Health Information Administration — B.S., Certificate

Program director
Pauline J. Calla

Clinical coordinator
Ryan Stephan

Recruitment coordinator
Pauline J. Calla

Advisory committee
Felicia Chao, Chair
Kristen Borth
Deborah Critchfield
Cynthia Doyon
Craig Jackson, ex officio
Raymound Mikaelian
Jennifer Miller
Eric Morales
Gilbert Rodriquez
Braden Tabisula
Brenda Taylor
Marvin Torres

Invitees
Pauline J. Calla
Debra L. Hamada
Terri L. Rouse
Ryan Stephan

Program overview

The Health Information Administrator (HIA) manages health information systems that serve the needs of patients, the health-care team, and the administrative staff. It is an excellent career choice for the person who desires a profession in health care that combines interests in data analytics, computer science, business, management, informatics, law, and medicine. This unique mixture provides the HIA with great opportunities in a variety of different settings and job titles, along with substantial income.

HIAs have opportunities to assist in the development and implementation of health information systems for quality patient care, financial reimbursement, medical research, health-care planning, and health-care quality evaluation. Other responsibilities include privacy, security, and data governance.

One of the many career options chosen by HIAs is the management of a health information department. In this position, managers evaluate and motivate employees, provide leadership in department planning and organizing, determine department policies, and budget department resources. Managers are also involved in decision making and health-care committees.

The HIA designs, develops, and maintains systems for storage, retrieval, and dissemination of information in accordance with federal, state, and local statutes and regulations. This person works with the medical staff and other health professionals in research, administrative studies, functions relative to health information, and patient-care evaluation. The HIA in a health-care facility provides management and leadership in planning and organizing the department, motivating and evaluating employees, and providing in-service programs for departmental employees or other personnel. In addition, strategic planning involvement for health information systems is an important function.

The health information administration curriculum is offered in two pathways as follow:

  1. Bachelor's degree completion program.
  2. Postbaccalaureate degree certificate program for applicants with a bachelor's degree.

The Health Information Administration Program, leading to the Bachelor of Science degree, begins with the Autumn Quarter. Freshman and sophomore years, which are taken at an accredited college or university, afford the fundamentals of a liberal arts education and provide background in science, humanities, social studies, and business. Concentration on health information administration subject matter begins at Loma Linda University in the junior year and continues through the senior year.

Students are advised to complete the curriculum in two years as scheduled. Those electing to study on a part-time basis must complete all course work within a period specified by University policy.

Opportunities

Health information administration provides job flexibility for the person seeking work in a variety of settings.  Many are employed by hospitals and medical centers. However, the job market is rapidly expanding beyond hospitals.  New openings are available in home-health agencies, long-term care facilities, outpatient care, mental health facilities, private medical practices and clinics, insurance companies, health management organizations, commercial and industrial firms, government agencies, legal offices, software vendors, and education.

Job positions include, but are not limited to: director of HIM, privacy officer, security officer, chief compliance officer, EHR implementation specialist, data application or system analyst, data integrity analyst, consultant, cancer registrar, medical office administrator, HIM revenue cycle auditor, revenue cycle manager, REC/HIE exchange director, meaningful use specialist, data quality manager, documentation and coding specialist, and coding manager.

Program learning outcomes

By the end of the program, the graduate should be able to:

  1. Conduct assessment and management of data and information needs for a variety of health-care settings;
  2. Advocate effective strategies for health information protection: privacy, security, and confidentiality;
  3. Recommend technology, database models, and data analytic tools to support decision making and strategic planning;
  4. Discuss and apprise revenue cycle management principles, strategies and processes;
  5. Monitor and analyze compliance with standards, regulations, and laws documentation related to healthcare;
  6. Formulate management and leadership plans and strategies in legal and ethical manners to utilization resources effectively and efficiently;
  7. Integrate pathophysiology, pharmacology, anatomy and physiology, medical terminology, computer concepts and application, and math statistics into the practice of health information administration.

Professional practice experience

Two complimentary types of clinical experience are offered. The first is a variety of assignments and simulated exercises that will acquaint the student with managing information in all aspects of the health-care environment. The second is a 120-hour affiliation during Spring Quarter of the senior year. Arrangements for internships and affiliation sites are made through the program director and the clinical coordinator. Students are responsible for their own transportation, food, and lodging during this affiliation.

Professional registration

Upon completion of either the B.S. degree or the certificate, and upon recommendation of the faculty, graduates are eligible to take the qualifying examination of the American Health Information Management Association, 233 North Michigan Avenue, 21st Floor, Chicago, IL 60601-5809, for the designation of Registered Health Information Administrator.

Professional association

Students and graduates are eligible for becoming members of the American Health Information Management Association and their respective Component State Associations. The purpose of these associations is to promote the art and science of health information management. They grant student memberships at a nominal cost to undergraduates in approved schools. Students are expected to become members of these associations, pay the nominal dues, read the journals, and become familiar with the professional activities.

Credit by examination or evaluation

Applicants who have comparable education or experience may be able to gain credit per University policy.

The Health Information Administration Program is accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM), 200 East Randolph Street, Suite 5100, Chicago, IL 60601; telephone: 312/235-3255; website: <www.cahiim.org>.

In addition to Loma Linda University and School of Allied Health Professions admissions requirements, the applicant must also complete the following requirements:

Health Information Administration—B.S.

To be eligible for admission to the B.S. degree curriculum in health information administration, the applicant must have completed a minimum of 96 quarter units at an accredited college or university.

Domain 1: Religion and humanities (20 quarter units)

Humanities—Choose a minimum of three areas from: history, literature, modern language, philosophy, and art/music appreciation

Included in this minimum are four units of religion per year of attendance at a Seventh-day Adventist college or university

Domain 2: Scientific inquiry and analysis (24-32 quarter units)

Natural sciences (12 units minimum)

Human anatomy and physiology with laboratory, complete sequence

Choose remaining units from: chemistry, geology, mathematics, astronomy, physics, statistics

Social sciences (12 units minimum)

Cultural anthropology or an approved course dealing with cultural diversity

Psychology (one course minimum)

Intermediate algebra (or two years of high school equivalent)

Choose one additional course from: sociology, economics, geography, political science

Domain 3: Communication (9-13 quarter units)

English composition, complete sequence

Business communications or Interpersonal communication

Domain 4: Health and wellness (2-6 quarter units)

Personal health or nutrition

Two physical activity courses

Other

Medical terminology

Electives to meet the minimum total requirement of 96 quarter units

For total unit requirements for graduation, see LLU General Education Requirements.

Health Information Administration—Certificate

To be eligible for admission, the applicant must have a bachelor's degree from an accredited college or university.

Prerequisites

Human anatomy and physiology with laboratory, complete sequence—concurrent with first quarter
Medical terminology
Intermediate algebra or two years of high school math
Psychology course
Business communications or Interpersonal communication 

Courses

HLIN 301. Introduction to Health Data Management. 4 Units.

Introduces scope, functions, and administration of health information management as a profession. Overview of documentation content and structure of paper, hybrid, and electronic health records. Requirements of accrediting, certifying, and licensing entities that guide patient health-data collection, with emphasis on acute care settings. Surveys functions within a health information management department.

HLIN 303. Clinical Classification Systems I. 3 Units.

Principles and conventions for ICD-10-CM and ICD-10-PCS coding techniques by body system and disease process. Basic coding techniques for diagnoses, surgical procedures, and other reasons for health-care encounters.

HLIN 304. Clinical Classification Systems II. 3 Units.

Continues coding techniques and conventions for ICD-10-CM and ICD-10-PCS by body system and disease process. Basic coding techniques for diagnoses, surgical procedures, and other reasons for health-care encounters.

HLIN 305. Health-Care Statistical Applications. 3 Units.

Problem-solving approach to health-care statistical applications and data presentation. Introduces research statistics. Laboratory sessions include instruction in the use of Microsoft Excel for data presentation and analysis.

HLIN 308. Introduction to Data Analytics. 4 Units.

Introduces data management, collection, analysis, and uses in health care. Concepts of transforming data into information, data analytic techniques, and data presentation. Uses software tools for the manipulation, analysis, and presentation of data. Introduces basic health-care statistical techniques.

HLIN 314. Computer System Architecture. 2 Units.

Study of computer system architecture and infrastructure: hardware, software, network topologies and components, networking and telecommunications, terminology, and concepts. Provides an understanding of how a computer works and the reasoning behind computer design.

HLIN 321. Health Information Science and the Health-Care System I. 4 Units.

Overview of U.S. health-care delivery, including the history of health-care institutions, external governance, regulations and standards, reimbursement methods, and the health-care organizations and professionals that provide services. Introduction to information management in health care.

HLIN 322. Health Information Science and the Health-Care System II. 4 Units.

Expanded concepts of information management in health care, including practical applications in information science, accrediting bodies, data management, documentation guidelines and requirements, and data integration standards. Practical applications of information governance in alternative health-care delivery systems.
Prerequisite: HLIN 321.

HLIN 325. Pharmacology for Health Information Administration. 2 Units.

Provides understanding of pharmacology as required for medical record analysis, audits, and other related studies. Basic definitions, sources of information, and classification of drugs.

HLIN 334. Clinical Classification Systems. 4 Units.

Overview of ICD-10-CM and PCS clinical classifcation systems. Internal and external auditing systems for coding compliance.

HLIN 335. Advanced Classification Systems and Coding Compliance. 4 Units.

Application of clinical classification systems and the guidelines for coding compliance. Managing physician query, severity of illness systems, and clinical documentation-improvement processes.
Prerequisite: HLIN 334.

HLIN 340. Seminar and Portfolio for Health Information Management. 4 Units.

Students develop a portfolio that illustrates their acquisition of the knowledge and skills that prepare them for entry into the profession, as well as reflects on the student learning outcomes set by Loma Linda University—including wholeness, Christ-centered values, commitment to discovery and lifelong learning, effective communication, embracing and serving a diverse world, and collaboration. Service learning requirements included.

HLIN 344. Health-Care Informatics and Database Management. 4 Units.

Study of computer system architecture and infrastructure: hardware, software, network topologies and components, networking and telecommunications, terminology, and concepts. Technology support for data collection, storage, analysis, and reporting—including database development and management for meeting user information needs. Construction of data manipulation, extraction, and reporting tools.

HLIN 347. Advanced Information Privacy and Security. 4 Units.

Compares requirements affecting the privacy, security, control, and disclosure of health information. In-depth analysis of legislation governing privacy and security measures in health care. Data quality tools and measures. Examination of security safeguards, including risk assessment, contingency planning and data recovery for various technologies.
Prerequisite: HCBL 346.

HLIN 348. Pathopharmacology for Health Information Administration. 4 Units.

Study of the disease processes in human body systems, as well as drug interventions used in treatment and prevention of disease.

HLIN 354. Professional Practice Experience. 3 Units.

Simulated professional practice experiences and assignments in health information management and technology, during the Spring Quarter of the junior year; includes use of software-as-a-service systems. Written and oral reports of experience.

HLIN 361. Professional Practice Experience I. 1 Unit.

Supervised experience in health information departments and other areas of health care or health-related facilities. Includes applied laboratory assignments for health information administration professional courses.

HLIN 362. Professional Practice Experience II. 1 Unit.

Supervised experience in health information departments and other areas of health care or health-related facilities. Includes applied laboratory assignments for HIIM professional courses.

HLIN 365. Professional Practice Experience III. 1 Unit.

Supervised clinical experience in a health facility or health-related organization, with simulated laboratory experiences and assignments, during the Spring Quarter of the junior year. Written and oral reports of experience.
Prerequisite: Successful completion of required fall quarter courses, enrollment in or completion of required winter courses, and enrollment in required spring quarter courses; or permission of department chair.

HLIN 395. Professional Practice Experience I—Junior Affiliation. 3 Units.

Three-week supervised clinical experience in a health facility or health-related organization at the end of the junior year. Written and oral reports of experience, with classroom discussion. Not required of registered health information technologists (RHITs).
Prerequisite: Completion of junior-year courses and laboratory assignments; or permission of the department chair.

HLIN 402. Health Information Systems II. 5 Units.

Second course in a series of two courses focusing on information system planning, development, and management in health care. Topics include system architecture, technology infrastructure, integration ,and interoperability; application categories employed in health care, including electronic health records; data management strategies, including data quality and standardization movements; decision support; consumer informatics and human-computer interfaces; and data and system security.

HLIN 404. Clinical Terminologies and Vocabularies. 2 Units.

Clinical terminologies, code sets, classifications systems, and nomenclatures as used in the electronic health record.

HLIN 408. Reimbursement for Health Care. 2 Units.

Financial aspects of health care involving prospective reimbursement systems, analysis of various health-care reimbursement schemes, and financial disbursements. Management issues in reimbursement using DRGs, APCs, and other prospective payment systems. Strategies and techniques for successful revenue cycle management.

HLIN 430. Quality Management and Performance Improvement in Health Care. 3 Units.

Continuous quality improvement methodologies and processes applied to patient safety and satisfaction, internal and external regulatory requirements, risk management, evidence-based medicine, and utilization review to achieve optimum patient care.

HLIN 432. Database Management. 2 Units.

Theories and steps of database development using Microsoft Access. Design and construct relationships, forms, advanced queries with SQL, reports, and macros.

HLIN 435. Seminar and Portfolio for Health Information Management II. 4 Units.

Students continue to develop a portfolio that illustrates the potential graduate's ability to meet the student learning outcomes set by Loma Linda University. Provides students with a format for demonstrating their acquisition of the knowledge and skills that prepare them for credentialing and entry into the profession.
Prerequisite: HLIN 340.

HLIN 437. Data Analytics and Visualizations for Health Care. 4 Units.

Introduces data analytics in health care. Concepts of transforming data into useful information to support organizational decisions and outcomes management. Utilizes software tools for the manipulation, analysis, and visualization of data. Applies statistical methods with data extraction methodologies, data exploration, and mining.

HLIN 438. Revenue Cycle Management for Health Care. 4 Units.

In-depth analysis of the U.S. health-care reimbursement system. Addresses principles of revenue cycle management, payment methodologies, and associated data requirements.

HLIN 439. Management in Health Care. 4 Units.

Principles of management and human resources, including: human resource acquisition, training, development, and evaluation; productivity; benchmarking; problem solving, and decision making.

HLIN 440. Leadership and Strategy Management in Health Care. 4 Units.

Leadership theory and principles, including: communication skills; negotiating and influencing; team building and management; workflow optimization; strategy and vision planning; diversity and cultural influences. Reflection and evaluation assessment of personal awareness, strengths, and weaknesses.

HLIN 454. Professional Practice Experience II. 4 Units.

Directed experience at an approved health-care or health-related facility scheduled for 120 hours. Applies skills and knowledge to management. Written and oral reports of experience, with classroom discussion. International experience may be available.
Prerequisite: HLIN 354.

HLIN 462. Professional Practice Experience IV. 1 Unit.

Supervised experience in health information departments and other areas of health care or health-related facilities, with emphasis on management. Includes applied laboratory assignments for HIIM professional courses.

HLIN 463. Professional Practice Experience V. 1 Unit.

Supervised experience in health information departments and other areas of health care or health-related facilities, with emphasis on management. Includes applied laboratory assignments for HIIM professional courses.

HLIN 472. Information Systems Management in Health Care II. 4 Units.

Advanced study of information system development, diffusion, and strategic application in health care and alignment with terminologies, vocabularies, and nomenclatures. System usability, regulatory compliance, advanced security, interoperability, and valuation examined. Health information organizations and operations, consumer and public health informatics, internal and external data integrity and validity.
Prerequisite: HCBL 471.

HLIN 475. Research Methods in Health Information Management. 3 Units.

Introduces the scientific method in research. Focuses on the major steps of the research process as these steps relate to research report evaluation, proposal writing, literature review, development of conceptual framework, identification of variables, statement of hypotheses, research design, and analysis and presentation of data. Common research design and assessment of risk in epidemiologic studies.

HLIN 483. Alternative Delivery Systems in Health Care. 4 Units.

Focuses on health information management in delivery systems such as: long-term care, hospital-based and free-standing ambulatory care, hospice, home health, dialysis centers, veterinary medicine, consulting, correctional facilities, mental health, substance abuse, dental, rehabilitation, managed care, and cancer registry. Health record content, format, and regulatory requirements; the role of the HIM professional; data collection; risk and utilization management; and quality improvement areas.

HLIN 484. Current Topics in Health Information Administration. 4 Units.

Focuses on career planning, management skills, and professional development. Health information management professionals working in various health-care settings share their knowledge and experience with students. Includes preparation exercises for the national credentialing examination.

HLIN 493. Health Information Management I. 4 Units.

Introduces basic management functions, philosophies, principles, and tools of health-care management. Emphasizes management theory, management tools, and application. Specific topics include: planning, organizing, controlling, management by objective, problem solving and decision making, and group dynamics.

HLIN 494. Health Information Management II. 4 Units.

Advanced study of topics relevant to management and leadership in the HIM profession, including leadership theory and strategies; ergonomics/workplace design; individual and organizational productivity; innovation and change management; labor legislation; emotional intelligence; cultural and workforce diversity; ethical and social responsibility; disaster preparedness; entrepreneurism; tactical and strategic planning; contemporary leadership issues.

HLIN 495. Professional Practice Experience Senior Affiliation. 3 Units.

Directed experience at an approved health care or health-related facility. Applies skills and knowledge to management. Written and oral reports of experience, with classroom discussion. International experience may be available.

HLIN 499. Health Information Administration Independent Study. 1-4 Units.

Student submits a project or paper on a topic of current interest in an area of health information administration. Regular meetings to provide the student with guidance and evaluation. Elected on the basis of need or interest. May be repeated.