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College of Public Health
Department of Health Information Management and
Technology (HIMT)
INTERNSHIP TRAINING MANUAL
2017/1438
Prepared by:
HIMT Department
HIMT Internship Training Manual, 2015/1436 1
TABLE OF CONTENTS
HIMT Program Description ...................................................................................... 2
Introduction ................................................................................................... 2
Professional Aims ......................................................................................... 2
Curriculum and program learning outcomes................................................. 3
General Rules and Regulations ................................................................................. 4
General Rules and Regulations (Arabic) .................................................................. 9
Internship Program Description ................................................................................ 13
Introduction ................................................................................................... 13
Professional Aims ......................................................................................... 13
Internship Centers ..................................................................................................... 16
Internship Reporting.................................................................................................. 15
Appendices ................................................................................................................
Confidentiality Statement Form .................................................................... 17
Leave Form ................................................................................................... 18
Attendance Form ........................................................................................... 19
Evaluation Form 20
Contacts of Training Affairs Numbers .......................................................... 21
Reporting Form ............................................................................................. 22
Appendix 1: List of Basic and Advanced Tasks for Each Rotation .............. 23
HIMT Internship Training Manual, 2015/1436 2
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PPrrooggrraamm DDeessccrriippttiioonn
Introduction:
Health Information Management and Technology (HIMT) is concerned
with planning, collecting, storage, retrieval, and dissemination of health
information towards providing quality health services. Along with the advances and
innovations taking place around the world in all disciplines especially in the field of
Information Technology, arises the need for highly qualified personnel in the field
of Health Information Management and Technology. The Department of HIMT is
in the College of Public Health. The mission, vision and values of the college are
given in the insert below.
College of Public Health.
Department of Health Information Management and Technology
Vision, Mission & Values of the College of Public Health Vision: A leading college in public health education, research and community services, locally, regionally and internationally. Mission: Providing a high quality professional experience focusing on education, research and community service in public health Values: Respect, Diversity, Teamwork and collaboration, Innovation,
Professionalism and Social responsibility
HIMT Internship Training Manual, 2015/1436 3
Professional Aims:
The HIMT Program aims at graduating technical and executive experts able to:
1- Plan, implement, and evaluate information systems towards full integration
between traditional and new information systems.
2- Manage health information through: Storage and retrieval of medical data;
qualitative and quantitative analysis of medical records; using international
standard coding of diseases; design medical formats and indices manually or
computerized; and design statistical report formats.
3- Assist in designing efficient Health Information Systems (HISs) at health
facilities by planning and implementing: Objectives for HISs; policies
for HISs; procedures for quality HISs; internal and external coordination
between health organizations; human and non-human resources for HISs;
security plans for HISs; and emergency plans for HISs.
4- Coordinate with the health team to: Achieve criteria for valid and
reliable health information; achieve maximum gain from computer
applications for managerial and clinical aspects; undergo health systems
research; and train the health team for the utilization of health systems.
Curriculum and program learning outcomes:
The bachelor degree in Health Information Management and Technology is
based on 4-year program totalling 131 credit units for females (and later 132 credit
units for males) . The first two semesters cover general education requirement. The
remaining six semesters cover multidisciplinary courses in the areas of Health
Information Management, Healthcare Management, Health Information
Technology, Computer Science, and Basic Medical Sciences. In addition, practical
professional experience is carried out in King Fahd University Hospital among
others. The fifth year of the program is an Internship training year carried out in
several hospitals. The four-year Curriculum is shown below, followed by the
program learning outcomes.
HIMT Internship Training Manual, 2015/1436 4
Curriculum, HIMT program
FIRST YEAR – FIRST SEMESTER FIRST YEAR – SECOND SEMESTER
Course Title Course Code
Credit Hours
Course Title Course Code
Credit Hours
English Language ENGL 101
5 English Language ENGL 101
5
Mathematics(1) MATH
111 3 Mathematics(2)
MATH 112
2
Computer Skills COMP
131 2 Physics PHYS 132 3
Learning and Searching Skills
LRSK 141
2 Communication
Skills CMSK142 2
Total 12 Total 16
SECOND YEAR – FIRST SEMESTER SECOND YEAR – SECOND SEMESTER
Course Title Course Code
Credit Hours
Course Title Course Code
Credit Hours
The Economic System Islam
ISLM 251
2 Political System in
Islam ISLM 252 2
Basic Biostatistics HIMT 211
2 System Analysis and
Design-I HIMT
221 3
Principles of Health Care Management
HIMT 212
3 Health Data Content and
Structure
HIMT 223
4
Computer fundamentals in
Health care
HIMT 213
4 Introductory Epidemiology
HIMT 224
2
Intro To HIMT HIMT
214 2
Healthcare Database
Administration
HIMT 225
3
Introduction to Anatomy
ANAT 215
3 Behavioral Science PSYCO
226 2
Medical Terminology
HIMT-216
3
Total 19 Total 16
HIMT Internship Training Manual, 2015/1436 5
Curriculum (cont’d), HIMT program
THIRD YEAR – FIRST SEMESTER THIRD YEAR – SECOND SEMESTER
Course Title Course Code
Credit Hours
Course Title Course Code
Credit Hours
Health Data Classification and Coding System – I
HIMT 311
4 Health Data
Classification and Coding System – II
HIMT 321
4
System Analysis and Design-II
HIMT 314
2 Health info.
Management in Acute Care
HIMT 325
3
Health Care Delivery System
HIMT 315
2 Professional
Practice Experience- I
HIMT 326
2
Fundamentals of Human Diseases –I
HIMT 316
2 Quality
Improvement in Health Care
HIMT 327
3
Intro. To Health Information Applications
HIMT 317
4 Fundamentals of
Human Diseases – II HIMT 328
3
Healthcare Database
Administration II
HIMT 318
2 Electronic Health
Records HIMT 329
3
Total 16 Total 18
FOURTH YEAR – FIRST SEMESTER FOURTH YEAR – SECOND SEMESTER
Course Title Course Code
Credit Hours
Course Title Course Code
Credit Hours
Research Methodology
HIMT 411
3 Professional Code
of Ethics HIMT 421
1
Health info. Management in non
Acute Care
HIMT 413
3 Graduation Project HIMT 424
6
Legal Aspects and Ethics of Health
Information
HIMT 414
2 Human Resource
Management HIMT425 2
Analytical Biostatistics
HIMT 415
3 Financial
Management HIMT 427
2
Professional Practice Experience
- II
HIMT 417
4 Reimbursement Methodologies
HIMT 428
2
Health Economics HIMT 418
3 Computer Networks HIMT 429
3
Total 18 Total 16
Total number of credit hours= 131
HIMT Internship Training Manual, 2015/1436 6
HIMT Program Student Learning Outcomes
Program Student Learning Outcomes
1. Knowledge
1.1 Identify Different theories, techniques and practices related to healthcare
management & quality, health information management, health informatics, and
research.
1.2 Recognize privacy, confidentiality and security of health information as well as
legal and ethical issues in healthcare.
1.3 Describe Methodology & bio-statistical tools in healthcare
2. Cognitive
2.1 Evaluate the implementation and utilization of HIS for healthcare improvement.
2.2 Utilize technology for data collection, storage, analysis and reporting of
information.
2.3 Carry out valid research study in a healthcare setting.
2.4 Use of relevant software to obtain selected HIM outcomes
2.5 Solve complex healthcare issues by utilizing relevant tools, theories, and evidence
based practice.
2.6 Interpret health data from different sources
2.7 Apply disease and procedure codes using international classification systems.
2.8 Compare local and international healthcare delivery and financial systems
3. Interpersonal Skills and Responsibility
3.1 Demonstrate the importance of working in teams
3.2 Demonstrate professionalism and work ethics.
3.3 Apply creative thinking skills
4. Communication, information technology and numerical skills
4.1 Demonstrate excellent oral communication skills.
4.2 Demonstrate excellent academic writing skills.
HIMT Internship Training Manual, 2015/1436 7
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1. Internship Training Administrative Structure
Internship training is directed and supervised by the Dean of the College
2. Admission Requirements
2.1 To be admitted to the College of Public Health Internship training
program, the intern must be a graduate of the Imam AbdulRahman Bin
Faisal University and one who has satisfied all the graduation
requirements, and graduation has been approved by the Faculty Board.
2.2 Graduates from other recognized Allied Medical Sciences/Public Health
Colleges may be accepted upon approval from the Deans and the
Faculty Board. Acceptance is contingent to availability of training
positions.
2.3 Provided that the above requirements are met, priority of admission to
internship training program will be as follows:
2.3.1 Imam AbdulRahman Bin Faisal University-College of
Public Health College graduates.
2.3.2 Graduates from other Saudi Universities.
2.3.2 Graduates from non-Saudi Universities.
2.4 All interns must pass the medical examination and have
required vaccinations as required by each academic
department.
3. Training Period
3.1 The duration of the program is one continuous Hijra Year and is
divided into four (4) rotations.
3.2 Interns training commences at the beginning of new academic year or
on date approved by the Dean of the College.
HIMT Internship Training Manual, 2015/1436 8
4. Training Sites
4.1 Internship training is conducted at King Fahd Hospital of the University
and/or other recognized government or private hospitals.
4.2 Training sites (hospitals) are determined by the HIMT departments
based on criteria ensuring higher standards.
5. Training Program Requirements
5.1. Internship Training is conducted through rotations/sections specific
for each specialty as determined by the HIMT departments.
5.2 Interns are required to work a minimum of 8 hours a day, 5 days a
week OR follow the affiliate hospital’s working hours.
5.3 A training manual is prepared by the HIMT department to include
requirements, rules and regulations, and evaluation forms specific to
each specialty. The training manual is updated on regular basis.
5.4. Interns are required to perform duties as assigned to them by
Supervisors and staff at the training sites.
5.5. Clinical rotations are scheduled in such a way that it meets Imam
AbdulRahman Bin Faisal University requirements for Internship
Training.
5.6. Interns must abide by the approved Internship Training Rules and
Regulations of Imam AbdulRahman Bin Faisal University –
College of Public Health, and rules and policies set by the affiliate
hospital(s).
5.7. Visits to training sites are scheduled to make sure that training is
conducted as planned.
6. Attendance/Leaves/Vacations
6.1 Interns are entitled to official vacation days (Eid-ul-Adha, Eid-ul-
Fitr, and the National Day).
6.2 Start and end of vacations are determined by the Dean of the College
in an official correspondence with affiliate hospitals and interns.
HIMT Internship Training Manual, 2015/1436 9
6.3 Sick and maternity leaves can be exceptionally granted, provided
that legitimate medical report is submitted.
6.4 Seven days are given for interns getting married. Any additional
days should be compensated.
6.5 Sick leaves of more than two days during one particular rotation must
be compensated.
6.6 All leaves of 25% or more of rotation period will result in repeating
the entire period of the rotation.
6.7 Interns must sign in and out attendance sheet, or time-keeping
schedule.
6.8 Frequent tardiness may result in the followings disciplinary
actions: 1) Written warning letter, 2) repeating part of the rotation,
3) repeating the entire rotation.
6.9 Interns may attend symposium/ workshops related to their HIMT,
and time is counted towards training period provided that:
a. Attendance does not affect continuity of training.
b. Approval from College of Public Health after reviewing
scientific program of the symposium.
c. Approval from training site (hospital).
d. Submission of attendance certificate.
HIMT Internship Training Manual, 2015/1436 10
7. Evaluation and Certification
7.1 Interns performance is assessed at the conclusion of each rotation
using standards Evaluation Form designed by respective academic
departments.
7.2 Evaluation of intern’s performance is done by clinical coordinator
or person who has been directly supervising the intern at the
training site.
7.3 Evaluation reports are to be submitted to the Dean of the College of
Public Health.
7.4 Unsatisfactory performance in particular rotation period requires
repeating that rotation.
7.5 Satisfactory performance is defined as grade GOOD or better.
7.6 Interns who have satisfactorily completed the Internship training
period (1 year) will be granted a Certificate of Completion.
8. Confidentiality Statement
All interns rotating to various affiliate hospitals will sign a
confidentiality statement form to protect the rights of the patient for
unlawful disclosure of any information from their medical record. See
Appendix 1 (Confidentiality Statement Form)
HIMT Internship Training Manual, 2015/1436 11
بكلية العلوم الطبية بكلية العلوم الطبية أنظمة ولوائح تدريب الامتيازأنظمة ولوائح تدريب الامتياز
التطبيقيةالتطبيقية
الإشراف الإداري على مرحلة الإمتياز: .أ
يشرف وكيل الكلية لشؤون التدريب على كل مايتعلق بتدريب الإمتياز من ناحية بداية .1
فيات في ذلك، التدريب وتوزيع الطلاب والطالبات على أماكن التدريب والتنسيق مع المستش
وكذلك متابعة أداء وتقييم الطلاب أثناء مرحلة الإمتياز.
يساعد وكيل الكلية لشئون التدريب ممثل عن كل قسم من الأقسام الأكاديمية يتم ترشيحه من .2
قبل رئيس القسم المعني.
قبول الطلاب في مرحلة الإمتياز: .ب
نهى بنجاح متطلبات التخرج من القسم يشترط للبدء في مرحلة الإمتياز أن يكون الطالب قد أ .1
الأكاديمي بكلية العلوم الطبية التطبيقية وان يصدر قرار من مجلس الكلية بالموافقة على
التخرج، ويمكن قبول خريجي الجامعات الأخرى بعد موافقة مجلس الكلية بشرط وجود
أماكن شاغرة للتدريب.
الي:الأولوية للقبول في برنامج الامتياز تكون كالت .2
أ. خريجو كلية العلوم الطبية التطبيقية بجامعة الملك فيصل.2
ب. خريجو كليات العلوم الطبية التطبيقية السعوديين من جامعة سعودية.2
ج. خريجو كليات العلوم الطبية التطبيقية من جامعات أجنبية.2
على جميع الطلاب المرشحون للامتياز استكمال التطعيمات .3
بة حسب متطلبات القسم.المطلو
HIMT Internship Training Manual, 2015/1436 12
ج. مدة مرحلة الامتياز:
( فترات.4مقسمة إلى ) تكون فترة التدريب لمرحلة الامتياز سنة هجرية. .1
تبدأ فترة التدريب الامتياز مع بداية العام الدراسي الجديد ، أو حسب التاريخ الذي يتم إقراره .2
من قبل وكيل الكلية لشؤون التدريب.
مرحلة الامتياز:برنامج التدريب ل .د
يقسم برنامج التدريب في مرحلة الامتياز الى دورات تدريبية يتم فيها توزيع التدريب على .1
الأقسام الرئيسية لكل تخصص على أن يتم تحديد هذه الدورات/ التخصصات من قبل الأقسام
الاكاديمية المعنية.
ي الأسبوع في التدريب العملي ساعات يومياً خمسة أيام ف 8يقضي طالب الامتياز على الأقل .2
أو يخضع لنظام ساعات العمل في القسم الذي يتم فيه التدريب .
كتيب التدريب العملي محتويا على أهداف التدريب ومتطلباته بإعداد الأكاديمية الأقساميقوم .3
يتم مراجعته وتحديثه بصوره دوريه. أنالى نماذج التقييم، على بالإضافة
وموظفي مسئولياز بتنفيذ المهمات المرتبطة بعمله والموكلة إليه من قبل يقوم طالب الامتي .4
القسم الذي يتم فيه التدريب.
يوضع برنامج مجدول للتدريب العملي من قبل القسم الذي يتم في التدريب وذلك بالتنسيق مع .5
امعة الملك الكلية على أن يتوافق ذلك مع متطلبات الامتياز بكلية العلوم الطبية التطبيقية بج
فيصل.
من قبل كلية العلوم الطبية المعتمدةيخضع طلاب مرحلة الامتياز لأنظمة ولوائح الامتياز .6
وكذلك أنظمة ولوائح المستشفى الذي يتم فيه الامام عبد الرحمان بن فيصلالتطبيقية بجامعة
التدريب.
ملية التدريب يوضع جدول لزيارة طلاب الامتياز في اماكن التدريب للتأكد من سير ع .7
التدريب. أثناءصعوبات قد تواجه الطلاب أيبالشكل الصحيح ولمناقشة
هـ. الحضور والإجازات:
يخضع طلاب الامتياز لنظام الإجازات الرسمية التالية )عيد الفطر، عيد الأضحى، اليوم .1
الوطني(.
HIMT Internship Training Manual, 2015/1436 13
لطلاب والمستشفيات يحدد بداية ونهاية الإجازة وكيل الكلية لشؤون التدريب ويتم إبلاغ ا .2
المعنية بذلك.
يمكن منح إجازة مرضية أو إجازة الولادة )بالنسبة للطالبات( بصورة استثنائية على أن يتم .3
إلى تقارير طبية موثقة في ذلك. الاستناد
.للمتدربين. أي أيام إضافية ينبغي تعويضبدل زواج يتم إعطاء سبعة أيام .4
عدى يومان على أن يتم ترتيب التدريب بالتنسيق مع يجب تعويض الإجازة المرضية التي تت .5
الكلية في ذلك.
من مدة الدورة التدريبية فيجب إعادة الدورة %25المرضية عن الإجازةإذا تعدت نسبة .6
التدريبية كاملة.
لطلاب الامتياز من قبل القسم الذي يتم فيه التدريب. والانصرافيجب توثيق الحضور .7
-ر أو الانصراف قد يؤدي إلى بعض أو كل العقوبات التالية:عدم الانتظام في الحضو .8
الدورة كاملة. انذارخطي، ب. إعادة جزء من الدورة التدريبية، ج. إعادة .أ
يمكن لطلاب الامتياز حضور المؤتمرات والندوات وورش العمل المتعلقة بتخصصهم .9
واحتساب تلك المدة من فترة التدريب وفقا للضوابط التالية:
لايؤثر حضور المؤتمر على التدريب العملي. أنأ. 8
ب. موافقة الكلية بعد مراجعة البرنامج العلمي للمؤتمر.8
ج. موافقة القسم الذي يتم فيه التدريب.8
صورة من شهادة حضور المؤتمر الى الكلية. إرسالد. 8
التقييم .و
ز في نهاية كل دورة أو قسم من التدريب باستخدام نماذج التقييم . يتم تقييم أداء طلاب الامتيا1
المعتمدة من قبل الأقسام المعنية.
. يتولى عملية التقييم مسئول/ منسق التدريب في المستشفى الذي يتم فيه التدريب.2
ترسل جميع تقارير التقييم إلى وكيل الكلية لشؤون التدريب لمراجعتها بالتنسيق مع القسم .3
عني.الم
اي من الدورات )أو الأقسام( التدريبية يؤدي إلى إعادة تلك الدورة )أو القسم ( اجتيازعدم .4
التدريبية.
.( على الأقلGood) الدورات التدريبية بنجاح يعني الحصول على تقدير جيد اجتياز .5
مرحلة الامتياز. إتمامبعد اجتياز كل الدورات التدريبية بنجاح يمنح الطالب شهادة .6
HIMT Internship Training Manual, 2015/1436 14
HIMT-Specific Internship Program Description
Introduction:
Following the completion of the study program, the student will spend one
year of training in recognized hospitals and health services facilities. The internship
training is divided into four rotations; each is 18 weeks long, excluding the two Eid
vacations.
The internship will be designed to provide the student with the opportunity
to integrate knowledge, behaviors, and professional attributes acquired throughout
the curriculum that are necessary to the practice of Health Information
Management and Technology. While at training organizations, the student will be
involved in developing insight, understanding and skill in the management of a
health information system. Moreover, students will be exposed to quality
management departments, facilities administration and management of information
departments. While the practical training in the fourth year was based mostly on
observation, the internship training is based on actual application.
At the end of each rotation, each intern should submit a report of the training
experience. The report should include the following:
The training plan
The duration of training in the different components
What was covered in the training
Courses that the intern attended
Special projects done
Good points in the training
Weak points in the training
HIMT Internship Training Manual, 2015/1436 15
Recommendations
Appendices
Professional Aims:
The aims of the Internship program are as follows:
1. Health Information Management: (for complete list of expected tasks see
Appendix 1)
A. Post-Discharge Processing:
1. Assemble hospital inpatient forms in the logical filing order according
to hospital policy.
2. Perform quantitative and qualitative analysis under supervision of
HIM specialist.
3. File and retrieve patient records according to the filing system used in the
hospital whether straight numeric filing or terminal digit filing.
4. Enter complete and accurate data into indexes and registers used by the
HIM Department.
5. To compile statistical report from patient health records for medical,
administrative, legal, and research purposes while ensuring the quality of the
organization’s data before compiling these reports.
B. ICD Coding
1. Extract Pertinent information from patient records and ICD-10 AM clinical
codes.
2. Query physician when code assignment are not straightforward or
documentation in the record is inadequate, ambiguous, or unclear for
coding purposes .
3. Brings identified coding concerns to supervisor’s attention for
resolution.
4. Use computerized encoders to assign ICD codes (if available).
HIMT Internship Training Manual, 2015/1436 16
C. Management of HIM Department:
1. Understand techniques used in the management of the health
Information department such as policy and procedure development
and the budgeting process.
2. Acquire and understanding of the release of information process by
handling patient information requests and inquiries.
3. Understand the medical record cycle in the visited health care facility
by observation and/or performing related duties.
4. Understand issues related to confidentiality , information security ,
information storage, and record retention as well authorship and authentication
of health record documentation, standardization , of medical vocabularies, and
use of classification systems .
2. Health Information Technology:
A. To understand the underlying technologies of the institution such as clients,
servers, network, databases, communication, and health systems.
B. To undertake train duties of various users in the institution on the use of
some of these technologies.
C. To work hands-on with these technologies in a productive manner according
to the needs of the institution.
D. To perform healthcare database administrator duties to whatever extent
possible in the institution.
3. Quality Control Management:
A. To come familiar with the different tools used for assessing quality of
healthcare rendered.
B. To become involved in the various stages of problem solving and evaluating
alternative solutions for problems that might occur during the internship.
C. To monitor various criteria, standards, and quality indicators present at the
institution.
D. To complete statistical report to support quality assurance activities.
HIMT Internship Training Manual, 2015/1436 17
4. Research
A. To help interns make the link between the theory of research and the practice
of research
B. To give interns any tools relevant for research (new software, courses etc)
C. To take interns through the different phases of research, from problem
identification, development of methodology, literature review, analysis ,
results discussion and conclusion
D. To train interns in the application/use of research findings in the hospital
setting
E. To train interns in the presentation of research findings in conference and in
academic publication
5. Health Economics and Business Administration (HEBA)
A. To train interns in the process of billing patients using information from the
information system
B. To training interns in the use of billing software
C. To train interns in the revenue cycle management
D. To train interns on the relationship between hospitals and payers
E. To train inters in other matters related to health economics and business
administration
6. Patient relations
A. To train interns in the understanding the procedures put in place to ensure
patient statisfaction
B. To train interns in the process handling patient complaints and resolving
them
C. To understand the legal implications of unresolved patient complaints
HIMT Internship Training Manual, 2015/1436 18
Internship Centers:
The main medical training centers include the following:
KFSHD King Fahd Specialist Hospital Dammam
KFHU King Fahd Hospital of the University
SAAD SAAD specialist Hospital
NGHA National Guard Health Affairs
SAMSO Saudi SAMSO Medical Services Organization
KFMMC King Fahd Military Medical Complex
DMC Dammam Medical complex
QATIF Qatif General Hospital
FMC_AK Family Medicine Center, Al Akrabiya
KFSHH King Fahd Specialist Hospital Hofuf
MCHD Maternal and Children Hospital, Dammam
JHENT Al Jabr ENT hospital, Al Hassa
HIMT Internship Training Manual, 2015/1436 19
CCoonnffiiddeennttiiaalliittyy SSttaatteemmeenntt FFoorrmm
Imam AbdulRahman Bin Faisal University College of Public Health
Department Of Health Information Management and Technology
CONFIDENTIALITY STATEMENT
........................................../ الطالبة: ... باسم الطال
................................الجامعي: .....................الرقم
.........: ...............................................التخصص
أتعهد أنا الطالب / الطالبة الموضح هويته أعلاه بأن احافظ علىى سىرية و وصوةىية
التىي أتلقىى التىدريب فيىه. مىا المعلومات المتعلقة بالمرضى المتواجىدي فىي المشتىى ى
أتعهد بالح اظ على سرية و وصوةية أية معلومة تتعلق بمكان التدريب.
الالتزام بأنظمىة و تعليمىات الامتيىاز ني مشؤول ع قراءة و فهم و ن ما أعلم تماما بأ
مىىا ورد فىىي تيىىب التىىدريب و مىىا يتعلىىق بهىىا مىى نمىىاةج و اجىىراءات اداريىىة. و أن أقىىوم
ء عملىىي بكىىا أمانىىة و اوىىلا حشىىب مىىا تتطلبىىه ابعىىراف المهنيىىة بمىىا يتوافىىق مىى بىىأدا
أنظمة و قواني المكان الذي اتلقى التدريب فيه.
_____________________ ___________________________
التـــــــــاريخ التوقيــــــــــــــ
HIMT Internship Training Manual, 2015/1436 20
Imam AbdulRahman Bin Faisal University College of Public Health
Department Of Health Information Management and Technology
INTERNSHIP TRAINING PROGRAM
APPLICATION FOR EMERGENCY LEAVE
Date Submitted:__________________
Name of Intern:___________________________________ ID#:________________
Specific Reasoning: ____________________________________________________
Date From: ______________________________ To: _________________________
Hospital Name: _______________________________________________________
Name & Signature of Person in Charge: ___________________________________
Please Fax this form to: 013 - 3330225
p
For University official Use ONLY
Intern to compensate leave: YES: ________ NO: ________
Revised Approved
_______________________________ _______________________________
Coordinator Vice Dean
HIMT Internship Training Training Affairs
Imam AbdulRahman Bin Faisl University
HIMT Internship Training Manual, 2015/1436 21
IMAM ABDULRAHMAN BIN FAISAL UNIVERSITY
COLLEGE OF PUBLIC HEALTH
Department of Health Information Management and Technology
HIMT INTERNSHIP ATTENDANCE FORM
Internship Center:
Intern University ID:
Intern Name:
Date Time In Intern Signature Time Out Intern Signature
HIMT Internship Training Manual, 2015/1436 22
IMAM ABDULRAHMAN BIN FAISAL UNIVERSITY
COLLEGE OF PUBLIC HEALTH
Department of Health Information Management and Technology
Internship Evaluation Form
Student Name: Student ID:
Work Place: Training Period:
Supervisor: Hospital:
Assessment E VG G P Supervisor Comments
Attendance
Punctuality
Attitude in
working
environment
Initiation and
interest to learn
Technical Ability
Knowledge
Reliability and
work quality
Independence and
self confidence
Overall
Performance
E: Excellent VG: Very Good G: Good P: Poor
Additional Comments:
Number of Days Absent: Number of Days compensated:
Supervisor Name: Supervisor Signature:
Date: Official Seal:
HIMT Internship Training Manual, 2015/1436 23
Imam AbdulRahman Bin Faisal University College of Public Health
Department Of Health Information Management and Technology
Contacts of Training Affairs at College of Public Health
Vice Dean for Training Affairs
Dr. Abdulaziz AlMulla Phone 013/3331230
Director of Adminstration and
Finance
Mr Mohammed Radi al Faris
Phone: 013-3 31592
Mobile: 0505907273
HIMT Internship Coordinator
Dr Sulaiman Bah
Phone 013-3-31243
Mobile: 056-281-2189
Internship affairs email: [email protected]
Mailing address:
Dean of the College of Public Health
Imam AbdulRahman Bin Faisal
University
P.O. Box 1982
Dammam 31451
الصىحة العامةكلية عمىد
فيصل ن بنمام عبد الرحملاا جامعة
1982ص.ب:
31451الدمام
HIMT Internship Training Manual, 2015/1436 24
IMAM ABDULRAHMAN BIN FAISAL UNIVERSITY
COLLEGE OF PUBLIC HEALTH
DEPARTMENT OF COMMUNITY HEALTH
HEALTH INFORMATION MANAGEMENT AND TECHNOLOGY PROGRAM
APPENDIX - I
List of Basic and Advanced Tasks for Each Rotation
HIMT Internship Training Manual, 2015/1436 25
IMAM ABDULRAHMAN BIN FAISAL UNIVERSITY
COLLEGE OF PUBLIC HEALTH
DEPARTMENT OF COMMUNITY HEALTH
HEALTH INFORMATION MANAGEMENT AND TECHNOLOGY PROGRAM
Medical Record Department Rotation
SCOPE OF ACTIVITIES:
This rotation allows interns to practice in hospital medical record department and related
units to be able to perform basic medical records tasks such as patient admission and
discharge, filing of medical records, analysis and coding of medical records and release of
information. Interns are required to be involved in advanced health information
management tasks such as operational management of medical record department, data
quality review, research activities and information security.
LEARNING OBJECTIVES
By the end of the health information management rotation interns should be able to
perform:
I. Basic Tasks
A. Patient registration functions
1. Understand the medical record cycle
2. Admit and discharge a patient following correct procedures
3. Familiarize with patient registration at outpatient and emergency departments
B. Filing room procedures
1. Sort, file and retrieve medical records following correct procedures
2. Demonstrate the use of color coding of medical record folders
3. Apply procedures for tracking of medical records
4. Locate misfiled records
5. Implement hospital policies in relation to information storage and record
retention
C. Post-discharge processing activities
1. Assemble hospital inpatient forms in the logical filing order according to
hospital policy
2. Perform quantitative analysis according to hospital policy
3. Perform qualitative analysis according to hospital policy
4. Identify and report deficiencies
5. Enter complete and accurate data onto indexes and registers in use at the
medical record department
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D. Coding and indexing
1. Abstracts pertinent information from patient records.
2. Assigns ICD-9-CM or ICD-10 codes according to hospital policy.
3. Queries physicians when code assignments are not straightforward or
documentation in the record is inadequate, ambiguous, or unclear for coding
purposes.
4. Brings identified coding concerns to supervisor or department manager for
resolution.
5. Use computerized encoders to assign ICD codes
E. Data analysis
1. Ensure the quality of the hospital's data before compiling reports.
2. Calculate basic hospital statistics including hospital census, hospital based-
morbidity and mortality statistics
3. Compile statistical reports from patient health records for medical,
administrative, legal, and research purposes.
4. Achieve competency in the use of computer applications for compiling the
above mentioned statistical reports
F. Release of information
1. Review facility’s confidentiality, information security and release of
information policies and procedures
2. Handles requests and inquiries for patient information
3. Maintain information flow according to the facility’s established guidelines
G. Other traditional health information functions
Interns should be exposed to other functions not covered in the above mentioned
core traditional medical record functions. These include but not limited to:
1. Orientation of transcription functions
2. Perform other related duties incidental to the work described herein.
II. Advanced health information tasks
The following tasks should be conducted under the direct supervision of the director of the
health information department:
A. Assist in the operational management of the medical record department through:
o Determination of the fiscal requirements and prepare budgetary
recommendations
o Monitor expenditure of budgeted funds.
o Establishment of schedules, task assignments and allocation of man hours to
assure compliance with departmental commitments
o Human resource management activities including, but not limited to, hiring,
performance appraisal, promotions and vacation schedules.
o Updating and modifying department’s policy and procedure
o Attend medical record department meetings
B. Review the quality of documentation of inpatient and outpatient records:
o Review of forms used in the hospital
o Identify areas for improving the content and format of forms
o Suggest new systems and methods to make data more accurate, complete and
HIMT Internship Training Manual, 2015/1436 27
accessible.
o Design and use audit tools to monitor the accuracy of clinical coding
Validate ICD-9 CM codes
Missed secondary diagnoses and or procedures
C. Develop statistical reports to help hospital administrators and clinical staff to:
o Monitor hospital spending
o Monitor hospital utilization
o Monitor physician practice patterns
D. Participate in clinical and administrative research activities:
o help in designing studies,
o Verify, examine and correct data
o Retrieve data from patient medical records or hospital databases
o Manipulate and analyze data by using statistical software
E. Assessment of information systems security
o Review the information security policies and procedures instituted by the
hospital
o Perform information security risk assessments
o Review/develop a preliminary disaster recovery and business continuity plans for
information systems
F. Conduct one seminar in each rotation
o to keep employees abreast of new concepts, techniques and changes in Health
Information Management as applied to the current situation
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Information Technology Department Rotation
SCOPE OF ACTIVITIES:
This rotation allows interns to practice in the hospital’s information technology
department and related units to perform IT tasks such as:
1. Software client support and help desk
2. Software installation and configuration
3. Evaluation of different systems
4. Process modelling and evaluation
5. Surveys of user feedback of different systems
6. Form and report design and development
7. Creation of aggregate statistical queries
8. Database design and development of needed systems
9. Helping with the deployment of new systems
10. Training users on new systems
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Quality Management in Healthcare Rotation
SCOPE OF ACTIVITIES
The rotation allows interns to practice the basic concepts of quality in health care
organizations as well as putting hands on the quantitative tools necessary for quality
management and improvement.
ROTATION OBJECTIVES
By the end of the rotation the intern is requested to,
I. Basic Tasks:
Document policies and procedures available at the department
Prepare at least ONE complete flowchart for a certain process
Prepare at least ONE clinical guideline procedure within a department selected
by the quality department supervisors
In case of available database, perform the monthly quality related rates at the
equivalent health care organization; e.g; number of admissions by sex, by age
group, number of patients by clinic (at the outpatient clinic), by department (for
inpatients), postoperative infection rate, etc; using various quality charts (e.g;
bar chart, histogram, pareto)
Preparation of control charts selected by the supervisors at the quality
department
II. Advanced Activities:
Attending quality team meetings and identification of priorities
Problem identification and root cause analyses for problems present within the
rotation time period
Participating in the steps of planning and monitoring of the opportunities for
quality improvement
Preparation, data collection, analysis and reporting of ONE patient satisfaction
questionnaire at the OPD and ONE for inpatients