actors in !urger. 4ideo. %rom the Ma.o 2linic.
    http://www..outube.com/watchEM"F:9dTTK.;c
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 3=
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit 7
    (nit Title
    ,rotecting ,ri'acy/ Security/ an5 Con4i5entiality in HIT Systems
    (nit 0escription
    ,nit : is designed to present an oeriew of the concepts of priac., securit., and
    confidentialit. of protected health information $#1I& in relation to 1IT s.stems. Threats
    to #1I fre+uentl. encountered in 1IT enironments such as password sharing, offsite
    access to E1F!, challenges of staff turn*oer and student access, unauthoriBed
    access, etc. will be detailed. !tudents will be e"posed to simulated breeches of priac.,
    securit. and confidentialit. of #1I in lab e"ercises, asked to identif., and propose
    strategies to thwart.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. E"plain and illustrate priac., securit., and confidentialit. in 1IT settings.
    3. Identif. common threats encountered when using 1IT.
    ). %ormulate strategies to minimiBe threats to priac., securit., and
    confidentialit. in 1IT s.stems.
    (nit Topics"7ecture Titles
    :.6 L 0dministratie !afeguards
    :.3 L #h.sical !afeguards
    :.) L Technical !afeguards
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture 7a
    1. The 7ationwide #riac. and !ecurit. %ramework for Electronic E"change of
    Indiiduall. Identifiable 1ealth Information. c3559. 0ailable from:
    http://healthit.hhs.go/portal/serer.pt/gatewa./#T0F?!P5P65:)6P9<9599P5P5P
    69/7ationwide#!P%ramework*=.pdf
    7ecture 7a Images
    !lide =: 2oer !heet from an 7ational Institute of !tandards and Technolog. $7I!T&
    Information !ecurit. 8ocument. 2ourtes. 7ational Institute of !tandards $7I!T&.
    !lide ;: 7ationwide #riac. and !ecurit. %ramework for Electronic E"change of
    Indiiduall. Identifiable 1ealth Information. 3559. 0ailable from:
    http:""healthithhsgo'"portal"ser'erpt"gateway",T+1HSD!D$!73$DA<A!AAD!D!D$A
    "%ationwi5e,SD2ramework=Ep54
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 3>
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    !lide 65: !ecurit. -perations in 0ction. 2ourtes. 2enters for 8isease 2ontrol.
    !lide 66: 0 7ew I!I! 4ideo 2amera. 2ourtes. 8epartment of 1omeland !ecurit..
    0ailable from:
    http:""www5hsgo'"4iles"programs"gcD$#73$@!E@33@#shtmI
    !lide 63: 0 Fegularl. !cheduled !ecurit. 0wareness Training !ession. Image courtes.
    282.
    !lide 6): @!.mposium on 8iersit., Leadership 8eelopment and !uccession #lanningA
    at the 282. 2ourtes. 282.
    !lide 6<: 8octor Looking Through Medical Fecords. 2ourtes. 11!.
    !lide 6=: 2enters for 8isease 2ontrols 0ctiit. Lead for the 8iision of !pecialiBed
    Media, #ete !eidel. 2ourtes. 282.
    7ecture 7)
    6. 0merican 1ealth Information Management 0ssociation. 0ailable from:
    http:""wwwahimaorg"
    3. Ensuring !ecurit. of 1igh*Fisk Information in E1Fs c3559. 0ailable from:
    http:""li)raryahimaorg":pe5io"groups"pu)lic"5ocuments"ahima")ok$D!3??E
    @hcspB50oc%ameC)ok$D!3??E@
    ). 1I#00 !ecurit. !eries: !ecurit. 656 for 2oered Entities .c355< 0ailable from:
    http:""wwwhhsgo'"ocr"pri'acy"hipaa"a5ministrati'e"securityrule"security$!
    $p54
    <. 7ationwide #riac. and !ecurit. %ramework for Electronic E"change of
    Indiiduall. Identifiable 1ealth Information. c3559. 0ailable from:
    http:""healthithhsgo'"portal"ser'erpt"gateway",T+1HSD!D$!73$DA<A!AAD
    !D!D$A"%ationwi5e,SD2ramework=Ep54
    =. !cribd. Mobilit. Infrastructure !olution 8esign ?uide. c3559. 0ailable from:
    http:""wwwscri)5com"5oc"#<?7E$$E",rocur'e=Wi4i=%etwork=0esign=Hui5e
    >. ,.!. 8epartment of 1ealth and 1uman !erices. 0ailable from:
    http:""wwwhhsgo'"
    7ecture 7) Images
    !lide ): 1I##0 !ecurit. Gulletins. 2ourtes. 1I##0. 0ailable from:
    http:""wwwhhsgo'"ocr"pri'acy
    !lide =: Logo of the %ederal Trade 2ommission. 2ourtes. %ederal Trade 2ommission.
    !lide >: 2loud 2omputing will 2hallenge !ecurit. #olicies. 2ourtes. ,.!. 8ept. of
    2ommerce
    !lide :: The %ield of !ecurit. 1as to 0dapt. 2ourtes. 7ational Institutes of 1ealth $7I1&
    !lide 9: 0 !ophisticated ,sers !tation. 2ourtes. 7ational !cience %oundation $7!%&
    0ailable from: http:""wwwns4go'"o5"lpa"news"press"!!"stimEhtm
    !lide ;: Transmission !ecurit. 2ontrols #reent ,nauthoriBed 0ccess to e#1I.
    0ailable from: http:"")logtsago'"#!!A"!A"encryption=is=issue=in=case=o4=
    missinghtml
    (nit Suggeste5 1ea5ings
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 3:
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    6. 1I#00 !ecurit. !eries: !ecurit. 656 for 2oered Entities .c355< 0ailable from:
    http://www.hhs.go/ocr/priac./hipaa/administratie/securit.rule/securit.656.pdf
    3. Ensuring !ecurit. of 1igh*Fisk Information in E1Fs c3559. 0ailable from:
    http://librar..ahima.org/"pedio/groups/public/documents/ahima/bok6P5);;=>.hcs
    pEd8oc7ameMbok6P5);;=>
    ). The 7ationwide #riac. and !ecurit. %ramework for Electronic E"change of
    Indiiduall. Identifiable 1ealth Information. c3559. 0ailable from:
    http://healthit.hhs.go/portal/serer.pt/gatewa./#T0F?!P5P65:)6P9<9599P5P5P
    69/7ationwide#!P%ramework*=.pdf
    +55itional Materials
    1. The ,.!. 8epartment of 1ealth and 1uman !erices. 0ailable from
    http://www.hhs.go/
    2. The 0merican 1ealth Information Management 0ssociation. 0ailable from:
    http://www.ahima.org
    3. The 7ationwide #riac. and !ecurit. %ramework for Electronic E"change of
    Indiiduall. Identifiable 1ealth Information. c3559. 0ailable from:
    http://healthit.hhs.go/portal/serer.pt/gatewa./#T0F?!P5P65:)6P9<9599P5P5P69/
    7ationwide#!P%ramework*=.pdf
    4. !cribd. Mobilit. Infrastructure !olution 8esign ?uide. c3559. 0ailable from:
    http://www.scribd.com/doc/3<;:=66=/#rocure*(ifi*7etwork*8esign*?uide
    Stu5ent +pplication +cti'ities
    comp:Punit:Pactiities.doc
    comp:Punit:PactiitiesPke..doc
    comp:Punit:PselfPassess.doc
    comp:Punit:PselfPassessPke..doc
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 39
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit A
    (nit Title
    HIT System ,lanning/ +c;uisition/ Installation/ 9Training: ,ractices to Support 9
    ,it4alls to +'oi5
    (nit 0escription
    ,nit 9 is a unit where the core definitions and concepts of 1IT s.stems planning,
    ac+uisition, installation, and training are presented. 0 ariet. of different settings will be
    used as e"amples in the unit, including small office practices, communit. clinics, acute
    care facilities, and skilled nursing facilities. !tudents will conduct simulated user needs
    anal.sis, and using the lab E1F!, will identif. gaps in meeting those needs. !tudents
    will deelop training plans for a ariet. of settings.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. 2onduct a basic user needs anal.sis for a gien e"ample situation.
    3. 2reate a plan for training users in a small office practice, a large
    communit. clinic, or a single unit in an ambulator. care setting.
    ). Identif. seeral potential challenges that ma. emerge during installation
    and generate a strateg. to sole $space, wiring, lack of basic computer
    literac. in staff, etc.&.
    (nit Topics"7ecture Titles
    9.6 L The !.stems 8eelopment #rocess
    9.3 L Gusiness #rocess
    9.) L Training
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture Aa Images
    !lide <: The !.stems 8eelopment #rocess. 2ourtes. Michael 4aughn.
    !lide >: Implementation !teps. 2ourtes. Michael 4aughn
    !lide 9: (orkflow 8iagram .2ourtes. Michael 4aughn
    !lide 65: Gusiness #rocess %low 2hart. 2ourtes. 8r. #atricia 0bbott.
    !lide 63: 2linician Looking at 2omputer. 2ourtes. 2enters for 8isease 2ontrol.
    0ailable from: http:""wwwc5cgo'"
    7ecture A)
    6. 2alman,7., Jitson, J., 1auser, 8. ,sing Information Technolog. to Improe
    1ealth Iualit. and !afet. in 2ommunit. 1ealth 2enters. #ro 2ommunit. 1ealth
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems 3;
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    #artnership. 355; 8ec <. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#7AA7@7"BtoolCpu)me5
    3. LorenBi, 7., Jouroubali, 0., 8etmer, 8., Gloomrosen, M. 1ow to successfull.
    select and implement electronic health records $E1F& in small ambulator.
    practice settings. GM2 Medical Informatics and 8ecision Making. 355;';:6=.
    0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#@@#A#?"p54"$<7#=@?<7=?=
    $Ep54
    ). Tools for !killed 7ursing %acilities C LT2 Toolkit. 0ailable from:
    http:""wwwstratishealthorg"e:pertise"healthit"nursinghomes"nhtoolkithtml
    <. 8-I*IT $@8ock*itA&: 0ailable from: http:""wwwmassproorg"5ocs"tools"0&>IT
    L#!WOL#!4orL#!W8Op54
    =. 1ealth Information Technolog. Toolkit for #h.sician -ffices. 0ailable from:
    http:""wwwstratishealthorg"e:pertise"healthit"clinictoolkithtml
    >. Tools for 2ommunit. 1ealth 2linics C !afet. 7ets Toolkit. 0ailable from:
    http:""wwwstratishealthorg"e:pertise"healthit"hospitals"htoolkithtml
    7ecture A) Images
    !lide ;: 2linician looking at computer. Image courtes. 2enters for 8isease 2ontrol.
    282. #1ILP)>><Plores.jpg
    (nit Suggeste5 1ea5ings
    6. 2alman 7, Jitson J, 1auser 8. ,sing Information Technolog. to Improe 1ealth
    Iualit. and !afet. in 2ommunit. 1ealth 2enters. #ro 2ommunit. 1ealth
    #artnership. 355; 8ec <. 0ailable from:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M23:99:>:/EtoolMpubmed
    3. LorenBi 7, Jouroubali 0, 8etmer 8, Gloomrosen M. 1ow to successfull. select
    and implement electronic health records $E1F& in small ambulator. practice
    settings. GM2 Medical Informatics and 8ecision Making. 355;';:6=. 0ailable
    from:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M23>>393;/pdf/6<:3*>;<:*;*6=.pdf
    Stu5ent +pplication +cti'ities
    comp:Punit9Pactiities.doc
    comp:Punit9PactiitiesPke..doc
    comp:Punit9PselfPassess.doc
    comp:Punit9PselfPassessPke..doc
    +55itional Materials
    Toolkits
    -ur goal to teach .ou where to find the answers rather than proiding reams of material
    for students to memoriBe.
    !tratis1ealth $slide 6>&
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems )5
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    1ealth Information Technolog. Toolkit for 7ursing 1omes
    http://www.stratishealth.org/e"pertise/healthit/nursinghomes/nhtoolkit.html
    8-I*IT $slide 6:&
    0 !.stems 0pproach to -perational Fedsign
    http://www.norc.org/>3:=/Module=/0R35!.stemsR350pproachR35toR35-perational
    R35FedesignR35(orkbook.pdf
    !tratis1ealth $slide 6:&
    1ealth Information Technolog. Tool for #h.sician -ffice
    http://www.stratishealth.org/e"pertise/healthit/clinics/clinictoolkit.html
    !tratis1ealth $slide 69&
    1ealth Information Technolog. Toolkit for 2ritical 0ccess and !mall 1ospitals
    http://www.stratishealth.org/e"pertise/healthit/hospitals/htoolkit.html
    +55itional In4ormation
    01FI 7ational Fesource 2enter
    1ealth IT 0doption Toolbo"
    http://healthit.ahr+.go/portal/serer.ptE
    openM=63CobjI8M65::CcachedMtrueCmodeM3CuserI8M:))5
    2ommunit. 2linics Initiatie 1ealth Information Technolog. Fesource ?uide
    http://www.communit.clinics.org/files/95<PfileP1ITF?P,pdatedP355;P%I70L.pdf
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems )6
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit ?
    (nit Title
    ,otential Issues with +5option an5 Installation o4 an HIT system
    (nit 0escription
    The basics of human behaior, change, and adaptation will be discussed. !trategies for
    dealing with barriers to implementation $human and structural& will be coered.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. Identif. fre+uentl. encountered challenges to adoption and
    implementation of 1IT s.stems.
    3. 8esign an action plan to address barriers to implementation of an 1IT
    s.stem.
    ). #ropose solutions to common problems in the implementation of 1IT
    s.stems.
    (nit Topics"7ecture Titles
    ;.6 L (h. !.stems %ail
    ;.3 L 2ritical !uccess %actors in 1IT 0doption/Implementation
    ;.) L 2ommon 2hallenges
    ;.< L #otential !trategies
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture ?
    6. 0dler, J. 1ow to !uccessfull. 7aigate Kour E1F Implementation' %amil.
    #ractice Management. 355: %ebruar.. 0ailable from:
    http:""wwwaa4porg"4pm"#!!7"!#!!"p33html
    3. Gartos, 2., Gulter, G., #enrod, L., %ridsma, 8., 2rowle., F. 7egatie 2#-E
    0ttitudes 2orrelate with 8iminished #ower in the (orkplace) #:!# #nnu Symp
    5roc 3559' 3559: )>*<5. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#@EE?73"
    ). 7eto, 0., 2hen, T. C 2han H. @-rder effectN in the proision of medication
    information. MH0 3553' 6:> $9&: <56*<535
    <. #s.chiatric 7ews' Ma. :, 3565 ' 4olume <= 7umber ; #age >' from the
    0merican #s.chiatric 0ssociation. 0ailable from:
    http:""psychnewspsychiatryonlineorg"issuesasp:B*ournali5C@$
    =. Triedi, M., 8al., E., Jern. H., et al. Garriers to implementation of a computeriBed
    decision support s.stem for depression: an obserational report on lessons
    learned in Nreal worldN clinical settings.A GM2 Medial Informatics and 8ecision
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems )3
    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Making 355;. 0ailable from: http:""www)iome5centralcom"$<7#=@?<7"?"@
    >. (alsh, !. The clinicianOs perspectie on electronic health records and how the.
    can affect patient care. GMH 355< Ma. 6=: )39$:<<;&: 669<*669:. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC<$$$!3"BtoolCpmcentreF
    7ecture ? Charts/ Ta)les/ an5 2igures
    ;.6 0dler, J. 1ow to !uccessfull. 7aigate Kour E1F Implementation' %amil. #ractice
    Management. 355: %ebruar..
    0ailable from: http:""wwwaa4porg"4pm"#!!7"!#!!"p33html
    ;.3 Goonstra, 0., Groekhusis, M. Garriers to the acceptance of electronic medical
    records b. ph.sicians from s.stematic reiew to ta"onom. and interentions. 0:
    Health Services ,esearch 3565, 65:3)6 .0ailable from:
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    (nit Suggeste5 1ea5ings
    1. Triedi M, 8al. E, Jern H, ?rannemann G, !underajan #, 2laassen 2. Garriers to
    implementation of a computeriBed decision support s.stem for depression: an
    obserational report on lessons learned in Nreal worldN clinical settings.A GM2
    Medial Informatics and 8ecision Making 355;. 0ailable from:
    http://www.biomedcentral.com/6<:3*>;<:/;/>
    2. (alsh, !. The clinicianOs perspectie on electronic health records and how the.
    can affect patient care. GMH 355< Ma. 6=: )39$:<<;&: 669<*669:. 0ailable from:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M2<6665)/EtoolMpmcentreB
    3. Gartos 2, Gulter G, #enrod L, %ridsma 8, 2rowle. F. 7egatie 2#-E 0ttitudes
    2orrelate with 8iminished #ower in the (orkplace. 0MI0 0nnu !.mp #roc 3559'
    3559: )>*<5. 0ailable from:
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    1esources
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    4ersion ).5/!pring 3563
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    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    6. Goonstra 0, Groekhusis M. Garriers to the acceptance of electronic medical
    records b. ph.sicians from s.stematic reiew to ta"onom. and interentions.
    0: Health Services ,esearch 3565, 65:3)6 0ailable from:
    http://www.biomedcentral.com/6<:3*>;>)/65/3)6 $comp:Punit;Phandout3&
    3. 0dler, J. 1ow to !uccessfull. 7aigate Kour E1F Implementation' %amil.
    #ractice Management. 355: %ebruar.. 0ailable from:
    http://www.aafp.org/fpm/355:/5355/p)).html $comp:Punit;Phandout6&
    ). 01FI Emerging Lessons Toolkit:
    http://healthit.ahr+.go/portal/serer.pt/communit./ahr+*
    fundedPprojects/>=</emergingPlessons/6633:
    <. 00%#: 1IT in the !mall -ffice -nline Tutorials
    http://www.centerforhit.org/online/chit/home/cme*learn/tutorials.html
    =. 1IM!! %l.er L ?etting !tarted (ith 0n E1F
    http://www.himss.org/content/files/?etting!tartedEMFP%l.er6.pdf
    >. 02#: E1F 0doption Foad Map and Tools
    http://www.acponline.org/runningPpractice/technolog./ehr/roadmap/
    :. 1F!0 Implementation Tool Jit
    http://www.hrsa.go/publichealth/business/healthit/toolbo"/1ealthIT0doptiontoolb
    o"/
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    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit $!
    (nit Title
    HIT an5 +spects o4 ,atient=Centere5 Care
    (nit 0escription
    #atient*centered care will be defined and e"plained. The aspects of 1IT that support
    $and detract& from patient*centered care will be discussed. !pecific e"amples will be
    proided. !tudents will e"plore aspects of 1IT that currentl. support patient*centered
    care and will propose new methods for enhancing patient*centered care.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. 8efine patient*centered care.
    3. !uggest 1IT*enabled solutions/strategies to enhance patient inolement
    in health and healthcare
    ). 0ssess the effectieness of 1IT s.stems in supporting patient*centered
    care.
    <. #erform self*assessment of personal beliefs related to 1IT and patient*
    centered care.
    (nit Topics"7ecture Titles
    65.6 L #atient 2entered 2are
    65.3 L Measuring Effectieness of #atient 2entered 0pproaches
    65.) L E"ploring an E"ample of 1IT
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture $!a
    6. Getter 8iabetes 2are, 355>. (hat (e (ant to 0chiee Through !.stems
    2hanges..Fetrieed 65/69/3566. 0ailable from:
    http:"")etter5ia)etescarenihgo'"WH+Tpatientcentere5carehtm
    3. Getter 8iabetes 2are. 2ourtes.: 7ational Institutes of 1ealth. .0ailable from:
    http:"")etter5ia)etescarenihgo'"WH+Tpatientcentere5carehtm
    ). 2rossing the Iualit. 2hasm: 0 7ew 1ealth !.stem for the 36st 2entur.:
    2ommittee on Iualit. of 1ealth 2are in 0merica' Institute of Medicine,
    (ashington, 82, 3556.
    <. 8owns, !. $3565&. (h. I (ant a Glue Gutton. 1uffington #ost. 0ailable from:
    http:""wwwhu44ingtonpostcom"stephen=*=5owns"why=i=want=a=)lue=
    )uttonD)D7@A$?Ehtml
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    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    IT&. 0ailable at: http:""wwwahr;go'"clinic"tp"pcchittphtm
    >. %o", !., Hones, !. The !ocial Life of 1ealth Information. #ew Internet. 355;.
    0ailable from: http:""wwwpewinternetorg"1eports"#!!?"A=The=Social=7i4e=
    o4=Health=In4ormationasp:
    :. 4ideo: 8on GerwickD(hat #atient 2entered 2are Feall. Means. 0ailable from:
    http:""wwwyoutu)ecom"watchB'CSSauhro2Tpk
    7ecture $!a Images
    !lide 6: 1ispanic Man C 7urse #ractitioner. 0ailable from:
    http:""www4lickrcom"photos"us5ago'"E!E?A$E?A?"siFes"m"in"photostream"
    2ourtes. the ,! 8epartment of 0griculture: 0ttribution*7o8eris 3.5 ?eneric $22 GK*
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    0ailable from: http:"")etter5ia)etescarenihgo'"M+I%4rameworkhtm
    Image 3D?irl, #roider, and Mother. 2ourtes. the 7ational Institutes of 1ealth.
    0ailable from: http:"")etter5ia)etescarenihgo'"M+I%whathtm
    !lide <: 0ged 1and. 2ourtes. ,nited 7ations #hotos: 0ailable from:
    http:""www4lickrcom"photos"unDphoto"EE!?A73@$?"siFes"m"in"photostream"
    0ttribution*7on2ommercial*7o8eris 3.5 ?eneric $22 GK*72*78 3.5&
    !lide =: 8on Gerwick. 2ourtes. ,! 8epartment of 1ealth and 1uman !erices.
    0ailable from: http:""wwwhhsgo'"open"images"5onal5D)erwick*pg
    !lide >: Image 6D7ursing 0atar. 2ourtes. 8r. #atricia 0bbott.
    Image 3D#atient Like Me. 0ailable from:
    http:""enwikipe5iaorg"wiki",atientsDlikeDme.
    !lide :: 0 Medical Model 4EF!,! #atient*2entered . 0dapted from public domain
    materials supported b. 8epartment of 1ealth and 1uman !erices. 0ailable from:
    http:""wwwesr5netEorg"2iles"85ucation"Training=Mo5"Mo5ule=#==,atient=
    Centere5=Careasp:
    !lide 9: Man Iuestioning 0nother and 0frican 0merican 2linician with 2lipboard:
    0genc. for 1ealthcare Iualit. and Fesearch: 0ailable from:
    http:""wwwahr;go'";uestionsaretheanswer"
    !lide ;: !creenshot of http:""wwwahr;go'"clinic"tp"pcchittphtm. 2ourtes. 8r.
    #atricia 0bbott.
    !lide 65: 0 #icture of the ?reek ?od Jairos. 0ailable from:
    http:""wwwmuseoegiFioit"
    7ecture $!)
    6. Glue Gutton Initiatie. 0ailable from:
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    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    !lide ): M. 1ealth.e4et site. 2ourtes. the ,! 8epartment of 4eterans 0ffairs.
    0ailable from: wwwmyhealth'ago'
    !lide <: M. 1ealth.e4et Ganner . 2ourtes. the ,! 8epartment of 4eterans 0ffairs .
    0ailable from: wwwmyhealth'ago'
    !lide =: Glue Gutton. 2ourtes. of the ,! 8epartment of 4eterans 0ffairs. 0ailable from:
    wwwmyhealth'ago'
    !lide :: I*pad health apps. 2ourtes. 8r. #atricia 0bbott
    !lide ;: Gab. on computer .!ource:
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    %rancis
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    (nit Suggeste5 1ea5ings
    6. @(ho will demand access to their personal health recordE 0 focus on the users
    of health serices and what the. want.A 0ccessed Hune 65, 3565 at:
    http://www.longwoods.com/content/6;=5) $#ubMed 2entral L -pen 0ccess
    article&
    3. @8eeloping Informatics Tools and !trategies for 2onsumer*centered 1ealth
    2ommunication.A 0ccessed Hune 39, 3565 at:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M23<<33==/
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    comp:Punit65PactiitiesPke..doc
    comp:Punit65PselfPassess.doc
    comp:Punit65PselfPassessPke..doc
    +55itional Materials
    1esources
    6. 2ommittee on Iualit. of 1ealth 2are in 0merica: 2rossing the Iualit. 2hasm: 0
    7ew 1ealth !.stem for the 36st 2entur.: Institute of Medicine, (ashington, 82,
    3556.
    3. 8own !. (h. I (ant a Glue Gutton. 1uffington #ost. 0ailable from:
    http://www.huffingtonpost.com/stephen*j*downs/wh.*i*want*a*blue*
    buttonPbP:>96;=.html
    ). %o" !, Hones !. The !ocial Life of 1ealth Information. #ew Internet. 355;.
    0ailable from: http://www.pewinternet.org/Feports/355;/9*The*!ocial*Life*of*
    1ealth*Information.asp"
    <. #atients Like Me. c355=*3566. 0ailable from:
    http://www.patientslikeme.com/
    =. (hat (e (ant to 0chiee Through !.stems 2hanges. Getter 8iabetes 2are.
    c355>. 0ailable from:
    http://betterdiabetescare.nih.go/(10Tpatientcenteredcare.htm
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    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems )9
    4ersion ).5/!pring 3563
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    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component 7"(nit $$
    (nit Title
    Health IT in the 2uture
    (nit 0escription
    This unit will focus upon future directions for 1IT. 7ew areas of research and
    deelopment in 1IT will be e"amined. !tudents will gain a foundational understanding
    of these areas and will debate appropriateness and feasibilit. of new 1IT deelopment
    areas.
    (nit &)*ecti'es
    G. the end of this unit the student will be able to:
    6. !peculate the relationship between 1IT and health reform
    3. !uggest alternatie design for usable C supportie 1IT
    ). 1.pothesiBe how 1IT ma. intersect with publicl. aailable data to improe
    health $i.e. point of sale, weather, ?I!, foods, etc&
    <. #redict aenues of future innoations in 1IT
    (nit Topics"7ecture Titles
    66.6 L 0lternatie 8esigns for 1IT
    66.3 L Infodemiolog.
    (nit 1e4erences
    $0ll links accessible as of 6/6/3563&
    7ecture $$a
    6. #atient #rotection and 0ffordable 2are 0ct b. ,nited !tates 2ongress
    Title III * Improing the Iualit. and Efficienc. of 1ealth. 0ailable from:
    http:""wwwhealthcarego'
    3. 8onald Gerwick, M8, the administrator of the 2enters for Medicare C Medicaid
    !erices $2M!& .0mericaOs 1ealth Insurance #lans $01I#& Medicare 2onference.
    0ugust 3565. 0ailable from: http:""wwwhealthcareitnewscom"news")erwick=
    says=4ragmente5=care=no=longer=option
    ). 8r. Mark !mith, @1ealth IT: 1ope, 1.pe and 1ow to 0oid the Foad to 1ell.A
    0ailable from: http:""wwwchc4org"
    7ecture $$a Images
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    from: http:""healthcarego'
    !lide <: 7urse, #atient, and Telehealth 8eice. 2ourtes. 8r. #atricia 0bbott.
    !lide =: 8r. Mark !mith. 0ailable from: :
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    4ersion ).5/!pring 3563
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    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    http:""e'enton#<com"e'ent1egistration"8'ent7o))ySer'letB
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    ?7, -pen License.
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    images"#!!A"$#"$A"#7E#7"armymil=#7E#7=#!!A=$#=$?=!7$#$?*pg
    Image ). 2ow, a 8.ing Greed, 2at, C Implantable 2hip. 2ourtes. 8r. #atricia
    0bbott.
    !lide :: Image 6. 2orneal smart deice L Image collage adapted from :
    http:""wwwsensime5ch"images"p54"whiteDpaperD4irstDclinicalDe:periencep54.
    Image 3. i#hone concept phone . 0ailable from: http:""techisercom"ne:t=
    generation=iphone=concept=)y=samuel=lee=kwon=$#@AE!html
    Image ). 8isruptie demographics website. 0ailable from:
    http:""www5isrupti'e5emographicscom
    Image <. %le"i*phone . 2ourtes. Heff Mcneill. 0ailable from:
    http:""www4lickrcom"photos"*e44mcneill"3<<?<73@$!"siFes"m"in"photostream"
    7ecture $$)
    6. %leischauer, 0., 8iaB, #., C !osin, 8. $3559&. Giosureillance: 0 8efinition, !cope
    and 8escription of 2urrent 2apabilit. for a 7ational !trateg.. #dvances in
    Disease Surveillance 3559'=:6:=.
    3. 8etmer, 8., Gloomrosen, M., Fa.mond, G., Tang, #. Integrated #ersonal 1ealth
    Fecords: Transformatie Tools for 2onsumer*2entric 2are. GM2 Medical
    Information 8ecision Maker. 3559: 9: <=. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#E?@$!<"
    ). E.senbach, ?. Infodemiolog. and Infoeillance: %ramework for an Emerging !et
    of #ublic 1ealth Informatics Methods to 0nal.Be !earch, 2ommunication and
    #ublication Gehaior on the Internet. Journal of :edical !nternet ,esearch.
    0ailable from: http:""www*mirorg"#!!?"$"e$$
    <. ?oogle %lu Trends. 0ailable from:
    http:""wwwgoogleorg"4lutren5s"'i5eo"Hoogle2luTren5sD(S2lu+cti'itymo'
    =. Looktel. (hat is LookTelE c355;*3566. 0ailable from: wwwlooktelcom
    >. #atrick, J., ?riswold, (., Faab, %., Intille, !. 1ealth and the Mobile #hone. #m J
    5rev :ed. 3559 0ugust' )='3: 6::*696. 0ailable from:
    http:""wwwnc)inlmnihgo'"pmc"articles",MC#E#7#?!"BtoolCpmcentreF
    :. Foehr, G. 1ealth care in ,! ranks lowest among deeloped countries. Gritish
    Medical Hournal, Hul. 36. 3559.
    7ecture $$) Images
    !lide >: Image of ?oogle %lu Trends website. 2ourtes. ?oogle %lu Trends. 0ailable
    from: http:""wwwgoogleorg"4lutren5s"'i5eo"Hoogle2luTren5sD(S2lu+cti'itymo'
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    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    #atrick J, ?riswold (, Faab %, Intille !. 1ealth and the Mobile #hone. 0m H #re Med.
    3559 0ugust' )=$3& 6::*696. 0ailable from:
    http://www.ncbi.nlm.nih.go/pmc/articles/#M23=3:3;5/EtoolMpmcentreB
    8etmer 8, Gloomrosen M, Fa.mond G, Tang #. Integrated #ersonal 1ealth Fecords:
    Transformatie Tools for 2onsumer*2entric 2are. GM2 Med Inform 8ecis Mak. 3559:
    9: <=. 0ailable from: http ://www.ncbi.nlm.nih.go/pmc/articles/#M23=;>65< /
    Stu5ent +pplication +cti'ities
    comp:Punit66Pactiities.doc
    comp:Punit66PactiitiesPke..doc
    comp:Punit66PselfPassess.doc
    comp:Punit66PselfPassessPke..doc
    +55itional Materials
    E.senbach ?. Infodemiolog. and Infoeillance: %ramework for an Emerging !et of
    #ublic 1ealth Informatics Methods to 0nal.Be !earch, 2ommunication and #ublication
    Gehaior on the Internet. Hournal of Medical Internet Fesearch. 0ailable from:
    http://www.jmir.org/355;/6/e66
    1ealth IT (orkforce 2urriculum (orking with 1ealth IT !.stems <6
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    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Component +cronym Hlossary
    08TD0dmission, 8ischarge, Transfer
    01IM0D0merican 1ealth Information Management 0ssociation
    01FID0genc. for 1ealth 2are Iualit. and Fesearch
    0!#Dapplication serice proider
    G2M0DGar 2ode Medication 0dministration
    GM!Dbed management s.stem
    2M!D2enters for Medicare and Medicaid !erices
    2-(!Dcomputers on wheels
    2#-ED2omputeriBed #roider -rder Entr.
    2#F!DcomputeriBed patient record s.stem
    EG#DEidence Gased #ractice
    E1FDElectronic 1ealth Fecords
    e*M0FDelectronic medication administration record
    E#1IDElectronic #rotected 1ealth Information
    ?,IDgraphical user interface
    1IED1ealth Information E"changes
    1IM!!D1ealth Information Management !.stems !ociet.
    1I- D1ealth Information -rganiBation
    1I##0D1ealth Insurance #ortabilit. and 0ccountabilit. 0ct
    1ITE21 0ctD1ealth Information Technolog. for Economic and 2linical 1ealth 0ct
    1ITD1ealth Information Technolog.
    I-MDInstitute of Medicine
    I!-DInternational !tandards -rganiBation
    LI!Dlaborator. information s.stem
    L-I72DLogical -bseration Identifiers 7ame and 2odes
    LT2Dlong term care
    MF7Dmedical record number
    71I7D7ational 1ealth Information 7etwork
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    4ersion ).5/!pring 3563
    This material was developed by Johns Hopkins University funded by the Department of Health and Human Services, Office of the
    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    7I!TD7ational Institute of !tandards
    7T!GD7ational Transportation and !afet. Goard
    -72D-ffice of the 7ational 2oordinator for 1ealth Information Technolog.
    #02!Dpicture archiing and communication s.stem
    #80D#ersonal 8igital 0ssistant
    #1ID#rotected 1ealth Information
    #1FDpersonal health record
    FI!Dradiolog. information s.stem
    !7%D!killed 7ursing %acilit.
    ,28D,ser*2entered 8esign
    ,ML*,nited Modeling Language
    ,!GD,niersal !erial Gus
    40D8epartment of 4eterans 0ffairs
    48TD4isual 8ispla. Terminals
    4ist0D4eterans 1ealth Information !.stems and Technolog. 0rchitecture
    (II%MD(hats in it for me
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    National oordinator for Health !nformation Technolo"y under #ward Number !U$%O&&&'()
    Creati'e Commons +ttri)ution=%onCommercial=Share+like 3!
    (nporte5
    CC OG=%C=S+
    This work is license5 un5er the Creati'e Commons +ttri)ution=%onCommercial=
    Share+like 3! (nporte5 7icense To 'iew a copy o4 this license/ 'isit
    http:""creati'ecommonsorg"licenses")y=nc=sa"3!" or sen5 a letter to Creati'e
    Commons/ $7$ Secon5 Street/ Suite 3!!/ San 2rancisco/ Cali4ornia/ ?<$!E/ (S+
    08T+I7S o4 the %onCommercial=Share+like 3! (nporte5 license:
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    to Share D to cop., distribute and transmit the work
    to 1emi: D to adapt the work
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    licensor $but not in an. wa. that suggests that the. endorse .ou or .our use of the
    work&: 2ourtes. of The ,niersit. of 0labama at Girmingham and the -72 1ealth IT
    (orkforce 2urriculum program.
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