college of health professions student handbook
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college of health professions student handbook
COHP Student Handbook COLLEGE OF HEALTH PROFESSIONS STUDENT HANDBOOK 2011-2012 Edition (Version update: 9/12/11) COHP Student Handbook COLLEGE OF HEALTH PROFESSIONS STUDENT HANDBOOK 2011-2012 Table of Contents SECTION 1 COLLEGE OF HEALTH PROFESSIONS Acceptance of Policies and Procedures…………………………………………………………. 5 1.1 Welcome to the College of Health Professions………………………………………………….. 6 1.2 Introduction…………………………………………………………………………………………. .6 1.3 Purpose of the College of Health Professions………………………………………..……….…. 7 1.4 Outcomes of the College of Health Professions…………………………………………………. 8 1.5 Davenport University Excellence System ………………………………………………………. 8 1.6 Student Rights……………………………………………………………………………………… .9 1.7 Faculty Rights and Responsibilities………………………………………………………………. 9 1.7.1 Advisory Committees…………….…………………………………………………….…… 9 1.8 College of Health Professions Leadership, Internship Managers and Advisors……….. 10 1.9 Forms……………………………………………………………………………..……….……...… 11 SECTION 2 ACADEMIC PROGRAM REQUIREMENTS AND POLICIES 2.1 Grading Scale……………………………………………………………………………………….. 12 2.2 Program Progression Policy……………………………………………………………………….. 12 2.3 Student Responsibilities and Expectations……………………………………………………….. 12 2.4 Student Re-entry…………………………………………………………………………………….. 13 2.5 Confidentiality Statement……………………………………………………………………………………………...13 2.6 Ethics………………………………………………………………………………………………… 14 2.7 Professional Appearance…………………………………………………………………………… 14 2.8 Dismissal from the College of Health Professions……………………………………………… 14 2.9 Repeating Courses………………………………………………………………………………… 14 2 COHP Student Handbook 2.10 Final Grade Appeal………………………………………………………………………………….. 15 2.11 Attendance…………………………………………………………………………………………. 15 2.12 Course Syllabi……………………………………………………………………………………… 15 2.13 Patient Safety …………………………………………………………………………………………15 2.14 Alcohol and Drug-Free Environment………………………………………………………….……15 2.15 Criminal Background check and Drug Screening………………………………………….…… 16 2.16 Professional Practice Experience,………………………………………………………………. 21 2.17 Personal Health Insurance…………………………………………………………………………. 25 2.18 Requirements for Graduation……………………………………………………………………… 25 2.19 Student Code of Conduct Process………………………………………………………………. 25 2.20 Free Brush-up Classes for DU Graduates…………………………………………………..…… 25 2.21 Health Requirements……………………………………………………………………..…….….. 25 2.21.1 Physical and Emotional Demands 2.21.2 Health Examination 2.21.3 Immunizations 2.21.4 Hepatitis B Vaccine 2.21.5 Screening for Tuberculosis 2.22 Bloodborne Pathogens……………………………………………………………………………… 27 2.23 Exit Exams………………………………………………………………………………………….. SECTION 3 28 COLLEGE OF HEALTH PROFESSIONS PROGRAMS 3.1 Health Information Management Programs……………………………………………………… 29 3.1.2 Health Information Technology (HIT)…………………………………………………… 35 3.1.3 Health Information Management (HIM)……………………………………………....... 47 3.2 Health Insurance Claims Management Programs……………………………………………… 81 3.2.1 Medical Billing…………………………………………………………………………….. 82 3.2.2 Health Insurance Claims Management (HICM)………………………………………. 85 3.3 Health Services Administration Programs……………………………………………………... 94 3.4 Medical Assisting Programs……………………………………………………………………... 105 3.4.1 Medical Assisting Diploma…………………………………………………………………..110 3.4.2 Medical Assisting Associate of Applied Science Degree………………………….........112 3.5 Medical Case Management Program……………………………………………………………. 115 3 COHP Student Handbook 3.6 Phlebotomy Program…………………………………………………………………………… 124 3.7 Nursing Programs………………………………………………………………………………... 131 Nursing Appendix…………………………………………………………………………………. 170 Appendix 1 Universal Precautions/Standard Precautions…………………………………… 170 Appendix 2 Recommendations for Clinical Experience Restrictions………………………. 174 Appendix 3 Michigan Right to Know……………………………………………………………. 176 Appendix 4 American Nurses' Association Code of Ethics for Nurses…………………….. 177 Appendix 5 Scope of Nursing Practice…………………………………………………………. 178 Appendix 6 American Nurses Association Standards of Practice…………………………… 179 Appendix 7 Professional Organizations………………………………………………………… 181 Appendix 8 NLN Standards……………………………………………………………………… 183 Appendix 9 CBC information See below (A-2, A-4) Appendix*………………………………………………………………………………………………….... 189 A-1 A-2 A-3 A-4 A-5 A-6 A-7 A-8 A-9 Common Abbreviations, Acronyms, and Key Words…………………………………. ………190 Student Disclosure (CBC)………………………………………………………………………….192 Statements: Confidentiality, Compliance, Child Protection, Criminal History....……. ………193 Criminal History Check/Drug and Alcohol Screening Authorization Form……………………195 Practicum Process Checklist………………………………………………………………………196 Statement of Physical Fitness……………………………………………………………………..200 Hepatitis Immunization Form……………………………………………………………………….201 Bloodborne Pathogens Exposure/ Needlestick Incident Reporting……………………………202 Professional Standards Form………………………………………………………………………204 * To access the College of Health Professions Student Handbook, go to www.davenport.edu, Health Professions. An electronic copy of the Handbook can be found after clicking on the grey button labeled "Handbook." 4 COHP Student Handbook College of Health Professions Acceptance of Policies and Procedures I, _______________________________ (print name), have received the current Davenport University College of Health Professions Student Handbook. I understand that I am responsible for the information it contains regarding health programs and keeping up to date of any changes to the policies and/or procedures while I am a student in the College of Health Professions. I further understand it is my responsibility to contact an advisor, Chair or Associate Chairs, if I have any question regarding admission into, remaining in, or re-entering of my program. I agree to abide by the policies and requirements as stated in this handbook. I understand that I may need to sign an additional form(s) for my specific program. I understand that I must abide by the professional ethics and standards accepted by professionals and technicians in my individual career choice. Confidentiality of medical information is mandatory. Dress code, personal conduct, and professional attitude are expected throughout my program and I understand that I will be expected to act professionally at all times. Student’s signature Date 5 COHP Student Handbook SECTION 1 - COLLEGE OF HEALTH PROFESSIONS GENERAL INFORMATION 1.1 - WELCOME TO THE COLLEGE OF HEALTH PROFESSIONS Thank you for choosing Davenport University. On behalf of the faculty and staff of College of Health Professions (COHP), let us congratulate you on your choice of a career in the healthcare industry. The healthcare industry is dynamic and ever changing. You have chosen a career that is rewarding and has many opportunities. 1.2 - INTRODUCTION This handbook has been prepared to provide students with necessary information for specific curriculum. The student is strongly advised to refer to this handbook for guidance and information. The College of Health Professions programs provide a blend of theoretical concepts, laboratory practice, and clinical application. In order to be a successful student, it is essential that the student recognize and place a high priority on meeting the program outcomes. Assuming responsibility for one’s own actions, attendance and participation are paramount both as a student and as a healthcare professional. Other policies and procedures of the University – course descriptions, calendar, graduation requirements, and other pertinent information are covered in detail in the Undergraduate Catalog. Note to prospective students: Students need to fulfill the program requirements as recorded for their catalog year; however, if the health program is one that allows the student to sit for a certification exam, the student is best served by following the most current Undergraduate Catalog requirements. If the student is unable to successfully complete the certification exam, or is not eligible to sit for the exam due to changes mandated by the accrediting/approving agency, the student needs to be aware of this and make his/her scheduling choice(s) accordingly. The information in this handbook is subject to change. This handbook is not considered an agreement or contract between individual students and Davenport University or its administrators. The University, through appropriate action, reserves the right to change policies, procedures, and other such information printed in any publication. All other prior versions of documents marked “Student handbook” for the College, (formerly School ) of Health Professions or programs housed therein are no longer valid. 6 COHP Student Handbook 1.3 - PURPOSE OF THE COLLEGE OF HEALTH PROFESSIONS The purpose of the College of Health Professions is to provide a quality education to students to enable these students to acquire the knowledge, skills and competencies required to be successful in the healthcare field. Curriculum is designed to meet the requirements of the accrediting bodies and to prepare students to be eligible to apply for licensure or certification upon graduation. Graduates are able to synthesize theoretical knowledge with professional practice experience, business principles and cutting edge technology, in order to critically evaluate healthcare issues, trends and practices to promote health. Graduates acquire the knowledge and skills to address healthcare needs of individuals and groups from diverse populations according to the highest ethical and legal standards of professional excellence. 7 COHP Student Handbook 1.4 - OUTCOMES OF THE COLLEGE OF HEALTH PROFESSIONS Upon graduation from a program in the College of Health Professions, students will: 1. Demonstrate the Davenport University Excellence System. 2. Utilize appropriate verbal and written communication pertinent to the chosen health profession. 3. Synthesize the clinical, managerial, and technology skills necessary to assess, analyze, apply and evaluate health care situations. 4. Organize and apply a broad base of knowledge as it relates to the chosen health profession. 5. Function effectively as a member of the health profession 6. Apply legal and ethical standards pertinent to the chosen health profession. 7. Advance the health profession through application of research. 8. Continue professional self-development through advanced degrees. 9. Demonstrate competencies required to pass national certification, licensure, or registration examinations of the programs within the chosen profession. 10. Meet or exceed entry level competencies for employment in the chosen health profession. 1.5 - DAVENPORT UNIVERSITY EXCELLENCE SYSTEM The mission of Davenport University is to "prepare(s) individuals and organizations to excel in the knowledge-driven environment if the 21st century." To that end, the Davenport University Excellence was created. The excellence System consists of nine student learning outcomes that demonstrate professional competencies for graduates to engage in life- long learning and succeed in their chosen profession. OutcomesGlobal and Intercultural Competence Graduates understand that working and succeeding in an inclusive, international world involves complex issues present in diverse environments. Civic and Social Responsibility Graduates recognize the value of civic and social responsibility to empower themselves to make informed decisions and to participate in the communities in which they live. Ethical Reasoning and Action Graduates recognize that integrity is an essential component of accountability and is required in the evaluation of differing value systems to determine appropriate course of action. Critical and Creative Thinking Graduates develop an appreciation of the importance of context and perspective when identifying and challenging assumptions ideas, processes and experiences, Analysis & Problem Solving Graduates use quantitative and qualitative methods of inquiry to assess and evaluate complex problems. 8 COHP Student Handbook Leadership & Teamwork Graduates understand how to build direct and facilitate groups in order to utilize members’ talents to meet attainable goals. Information & Technology Proficiency Graduates identify, access and manage information and technology resources effectively in interpersonal, social and professional settings. Written Communication Graduates recognize the potential impact of written documents and effectively adapt the necessary skills to produce appropriate documents in a variety of interpersonal, social and professional settings. Professional Communication Graduates understand and demonstrate professional demeanor, presentation and communication skills in a variety of interpersonal, social and professional settings. 1.6 - STUDENT RIGHTS The current Davenport University Undergraduate Catalog specifies the rights that all students in the University are entitled to. 1.7 - FACULTY RIGHTS AND RESPONSIBILITIES The faculty at Davenport University have the right and the responsibility to maintain a high standard of academic quality by meeting or exceeding course outcomes, program competencies, and accreditation standards. Faculty have the right and the responsibility to recommend suspension, probation, or dismissal of a student from the classroom, clinical placement, and/or program, who exhibits unsafe practice, inappropriate and unethical behavior, dishonesty, or substandard care in the classroom or professional and clinical practice sites. 1.8 - ADVISORY COMMITTEES The College of Health Professions maintains College, program, and curriculum advisors as a part of the College of Health Professions multi-disciplinary advisory committees. These committees meet a minimum of twice per year and are designed to address the concerns and advancement of existing and new programs within the College of Health Professions. Members of these committees also provide advice on current healthcare trends and the employment needs of the surrounding communities. In addition, these committee members maintain a liaison function between the University and the healthcare providers or other organizations in communities. Membership information is available from the Dean and Associate Deans of the College of Health Professions. 9 COHP Student Handbook 1.9 - COLLEGE OF HEALTH PROFESSIONS LEADERSHIP, INTERNSHIP MANAGERS, AND ADVISORS ( See Undergraduate Catalog for complete list of Faculty) Dean, College of Health Professions Administrative Assistant Nursing Administrative Assistant Dean, Allied Health and HIM Associate Dean/ Allied Health Associate Dean/Program Director Health Information Management Associate Dean, Nursing Department Chair/Program Director, Health Information Management Department Chair, Allied Health Department Chair-Nursing HIM Program Director Online Associate Chair/ Program Director - HIM Flint, Saginaw, Caro, Alma , Lansing Associate Chair Nursing Midland Associate Chair/ Program Director, HIM, Grand Rapids Lettinga, Battle Creek, Holland, Kalamazoo Associate Chair/ Program Director – Allied Health Saginaw, Midland, Alma, Caro Associate Chair/ Program Director – Allied Health Livonia, Warren, Flint Associate Chair/Program Director – HIM Livonia and Warren Associate Chair/ Program Director – Allied Health Grand Rapids Lettinga Campus Allied Health Online Associate Chair/ Program Director – Allied Health Lansing, Battle Creek,Holland Kalamazoo Karen Daley Ph.D RN Judith Potyraj [email protected] Jackie Willis Jackie [email protected] Linda Spang, JD, EMT-P [email protected] TBA Sandra Welling, MSN, RN, CCM, PAHM [email protected] Susan Slajus MBA, RHIA [email protected] Yvonne Alles, MBA, DHA [email protected] Amy Stahley MSN, RN [email protected] Megan Tober, MBA., RHIA [email protected] TJ Hunt, MBA, RHIA [email protected] Aleta Pillai, MSN, RN [email protected] Marybeth Pieri-Smith, MBA, RHIA, CCSP, CMA, CCP [email protected] 616-698-7111 x6160 616-871-6157 616-871-6150 517-367-8212 TBA 616-871-6154 616-395-4668 616-871-3974 616-871-6162 616-451-3511 810-732-9977 989-794-1948 269-968-6105 Cindy Thompson, RNC, MA, BS, RMA [email protected] 989-799-2633 Kimberly Corsi, MSA, LRCP, CCS [email protected] 734-943-2861 Linda Sorenson, MPA, RHIA [email protected] 586-558-8700 Suzanne Garman, RN, BC, BSN, MA [email protected] 616-871-3973 Natasha Cauley MPH, RHIA [email protected] 616-732-3714 Tamra Ashley, MSN, RN [email protected] 517-367-8254 10 COHP Student Handbook Associate Chair Nursing Warren Simulation, Clinical and Skills Lab Coordinator Warren-Nursing Andrea Shaw MSN, RN [email protected] Amanda Binge MSN, RN [email protected] Simulation, Clinical and Skills Lab Coordinator Midland -Nursing Shannon Krolikowski BSN [email protected] Associate Chair Nursing Grand Rapids Lettinga Simulation, Clinical and Skills Lab Coordinator Grand Rapids Lettinga Nursing/Science/Health Online Regional Health Professions Internship Manager Manager (South East MI) Regional Health Professions Internship Manager Manager (East and Central MI) Regional Health Professions Internship Manager Manager (West MI) Nursing Advisor Grand Rapids Nursing Advisor Midland Nursing Advisor Warren Susan Offenbecker MSN, RN [email protected] TBA Julia VanderMolen, PhD, MEd, MA Julia [email protected] Doreen Greenwald [email protected] Tanya Stephens [email protected] Lindsey Shull, MA, LPN [email protected] Gloria Johnson [email protected] Denise Derr [email protected] Amy Ostrand [email protected] 586-620-4119 586-620-4121 989-794-1949 616-871-6163 616-233-3400 586-620-4076 989-393-2632 616-698-5528 616-871-6703 989-794-1932 586-620-4017 If you have further questions regarding your Program, please contact your Advisor for assistance. 1.10 - FORMS All forms described in this handbook are located in printable format on the website for College of Health Professions (http://www.davenport.edu). 11 COHP Student Handbook SECTION 2- ACADEMIC PROGRAM REQUIREMENTS 2.1 – Grading Scale * The following grading scale is utilized in the College of Health Professions: A (4.0) 93 –100 A- (3.7) 90 – 92 B+ B B- (3.3) (3.0) (2.7) 87 – 89 83 – 86 80 – 82 C+ (2.3) 77 – 79 C (2.0) 73 – 76 F (0.0) 0 – 72 [*See Nursing Section for Nursing grading scale] 2.2 – Program Progression Policy A grade of C (73%) or better is required in all College of Health Professions courses listed in the Undergraduate Catalog as well as a satisfactory clinical performance grade, in order to progress from one semester to the next and to graduate. 2.3 - Student Responsibilities and Expectations In order to be successful in the Davenport University College of Health Professions Programs, students and faculty need to be aware that the ability to meet the following professional standards will be continuously assessed. Students and faculty in any healthcare related program need the ability and skills in the following domains: observational/ communication ability, motor ability, intellectual/ conceptual ability, and behavioral, interpersonal, and emotional ability. Students and faculty must be able to perform independently, with or without accommodation, to meet the following professional standards.* Students will be required to agree to adhere to these Professional Standards by signing and dating the form in Appendix A9 Observation/Communication Ability – Students and faculty must be able to: • effectively communicate both verbally and non-verbally with patients, peers, faculty and other healthcare professionals • use senses of vision, touch, hearing, and smell in order to interpret data • demonstrate abilities with speech, hearing, reading, writing, English language, and computer literacy Motor Ability – students and faculty must be able to: • display gross and fine motor skills, physical endurance, strength, and mobility to carry out healthcare related processes and procedures 12 COHP Student Handbook • • • • possess physical and mental stamina to meet demands associated with excessive periods of standing, moving, physical exertion, and sitting perform and/or assist with procedures, calculate, reason, analyze, and synthesize data in order to make decisions, often in a time urgent environment incorporate new information from faculty, peers, and healthcare related literature and research interpret data from electronic and other monitoring devices Intellectual/Conceptual Ability- Students must be able to: • Problem solve, measure, calculate, reason, analyze, and synthesize data in order to make decisions, often in a time urgent environment. • Incorporate new information from teachers, peers, health related literature, and research. • Interpret data from electronic and other monitoring devices. Behavioral, Interpersonal, and Emotional Ability – students and faculty must be able to: • tolerate physically taxing workloads and function effectively during stressful situations • display flexibility and adaptability in the work environment • function in cases of uncertainty that are inherent in healthcare settings involving patients, clients, vendors, and others interacting with healthcare providers • possess the skills required for full utilization of the student’s and faculty’s intellectual abilities • exercise stable, sound judgment • establish rapport and maintain sensitive, interpersonal relationships with others from a variety of social, emotional, cultural, and intellectual backgrounds • accept and integrate constructive criticism given in the classroom, clinical, and healthcare facility settings (See Appendix A 9 to obtain required signature form) *Adapted from SCSU Dept. of NUR and Western CT State University Department of Nursing Technical Standards 2.4 - Student Re-entry Per Davenport University Undergraduate Catalog, any student who has voluntarily interrupted his/her education for more than one semester (excluding Spring and Summer) is considered a re-entry student. Students re-entering the University should contact the Office of Student Services for specific information on academic requirements at the time they re-enroll. Students need to complete the reenrollment form updating their contact and degree information. Students must be aware that stopping out may impact their degree program and curriculum requirements, and should speak with their Advisor upon their return. Students wishing to re-enter the University after academic or disciplinary dismissal must meet specific guidelines and formally request re-entry. Students should contact the office of Student Services for these specific requirements. (See Davenport University Undergraduate Catalog for more information.) 2.5 - Confidentiality Statement Each student will respect the confidentiality of any information that might be acquired while in any healthcare setting. It is expected that students will abide by all sections of the DU Student Code as well as all facility requirements regarding confidentiality, security, and privacy of health information as 13 COHP Student Handbook outlined in the Health Insurance Portability and Accountability Act (HIPAA), as well as any pertinent state and federal laws. 2.6 - Ethics Davenport University students are expected to adhere to the Code of Ethics of their chosen profession. Students found to be acting in an unethical manner will be referred to the Office of Student Affairs as outlined in the current Davenport University Undergraduate Catalog. 2.7 - Professional Appearance Students are required to dress appropriately when attending face-to-face (on ground, in-seat) classes, participating in hands-on learning experiences and field trips, and while at professional and clinical practice sites. Students shall comply with the dress code(s) of their DU campus and the clinical setting. The purpose of the standard dress code is: • • • • To limit the transfer of microorganisms from students to patients and vice versa; To provide for safety and limit injury; To present a professional appearance; To identify the wearer as a Davenport University student. 2.8 - Dismissal from the College of Health Professions Dismissal from a College of Health Professions program is based on the inability of the student to meet the Davenport University Excellence System, course and program outcomes, and/or the inability to be placed in a clinical/professional practice site to complete an internship due to an issue with the student beyond the control of the University. These include but are not limited to: • • • • • • • Failure to meet specific grade requirements for any major course; Failure to meet specific course program/outcomes essential to student’s program; An agency’s or facility’s refusal of a student in the clinical and/or professional practical experience; Unsatisfactory evaluation by agency or facility preceptor; Repeated unsatisfactory performance or a significant incident which jeopardizes the agency or facility; Harassment of a preceptor, fellow student, or faculty member; Actions or behaviors that interfere with a student’s ability to safely and effectively give care to patients. 2.9 - Repeating Courses No course in the students designated major may be repeated more than once. Repeating any major course is dependent on available space and approval of the Department Chair or Associate Chair at the student’s designated campus. The semester prior to repeating any major course the student must submit a letter to the appropriate Chair stating: • Area(s) of academic weakness 14 COHP Student Handbook • • Personal plan for improvement Date requested to repeat failed course. No professional practice course (i.e. Internship, Externship, Practicum, Clinical, etc.) may be repeated due to failure without explicit written permission from the Dean of the College of Health Professions. Students are advised to take courses in their chosen program in the designated sequence to ensure success. All College of Health Professions students are subject to Academic Standards of Progress as outlined in the current Davenport University Undergraduate Catalog. 2.10 – Final Grade Appeal Refer to Davenport University Undergraduate Catalog for a description of Final Grade Appeal. 2.11 - Attendance Attendance in class is strongly encouraged. Some College of Health Professions’ programs may have discipline specific requirements. Attendance at all clinical and professional practice experiences is mandatory. Please refer to the appropriate section of the current Handbook for more information concerning specific program requirements. 2.12 - Course Syllabi The syllabus for each course guides student learning. It also identifies program and course outcomes, as well as the class meeting schedule, course topics and assignments, instructor contact information, and classroom policies. 2.13 - Patient Safety Davenport University College of Health Professions (COHP) recognizes that patient safety is a critical priority in the delivery of patient care. Students are trained and educated to be aware of safety issues in the clinical setting that may be a source of potential harm to patients. In an effort to support a culture of patient safety, the University has adopted a zero tolerance for any student action that may result in a violation of any patient safety policy or practice. 2.14 - Alcohol and Drug-Free Environment It is the policy of Davenport University that the unlawful manufacture, distribution, dispensation, possession, or use of illicit drugs and alcohol is prohibited on University property or as part of its activities. Please see the Alcohol and Drug-Free Environment Policy in the current Davenport University Undergraduate Catalog for more information. 2.14.1 College of Health Professions Policy for Students Concerning Medical Marijuana 15 COHP Student Handbook Michigan law governing marijuana: The Michigan Medical Marijuana Act of 2008 (MMMA) permits qualified patients and their primary caregivers to use, possess and grow limited amounts of marijuana for treatment of certain debilitating medical conditions. However, the MMMA conflicts with federal civil and criminal laws governing controlled substances, as well as federal laws requiring institutions receiving federal funds, by grant or contract, to maintain drug-free campuses and workplaces. Davenport University receives federal funding that would be in jeopardy if those federal laws did not take precedence over state law. Therefore, the use, possession, or cultivation of marijuana in any form and for any purpose continues to violate the Davenport Drug and Alcohol Policy and is prohibited at Davenport University. 2.15 - Criminal Background Check and Drug Screening All students in the Davenport University College of Health Professions (the "COHP") are required to submit to drug screening and a criminal background check (collectively, the "Testing") at the time of declaring a major in the COHP. The results of the Testing (the "Results"), which shall remain confidential and be maintained in the office of the COHP, shall be used by the COHP to approve or disapprove of a Student for enrollment or continued enrollment in the COHP, and/or eligibility for training programs, clinical components or rotations. The Testing shall be completed by registering for the appropriate course and completing the testing process. The student shall assume the risk of the consequences of a positive Result after completing the process. A student will be asked to leave the COHP if he or she refuses to consent to the Testing. The cost of the Testing is the responsibility of the student. Each student in the COHP shall be required to sign a consent form (the "Consent") regarding the Testing, which permits Davenport University to access the Results and to provide the Results to any hospital, facility or other healthcare agency partnering with the COHP (each an "Agency") as a part of the fulfillment of such student's education or training requirements, or assessment of such student's qualifications for a clinical component or rotation. Pursuant to the terms of the Consent, all students in the COHP are under the obligation to report to the COHP any arrest or conviction of the student after the date of the Consent. Failure to report such an arrest or conviction may result in the student being asked to leave the COHP program and/or the denial of a degree from the COHP. Students may be required to repeat the Testing, at the students' cost, in order to participate in certain training programs, clinical components, or rotations, depending on the requirements of the Agency where such student may be placed. Students should be aware that applicable laws also mandate further criminal background checks by Agencies for individuals working with certain patient populations. Before a student participates in each training program, clinical component, or rotation with an Agency regulated by Michigan Public Acts 27, 28 or 29 of 2006, the student will be required to sign and deliver to the Associate Department Chair or designated faculty member a Clinical Student Disclosure Statement. Each student should be aware that drug use, a criminal history or a finding of a certain disqualifying status or conduct may make a student ineligible for: (1) enrollment or continued enrollment in the COHP, (2) placement with an Agency for training programs, clinical components or rotations, and/or (3) licensure, certification or registration with the State of Michigan, other states or federal programs. Davenport University and the COHP do not review or determine whether a student is subject to a finding of a disqualifying status or conduct or otherwise make any judgments that are the responsibility of licensing agencies or care providers. The COHP's acceptance of any student with drug use or a criminal history does not ensure that such student will be acceptable for placement with an Agency, will be able to satisfy the graduation requirements of the COHP program, or will be eligible for 16 COHP Student Handbook licensure, certification or registration with the State of Michigan, other states or federal programs. Any student with drug use, a criminal history or a finding of a certain disqualifying status or conduct enrolls in the COHP at his or her own risk. - Testing Instructions: 1. Each accepted student or student enrolled in the COHP will be notified of the Testing requirement and this Policy. Such notification will require a student to contact the Associate Department Chair or designated faculty member to arrange for the Testing. 2. The Associate Department Chair or designated faculty member will provide each student with information, instructions, and the forms necessary for the Testing. Each student will be required to sign a Consent prior to the performance of the Testing. 3. The COHP may arrange to have the Testing performed by a third party contractor. As of the date of this policy, the COHP has contracted with Certified Background, a division of Castle Branch, Inc., to provide the Testing. Each student shall follow the Testing instructions provided by the Associate Department Chair or designated faculty member. - Review of Positive Results: The COHP prepares prospective health care workers to attain a high standard of professional responsibility for the patients they will treat. The COHP seeks to devote its resources to those candidates who have the best prospects of achieving initial licensure, certification, or registration with the State of Michigan, another state or a federal program, attaining high standards and serving the needs of the patient population today. Therefore, the COHP has instituted this Policy for prospective and current students. This Policy is consistent with requirements of the State of Michigan and, generally, elsewhere, regarding the certification, licensure or registration, and employment in certain health related facilities, of persons with drug use, criminal histories or findings of a certain disqualifying status of conduct. In administering this Policy, the COHP makes no assurance that a student permitted to enroll in classes in the COHP will be deemed suitable for participation in those required clinical program necessary for completion of the COHP program, eligible for licensure, certification or registration by any regulating agency or employment in the healthcare industry. It is therefore the COHP's policy that if a student has a positive Result from the Testing or if such student notifies the COHP of an arrest or conviction, the following procedure shall be followed: 1. Such student will be temporarily suspended from all COHP activities outside of the Davenport University campus, including, without limitation, any participation in any training programs, clinical components or rotations at an Agency. Notice of such suspension shall be immediately provided to such student. 2. Each such student will be required to meet privately with the COHP Associate Department Chair or designated faculty member to review the Results and discuss such positive drug screen, arrest, and/or conviction. The student will be allowed to provide a written explanation of the positive Result, arrest, and/or conviction. 3. Following the meeting, the Associate Department Chair or designated faculty member shall consider the relevant facts, including the nature of the offense, the date of the offense, the individual's 17 COHP Student Handbook record and accomplishments since the date of the offense, and other mitigating or relevant factors, and shall make a recommendation to the COHP Compliance Committee as follows: • The individual should be denied admission or asked to leave the COHP program and/or Davenport University; or, • The individual should be permitted to continue in the COHP program with the understanding that: -Agencies may refuse to allow the individual access to their clinical facilities and to participate in their training programs, clinical components or rotations; -The individual may not be able to receive a degree from the COHP if the individual is unable to fulfill all of the relevant education, training, clinical component and/or rotation requirements of the COHP program; and -The State of Michigan, other states, and/or federal programs may refuse to issue the individual a health care license, certification, or registration. Based on the recommendation of the Associate Department Chair or designated faculty member, the COHP Compliance Committee, shall determine the appropriate response of the COHP, and shall proceed accordingly, consistent with the Davenport University policies and procedures. If the determination permits the student to continue in the COHP program, the student assumes the risk of the potential clinical, graduation, and related state or federal program licensing, certification or registration difficulties that such student may experience. The decision of the COHP Compliance Committee is final. - Criminal Background Check\Mandatory Exclusions for Specified Time Periods Under federal law, in order to be granted clinical privileges at any of the covered facilities, any individual must not have been convicted under state or federal law of any of the following offenses at any time: • • • • Any crime related to state and/or federal health care program(s) Patient abuse Felony relating to health care fraud Felony relating to controlled substances under state or federal law Under state law, in order to be granted clinical privileges at any of the covered facilities, at least 15 years must have lapsed since the individual completed all the terms and conditions of sentencing, parole and probation for conviction of the following offenses: Felony that involves the intent to cause death or serious impairment of a bodily function, that result in death or serious impairment of the bodily function that involves the use of force or violence or that involves the threat or the use of force or violence. This includes: 18 COHP Student Handbook • • • • • • • • • • • • Homicide Assault and infliction of serious injury Assault with intent to commit murder Assault with intent to do great bodily harm less than murder Assault with intent to maim Attempt to murder Felony involving cruelty or torture Felony of crime committed against “vulnerable adults” who because of age, developmental disability, mental illness or physical disability, require supervision or personal care or lack the personal and social skills required to live independently Felony involving criminal sexual conduct Felony involving abuse or neglect generally related to vulnerable adults or children which typically results in serious physical or mental harm to the vulnerable adult Felony involving the use of a firearm or dangerous weapon Felony involving the diversion or adulteration of a prescription drug or other medications In order to be granted clinical privileges at any of the covered facilities, at least 10 years must have lapsed since the individual completed all the terms and conditions of sentencing, parole and probation for conviction of the following offenses: • • • • • • Misdemeanor involving the use of a firearm or dangerous weapon with the intent to injure, the use of a firearm or dangerous weapon that results in a personal injury, or a misdemeanor involving the use of force or violence or the threat of the use of force or violence Misdemeanor crime committed against “vulnerable adults”. Misdemeanor involving criminal sexual conduct, which involve instances of sexual contact with another person that does not involve sexual penetration and are typically known as “fourth degree criminal sexual conduct” Misdemeanor involving cruelty or torture (usually first conviction regarding animals) Misdemeanor involving abuse or neglect in the third or fourth degree if the caregiver intentionally or recklessly causes “physical harm” to a vulnerable adult. Third Driving under the Influence (DUI) conviction In order to be granted clinical privileges at any of the covered facilities, at least 5 years must have lapsed since the individual completed all the terms and conditions of sentencing, parole and probation for conviction of the following offenses: • • • • • • Misdemeanor involving cruelty if committed by an individual who is less than 16 years of age including cruel treatment of animals. Misdemeanor involving home invasion that typically is described as “breaking and entering” into another person’s home Misdemeanor involving embezzlement, which is a person who has taken money from another person who had entrusted the money with the wrongdoer, e.g. a store cashier Misdemeanor involving negligent homicide, which is committed when a person engages in careless or reckless driving that, causes death Misdemeanor involving larceny, which is legally described as the act of stealing but it, does not include shoplifting. An example would be theft from a building of an item that is not offered for sale. Misdemeanor of retail fraud in the second degree which involves shoplifting property from a store that is offered for sale at a price of $200 or more but less than $1,000 or less than $200 if the person has been previously convicted of any crime or theft. 19 COHP Student Handbook • Any other misdemeanor involving assault, fraud, theft, or the possession or delivery of a controlled substance unless otherwise provided for under other subsections In order to be granted clinical privileges at any of the covered facilities, at least 3 years must have lapsed since the individual completed all the terms and conditions of sentencing, parole and probation for conviction of the following offenses: • • • Misdemeanor for assault, which is defined as the individual attempting or threatening to hurt another Misdemeanor of retail fraud in the third degree, which involved shoplifting property from a store that is offered for sale at a price of less than $200 Misdemeanor involving the creation, delivery, or possession with intent to manufacture or deliver a controlled substance An individual cannot be granted clinical privileges at any of the covered facilities if within the year immediately preceding the date of application for employment or clinical privileges the individual was convicted of the following offenses: • • Misdemeanor involving the creation, delivery, or possession with intent to manufacture or deliver a controlled substance if the individual, at the time of conviction, is under the age of 18 Misdemeanor for larceny or retail fraud in the second or third degree which involved shoplifting property from a store that is offered for sale at a price of less than $200 if the individual, at the time of conviction, is under the age of 16. Permanent Exclusions: • • If the individual has ever pleaded “not guilty by reason of insanity” and that plea has been entered in the law enforcement information network (LEIN), the individual cannot work in long-term care. If the individual has ever been the subject of a substantiated finding of neglect, abuse, or misappropriation of property by a state or federal agency, the individual cannot work in long-term care. For example, an individual would be excluded if their nurse aide certification were “flagged” for patient abuse. - Negative Dilute drug Screen Policy Dilution is the process of reducing the concentration of drug or drug metabolites in a urine sample. This is accomplished by adding fluid to the sample or by drinking large amounts of fluid to dilute the specimen, termed "internal dilution." If the amount of the natural substance creatinine in the urine is abnormally low, internal dilution may be the cause. When a urine specimen is diluted, it is possible that drugs in the system will not be detected. In order to minimize the potential for false readings, all students will be advised to refrain from drinking fluids in excess of 40 ounces within three hours prior to specimen collection. If the urine specimen is determined to be negative and diluted (urine specimen with a creatinine level of less than 20 g/dl and a specific gravity of 1.003 or less), the student will be required to provide to the COHP Compliance Committee appropriate documentation as to the reason(s) for the sample being diluted. Failure of any student to respond in writing shall result in the student’s name and identification number being forwarded to the Registrars’ Office for action as if the student had a positive urine drug screen result. In the event that the student believes that such action is in appropriate, the student has the right 20 COHP Student Handbook to appeal the decision by following the process found in the current Davenport University Undergraduate Catalog. If a positive dilute urine drug screen result is detected, policy will be followed as defined in the Davenport University College of Health Professions Student Criminal Background Check and Drug Screening Policy. 2.16 - Professional Practice Experience (PPE): Clinical, Practicum, Internship Application Requirements: Students are expected to follow the Davenport University Student Internship Process prior to registering for any required clinical or professional practice experience. Students are NOT to selfregister for the clinical or professional practice experience. Students must consult with their advisor and/or Program Director and /or Department Chair to plan for this experience and ensure that all requirements and pre-requisites are met before enrolling in the PPE. Practicum application packets are available on the Davenport University website, and include immunization and medical documentation, academic documentation, certifications, and professional documents. IMMUNIZATIONS and MEDICAL DOCUMENTATION: For Health Information Technology, Health Insurance Claims Management, Health Services Administration, Nursing, and Medical Case Management: • Negative TB test <or> negative chest x-ray within the last 12 months • Hepatitis B vaccine record <or> titer <or> University approved waiver (Although Davenport allows a waiver, some practicum sites may require it) • Measles, Mumps Rubella (MMR) titer <or> proof of immunization. (Vaccination received PRIOR to January 1, 1968, is NOT acceptable) • Tetanus, diphtheria, pertussis (Td/Tdap) titer <or> proof of immunization (booster) within the last 10 years • Varicella (Chicken Pox) titer <or> proof of immunization <or> documentation of history of disease. • Influenza Vaccination (Optional but strongly recommended October through March) For Medical Assisting and Phlebotomy: • Negative TB test <or> negative chest x-ray within last 12 month • Hepatitis B vaccine record <or> titer <or> University approved waiver (Although Davenport allows a waiver, some practicum sites may require it) • Measles, Mumps Rubella (MMR) titer <or> proof of immunization. (Vaccination received PRIOR to January 1, 1968, is NOT acceptable) 21 COHP Student Handbook • Tetanus, diphtheria, pertussis (Td/Tdap) titer <or> proof of immunization (booster) within the last 10 years • Varicella (Chicken Pox) titer <or> proof of immunization <or> documentation of history of disease • Influenza Vaccination (Optional but strongly recommended October through March) • Statement of Fitness (See Part 5 of the application) ACADEMIC DOCUMENTATION: For all Programs: • Unofficial transcript signed by Advisor stating academic readiness • Unofficial transcript signed by Associate Chair/Program Director (HINT Students Only) PROFESSIONAL DOCUMENTS: For all Programs: • Résumé (Approved by Career Services) – Hard copy, not faxed or scanned – Do not staple) • Certificate of Attendance from the Internship Seminar (Mandatory as of Fall 2010) CERTIFICATIONS: For Phlebotomy and Medical Assisting • CPR (American Heart Association - Health Care Provider, or American Red Cross Professional Rescuer.) • First Aid (American Heart Association - Heartsaver First Aid, or American Red Cross Standard First Aid) CBC and DRUG SCREEN: For all Programs: • Students are required to complete the Criminal Background Check and Drug Screen prior to submitting their application packets. This is conducted through the HLTH 101 or HLTH 101S courses. Students are responsible for reading and signing all sections of the practicum application packet. Students understand that information provided in the application packet is for assistance in student placement. It does not guarantee they will be placed in the area of their choice. They understand reasonable effort will be made to provide an appropriate site/student match, but placement type, location or semester cannot be guaranteed. If a student declines a practicum site offer, they may seek additional placement only after (1) Approval has been given by the Department Chair and (2) All other 22 COHP Student Handbook students seeking a practicum site have secured placement. If accepted into a practicum, students agree to abide by the policies and procedures of Davenport University School of Health Professions as outlined. Students understand that if there is an infraction of the policies and procedures, participation in the practicum experience may be terminated at the discretion of the Instructor, Department Chair or Dean. 1. For all programs, wait lists are utilized for students awaiting their practicum placement. Students must submit all documentation as required in the practicum application packets prior to the appropriate deadlines. These deadlines are as follows: Winter Semester Practicum: September 15 Spring/Summer Semester Practicum: January 15 Fall Semester Practicum: May 15 If a deadline falls on a holiday or weekend, the deadline shall be the next business day. Practicum Placement Process • Students remain waitlisted until the application is completed and approved prior to the appropriate deadline. Students will be contacted once the Internship Manager has a site willing to consider the student as a potential intern. Students should remain in contact with their Internship Manager throughout the placement process. Once confirmation is received from the internship site, the student will be registered for the course. • Students should not contact potential practicum sites on their own. • Students will be expected to drive up to one hour from their homes for placement. Students who cannot accommodate this may not receive practicum placement. Students are responsible for providing their own transportation to their practicum sites. • Students must plan ahead. All students are expected to complete their practicum experiences during regular Monday through Friday daytime working hours. • Students may be asked to complete their practicum experiences at multiple sites. • Students who begin a practicum are expected to complete the course. Quitting is not allowed without consequences, including failing the course. Students may not “swap” sites with other students. It is the responsibility of the student to drop out of the clinical process before the semester begins if he/she is not committed to being successful in the course once it begins. Practicum Site Expectations • Students completing a practicum are expected to complete their requirements at the site in 4hour blocks of time unless the course instructor grants prior approval. While at the clinical or practicum site, the student is expected to focus on his/her practicum assignments while at the site. In other words, a student is not to be doing assignments from other courses. • Each student completing a practicum is required to comply with all policies, rules, and regulations of the health care provider for the facility where the student is assigned for their practicum experience. Some providers maintain policies, rules, or regulations based upon religious, ethical, and other grounds that may be objectionable to students. Davenport 23 COHP Student Handbook University does not endorse and has no opinion with respect to the policies, rules, and regulations of these providers. By enrolling in a course that involves practicum experience, each student agrees to comply with all policies, rules, and regulations of the relevant provider. • Davenport University College of Health Professions recognizes that patient safety is a critical priority in the delivery of patient care. COHP students are trained and educated to be aware of safety issues in the clinical setting that may be a source of potential harm to patients. In an effort to support a culture of patient safety, the COHP has adopted a zero tolerance for any student action that may result in a violation of any patient safety policy or practice. • Students are required to dress appropriately when participating in their practicum experiences. Students shall comply with the dress code(s) of Davenport University and the clinical setting. If name badges are required, then name badges shall be worn. The purpose of the standard dress code is: o o o o To limit the transfer of microorganisms from students to patients and vice versa; To provide for safety and limit injury; To present a professional appearance; To identify the wearer as a Davenport University student. • Attendance at all practicums is MANDATORY. Any absence in the practicum may constitute grounds for failure of the course. See individual course syllabi for procedures related to attendance. • No course in the student’s designated COHP major may be repeated more than once. Repeating any major course is dependent on available space and approval of the Department Chair at the student’s designated location. The semester prior to repeating any major course the student must submit a letter to the appropriate Department Chair stating: o Area(s) of academic weakness o Personal plan for improvement o Date requested to repeat failed course No Professional practice course (i.e. Internship, Externship, Practicum, Clinical, etc.) may be repeated due to failure without explicit written permission from the Dean of the College of Health Professions. Dismissal from the College of Health Professions program is based on the inability of the student to meet the Davenport University Excellence System, course and program outcomes, and the inability to be placed in a clinical/professional practice site to complete an internship due to an issue with the student beyond the control of the University. These include but are not limited to: o Failure to meet specific grade requirements for any major course; o An Agency’s or Facility’s refusal of a student in the clinical and/or professional practical experience; o Unsatisfactory evaluation by agency of facility preceptor; o Repeated unsatisfactory performance or a significant incident which jeopardizes the agency or facility; o Harassment of a preceptor, fellow student, or faculty member; o Anything that interferes with a student’s ability to safely and effectively give care to patients will be grounds for dismissal from the program. o 24 COHP Student Handbook Completing the Professional Practice Experience Students who begin a clinical practicum or Professional Practice Experience are expected to complete the course. Any student who quits his or her practicum or PPE course is expected to meet with the Department Chair of the appropriate program, or the student will receive an F grade for the course. Students should not drop or withdraw from their practicum or PPE courses. It is the responsibility of the student to drop out of the clinical or PPE process before the semester begins if he/she is not committed to being successful in the course once it begins. Students completing a clinical practicum or Professional Practice Experience are expected to complete requirements at the site in 4-hour blocks of time unless prior approval is granted by the course instructor. While at the clinical or practicum site the student is expected to focus on his/her clinical or practicum assignments while at the site. In other words, a student is not to be doing assignments from other courses. Student Responsibilities and Expectations While at Healthcare Sites Each student completing a clinical, practicum or professional practice experience is required to comply with all policies, rules, and regulations of the health care provider for the facility where the student is assigned for clinical or professional practice experience. Some providers maintain policies, rules, or regulations based upon religious, ethical, and other grounds that may be objectionable to students. Davenport University does not endorse and has no opinion with respect to the policies, rules, and regulations of these providers. By enrolling in a course that involves clinical or professional practice experience, each student agrees to comply with all policies, rules, and regulations of the relevant provider. 2.17 - Personal Health Insurance Personal health insurance is strongly advised for any student in the College of Health Professions. 2.18 - Requirements for Graduation Please refer to the current Davenport University Undergraduate Catalog for more information. 2.19 Student Code of Conduct Process Please refer to the current Davenport University Undergraduate Catalog for more information. 2.20 - Free Brush-Up Classes for DU Graduates Please refer to the current Davenport University Undergraduate Catalog for more information. 2.21 - Health Requirements 2.21.1 - Physical and Emotional Demands All healthcare occupations have specific physical and emotional demands. Carefully read the program descriptions that follow this general section and consider the tasks described. Discuss any pre-existing conditions with your healthcare provider and the Associate Department Chair or Advisor to determine whether you would be able to complete the clinical and professional 25 COHP Student Handbook objectives of any program. A description of some of the physical and mental requirements which the student must be able to perform safely to complete the clinical and professional objectives of their health profession program at Davenport University are included in this document. Please review the requirements with a healthcare professional and have them indicate whether you will be able to meet them. 2.21.2 - Health Examination If a student’s specific program requires a health examination, the health examination is the financial responsibility of each student. A licensed physician, physician assistant, or nurse practitioner of your choice may complete the health examination. Contact the Associate Department Chair at your location for alternative exam and vaccination sites. 2.21.2.1 Pre-existing Conditions Comments by the healthcare professional or the student concerning pre-existing conditions do not automatically preclude the student from a COHP program. However, the following criteria will be considered: 1. The examiner’s estimate of the ability of the student to meet clinical practice requirements without serious limitations, without aggravating pre-existing conditions or without jeopardizing the safety of patients and staff. 2. The University’s estimation of potential legal liability, patient safety, the program requirements, and any specific stipulations in the agreements with cooperating healthcare facilities. 2.21.3 - Immunizations All students shall be required to provide documentation of current immunizations or immunity to Measles, Mumps, and Rubella (MMR), Tetanus, Diphtheria, and Pertussis (TD/Tdap), Varicella and Influenza (October through March only), Hepatitis B, and a recent negative TB skin test or chest x-ray prior to beginning any clinical or professional practice experience. 2.21.3.1 - Hepatitis B Vaccine: PLEASE TAKE NOTE Healthcare workers who have contact with blood and/or body fluids of any person who may have Hepatitis B should have the Hepatitis B Vaccine for the purpose of immunization against this infection. If a student has concerns or questions about this immunization, or the side effects or contraindications of the vaccine, they should discuss them with a healthcare professional. The vaccine is available from private physicians or clinics. All College of Health Professions students must read, sign, and return the Hepatitis B Information Form to the Associate Dept Chair. Any student in any program who refuses Hepatitis B vaccination will be required to sign an acknowledgment waiver. Additionally, students who may have direct contact with patients shall be required to comply with the Occupational Safety and Health Administration requirements related to blood borne pathogens. 2.21.3.2 Screening for Tuberculosis (“TB Testing”) 26 COHP Student Handbook Students and faculty in the College of Health Professions with potential for exposure to tuberculosis during instruction in a health care or classroom setting are required to complete a TB skin test. The results of the testing shall be determined to be current and negative prior to enrollment in or teaching a professional practice experience and must remain current throughout the clinical/practicum experience 2.22 Bloodborne Pathogens Exposure/Needlestick Incident Reporting 2.22.1 On Campus – Students – • Notify your instructor immediately, clean the wound with soap and warm water, and treat any bleeding. • Fill out the Davenport University Incident Report with your instructor. This report can be found online at https://publicdocs.maxient.com/incidentreport.php?DavenportUniv. Go to your personal physician and have them draw blood for bloodborne pathogens exposure. If you do not have a personal physician, you must go to the nearest urgent care clinic. • If you have health insurance, the follow-up care should be covered by this expense, if not the Davenport University health insurance provided as part of the course fee will. • If you are using the University provided health insurance, please request your physician or the clinic send all bills to the Associate Department Chair. This person will then send the bills on to the University’s Risk Management group for payment. Faculty – • As soon as a student notifies you of a needlestick, have the student clean the wound as above and with the student fill out the Davenport University Incident Report ( https://publicdocs.maxient.com/incidentreport.php?DavenportUniv). • Unless it is a medical emergency, do not allow the student to leave the classroom without having filled out the University Incident Report first. • Make sure the student understands the importance of obtaining follow-up care and screening with his/her personal physician or the nearest urgent care facility. • Notify the Associate Department Chair by email or phone of the incident and what steps you have taken. 2.22.2 Off Campus/Practicum Site Students • Notify your site preceptor immediately • Follow your clinical/practicum site’s policies and procedures for bloodborne pathogens exposure. Your site preceptor should be able to assist you with complying with this step. 27 COHP Student Handbook • If the site is not able to draw your blood for a bloodborne pathogens exposure, then you must go to your personal physician or the nearest urgent care clinic and have them draw blood for a bloodborne pathogens exposure. • Notify the Davenport University Internship Manager for your practicum. • Fill out a Davenport University Incident Report. You must fill out this report as soon as possible. This report can be found online at https://publicdocs.maxient.com/incidentreport.php?DavenportUniv. If you have questions about the report, ask the Internship Manager or course instructor for assistance. • If you have health insurance, the follow-up care should be covered by this expense, if not the Davenport University provided health insurance will. • If you are using the University provided health insurance, please request your physician or the clinic send all bills to the Associate Department Chair. This person will then send the bills on to the University’s Risk Management group for payment. Faculty – • As soon as a student notifies you of a needlestick, ask the student what has been done at the site, fill out the Davenport University Incident Report as soon as possible with the student ( https://publicdocs.maxient.com/incidentreport.php?DavenportUniv) and verify that the student is following-up with the practicum site. • Unless it is a medical emergency, do not allow the student to leave the clinic site before following that site’s policy and procedure. • Make sure the student understands the importance of obtaining follow-up care and screening at the practicum site or with his/her personal physician/the nearest urgent care facility. • Notify the Associate Department Chair by email or phone of the incident and what steps you have taken. 2.23 Exit Exams All health programs in the College of Health Professions may require interim competency exams and a final exit exam to assess professional competency before graduation from the program. Individuals not meeting the score requirements of the final exit exam may be required to undertake remediation. 28 COHP Student Handbook HEALTH INFORMATION MANAGEMENT PROGRAMS Including: HEALTH INFORMATION TECHNOLOGY Associate and HEALTH INFORMATION MANAGEMENT Bachelor Degrees 29 COHP Student Handbook 3.1 WELCOME TO DU HEALTH INFORMATION MANAGEMENT PROGRAMS Thank you for choosing one of Davenport University’s Health Information Management (HIM) programs. On behalf of the faculty and staff of Davenport University, let us congratulate you on your choice of a career in HIM. The healthcare system is dynamic and ever changing. You have chosen a career path that is rewarding with many opportunities. DEFINITION What is Health Information Management? Health Information Management is the business of healthcare using the most up-to-date technology available. HIM professionals play a critical role in maintaining, collecting and analyzing the data that physicians, nurses and other healthcare providers rely on to deliver quality healthcare. They are experts in managing patient health information and healthcare computer information systems (i.e. EHR’s EMR’S, HIE’s), data analysis, healthcare reimbursement and revenue cycles management. HIM professionals work in a multitude of settings throughout the healthcare industry including hospitals, physician offices and clinics, long-term care facilities, insurance companies, government agencies and for home care providers. To learn more about entrance into this profession visit www.healthinformationcareers.com. GROWTH AND INCOME Projected by the Bureau of Labor Statistics to be one of the 20 fastest growing occupations in the United States, health information management is an excellent career choice for the person who is seeking a healthcare profession that combines interest in computer science, business, management, legal procedures, and healthcare research. HIM professionals play a key role in making the healthcare system work. The United States Bureau of Labor Statistics, in its Occupational Outlook Handbook, 2010-2011 edition, projects health information technician job prospects to be very good. Employment is “expected to grow much faster than average for all occupations through 2018 because of rapid growth in the number of medical tests, treatments, and procedures that will be increasingly scrutinized by health insurance companies, regulators, courts, and consumers.” HIM professionals will be in demand as Federal legislation mandating the use of electronic patient records moves forward. “Although employment growth in hospitals will not keep pace with growth in other healthcare industries, many new jobs will, nevertheless, be created. The majority of new jobs are expected in offices of physicians as a result of increasing demand for detailed records, especially in large group practices. Rapid growth also is expected in home healthcare services, outpatient care centers, and nursing and residential care facilities. Additional job openings will result from the need to replace technicians who retire or leave the occupation permanently.” High school students considering a HIM career can begin a foundation with the following courses: business, computer science, English, math, biology, and chemistry. FRAMEWORK FOR HIM EDUCATION “When tomorrow’s graduates enter the HIM workplace, will they be ready for the e-HIM environment? Technology is transforming day-to-day functions, redefining traditional roles, raising expectations of base competencies, and creating new opportunities. This rapid change poses a special challenge to education, which must prepare students for future jobs as well as provide current professionals opportunities to advance their education.” Source: Lynda Russell and Karen Patena. Preparing 30 COHP Student Handbook Tomorrow's Professionals: A New Framework for HIM Education. Journal of AHIMA 75, no.6 (June 2004): 23-26. At Davenport University, the American Health Information Management Association (AHIMA) entrylevel competencies, which form the basis for AHIMA’s framework for HIM education, are the building blocks on which our HIM curriculum is built. Davenport University’s Health Information Technology AAS and Health Information Management BS programs are accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). SCOPE OF PRACTICE To be a successful graduate, you need basic knowledge, skills and attitudes. The HIM programs provide a blend of theoretical concepts, laboratory practice and practical application in the classroom and computer laboratory setting at the University and actual experience in healthcare settings. In order to be a successful student it is essential that you recognize and give a high priority to meeting the outcomes of the program. Assuming responsibility for your own actions, attendance and participation are important not only as a student but to be successful once you have entered the healthcare field. Competence in the field requires that the HIM professional display professionalism, communicate effectively, and practice with an optimum level of accuracy. HIM professionals work in a multitude of settings throughout the healthcare industry, including officebased physician practices, nursing homes, home health agencies, mental health facilities, and public health agencies. In fact employment opportunities exist for HIM professionals in any organization that collects and/or uses patient data or health information such as pharmaceutical companies, law and insurance firms, and health product vendors. Traditional roles in HIM have changed and continue to change as advancements occur in business, technology, and healthcare. Traditional roles may still exist in some organizations; we also make way for emerging roles in HIM practice. The chart below lists some traditional aspects of the HIM profession and emerging health information management practices as seen in the workplace today. For most of us, reaching true proficiency in our evolving workplaces will require new ways of thinking about our work, a more assertive stance toward our careers, and certainly, additional education. Traditional Practice Emerging HIM Practice Department-based Information-based Physical records Aggregation and display of data Forms and records design Data item definition Data modeling Data administration Data auditing Quality Initiatives Ele c tro n ic s e arc he s Shared knowledge sources Statistical and modeling techniques Logical data views Data flow and reengineering Application development 31 COHP Student Handbook Confidentiality and release of information Application support Data base creation Security, audit, and control programs Risk assessment and analysis Prevention and control measures Interoperatibility Copyright © 2006 by the American Health Information Management Association. All rights reserved. Used with permission. PROGRESSION IN THE HEALTH INFORMATION MANAGEMENT PROGRAMS There is no formal admission process into any of the HIM programs. Students are to meet with the Program Director during their first semester to discuss program sequence and requirements. Specific prerequisites or co-requisites must be met before students are allowed to schedule certain courses. The student should reference the recommended curriculum rotation. A final grade of C is required to pass any College of Health Professions course. PROFESSIONAL ORGANIZATIONS The following professional organizations are available for you to join as a student or graduate of the Health Information Management programs: American Health Information Management Association (AHIMA) http://www.ahima.org 233 North Michigan Avenue, Suite 2150 Chicago, IL 60601-5800 (312) 233-1100 Healthcare Information and Management Systems Society (HIMSS) 230 East Ohio Street, Suite 500 Chicago, IL 60611-3269 (312) 664-4467 http://www.himss.org PROFESSIONAL NETWORKING Students are strongly encouraged to begin networking their first semester of school. Examples of networking include but are not limited to volunteering for a local healthcare organization, joining professional associations and participating in local and state AHIMA and/or HIMSS meetings and seminars. AHIMA Code Of Ethics (2004) Ethical Principles: The following ethical principles are based on the core values of the American Health Information Management Association and apply to all health information management professionals. Health information management professionals: I. Advocate, uphold and defend the individual’s right to privacy and the doctrine of confidentiality in the use and disclosure of information. 32 COHP Student Handbook II. Put service and the health and welfare of persons before self-interest and conduct themselves in the practice of the profession so as to bring honor to themselves, their peers, and to the health information management profession. III. Preserve, protect, and secure personal health information in any form or medium and hold in the highest regard the contents of the records and other information of a confidential nature, taking into account the applicable statutes and regulations. IV. Refuse to participate in or conceal unethical practices or procedures. V. Advance health information management knowledge and practice through continuing education, research, publications, and presentations. VI. Recruit and mentor students, peers and colleagues to develop and strengthen professional workforce. VII. Represent the profession accurately to the public. VIII. Perform honorably health information management association responsibilities, either appointed or elected, and preserve the confidentiality of any privileged information made known in any official capacity. IX. State truthfully and accurately their credentials, professional education, and experiences. X. Facilitate interdisciplinary collaboration in situations supporting health information practice. XI. Respect the inherent dignity and worth of every person. AHIMA’s Standards of Ethical Coding In this era of payment based on diagnostic and procedural coding, the professional ethics of health information coding professionals continue to be challenged. A conscientious goal for coding and maintaining a quality database is accurate clinical and statistical data. The following standards of ethical coding, developed by AHIMA's Coding Policy and Strategy Committee and approved by AHIMA's Board of Directors, are offered to guide coding professionals in this process. 1. Coding professionals are expected to support the importance of accurate, complete, and consistent coding practices for the production of quality healthcare data. 2. Coding professionals in all healthcare settings should adhere to the ICD-9-CM (International Classification of Diseases, 9th revision, Clinical Modification) coding conventions, official coding guidelines approved by the Cooperating Parties*, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets for applicable healthcare settings. 3. Coding professionals should use their skills, their knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. 33 COHP Student Handbook 4. Coding professionals should only assign and report codes that are clearly and consistently supported by physician documentation in the health record. 5. Coding professionals should consult physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. 6. Coding professionals should not change codes or the narratives of codes on the billing abstract so that meanings are misrepresented. Diagnoses or procedures should not be inappropriately included or excluded because payment or insurance policy coverage requirements will be affected. When individual payer policies conflict with official coding rules and guidelines, these policies should be obtained in writing whenever possible. Reasonable efforts should be made to educate the payer on proper coding practices in order to influence a change in the payer's policy. 7. Coding professionals, as members of the healthcare team, should assist and educate physicians and other clinicians by advocating proper documentation practices, further specificity, and resequencing or inclusion of diagnoses or procedures when needed to more accurately reflect the acuity, severity, and the occurrence of events. 8. Coding professionals should participate in the development of institutional coding policies and should ensure that coding policies complement, not conflict with, official coding rules and guidelines. 9. Coding professionals should maintain and continually enhance their coding skills, as they have a professional responsibility to stay abreast of changes in codes, coding guidelines, and regulations. 10. Coding professionals should strive for optimal payment to which the facility is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines. * The Cooperating Parties are the American Health Information Management Association, American Hospital Association, Centers for Medicare and Medicaid Services, and National Center for Health Statistics Revised 12/99. Copyright © 2007 by the American Health Information Management Association. All rights reserved. Used with permission. Financial Aid Financial aid is available to qualified students through the American Health Information Management Association’s (AHIMA) Foundation of Research and Education, which offers both loans and scholarships. For more information, visit http://www.ahima.org/fore/scholarships.html or call the scholarship hotline at 312/233-1128. The Chicago-based HIMSS Foundation, The HIMSS Foundation annually awards over $60,000 in cash scholarships. Scholarships are awarded to HIMSS student members who have achieved academic excellence and have the potential to be future leaders in the healthcare information and management systems industry. Seven scholarships are awarded to the student(s) deemed most deserving as determined by the HIMSS Foundation Scholarship Review Board. Information on all of 34 COHP Student Handbook the HIMSS Foundation Scholarships and the online application form are available at http://www.himss.org/foundation/schlr.asp on the HIMSS Foundation Web site. The Michigan Health Information Management Association (MHIMA) also offers scholarships to qualified students. For more information visit www.mhima.org/colleges on the MHIMA web site. The MHIMA also offers a random lottery drawing for reimbursement for successful completion of an RHIA, or RHIT certification exam. 3.1.2 Health Information Technology (HIT) Associate Degree Program PROGRAM PURPOSE The successful graduate holding an associate degree in health information management is the technical expert in health data collection, analysis, monitoring, maintenance, and reporting activities in accordance with established data quality principles, legal and regulatory standards, and professional best practice guidelines. Health Information Technicians work to ensure the quality of health records and healthcare data by verifying their completeness, accuracy, and proper entry into computer systems. They use computer applications to assemble and analyze patient data to improve patient care and control healthcare costs. These functions encompass, among other areas, processing and using health data for billing, compliance, and surveillance purposes. In an e-health environment, this individual performs these functions through the use of various electronic systems. What kinds of positions do RHITs hold? • • • • • • • • • • • Cancer/other disease Registrar Clinical Coder/Compliance Auditor/ Vocabulary Specialist Clinical Data Collection and Reporting Specialist Data Integrity Specialist Document Imaging Coordinator Documentation Specialist Information Access/Disclosure Specialist Quality Improvement Specialist Reimbursement Specialist/ Financial Services Liaison Instructor/Trainer Manager/Supervisor How many people are currently certified at the RHIT level? The American Health Information Management Association (AHIMA) has over 18,000 RHIT-credentialed members working in the healthcare industry (2006 data). Medical records and health information technicians is one of the fastest growing occupations, according to the Bureau of Labor Statistics. Employment is “expected to grow much faster than average for all occupations through 2018. Upon successful completion of the associate degree in health information technology, the DU graduate may earn the American Health Information Management Association (AHIMA) credential Registered Health Information Technician (RHIT) by successfully completing the national certification exam. With experience, the RHIT holds solid potential for advancement to management positions, especially if the credential is combined with a bachelor's degree. 35 COHP Student Handbook As a credentialed health information management professional, employers will know you have successfully completed a rigorous academic program and have committed to a lifetime of professional growth and continuing education. HIT Competencies, Domains and Knowledge Clusters HIT degree-seeking students learn material from competencies, domains and knowledge clusters as identified by AHIMA. The following tables identify the domains, the sub-domains, the tasks, the knowledge clusters and the courses where this content is contained within the Health Information Technology Program. HIT COMPETENCIES (Domains, Sub domains) Contained within Course(s) I. Domain: Health Data Management A. Sub domain: Health Data Structure, Content and Standards 1. Collect and maintain health data (such as data elements, data HINT110, HINT297-297C, HINT209 sets, and databases). 2. Conduct analysis to ensure documentation in the health record supports the diagnosis and reflects the patient’s progress, HINT110, HINT295/294C, HINT209 clinical findings, and discharge status. 3. Apply policies and procedures to ensure the accuracy of health HINT110, HINT223, HINT294-294C,, data. HINT297-297C, HINT209, HINT250 4. Verify timeliness, completeness, accuracy, and appropriateness HINT110, HINT201, HINT221, of data and data sources for patient care, management, billing HINT222, HINT223, HINT294 -294C, reports, registries, and/or databases. HINT297-297C, HINT209, HINT250 B. Sub domain: Healthcare Information Requirements and Standards 1. Monitor and apply organization-wide documentation guidelines. health record HINT110, HIN201, HINT294-294C, HINT297-297C HINT110, HINT223, HINT294-294C,, 2. Apply policies and procedures to ensure organizational HINT297/HINT297C, HINT209, compliance with regulations and standards. HINT250 3. Maintain the accuracy and completeness of the patient record as defined by organizational policy and external regulations and HINT110, HINT297 297C standards. 4. Assist in preparing the organization for accreditation, licensing, HINT110, HINT201, HINT294-294C, and/or certification surveys. HINT297-297C, HINT209, HINT250 C. Sub domain: Clinical Classification Systems 1. Use and maintain electronic applications and work processes to HINT201, HINT221, HINT222, support clinical classification and coding. HINT223, HINT294-294C 2. Apply diagnosis/procedure codes according to current HINT221, HINT223, HINT294-294C nomenclature. 3. Ensure accuracy of diagnostic/procedural groupings such as HINT201, HINT221, HINT222, MSDRG, APC, and so on. HINT223, HINT294 /294C HINT250 4. Adhere to current regulations and established guidelines in code HINT221, HINT222, HINT223, assignment. HINT294-HINT294C 36 COHP Student Handbook HIT COMPETENCIES (Domains, Sub domains) Contained within Course(s) 5. Validate coding accuracy using clinical information found in the HINT221, HINT222, HINT223, health record. HINT294-294C, HINT250 6. Use and maintain applications and processes to support other clinical classification and nomenclature systems HINT201, HINT223, HINT294-294C (such as DSM IV-, SNOMED-CT and so on). 7. Resolve discrepancies between coded data and supporting HINT221, HINT222, HINT223, documentation. HINT294-294C, HINT250 D. Sub domain: Reimbursement Methodologies 1. Apply policies and procedures for the use of clinical data required in reimbursement and prospective payment HINT223, HINT294-294C, HINT250 systems (PPS) in healthcare delivery. 2. Apply policies and procedures to comply with the changing regulations among various payment systems for healthcare HINT 223, HINT 294/294C, HINT services such as Medicare, Medicaid, managed care, and so 250 forth. 3. Support accurate billing through coding, charge master, HINT221, HINT222, HINT223, claims management, and bill reconciliation processes. HINT294-294C, HINT250 4. Use established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative. 5. Compile patient data and perform data quality reviews to validate code assignment and compliance with reporting requirements such as outpatient prospective payment systems. 6 Ensure accuracy of diagnostic/procedure groupings such as DRG, APC and so on. II. Domain: Health Statistics, Biomedical Research, and Quality Management HINT221, HINT222, HINT223, HINT294-294C, HINT250 HINT223, HINT294-294C, HINT250 HINT223, HINT294/294C, HINT250 A. Sub domain: Healthcare Statistics and Research 1. Collect, maintain and report data for clinical indices/databases/registries to meet specific organization needs such as medical research and disease registries 2. Collect, organize, and present data for quality management, utilization management, risk management, and other related studies. 3. Comprehend basic descriptive, institutional and healthcare vital statistics B. Sub domain: Quality Management and Performance Improvement HINT110, HINT 203, HINT209, HINT297-297C HINT223, HINT294-294C, HINT295, HINT209 HINT297-HINT297C, HINT203, HINT209 1. Abstract and report data for facility-wide quality management and performance improvement programs. HINT 110, HINT201, HINT297297C, HINT209 2. Analyze clinical data to identify trends that demonstrate quality, safety, and effectiveness of healthcare. HINT 110, HINT201, HINT297297C, HINT203, HINT209 III. Domain: Health Services Organization and Delivery 37 COHP Student Handbook HIT COMPETENCIES (Domains, Sub domains) Contained within Course(s) A. Sub domain: Healthcare Delivery Systems 1. Apply current laws, accreditation, licensure, and certification standards related to health information initiates from the national, state, local, and facility levels. 2. Differentiate the roles of various providers and disciplines throughout the continuum of healthcare and respond to their information needs. B. Sub domain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory requirements related to the health information infrastructure 2. Apply policies and procedures for access and disclosure of personal health information. HINT110, HINT297-297C, HINT203, HINT209 HINT110, HINT223, HINT294294C, HINT297-297C, HINT203, HINT209, HINT250 4. Maintain user access logs/systems to track access to and disclosure of identifiable patient data. HINT110, HINT297-297C5, HLTH230 HINT110, HINT297-297C, HLTH230 HINT110, HINT297-297C, HLTH230 HINT201, HINT297-297C, HLTH230 5. Apply and promote ethical standards of practice. ALL COURSES 3. Release patient-specific data to authorized users. IV. Domain: Information Technology and Systems A. Sub domain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure data collection, storage, analysis, and reporting of information. 2. Use common software applications such as spreadsheets, databases, word processing, graphics, presentation, e-mail, and so on in the execution of work processes. 3. Use specialized software in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging. 4. Apply policies and procedures to the use of networks, including intranet and Internet applications to facilitate the electronic health record (EHR), personal health record (PHR), public health, and other administrative applications. HINT201, HINT294-294C, HINT297-297C,CISP112 ALL COURSES HINT110, HINT201, HINT221, HINT222, HINT223, HINT294-294C HINT297-297C, HINT209, HINT250 HINT110, HINT201, HINT221, HINT222, HINT223, HINT294294C, HINT297-297C, HINT209, HINT250 B. Sub domain: Data, Information, and File Structures 1. Apply knowledge of data base architecture and design (such as data dictionary, data modeling, data warehousing) to meet departmental needs. HINT110, HINT201, HINT297297C, C. Sub domain: Data Storage and Retrieval 1. Use appropriate electronic or imaging technology for data/record storage. 38 HINT110, HINT201, HINT297297C, COHP Student Handbook HIT COMPETENCIES (Domains, Sub domains) 2. Query and generate reports to facilitate information retrieval, using appropriate software. 3. Apply retention and destruction policies for health information Contained within Course(s) HINT110, HINT201, HINT297-297C HINT110, HINT201, HINT297297C, D. Sub domain: Data Security 1. Apply confidentiality and security measures to protect electronic health information. 2. Protect data integrity and validity using software or hardware technology. 3. Apply departmental and organizational data and information system security policies. 4. Use and summarize data compiled from audit trail and data quality monitoring programs. HINT110, HIN201, HINT294-294C, HINT297-297C, HINT203, HINT209 HINT110, HINT201, HINT294294C, HINT297-297C, HINT209, HINT250 HINT110, HINT294-294C, HINT297-297C, HLTH230, HINT209 HINT201, HINT297-297C, CISP112 V. Domain: Organizational Resources A. Sub domain: Human Resources 1. Apply the fundamentals of team leadership. 2. Participate in and work in teams and committees 3. Conduct new staff orientation and training programs. HINT294-294C, HINT297-297C, HINT209, HINT211 HINT297/297C, HINT211, HINT 209, HINT 294/294C HINT297/297C, HINT211, HINT 201 4. Monitor and report staffing levels and productivity standards for health information functions. HINT110, HINT294/294C, HINT297/27C, HINT211 5. Use tools and techniques to monitor report and improve processes. HINT223, HINT294/294C, HINT297/297C, HINT209 6. Comply with local, state, and federal labor regulations HINT 211, HINT 297/297C B. Sub domain: Financial and Physical Resources 1. Make recommendations for items to include in budgets and contracts. HINT110, HINT201, HINT223, HINT294-294C, HINT297-297C, HINT209, HINT250, HINT211 2. Monitor and order supplies needed for work processes. HINT110, HINT201, HINT223, HINT294-294C, HINT297-297C, HINT209, HINT250, HINT211 3. Monitor coding and revenue cycle processes. 4. Recommend cost-saving and efficient means of achieving work processes and goals. 39 HINT223, HINT294-294C, HINT297-297C, HINT209, HINT250 HINT110, HINT201, HINT223, HI NT294-294C, HINT297-297C, HINT209, HINT250, HINT211 COHP Student Handbook HIT COMPETENCIES (Domains, Sub domains) Contained within Course(s) 5. Contribute to work plans, policies, procedures, and resource requisitions in relation to job functions. HINT110, HINT201, HINT221, HINT222, HINT294-294C HINT297-297C, HINT203, HINT209, HINT250, HINT211 HIT Knowledge Clusters: Contained within Course(s) Health Data Structure, Content and Standards • Data versus information • Structure and use of health information (individual, comparative, aggregate) HINT110, HINT201, HINT297/HINT297C HINT110, HINT201, HINT209, HINT297-297C • Health information media (such as paper, computer, webbased) HINT110, HINT201, HINT209, HINT297-297C • Health record data collection tools (forms, screens, etc.) HINT110, HINT201, HLTH110 • Data sources (primary/secondary) • Data storage and retrieval • Healthcare data sets (such as OASIS, HEDIS, DEEDS, UHDDS) HINT110, HINT294-294C, HINT297-297C HINT110, HINT201, HINT297297C, HLTH110 HINT110, HINT201, HINT297297C, HINT209 Healthcare Information Requirements and Standards • Type and content of health record (paper, electronic, computer-based, e-health-personal, web-based) HINT110, HINT201, HINT294294C, HINT297-297C, HLTH230 • Health record documentation requirements (such as accreditation, certification, licensure) HINT110, HINT294-294C, HINT297-297C, HLTH230 • Data Quality and Integrity HINT110, HINT297-297C, HINT209 Clinical Classification Systems • Classifications, taxonomies, nomenclatures, terminologies, and clinical vocabularies HINT201, HINT221, HINT222, HINT223, HINT297-297C, HINT250 • Principles and applications of coding systems (such as ICD, CPT, DSM) HINT221, HINT222, HINT223, HINT294/HINT294C • Diagnostic and procedural groupings (such as DRG, APC, RUGs, SNOMED) • Case mix analysis and indexes • Severity of illness systems HINT223, HINT209 • Coding compliance strategies, auditing, and reporting (such as CCI, OIG Work Plans) HINT223, HINT294/HINT294C, HINT250 40 HINT201, HINT221, HINT222, HINT223, HINT297-297C, HINT203, HINT250 HINT223, HINT203, HINT209, HINT250, HINT 294-294C COHP Student Handbook HIT Knowledge Clusters: Contained within Course(s) • HINT221, HINT222, HINT223, HINT294-294C, HINT250 Coding quality monitors and reporting Reimbursement • Commercial, managed care and federal insurance plans HINT294-294C, HINT203, HINT250 • Compliance strategies and reporting HINT 223, HINT 250, HINT 294/294C • Payment methodologies and systems (such as capitation, prospective payment systems, RBRVS) Billing processes and procedures (such as claims, EOB, ABN, electronic data interchange) HINT221, HINT222, HINT223, HINT294-294C, HINT203, HINT250 • Charge master maintenance HINT223, HINT294-294C, HINT250 • Regulatory guidelines (such as NCD, QIO) HINT223, HINT294-294C, HINT250 • Reimbursement monitoring and reporting HINT223, HINT294-294C, HINT250 • HINT223, HINT294-294C, HINT250 Healthcare Statistics and Research • Indices, databases, and registries HINT110, HINT209 • Vital statistics HINT110, HINT203, HLTH230 • Healthcare statistics HINT110, HINT297-297C HINT203, HLTH230 • Descriptive statistics (such as means, frequencies, ranges, percentiles, standard deviations) HINT110, HINT203, HINT209 • Statistical applications with healthcare data HINT110, HINT203, HINT209 • Data selection, interpretation, and presentation HINT297-297C, HINT209 • Knowledge-based research techniques (such as library, MEDLINE, web-based) ALL COURSES Quality Management and Performance Improvement • Quality assessment and improvement (such as process, collection tools, data analysis, reporting techniques) HINT110, HINT203, HINT209 • Utilization management, risk management, and case management HINT110, HINT203, HINT209 • Regulatory quality monitoring requirements HINT110, HINT203, HINT209 • Outcomes measures and monitoring HINT110, HINT203, HINT209 Healthcare Delivery Systems • Organization of healthcare delivery in the United States HINT110, HINT203, HINT209, HLTH110 • Healthcare organizations structure and operation HINT110, HINT297-297C, HINT203, HINT209 41 COHP Student Handbook HIT Knowledge Clusters: Contained within Course(s) • External standards, regulations, and initiatives (such as licensure, certification, accreditation, HIPAA) • Healthcare providers and disciplines Healthcare Privacy, Confidentiality, Legal, and Ethical Issues HINT110, HINT294-294C, HINT297-297C, HINT203, HINT209, HLTH230 HINT110, HINT221,HINT222, HINT294-294C, HINT297-297C, HINT203, HLTH110, HLTH230 • Legislative and regulatory processes HINT110, HLTH230 • Legal terminology HINT110, HLTH230 • Health information/record laws and regulations (such as retention, patient rights/advocacy, advanced directives, privacy) Confidentiality, privacy, and security policies, procedures, and monitoring • • Release of information policies and procedures • Professional and practice-related ethical issues HINT110, HINT297-297C, HLTH230 HINT110, HINT294-294C, HINT297-297C, HLTH230 HINT110, HINT297-297C, HLTH230 ALL COURSES Information and Communication Technologies • Computer concepts (such as hardware components, operating systems, languages, software packages) • Communication and internet technologies (such as networks, intranet, standards) Common software applications (such as word processing, spreadsheet, database, graphics) Health information systems (such as administrative, patient registration, ADT, EHR, PHR, lab, radiology, pharmacy) • • HINT201, HINT297-297C, CISP112 HINT201, HINT297-297C, CISP112 ALL COURSES HINT110, HINT201, HINT294294C, HINT297-297C, HINT203 • Voice recognition technology HINT201, HINT297-297C • Health information specialty systems (such as ROI, coding, registries) Application of systems and policies to health information systems and functions and data requests. HINT110, HINT201, HINT294294C, HINT297-297C HINT110, HINT201, HINT297297C, HINT209 System acquisition and evaluation HINT 201, HINT 297/297C • Data Storage and Retrieval • Document archival, retrieval, and imaging systems HINT 110, HINT 201 • Maintenance and monitoring of data storage systems HINT 110, HINT 201, HINT 297/297C Data Security and Healthcare Information Systems 42 COHP Student Handbook HIT Knowledge Clusters: Contained within Course(s) • System architecture and design HINT 110, HINT 201, HINT 297/297C • Screen design HINT 110, HINT 201 • Data retrieval and maintenance HINT 110, HINT 201, HINT 294/294C • Data Security concepts HINT 110, HINT 201 • Data integrity concepts • Data integrity and security processes and monitoring HINT 110, HINT 201, HINT 203, HINT 209 HINT 110, HINT 201, HINT 203, HINT 209, CISP 112 Organizational Resources • Roles and functions of teams and committees HINT 110, HINT 211, HINT 209 • Team/consensus building and committees HINT 110, HINT211, HINT 209 • Communication and interpersonal skills HINT 110, HINT 211, HINT 209 • Team leadership concepts and techniques • Orientation and training (such as content, delivery, media) • Workflow and process monitors HINT221, HINT 209, HINT 297/297C HINT 110, HINT 211, HINT 209, HINT 223, HINT 297/HINT297C HINT 110, HINT 211, HINT 209, HINT 223, HINT 297/297C Financial and Resource Management • Revenue cycle monitors • Organizational plans and budgets (framework, levels, responsibilities, etc) • Resource allocation monitors HINT 250, HINT 223, HINT 294/294C HINT110, HINT201, HINT223, HINT294/294C, HINT297/297C, HINT209, HINT250, HINT211 HINT110, HINT201, HINT223, HINT294/294C, HINT297/297C, HINT209, HINT250, HINT211 ACCREDITATION The Davenport University Health Information Technology degree program is accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). Students may begin the HIT program at any of the identified locations, but must complete the program at the Livonia (formerly located at Dearborn) location or through DUOnline. Students successfully completing this accredited program are eligible to take the Registered Health Information Technician (RHIT) exam offered by the American Health Information Management Association 43 COHP Student Handbook (AHIMA). To be eligible to sit for the certification examination, applicants must meet the requirements found in the AHIMA website (http://www.ahima.org/certification/). Graduating HIT students must have completed their formal training in a Health Information Technology program accredited by CAHIIM, in conjunction with AHIMA. The EPC for the HIT program (needed to apply for the RHIT exam) is 654. Beginning October 6, 2008, students in CAHIIM-accredited programs for RHIT or RHIA, enrolled in their final term of study, are now eligible to apply for and take their respective certification exam early. Eligible students include the following: • Students currently enrolled and in their last term of study • Students who have completed their course work but have not yet graduated • Graduates that are currently waiting for their official transcripts Being a healthcare professional today means maintaining a lifelong commitment to high standards of practice. RHITs are required to obtain 20 continuing credits every two years to maintain and keep their credentials current. HEALTH INFORMATION TECHNOLOGY (HIT) REQUIRED COURSES AND CREDITS 74 2HT AAS Health Information Technology Credits Planned 22 Transfer Foundations of Excellence Semester credits Credit BIOL120 Essentials of Anatomy & Physiology 4 BIOL131 Introduction to Human Disease 3 COMM120 Presentation Techniques 3 ENGL109 Composition 3 ENGL110 Advanced Composition 3 MATH125 Intermediate Algebra 3 SOSC201 Diversity in Society 3 Planned Transfer Foundations of Health Professions 9 credits Semester Credit HLTH101 Intro to Health Careers 3 HLTH110 Medical Terminology 3 CISP112 Computer Foundations 3 Planned 43 Transfer Major Semester credits Credit HINT110 Health Record Content 3 HINT201 Health Information Technology 3 HINT221 ICD-9-CM Coding 4 HINT222 Procedural CPT/HCPCS Coding 3 HINT203 Health Care Delivery Systems 3 HINT209 Quality Assurance Health Care 3 HINT223 Advanced Coding 4 Health Care Management HINT211 3 Foundations HINT250 Intro to Reimbursement Systems 3 HINT294 Medical Coding Practicum Lecture 2 HINT294C Medical Coding Practicum Lab 2 HINT297 Health Info Tech Practicum Lecture 2 HINT297C Health Info Tech Practicum Lab 2 HLTH220 Pharmacology 3 44 2011-2012 Davenport Credit Davenport Credit Davenport Credit COHP Student Handbook HLTH230 Health Care Law and Ethics 3 Recommended Program Sequence (full-time): Health Information Technology Semester 1 Course BIOL120 Essentials of A&P Cr. 4 74 Cr Semester 2 2009-10 Course Cr. BIOL131 Intro to Human Disease 3 HLTH101 Intro to Health Careers 3 COMM120 Presentation Techniques 3 HLTH110 Medical Terminology 3 MATH125 Intermediate Algebra 3 ENGL109 Composition 3 HINT203 Health Care Delivery Systems 3 CISP112 3 HINT110 Health Record Content 3 ENGL110 Advanced Composition 3 Total 18 Semester 3 Computer Foundations Total Course 16 Cr. Semester 4 Course HINT201 Health Information Tech 3 SOSC201 HINT221 ICD-9-CM Coding 4 HINT209 HINT222 Proc CPT/HCPCS Coding 3 HINT211 3 HINT250 Health Care Law & Ethics 3 HINT223 Total 16 HLTH220 Pharmacology HLTH230 Semester 5 Course Cr. HINT 294C Medical Coding Practicum Lecture Medical Coding Practicum Lab HINT297 HIT Practicum Lecture 2 HINT 297C HIT Practicum Lab 2 Total 8 HINT294 Semester 6 Course 2 2 45 Cr. Diversity in Society Quality Assurance in Healthcare Healthcare Management Foundations Intro to Reimbursement Systems 3 Advanced Coding 4 Total 16 3 3 3 Cr. COHP Student Handbook Recommended Program Sequence (part-time): Health Information Technology Semester 1 Course Cr. 74 Cr Semester 2 2009-10 Course BIOL120 Cr. HLTH101 Intro to Health Careers 3 HLTH110 Medical Terminology 3 Essentials of Anatomy & Physiology COMM120 Presentation Techniques ENGL109 Composition 3 MATH125 Total 9 Semester 3 4 3 Intermediate Algebra 3 Total 10 Semester 4 Course Cr. Course CISP112 Applied Information Technology 3 HINT201 HINT110 Health Record Content 3 BIOL131 HINT203 Health Care Delivery Systems Total 3 ENGL110 9 Semester 5 Cr. Health Information Technology Introduction to Human Disease Cr. 3 Advanced Composition 3 Total 9 Semester 6 Course 3 Cr. Course HINT221 ICD-9-CM Coding 4 HLTH230 Health Care Law & Ethics 3 HLTH220 HINT222 Pharmacology Procedural CPT/HCPCS Coding Total 3 HINT223 HINT250 Advanced Coding Introduction to Reimbursement Systems Total 4 3 10 Semester 7 Course HINT211 3 10 Semester 8 Cr. Health Care Mgmt Foundations Medical Coding Practicum Lecture Medical Coding HINT294C Practicum Lab HINT209 Quality Assurance Health Care HINT294 Total 3 Course HINT297 HINT 297C 2 SOSC201 2 3 10 46 Cr. Health Information Technology Practicum Lecture 2 HIT Practicum Lab 2 Diversity in Society 3 COHP Student Handbook 3.1.3 Health Information Management (HIM) Bachelor Degree Program PROGRAM PURPOSE The successful graduate holding a baccalaureate degree in health information management possesses the expertise to develop, implement, and/or manage individual, aggregate and public healthcare data collection and reporting systems. These systems ensure the quality, integrity, availability, and preservation of healthcare data in support of patient safety and privacy, as well as the confidentiality and security of health information. In an e-health environment, these processes and systems are needed to support authorized users and decision makers. What types of positions are held by HIM graduates? • • • • • • • • • • • • • • • • • • • Business Process Engineer Clinical Data Analyst Clinical Documentation Coordinator Clinical Research/Trials Associate Compliance Officer Data Quality Manager Data Sets, Nomenclature, and Classification Standards Manager Data Translator Instructor/Trainer Educator Healthcare Consumer Advocate Health Data/Information Resource Manager Health Information Services Manager (Director, Assistant Director, Supervisor) Health Information System Applications Designer/Trainer, Marketing and Sales Manager/ Implementation and Support Manager Privacy/Security Officer Project Manager Quality Improvement Manager Reimbursement Manager Revenue Cycle Manager HIM Competencies, Domains and Knowledge Clusters HIM degree-seeking students learn material from competencies, domains and knowledge clusters as identified by AHIMA. The following tables identify the domains, the sub-domains, the tasks, the knowledge clusters and the courses where this content is contained within the Health Information Management Program. Contained within Course(s) HIM COMPETENCIES (Domains, Sub domains) I. Domain: Healthcare Data Management A. Sub domain: Health Data Structure, Content and Standards 1. Manage health data (such as data elements, data sets, and databases). 47 HINT350, HINT385, HINT400 COHP Student Handbook HIM COMPETENCIES (Domains, Sub domains) 2. Ensure that documentation in the health record supports the diagnosis and reflects the patient’s progress, clinical findings, and discharge status. Contained within Course(s) HINT350, HINT385, HINT400 B. Sub domain: Healthcare Information Requirements and Standards 1. Develop organization-wide health record documentation guidelines. HINT350, HINT385, HINT400, HINT496 2. Maintain organizational compliance with regulations and standards. HINT350, HINT385, HINT400, HINT496 3. Ensure organizational survey readiness for accreditation, licensing and/or certification processes. HINT350, HINT400, HINT496, HSAD402 4. Design and implement clinical documentation initiatives HINT 250, HINT 400, HINT 496 C. Sub domain: Clinical Classification Systems 1. Select electronic applications for clinical classification and coding. HINT385, HINT400 2. Implement and manage applications and processes for clinical classification and coding. HINT385, HINT400 3. Maintain processes, policies, and procedures to ensure the accuracy HINT 385, HINT 400 of coded data D. Sub domain: Reimbursement Methodologies 1. Manage the use of clinical data required in prospective payment systems (PPS) in healthcare delivery HINT350, HINT385, HINT400 2. Manage the use of clinical data required in other reimbursement systems in healthcare delivery. HINT350, HINT385, HINT400 3. Participate in selection and development of applications and processes for chargemaster, and claims management. HINT350, HINT385, HINT400 4. Implement and manage processes for compliance and reporting. HINT350, HINT385, HINT400 5. Participate in revenue cycle management HINT350, HINT385, HINT400 II. Domain: Health Statistics, Biomedical Research and Quality Management A. Sub domain: Healthcare Statistics and Research 1. Analyze and present data for quality management, utilization management, risk management, and other related studies. HINT350, HINT385, HINT496, HLTH401 2. Utilize statistical software. HINT350, HLTH401, HINT385, HINT496 3. Ensure adherence to Institutional Review Board (IRB) processes and policies. HLTH401, HINT385, HINT496 B. Sub domain: Quality Management and Performance Improvement 48 COHP Student Handbook HIM COMPETENCIES (Domains, Sub domains) 1. Provide support for facility-wide quality management and performance improvement programs 2. Analyze and present data for healthcare decision-making (such as demonstrating quality, safety and effectiveness of healthcare). III. Contained within Course(s) HINT350, HINT400, HINT496 HINT350, HINT496, HLTH401, HSAD302, HSAD402 Domain: Health Services Organization and Delivery A. Sub domain: Healthcare Delivery Systems 1. Evaluate and implement national health information initiatives on the healthcare delivery system for application to information system policies and procedures. 2. Interpret, communicate, and apply current laws, accreditation, licensure and certification standards related to health information initiatives at the national, state, local, and facility levels. 3. Analyze and respond to the information needs of internal and external customers throughout the continuum of healthcare services. HINT350, HINT385, HINT400, HSAD302 HINT350, HINT385, HINT400, HSAD302 HINT350, HINT385, HSAD302 4. Revise policies and procedures to comply with changing health information regulations. HINT350, HINT385, HSAD302 5. Translate and interpret health information for consumers and advocates. HINT350, HINT385, HSAD302 B. Sub domain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues. IV. 1. Coordinate the implementation of legal and regulatory requirements related to the health information infrastructure. HINT350, HINT496, HSAD402 2. Manage access and disclosure of personal health information. HINT350, HINT400, HINT496, HSAD402 3. Develop and implement organization-wide confidentiality policies and procedures. HINT350, HINT400, HINT496, HSAD402 4. Develop and implement privacy-training programs. HINT350, HINT400, HINT496, HSAD402 5. Resolve privacy issues/problems. HINT350, HINT400, HINT496, HSAD402 6. Apply and promote ethical standards of practice. ALL COURSES 7. Define and maintain elements of the legal patient record HINT350, HINT400, HINT496, HSAD402 8. Establish and maintain e-discovery guidelines HINT350, HINT400, HINT496, HSAD402 Domain: Information Technology & Systems A. Sub domain: Information and Communication Technologies 49 COHP Student Handbook HIM COMPETENCIES (Domains, Sub domains) 1. Implement and manage use of technology, including hardware and software, to ensure data collection, storage, and analysis and reporting of information. 2. Contribute to the development of networks, including intranet and internet applications to facilitate the electronic health record (EHR), personal health record (PHR), public health, and other administrative applications. 3. Interpret the derivation and use of standards to achieve interoperability of healthcare information systems. Contained within Course(s) HINT350, HINT385, HINT400, HINT496 HINT350, HINT385, HINT400, CISP247 OR BITS212 HINT350, HINT385, HINT400, HINT496 B. Sub domain: Information Systems 1. Apply knowledge of data base architecture and design (such as data dictionary, data modeling, data warehousing, and so on) to meet organizational needs 2. Monitor use of clinical vocabularies and terminologies used in the organization’s health information system 3. Manage clinical indices/databases/registries HINT350, HINT385, HINT400, HINT496 HINT350, HINT385, HINT400, HINT496 HINT350, HINT385, HINT400, HINT496 4. Apply appropriate electronic or imaging technology for data/record storage. HINT350, HINT385, HINT400, HINT496 5. Apply knowledge of data base querying and data mining techniques HINT350, HINT385, to facilitate information retrieval. HINT400, HINT496 6. Implement and manage knowledge-based applications to meet enduser information requirements. HINT350, HINT385, HINT400, HINT496 7. Design and generate administrative reports using appropriate software. HINT350, HINT385, HINT400, HINT496 8. Participate in system selection processes (RFI and RFP) HINT350, HINT385, HINT400, HINT496 9. Evaluate and recommend clinical administrative, and specialty service applications (RFP vendor selection, electronic record, clinical coding) 10. Apply appropriate systems life cycle concepts, including systems analysis, design, implementation, evaluation, and maintenance to the selection of healthcare information systems HINT350, HINT385, HINT400, HINT496 HINT350, HINT385, HINT400, HINT496 C. Sub domain: Data Security 1. Protect electronic health information through confidentiality and security measures. HINT350, HINT385, HINT400, HINT496 2. Protect data integrity and validity using software or hardware technology. HINT350, HINT385, HINT400, HINT496 3. Implement and monitor department and organizational data and information system security policies. HINT350, HINT385, HINT400, HINT496 4. Recommend elements that must be included in the design of audit trail and data quality monitoring programs. HINT350, HINT385, HINT400, HINT496 V. Domain: Organization and Management 50 COHP Student Handbook Contained within Course(s) HIM COMPETENCIES (Domains, Sub domains) A. Sub domain: Human Resources Management 1. Manage human resources to facilitate staff recruitment, retention, and supervision. HINT211, HINT385 2. Ensure compliance with employment laws. HINT211, HINT385 3. Develop and implement staff orientation and training programs. HINT211, HINT385, HINT400 4. Develop productivity standards for health information functions. HINT211, HINT350, HINT385, HINT400 5. Monitor staffing levels and productivity, and provide feedback to staff HINT211, HINT350, regarding performance. HINT385, HINT400 6. Benchmark staff performance data. HINT211, HINT350, HINT385, HINT400 7. Develop, motivate, and support work teams. HINT211, HINT350, HINT385, HINT400 8. Apply Quality Management tools HINT211, HINT350, HINT385, HINT400 9. Develop, motivate, and support work teams. HINT211, HINT350, HINT385, HINT400 B. Sub domain: Financial and Resource Management 1. Demonstrate knowledge of financial management and accounting principles. ACCT201, HINT496 2. Prepare and monitor budgets and contracts. FINC403, HINT496 3. Demonstrate and apply knowledge of cost-benefit analysis techniques to justify resource needs. FINC403, HINT350, HINT400, HINT496 HINT350, HINT385, HINT400, HINT496, FINC403 4. Manage organization-wide coding and revenue cycle management. C. Sub domain: Strategic Planning and Organizational Development 1. Apply general principles of management in the administration of health information services. 2. Assigns projects and tasks to appropriate staff. 3. Apply project management techniques to ensure efficient workflow and appropriate outcomes 4. Demonstrate leadership skills. 51 HINT211, HINT350, HINT385, HINT400, HINT496 HINT211, HINT350, HINT385, HINT400, HINT496 HINT211, HINT350, HINT385, HINT400, HINT496 HINT211, HINT350, HINT385, HINT400, HINT496 COHP Student Handbook Contained within Course(s) HIM COMPETENCIES (Domains, Sub domains) D. Sub domain: Problem Solving and Leadership 1. Apply project management techniques to ensure efficient workflow and appropriate outcomes 2. Facilitate project management by integrating work efforts, as well as planning and executing project tasks and activities HINT211, HINT350, HINT385, HINT400, HINT496 HINT211, HINT350, HINT385, HINT400, HINT496 Contained within Course(s) HIM Knowledge Clusters: Health Data Structure, Content, and Standards HINT110,HINT201, HINT297-297C,HINT385, HINT209 HINT110,HINT201, HINT294-294C,HINT297297C, HINT385, HINT209 • Capture, structure and use of health information • Health information (paper, electronic) • Data quality assessment and integrity HINT350, HINT385 • Secondary data sources, registries and indexes; HINT110,HINT294-294C, HINT297-297C, HINT385 • Healthcare data sets (such as OASIS, HEDIS, UHDDS) HINT350,HINT385, HINT496 • Health information archival, and retrieval systems • HINT350,HINT400, HINT496 HINT110,HINT201, Data collection tools, and technologies, (such as forms; data input HINT294/294C, HINT297/297C,HINT385, screens; templates) and other health record documentation tools. HLTH110 Healthcare Information Requirements and Standards • Standards and regulations for documentation (such as Joint Commission, CARF, COP, ) HINT350, HINT400, HINT496 • Health information standards (such as HIPAA, ANSI, ASTM, LOINC, UML, HL-7) HINT350, HINT400, HINT496 • Patient Identity Management Policies HINT350, HINT400, HINT496 Clinical Classification Systems • Healthcare taxonomies, clinical vocabularies, terminologies/nomenclatures (such as ICD-9-CM, ICD-10, CPT, SNOMED-CT, DSM-IV) 52 HINT201, HINT221, HINT222, HINT223, HINT294-294C, HINT385, HINT250, HINT385 COHP Student Handbook Contained within Course(s) HIM Knowledge Clusters: • Severity of illness systems HINT223, HINT290, HINT385 • Data integrity, coding audits HINT 223, HINT 294/294C, HINT 496 • CCI, Electronic billing, X12N HINT 223, HINT 250, HINT 294/294C, HINT 350 Reimbursement Methodologies • Clinical data and reimbursement management • Compliance strategies and reporting (e.g. National Correct Coding Initiative) • Chargemaster management • Casemix management • Audit process (such as compliance and reimbursement) • Payment systems (such as PPS, DRGs, APCs, RBRVS, RUGs) • Commercial, managed care and federal insurance plans • Revenue Cycle Process FINC403, HINT350, HINT385, HINT400 FINC403, HINT223, HINT294-294C, HINT350, HINT385, HINT250 FINC403, HINT250, HINT385 HINT294-294C, FINC403, HINT385 HINT250, FINC403, HINT294-294C, HINT350, HINT385 HINT203, HINT250, HINT221, HINT222, HINT223, HINT294-294C, HINT385 HINT203, HINT250, HINT294-294C, HINT385 HINT 250, HINT 294/294C, HINT 350, HINT 385 Healthcare Statistics, Biomedical Research and Quality Management – Healthcare Statistics and Research HINT350, HINT496, HLTH401 HINT110, HINT203, HINT209, STAT219, HINT496 • Statistical analysis on healthcare data • Descriptive statistics (such as means, standard deviations, frequencies, ranges, percentiles) • Inferential statistics (such as t-tests, ANOVAs, regression analysis, statistical process control, reliability, validity) • Vital statistics HINT110, HINT297/297C, HINT496, HINT203, HLTH230 • Epidemiology HINT496, HLTH401 53 HINT496, HLTH401 COHP Student Handbook Contained within Course(s) HIM Knowledge Clusters: • Data reporting and presentation techniques HINT297/297C, HINT496, HINT209, HLTH401 • Computerized statistical packages HINT496, HLTH401 • Research design/methods (such as quantitative, qualitative, evaluative, outcomes) HINT496, HLTH401 • Knowledge-based research techniques (such as Medline, CMS, libraries, web sites) • National guidelines regarding human subjects’ research • Institutional review board process (IRB) • Research protocol data management ALL COURSES IN COLLEGE OF HEALTH PROFESSIONS HLTH230, HLTH401, HINT496 HINT110, HINT297-297C, HINT350, HINT496, HINT209, HLTH401 HINT209, HINT350, HINT496, HLTH401 Quality Management and Performance Improvement • Quality assessment and management tools (such as benchmarking, ORYX, SQC) • Utilization and resource management • Disease management process (such as case management, critical paths) • Out comes measurement (such as patient, customer satisfaction, disease-specific) • Benchmarking techniques • Patient and organization safety initiatives HINT110, HINT203, HINT297-297C, HINT350, HINT400, HINT496, HINT209 HINT110, HINT297/297C, HINT350, HINT400, HINT496, HINT203, HINT209, HSAD402 HINT350, HINT400, HINT496 HINT350, HINT400, HINT496, HLTH401, HSAD302, HSAD402 HINT 110, HINT 297/297C, HINT 294/294C, HINT 350, HINT 385 HINT 110, HINT 297/297C, HITN 211, HINT 385, HINT 496 Health Services Delivery Systems • HINT110, HINT294-294C, HINT297-297C, HINT350, HINT385, HINT203, HINT209, HSAD302, HLTH110, FINC403 Organization of healthcare systems 54 COHP Student Handbook Contained within Course(s) HIM Knowledge Clusters: • • • • HINT110, HINT294-294C, Structure and operation of healthcare organizations including e-health HINT297-297C, HINT350, HINT385, HINT203, delivery HINT209 HINT350, HINT385, Accreditation standards (such as Joint Commission, AOA, NCQA, HSAD302 CARF, CHAP, URAC) HINT110, HINT290, HINT297/297C, HINT350, HINT385, HINT203, Regulatory and licensure requirements HINT209, HSAD302, HLTH230 HINT 110, HINT 201, HINT 297/297C, HINT350, Federal initiative, ONC CCHIT HINT385, HSAD302, HINT 496 Healthcare Privacy, Confidentiality, Legal and Ethical Issues • Legislative and legal system • Privacy, confidentiality, security principles, policies and procedures • Health information laws, regulations, and standards (such as HIPAA, e-health, JCAHO, state laws) • Elements of compliance programs • Professional and practice related ethical issues • Legal Health Record, e-Discovery guidelines HINT110, HINT297-297C, HINT496, HLTH230, HSAD302, HSAD402 HINT110, HINT294-294C, HINT297-297C, HINT496, HSAD402 HINT110, HINT290, HINT297/297C, HINT350, HINT400, HINT496, HLTH230, HSAD402 HINT350, HINT385, HINT496, HSAD302, HSAD402 ALL COURSES IN THE COLLEGE OF HEALTH PROFESSIONS HINT110, HINT297/207C, HINT496, HLTH230, HSAD302, HSAD402 Information and Communication Technologies • Computer concepts (hardware components, network systems architectures, operating systems and languages, and software packages and tools) • Communications technologies (networks-LANS, WANS, VPNs; data interchange standards – NIST, HL-7) 55 HINT201, HINT294-294C, HINT297-297C, HINT350, HINT385, HINT400, CISP112, CISP247/BITS212 HINT201, HINT290, HINT297/297C, HINT350, HINT385, HINT400, CISP112 COHP Student Handbook Contained within Course(s) HIM Knowledge Clusters: • Data interchange standards (such as- X9, NIST, HL&, Reference Information Modeling (RIM) HINT350, HINT385, HINT400 • Internet technologies (Intranet, web-based systems, standards – SGML, XML) Data, information and file structures (data administration, data definitions, data dictionary, data modeling, data structures, data warehousing, database management systems) HINT350, HINT385, HINT400 • • Data storage and retrieval (storage media, query tools/applications, data mining, report design, search engines) • Indices and registry polices • System interoperability, data sharing • National Healthcare Information Infrastructure (NHIN) HINT350, HINT385, HINT400, HINT496 HINT110, HINT201, HINT297/297C, HINT350, HINT385, HINT400, HINT496 HINT110, HINT201, HINT297/297C, HINT385, HINT400, HINT209 HINT110, HINT201, HINT297/297C, HINT385, HINT400, HINT209 HINT 350 HINT110, HINT201, HINT297/297C, HINT385, HINT400, HINT209 Information Systems • Leading development of health information resources and systems HINT350, HINT385, HINT400 • Database & Architecture and Design HINT385, HINT400, HINT250 • Clinical, business, and specialty systems applications (administrative, clinical decision support systems, electronic health record and computer-based health record systems, nursing, ancillary service systems, patient numbering systems at master and enterprise levels HINT110,HINT 297.297C, HINT 350, HINT 385, HINT 400, HINT 496 • Systems development, Life Cycle (planning, system analysis, design, implementation, evaluation, and maintenance.) HINT350, HINT385, HINT400 • Human factors and user interface design HINT350, HINT385, HINT400 • RHIO, HIE, RHEC HINT350, HINT400, HINT496 • Project management HINT350, HINT400, HINT496 Data Security 56 COHP Student Handbook Contained within Course(s) HIM Knowledge Clusters: • Data security protection methods (such as authentication encryption, decryption, firewalls) • Data Security (audits, controls, data recovery e-security HINT 110, HINT 201, HINT 297/297C, HINT 350, HINT 385, HINT 400 HINT 110, HINT 201, HINT 297/297C, HINT 350, HINT 385, HINT 400 Human Resources Management • Employment laws HINT211 OR MGMT211, HINT385 • Principles of human resources management (recruitment, supervision, retention, counseling, disciplinary action) HINT211 OR MGMT211, HINT385 • Workforce education and training HINT211 OR MGMT211, HINT350, HINT385 • Performance standards HINT211 OR MGMT211, HINT385 • Labor Trends, market analysis HINT211 OR MGMT211, HINT385 Financial and Resource Management • Healthcare finance (payer mix, bond rating, investment, capitalization) FINC403, HINT496 • Accounting principles ACCT201, HINT496 • Budget process (capital and operating) FINC403, HINT496 • Cost/benefit analysis FINC403, HINT496 Strategic Planning and Organizational Development • Organizational assessment and benchmarking HINT350, HINT385, HINT400 • Critical thinking skills, emotional intelligence, employee engagement HINT 211, HINT350, HINT385, HINT400 • Project management HINT 211, HINT350, HINT385, HINT400 Problem Solving and Leadership • HINT350, HINT400 Process reengineering and work redesign 57 HINT385, COHP Student Handbook Contained within Course(s) HIM Knowledge Clusters: • Change Management HINT 211, HINT350, HINT385, HINT400 • Facilitation of teams and meetings HINT 211, HINT350, HINT385, HINT400 • Principles of management HINT 211, HINT350, HINT385, HINT400 • Negotiation techniques HINT 211, HINT350, HINT385, HINT400 • Communication and interpersonal skills HINT 211, HINT350, HINT385, HINT400 • Team consensus building HINT 211, HINT350, HINT385, HINT400 • Professional development for self and staff HINT 211, HINT350, HINT385, HINT400 • Problem solving and decision making processes HINT 211, HINT350, HINT385, HINT400 ACCREDITATION The Davenport University Health Information Management degree program is accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM). Students may complete the HIM BS program at Grand Rapids, Livonia, Saginaw campus, or Online. Students successfully completing this accredited program are eligible to take the Registered Health Information Administrator (RHIA) exam offered by the American Health Information Management Association (AHIMA). To be eligible to sit for the certification examination, applicants must meet the requirements found in the AHIMA website (http://www.ahima.org/certification/). Graduating HIM students must have completed their formal training in a Health Information Technology program accredited by CAHIIM, in conjunction with AHIMA. The EPC for the HIM program (needed to apply for the RHIA exam) is dependent on where students completed the majority of courses. The EPCs for Davenport University are as follows: 149 Davenport University- Grand Rapids 146 Davenport University - Livonia Campus 148 Davenport University - Online 147 Davenport University - Saginaw Beginning October 6, 2008, students in CAHIIM-accredited programs for RHIT or RHIA, enrolled in their final term of study, are now eligible to apply for and take their respective certification exam early. Eligible students include the following: • Students currently enrolled and in their last term of study 58 COHP Student Handbook • Students who have completed their course work but have not yet graduated • Graduates that are currently waiting for their official transcripts Working as a critical link between care providers, payers, and patients, the RHIA: • Is an expert in managing patient health information and medical records, administering computer information systems, collecting and analyzing patient data, and using classification systems and medical terminologies. • Possesses comprehensive knowledge of medical, administrative, ethical and legal requirements and standards related to healthcare delivery and the privacy of protected patient information. • Manages people and operational units, participates in administrative committees, and prepares budgets. • Interacts with all levels of an organization - clinical, financial, administrative, and information systems - that employ patient data in decision-making and everyday operations. Job opportunities for RHIAs exist in multiple settings throughout the healthcare industry. These include the continuum of care delivery organizations, including hospitals, multispecialty clinics and physician practices, long-term care, mental health, and other ambulatory care settings. The profession has seen significant expansion in non-patient care settings, with careers in managed care and insurance companies, software vendors, consulting services, government agencies, education, and pharmaceutical companies. Being a healthcare professional today means maintaining a lifelong commitment to high standards of practice. RHIAs are required to obtain 30 continuing credits every two years to maintain and keep their credentials current. 59 COHP Student Handbook HEALTH INFORMATION MANAGEMENT REQUIRED COURSES AND CREDITS Health Information Management (BS) Planned Foundations of Excellence Semester BIOL120 Essentials of Anatomy & Physiology BIOL131 Introduction to Human Disease 3 COMM120 Presentation Techniques 3 ENGL109 Composition 3 ENGL110 Advanced Composition 3 ENGL311 Professional Writing 3 MATH125 Intermediate Algebra 3 STAT219 Intro to Biostatistics 3 PSYC101 Introductory to Psychology 3 SOSC201 Diversity in Society Humanities Elective or Social Science Elective 3 Elective Planned Semester Planned Semester 121 Cr 34 credits 4 Foundations of Health Professions 13 credits 3 Intro to Health Careers ACCT204 Basics for Managers 3 CISP112 Computer Foundations 3 HLTH110 Medical Terminology 3 74 credits 3 BITS212 Microcomputer App: Database FINC403 Health Care Finance 3 HINT110 Health Record Content 3 HINT201 Health Information Technology 3 HINT203 Health Care Delivery Systems 3 HINT209 Quality Assurance Health Care 3 HINT211 Healthcare Management Foundations 3 HINT221 ICD-9-CM Coding 4 HINT222 Procedural CPT/HCPCS Coding 3 HINT223 Advanced Coding 4 HINT250 Intro Reimbursement Systems 3 HINT294 Medical Coding Practicum Lecture 2 HINT294C Medical Coding Practicum Lab Health Information Technology Practicum Lab Health Information Technology Practicum Lecture 2 HINT297 HINT297C 60 Transfer Credit Davenport Credit Transfer Credit Davenport Credit 3 HLTH101 Major Transfer Credit 2011-12 Davenport Credit 2 COHP Student Handbook HINT350 3 HINT400 Clinical Information Systems Current Topics/Health Information Management Management of Information Systems HINT496 Health Information Management Capstone 4 HLTH220 Pharmacology 3 HLTH230 Health Care Law & Ethics 3 HLTH401 Health Care Research 3 HINT385 HRMG 213 Human Resource Management MGMT 312 Creativity and Innovation or Organizational or MGMT Behavior or Leadership Theory and 321, or Discovery MGMT 375 Open Electives – choose 3 credits from the following courses: HINT 490 Health Information Management Internship 3 3 3 3 3 credits 3 HSAD 302 Regulations in Health Care 3 HSAD 402 Health Care Risk Management 3 HRMG 314 Managing Change in Organizations 3 GPMT 350 Principles of Project Management Special Topics: Global Project Management Study Abroad Experience 3 GPMT 385 SABR 381 61 3 3 Transfer Credit Davenport Credit COHP Student Handbook Recommended Program Sequence (full-time): Health Information Management Semester 1 Semester 2 Course BIOL120 HLTH101 HLTH110 ENGL109 MATH125 Cr Course Essentials of A&P Intro to Health Careers Medical Terminology Composition Intermediate Algebra 4 3 3 3 3 BIOL131 COMM120 CISP 112 HINT203 HINT110 ENGL110 Total 16 Semester 3 3 SOSC201 Diversity in Society 3 4 HINT209 HINT211 Quality Assurance in Healthcare Healthcare Management Foundations Intro to Billing/Reimbursement Systems Advanced Coding 3 HINT222 Proc CPT/HCPCS Coding 3 HLTH220 Pharmacology 3 HLTH230 Health Care Law and Ethics 3 Total 16 HINT294-294C HINT297-297C PSYC101 Medical Coding Practicum HIT Practicum Psychology Total HINT250 HINT223 Semester 6 Cr Course 4 4 3 STAT219 HINT350 ACCT204 BITS212 ENGL311 11 Semester 7 Semester 8 Course C r Course HINT221 Course C r 3 3 3 3 3 3 Cr Health Information Technology ICD-9-CM Coding Semester 5 Intro to Human Disease Presentation Techniques Applied Information Technology Health Care Delivery Systems Health Record Content Advanced Composition Total 18 Semester 4 Course HINT201 20112012 121 Credits Intro to Biostatistics Clinical Information Systems Accounting Basics for Managers Microcomputer App: Database Professional Writing 3 Total 16 HINT385 Current Topics HIM Elective Electives - Social Science or Humanities Health Information Management 3 HLTH401 Health Care Research 3 HRMG213 Human resource 3 HINT496 62 4 C r 3 3 4 3 C r Course Management Information Systems 3 Total 16 Cr HINT400 3 3 3 4 COHP Student Handbook MGMT3xx FINC403 Management MGMT312- MGMT321 or MGMT375 Health Care Finance Total Capstone 3 Elective 3 15 Open Elective Total 3 13 Recommended Program Sequence (part-time): Health Information Management 121 Credits Semester 1 Semester 2 Course HLTH101 Intro to Health Careers Cr 3 Course CISP112 HLTH110 Medical Terminology 3 BIOL120 ENGL109 Composition Total 3 9 COMM120 Semester 3 Course MATH125 HINT110 HINT203 HINT294-294C HINT209 Semester 9 Course BITS212 & 4 3 10 Intermediate Algebra Health Record Content Health Care Delivery Systems Total Cr 3 3 Course HINT201 BIOL131 Health Information Technology Introduction to Human Disease Cr 3 3 3 ENGL110 Advanced Composition 3 Total 9 9 Semester 6 ICD-9-CM Coding Pharmacology Procedural CPT/HCPCS Coding Total Cr 4 3 3 Course HLTH230 HINT223 HINT250 10 Semester 7 Course HINT211 Computer Foundations Essentials of Anatomy Physiology Presentation Techniques Total Cr 3 Semester 4 Semester 5 Course HINT221 HLTH220 HINT222 20112012 Health Care Law & Ethics Advanced Coding Introduction to Reimbursement Systems Total Cr 3 4 3 10 Semester 8 Cr Cr 4 Course HINT2972 Health Information Technology 97C Practicum SOSC201 Diversity in Society 3 Health Care Mgmt Foundations Medical Coding Practicum Quality Assurance Health Care Total 3 PSYC101 10 Total Semester 10 10 Microcomputer Cr 3 Course HINT350 Cr 3 3 63 Introductory Psychology Clinical Information Systems 4 3 COHP Student Handbook Applications: Database HRMG21 3 ACCT200 MATH219 Intro to Biostatistics 3 ENGL311 Professional Writing 3 Total 9 Total Semester 12 9 Cr Course Cr 3 Electives Social Science or Humanities 3 3 FINC403 Health Care Finance 3 3 HINT385 CurrentTopicsHlthInf Management 3 9 Total Semester 14 Cr Course Semester 11 Course HINT400 HLTH401 MGMTxxx Semester 13 Course HINT496 Electives Management Information Systems Health Care Research MGMT312,MGMT321 or MGMT375 Total Health Information Management (Capstone) Open Elective Total 4 3 7 64 Human Resource Management 3 Accounting Basics for Mgrs 3 9 Cr COHP Student Handbook Getting Started in One of the Health Information Management Programs 1. All Students interested in any Health Information Management (HIM) program should obtain a College of Health Professions () Handbook through the University website or by contacting Student Services and following all instructions listed in the Davenport University Undergraduate Catalog. 2. All students seeking to enter into a HIM program are expected to act in a responsible and professional manner. Failure to follow all guidelines for the HIM program, the College of Health Professions, and the Davenport University Student Code of Conduct can result in dismissal from the program, the College of Health Professions and/or Davenport University. 3. A “C” grade or better is required in designated College of Health Professions courses in the curriculum in order to continue to the next semester and a student must have an overall 2.3 GPA in the major for graduation. 4. Students are responsible for meeting all course pre-requisites and co-requisites during their course of study at Davenport University. 5. Obtain a “C” grade or better in HLTH101 – Introduction to Health Careers. Failure to complete the mandatory criminal background check and drug screen will result in an automatic failure of the course and will result in delay of progression in the major. 6. Students are expected to have reliable transportation at their disposal prior to the start of HIM curriculum courses. 7. The COHP recommends students follow the recommended Program Sequences for the HIM program curricula. Dropping or failing of courses can result in the inability to complete a Program Sequence as originally planned. Dropping or failing of courses will result in a delay in graduation. 8. Students are expected to work with the HIM Program Director and the Internship Manager on arranging for a Davenport University approved practicum site for the practicum portion of the HIM curriculum. Students are expected to realize that while every attempt will be made to arrange a practicum site near to the student’s location, it may be necessary of the student to travel outside of their location and/or out-of-state. 9. All students must successfully complete at least one practicum course (depending on the program) at a Davenport University approved site and an additional classroom component in order to graduate. To meet course requirements, the student will be required to be available during normal business hours (8:00 am to 5:00 pm). This practicum is unpaid. 1) Documentation of criminal background check and drug screen 2) Documentation of Student Internship seminar. 3) Complete and sign the Clinical Student Disclosure Statement 4) Complete and sign the Student Statements regarding Confidentiality, Compliance, Child Protection, Criminal History 5) Submit evidence of up-to-date immunization records as outlined below 65 COHP Student Handbook a) Submit evidence of a negative tuberculosis (TB) test or negative chest x-ray. Evidence of negative TB test or chest x-ray must be updated every 12 months b) Submit evidence of an acceptable Measles, Mumps Rubella (MMR) titer or proof of immunization. Vaccination PRIOR to December 31, 1967 is NOT acceptable c) Submit evidence of Hepatitis B vaccine (completed 3 shot series) or Davenport University approved waiver of vaccination form d) A current resume 10. Incomplete documentation will not be accepted and will be returned to the student for completion. Placement at the practicum site will not occur until all paperwork is completed, and resultant delay of graduation is likely. 11. Students are required to dress professionally and wear Davenport University student identification at assigned practicum sites. Students will need to check with their assigned practicum site as to what is considered acceptable prior to beginning the practicum experience. Hair must be neat and clean. Beards, sideburns, and mustaches must be neat and trimmed. Large decorative hairpieces or ornaments are not acceptable. Body piercing jewelry is not acceptable. Nail polish must be clear or a neutral shade; false nails and body fragrances may be prohibited at the practicum site. Visible tattoos must be covered. Some practicum sites may have more specific guidelines. The Practicum The importance of students acquiring professional practice experience is critical in today's job market. Davenport University College of Health Professions’ (COHP) Practicum courses are a collaborative effort between the University and Health Information Management (HIM) professionals and are designed to enable students’ access to the resources and experiences necessary to support the learning process: to give the student an opportunity to work extensively with a primary group of practitioners and see day-to-day operations of the department and healthcare organization first-hand or an opportunity to work in a controlled environment completing simulations designed to replicate actual professional practices in key areas of health information management. This is an opportunity for the student to gain practical knowledge, through observation and hands-on experiences in health information management, and engage in critical reasoning, problem solving, and project completion. Students shall work with HIM practitioners themselves either at a specified site or in a classroom or virtual lab setting through simulations and case studies. The major emphasis of the practicum is on the application of knowledge, analysis of technical procedures and development of skills for the performance of those technical procedures. When the student is placed at a practicum site, the requirements of the practicum are intended to benefit both the professional practice site and the student. The student gives benefit to the Professional Practice Site by: 1. Adding an extra pair of hands to perform required duties, and 2. Devoting energy, knowledge, and research to awaiting projects; And receives benefit by: 1. Gaining a personal appreciation of the complexity of healthcare delivery, 66 COHP Student Handbook 2. Gaining in-depth knowledge of a healthcare service area, particularly in the area of HIM, 3. Networking with numerous healthcare professionals, and 4. Engaging in critical reasoning, problem solving, and project completion. Hours versus Competency Measures Each of the Practicum courses includes a classroom component with predefined assignments to be completed by the student. Each Practicum course includes minimally 150-180 contact hours of handson professional practice experience (PPE). As the healthcare industry changes, so does the definition of a PPE within the health information management industry. Exploring these changes within the industry has opened new venues for student learning and experiencing the HIM profession. During the Practicum courses the student shall complete assignments which serve to incorporate entry-level competencies in the field of health information management (i.e. Medical Coding, Health Information Technology, and/or Health Information Management). These entry-level competencies are defined within the scope of health information management workforce needs, in the curriculum model of the American Health Information Management Association (AHIMA) and through standards for accreditation by CAHIIM. These assignments may take the student more than 150-180 hours to complete. If the Student is at a practicum site and arrangements can be made to stay beyond 180 hours, it is encouraged. Such an arrangement must be mutually agreeable to both site Preceptor and Student. If this is not possible, the Instructor must be notified so alternate assignments can be provided to the Student for completion away from the Practicum site and before the end of the semester or term. Working collaboratively with the Student (and the site Preceptor, if applicable), the DU Instructor shall oversee the accomplishment of all course requirements. The HIT Practicum Hours and Work Rotation Students shall complete a professional practice experience (PPE), i.e. Practicum, under the direction of a RHIT- or a RHIA-certified Preceptor and/or Instructor. While the Student is at a practicum site, his/her on-site schedule must be mutually determined by and agreeable to both the site Preceptor and the Student. The Student must contact the site Preceptor before the start of the Practicum to determine arrival date and time unless directed otherwise by the University, Preceptor, or Instructor. Each student must meet the program contact hour requirement as defined in the DU Undergraduate Catalog (i.e. minimally 150-180 hours in addition to classroom hours). These hours, if completed at a Practicum site (i.e. a healthcare facility) will typically be between 8:00 a.m. and 5:00 p.m. in blocks of time no less than 4 hours in duration. (Some sites may require blocks of time no less than 6 hours in duration.) Attendance in the professional practice experience (PPE) is mandatory. The site preceptor may schedule day, evening, night, or weekend shifts in the student’s schedule if it is felt that it would add to the learning experience. The student shall make every effort not to miss a scheduled session of the Practicum. When unable to report for the PPE as scheduled, due to unexpected delay, illness or emergency, the student must notify the site Preceptor (or his/her designee) by telephone or other predetermined method and the Instructor (by email, in person, or telephone) prior to the scheduled starting time, except in extreme emergencies. Failure to report could result in dismissal from the PPE and failure of the course. All lost time must be made up prior to the last week of class (this course, this term). 67 COHP Student Handbook Excessive tardiness is not acceptable and could jeopardize successful completion of the Practicum course. All lost time must be made up prior to the last week of class (this course, this term). Departmental Contribution The student working within a healthcare organization on a day-to-day basis may be expected to assist with different tasks within the department, in addition to completing required assignments and other measures or projects assigned by the Preceptor. Students are not to be substituted for paid staff during any professional practice experience assignment. Students may not take the responsibility or the place of “qualified” staff. However, after demonstrating proficiency, students may be permitted to perform procedures with careful supervision. Unexpected or unplanned learning opportunities are a welcome addition to this course. When they occur, the student is encouraged to share the experiences with the Instructor and his or her classmates so all may benefit from them. Grade Determination All assignments and evaluations must be submitted to and will be graded by the Davenport University Instructor for the Practicum course. He or she is responsible for determining the student’s final grade. See Course Syllabus for instructions for submitting assignments. It is the Student’s responsibility to work with the site. Preceptor to ensure all required evaluations and other practicum documents be completed and submitted to the course Instructor on or before the designated due date(s). KEYS TO A SUCCESSFUL PRACTICUM Communication Communication is a collaborative effort. To achieve success in the Practicum, communication between the Student, the site Preceptor and the Davenport University Instructor must be timely and ongoing. Davenport University has identified key tools to assist this communication. First Day Communications During the first day at the Practicum site, the student shall read and sign the Student Confidentiality Statement sheet or a site-approved confidentiality statement and complete the Practicum Student Data Form and submit these to the Instructor. Student Interactions at Practicum Site During the Practicum, the student shall meet and interact with many different people. It is the student’s responsibility to “fit” into this new environment. It is expected that the student will exhibit a professional attitude toward these individuals at all times. 1. When interacting with physicians, the student should: a) Address him/her by the title “doctor,” never “Doc”, b) Be willing conform to the physician’s requests or directives where these are applicable to departmental protocols; if a physician requests that the student perform some task that is contrary to departmental protocol, request that the supervisor or designated staff member make the appropriate decision, and c) Be polite at all times. 68 COHP Student Handbook 2. When interacting with the site Preceptor and other staff and administrators, the student should: a) Treat others and their work with respect and refrain from verbalizing judgments and criticisms about their performance, b) Refrain from loud talking, rudeness, and socializing. c) Be ethical and confidential at all times. 3. When interacting with patients, the student should: a) Use tact and diplomacy at all times, b) Refrain from any discussion of the patient or his/her medical care, unless such discussion is related to assigned tasks, c) Handle every health record in strict conformance with Practicum site and organizational policies and procedures. It is your responsibility to help protect the privacy of all patients in the facility. No privileged information is to be repeated or disseminated inappropriately. Students may fail the practicum course and/or face dismissal from the COHP program if a violation of confidentiality or ethics is demonstrated. Other Student Responsibilities Attendance and participation in the classroom are required (the “classroom” may be in Blackboard or inseat.) The student will be monitored by a Davenport University Instructor during the Practicum. The Course Syllabus guides the learning and identifies program and course outcomes, as well as details of how to successfully complete the PPE and achieve a specific grade. The student shall be sharing his/her Practicum experience with classmates during the Practicum course and shall be prepared to share information, successes and challenges related to the experience and to hear and discuss others’ experiences. The student shall submit all assignments and projects to the course instructor. See the Course Syllabus for specific instructions. The student shall complete a research project while attending the practicum site. This project shall culminate with submission of a formal research paper to the instructor and a presentation made to the preceptor (and audience of his/her choice) the final week of class. The topic of the research shall be selected by the Preceptor and/or Instructor. Ideas for research include creation of a database or logging system for Release of Information requests, conducting a quality improvement study, providing data collection and analysis focused on a specific topic, developing an in-service program for clinicians or department employees, updating and/or creating a policy and procedure manual to accommodate changing technology within the organization, conducting specific record review and/or productivity audits, and EHR training projects to name a few. It is mandatory that the student presentation be made to the Preceptor and his/her designees as well. Classroom assignment review by the site Preceptor is optional but recommended. This recommendation is made to encourage the site Preceptor to review all assignments to detect any misconceptions or confusion on the topic. The site Preceptor is only to offer guidance and is not responsible for correcting student assignments. Students are expected to exhibit professional behavior including respecting and valuing the rights of others, supporting the academic environment, and properly using University and Practicum site equipment and facilities. The student is the guest of the Practicum site. 69 COHP Student Handbook Professional courtesy and a respect for confidentiality must be exhibited at all times throughout the course. Attending meetings is an excellent opportunity for exposure to committee/project activities and to observe group dynamics. Communicate with the site Preceptor about upcoming meetings and request permission to attend. Showing interest in the proceedings is a sign of respect to the group. It is appropriate to ask the site Preceptor prior to attending any meeting if it is acceptable for a student to engage in the conversation occurring during the meeting. It may be most beneficial for the student to sit back and observe. The student shall record time (hours) spent at the Practicum site to ensure a minimum of 120-180 PPE hours have been completed by the end of the course. The Preceptor shall sign and date the completed form at the end of the professional practice experience and the student shall return it to the Instructor with the completed final evaluation. For a successful outcome, the student must be willing and able to commit to the professional practice experience. Quitting is not an option. When scheduled to be at the Practicum site, the student must be there in person and in spirit, not allowing other obligations to overcome the experience (such as homework for other courses). The site Preceptor has committed to the student’s success by hosting the DU student; it is the student’s responsibility to, in turn, make a commitment to the Preceptor and Practicum site by giving undivided attention to the activities of the Practicum when at the Practicum site. The student’s learning curve will be directly tied to his/her approach to applying knowledge from previous courses leading up to the Practicum. Application using analysis, synthesis, and evaluation in new situations such as the Practicum enhances and showcases the student’s professional competence and value to the Practicum site. In large part, the value of the PPE, or Practicum, rests in the student’s hands. Embrace and enjoy the Practicum! It is the student’s earned privilege and responsibility to maintain standards of professional excellence: promptness, professional appearance, enthusiasm, willingness to learn, initiative, dependability and confidentiality. The Practicum course may seem tough at times; be open to this valuable experience, network with other healthcare professionals, and meet daily challenges head on. Remember, growth is directly related to proactive involvement and follow through. Advice from former students: • Make deadlines for yourself and follow them. (Cindy) • Have a lot of patience. (Rhonda) • Get everything set up at the site (to meet the competencies). I would then suggest that all competencies not scheduled be set up with the instructor. (Tanya) • Be ready to be challenged and to challenge right back. (Crystal) • Be professional at the site. (Nancy) • Don’t be intimidated by the numerous measures you must meet. Take all you can from the PPE; it’s an invaluable learning experience! (Nathan) • Have all the documents for the Preceptor at the beginning and know all of them thoroughly. (Kim) 70 COHP Student Handbook • Bring a notebook and ask for more hours. Read and understand your evaluations at the beginning (of class). (Sarah) • Do not be afraid to ask questions no matter what they are. If there are any areas you would like to repeat or add to the Practicum, ask (to do/see). Don’t be nervous; you will be fine! It’s awesome! (Kasey) • Have a “Plan B” for having extra hours, not just the course requirements. You never know when something may come up that could keep you away from your site (Debra) • Make sure you have plenty of time to devote to this class because it involves a lot of hours to complete the practicum as well as the homework assignments. (Wendy) • Set your personal goal at completing the course regardless of what might get in your way. (Bobbi) • Have fun! (Janna) • Learn everything that they will allow you to learn. Ask many questions and be interested. (Ann) • Stay on top of things. (Ashley) • Ask a lot of questions and take notes. (India) • Don’t be afraid to ask question. Questions and answer is how we all learn. (Jennifer) • Be astringent; keep abreast of guidelines and rules, review, review review! You can never have enough knowledge. (Micheal) • Go in being willing to learn as much as you can. Always ask lots of questions. Learn as much as you can. (Michelle) • Prepare to learn a lot fast. (Tracy) Required Forms and Correspondences for HIT Practicum– Current forms can be located on the web site under College of Health Professions, Student Information, Practicum Forms Completed by Student Form Name Completed by Preceptor Due Date: Clinical Student Disclosure Statement X Before Placement Student Statements regarding Confidentiality, Compliance, Child Protection, Criminal History X Before Placement Practicum Student Data Form X 1st day at site Practicum Student Confidentiality Statement X 1st day at site X Initial Assessment of Practicum Student Weekly student report to Instructor (see Course Syllabus for details) X 71 End of first week Day 7 of each week COHP Student Handbook HIT Practicum Final Assessment of Student Performance X Student Evaluation of Practicum Site X Final week of class Record of Practicum Time X Final week of class X Final week at site General Comments and Suggestions for Preceptors Through observation, explanation, and/or participation, the student shall complete assignments defined by the site Preceptor which serve to incorporate entry-level competencies in the field of health information management. These entry-level competencies are defined within the scope of health information management workforce needs, in the curriculum model of the American Health Information Management Association (AHIMA) and through standards for accreditation by CAHIIM. The Preceptor shall make the determination as to the appropriate approach. (The entry-level competencies are on the HIT Practicum Final Assessment of Student Performance form.) Each Davenport University HIM Practicum course has been pre-defined by the University to include at least 150-180 contact hours of hands-on professional practice experience (PPE). If arrangements can be made for the student to stay beyond 180 hours, it is encouraged. Such an arrangement must be mutually agreeable to both site Preceptor and Student. Working collaboratively with the Student and site Preceptor, the Instructor shall oversee the accomplishment of all course requirements. Each student shall record time (hours) spent at the Practicum site to ensure a minimum of 150-180 PPE hours have been completed by the end of the course. Preceptors are asked to sign and date the completed form at the end of the professional practice experience and the student shall return it to the Instructor with the completed final evaluation. Each of the Practicum courses includes a classroom component with predefined assignments to be completed by the student. If the Preceptor chooses, he/she may review an assignment and offer feedback to the student. (Please do not rewrite or correct any student assignments.) Your feedback may assist the student in achieving a more complete understanding of the overall scope of health information management. For specific feedback on a particular Practicum activity or project, the Preceptor may ask the student for a brief verbal or written summary of his/her observation. The student shall complete a research project while attending the practicum site. This project shall culminate with submission of a formal research paper to the instructor and a presentation made at the site during the final week of class. The topic of the research shall be selected by the Preceptor and/or Instructor. Ideas for research include creation of a database or logging system for Release of Information requests, conducting a quality improvement study, providing data collection and analysis focused on a specific topic, developing an in-service program for clinicians or department employees, updating and/or creating a policy and procedure manual to accommodate changing technology within the organization, conducting specific record review and/or productivity audits, and EHR training projects to name a few. It is recommended that the student presentation be made to the Preceptor and his/her designees as well. The Student may be scheduled to be mentored by any qualified employee in the organization as long as he/she remains under the overall direction of the Preceptor. For the Health Information 72 COHP Student Handbook Technology Practicum, HINT297-297C, this site Preceptor must be either RHIT- or RHIAcertified. All student assignments and projects assigned by the Preceptor are to be completed by the student. If it will not disrupt workflow in the department, we ask that the student be allowed to use an available computer or other office equipment for documenting these assignments. The student is not to use practicum time to write required classroom assignments or projects without the preceptor’s expressed permission. Suggestions for Content and Time Allowances To assist in planning and scheduling for the professional practice experience, Davenport University’s faculty has suggestions for content and time allowances for the Medical Coding Practicum and HIT Practicum courses. This is not a rigid schedule and it may be changed by the Preceptor. With an increased emphasis in the healthcare industry on non-acute outpatient care and emergence of an electronic health record, the suggestions here include exposing the student to a variety of settings and services within the healthcare organization, particularly in areas where management of healthcare data and patient health records takes place. Through observation, explanation, and/or participation, the student shall complete assignments defined by the site preceptor which serve to incorporate entry-level competencies in the field of health information management; The Preceptor shall make the determination as to the appropriate approach. ORIENTATION – 4 hours (all students) A basic orientation in terms of general overview of the department including: • Facility and departmental organizational structure • Introduction to staff members with whom he/she may be working with • Rules, policies and procedures of the department and facility • A tour of the facility • Scheduling attendance at a general orientation session, if possible Review of the schedule which the Preceptor has prepared for the Student. Discuss mutual expectations and the needs and interests of the student for the Practicum. This discussion will help to set the direction for periodic reviews during the Practicum and the evaluation at the end. OVERVIEW OF THE ORGANIZATION – 4 hours • Healthcare organization’s structure and operation • External standards, regulations, and initiatives • Healthcare providers and disciplines • Accreditation, licensing, and/or certification surveys • Institutional Review Board processes MEDICAL RECORD REVIEW – 12 hours • Type and content of health record 73 COHP Student Handbook • Structure and use of health information • Documentation guidelines and requirements • Health record monitoring and compliance reporting BUSINESS OFFICE, PATIENT ACCOUNTING and FINANCE – 20 hours • Billing processes, policies and procedures • Chargemaster maintenance • Reimbursement monitoring • Claims management • Payment methodologies • Regulatory guidelines • Compliance strategies and reporting • Revenue cycle monitoring (from patient registration through denials management) • Budgets and contracts CODING, ABSTRACTING and REPORTING – 80 hours (optional for HINT297/297C; students must complete a Coding Practicum) • Data collection tools • Data quality and integrity • Applying diagnosis and procedure codes using ICD-9-CM, CPT-4, and HCPCS Level II • Coding compliance strategies, auditing, and reporting • Discrepancies between coded data and health record documentation • Abstracting and maintenance data for clinical indices/databases/registries • Healthcare data sets • Severity of illness systems • Use of applications and processes to support other clinical classification and nomenclature systems (such as ICD-10-CM, SNOMED, etc…) • Professional and practice-related ethical issues • New staff orientation and training programs • Continuing education programs • Staffing levels and productivity standards • Job functions, activities, and workplace ergonomics CORPORATE COMPLIANCE – 4 hours • Compliance monitoring and reporting • Current laws, accreditation, licensure, and certification standards 74 COHP Student Handbook • Research protocol monitoring including human subjects research HIM OPERATIONS – 80 hours • Health Record Retention, Storage and Retrieval • Incomplete Record Control and Health Record Tracking • Healthcare statistics • Legal and regulatory requirements related to the health information infrastructure • Confidentiality, privacy, and security policies, procedures, and monitoring • Release of information policies and procedures • Professional and practice-related ethical issues • Birth Certificates • Transcription • Specialized software used in the completion of HIM processes such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging • New staff orientation and training programs • Continuing education programs • Staffing levels and productivity standards • Job functions and activities • Supply ordering • Workplace ergonomics QUALITY, UTILIZATION AND RISK MANAGEMENT – 8 hours • Quality assessment and improvement process, collection tools, data analysis, reporting techniques • Utilization management, risk management, and case management • Regulatory quality monitoring requirements • Outcomes measures and monitoring • Trends in quality, safety, and effectiveness of healthcare INFORMATION TECHNOLOGY and SYSTEMS ADMINISTRATION – 8 hours • Health information systems (such as administrative, patient registration, ADT, EHR, PHR, lab, radiology, pharmacy) • Document archival, retrieval, and imaging systems • Maintenance and monitoring of data storage systems • Data security • Database architecture and design (data dictionaries, data modeling, data warehousing) • Data integrity and validity 75 COHP Student Handbook • Data confidentiality • Risk management, contingency planning, and data recovery procedures Frequently Asked Questions (HIM Programs) 1. Why are there two Practicum courses in the Health Information Technology Associate degree, when other associate degrees only have one? Health Information Management professionals work throughout the healthcare industry in 40 different healthcare settings. At the associate degree level, the American Health Information Management Association (AHIMA) prescribes a model curriculum that includes many entry-level competencies. These are referred to as domains and subdomains. The healthcare industry expects graduates of CAHIIM-accredited associate degree programs to possess these entry-level competencies. Within the accreditation standards of the Commission for Accreditation of Health Informatics and Information Management Education (CAHIIM) and the curriculum standards from AHIMA, the University must provide professional practice experiences (PPE) for students that reinforce didactic experiences preceding these PPEs. Davenport University has split the PPEs into two courses, HINT294-294C and HINT297-297C, to provide sufficient coverage of the entrylevel competencies. HINT294’s focus is on clinical classification systems and reimbursement (the entire revenue cycle) and HINT297’s focus is on everything else that is Health Information Technology. 2. What is the difference between taking HINT294 in-seat (on campus at a location) or online? Is one more beneficial than the other one? The content of the Course Syllabus, including learning outcomes, discussion topics, number of medical records to code and other required assignments, is the same for both in-seat and online delivery formats. The difference is course length, which is defined by the University; the in-seat offering meets for 15 weeks each semester (or 12 weeks if spring/ summer) and the online offering meets for 10 weeks each semester. With the online format, classroom discussions take place in Blackboard and are asynchronous. Is one format more beneficial than the other one? What one student finds beneficial another may not. Each student has different learning styles. If a student thrives on the pace of an accelerated course, has excellent time management skills, and prefers the online learning environment where one is not bound to a particular time of day to attend class then that student may benefit from the online delivery format. On the other hand, if the student prefers the 15-week course calendar (instead of 10), thrives on the face-to-face interactions with instructor and peers, and wants the more formal structure of a traditional classroom setting then that student may benefit from the inseat course. 3. Is there a classroom component to these Practicum courses? Yes, complete with textbooks, weekly discussions and assignments. 4. What happens if I fail my practicum? Can I repeat the course? Per the Student Handbook, if a student fails a practicum course, he/she must receive permission from the Dean of the College of Health Professions to repeat the course. 76 COHP Student Handbook The faculty recognizes students today are juggling families, jobs, school and more. Students must reflect on this prior to enrolling in any of the practicum courses and determine if they are able to commit to their success in the Practicum. This commitment is not something to be taken lightly. The practicum courses require a lot of time and effort. A student may need to put the practicum off for a semester and take other classes until they are ready. Students are encouraged to talk with their advisors about possible options available to them. 5. Who needs to take HINT294-294C? All students enrolled in the Health Information Technology Associate Degree and Health Information Management Bachelor Degree programs are required to take HINT294, Coding Practicum. 6. Should I follow old program requirements (i.e. the catalog year in which I first enrolled) or new program requirements? The healthcare industry is in a state of constant change. The industry and workforce drive the curriculum in healthcare-related accredited academic programs. The College of Health Professions recommends that all students in COHP programs follow the most recent Undergraduate Catalog because it will include the most up-to-date curriculum requirements for meeting accreditation standards. 7. How do I find my HINT297-297C practicum site? Do I find it on my own, or does DU? Students are to follow the approved process and work with representatives from DU to secure a practicum site. The process and requirements are posted on the University website, under College of Health Professions (access via Academic Tools from the home page). When in doubt the student should speak to their Advisor, HIM Program Director, or Associate Chair. 8. Can I fulfill my Practicum hours at night/on weekends? Generally speaking, students fulfill required practicum hours during the day shift Monday through Friday. Most preceptors or supervisors of practicum students are only available during daytime office hours (8:00 a.m. – 5:00 p.m.) Monday through Friday. The preceptor must be available to the student while the student is at the practicum site for coaching, mentoring, providing instruction and guidance. It is possible that some practicum hours will be completed during the off-shift but only if the preceptor has a project or assignment to be completed with a staff member who regularly works those off-shift hours. 9. When do I start the practicum process? Where do I start? Students are encouraged to begin the process as early as possible in their academic careers, at the latest one full semester before enrolling in the practicum course to ensure deadlines are met. Start with your Advisor. (New students may begin the process in HLTH101 as they explore career options.) See the University website for process requirements including forms and deadlines. 10. Why do I need to meet with Career Services? Career Services offers many opportunities for students that will help them be successful in the workforce, such as reviewing the resume, assisting with exploration of career options, conducting mock job interviews, and providing access to CareerLink, a free online resume- and job-posting tool. 77 COHP Student Handbook 11. Will I be paid during the Practicum? No. Students are not employees of the practicum site and receive no remuneration for activities at the practicum site. Students in any practicum course are learning through observation, investigation, research, discourse, and hands-on practical experiences. 12. Where can I volunteer? When and how should I start? Volunteer opportunities exist within many healthcare organizations, particularly those providing patient care that may currently be short staffed due to decreases in reimbursements from thirdparty payers. In some areas of the state, these volunteer opportunities become competitive; college and university students compete for volunteer positions with high school and trade school students who also desire the same opportunities. To start, the student should contact the Volunteer Services or Human Resources Department of a healthcare organization in their area, such as an acute short- or long-term care hospital, a large health clinic, a nursing home, or any other provider of patient care. It is recommended that the student be specific as they inquire about volunteer positions available, informing the organization of their academic major, what courses they have already successfully completed, and what department or type of volunteer work being sought (if known). Submission of a formal application may be required along with a current resume with references and if accepted, the student may be required to complete a formal training program and sign an agreement or contract with the organization. Students interested in volunteering may begin doing so their first semester of college or as soon as their schedule allows. Any volunteer experience will be a valuable addition to the resume and another opportunity to learn about the healthcare industry. 13. Why am I on a Wait List? Why can’t I finalize? The Wait List is a means to identify students in process. The Advisors review the Wait List and student transcripts to verify academic requirements have been met. Students not ready for the Practicum (i.e. pre-requisites have not been met) will be removed from the Wait List by the student’s Advisor. Students must follow the formal internship process (process and forms are on the University website). After the Advisor verifies academic readiness, and the student completes all requirements (such as immunizations, CBC, Drug Screen, etc…) by the deadline posted, and the student is accepted at a practicum site following an interview, the student is moved off the Wait List and into course. 14. If I run into a problem at my practicum site, whom do I contact? If a student runs into any type of problem at the practicum site, he/she must inform the site preceptor and the instructor for the course as soon as possible. The student may also contact the HIM Program Director. The sooner problems are identified the sooner resolutions can be made. 15. Can I do my practicum where I currently work? Although it is possible for a student to complete a practicum where they currently work it is not recommended unless the practicum requirements can be completed in a different department 78 COHP Student Handbook where the student is not familiar with people and processes. It is often best to seek a different healthcare setting, one in which the student is not experienced and where there is no conflict of interest for employer and employee. 16. Why do I need to have a Criminal Background Check (CBC) when I do not have to go to a Practicum site? The Criminal Background Check (CBC) is not contingent on completing a practicum. All students are required to complete a criminal background check and drug screen upon declaring a College of Health Professions major. New students complete this in HLTH101. Current students and transfer students with advanced standing complete this in HLTH101S. In the event of a positive occurrence, the student will be advised by a Davenport University employee to consider other non-health professions educational program options. The student with a criminal background is encouraged to contact the appropriate licensure, certification or registration board regarding eligibility to sit for state and/or national exams prior to entering into any COHP educational program. The COHP has adopted the Testing policy to ensure that it prepares prospective health care workers to attain a high standard of professional responsibility for patient safety. Students are asked to contact their Program Director if they have questions about the policy. 17. Do I need to have completed my immunizations and immunization paperwork when I do not have to go to a Practicum site for HINT294-294C? No. Although students in HINT294 will not be at a practicum site they may be visiting different healthcare organizations through field trips and conducting interviews. It is in the student’s and the healthcare agency’s best interest that all immunization requirements be current. 18. I have current work experience in an HIM Department. Do I still need to complete HINT297-297C or HINT294-294C? If a student has current work experience in HIM, he/she may complete a Prior Learning Application (PLA). The PLA requires applicants to submit sufficient actual work product that shows how the student meets the course Learning Outcomes on the job and through HIM work experiences. For details, see your Advisor. 19. May I take both HINT294-294C and HINT297-297C the same semester? Yes, this is an option for students. The College of Health Professions recommends that other courses not be taken concurrently if a student opts for this 8-credit hour course load. 20. Who are the HIM Program Directors at Davenport University? How do I contact them? HIM Program Directors are: Regina Glenn ([email protected]) Marybeth Pieri-Smith ([email protected]) Linda Sorenson ([email protected]) TJ Hunt ([email protected]) Megan Tober ([email protected]) 79 COHP Student Handbook Susan Slajus ([email protected]) 80 COHP Student Handbook HEALTH INSURANCE CLAIMS MANAGEMENT PROGRAM Including: Billing Diploma Health Insurance Claims Management Associate 81 COHP Student Handbook 3.2.1 MEDICAL BILLING (DIPLOMA) Program Purpose (Goal) The medical billing diploma is designed to prepare individuals to become skilled at billing for allowable reimbursements for medical services rendered. This program allows students to advance into the Health Insurance Claims Management associate degree program. Graduates of this program are employed by inpatient and outpatient health care facilities. Program Outcomes (Objectives) At the conclusion of the program, the graduate will: • • • • • Demonstrate the competency and the skills identified in the Davenport University Excellence System, which includes Dynamic Leadership (DL), Universal Communications (UC), and Professional Excellence (PE) through the outcomes of the program. Identify and apply ethical and legal issues as applied to medical insurance reimbursement. Generate UB 04 (Uniform Bill 2004 or the CMS 1450) claim forms on current hospital software. Generate CMS 1500 and other appropriate forms for specific insurance companies on current physician practice software. Demonstrate proficiency in diagnostic and procedural coding skills. Professional Organizations • American Association of Medical Billers • American Medical Billing Association • Electronic Medical Billing Network of American, Inc • Healthcare Billing a& Management Association • Medical Association of Billers • National Electronic Billers Alliance 82 COHP Student Handbook MEDICAL BILLING REQUIRED COURSES AND CREDITS Diploma Medical Billing Planned Semester Planned Semester Planned Semester Foundations of Excellence 38Credits 13 credits BIOL120 Essentials of Anatomy/Physiology 4 BIOL131 Introduction to Human Disease 3 ENGL109 Composition 3 MATH125 Intermediate Algebra 3 Foundations of Health Professions 9 credits CISP112 Applied Information Technology 3 HLTH101 Introduction to Health Careers 3 HLTH110 Medical Terminology 3 Major 16 credits HINT110 Health Record Content 3 HINT221 ICD-9-CM Coding 4 HINT222 Procedural CPT/HCPCS Coding Introduction to Reimbursement Systems Health Care Reimbursement Applications 3 HINT250 HINT251 83 3 3 2011-2012 Transfer Credit Davenport Credit Transfer Credit Davenport Credit Transfer Credit Davenport Credit COHP Student Handbook Medical Billing Recommended Course Sequence (part-time): Medical Billing Diploma Semester 1 Course HLTH10 Intro to Health Careers 1 HLTH11 Medical Terminology 0 ENGL10 Composition 9 Total Semester 3 Course BIOL131 Introduction to Human Disease HINT110 38 Cr Cr Semester 2 Course 3 BIOL120 Essentials of Anatomy & Physiology 4 3 CISP112 Computer Foundations 3 Total 7 Cr 3 9 Cr 3 Health Record Content 3 Total 6 Semester 5 Course HINT250 Introduction to Reimbursement Systems HINT221 ICD-9-CM Coding Total 2011-2012 Cr 3 4 7 Semester 4 Course HINT222 Procedural CPT/HCPCS Coding MATH12 Intermediate Algebra 5 Semester 6 Course HINT251 Health Care Reimbursement Applications Elective(s) Total 84 Cr 3 3 7 Cr 3 3 COHP Student Handbook 3.2.2 HEALTH INSURANCE CLAIMS MANAGEMENT (HICM) (ABA) Program Purpose (Goals) The Health Insurance Claims Management program is designed to prepare graduates to meet the challenges of optimum insurance reimbursement and accounts receivable management. A strong emphasis on clinical background is required to analyze the content of medical records for maximum reimbursement. The role and responsibilities of medical reimbursement specialist have changed from simple data entry to abstracting patient information, differentiating between various procedure and service codes, along with explaining to patients how policies are applied. Graduates are employed by inpatient facilities, physician offices, ambulatory centers, skilled nursing facilities, durable medical equipment companies, government agencies, third party payers, behavioral medicine facilities, and rehabilitation centers. Program Outcomes (Objectives) At the conclusion of the program, the successful graduate will: • • • • Have the knowledge of an be able to appropriately use clinical terminologies, classification systems, and code sets to create charge master data in order to accurately prepare ongoing reporting of revenue to ensure optimal reimbursement for medical services rendered. Use sound judgment when analyzing and interpreting compliance-related issues based on federal, state and local government regulations to achieve optimal reimbursement from insurance companies. Understand and indentify the appropriate modalities, such as forms, software and transactions required to prepare, analyze and interpret claims to optimize revenue. Have the skills to collaborate with diverse interdisciplinary teams to research, identify, and accurately report market trends to ensure optimal reimbursement. Professional Organizations • American Association of Medical Billers • American Medical Billing Association • Electronic Medical Billing Network of American, Inc • Healthcare Billing a& Management Association • Medical Association of Billers • National Electronic Billers Alliance HICM PROGRAM GUIDELINES AND RESPONSIBILITIES 1. All Students interested in the Health Insurance Claims Management (HSAD) program should obtain a College of Health Professions (COHP) Handbook through the University website or by contacting Student Services and following all instructions listed in the Davenport University Undergraduate Catalog. 85 COHP Student Handbook 2. All students seeking to enter into the HICM program are expected to act in a responsible and professional manner. Failure to follow all guidelines for the HICM program, the College of Health Professions, and the Davenport University Student Code of Conduct can result in dismissal from the program, the College of Health Professions and/or Davenport University. 3. A “C” grade or better is required in designated College of Health Professions courses in the curriculum in order to continue to the next semester and a student must have an overall 2.3 GPA in the major for graduation. 4. Obtain a “C” grade or better in HLTH101 – Introduction to Health Careers. Failure to complete the mandatory criminal background check and drug screen will result in an automatic failure of the course and will result in delay of progression in the major. 5. Students are expected to have reliable transportation at their disposal prior to the start of HICM curriculum courses. 6. The COHP recommends students follow the recommended course rotations for the HICM curriculum. Dropping or failing of courses can result in the inability to complete a course rotation as originally planned. Dropping or failing of courses will result in a delay in graduation. 7. Students are expected to work with the Associate Chair and the Internship Manager on arranging for a Davenport University approved practicum site for the practicum portion of the HICM curriculum. Students are expected to realize that while every attempt will be made to arrange a practicum site near to the student’s location, it may be necessary of the student to travel outside of their location and/or out-of-state. 8. All students must successfully complete a 150 hour minimum practicum at a Davenport University approved site and an additional classroom component in order to graduate. To meet course requirements, the student will be required to be available during normal business hours (8:00 am to 5:00 pm). This practicum is unpaid. a. Documentation of criminal background check and drug screen b. Completion of Student Internship Seminar c. Complete and sign the Clinical Student Disclosure Statement d. Complete and sign the Complete and sign the Student Statements regarding Confidentiality, Compliance, Child Protection, Criminal History e. Complete and sign the Responsibilities for HINT296 Practicum f. Submit evidence of up-to-date immunization records as outlined below i. Submit evidence of a negative tuberculosis (TB) test or negative chest x-ray. Evidence of negative TB test or chest x-ray must be updated every 12 months; ii. Submit evidence of an acceptable Measles, Mumps Rubella (MMR) titer or proof of immunization. Vaccination PRIOR to January 1, 1968, is NOT acceptable; iii. Submit evidence of Hepatitis B vaccine (completed 3 shot series) or Davenport University approved waiver of vaccination form; g. Resume 86 COHP Student Handbook 9. Incomplete packets will not be accepted and will be returned to the student for completion. Placement at the practicum site will not occur until all paperwork is completed and a delay of graduation is likely. 10. Students are required to dress professionally and wear Davenport University student identification at assigned externship sites. Students will need to check with their assigned practicum site as to what is considered acceptable prior to beginning the externship experience. Hair must be neat and clean. Beards, sideburns, and mustaches must be neat and trimmed. Large decorative hairpieces or ornaments are not acceptable. Body piercing jewelry is not acceptable. Nail polish must be clear or a neutral shade. Visible tattoos must be covered. Some practicum sites may have more specific guidelines. 11. Students are responsible for meeting all course pre-requisites and co-requisites during their course of study at Davenport University. 12. HICM curriculum courses require students to attend classes on an irregular schedule; which includes mornings, afternoons, and evenings, depending on the availability of classroom space at any given location. 13. Davenport University reserves the right to modify the HICM program guidelines and responsibilities at anytime. 87 COHP Student Handbook HEALTH INSURANCE CLAIMS MANAGEMENT REQUIRED COURSES AND CREDITS ABA Planned Semester Planned Semester Planned Semester Health Insurance Claims Management Foundations of Excellence BIOL120 BIOL131 COMM120 ENGL109 ENGL110 MATH125 SOSC201 Essentials of Anatomy/Physiology Introduction to Human Disease Presentation Techniques Composition Advanced Composition Intermediate Algebra Diversity in Society Foundations of Health Professions HLTH101 Introduction to Health Careers HLTH110 Medical Terminology CISP112 Computer Foundations 2011-12 Davenport Credit Davenport Credit 3 3 36-37 credits Major BITS221 or MEDA259 ACCT201 67-68 Credits 22 Transfer credits Credit 4 3 3 3 3 3 3 9 Transfer credits Credit 3 Administrative Procedures or Medical Office Applications 4 or 3 Accounting Foundations 4 HINT110 Health Record Content 3 HINT211 Health Care Management Foundations 3 HINT221 ICD-9-CM Coding 4 HINT222 HINT250 or HINT223 HINT251 Procedural CPT/HCPCS Coding Introduction to Reimbursement Systems or Advanced Coding Billing Applications 3 HINT296 Claims Management Practicum 4 HLTH220 Pharmacology 3 HLTH230 Health Care Law & Ethics 3 88 3 or4 3 Transfer Credit Davenport Credit COHP Student Handbook HICM Recommended Course Sequence (full-time): Health Insurance Claims Management 67-68 Cr Semester 1 2011-12 Semester 2 Course Cr Course Cr. BIOL120 Essentials of A&P 4 BIOL131 Intro to Human Disease 3 HLTH101 Intro to Health Careers 3 CISP112 Applied Information technology 3 HLTH110 Medical Terminology 3 COMM120 Presentation Techniques 3 ENGL109 Composition 3 HINT110 Health Record Content 3 3 ENGL110 Advanced Composition 3 Total 15 MATH125 Intermediate Algebra Total 16 Semester 3 Semester 4 Cr. Course HLTH220 Pharmacology Health Care Law and Ethics HINT221 ICD-9-CM Coding Medical Office MEDA259 Applications or or BITS221 Administrative Procedures HLTH230 Semester 5 Course HINT251 Total Health Care Reimbursement Applications HINT223 Advanced Coding or or ACCT201 Accounting Foundations I Total Course Cr. 4 HINT222 Health Care Management Foundations Introduction to Reimbursement Systems Procedural CPT/HCPCS Coding 3 or 4 SOSC201 Diversity in Society 3 Total 12 3 3 HINT211 HINT250 13/14 Semester 6 Cr. 3 4 or 4 7 89 3 3 Cr. Course HINT296 3 Claims Management Practicum 4 Total 4 COHP Student Handbook HICM Recommended Course Sequence (part-time): Health Insurance Claims Management ABA Semester 1 Course Cr. 67-68 Cr Semester 2 Course 2011-2012 Essentials of Anatomy & Physiology Intermediate Algebra HLTH101 Intro to Health Careers 3 BIOL120 HLTH110 Medical Terminology 3 MATH125 3 COMM120 Presentation Techniques ENGL109 Composition Semester 3 Total Course 9 COM 120 Presentation Techniques 3 HINT110 Health Record Content Introduction to Human Disease 3 3 ENGL110 Total 9 Semester 5 Course Cr. HLTH220 Pharmacology 3 HINT221 ICD-9-CM Coding 4 HINT250 Intro to Reimbursement Systems 3 Total 10 Semester 7 Course Health Care Management HINT211 Foundations SOSC201 Diversity in Society Claims Management HINT296 Practicum Total Cr. 4 3 3 Total 10 Medical Office Applications or Administrative Procedures Procedural CPT/HCPCS Coding Cr. 3 or 4 3 Advanced Composition Semester 4 Course MEDA259 or BITS221 HINT222 BIOL131 Cr. Cr. Semester 6 Total Course HLTH230 HINT251 HINT223 or ACCT201 Semester 8 Health Care Law & Ethics Health Care Reimbursement Systems Advanced Coding or Accounting Foundations I 4 or 4 Total 10 3 3 Cr. 3 3 4 Total 90 9/10 Cr. Course 10 3 COHP Student Handbook HINT296, Health Insurance Claims Management Practicum The Practicum Experience This is the practicum experience for the Associate of Business Administration Degree in Health Insurance Claims Management which allows the student to demonstrate the skills of medical billing and insurance claims management. The students will gain hands-on work experience in a medical billing environment in which they will perform medical billing under the supervision of a senior biller. The experience can be obtained in hospitals, physician offices, or ambulatory settings. In addition, the students will be involved in classroom activities that include writing, presentations, and group discussions surrounding the Learning Outcomes and the practicum experience. Note: This course requires two hours of lecture and eight hours of clinical experience per week (based on a 15-week format this translates to 30 hours classroom plus at least 150 hours professional practice at a clinical site). Course Requirements 1. Successful Initial Evaluation of Practicum Student and Final Evaluation of Practicum Student to be completed by the site Preceptor and Student with Instructor input. 2. Reflection Paper (assessed using the DU grading rubric for writing assignments). 3. 30 hours of class on campus. Class time will be used to discuss Learning Outcomes, the practicum experience, the students’ projects, and other assignments required by the Instructor. 4. Professional practice experience of at least 150 hours during the semester a. This must occur in a medical billing office environment where the student will perform billing and submission of insurance claims under the supervision of a senior billing manager. The experience may be in a hospital, physician office, ambulatory setting or independent billing company. The hours are flexible but must meet the needs of the student (including meeting Learning Outcomes) and the practicum site. b. A satisfactory final evaluation to be completed by the supervisor at the practicum site with input from the student. This is to be completed by week 14 or 15 of the 15-week semester. c. A customized project; the topic must address the Learning Outcomes for this course be approved by the instructor in advance. Here are a few examples of projects: • Creation of a crosswalk and procedure for conversion from paper to electronic claim forms; • Creation of a procedure manual or a comprehensive manual of Third Party Payers (evaluated, in part, based upon the inclusion of contact people and the effectiveness of the manual) to facilitate resolution of claim issues specific to the practicum site; • A project which lists all area medical billing facilities, including what software they use, who they provide services for, and the cost benefit of these services. 91 COHP Student Handbook 5 An oral presentation, by the student, of the Customized Project with visual aids. Following the DU grading rubric for presentations, the presentation will be evaluated on use of AV resources and visual aids, professional appearance and must encompass the DUES. It will also have a peer evaluation component. Learning Outcomes for the Claims Management Practicum After successfully completing this course, the student will be able to: 1. Demonstrate the qualities and attitudes of an effective insurance claims manager. 2. Diagram all appropriate steps necessary for submission of clean claims and for correction and resubmission of rejected claims and line item denials. 3. Maintain policies and procedures for payment for services, billing, reviewing remittance advices, and handling collections and patient billing disputes. 4. Demonstrate an understanding of reimbursement methodologies and the billing process and its purpose for any healthcare setting. 5. Compare and contrast claim completion guidelines for Medicare, Medicaid, workers’ compensation and other third-party and private payers. 6. Interpret a medical practice’s payer contract information. 7. Select appropriate diagnostic and procedural codes based on accurate interpretation and analysis of health record documentation. 8. Identify and integrate the roles and responsibilities of the insurance claims manager, including application and promotion of ethical standards of practice, use of specialized software, practice of regulatory compliance and application of the fundamentals of team leadership and principles of organizational management. 9. Apply knowledge-based research techniques (such as library, MEDLINE, web-based) and common software applications (such as word processing, spreadsheet, database, graphics) to facilitate learning outcomes. 10. Explain professional and practice-related ethical issues as they pertain to health insurance claims management, including the importance of confidentiality and patient privacy. Responsibilities for the Practicum See General Section for all students in all programs of this student handbook for a complete and inclusive list of responsibilities. Faculty/Instructor Responsibilities, Davenport University 1. The Instructor will be available to discuss all issues and evaluations with both the Student and Preceptor. 92 COHP Student Handbook 2. If there are reports of poor performance or incompatibility, the Instructor will intervene immediately to assess the situation and make changes as necessary to accommodate the needs of the Student and Practicum site. 3. Professional liability insurance will be carried by Davenport University. A Certificate of Insurance will be sent to the site when requested. Student Responsibilities, Claims Management Practicum 1. Current forms can be located on the web site under College of Health Professions, Student Information, Practicum Forms 2 The Student will complete a Practicum Student Confidentiality Statement and upon mutual agreement of times/dates/Practicum site, the Student will provide all parties with contact information (via the Practicum Student Data Form) to facilitate communication amongst them. 3. The Student will provide his/her own transportation to and from the facility. 4. The Student must abide by the existing personnel policies and procedures of the facility. 5. The Student will follow the directions of the Preceptor in planning and carrying out all assignments. 6. The Student will complete assignments and projects during the Practicum experience to be submitted to the DU Instructor on or before the specified due date. 7. The Student will discuss the Final Assessment with Preceptor and Instructor. 8. Since this is an educational experience, the Student is not allowed to receive remuneration. She/he will earn academic credits for the successful completion of the experience and the course. 9. Upon completion of the Practicum, the Student will complete a Student Evaluation of Practicum Site form and submit it to the DU Instructor on or before the specified due date. Preceptor Responsibilities, Practicum Site: 1. The Preceptor agrees to provide the Student with at least 120 working hours at the practicum site. These hours are to be mutually agreed upon by both the Preceptor and the Student. 2. The Preceptor will provide a schedule of activities for the Student reflecting an overview of the department functions and insurance claims management within the organization. 3. The Preceptor will complete an Initial Assessment of Practicum Student after the first week of the Practicum and will discuss it with the Student and submit it to the Instructor. 4. The Preceptor will complete a Final Assessment of Practicum Student at the completion of the Student’s experience and discuss it with the Student and the Instructor. The completed Assessment will be submitted to the Instructor on or before the designated due date. 5. The Preceptor will notify the Instructor if any issues arise. The Instructor will be available to discuss all evaluations with both the Student and Preceptor. 93 COHP Student Handbook HEALTH SERVICES ADMINISTRATION PROGRAM 94 COHP Student Handbook 3.3 HEALTH SERVICES ADMINISTRATION (HSAD) Program Purpose (Goals) The Health Services Administration program prepares the graduate for entry-level management positions in various health care settings or organizations. Health services administration careers can include, but are not limited to working in integrated health care systems, retirement and long term care facilities, physicians’ practices, community health organizations, health care associations and insurance carriers’ third party administrators. Emphasis areas are designed to assist students needing or desiring a more focused area of interest. Program Outcomes (Objectives) At the conclusion of the program, the graduate will: Demonstrate an understanding of administrative and managerial theories and practices as they pertain to strategic planning, and problem solving across the healthcare continuum. Use problem solving methodology including process engineering to evaluate and critique various issues related to the social, economic, technological, and political aspects of healthcare administration. Assess, distinguish, and apply current financial and reimbursement strategies according to government regulations for healthcare business management practices in the private and public sectors. Demonstrate an understanding and application of various management processes and practices, including program development and activities related to human resource management, staff training and development, performance management, strategic planning, and operations management. Interpret and apply legal, accreditation, and regulatory requirements necessary for risk management, safety, and quality programs and initiatives across the healthcare continuum. Demonstrate competency in the skills identified in Davenport University Excellence System. Demonstrate an understanding of administrative and managerial theories and practices as they pertain to strategic planning, and problem solving across the healthcare continuum. Demonstrate ethical and professional accountability for his/her own action within the profession’s standard of practice. Continue to an advanced degree. Professional Organizations Association of University Programs in Health Administration http://www.aupha.org American College of Health Care Executives (ACHE) http://www.ache.org/ American Society for Healthcare Risk Management (ASHRM) http://www.ashrm.org/ashrm/aboutus/aboutus.html Medical Group Management Association (MGMA) http://www.mgma.com 95 COHP Student Handbook Health Services Administration Required Courses and Credits Foundations of Excellence 30 cr. BIOL120 Essentials of Anatomy & Physiology 4 cr. BIOL131 Introduction To Human Disease 3 cr. COMM120 Presentation Techniques 3 cr. ENGL109 Composition 3 cr. ENGL110 Advanced Composition 3 cr. ENGL311 Professional Writing 3 cr. MATH125 Intermediate Algebra 3 cr. STAT219 Introduction to Biostatistics 3 cr. SOSC201 Diversity in Society 3 cr. PSYC101 Introductory Psychology 3 cr. Foundations of Health Professions 30 cr. ACCT200 Accounting Basics for Managers 3 cr. BITS211 Microcomputer Applications: Spreadsheet 3 cr. CISP112 Applied Information Technology 3 cr. HINT203 Health Care Delivery Systems 3 cr. HINT211 Health Care Management Foundations 3 cr. HINT250 Introduction to Reimbursement Systems 3 cr. HLTH101 Introduction to Health Careers 3 cr. HLTH230 Health Care Law and Ethics 3 cr. HSAD221 IT for Health Care Managers 3 cr. MKTG211 Marketing Foundations 3 cr. 51-57 cr. Major 96 COHP Student Handbook Foundations of Excellence 30 cr. FINC403 Health Care Finance 3 cr. HINT209 Quality Assurance Health Care 3 cr. HLTH401 Health Care Research 3 cr. HLTH460 Health Promotion and Education 3 cr. HRMG213 Human Resource Management 3 cr. HSAD301 Cultural Issues in Health Care 3 cr. HSAD302 Regulatory Health Care 3 cr. HSAD402 Health Care Risk Management 3 cr. HSAD403 Health Care Economics 3 cr. HSAD425 Bioethics 3 cr. HSAD440 Health Care Strategic Planning 3 cr. HSAD496 **Health Services Administration Practicum** MGMT321 Organizational Behavior -3 cr. 3 cr. Health Care Specialty courses [HS] comprising the major area of the earned associate's degree or any of the 12 -15 credits from any of the following or choose an area of emphasis: (12-15) cr. Human Resource Management Emphasis (12) cr. HRMG313 Staffing Organizations 3 cr. HRMG314 Managing Change in Organizations 3 cr. HRMG350 Training for Organizations 3 cr. HRMG431 Negotiation and Dispute Resolution 3 cr. Health Care Specialty courses [HS] comprising the major area of the earned associate's degree or any o HRMG431 Negotiation and Dispute Resolution Information Technology Emphasis 3 cr. (12) cr. 97 COHP Student Handbook Information Technology Emphasis (12) cr. GPMT350 Principles of Project Management 3 cr. IAAS221 Security Foundations 3 cr. IAAS245 Disaster Recovery 3 cr. IAAS332 Authentication and Audits 3 cr. Leadership and Sustainability Emphasis (15) cr. ENVS125 Introduction to Environmental Studies 3 cr. MGMT370 Sustainability Principles and Theories 3 cr. MGMT375 Leadership Theory and Discovery 3 cr. MGMT420 Ethical Leadership and Corporate Social Responsibility 3 cr. MGMT435 Leadership Challenges Seminar 3 cr. Risk Management Emphasis (12) cr. HLTH260 Introduction to Environmental Health 3 cr. HRMG350 Training for Organizations 3 cr. HSAD320 OSHA for Health Care 3 cr. LEGL210 Business Law Foundations 3 cr. Recommended Open Electives 2-9 cr. COMM311 Organizational Communication 3 cr. HLTH100 Cardiopulmonary Resuscitation/First Aid 1 cr. HLTH202 Death and Dying 3 cr. HLTH270 Dimensions of Aging 3 cr. HLTH303 Psychosocial Health Concerns 3 cr. HSAD490 Health Services Administration Internship 3 cr. SABR381 Study Abroad Experience 3 cr. 98 COHP Student Handbook f the 12 -15 credits from any of the following or choose an area of emphasis: Health Care Specialty courses [HS] comprising the major area of the earned associate's degree or any othe 12 -15 credits from any of the following or choose an area of emphasis: HEALTH SERVICES ADMINISTRATION PROGRAM GUIDELINES AND RESPONSIBILITIES 1. All Students interested in the Health Services Administration (HSAD) program should obtain a College of Health Professions (COHP) Handbook through the University website or by contacting Student Services and following all instructions listed in the Davenport University Undergraduate Catalog. 2. All students seeking to enter into the HSAD program are expected to act in a responsible and professional manner. Failure to follow all guidelines for both the HSAD program, the College of Health Professions and the Davenport University Student Code of Conduct can result in dismissal from the program, the College of Health Professions and/or Davenport University. 3. A “C” grade or better is required in designated College of Health Professions courses in the curriculum in order to continue to the next semester and a student must have an overall 2.3 GPA in the major for graduation. 4. Obtain a “P” grade for HLTH101s or a C grade or better in HLTH 101 – Introduction to Health Careers. Failure to complete the mandatory criminal background check and drug screen will result in an automatic failure of the seminar/ course and will result in delay of progression in the major. 5. Students are expected to have reliable transportation at their disposal prior to the start of HSAD curriculum courses. 6. HSAD curriculum courses require students to take courses in a specific order. Dropping or failing courses can result in the inability to complete a course rotation as originally planned. Dropping or failing of courses will result in a delay in graduation. 7. Students are expected to work with the Associate Chair and the Internship Manager on arranging a Davenport University approved practicum site for the practicum portion of the HSAD curriculum. The practicum site will not be at the student’s place of employment unless first approved by the appropriate Associate Chair. Students are expected to realize that while every attempt will be made to arrange a practicum site near to the student’s location, it may be necessary for the student to travel outside of their location and/or out-of-state. 8. All students must successfully complete a 120 hour minimum practicum at a Davenport University approved site and an additional classroom component in order to graduate. To meet course requirements, the student will be required to be available Monday thru Friday during normal business hours (8:00 am to 5:00 pm). This practicum is unpaid. 9. The student is required to submit a Practicum Application to the appropriate Internship Manager for placement at a Davenport University approved practicum site. The practicum application can be located on the website. www.davenport.edu a. b. c. d. e. LOGIN upper right corner of screen Click on Academics tab Click on College of Health Professions on left side of screen Click on Practicums Scroll down to “Current Student” and click on forms and procedures 99 COHP Student Handbook f. Select HINT/HSAD/MCMG Practicum – Application Packet g. Complete the application and submit the packet by: Spring/Summer Semester: January 15th Fall Semester: May 15th Winter Semester: September 15th 10. Send the application packet to the appropriate Internship Manager. For Alma, Caro, Midland, Lansing, Gaylord, Flint, Saginaw and Traverse City students, send packet to: Tanya Stephens, Internship Manager Davenport University 5300 Bay Road Saginaw, MI 48604 [email protected] For Livonia, Warren, and out-of-state online students, send packet to: Doreen Greenwald, Internship Manager Davenport University 27650 Dequindre Road Warren, MI 48092 [email protected] For Battle Creek, Holland, Kalamazoo, and Lettinga, send packet to: Lindsey Shull, Internship Manager Davenport University 6191 Kraft Avenue Grand Rapids, MI, 49512 [email protected] Incomplete packets will not be accepted and will be returned to the student for completion. Placement at the practicum site will not occur until all paperwork is completed and delay of graduation is likely. 11. Students are required to dress professionally and wear Davenport University student identification at assigned practicum sites. Students will need to check with their assigned practicum site as to what is considered acceptable attire prior to beginning the practicum experience. Hair must be neat and clean. Beards, sideburns, and mustaches must be neat and trimmed. Large decorative hairpieces or ornaments are not acceptable. Body piercing jewelry is not acceptable. Nail polish must be clear or a neutral shade. Visible tattoos must be covered. Some practicum sites may have more specific guidelines. 12.Students are responsible for meeting all course pre-requisites and co-requisites during their course of study at Davenport University. 13. HSAD curriculum courses are offered online and on campus. On campus courses require students to attend classes on an irregular schedule; which includes mornings, afternoons, and evenings, depending on the availability of courses and space at any given campus. 14. Davenport University reserves the right to modify the HSAD program guidelines and responsibilities at anytime. 100 COHP Student Handbook Health Services Administration Recommended Course Rotation: Year One Fall Semester (15 credits) CISP 112 ENGL 109 HLTH 101 MATH 125 PSYC 101 Applied Information Technology Composition Introduction to Health Careers Intermediate Algebra Introductory Psychology Winter Semester (13 credits) BIOL 120 COMM 120 ENGL 110 SOSC 201 Anatomy Presentation Techniques Advanced Composition Diversity in Society 4cr 3cr 3cr 3cr Microcomputer Apps: Spreadsheets Open Elective 3cr 3cr Year Two Fall Semester (12 credits) BIOL 131 ENGL 311 HINT203 STAT 219 Introduction to Human Disease Professional Writing Healthcare Delivery Systems Introduction to Biostatistics 3cr 3cr 3cr 3cr Winter Semester (12 credits) ACCT 200 HINT 211 HINT 250 HLTH 230 Accounting Basics for Managers Health Care Mgmt Foundations Intro to Reimbursement Health Care Law & Ethics 3cr 3cr 3cr 3cr Marketing Foundations Open Elective 3cr 3cr Quality Assurance Human Resource Management IT for Healthcare Managers Cultural Issues in Healthcare Open Elective 3cr 3cr 3cr 3cr 3cr Public Health Perspectives Health Care Research Regulatory Health Care Open Elective 3cr 3cr 3cr 3cr Spring/Summer Semester (6 credits) BITS 211 Spring/Summer Semester (6 credits) MKTG 211 Year Three Fall Semester (15 credits) HINT 209 HRMG 213 HSAD 221 HSAD 301 Winter Semester (12 credits) HLTH 320 HLTH 401 HSAD 302 Spring/Summer Semester (6 credits) 101 3cr 3cr 3cr 3cr 3cr COHP Student Handbook HSAD 403 MGMT 321 Health Care Economics Organizational Behavior 3cr 3cr Year Four Fall Semester (12 credits) FINC 403 HSAD 425 HSAD 440 HSAD 402 Health Care Finance Bioethics Healthcare Strategic Planning Risk Management 3cr 3cr 3cr 3cr Health Promotion and Education 3cr Health Services Admin Practicum Open Elective 4cr 4cr Winter Semester (11 credits) HLTH 460 HSAD 495 HEALTH SERVICES ADMINISTRATION PRACTICUM (HSAD495) The Health Service Administration Practicum is required to complete the Bachelor of Science degree for the Health Services Administration Program. Students will comply with all College of Health Professions Policies and Procedures prior to enrolling in this practicum. This practicum experience requires the student participates in at least 120 hours in a working health care setting. Selected duties that are performed by the student provide the opportunity to experience work within that health care setting. The experience can be obtained in hospitals, physician offices, long term care, foundations, or ambulatory settings. In addition, the students will be involved in classroom and Blackboard activities that include writing, presentations, and group discussions. The student will maintain a time sheet and weekly journal/activity report. The student is required to complete an on-site project that a health services manager would be responsible to complete. The project will be one that meets the needs of the clinical site where the practicum will be conducted The project could be related to areas such as compliance, data analysis, writing protocols/policies, creating web sites, etc. Actual time and schedule will be developed in cooperation with the health care site administration, appropriate faculty/ Associate Chair and the student. The student is expected to be involved in outside research, seeking ways to improve, modify or correct the specific project/activity. The student will complete an extensive report that explains the activity at the work site performed and the nature of the project. The student is required to include additional information through research. The student will present the project summary both orally and in writing. This will be the culmination of the practicum experience for the bachelor’s degree in Health Services Administration In the event an on-site project is not possible, case studies can be used to provide the in depth study of specific health care management issues and as the basis for in depth examination and analysis. A satisfactory evaluation completed by the site preceptor at the completion of the semester is required in order to pass this course. 102 COHP Student Handbook The Student will provide his/her own transportation to and from the practicum facility. The Student must abide by the existing personnel policies and procedures of the practicum facility. The Student will follow the directions of the Preceptor in planning and carrying out all assignments. 103 COHP Student Handbook MEDICAL ASSISTING PROGRAM 105 COHP Student Handbook 3.4 - MEDICAL ASSISTING (MA) PROGRAM DESCRIPTION Medical Assistants (MAs) are allied health professionals who function as members of the healthcare delivery team performing administrative, clinical, and cross-disciplinary functions. Medical Assistants work in physician’s offices, clinics, and outpatient health care facilities performing direct patient care. Medical Assistants may perform vital signs, injections, venipuncture, ECG’s and various clinical tasks. Medical Assistants may also be seen performing front office reception, medical insurance billing and various administrative duties Medical Assisting is a laddered program allowing the students to complete the Associate of Applied Science Degree in Medical Assisting, and eventually complete the Bachelor degree in Health Services Administration. Students have the option of enrolling in a program that leads directly to an Associate of Applied Science Degree in Medical Assisting. Students, who are not sure which program is right for their specific situation, should meet with their advisor and/or the Associate Chair for Allied Health (Clinical) for assistance in planning their course of study. Employment in this field is projected to grow much faster than average, ranking medical assistants among the fastest growing occupations over the 2008-2018 decade. Job opportunities should be excellent for those with formal training, experience and certification. SCOPE OF PRACTICE To be a successful medical assistant, students need the appropriate knowledge, skills and attitude. The MA program provides a blend of theoretical concepts, laboratory practice and clinical application (both in a laboratory setting at the University and experience in an ambulatory setting). It is essential to recognize and actively work towards meeting all the objectives of the MA program. This includes taking responsibility for one’s own actions, attendance, and active participation at all times during one’s education and chosen profession. Medical Assistants (MAs) perform delegated clinical and administrative duties within the supervising healthcare provider’s scope of practice and consistent with the MAs education, training, and experience. Such duties do not constitute the practice of medicine. MAs practice under the supervision of a licensed healthcare provider. Trained in both clinical and administrative skills, MAs assists healthcare providers in managing the needs of a diverse population of patients. Some MAs may also operate specialized equipment, collect specimens and perform some basic laboratory tests. Office administration duties may include patient scheduling, insurance billing, and data entry. Clinical duties may include preparing patients for examination, obtaining patient histories and vital signs, assisting with examinations, treatments, preparing and administering medications as directed by a physician, sterilizing instruments, and instructing patients in preparation for diagnostic studies. Competence in the field requires that every MA displays professionalism; communicates effectively with both the healthcare team and patients. 106 COHP Student Handbook The rapidly growing healthcare industry offers medical assistants excellent career opportunities in the ambulatory care setting, the insurance industry, hospitals, outpatient clinics, pharmacies, and a variety of other settings. ACCREDITATION & LICENSURE Accreditation is designed to ensure that students are prepared for entry-level employment in the ambulatory care setting and allow students to complete the appropriate credentialing examination. The Commission on Accreditation of Allied Health Education Programs (www.caahep.org) accredits the Medical Assisting program at Battle Creek (Diploma, AAS), Lansing (AAS), Caro (Diploma), and Grand Rapids (Diploma) campuses, upon the recommendation of the Curriculum Review Board of the American Association of Medical Assistants Endowment (AAMAE). Commission on Accreditation of Allied Health Education Programs (CAAHEP), 1361 Park Street, Clearwater, FL 33756 (727) 210-2350. Currently, the state of Michigan does not license, certify, or register Medical Assistants (MAs). However, as a condition of accreditation, Medical Assisting students are required to demonstrate their knowledge and commitment of professionalism by earning their Certified Medical Assisting (CMA.) The CMA certification is awarded to candidates who have successfully passed the certification examination administered by the certifying Board of the American Association of Medical Assistants (AAMA). To be eligible to sit for the Certification Exam, applicants must meet the requirements found in the AAMA website (http://www.aama-ntl.org/ed/certreq.html). Graduating Medical Assisting students must have completed all of their formal training, including the practicum prior to taking the examination. The CMA exam is a computer-based exam. Being a healthcare professional today means maintaining a lifelong commitment to high standards of practice. Becoming a Certified Medical Assistant means a professional edge, increased prestige among peers and employers, better job security, and greater career advancement opportunities. MEDICAL ASSISTANT PROGRAM GUIDELINES AND RESPONSIBILITIES 1. All Students interested in the Medical Assistant program should obtain a College of Health Professions (COHP) Handbook through the University website or by contacting Student Services and following all instructions listed in the Davenport University Undergraduate Catalog. 2. All students seeking to enter into the Medical Assistant program are expected to act in a responsible and professional manner. Failure to follow all guidelines for both the MA program, the College of Health Professions and the Davenport University Student Code of Conduct can result in dismissal from the program, the College of Health Professions and/or Davenport University. 3. A “C” grade or better is required in designated College of Health Professions courses in the curriculum in order to continue to the next semester, and a student must have an overall 2.3 GPA in the major for graduation. 4. Obtain a “C” grade or better in HLTH101 – Introduction to Health Careers. Failure to complete the mandatory criminal background check and drug screen will result in an automatic failure of the 107 COHP Student Handbook course and will result in delay of progression in the major. 5. After enrollment into MA curriculum courses, students are required to: A. Students are expected to maintain a “Compliance File” and present the file to the instructor at the beginning of each rotation. If the file is not with the student and complete prior to the first day of class, the student will be dismissed from class and not allowed to continue until the file is complete. Missing class could result in dismissal from the MA program as hours could be affected. B. Compliance File to include: a. Immunization Record b. Record of annual TB test c. Record of Hepatitis Vaccine or waiver. d. Annual flu injection e. CPR card (Health Providers 2-year card) f. OSHA certification g. Copy of current state or other government photo identification (e.g., driver’s license) h. Copy of completed Master Competency Checksheet 6. Statement of Fitness Health Appraisal Form must be obtained at the student's expense and completed by a health care provider, who is a licensed physician, licensed Nurse Practitioner or licensed Physician Assistant. The assessment must be current within 3 months prior to beginning the first clinical course. Only the Davenport University form is acceptable. The Statement of Fitness form is to be completed and updated on a yearly basis all the while the student is in the nursing program at Davenport University. 7. There will be out-of-pocket expenses not covered by financial aid. 8. Students are expected to have reliable transportation available prior to the start of MA curriculum courses. 9. MA curriculum courses require students to take course in a specific order. Dropping or failing of courses can result in the inability to complete a course rotation as originally planned. Dropping or failing of courses will result in a delay in graduation. 10. If a student is injured or ill either during any MA curriculum course, the cost of medical care may be your own expense unless covered by a health insurance policy. Some clinical sites require students to have health insurance prior to beginning practicum experience. All students strongly encouraged to obtain health insurance at their own expense. 11. Students are expected to work with the Associate Chair and the Internship Manager on arranging for a Davenport University approved clinical site for the practicum portion of the MA curriculum. Students are expected to realize that while every attempt will be made to arrange a clinical site near to the student’s location, it may be necessary for the student to travel outside of their location and/or out-ofstate. 108 COHP Student Handbook 12. All students must successfully complete a 180 hour minimum practicum at a Davenport University approved site and an additional classroom component in order to graduate. Students are required to complete a minimum of 12 hours per week at their approved practicum site. Many practicum sites require more than the University’s minimum of 12 hours each week. To meet course requirements, the student will be required to be available during normal business hours (8:00 am to 5:00 pm). This practicum is unpaid. Paperwork for the practicum includes: a. b. c. d. e. f. g. Documentation of criminal background check and drug screen Complete and sign the Clinical Student Disclosure Statement Complete and sign Health Appraisal Form Complete and sign Confidentiality Statement Complete and sign Statement of Responsibilities Submit evidence of up-to-date immunization records as outlined above (see 5a-f) Current CPR for Healthcare Provider (American Heart Association) or comparable certification h. Current Heartsaver First Aid course (American Heart Association) or comparable certification i. OSHA initial training or yearly update j. HIPAA training k. Resume If it has been greater than one semester between MEDA 254-Clinical Patient Care Course, and the beginning of the practicum experience, the student may be required to complete a skills evaluation prior to being placed at a practicum site. The student is responsible for contacting the appropriate Associate Chair, or authorized faculty member, to schedule and complete the skills evaluation. Failure to successfully complete the skills evaluation may result in repeating clinical courses. Incomplete packets will not be accepted and will be returned to the student for completion. Placement at the clinical site will not occur until all paperwork is completed and a delay of graduation is likely. 13. Students are required to wear Davenport University College of Health Professions scrubs and Davenport University student identification at assigned practicum sites. Students will need to check with their assigned clinical site as to what is considered acceptable prior to beginning the practicum experience. Hair must be neat, clean and off the collar with no loose ends that hang forward. Beards, sideburns, and mustaches must be neat and trimmed. Large decorative hairpieces or ornaments are not acceptable. Visible body piercing jewelry is not acceptable. Nails must be neatly trimmed, to a length that will not interfere with safe hygienic or aseptic techniques. Nail polish is not allowed. Visible tattoos must be covered. Some clinical sites may have more specific guidelines. 14. Students are responsible for meeting all course pre-requisites and co-requisites during their course of study at Davenport University. 15. MA curriculum courses require students to attend classes on an irregular schedule; which includes mornings, afternoons, and evenings, depending on the availability of classroom space at any given 109 COHP Student Handbook location. 16. Davenport University reserves the right to modify the MA program guidelines and responsibilities at anytime. Attendance Policy Each student enrolled in a MEDA designated course is allowed no more than one absence per class per semester unless there are extenuating circumstances. Students unable to meet this class requirement will be asked to withdraw and re-enroll in the next semester the course is offered and a seat is available. Beginning with the second absence regardless of circumstances, student(s) will receive a reduction of one whole letter grade for the final course grade per absence. Health Requirement Information See Section 2 for information related to the College of Health Profession Health Requirement Policy. Medical Assisting students can expect to lift more than 50 lbs at any one time, spend several hours standing, be able to move quickly, and function as a member of the health care delivery team. 3.4.1 MEDICAL ASSISTING (DIPLOMA) PROGRAM PURPOSE (GOALS) Medical Assisting Diploma Program, accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), is designed to prepare individuals to function as entry-level medical assistants. The program provides a foundation in the basics of patient care, medical office procedures, and basic laboratory practices. Students graduating from this program are eligible to sit for a national certification exam offered by either the American Association of Medical Assistants (CMA) or the American Medical Technologists (RMA). An additional option allows students complete a phlebotomy concentration, becoming eligible to sit for a phlebotomy certification exam. PROGRAM OUTCOMES (OBJECTIVES) At the conclusion of the program, a student is expected to be able to: • Demonstrate competency and skills as identified in the Davenport University Excellence System. • Create, manage, and synthesize documents using computer applications and administrative skills. • Apply policies and procedures of managed care and third party payer guidelines to healthcare insurance coding and billing. • Apply legal and ethical standards to the scope of practice for medical assisting. • Apply knowledge of aseptic technique and Universal Precautions. • Demonstrate satisfactory completion of clinical, administrative and general competencies as designated by the American Association of Medical Assistants, through written and hands-on practical assessments. 110 COHP Student Handbook • Demonstrate verbal and non-verbal communication skills utilized in collecting patient histories, telephone conversations, responding to a patient’s needs, and appropriate documentation in the appropriate portion of the medical record. • Demonstrate appropriate levels of quantitative analysis as needed for such tasks as accounts management and dosage computation. Medical Assisting Diploma Required Courses and Credit Hours Medical Assisting Diploma Program (MEDA DIPL) Course Number BIOL120 BIOL131 ENGL109 MATH120 CISP112 HLTH100 HLTH101 HLTH110 HLTH220 HSAD250 MEDA254 MEDA255 MEDA259 MEDA290 Name Essentials of Anatomy & Physiology Introduction to Human Disease Composition College Mathematics Computer Foundations CPR/First Aid Introduction to Health Careers Medical Terminology Pharmacology Intro to Reimbursement Systems Clinical Patient Care* Clinical Laboratory Procedures* Medical Office Applications* Medical Assistant Practicum* Phlebotomy Option: MEDA261 Phlebotomy Lab MEDA262 Phlebotomy Practicum Credit hours 4 3 3 3 3 1 3 3 3 3 3 3 3 4 3 3 Recommended Course Rotation – Medical Assisting (Diploma) Semester 1 Credits BIOL 120 Essentials of Anatomy & Physiology 4 HLTH 1 Introduction to Health Careers 3 MATH 125 Intermediate Algebra 3 HLTH 110 Medical Terminology 3 Semester 2 BIOL 131 Human Disease Recommended Pre-req: BIOL 120 HLTH 220 Pharmacology Pre-req: BIOL 120 & MATH 125 MEDA 259 Medical Office Applications Pre-req: HLTH 110 & CISP 112 HLTH 100 CPR/First Aid Credits 3 3 3 1 111 COHP Student Handbook CISP 112 Computer Foundations 3 Total Semester 3 ENGL 109 Composition 16 Credits MEDA 254 Clinical Patient Care 3 Pre-req: BIOL 120, BIOL 131, HLTH 110 & HLTH 220 MEDA 255 Clinical Laboratory Procedures 3 Pre-req: BIOL 120, BIOL 131, HLTH 101 or HLTH 101S & HLTH 110 Total 3 Total Semester 3 13 Credits MEDA 290 Medical Assisting Practicum 4 Pre-req: HLTH 100, MEDA 254, MEDA 255 & MEDA 259 6 Total 4 3.4.2 MEDICAL ASSISTING (ASSOCIATE OF APPLIED SCIENCE DEGREE) Program Purpose (Goals) Medical Assisting Associate Program, accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), is designed to prepare individuals to function as entry-level medical assistants. The program provides a foundation in the basics of patient care, medical office procedures, and basic laboratory practices. Students graduating from this program are eligible to sit for a national certification exam offered by either the American Association of Medical Assistants (CMA) or the American Medical Technologists (RMA). An additional option is to complete a phlebotomy concentration, becoming eligible to sit for the phlebotomy certification exam. PROGRAM OUTCOMES (OBJECTIVES) At the conclusion of the program, a student is expected to be able to: • Demonstrate competency and skills identified in the Davenport University Excellence System. • Create, manage, and synthesize documents using computer applications and administrative skills. • Apply policies and procedures of managed care and third party payer guidelines to healthcare insurance coding and billing. • Apply legal and ethical standards to the scope of practice for medical assisting. • Apply knowledge of aseptic technique and Universal Precautions. 112 COHP Student Handbook • Demonstrate satisfactory completion of clinical, administrative and general competencies as designated by the American Association of Medical Assistants, through written and hands-on practical assessments. • Demonstrate verbal and non-verbal communication skills utilized in collecting patient histories, telephone conversations, responding to a patient’s needs, and appropriate documentation in the appropriate portion of the medical record. • Demonstrate appropriate levels of quantitative analysis as needed for such tasks as accounts management and dosage computation. Medical Assisting Associate of Applied Science Program (MEDA AAS) Course Number BIOL120 BIOL131 CISP112 COMM120 ENGL109 ENGL110 SOSC201 MATH125 PSYC101 HLTH100 HLTH101 HLTH110 HLTH220 HLTH230 HSAD250 MEDA254* MEDA255* MEDA259* MEDA290* Name Essentials of Anatomy & Physiology Introduction to Human Disease Computer Foundations Presentation Techniques Composition Advanced Composition Diversity in Society Intermediate Algebra Introductory Psychology CPR/First Aid Introduction to Health Careers Medical Terminology Pharmacology Health Care Law and Ethics Intro to Reimbursement Systems Clinical Patient Care Clinical Laboratory Procedures Medical Office Applications Medical Assistant Practicum Credit hours 4 3 3 3 3 3 3 3 3 1 3 3 3 3 3 3 3 3 4 Choose either Open Electives or Phlebotomy Option Recommended electives: HINT110 Health Record Content HINT201 Health Information Technology HLTH127 Healthy Living HLTH270 Dimensions of Aging HLTH303 Psychosocial Health Concerns 3 3 3 3 3 Phlebotomy Option: MEDA261 Phlebotomy Lab MEDA262 Phlebotomy Practicum 3 3 113 COHP Student Handbook * Courses with an asterisk MUST be taken at an accredited Medical Assisting campus to be eligible to sit for CMA exam. Medical Assisting Recommended Course Rotation: Associate Degree Recommended Course Rotation – Medical Assisting (Associate) Semester 1 Credits BIOL 120 Essentials of Anatomy & Physiology 4 HLTH 101 Introduction to Health Careers 3 MATH 125 Intermediate Algebra 3 HLTH 110 Medical Terminology CISP 112 Computer Foundations 3 3 Total Semester 2 BIOL 131 Human Disease Recommended Pre-req: BIOL 120 HLTH 220 Pharmacology Pre-req: BIOL 120 & MATH 125 MEDA 259 Medical Office Applications Pre-req: HLTH 110 & CISP 112 HLTH 100 CPR/First Aid ENGL 109 Composition 16 Semester 3 Credits MEDA 254 Clinical Patient Care 3 Pre-req: BIOL 120, BIOL 131, HLTH 110 & HLTH 220 MEDA 255 Clinical Laboratory Procedures 3 Pre-req: BIOL 120, BIOL 131, HLTH 101 or HLTH 101S & HLTH 110 COMM 120 Presentation Techniques 3 HLTH 230 Health Care Law & Ethics 3 Pre-req: ENGL 109 Total 12 Total Credits 3 3 3 1 3 13 Semester 3 Credits MEDA 290 Medical Assisting Practicum 4 Pre-req: HLTH 100, MEDA 254, MEDA 255 & MEDA 259 SOSC 201 Diversity in Society 3 ENGL 110 Advanced Composition PSYC 101 Psychology 3 3 Total 10 114 COHP Student Handbook MEDICAL CASE MANAGEMENT PROGRAM 115 COHP Student Handbook PROGRAM PURPOSE (GOALS) The Medical Case Management program is designed to prepare the individual who is interested in entering or advancing in the area of medical case management. Case management serves as a means for achieving client wellness and autonomy through advocacy, communication, education, identifying service resources and providing service facilitation. The case manager helps identify appropriate providers and facilities throughout the continuum of care while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source. The student will learn the components of case management including assessing, planning, implementing, coordinating, monitoring, and evaluating the care of a client. The program is open to nurses and health-related professionals, as well as those with no health-related background. Graduates are employed in hospitals, behavioral medicine facilities, government agencies, insurance companies, rehabilitation agencies, legal firms, and human services organizations. Students with a valid RN license may be awarded up to 64 semester credits for advanced standing in this degree program. Credits for previous Allied Health course work or an associate’s degree with an Allied Health credential (i.e., Medical Assistant, Respiratory Therapy) that are not the exact equivalent of Davenport University courses may be awarded following consultation with the Associate Dean of the College of Health Professions. PROGRAM OUTCOMES (OBJECTIVES) At the conclusion of the program, the graduate will: • Establish quality measures and parameters of practice using case management models, processes, and research models. • Understand professional practice principles and behaviors, such as maintain confidentiality, legal and regulatory requirements, risk management, interpersonal communication, conflict resolution, and negotiation strategies. • Use behavioral concepts and intervention strategies to holistically manage client care, taking into consideration the psychological, physical, emotional and cultural needs of the patient to ensure they have an appropriate support system. • Integrate the work of the healthcare delivery team by coordinating resources and services necessary to accomplish client goals. • Evaluate the available patient options related to human, environmental, and equipment services, balancing cost and quality, to ensure prudent use of resources and optimal patient and organizational outcomes. • Create a personalized, written, multidisciplinary rehabilitation plan based on a comprehensive needs assessment of returning that client to optimum level of function in the work and/or home setting. • Demonstrate competencies in assessing, planning, implementing, coordinating, monitoring, and evaluating options and services to promote quality and cost effective outcomes. • Develop a life care plan by identifying the critical pathways for the medical condition of the client. 116 COHP Student Handbook • Compare and contrast the case manager’s role and responsibilities in being a fact witness from an expert witness with respect to testifying in litigation. • Demonstrate competency in the skills identified in Davenport University Excellence System. • Continue to an advanced degree. PROFESSIONAL ORGANIZATION Case Management Society of American www.cmsa.org American Case Management Association www.acmaweb.org MEDICAL CASE MANAGEMENT REQUIRED COURSES AND CREDITS Year One Fall Semester (15 credits) ENGL 109 HLTH 101 MATH 125 HLTH 110 CISP 112 Composition Introduction to Health Careers Intermediate Algebra Medical Terminology Applied Information Technology 3cr 3cr 3cr 3cr 3cr Winter Semester (13 credits) ENGL 110 SOSC 201 PSYC 101 BIOL 120 Advanced Composition Diversity in Society Introductory Psychology Anatomy 3cr 3cr 3cr 4cr Spring/Summer Semester (6 credits) HLTH 230 COMM 120 Health Care Law & Ethics Presentation Techniques 3cr 3cr Professional Writing Introduction to Human Disease Pharmacology Social Science Elective 3cr 3cr 3cr 3cr Nutrition Health Care Mgmt Foundations 3cr Humanities Elective 3cr Year Two Fall Semester (12 credits) ENGL 311 BIOL 131 HLTH 220 Winter Semester (12 credits) BIOL 310 HINT 211 3cr 117 COHP Student Handbook Spring/Summer Semester (6 credits) MCMG 300 Year Three Fall Semester (12 credits) MATH 219 MCMG 310 HLTH 320 Winter Semester (12 credits) MCMG 311 MCMG 312 HLTH 401 Spring/Summer Semester (7 credits) HSAD 403 MCMG 401 Year Four Fall Semester (12 credits) MCMG 402 MCMG 403 Winter Semester (13 credits) MCMG 495 Open Elective 3cr Case Management Fundamentals Open Elective 3cr 3cr Introduction to Biostatistics Community Services Public Health Perspectives Open Elective 3cr 3cr 3cr 3cr Psych Adjustment Disability Case Mgt Insur Utilization Review Health Care Research Open Elective 3cr 3cr 3cr 3cr Health Care Economics Case Work Reporting Techniques 3cr 4cr Disability Case Management Case Mgt Special Populations Open Elective Open Elective 3cr 3cr 3cr 3cr Case Management Practicum Open Elective Open Elective Open Elective 4cr 3cr 3cr 3cr 118 COHP Student Handbook Medical Case Management Recommended Course Rotation: 4MC Planned Semester Planned Semester Planned Semester BS Medical Case Management Foundations of Excellence BIOL120 Essentials of Anatomy & Physiology BIOL131 Introduction to Human Disease BIOL310 Nutrition COMM120 Presentation Techniques ENGL109 Composition ENGL110 Advanced Composition ENGL311 Professional Writing MATH125 Intermediate Algebra STAT 219 Introduction to Biostatistics PSYC101 Introductory Psychology SOSC201 Diversity in Society Humanities Elective Social Science Elective 43 credits 4 3 3 3 3 3 3 3 3 3 3 3 3 Foundations CISP112 HLTH101 HLTH 101S HLTH110 HLTH230 18 Credits 3 3 No credit 3 3 HSAD211 HLTH 220 Major HLTH320 HLTH401 MCMG300 MCMG310 MCMG311 MCMG312 MCMG401 MCMG402 Of Health Professions Applied Information Technology Introduction to Health Careers Introduction to Health Careers Medical Terminology Health Care Law & Ethics Health Care Management Foundations Pharmacology Public Health Perspectives Health Care Research Case Management Fundamentals Community Services Psychological Adjustment to Disability Case Mgt Insurance Utilization Review Case Work Reporting Techniques Disability Case Management Case Management Special Populations Case Management Practicum MCMG403 MCMG495 Open Electives Recommended Electives: 3 3 35 credits 3 3 3 3 2011-2012 Davenport Transfer Credit Credit Davenport Transfer Credit Credit Davenport Transfer Credit Credit 3 4 3 3 3 4 30 Credits Davenport Transfer Credit credit 119 COHP Student Handbook COMM311 COMM313 HLTH203 HINT203 HLTH303 HSAD301 LEGL210 MCMG410 Organizational Communications Small Group Communications Death and Dying Health Care Delivery System Psychosocial Health Concerns Cultural Issues in Health Care Business Law Foundations Case Management Certification Preparation 3 3 2 3 3 3 3 1 MEDICAL CASE MANAGEMENT PROGRAM GUIDELINES AND RESPONSIBILITIES 1. All Students interested in the Medical Case Management (MCMG) program should obtain a College of Health Professions (COHP) Handbook through the Davenport Website or by contacting Student Services and following all instructions listed in the Davenport University Undergraduate Catalog. 2. All students seeking to enter into the MCMG program are expected to act in a responsible and professional manner. Failure to follow all guidelines for both the MCMG program, the College of Health Professions and the Davenport University Student Code of Conduct can result in dismissal from the program, the College of Health Professions and/or Davenport University. 3. A “C” grade or better is required in designated College of Health Professions courses in the curriculum in order to continue to the next semester and a student must have an overall 2.3 GPA in the major for graduation. 4. Obtain a “P” grade for HLTH 101S or a “C” grade or better in HLTH101 – Introduction to Health Careers. Failure to complete the mandatory criminal background check and drug screen will result in an automatic failure of the seminar/course and will result in delay of progression in the major. 5. Students are expected to have reliable transportation at their disposal prior to the start of MCMG curriculum courses. 6. MCMG curriculum courses require students to take courses in a specific order. Dropping or failing of courses can result in the inability to complete a course rotation as originally planned. Dropping or failing of courses will result in a delay in graduation. 7. Students are expected to work with the Associate Chair and the Internship Manager on arranging for a Davenport University approved practicum site for the practicum portion of the MCMG curriculum. The practicum site will not be at the student’s place of employment unless first approved by the appropriate Associate Chair. Students are expected to realize that while every attempt will be made to arrange a practicum site near to the student’s location, it may be necessary of the student to travel outside of their location and/or out-of-state. 8. All students must successfully complete a 120 hour minimum practicum at a Davenport University approved site and additional classroom component in order to graduate. To meet course 120 COHP Student Handbook requirements, the student will be required to be available Monday through Friday during normal business hour (8:00 am to 5:00 pm). This practicum is unpaid. The student is required to submit a Practicum Application to the appropriate Internship Manager for placement at a Davenport University approved practicum site. The practicum application can be located on the website. www.davenport.edu a. b. c. d. e. f. g. LOGIN upper right corner of screen Click on Academics tab Click on College of Health Professions on left side of screen Click on Practicums Scroll down to “Current Student” and click on forms and procedures Select HINT/HSAD/MCMG Practicum – Application Packet Complete the application and submit the packet by: Spring/Summer Semester: January 15th Fall Semester: May 15th Winter Semester: September 15th h. Send the application to the appropriate Internship Manager: For Alma, Caro, Midland, Lansing, Gaylord, Flint, Saginaw and Traverse City students, send packet to: Tanya Stephens, Internship Manager Davenport University 5300 Bay Road Saginaw, MI 48604 [email protected] For Livonia, Warren, and out-of-state online students, send packet to: Doreen Greenwald, Internship Manager Davenport University 27650 Dequindre Road Warren, MI 48092 [email protected] For Battle Creek, Holland, Kalamazoo, and Lettinga, send packet to: Lindsey Shull, Internship Manager Davenport University 6191 Kraft Avenue Grand Rapids, MI, 49512 [email protected] Incomplete packets will not be accepted and will be returned to the student for completion. Placement at the practicum site will not occur until all paperwork is completed and a delay of graduation is likely. 121 COHP Student Handbook 9. Students are required to dress professionally and wear Davenport University student identification at assigned practicum sites. Students will need to check with their assigned practicum site as to what is considered acceptable prior to beginning the practicum experience. Hair must be neat and clean. Beards, sideburns, and mustaches must be neat and trimmed. Large decorative hairpieces or ornaments are not acceptable. Body piercing jewelry is not acceptable. Nail polish must be clear or a neutral shade. Visible tattoos must be covered. Some practicum sites may have more specific guidelines. 10. Students are responsible for meeting all course pre-requisites and co-requisites during their course of study at Davenport University. 11. MCMG curriculum courses are offered online and on campus. On campus courses require students to attend classes on an irregular schedule; which includes mornings, afternoons, and evenings, depending on the availability of classroom space at any given campus. 12. Davenport University reserves the right to modify the MCMG program guidelines and responsibilities at anytime. MEDICAL CASE MANAGEMENT PRACTICUM (MCMG495) REQUIREMENTS AND RESPONSIBILITIES This practicum requires a combination of practical experience, a customized project, which is a Life Care Plan involving research. The Case Management Practicum, MCMG 495, should not be taken with any other case management core classes. The practical experience requires 120 hours in a case management environment working with a preceptor and clients and 30 hours in the classroom. The following is the guideline of how this course is managed in order to meet the Learning Outcomes. The student is responsible for obtaining signatures and returning completed forms to the Course Instructor. 1. Practicum experience of 120 hours working with a preceptor and client. The case manager preceptor will complete a student evaluation upon completion of the 120 hours. 2. The remaining 30 hours are divided into 20-25 hours in class and 5-10 hours outside of class to complete the following assignments: a. Develop a Life Care Plan b. Develop a job description of core components of a case manager c. Participate in a Mock Trial simulation d. Oral presentation of the Life Care Plan e. Complete the CCM Mock Examination 3. The student will maintain a time sheet and weekly journal/activity report. 4. The student is required to complete a life care plan on a client that is selected from the practicum site. The student is expected to be involved in outside research, seeking ways to improve and enhance the client’s life and ability to complete activities of daily living. 122 COHP Student Handbook In the event a client for selection at a site is not possible, case studies can be used to provide the in depth study of developing a life car plan. 5. A satisfactory evaluation completed by the site preceptor at the completion of the semester is required in order to pass this course. 6. The Student will provide his/her own transportation to and from the practicum facility. 7. The Student must abide by the existing personnel policies and procedures of the practicum facility. 8. The Student will follow the directions of the Preceptor in planning and carrying out all assignments. 123 COHP Student Handbook PHLEBOTOMY PROGRAM 124 COHP Student Handbook PHLEBOTOMY PROGRAM DEFINITION Phlebotomy is the process of removing blood from a vein. Phlebotomy may be used to obtain blood for diagnostic tests or to treat certain conditions, for example, iron overload in hemochromatosis. SCOPE OF PRACTICE Phlebotomists are ambassadors of the laboratory who for many patients/clients are the primary laboratory personnel with whom they have direct contact. Through specimen collection, phlebotomists provide critical contributions to accurate laboratory information. The traditional roles and scope of practice of phlebotomists are being expanded to include point of care testing, and basic patient care services. These changes in the role and scope of practice are the results of dynamics in healthcare delivery that resulted in merged knowledge, skills and competencies. PROGRAM PURPOSE (GOAL) The Phlebotomy Program prepares students to function as phlebotomists whose responsibilities include, but are not limited to, venipunctures and blood draw micro-collection techniques. The phlebotomy courses provide specialized classroom instruction and practical laboratory experience on all ages, which prepare students for employment in clinics, hospital labs, intensive care units, outpatient care centers, and nursing homes. PROGRAM OUTCOMES (OBJECTIVES) At the conclusion of the program, the graduate will: • Identify the healthcare providers in hospitals and clinics and the phlebotomist’s role as a member of the healthcare team. • Demonstrate acceptable practices for infection control, isolation techniques, aseptic techniques and methods for disease prevention. • Demonstrate basic understanding of anatomy and physiology and medical terminology in order to relate major areas of clinical laboratory. • Exhibit understanding of the importance of specimen collection and specimen integrity in the delivery of patient care. • List and select the types of equipment needed to collect blood by venipuncture, capillary, and arterial puncture. • Follow standard operating procedures to collect specimens. • Demonstrate understanding of requisitioning, specimen transport and specimen processing. • Exhibit understanding of quality assurance and quality control in phlebotomy. • Communicate effectively and appropriately in the workplace. 125 COHP Student Handbook PROFESSIONAL ORGANIZATIONS American Society of Phlebotomy Technician American Society for Clinical Pathology http://www.aspt.org/ http://www.ascp.org/ PHLEBOTOMY PROGRAM GUIDELINES AND RESPONSIBILITIES 1. All Students interested in the Phlebotomy program should obtain a College of Health Professions (COHP) Handbook through the DU website, or by contacting Student Services. 2. All students in the Phlebotomy program are expected to act in a responsible and professional manner. Failure to follow all guidelines for both the Phlebotomy program, the College of Health Professions and the Davenport University Student Code of Conduct can result in dismissal from the program, the College of Health Professions and/or Davenport University. 3. A “C” grade or better is required in designated COHP courses in the curriculum in order to continue to the next semester, and a student must have an overall 2.3 GPA in the major for graduation. 4. Obtain a “C” grade or better in HLTH101 – Introduction to Health Careers. Failure to complete the mandatory criminal background check and drug screen will result in an automatic failure of the course and will result in delay of progression in the major. 5. Students are required to submit the following in order to participate in phlebotomy courses and phlebotomy practicum: a. Submit evidence of a negative tuberculosis (TB) test or negative chest x-ray. Evidence of negative TB test or chest x-ray must be updated every 12 months. b. Submit evidence of an acceptable Measles, Mumps Rubella (MMR) titer or proof of immunization. Vaccination PRIOR to December 31, 1967, is NOT acceptable. c. Submit evidence of Tetanus, diphtheria, pertussis (Td/Tdap) titer or proof of immunization (booster) within the last 10 years. For your protection, however, it is recommended that the tetanus booster be within the last five years. d. Submit evidence of Polio titer or proof of immunization both infant series (Salk or Sabin) and booster. e. Submit evidence of Hepatitis B vaccine (completed 3 shot series) or Davenport University approved waiver of vaccination form. *PLEASE NOTE: If you choose not to be vaccinated and sign the waiver form, it will be difficult to place you in a clinical site and therefore may take longer to complete the program. A delay of graduation is likely. f. Strongly consider obtaining the influenza vaccination on a yearly basis. Students are to keep their original records of the above items and give a copy to the Associate Chair. 6. There will be out-of-pocket expenses not covered by financial aid. 7. Students are expected to have reliable transportation at their disposal prior to the start of phlebotomy curriculum courses. 8. Phlebotomy curriculum courses require students to take course in a specific order. Dropping or failing of courses can result in the in ability to complete a course rotation as originally planned. Dropping or failing of courses will result in a delay in graduation. 126 COHP Student Handbook 9. If you are injured or ill either during any Phlebotomy curriculum course, the cost of medical care may be your own expense unless covered by a health insurance policy. Some clinical sites require students to have health insurance prior to beginning externship experience. All students strongly encouraged to obtain health insurance at their own expense. Davenport University does not provide students with health insurance benefits. 10. Students are expected to work with the Associate Chair and the Internship Manager on arranging for a Davenport University approved clinical site for the externship/practicum portion of the Phlebotomy curriculum. Students are expected to realize that while every attempt will be made to arrange a clinical site near to the student’s location, it may be necessary of the student to travel outside of their location and/or out-of-state. 11. All students must successfully complete a 120 hour minimum practicum at a Davenport University approved site and successfully perform a minimum of 100 venipunctures. This practicum is unpaid. To meet course requirements, the student will be required to be available during normal business hours (8:00 am to 5:00 pm). Students are required to complete a minimum of 12 hours per week at their approved practicum site. Many practicum sites require more than the University’s minimum of 12 hours each week. Evaluation is done by the facility supervisor and the Internship Manager or Associate Chair of the University. A grade of C or better is required to pass this practicum course. 12. Paperwork required for the practicum includes: a. Documentation of criminal background check and urine drug screen b. Complete and sign the Clinical Student Disclosure Statement c. Complete and sign the Health Appraisal Form d. Complete and sign the Confidentiality Statement e. Complete and sign the Statement of Student Responsibilities f. Submit evidence of up-to-date immunization records as outlined above (see 5a-f) g. Resume If it has been greater than one semester between MEDA 261-Phlebotomy Laboratory, and the beginning of the practicum experience, the student may be required to complete a skills evaluation prior to being placed at a practicum site. The student is responsible for contacting the appropriate Associate Chair, or authorized faculty member, to schedule and complete the skills evaluation. Failure to successfully complete the skills evaluation may result in repeating clinical courses. Incomplete packets will not be accepted and will be returned to the student for completion. Placement at clinical site will not occur until all paperwork is completed as such delay of graduation is likely. 13. Students are required to wear a Davenport University scrubs and Davenport University student identification, at assigned externship sites. Students will need to check with their assigned clinical site as to what is considered acceptable prior to beginning the externship experience. Hair must be neat, clean and off the collar with no loose ends that hang forward. Beards, sideburns, and mustaches must be neat and trimmed. Large decorative hairpieces or ornaments are not acceptable. Body piercing jewelry is not acceptable. Nails, including artificial nails, must be neatly trimmed to a length that will not interfere with safe hygienic or aseptic techniques. Nail polish must 127 COHP Student Handbook be clear or a neutral shade. Visible tattoos must be covered. Some clinical sites may have more specific guidelines. 14. Students are responsible for meeting all course pre-requisites and co-requisites during their course of study at Davenport University. 15. Phlebotomy curriculum courses require students to attend classes on an irregular schedule; which includes mornings, afternoons, and evenings, depending on the availability of classroom space at any given location. 16. Davenport University reserves the right to modify the Phlebotomy program guidelines and responsibilities at anytime. Attendance Policy Each student enrolled in a MEDA designated course is allowed no more than one absence per class per semester unless there are extenuating circumstances. Students unable to meet this class requirement will be asked to withdraw and re-enroll in the next semester the course is offered and a seat is available. Beginning with the second absence regardless of circumstances, student(s) will receive a reduction of one whole letter grade for the final course grade per absence. CERTIFICATION Davenport University requires that phlebotomy students meet a minimum of 120 hours clinical professional practice experience (Practicum) and have successfully had a least 100 venipunctures and 25 capillary punctures. All students who complete this requirement are eligible to sit for the Registered Phlebotomy Technician (RPT) Certification Exam offered through the American Medical Technologist national agency. Information can be obtained at the American Medical Technologist website. http://www.amt1.com. Health Requirement Information See Section 2 for information related to the College of Health Profession Health Requirement Policy. Phlebotomy students can expect to lift more than 50 lbs at any one time, spend several hours standing, be able to move quickly, and function as a member of the health care delivery team. 128 COHP Student Handbook PHLEBOTOMY REQUIRED COURSES AND CREDITS 1PH Planned Semester Planned Semester Planned Semester Diploma 32 Credits Phlebotomy Foundations of Excellence BIOL120 Essentials of Anatomy & Physiology BIOL131 Introduction to Human Disease ENGL109 Composition HLTH100 Cardiopulmonary Resuscitation HLTH101 Introduction to Health Careers Foundations of Health Professions CISP112 HLTH110 HLTH230 14 credits 4 3 3 1 3 9 credits Computer Foundations Medical Terminology Health Care Law and Ethics 3 3 3 Major 9 credits MEDA255 MEDA261 MEDA262 Clinical Laboratory Procedures Phlebotomy Laboratory Phlebotomy Practicum 3 3 3 Davenport Credit 2011-2012 Transfer Credit Davenport Credit Transfer Credit Davenport Credit Transfer Credit Phlebotomy Recommended Course Rotation: Phlebotomy (1PH) 32 CR 2011-2012 Semester 1 Class BIOL120 Semester 2 Credits Scheduled Class Essentials of Anatomy/ Physiology Introduction to Human Disease 4 HLTH100 3 HLTH230 ENGL109 Composition 3 HLTH110 Medical Terminology 3 HLTH101 Introduction to Health Careers 3 BIOL131 Total MEDA255 MEDA261 16 Credits Cardiopulmonary Resuscitation Health Care Law and Ethics Clinical Laboratory Procedures Phlebotomy Laboratory Total 1 Schedul ed 3 3 3 10 Semester 3 Class CISP112 MEDA262 Credits Computer Foundations Phlebotomy Practicum Scheduled 3 3 Total 6 129 COHP Student Handbook 130 COHP Student Handbook NURSING PROGRAMS DIPLOMA OF PRACTICAL NURSING BACHELOR OF SCIENCE IN NURSING, PRE- LICENSURE BACHELOR OF SCIENCE IN NURSING, RN COMPLETION 131 COHP Student Handbook INTRODUCTION This handbook has been prepared to provide nursing students with information necessary to their roles as student nurses and to assist in their learning experiences. It is important that students become familiar with the policies and how they regulate the conduct and activities of students enrolled in Davenport University. Other policies and procedures of the University; course descriptions, calendar, graduation requirements and other pertinent information are covered in detail in the University Undergraduate Catalog. WELCOME TO THE NURSING PROGRAM On behalf of the faculty, staff, and administration of the University, let us welcome you to the Davenport University nursing program. Whether you are just beginning your study or continuing on to an advanced degree, your education should prepare you for the exciting opportunities available to nurses in the 21st century. As you begin or continue your journey to become a nurse, you will discover that wonderful feeling when you are a part of a team assisting someone else to achieve goals of attaining or maintaining health. The faculty of the nursing program will share their knowledge and skill in nursing with you. We will be available to assist you in various ways. Your responsibility is to take advantage of the many learning opportunities you will have. We wish you well as you begin your nursing education. The Davenport University (DU) offers the following undergraduate Nursing programs: I. Practical Nursing (PN) Program The Practical Nursing (PN) Program is a one-year program. When you successfully complete the PN program, a Certificate of Completion will be sent to the State Board of Nursing and a copy will be placed in your academic records. You will then be eligible to take the NCLEX-PN (National Council Licensure Examination for Licensed Practical Nurses) which, upon satisfactory performance, entitles you to be a Licensed Practical Nurse (LPN). II . Bachelor of Science in Nursing (BSN) Programs Davenport University (DU) Bachelor of Science in Nursing (BSN) Pre Licensure (PL) The Davenport University (DU) Bachelor of Science in Nursing (BSN) Pre Licensure (PL) degree, which is offered at the Grand Rapids, Midland, and Warren campuses, prepares the student for the registered nurse licensure and entry level position as a professional nurse. In July, 2006, Davenport University received approval from the Higher Learning Commission of the North Central Accrediting Association to offer the BSN degree. The BSN-PL Program is a four year program that includes both general education requirements and nursing related courses. When you successfully complete the BSN – PL program, a Certificate of Completion will be sent to the State Board of Nursing and a copy will be placed in your academic records. You will then be eligible to take the NCLEX-RN (National Council Licensure Examination for Registered Nurses) which, upon satisfactory performance, entitles you to be a Registered Nurse (RN). 132 COHP Student Handbook The BSN-PL program prepares the student to enter the nursing profession as a professional nurse and practice in a variety of settings, from acute care to the community, with an emphasis on disease prevention and health promotion of populations and groups of persons, as well as to assume entry level management and leadership responsibilities. BSN-RN Completion Program The BSN-RN Completion program enables the licensed registered nurse to complete the Bachelor of Science with a major in nursing degree (BSN-RN Completion program). The BSN-RN Completion program is an online program that prepares the RN to practice in the community setting with an emphasis on disease prevention, as well as, management and leadership responsibilities. At this level, you already have a license to practice as a registered nurse and no further licensing examinations are required. General Information for BSN programs To be a successful graduate, a nurse will need basic knowledge, skills, and attitudes. The BSN nursing programs provides a blend of theoretical concepts, laboratory practice, and clinical application. In order to be a successful student, it is essential that you recognize and give a high priority to meeting the objectives of the program. Assuming responsibility for your own actions, attendance, and participation are required both as a student and once you achieve professional status. Nursing is a constantly changing field, and Davenport University’s nursing programs equip the student with the ability to change and grow with the profession. Take the opportunities offered you and pursue them. The nursing profession is no longer a single-dimensional role limited to the hospital. Once you have received your education, you will be fortunate enough to be able to explore a variety of roles, which can be filled by a nurse. Just as your schooling requires a lot of independent work and study, so will your practice at the hospital, clinic, and/or community. Take advantage of the many opportunities within the nursing classes as well as within the extracurricular sphere. May you enter nursing with eyes open to the many learning opportunities available to you and may you leave the program with your eyes focused on ways in which you can give back to the world through your exceptional care of patients and their families. The nursing courses provide for classroom, laboratory, and clinical experiences. In the classroom the concepts of nursing are presented and discussed. These classes are utilized for sharing basic knowledge that is then applied in the clinical setting. Clinical experiences include a variety of practice settings: Medical/Surgical, Mental Health, Obstetrics, Pediatrics, Community, and Leadership depending on the program and level the student is enrolled in. The nursing programs provide practice of basic and advanced nursing skills. The focus of Davenport University’s nursing programs is the systems/critical thinking, planning and implementing of nursing care at various levels across the continuum of health care services for complex patients/families. You will be required to be familiar with and use the computer for your classes. Your home computer or the computers in the lab or library may be used for assignments when required. Selected BSN courses may be offered in a blended-format or online which means that learning takes place in the classroom and/or through web-based format. Nursing Associate Chair and full-time faculty serve as the primary advisors for the program. It is your responsibility to seek them out and inform them of any problems you may be experiencing in the program. 133 COHP Student Handbook If you experience any concerns, contact your Nursing Associate Chair or faculty immediately. You should check with faculty’s office hours and arrange an appointment during that time. There is a BlackBoard (Bb) web-based communication tool called “Nursing News”, which all students in all nursing programs will have access to. Nursing News offers a central place where announcements, course documents, discussions, and questions can be asked in a formal and informal manner. Nursing News is a forum, which unites all of our Davenport University nursing students no matter which nursing program or location the nursing student is enrolled at, and it also allows for location specific news, discussion and announcements. It is the student’s responsibility to log onto the site frequently and locate and read the information posted by faculty. This is an excellent source of information about classes, jobs, opportunities to be involved with the community, professional organizations (e.g., National Student Nurse Association), and other announcements, etc. This section of the College of Health Professions Student Handbook 2011-2012 is designed to provide the nursing student with information pertinent to the nursing program. Information incorporated into this handbook is in addition to that found in the Davenport University Undergraduate Catalog and contains information that is specific to the requirements for the nursing program, which may not be required of other majors of study. Nursing has some particular provisions due to the nature of the profession and requirements of our licensing and accrediting bodies. In addition, while successful graduates will graduate with a Bachelors of Science in Nursing (PL), graduates do not become registered nurses until successfully passing the NCLEX-RN exam and pass. The information and regulations contained within this handbook are designed to ensure your success. Please take some time to become familiar with the content, as the knowledge gained will contribute to your accomplishment. You will also be required to sign and date the document at the beginning of the handbook indicating you have read the handbook completely and agree to follow the rules, regulations, expected behavior, and academic requirements of the nursing programs at Davenport University. Best wishes for an exciting and rewarding career in the profession of nursing. 134 COHP Student Handbook INTRODUCTION TO NURSING If you are an entry-level nursing student, you need to be aware that there are different levels of preparation that you may choose in achieving your goal to become a nurse. There are different levels of academic preparation in nursing. These programs and their approximate time of completion include: 1. Licensed Practical or Vocational Nurse (LPN, LVN): one year and additional prerequisite courses 2. Associate Degree Nurse (RN, ADN): two years and additional prerequisite courses 3. Diploma Nurse (RN): three years 4. Baccalaureate Degree Nurse (BSN, RN): four years 5. Graduate level study of Nursing (MSN, RN): two years post BSN 6. Doctorate in Nursing Science (DN Sc) or Doctor of Nursing Practice (DNP):t hree years post MSN 7. Doctor of Philosophy degree (PhD) in nursing or related degree; three to seven years post MSN It is important to remember that completion of an entry-level education program does not end one’s education but marks the continuation of one’s professional learning. All nurses, at whatever level, have an obligation and responsibility to take advantage of continued educational opportunities through colleges and universities, their professional organizations, professional journals, place of employment, and their own experience. Nursing is an ever-growing and ever-changing profession that requires its members to continue professional growth through formal and informal educational opportunities. To renew an RN license, the State of Michigan requires the completion of 25 continuing education hours every two years. One of the continuing education hours MUST be earned in pain management every two years. In addition to the continuing education hours, there are numerous areas of potential employment for nurses where advanced study or degrees are required. Examples of advanced practice include; Nurse Practitioner, Clinical Nurse Specialist, and Certified Registered Nurse Anesthetist. 135 COHP Student Handbook . DAVENPORT UNIVERSITY PROGRAM PHILOSOPHY The multifaceted roles of the practical and professional nurse are taught at Davenport University and include care provision, communication, management, and scope of practice. Theoretical foundations shape the curricula and guide the nursing education. The Davenport University Nursing Program is a dynamic system that provides for the educational growth and development of the nursing student. An adaptation of Fawcett’s metaparadigm is utilized and includes person, environment, health and nursing. Person The concept of person refers to the individual or individuals as part of culture, family, community or aggregate groups who interact with the nurse in a therapeutic manner. Environment The environment is made up of the physical surroundings and the settings in which the person interacts with society as a whole. This integrates the totality of social, cultural, and religious foundations and influences. Individuals are affected by their environment, and in turn have the ability to effect the environment. Health The health continuum from birth to death includes physical, mental, cultural, and spiritual elements. Wellness describes the function of a person at his or her maximum potential. Nursing Nursing is a caring profession that is guided by the ANA Code of Ethics and Standards of Practice.* Nursing is not limited to physical care but incorporates the promotion, protection, and optimization of health. Nursing practice is guided by research which contributes to the delivery of evidence-based practice. *ANA Code of Ethics, 2010 4/26/2011 BSN Graduate Student Learning Outcomes 1. Utilize evidence based practice, critical thinking, cultural awareness, and the nursing process in collaboration with the interdisciplinary health care team 2. Engage in comprehensive, verbal and written therapeutic communication skills to interact with patients, families, and communities. 136 COHP Student Handbook 3. Manage holistic care for patients, families, and communities with complex health needs in a variety of settings. 4. Provide care appropriate to the scope of practice and ethical dimension to one’s own actions according to the ANA Standards of Practice. *ANA Code of Ethics, 2010 4/26/2011 Davenport University Excellence System The mission of Davenport University is to “prepare(s) individuals and organizations to excel in the knowledge-driven environment of the 21st century.” To that end, the Davenport University Excellence System was created. The Excellence System consists of nine student learning outcomes that demonstrate professional competencies necessary for graduates to engage in lifelong learning and succeed in their chosen profession. Excellence System Learning Outcomes Global & Intercultural Competence Graduates understand that working and succeeding in an inclusive, international world involves complex issues present in diverse environments. Civic & Social Responsibility Graduates recognize the value of civic and social responsibility to empower themselves to make informed decisions and participate in the communities in which they live. Ethical Reasoning & Action Graduates recognize that integrity is an essential component of accountability and is required in the evaluation of differing value systems to determine appropriate courses of action. Critical & Creative Thinking Graduates develop an appreciation of the importance of context and perspective when identifying and challenging assumptions, ideas, processes, and experiences. Analysis and problem solving Graduates use quantitative and qualitative methods of inquiry to assess and evaluate complex problems. 137 COHP Student Handbook Leadership & Teamwork Graduates understand how to build, direct and facilitate groups in order to utilize members’ talents to meet attainable goals. Information & Technology Proficiency Graduates identify, access, and manage information and technology resources effectively in interpersonal, social, and professional settings. Written Communication Graduates recognize the potential impact of written documents and effectively adapt the necessary skills to produce appropriate documents in a variety of interpersonal, social and professional settings. Professional Communication Graduates understand and demonstrate professional demeanor, presentation and communication skills in a variety of interpersonal, social and professional settings. Care Provision: Utilize evidence-based practice, critical thinking, cultural awareness, and the nursing process in collaboration with the interdisciplinary health care team. Level One (Semesters 3&4) 1. Identifies and develops nursing assessment skills. 2. Provides holistic, culturally sensitive, safe, and effective therapeutic nursing interventions in collaboration with individuals and families in multiple settings. 3. Identifies the principles of the teaching learning process to educate individuals, and peers. 4. Identifies and evaluates patient outcomes. 5. Identifies and revises the plan of care based on individual patient outcomes. Level Two (Semesters 5&6) 1. Assesses wellness, health needs, and risks of individuals, families, and groups. Level Three (Semesters 7&8) 1. Assesses wellness, health needs, and risks of individuals, families, groups, and communities. 2. Provides holistic, culturally sensitive, safe and effective therapeutic nursing interventions in collaboration with individuals, families, and groups in multiple settings. 2. Plans and provides holistic, culturally sensitive, safe and effective therapeutic nursing interventions in collaboration with individuals, families, groups, and communities in multiple settings. 3. Educates individuals, families, peers, and groups about wellness, disease/illness, medical-technical aspects, symptom management, selfcare management, resource management, and alternative methods of healing. 3. Educates individuals, families, peers, groups, and communities about wellness, disease/illness, medical-technical aspects, symptom management, self-care management, resource management, and alternative methods of healing. 4. Develops skills in evaluating client outcomes and the effectiveness of professional nursing practice. 5. Evaluates and revises plan of care as appropriate in collaboration with 4. Evaluates patient outcomes and the effectiveness of professional nursing practice. 5. Revises plan of care as appropriate in collaboration with individual, family, group, 138 COHP Student Handbook individual, family, group, and members of the interdisciplinary health care team. 6. Identifies research and evidence- 6. Analyzes research and evidencebased information for application to based information for application to nursing. nursing. community and members of the interdisciplinary health care team. 6. Evaluates research and evidence-based information for application to nursing. Management: Manage holistic care for patients, families, and communities with complex health needs in a variety of settings. Level One (Semesters 3&4) 1. Identifies the leadership and management role. Level Two (Semesters 5&6) 1. Understands the leadership and management roles in guiding members of the interdisciplinary healthcare team. Level Three (Semesters 7&8) 1. Distinguishes leadership and management roles in guiding members of the interdisciplinary healthcare team. 4. Identifies the steps and methods of delegation consistent with the Michigan Public Health Code Nursing. 4. Compares tasks that could be delegated to licensed and nonlicensed caregivers in a manner consistent with the Michigan Public Health Code - Nursing. 4. Delegates appropriate functions to licensed and non-licensed caregivers in a manner consistent with the Michigan Public Health Code - Nursing 5. Identifies the role of the supervisor in healthcare. 5. Understands the methods of supervision observed in practice. 5. Performs selected supervision activities related to the actions of licensed and non-licensed caregivers. 2. Identifies trends that influence the cost in health care and methods 2. Compares methods of cost savings 2. Formulates a consumer-oriented of cost savings in health care. in health care. approach in the delivery of costeffective care. 3. Identifies therapeutic goals for providing quality care in 3. Prioritizes therapeutic goals for 3. Prioritizes therapeutic goals for collaboration with individuals and providing quality care in collaboration providing quality care in families. with individuals, families, and groups. collaboration with individuals, families, groups, and communities. 139 COHP Student Handbook Scope of Practice: Provide care appropriate to the scope of practice and ethical dimensions for one’s own actions according to the ANA Standards of Practice.* Level One (Semesters 3&4) 1. Identifies and practices within an ethical and legal framework and standards of professional nursing practice. 2. Defines and describes accountability and responsibility for one’s own choices and behaviors related to nursing care. 3. Identify and examine ethical and legal issues surrounding health care dilemmas. 4. Describes and implements client and organizational confidentiality. Level Two (Semesters 5&6) 1. Practices within an ethical and legal framework and standards of professional nursing practice. Level Three (Semesters 7&8) 1. Practices within an ethical and legal framework and standards of professional nursing practice. 2. Demonstrates accountability and responsibility for one’s own actions, clinical judgments, and decisionmaking. 2. Models accountability and responsibility for one’s own actions, clinical judgments, and decisionmaking. 3. Compares various models for ethical and legal decision making surrounding health care dilemmas. 3. Demonstrates ethical and legal decision making surrounding health care dilemmas. 4. Protects client and organizational confidentiality. 4. Advocates & protects patients and organizational confidentiality. Communication: Engage in comprehensive, verbal and written therapeutic communication skills to interact with patients, families, and communities. Level One (Semesters 3&4) 1. Develops and applies therapeutic communication skills in interactions with individuals and families. Level Three (Semesters 5&6) 1. Applies therapeutic communication skills in interactions with individuals, families, and groups. 2. Communicates effectively with individuals, peers, and members of the interdisciplinary health care team. 2. Communicates effectively with individuals, peers, families, groups, and members of the interdisciplinary health care team. 3. Develops skills in college-level writing and verbal. 3. Increases in the consistent use of appropriate college-level writing and verbal skills consistent with published expectations and standards. Level Four (Semesters 7&8) 1. Incorporates therapeutic communication skills in interactions with individuals, families, groups, and communities. 2. Communicates effectively with individuals, peers, families, groups, communities, and members of the interdisciplinary health care team. 3. Demonstrates appropriate college-level writing and verbal skills consistent with published expectations and standards. 140 COHP Student Handbook 4. Identifies and uses technology for obtaining and presenting information. 4. Develops skills in the use of technology for seeking, sorting, selecting, and presenting relevant information. 4. Utilizes technology for seeking, sorting, selecting, and presenting relevant information. BSN-PL - NURSING PROGRAM PROGRAM PURPOSE The purpose of the Bachelor of Science in Nursing (BSN) Pre-Licensure degree at Davenport University is to prepare the professional nurse to advance the nursing profession through the use of critical thinking, advanced assessment skills, communication, collaborating practices, applied research, self-directed learning, leadership and professional development. The graduate will be eligible to apply for the National Council Licensing Examination (NCLEX-RN) for the Registered Nurse. PROGRAM OUTCOMES The purpose of the bachelor’s of science in nursing (BSN) program is to prepare the graduates for an entry level position in the nursing profession through the use of critical thinking, advanced assessment skills, communication, collaborating practices, applied research, leadership, self-directed learning, and professional development. The Bachelor of Science in Nursing program outcomes and program objectives reflect the American Nurses Association (ANA, 2001) Code of Ethics for Nurses with Interpretive Statements and the ANA 2004 Nursing: Scope and Standards of Practice and those proscribed by the university. Relative to the ANA standards, the outcomes of the baccalaureate nursing program are to: • Prepare the graduate to function in an entry level role as a registered professional nurse; • Prepare the graduate nurse to assess, diagnose, design, implement, and evaluate outcomes nursing care for patients with complex unpredictable outcomes and their relating persons throughout the continuum of care in a variety of settings • Prepare the graduate nurse to act upon, respond, and lead the organization of resources to intervene in critical incidents including patient safety through the application of critical thinking, utilization of research, refined communication skills, collaboration, cultural sensitivity, and compassion; 141 COHP Student Handbook • Prepare the graduate nurse with advanced assessment skills, leadership and management foundations, systems thinking, and global awareness of current issues in nursing and in the health care industry; • Prepare the graduate nurse to be an active participant in ethical decision-making in a variety of health care settings across the continuum of care; and, • Instill in the graduate nurse the importance of pursuing continued attainment of knowledge and competency that reflect current nursing practice through a graduate degree or other advanced education in nursing. Relative to Davenport University’s philosophy and mission the following program outcomes will be achieved by the BSN nurse graduate from Davenport University: • Demonstrate the competency and the skills identified in the Davenport University Excellence System (DUES), which includes Dynamic Leadership (DL), Universal Communication (UC), and Professional Excellence (PE); • Design and direct care ethically and legally for clients and families of all ethnic origins in collaboration with an interdisciplinary health care team (DL); • Utilize comprehensive, therapeutic communication skills to interact with clients, related persons, health care providers, and communities (UC &DL); • Organize comprehensive aspects of care for a large number of clients, groups, and related persons with complex and unpredictable health needs in institutions, homes, communities, clinics, and private practices (DL); • Assess and respond to clients’ and related persons’, groups, and community’s needs for information, formulate teaching plans, and evaluated effectiveness of plan (UC); • Implement the nursing process through the use of evidence-based practice (PE); • Advance the profession through the use of evidence-based practice and the conduct of applied research (PE); and, • Demonstrate the legal and ethical accountability for one’s own actions in profession practice (PE). At the conclusion of the program, the graduate will: Demonstrate the competency and the skills identified in the Davenport University Excellence System, which includes Dynamic Leadership (DL), Universal Communication (UC), and Professional Excellence (PE) through the outcomes of the program. 142 COHP Student Handbook Direct care ethically and legally for clients and families of all ethnic origins in collaboration with an interdisciplinary health care team. (DL) Utilize comprehensive, therapeutic communication skills to interact with clients, families, groups, and health care providers. (UC & DL) Organize comprehensive aspects of care for large numbers of clients, groups, and families with complex health needs in homes, communities, agencies, clinics, and private practices. (DL) Assess clients’ and families’ needs for information, formulate teaching plans, and evaluate effectiveness of plan through changed health behaviors. (UC) Advance the profession through statistical research. (PE) Demonstrate a personal commitment to the profession by assessing legal and ethical accountability for one’s own actions. (PE) Validate competency by successful completion of the NCLEX-RN. (DL, UC, PE) 143 COHP Student Handbook BSN-RN Completion - NURSING PROGRAM PROGRAM PURPOSE The Bachelor of Science in Nursing program at Davenport University is approved by the Michigan Board of Nursing and nationally accredited by the National League for Nursing Accrediting Commission, Inc. The purpose of the baccalaureate program is to prepare the professional nurse to advance the nursing profession through the use of critical thinking, advance assessment skills, communication, collaborating practices, statistical research, self-directed learning and professional development. PROGRAM OUTCOMES At the conclusion of the program, the graduate will: Demonstrate the competency and the skills identified in the Davenport University Excellence System, which includes Dynamic Leadership (DL), Universal Communication (UC), and Professional Excellence (PE) through the outcomes of the program. Direct care ethically and legally for clients and families of all ethnic origins in collaboration with an interdisciplinary health care team. (DL) Utilize comprehensive, therapeutic communication skills to interact with clients, families, groups and health care providers. (UC & DL) Organize comprehensive aspects of care for a large number of clients, groups, and families with complex health needs in homes, communities, agencies, clinics, and private practices. (DL) Assess client’s and families needs for information, formulate teaching plans and evaluate effectiveness of plan through changes health behaviors. (UC) Advance the profession through statistical research. (PE) Demonstrate a personal commitment to the profession by assessing legal and ethical accountability for one’s own actions. (PE) 144 COHP Student Handbook Practical Diploma - NURSING PROGRAM PROGRAM PURPOSE The practical nurse program at Davenport University is approved by the Michigan Board of Nursing, and nationally accredited by the National League for Nursing Accrediting Commission, Inc. The practical nurse program provides nursing education to prepare the graduate at the Diploma level with the skills and knowledge necessary to function in the role of the Licensed Practical Nurse. Graduates are prepared to succeed in employment in long-term care and structured health care settings and managed care environments while delivering care to a client with non-complex health care needs. The graduate will be eligible to apply for the National Council Licensing Examination (NCLEX-PN) for the Practical Nurse. PROGRAM OUTCOMES At the conclusion of the program, the graduate will: Demonstrate the competency of the skills of the Davenport University Excellence System, which includes Dynamic Leadership (DL), Universal Communication (UC), and Professional Excellence (PE) through the outcomes of the program. Provide direct care, based on the nursing process for clients with defined nursing diagnoses, within a variety of settings, and who have non-complex health care needs. (PE) Utilize therapeutic communication skills when interacting with clients, families, and other health care members. (UC) Organize comprehensive aspects of care for large numbers of clients with non-complex health care needs in a variety of settings. (DL) Communicate client’s needs for information to the Registered Nurse. (PE) (UC) Demonstrate responsibility and accountability to the profession of practical nursing by using nursing research. (DL) Demonstrate a personal, legal and ethical practice, by adhering to the standards of practical nursing. (PE) Validate competency by successful completion of the NCLEX-PN. (DL, UC, PE) 145 COHP Student Handbook FACULTY RIGHTS The faculty at Davenport University has the right to maintain a high standard of ethical nursing practice. They have the right to suspend, place on probation, or dismiss a student nurse from the class, clinical, and/or program, who exhibits unsafe practice, unethical behavior, dishonesty, student misconduct, academic failure as defined by program criteria, or perform below the standard of patient care in the clinical practice area. The faculty has the right for input and participation in policy development dealing with student concerns and/or the academic program. STUDENT RIGHTS Nursing students have a right to quality education, review of formative evaluation and due process. Specifically, a student has a right to the following when pursued in accordance with the College of Health Professions and University Policies and Procedures: 1. A fair academic and clinical evaluations of their performance. 2. Confidentiality of information concerning grades and performance. 3. Participation in course and faculty evaluations. 4. Facilitation of awareness of self as an individual with varying physical, emotional, and developmental needs. The student will seek assistance or accommodation as appropriate or needed. 5. An education program approved by the State Board of Nursing and clinical instruction in an institution accredited by the Joint Commission for Accreditation of Health Care Organizations, Centers for Medicare and Medicaid Services, or other relevant accrediting bodies. 6. Appeal an academic decision including a grade or dismissal from the nursing program (see the Undergraduate Catalog.) 7. File a complaint against the program with the Michigan Board of Nursing or the Higher Learning Commission. 146 COHP Student Handbook PROGRAM REQUIREMENTS The nursing faculty at Davenport University believes that you are a responsible, motivated adult. Therefore, the student has the responsibility to be an active participant in the learning process. By accepting the responsibility for her/his own learning, the student will become independent, self-evaluative, and self-directing. The following program requirements are mandatory and taken into consideration on evaluations, suspension, and dismissals. I. Personal Appearance Requirements A. Dress Code: A neat, clean, odor free, and scent free professional appearance in the classroom, skills lab, and clinical area is of utmost importance. Instructors will enforce this standard dress code. Students not appropriately dressed will be required to leave the classroom, lab or clinical area. The purpose of a standard dress code is: 1. To limit the transfer of microorganisms from student to patients and vice versa 2. To provide for safety and limit injury 3. To identify the wearer as a Davenport University nursing student 4. To appear as a professional health care provider B. Student Uniform and Name Pin: When in complete uniform, the Davenport University nursing student should have; black and red scrubs for females and black scrubs for males with pictured identification name pin, white shoes, white hose or socks (as designated below), non-revealing undergarments, a watch with a second hand, a stethoscope, and goggles. A white lab jacket with DU logo is required for students and must be worn in the lab. Picture ID is required in all clinical facilities. If lost, the student will be required to replace the picture ID at their own cost. Students may not report to clinical practice without a name pin. C. Student Lab Uniform: Students are required to wear their white lab coat with the DU logo and picture ID while in the nursing lab and in all clinical settings where a lab coat is required by the clinical instructor and/or clinical facility. D. Shoes, Hose, or Socks, and Laces: Basically all white leather or vinyl shoes. Shoes and laces are to be kept clean. Clogs or other unusual designs are not acceptable. Hosiery must be in good repair. White nylons or all white cotton socks are acceptable when wearing pants. E. Hair and Beards: For both male and female students’ hair must be clean, well groomed, and neat. Hair must be fastened to prevent falling in front of shoulders and face. Hair must not hang below collar level. Males are expected to keep facial hair clean and neatly trimmed. F. Cosmetics and Fingernails: Cosmetics should be worn in moderation. Fingernails are to be clean and fingertip length. Artificial nails are not allowed. Nail polish may not be worn. Perfume and after shave are forbidden. 147 COHP Student Handbook G. Jewelry: Jewelry should be kept to a minimum. Most jewelry harbor micro-organisms (specifically rings with large stones) and are inappropriate in the clinical area. It may be necessary to remove all jewelry for specific patient care. Small post-style earring may be worn per ear. No additional adornments of jewelry (internally or externally) are allowed. Visible body piercing jewelry is not allowed in the clinical area. (This policy includes tongue studs, eyebrow, lip and nasal studs). H. Tattoos: Must not be visible (must be covered) while in the clinical setting. I. Gum and tobacco chewing: This is not allowed in clinical or laboratory practice or during presentations. J. Profane language: Cursing is unprofessional, unacceptable and disrespectful on campus and in the clinical setting. Profane language will be addressed on classroom and clinical evaluations. A student may be removed from a clinical or classroom experience should language become offensive or a problem on a continuing basis. K. Smoking: DU is a smoke-free campus. Smoking is unhealthy and is an offensive habit. When in clinical affiliation, students will conform to the agency policy. Consideration should be given to patient’s well-being regarding smoke odors on uniform or breath. L. Drug-Free Status: The Drug-Free Schools and Communities Act Amendments of 1989, require DU to enforce and inform students of standards of conduct which clearly prohibit the unlawful possession, use or distribution of drugs and alcohol by students on DU property or during any DU sponsored clinical activities. Additionally, DU as an institution will impose sanctions on students that are consistent with local, State and Federal laws which may include dismissal from DU. Nursing as a profession maintains a standard of practice which involves integrity with regard to the administration of medications to patients entrusted to your care. Substance abuse can often occur in a profession which involves the use of narcotics and other drugs that are often abused. Therefore, it is imperative that caregivers not have a substance abuse problem. It is the policy of the nursing program at Davenport University, according to written agreement with the agencies providing the clinical nursing experiences needed for nursing programs that students are routinely tested prior to beginning the program. Random testing could also occur at any time during the program if suspicion of alcohol or drug use is evident. Should a student not comply with a request for random testing when a suspicion of drug or alcohol occurs, the student may be expelled from the nursing program. It is the responsibility of Davenport University to send students to patient care facilities drug and alcohol free. If indicated, the administrator of the nursing program at your campus will give you the form for a drug screen and assign a date to have this completed and returned to the nursing department. You will be required to complete the drug screen by the date and time indicated on the form. Noncompliance of this requirement will be grounds for dismissal from the program. The cost of the drug screen will be the responsibility of the student. Positive findings on the drug screen will result in immediate suspension from the clinical setting unless there is a documented medical reason for 148 COHP Student Handbook taking a specific drug and the drug is of a nature that it does not affect the ability of the nursing student to care for the patient in a safe manner. Disciplinary action for a positive result will be determined on a case by case basis and could result in dismissal from the nursing program. For students that hold a current license as a LPN or RN, the nursing division is required, by law, to report any suspicion of substance abuse to the Health Professionals Recovery Program (HPRP). Students who may have a substance abuse problem are strongly encouraged to self-report. II. Health Requirements It is the student's responsibility to give current health records to the University nursing office. The student is expected to maintain a satisfactory level of mental and physical health in order to provide a safe and competent level of functioning. It is the student’s responsibility to inform the University of any assistivedevice required to meet the objectives of the nursing program so that reasonable accommodation and/or counseling can be provided to succeed in the nursing program or to re-consider nursing as a career. A. Health Assessment and Personal Record File 1. Students are expected to maintain a “Compliance File” and present the file to the clinical instructor at the beginning of each rotation. If the file is not with the student and complete the first day of clinical, the student will be dismissed from clinical and not allowed to continue until the file is complete. Missing clinical could result from dismissal from the nursing program as clinical hours could be affected. 2. File to include: i. j. k. l. m. n. o. p. Statement of Fitness Health Appraisal Form Immunization Record Record of annual TB test Record of Hepatitis Vaccine or waiver. Annual flu injection CPR card (Health Providers 2-year card) OSHA certification Documentation of completing site-specific OSHA requirements on Search and Find q. Results of a copy of criminal background check r. Copy of health insurance card s. Copy of current state or other government photo identification (e.g., driver’s license) 3. Copy of the file is to be maintained in the University Nursing Office at the location level. 4. A Statement of Fitness Health Appraisal Form must be obtained at the student's expense and completed by a health care provider, who is a licensed physician, licensed Nurse Practitioner or licensed Physician Assistant. The assessment must be current within 3 months prior to beginning the first clinical course. The Davenport University form is the only acceptable form. The Statement of Fitness form is to be completed and updated on a yearly basis all the while the student is in the nursing program at Davenport University. 149 COHP Student Handbook RN-BSN completion students will not need a full health assessment/ appraisal, but a statement from care provider they are fit to participate in clinical. The following will be the BSN-RN students’ responsibility to submit prior to starting clinical instruction. • • • • Active and Unencumbered license Criminal Background Check completed Statement of Health Up to date immunizations record including: o Record of Annual TB o MMR o Record or Document of Hepatitis o CPR Card 5. Immunizations: Nurses and nursing students are at risk for increased exposure to certain preventable infectious diseases and other health hazards. It is important for nurses to be immunized properly for protection against these diseases and for prevention of their spread among clients in the hospitals and clinics. In addition, nurses must rigidly adhere to special precautions in order to minimize risks. All nursing students must provide proof of immunity for required immunizations. Students should discuss their immunization status and the advisability of receiving these immunizations with their health care provider. Titers are acceptable. Immunization Requirements for All College of Health Professions Students The Center for Disease Control and Prevention (CDC) recommends that all healthcare providers (HCP) including students be immune to Hepatitis B, measles, mumps, rubella, and varicella, regardless of degree of risk for exposure to patients. Influenza and tetanus vaccination is also recommended to prevent disease transmission. Certain clinical sites may require the student have a specific immunization, such as an influenza injection, prior to the beginning of the clinical rotation. Students must comply with a clinical institution’s request for such an injection unless there is a documented reason the student could not participate, such as a documented egg allergy. All vaccines will be administered according to manufacturer’s package insert. Policy Content: The Vaccines and TB screening/skin testing listed in detail below are required in order for the student to participate in any clinical and practicum experience. All nursing students are required to present documentation of current immunizations/TB screening prior to participating in clinical experience or deadline for practicum paperwork submission. When documentation is not provided, the student at their own expense will complete vaccinations and TB skin testing. If a medical contraindication(s) exist for not receiving vaccination, the student will provide appropriate documentation for the contradiction(s). Rubeola (Measles), Mumps, Rubella, Varicella (Chicken 150 COHP Student Handbook Pox), Hepatitis B vaccine blood titers/vaccines will be given/drawn as indicated, Influenza vaccine should be administered to all COHP students during influenza season as directed by CDC. A. Measles/ Mumps/ Rubella (MMR): Lab immunity or two doses with the first dose given at or after 12 months of age and one other dose given at least one month later may be submitted to fulfill Rubeola (Measles), Mumps, and Rubella requirements. However, if vaccination of measles was received between 1963-67 (an inactivated vaccine) the vaccine was ineffective and will require re-vaccination. If documentation shows only one MMR at or after 12 months old, one additional MMR is required. If MMR occurred prior to 12 months of age, they should have that dose repeat immunization. B. Varicella: Lab immunity or 2 vaccinations (Varivax ) given 1-2 months apart. History of chickenpox is acceptable if disease is verified by medical documentation. Uncertain or no history of chickenpox requires documentation of an immune titer or two doses of Varivax. C. Hepatitis B: Previous Hepatitis B vaccination series with at least three vaccinations, immunization dates and anti-HBs titer results (proof of immunity). D. Tdap (Tetanus, diphtheria and acellular pertussis): A one-time dose of Tdap to replace Td is required by all HCW under age 65. E. Tuberculosis (TB): • • • • The two-step TB skin test is required for the initial testing. TB screening is required annually. Chest X-ray is required if symptomatic for TB. New positives are evaluated by their County Health Department prior to start of clinical/practicum experience. If a student is found to have an expired TB skin test, that student will be removed from the clinical rotation. It is the student’s responsibility to remain current in their TB skin testing requirements. F. Influenza - one dose per year as directed by current CDC immunization requirements. 6. Basic Cardiac Life Support (BLS)--(Health Care Provider Course): BLS instruction may be offered through Davenport University for all students. Students must have a two year CPR card. It is the student’s responsibility to update the card while in the nursing program. If the student presents a CPR card to the clinical instructor, it must an American Heart Association BLS for healthcare Providers (CPR & AED) program or an American Red Cross Heart Saver First Aid with CPR and AED skill training. It is the student’s responsibility to remain current in their BCLS requirements. 151 COHP Student Handbook 7. OSHA Training: a. Part I -- An OSHA training seminar is mandatory for all students prior to the beginning of the program. A certificate will be given each calendar year of the program documenting successful completion of the seminar and the examination. b. Part II -- Site specific training (clinical agency) will be documented and verified by the clinical instructor, and maintained with the student clinical file c. OSHA Training is not offered for RN-BSN completion students. 8. Health Insurance: It is strongly encouraged that each student has health insurance in case of medical emergencies or incidents while in a clinical rotation. 9. Incident Report: A student who suspects that he/she may have been exposed to blood and other body fluids or contaminated materials or other hazardous substances i.e. radiation or chemicals, must immediately notify his/her clinical instructor or other clinical supervisor as well as immediately notifying the nursing department at Davenport University, so prompt and appropriate treatment or protective measure can be instituted. A clinical agency incident report must be completed and submitted to the nursing department. The cost of treatment is the responsibility of the student or their insurance carrier in nearly all circumstances of exposure. 10. Standard Precautions: DU will follow Standard Precautions (See Nursing Appendix 1). These may be applied throughout the program as a standard in any of the agencies the university uses for clinical experience. Students should be familiar with the specific standards at their assigned clinical sites. Goggles are required by several agencies and the student is responsible for purchasing their own. Goggles are a required part of the student uniform depending upon the clinical or laboratory setting and instruction. 11. Clinical Experience Restrictions: Recommendations for clinical experience restrictions are found in the Nursing Appendix 2. These apply to temporary conditions that a student may experience during the clinical courses. These recommendations are from the Center for Prevention of Communicable Diseases (www.cdc.gov) in Atlanta, Georgia. 12. Criminal Background Check: Student’s will be asked to complete a criminal background check. The policies and procedures and form related to the criminal background check are displayed in the COHP Appendix A-4. Students with a positive criminal background may not enter into the clinical practicum site until the matter is resolved. Students who have a positive criminal background may not be able to sit for the NCLEX-RN state board exam for the Registered Nurse. Admission to and remaining in the nursing program is contingent upon the applicant having a negative criminal background check. 13. Flu Injection: Flu injections are required for all Nursing students. 14. Fingerprinting is now required by the Michigan Board of Nursing prior to licensure. 152 COHP Student Handbook III. Academic Requirements A. Grading Scale - The following grading scale is for all nursing (NURS) courses: 100-93 = A 82-80 = B- 92-90 = A- 79-0 89-87 = B+ 86-83 =B =F A nursing student MUST complete ALL nursing courses (NURS prefix courses) with a minimum grade of B- (80%) or they will not be allowed to progress in the nursing program. A nursing student must complete all SCIENCE courses with a minimum of Grade of a C+ (77%) as per the Undergraduate Catalog DU grading scale. A minimum average of 2.70 is required in the nursing major for graduation. Students not attaining both of these standards will not be allowed to progress to graduation. B. Attendance 1. Regular attendance and participation in class, lab and clinical is required. The state dictates minimal contact hour requirements that are rigidly upheld by the university. Some of that instructional time is used for tests. The university's expectation is that classes will meet for the entire assigned time. 2. Attendance is required for ALL clinical experiences. The student will be required to complete the designated number of clinical hours specific to the clinical rotation for successful completion of the clinical rotation. If an absence occurs, the student may be required to complete clinical hours at their own expense. This may require the student to pay the clinical instructor for clinical supervision. 3. Students are expected to be adequately prepared for each class session. It is reasonable to expect at least two hours of outside study for every hour spent in the classroom. Students are expected to assist in maintaining a classroom environment that is conducive to learning. Therefore, free discussion, inquiry, and expression are encouraged. Behavior that interferes with the instructor’s ability to conduct the class or the ability of students to benefit from that instruction is not acceptable. 4. A student must notify an Instructor before a scheduled exam if they will be absent. The makeup exam may be different from the one given to the other students. Make up exams may be given at the discretion of the course instructor (please refer to your course syllabus for 153 COHP Student Handbook instructor policies). A 10% grade penalty may be assessed on the exam, depending upon the reason for the absence and the penalty will be at the discretion of the faculty member. 5. Students who enter a testing situation late will not be allowed to enter the classroom. It is not fair to other students to have any late student disrupt the testing situation once the exam has begun. A student who takes an exam at a later date due to lateness may be given an alternative exam and will be marked down 10% by the instructor for lateness. It is imperative the student plan ahead and come to exams and all testing situations on time. 6. Students are to come to class on time and are expected to stay for the duration of the class. Students who come to class late may not be admitted in non testing situations. Students who must leave class early need to inform the instructor before the class begins and leave in a manner that is least disruptive to the class. If a student repeatedly misses a class, comes late, leaves early, or does not return to class after any break, the instructor has the option of not rounding up a student’s grade (i.e.: 81.6% to a 82%) for final grading. Participation points, if given, may also be affected. 7. A student sign-in attendance sheet will be required for every class and lab session. If a scheduled break is a part of the course, the student will again sign in on an attendance sheet. Students who miss class frequently or do not attend class after a scheduled break may be penalized by not having their final grade rounded up, if applicable. The instructor also has the option of not granting full participation points if applicable. The instructor will keep attendance sheets for record keeping. 8. Exams, quizzes, and late assignments must be completed and submitted directly to the Instructor before the start of the next scheduled class meeting or a zero will be recorded. No late assignments will be accepted the week of finals. It is the student’s responsibility to make arrangements with the instructor to make-up exams. All students must complete the final assessment for the course, such as the final exam, project, demonstration or presentation no matter what grade they currently have in a course or else an “incomplete” will be entered as a grade until the assignment is completed. Additionally students are required to complete any ATI assessment and retest if indicated in a timely manner (within three weeks of failing the exam). Students who never complete the final assessment or ATI exams will receive a grade of F in the course. C. Instructor class policies All classes begin promptly at the scheduled time. Any student entering the class after the class has begun will be subjected to late penalties as outlined in the syllabus. This includes, but not limited to entering late for exams, handing in late assignments, etc. 2. Cell phones, pagers, and any type of communication device MUST be turned off during class time unless specified by the instructor for classroom participation. Personal computers may be used at discretion of instructor. 3. No recording of lectures or presentations without permission of instructor. 1. 154 COHP Student Handbook 4. 5. 6. 7. 8. Private conversations are disruptive to the instructor as well as other students; any student that disrupts class will be dismissed from the class. All assignments must be submitted at the start of the scheduled class time. Assignments handed in late may be reduced by 10%, and if not completed within one week, a grade of “zero” will be assigned. Tests must be taken on the scheduled day and at the scheduled time as outlined in the course syllabus. The option to make up a test is at the discretion of the course instructor. If a late test is approved by the instructor, it MUST be made up prior to the next scheduled class meeting and is subjected to be downgraded by 10%. Students are responsible for contacting instructor about missed assignments, tests, or quizzes before the next class. Late work will not be accepted during the final week of the semester. Any late work turned it at this time will receive “zero.” It is an expectation that the textbook reading for the class will be completed prior to class. This will enhance your learning and you will be able to ask questions and clarify misconceptions along with participate in the classroom discussion. If a student requires additional assistance, please ask as soon as difficulty is encountered, so that conference time may be arranged. Extenuating Circumstances: Exceptions for extenuating circumstances may be reviewed by the faculty. Cancellation of Classes: If class is cancelled, you are still responsible for classroom materials and assignments. You must check Blackboard for announcements, assignments, etc. C. Progression 1. Progression in the nursing program without interruption is determined academically by the minimum grade of “B-” (80%) in each nursing (NURS prefix) course. 2. Students may not enter or progress in the Nursing Program unless their tuition and other fees are paid in full. 3. If a student experiences a documented family emergency, a documented illness, or a call to military service and the student is in good academic standing, the student may choose to “Stop Out” of the nursing program and ask for readmittance at a later time. Readmittance to the nursing program is dependent upon space available and is not guaranteed. Except for documented call to military service, the student must ask for readmittance within one year of a “Stop Out.” Only one “Stop Out” will be considered per student during their nursing student career. In order to request readmission into the nursing program, the student must write a “Letter of Intent to Reenter the Nursing Program”, explaining why their life situation has now changed and their plan for successful completion of the program, and submit it to the Associate Chair of the nursing programs at the campus you attend at Davenport University. This letter of intent MUST be received prior to the date application materials to the nursing program for the upcoming year are due. It is strongly recommended any student sending a “Letter of Intent to Reenter the Nursing Program” send the letter to the Associate Chair of Nursing using certified 155 COHP Student Handbook mail and request a signature when the letter is received and a return receipt. It is the student’s responsibility to ensure the “Letter of Intent to Reenter the Nursing Program” is received. 4. RN-BSN completion students may voluntarily “Stop Out” at their discretion; however, if no further NURS classes are taken in a 12-month period of time, the RN-BSN Completion student will be required to reapply to the completion program. In order to request readmission into the nursing program, the student must write a “Letter of Intent to Reenter the Nursing Program”, explaining why the student’s life situation has now changed and the student’s plan for successful completion of the program, and submit it to the Associate Chair of the nursing programs at the student’s campus at Davenport University. This letter of intent MUST be received prior to the date application materials to the nursing program for the upcoming year is due. It is strongly recommended any student sending a “Letter of Intent to Reenter the Nursing Program” send the letter to the Associate Chair using certified mail and return receipt requested. It is the student’s responsibility to ensure the “Letter of Intent to Reenter the Nursing Program” is received. If a BSN Pre-Licensure student does not achieve a grade of B- (minimum 80%) in any nursing course the student will not be allowed to progress in the nursing program. This is not considered a “Stop Out” due to the student’s poor academic performance. Instead this is considered a “Fail Out”. If a student fails to receive a C+ (minimum 77%) in any of the required science courses that are a part of the nursing curriculum, the student must retake that science course over again. Usually the content of the course is such the student needs it prior to continuing on with their nursing courses and/or to ensure safe patient care. Thus, the student may not be allowed to progress in the nursing program and will need to reapply to the nursing program by submitting all application materials on or before the due date application materials are to be received. Currently that date is the last Friday in January for the year of requested admission. E. Major GPA Students must have a minimum of a 2.7 GPA within the nursing major to be eligible for graduation (See also DU Undergraduate Catalog). F. Academic Failure Students will be dismissed from the nursing program for one or more of the following reasons: 1. Failure to demonstrate consistent progression of academic achievement, as evidenced by: a. b. c. d. Failure to maintain an overall GPA of 2.3 Achieve and maintain a grade “B-” (minimum 80%) in all nursing courses Failure to maintain a “C+” (minimum 77%) in all science courses in the nursing curriculum Failure to achieve satisfactory clinical performance in all nursing courses. 156 COHP Student Handbook 1. Failure to be respectful of instructors, peers, and patients. Students disturbing the learning environment will be counseled by the instructor. Repeated disruptive behaviors may result in dismissal from the program. Cell phones, pagers, and personal digital assistants are not permitted in the classroom, whereas tape recorders can be used with the Instructor’s permission. Personal cell phones and personal pagers are not permitted in the clinical setting. See also “Student Misconduct” policies in the DU Undergraduate Catalog. 2. Failure to adhere to the Academic Integrity Policy: A student who is found to be dishonest in class will be subject to dismissal, i.e., cheating on exams, plagiarizing written assignments. 3. Failure to comply with requirements found in Davenport University student handbook concerning drug and alcohol abuse. 4. If a student is dismissed from the nursing program, it is the responsibility of the Associate Chair to provide written documentation and supporting documents as to the reasons for dismissal. This documentation is to be placed in the student record and the administrator of all of Davenport University’s nursing programs is to be notified and given a copy of such student record. G. Plagiarism The COHP adheres to the University’s Academic Dishonesty Policy and the Student Code of Conduct. Please refer to the Undergraduate Catalog for these policies. 157 COHP Student Handbook IV. Clinical Experience Requirements A. Attendance Policy – As a professional nurse, excessive absenteeism and tardiness may result in termination of employment in many facilities, therefore, students are expected to adhere to the attendance policy as written in the student handbook. 1. Students are expected to attend and actively participate in all learning experiences, classroom, clinical, and web-based activities. Absenteeism and tardiness are not acceptable and will be taken into consideration on evaluation and dismissals. Attendance in class is required and attendance in clinical and lab and nursing skills lab is mandatory. Make up of clinical hours missed for an emergency MAY be considered upon presentation of documented extenuating circumstances and approval by the Clinical Coordinator and/or Associate Chair of the nursing programs at Davenport University however missed clinical hours may need to be made up. It is the student’s responsibility to notify the instructor immediately in case of an actual emergency. Failure to report could result in failure of clinical. 2. Attendance is required for ALL clinical experiences. The student will be required to, at minimum, complete the designated number of clinical hours specific to the clinical rotation for successful completion of the clinical rotation. 3. Absenteeism and tardiness are not acceptable and will be taken into consideration on evaluation and dismissals. Whether anticipated or not, students are responsible for informing instructor and clinical unit of absences and/or tardiness. Tardiness is defined as not arriving at the designated time, whether it is 2 minutes or 20 minutes late. A verbal warning will be given the first tardy occurrence. A second tardy will result in a written warning and behavioral contract. Any subsequent tardiness may result in dismissal from the course. The student may be required to complete clinical hours at their own expense. This may require the student to pay a fee for the clinical instructor /supervision that was missed. If a student is absent from a clinical and it is impossible to make up the clinical time lost due to lack of faculty or institution limitations inherent to the clinical site, the student will fail the clinical course. 4. Snow Days: If the campus is closed due to bad weather, then clinical practice is cancelled for that day. However, the clinical day will need to be made up at the convenience of the Instructor and availability of the facility before the end of the semester if mandated clinical hours were not met. 5. RN-BSN Completion students work with preceptors in NURS420, NURS421. RN-BSN completion students are expected to seek and find qualified preceptors (MSNs preferred, BSN with masters degree also preferred, BSN minimum required). Students are responsible for documenting time spent in clinical, and maintaining and facilitating open communication with the preceptor and instructor. 6. BSN-RN Completion students in Community Health Nursing and Manager and Leadership courses are expected to work with the Associate Chair/Clinical Coordinator to identify qualified 158 COHP Student Handbook preceptors (preferably a master’s prepared or BSN with at least 2-3 years experience in the area of a student’s study). Students must keep a record of clinical hours completed. Verification of hours will occur. 7. BSN-Completion students involved in one-on-one clinical preceptorship will need to consult with the class instructor to verify if there is an affiliation contract in place between Davenport University and the desired facility to complete clinical requirements. If there is no contract, it is the responsibility of the Clinical Coordinator to seek a contract. BSN-PL students will be placed by the Clinical Coordinator within the community in which they are enrolled in their BSN program. B. Clinical Absences 1. Student absences will be reviewed by the faculty concerning the amount, reason, and whether proper notification was given to the Agency and Instructor. 2. When absences of scheduled clinical hours occur during a semester, the student may progress through the disciplinary process up to and including clinical failure. A clinical failure will result in an inability to progress in the nursing program. Any co requisite nursing theory course will need to be repeated along with the corresponding failed clinical, should the student reenter the nursing program at a later date. C. Clinical Performance Guidelines 1. Prepare for clinical as directed by your instructor. This is for the patient’s protection as well as your own. See specific clinical requirements in course syllabus for details. 2. On the clinical days, the nursing student is to report to their assigned clinical site on time. Students are to present themselves to the clinical facility in Davenport University nursing student uniform as defined under dress code. Students are to submit their personal folder with required documentation of immunizations, CPR, Criminal Background Check, etc., prior to the beginning of each clinical experience. 3. Before beginning patient care, you must: a. Update yourself to current status of patient (report, physician’s order, kardex, and medication sheets). b. Introduce yourself to the team leader/supervisor before starting assignment. Remember that you are a “guest” at clinical sites and are normally asked to comply to specific rules, regulations, and requests of a specific institution. 4. Students are not to perform any procedure, treatment, medications, or other direct patient care without the instructor present and supervising unless they are in an independent type learning situation, such as “Leadership”. In cases like this, their preceptor must supervise their actions. 159 COHP Student Handbook 5. A student may never take verbal orders from a healthcare provider. Phone orders from the physician may be taken with the instructor or RN listening on an extension, who is willing to co-sign the orders, and only during 300 or 400 level classes. All BSN-RN Completion students may legally take a telephone order if permitted by their agency since they are already licensed registered nurses. 6. Students and faculty must follow all clinical agency policies and procedures. 7. Students will not witness signing of surgical or anesthesia permits, or DNR or any other legal forms. 8. Students will not participate in witnessing wills, power of attorney, autopsy, or donor forms. 9. Possession, use, or distribution of alcohol and controlled substances in the clinical area will result in immediate dismissal without refund or recourse. A suspicion of alcohol or drug use may require immediate testing. If a student fails to comply with the request to test, it will be considered a “positive result” and the student will be dismissed and a failing grade will result. 10. Evaluation of students who are in a clinical setting are performed via weekly written anecdotal records and one final clinical evaluation. 11. Students must have satisfactorily completed all critical areas as identified on the final clinical evaluation by an asterisk * (unless the specific student learning opportunities identified did not exist), to meet the behavioral objectives of the clinical experience regardless of classroom grade. D. Student Failure to Meet Clinical Performance Guidelines 1. All students in a course with a clinical practicum will receive a weekly written anecdotal record of their clinical performance. Any “unsatisfactory” or “improvement needed” clinical behaviors identified on the anecdotal record, must be corrected before the final evaluation at the end of the semester in order for the student to meet the course objectives and succeed in the clinical component of the class. Failure to satisfactorily complete all areas of the clinical anecdotal criteria will result in course failure. 2. A student who is unprepared to give safe care to a client due to lack of knowledge of medications, lab results, procedures, or other pathologic information, may be sent off the unit and would not be allowed to return until the instructor is assured the student is adequately prepared. This will be counted as an absence and subject to the attendance policy described in the handbook. Students who demonstrate a lack of clinical preparedness may be placed on clinical probationary status. 160 COHP Student Handbook Examples of unsafe clinical practice: Examples of unsafe clinical practice include but are not limited to: (a) medication errors, (b) failure to safely adapt nursing skills to actual patient care according to level of course, (c) failure to demonstrate sound nursing judgment, incompetence, or failure to handle assignment according to level of course, and (d) failure to act prudently and respectfully in the clinical sites with clients, families, healthcare staff or faculty. Disciplinary action may result in dismissal from the program. Please see Student Code in the Davenport University Undergraduate Catalog. 3. Students must adhere within the ethical code as defined by the American Association Code of Ethics practice (See 4). Failure to practice within ethical guidelines may result in disciplinary action including dismissal from the nursing program. 4. All students must adhere to legal practice of nursing as found in the Michigan Public Health Code (See Nursing Appendix 5). Students are held accountable to the level of a practicing licensed practical nurse or registered nurse for those skills already taught. Failure to follow legal scope of practice guidelines will result in immediate dismissal from the nursing program. 5. Students are required to keep patient information confidential. This is both a Michigan State law and a Federal statue. Failure of patient confidentiality will result in dismissal from the nursing program. Students who reproduce any part of a patient record with identifiable private patient information will be dismissed from the program. Students must practice within the federally mandated Health Insurance Portability and Accountability Act (HIPAA). 6. The Davenport University nursing program prepares students to practice within the Scope of Practice as defined by the American Nurses Association (ANA) (See Nursing Appendix 5) and the Standards of Nursing Practice (See Nursing Appendix 6). Failure to progress toward mastery of the standards and scope of practice may result in disciplinary action including dismissal from the nursing program. E. Disciplinary Action 1. A written warning along with a plan for improvement is recorded on the student’s anecdotal record indicating the student has failed to meet clinical performance expectations. (See above Section D.) 2. If the student fails to improve clinical performance as indicated on the improvement plan, the instructor will then place the student on clinical probation. 3. The instructor will inform the Clinical Coordinator/Associate Chair of the student’s probationary status. If the student requests an appointment with the Clinical Coordinator/Associate Chair. The instructor is invited to attend the meeting. 161 COHP Student Handbook 4. The probationary period will continue for a minimum of 1 clinical week and no longer than 3 clinical weeks. During this time, the student’s progress towards improved clinical performance will be monitored and documented on the weekly anecdotal record. 5. At the end of the clinical probationary period, the student’s progress will be reviewed by the nursing instructor and Associate Chair. The student will either: a. Be removed from probation as a result of adequate progress. b. Be retained on probation as a result of inadequate progress. c. Receive an unsatisfactory clinical evaluation resulting in clinical failure. d. Probation and/or warnings may continue for courses offered concurrently within the same semester, if warranted in a clinical rotation. F. Disciplinary Action for Students With A Preceptor 1. Students in the BSN-RN Completion Nursing Program online program work independently with a preceptor. The preceptor does not formally participate in grading the student’s performance. Preceptors will verify the students time in clinical and overall performance in meeting clinical criteria. Students in the BSN-PL and the Practical Nursing Programs will work with both the clinical coordinator and preceptor. 2. The clinical preceptor will provide ongoing assessment and evaluation of student clinical progress. This will be documented on the BSN-RN Completion, BSN-PL, or Practical Nursing clinical performance evaluation tool. 3. Failure of a nursing course would be the result of a student failing to meet the course learning outcomes. 4. Students found falsifying records of clinical hours may be subject to failure of the course. G. Repeating Nursing Courses 1. In the event of any NURS course failure, the student will be unable to progress in the program. Readmission to the nursing program has been outlined in preceding pages under “Progression” and the method for readmission is dependent upon whether the student has “Stopped Out” for personal reasons or “Failed Out” due to academic failure. If granted readmission, no single nursing course (NURS) in the nursing program can ever be repeated more than once throughout the entire nursing curriculum. A second failure will result in immediate dismissal from the nursing program with no opportunity to reapply. A failing grade in any course will impact a students’ GPA. 162 COHP Student Handbook 2. Repeating of nursing courses is dependent on available space and readmission. The student must follow the instructions for writing a letter requesting admission if the student has “Stopped Out.” 3. If a student withdraws from a course or clinical it is his/her responsibility to meet with the Associate Chair and the Nursing Advisor to complete the withdrawal process. Failure to withdraw from a course/clinical by the official withdrawal date will result in a failing grade for the course/clinical and be subject to the Repeating Major Course policy statement above. Again, there is no guarantee the student will be readmitted to the nursing program due to its competitive nature. If a student receives a failing grade in the clinical component of a NURS course, the students also receives a failing grade for the theory co-requisite course. No student is able to progress in the nursing program of study unless the theory AND its counterpart clinical grade are both passed at the same time. Failure in clinical will result in corresponding failure in theory. Failure in theory will also result in a failure of the corresponding clinical experience. Both the theory and the clinical would both need to be repeated if the student were readmitted at a later date. PASS (Promoting All Student Success) ATI Policy Davenport University What is ATI? ATI stands for Assessment Technologies Institute, and ATI offers an Assessment-Driven Review (ADR) program designed to assist students in mastering nursing content with the goal of success on the nursing licensure examination. At Davenport University we use ATI as a comprehensive program throughout the nursing courses. Used as a comprehensive program, ATI tools can help students study more efficiently, as well as increase confidence and familiarity with content. Student test results also give important program feedback to nursing faculty and leaders. Is it a book? The ATI program contains books and online resources including online practice and proctored testing over the major content areas in nursing. It is also a program that test indicators of academic success in nursing skill, tests critical thinking, and tests the students comprehensively on a test that is like your NCLEX state board exam. What does your involvement in ATI entail? During orientation to the nursing program, you will be required to take an ATI critical thinking test. This test is a baseline measurement of your critical thinking ability, a skill essential in the profession of nursing. You will also take a similar test near graduation to see how you have grown since entering the program. 163 COHP Student Handbook At the beginning of each semester that ATI is given, you will be provided materials that you can use as resources to help you study throughout the course. You will also be provided “online practice” codes that you will use to test yourself, which are a part of the course grade. Near the end of all nursing courses, you are required to take an ATI course specific online proctored test, on campus. These tests may be scheduled for a time outside class time. ATI tests will tell you how you compared to your peers, as well as other nursing students around the country in specific nursing content area. This is also part of your course grade. You will be required to remediate in missed content areas. You will also be required to take another form of the test if you do not achieve proficiency level 2. The number of ATI tests per semester will vary; you may be required to take several ATI tests in a semester depending on the content areas studied. During your last semester of study you will be required to take the Comprehensive Predictor Examination. This exam reflects the most current NCLEX questions and determines how ready you are to take the NCLEX State Board Exam. It reports how likely it is that you will pass NCLEX based on your score. The Comprehensive test report provides detailed information of your strong and weak areas of nursing knowledge. We suggest that you use this information as a tool to focus your preparation for taking the NCLEX exam. How the ATI Test Counts in the Course Grade • Students who fail the ATI on both attempts but complete remediation and show proof of practice exams will still be able to gain some portion of the ATI points. Instructors will hand out a breakdown of how points are allocated at the beginning of each course. ATI tests, such as the Critical Thinking Test are required. What is a Proficiency Level? ● Expert nursing professors from around the USA have agreed upon the ATI scores on each Content Mastery Test that identifies different levels of proficiency. Since these exams are fairly difficult, the use of a pure percent score would not be fair in our grading scale. We use the proficiency level as a way to assign points for your performance on an ATI test. There are different proficiency levels and below is a description of what proficiency level performance refers to. ○ Proficiency Level 3- Indicates a student is likely to exceed NCLEX expectations in this content area ○ Proficiency Level 2- Indicates a student is fairly certain to meet NCLEX standards in this content area ○ Proficiency Level 1- Indicates a student is likely to just meet NCLEX standards in this content area ○ Below Proficiency Level 1- Indicates a student needs to thoroughly review this content area The proficiency of level required on all Content Mastery Series proctored exams is Proficiency Level 2 indicating a student is fairly certain to meet NCLEX standards in the content area. 164 COHP Student Handbook The Comprehensive Predictor Exam is taken in the final semester of study. It is not graded according to proficiency level but instead assists you in determining readiness for passing the NCLEX .This test predicts the probability of passing the NCLEX licensure exam. The proficiency level used for the Comprehensive Predictor Exam is 90%. If you are unable to achieve a 90% score on this exam, you will retake it, and all Student Nurses are required to remediate. ● Virtual ATI NICLEX will be offered ( an existing ATI user package) after completing the Comprehensive Predictor. Virtual ATI is a personalized NCLEX review plan designed to help students prepare for taking the NCLEX exam to improve the probability of success on the NCLEX exam. ● What is Remediation? Remediation means going back over the areas of study that you did not get correct. It will help clarify topics that have not been mastered. Each ATI exam result will show a printout list of the topics you need to review. You should print these results and use them to study. Regardless of level of proficiency on any proctored exam, students will review test printouts and complete remediation to ensure an understanding of all content covered. Points will be awarded for remediation activities at all proficiency levels in all courses. The ATI exams are another resource that can assist you in reaching your goal of becoming a nurse. Familiarity and comfort with computerized testing throughout your nursing courses will place you in an excellent position to be successful on the NCLEX exam. After reading this ATI Policy statement, please place your initials in the following box, and then sign and date it. This means that you have read and understand the davenport University ATI Implementation Policy for testing, remediation and program evaluation. VI. Clinical Agencies A. Agency Policies 1. Students and faculty must conform to the policies of the affiliating Agency. The Agency has the right to request the student or the clinical instructor to be removed if (s)/he is not conforming to Agency policy. The agency is to inform the Clinical Coordinator/Associate Chair if a need exists to remove a student or an Instructor from the clinical facility. 2. Students are responsible for their own medical expenses should emergency treatment be required in the Clinical Agency. An incident report must be filed at the Agency and the clinical instructor notified of the incident and an anecdotal note placed in the student’s clinical record. 165 COHP Student Handbook 3. Students may not use personal beepers, pages or personal cell phones while in the clinical setting. Students are expected to give the phone numbers of the school and the clinical site to their families for emergency situations only. 4. Use of personal cellular phones in the clinical setting may result in immediate dismissal from the clinical site and possibly the nursing program. 5. Clinical sites are often difficult to obtain and students are may be required to travel, up to 90 minutes, in order to experience a specific nursing specialty at a facility which can accept nursing students. It is the students’ responsibility to arrange travel to and from the clinical site. 6. Students will be randomly assigned to a clinical site without consideration of demographics or personal preference. It is the intention of the nursing program to ensure students experience clinical coursework with a variety of student peers so their learning will be enhanced. Thus, if a student has a documented life circumstance that makes attending a clinical at a specific facility a true hardship, they are to notify the clinical/lab coordinator no less than four weeks prior to the commencement of the clinical experience. The notification MUST be in writing and detail exactly why the student is requesting not to be placed at a particular clinical site. Please note that all requests for not attending a specific clinical will not be seen as having validity. For example, students requesting a specific clinical site because the student wishes to always carpool with the same group of students would limit the richness of the student’s clinical learning experiences and is not deemed an appropriate reason not to place any student in a particular clinical site. 7. Clinical site assignment may need to be changed after assigned dependent upon the facility, time assigned, and faculty availability. Nursing leadership will do everything possible to prevent such changes once they are confirmed with the student, however, because we are “guests” of a given facility, alterations may need to be made, which could impact a students’ schedule. B. Confidentiality 1. Students must maintain confidentiality of client information and always comply with the mandates of HIPAA. (See Nursing Appendix) 2. Care plans and assessments prepared by students as part of clinical assignments must refer to clients by one initial. Example: Mr. B, T. H., etc. C. Employment 1. Employment may be available to nursing students in the affiliating Agencies. 2. Students are discouraged from making employment commitments until they know how much time they have to commit to outside employment. Commitment to their studies must 166 COHP Student Handbook come before employment commitments. Employment more than 16 hours a week for a fulltime student will not be conducive to success in the nursing program. All students must recognize that attending nursing school is a full time job. While Davenport University strives to serve the nontraditional learner in a manner that makes learning convenient, it is often impossible to program a nursing student into classes which offer much flexibility in scheduling. This makes it difficult for a nursing student to plan ahead and can make it challenging for the student to hold outside employment. BSN Pre-Licensure students and Diploma of Practical Nursing students normally will move through the nursing program in a cohort style fashion. The exception for outside employment is the RN-BSN completion student who can move through the BSN completion program at a part time pace. 3. If the student does assume a work assignment at one of the affiliating Agencies, the student must recognize that (s)he is in a student role, not an employee role, during clinical experiences at this agency. 4. It is expected that students will represent themselves and the university and at clinical sites in a positive and professional manner at all times. VII. General Information A. Transportation 1. The student is responsible for transportation to and from clinical assignments. 2. Students are responsible for transportation to any field trip location. Students are encouraged to car pool to save energy and costs when possible, however clinical site preferences will not be made on the basis of carpooling requests on a continued basis. 3. Agency regulations regarding parking vary and will be part of the orientation at each clinical facility. 4. Davenport University does not guarantee specific clinical agencies to any student. Clinical sites will be assigned to give the student the best possible learning experience. Driving some distance may be required in order to obtain the best clinical learning environment. It is recommended students have good, reliable transportation. Should a clinical site be held at a facility that is some distance from the university and the student desire to seek area lodging before or after the clinical experience, any motel/hotel expense will be the responsibility of the student. 5. Students will not be guaranteed that they will be placed in their choice of clinical location, time or Instructor. 167 COHP Student Handbook 6. Students may be required to receive their training at a clinical site that is approximately 90 minutes from the Grand Rapids location. Students will be expected to report to the clinical site at the designated hour prepared for beginning the care plan. Liability Insurance Liability insurance is insurance against malpractice and covers the specific clinical hours those students are in the clinical facilities. The cost of this insurance is included in the student’s tuition. Students are accountable for their own actions or omissions of action based on their level of education. B. Student Conduct in Clinical Setting Students are guests in the clinical site and must act accordingly. All policies regarding conduct of employees at that particular site apply to students as well. Students may not use copy machines for the purpose of obtaining chart information, unless permission is gained from the appropriate department managers. Students must attend any orientations required by the clinical site. Awards for Academic Excellence and Clinical Performance A. Outstanding Scholastic Nursing Achievement Award Criteria: B. The student must have completed the BSN-PL program at Davenport University. C. The student must achieve a cumulative 3.5 GPA or higher while in the nursing program. D. A cumulative GPA of 3.5 or higher E. The student must have had an outstanding attendance record. F. The student must have demonstrated a positive attitude for Davenport University. G. The student must have demonstrated an outstanding professional attitude toward faculty, staff and fellow students. Outstanding Clinical Performance Nursing Award Criteria: A. The student must have nursing courses at Davenport University. B. The student must have achieved a 3.5 GPA or higher while in the nursing program. C. A cumulative GPA of 3.0 or higher. D. The student must have attained outstanding clinical evaluations for at least three (3) terms according to faculty criteria rating scale as follows: 168 COHP Student Handbook • • • • • • • • • • Dedication to the profession Demonstrates leadership ability Demonstrates professional commitment Good attendance record Maintains a high ethical standard when in the classroom or clinical setting Motivated Needs little direction to complete paperwork Professional activity Ready for report or procedures Self-started E. The student must be a strong student advocate. F. The student must have demonstrated an affirmative attitude for Davenport University. Note: It is up to the administrator of the nursing program and the nursing faculty should an award be given for exceptional academic or clinical performance. Published criteria for such awards does not guarantee awards will be presented 169 COHP Student Handbook NURSING APPENDIX 1 Universal Precautions/Standard Precautions Standard: “Universal Precautions” are followed by all Davenport University nursing students and nurses when contact with blood/body fluids is anticipated. Rationale: “Universal Precautions” anticipates that every patient is infectious, and is a barrier- based system whose primary elements include: A. Appropriate use of barriers (gloves, masks, goggles) when contact with body fluids is anticipated B. Appropriate handwashing (see handwashing procedure) C. Precautions against needlestick D. Decontamination and handling procedures E. Proper handling of laboratory specimens Expected Outcome: Adherence to this standard reduces the risk of transmission of infection. Criteria: 1) Adherence to this Standard is MANDATORY for all students. 2) Protective equipment for barrier use is provided by DU when in lab setting and by the Agency when in clinical practice setting: A. Gloves, sterile and nonsterile B. Protective eyewear (goggles required for clinical use-purchased through the Nursing Department) C. Cover gowns D. Masks E. One-way valve masks 3) All students are provided with initial orientation and periodic education regarding Universal Precautions. 4) Monitoring for compliance to this Standard is accomplished through instructor monitoring. 5) Handwashing occurs as described in the handwashing procedure. Procedure: Protective equipment is used appropriately: A. Latex gloves: 170 COHP Student Handbook 1. Are worn when a task performed by a student is likely to bring the student in contact with blood, body fluids (such as urine, feces, semen vaginal secretions, oral secretions, wound drainage, gastric contents, sputum, emesis) and mucous membranes or non-intact skin. 2. Are removed after task completion and discarded in regular trash containers (NOTE: Hands are washed after gloves are removed). 3. Are changed between each patient contact. 4. Two gloves are mandatory during injections. B. Masks/goggles: 1. Are worn when there is the risk of splattering into the eyes or face and must be taken to each clinical assignment. C. Gowns: 1. Are worn when there is the probability of soiling during procedures. D. CPR masks: 1. Masks with one-way valves are available for use during emergency resuscitation. 2. Sharps are handled appropriately in the University lab or the clinical agency. a. Used needles and IVPB are not cut, clipped, capped, or bent. b. All sharps are placed in rigid, puncture-resistant containers. c. Sharps disposal units are placed as close to point-of-use as possible and appropriate. d. When full, the disposal unit is sealed and placed in the trash. 3. Spills of blood or other fluids are cleaned/decontaminated: a. Visible material is removed b. Area is decontaminated with an approved germicidal: Matar, Osyl, bleach (1:10 dilution of 5.25% sodium hypochloride). 171 COHP Student Handbook c. In the clinical (agencies), equipment that will be returned to Central Supply is first washed in the dirty utility room according to Agency policy. 4. In the clinical agencies, laboratory specimens are handled appropriately: a. Specimen container, label and biohazard bags are taken to patient’s room. b. While wearing gloves, the specimen is collected, container securely closed (a seal such as paraffin wax may be required), and label affixed. c. Gloves are removed and hands are washed. d. Specimen container is picked up with paper towel and placed into zip-lock bag without contaminating the outside of the bag. e. Zip-lock bag is securely closed for transport. 5. All incidents of mucous membrane or parenteral exposure to body fluids are reported via incident report, as required by each individual Agency. E. Mask Precautions 1. In addition to Universal Precautions, when the patient has any of the following conditions: a. Pulmonary TB - suspected or confirmed b. Measles, Rubella, Chickenpox c. Haemophilus influenza meningitis d. Meningococcal meningitis or pneumonia e. Positive RSV (respiratory syncytial virus) being treated with Ribavirin aerosol medication 2. Individual Agencies may require: a. private room is used (NOTE: Patients with like diagnoses may share a semi-private room if the physician requests). b. All personnel who enter a room wear a mask. 172 COHP Student Handbook c. Maintenance of mask precautions is documented in the patient record, each shift. * Due to possible adverse reactions from Ribavirin aerosol in women or their fetus; pregnant women do not care for patients receiving Ribavirin aerosol. For more information, familiarize yourself with the following websites: http://www.cdc.gov/ncidod/hip/BLOOD/UNIVERSA.HTM http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051 173 COHP Student Handbook NURSING APPENDIX 2 Recommendations for Clinical Experience Restrictions* Disease/Problem Relieve from Direct Patient Contact Partial Work Restrictions Duration Until discharge ceases Conjunctivitis Yes or until 24 hours after hours after antibiotic is initiated Diarrhea, acute (with fever, cramps or bloody stools, or lasting more than 24 hours) Yes Resolve Herpes simplex: Genitalia No Do not take care of high risk patients Until lesions heal 174 COHP Student Handbook Herpes simplex: Orofacial No Do not take care of high risk patients Until lesions heal Herpes Zoster (Shingles) No Do not take care of high risk patients Until lesions dry & crust Pediculosis Yes Until 24 hours after treatment Staphylococcus Aureus (skin lesions) Yes Until lesions have resolved URI with temp. elevations above 99.6 (0) Yes Do not do patient care Pregnancy Special conditions may be required Students must sign a waiver Until acute symptoms resolve Physician’s statement specifying level of activity and any other restrictions will be requested For more complete information, see the CDC's Guideline for Infection Control in Hospital Personnel, particularly Table 2 at the end of the document, available at the following link: http://wonder.cdc.gov/wonder/prevguid/p0000446/P0000446.asp#Table_2 175 COHP Student Handbook NURSING APPENDIX 3 Michigan Right to Know Law The Michigan Right to Know Law is designed to provide safety information to employers and employees exposed to hazardous chemicals and other safety concerns of the workplace. Contracted clinical agencies have provided this information for their employees and our students have access to this information. For more information regarding the Michigan Right to Know Law, visit the following website, and open the "MIOSHA" button on the left-hand panel button; there you will find links for workplace safety information of all kinds: http://www.michigan.gov/cis For further assistance or answers to questions, you may also call or visit: Michigan Department of Labor Safety Education and Training Division P.O. Box 30015 Lansing, MI 48909 (517) 322-1809 Michigan Department of Public Health Division of Occupation Health P.O. Box 30035 Lansing, MI 48909 (517) 335-8250 176 COHP Student Handbook NURSING APPENDIX 4 American Nurses’ Association Code of Ethics for Nurses 1. The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economics status, personal attributes, or the nature of health problems. 2. The nurse’s primary commitment is to the patient, whether an individual, family, group, or community. 3. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. 4. The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care. 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth. 6. The nurse participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. 7. The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development. 8. The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs, 9. The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. From: American Nurses’ Association. (2001). Code of ethics for nurses with interpretive statements, Washington, DC: American Nurses Publishing, American Nurses Foundation/American Nurses Association. 177 COHP Student Handbook NURSING APPENDIX 5 Scope of Nursing Practice There is one scope of clinical nursing practice. The core, or essence, of that practice is the nursing diagnosis and treatment of human responses to health and to illness. This core of the clinical practice of nursing is dynamic, and evolves as patterns of human response, amenable to nursing intervention are identified, nursing diagnoses are formulated and classified, nursing skills and patterns of interventions are made more explicit, and patient outcomes responsive to nursing intervention are evaluated. American Nurses Association (1987). The scope of nursing practice (p. 2). Kansas City, MO: Author. 178 COHP Student Handbook NURSING APPENDIX 6 American Nurses’ Association Standards of Practice Standard1. Assessment The registered nurse collects patient health data. Standard 2. Diagnosis The registered nurse analyzes the assessment data in determining a diagnosis. Standard 3. Outcome Identification The registered nurse identifies expected outcomes individualized to the patient. Standard 4. Planning The registered nurse develops a plan of care that prescribes interventions to attain expected outcomes. Standard 5. Implementation The registered nurse implements the interventions identified in the plan of care. Standard 6. Evaluation The registered nurse evaluates the patient’s progress toward attainment of outcomes. Standard 7. Quality of Practice The registered nurse systematically enhances the quality and effectiveness of nursing practice. Standard 8. Education The registered nurse attains knowledge and competency that reflects current nursing practice 179 COHP Student Handbook Standard 9. Professional Practice Evaluation The registered nurse evaluates one’s own nursing practice in relation to professional practice standards and guidelines, statutes, rules, and regulations. Standard 10. Collegiality The registered nurse interacts with and contributes to the professional development of peers and colleagues. Standard 11. Collaboration The registered nurse collaborates with patient, family, and others in the conduct of nursing practice. Standard 12. Ethics The registered nurse integrates ethical provisions in all areas of practice. Standard 13. Research The registered nurse integrates research findings into practice. Standard 14. Resource Utilization The registered nurse considers factors related to safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing services. Standard 15. Leadership The registered nurse provides leadership in the professional practice setting and the profession. Source: American Nurses Association (2004). Nursing Scope and Standards of Practice. Washington, DC: Author 180 COHP Student Handbook NURSING APPENDIX 7 Professional Organizations The following are professional groups that are available to you either as a student (*) or as a graduate of your respective program. *1. National League for Nursing (NLN) – RN www.nln.org *2. Michigan League for Nursing (MLN) – RN http://www.michleaguenursing.org/ *3. American Nurses Association (ANA) – RN www.nursingworld.org *4. Michigan Nurses Association (MNA) – RN http://www.minurses.org/ *5. Michigan Student Nurse Association (MSNA) – RN http://www.minurses.org/mnsa/links.shtml *6. National Organization for the Associate Degree Nursing (NOADN) – RN www.noadn.org *7. National Student Nurses' Association www.nsna.org 181 COHP Student Handbook The agency of the State of Michigan for regulation of nursing practice is: State of Michigan Board of Nursing www.michigan.gov/cis/0,1607,7-154-10568_ 17671_17682-59003--,00.html Department of Consumer and Industry Services Bureau of Health Services 611 W. Ottawa 4th Floor P. O. Box 30018 Lansing, MI 48909 For other links, see: http://www.minurses.org/links.shtml 182 COHP Student Handbook NURSING APPENDIX 8 NLN Standards A. PROFESSIONAL BEHAVIORS Indicators 1. Practice within the ethical, legal, and regulatory frameworks of nursing and standards of professional nursing practice. 2. Report unsafe practices of healthcare providers using appropriate channels of communication. 3. Demonstrate accountability for nursing care given by self and/or delegated to others. 4. Use standards of nursing practice to perform and evaluate client care. 5. Advocate for client rights. 6. Maintain organizational and client confidentiality. 7. Practice within the parameters of individual knowledge and experience. 8. Describe political processes as they affect agency specific healthcare. 9. Participate as a member of professional organizations. 10. Serve as a positive role model within healthcare settings and the community at large. 11. Recognize the impact of economic, political, social, and demographic forces on the delivery of healthcare. 12. Participate in lifelong learning. 13. Develop and implement a plan to meet self-learning needs. 14. Delineate and maintain appropriate professional boundaries in the nursing relationship. B. COMMUNICATION Indicators 1. Utilize therapeutic communication skills when interacting with clients and significant support person(s). 183 COHP Student Handbook 2. Communicate relevant, accurate, and complete information in a concise and clear manner. 3. Report and document assessments, interventions, and progress toward client outcomes. 4. Protect confidential information. 5. Utilize information technology to support and communicate the planning and provision of client care. C. ASSESSMENT Indicators 1. Assess the interaction patterns of the individual client or significant support person(s). 2. Assess the impact of development, emotional, cultural, religious, and spiritual influences on the client's health status. 3. Assess the client's health status by completing health history and performing a physical, cognitive, psychosocial, and functional assessment. 4. Assess client and significant support person(s) for learning, strengths, capabilities, barriers, and educational needs. 5. Assess the client's response to actual or potential health problems. 6. Assess the client's response to interventions. 7. Assess the client for changes in health status and identified needs. 8. Assess the client's ability to access available community resources. 9. Assess the environment for facts that may impact the client's health status. 10. Assess the strengths, resources, and needs of clients within the context of their community. D.CLINICAL DECISION MAKING Indicators 1. Make clinical judgments and management decision to ensure accurate and safe care. 2. Analyze and utilize assessment and reassessment data to plan care. 3. Evaluate the effectiveness of care provided in meeting client outcomes. 184 COHP Student Handbook 4. Modify client care as indicated by the evaluation of outcomes. 5. Participate in problem identification and data collection for research, quality continuous improvement processes to meet client outcomes. 6. Use evidence-based information, collected electronically or through other means to support clinical decision-making. E.CARING INTERVENTIONS Indicators 1. Protect and promote the client's dignity. 2. Identify and honor the emotional, cultural, religious, and spiritual influences on a client's health. 3. Demonstrate caring behavior towards the client, significant support person(s), and other members of the healthcare team. 4. Provide accurate and safe nursing care in diverse settings. 5. Implement the prescribed care regimen within the legal, ethical, and regulatory framework of nursing practice. 6. Perform nursing skills competently. 7. Provide a safe physical and psychosocial environment for the client. 8. Assist the client and significant support person(s) to cope with and adapt to stressful events and changes in health status. 9. Assist the client to achieve optimum comfort and functioning. 10. Prepare the client and significant support person(s) for intervention, treatment modalities, and self-care. 11. Support the client and significant support person(s) when making healthcare and end-of-life decisions. 12. Adapt care in consideration of the client's values, customs, culture, and/or habits. 185 COHP Student Handbook F.TEACHING AND LEARNING Indicators 1. Develop an individualized teaching plan based on assessed needs. 2. Provide the client and significant support person(s) with the information to make choices regarding health. 3. Teach the client and significant support person(s) the information and skills needed to achieve desired learning outcomes 4. Evaluate the progress of the client and significant support person(s) toward achievement of identified learning outcomes 5. Modify the teaching plan based on evaluation of progress toward meeting identified learning outcomes. 6. Provide assistive personnel with relevant instruction to support achievement of client outcomes. G.COLLABORATION Indicators 1. Coordinate the decision making process with the client, significant support person(s), and other members of the healthcare team. 2. Work cooperatively with others to achieve client and organizational outcomes. 3. Collaborate with the client, significant support person(s), and other members of the healthcare team to evaluate progress toward achievement of outcomes. 4. Interact creatively and openly with others to solve problems to achieve client goals and outcomes. 5. Collaborate to bring about fair solutions that balance differing needs, values, and motivations for the purpose of achieving positive client outcomes. H.MANAGING CARE Indicators 1. Prioritize client care. 2. Coordinate the implementation of an individualized plan of care for clients and significant support 186 COHP Student Handbook person(s). 3. Facilitate the continuity of care within and across healthcare settings. 4. Delegate aspects of client care to qualified assistive personnel. 5. Supervise and evaluate the activities of assistive personnel. 6. Adapt the provision of client care to changing healthcare settings and management systems. 7. Assist the client and significant support person(s) to access available resources and services. 8. Implement nursing strategies to provide cost efficient care. 9. Demonstrate competence with current technologies. 187 COHP Student Handbook NURSING APPENDIX 9 STATEMENT REGARDING CRIMINAL HISTORY See COHP Appendix (A-2, A-4) 188 COHP Student Handbook COLLEGE OF HEALTH PROFESSIONS APPENDIX 189 COHP Student Handbook A-1 Common COHP Abbreviations, Acronyms, and Key Words Allied Health: AAMA AAMT AHDI AHIMA CAAHEP CAHIIM CCA CCS CCS-P CMA CMT HICM HIM HIT HSA MA PPE Practicum RHIA RHIT RMA RMT American Association of Medical Assistants American Association of Medical Transcriptionists Association for Healthcare Documentation Integrity American Health Information Association Commission on Accreditation of Allied Health Education Programs Commission on Accreditation for Health Informatics and Information Management Education Certified Coding Associate (entry-level certification exam of the AHIMA) Certified Coding Specialist (expert-level certification exam of the AHIMA) Certified Coding Specialist – Physician-based (expert-level certification exam of the AHIMA) Certified Medical Assistant (certification exam of the American Association of Medical Assistants) Certified Medical Transcriptionist Health Insurance Claims Management Health Information Management Health Information Technology Health Services Administration Medical Assisting Professional Practice Experience (AKA Practicum, Internship, Externship, Clinical) Allied Health Professional Practice Experience (AKA Internship, Externship) Registered Health Information Administrator Registered Health Information Technician Registered Medical Assistant (certification exam of the American Medical Technology Association) Registered Medical Transcriptionist Nursing: BSN Clinical HESI Level I Level II Level III NCLEX NCLEX-RN NLNAC PN RN Bachelor of Science in Nursing Nursing professional practice experience Health Education Systems Inc. (Nursing admission assessment) Practical Nursing Diploma Program Nursing Associate of Applied Science Nursing Bachelor of Science Program National Council Licensing Exam (state board licensing exam for nursing) National Council Licensing Exam for the Registered Nurse National League for Nursing Accrediting Commission Practical Nurse Registered Nurse DU Miscellaneous AD Associate Dean AAS Associate of Applied Science (Degree) ABA Associate of Business Administration (Degree) BBA Bachelor of Business Administration (Degree) BS Bachelor of Science (Degree) CBC Criminal Background Check CEA Career and Education Advisor CEP Career and Education Plan CSC Career Services Coordinator DS Drug Screening DU Davenport University 190 COHP Student Handbook DUES DUO COHP Davenport University Excellence System Davenport University Online College of Health Professions 191 COHP Student Handbook A-2 Student Disclosure (CBC) CLINICAL STUDENT DISCLOSURE STATEMENT TO BE RETAINED BY THE EDUCATIONAL INSTITUTION All students are to complete this form prior to beginning any clinical or professional practice experience. Student Name: ___________________________________________________Date of Birth: _______________ Training Program: ___________________________________________________________________________ 1. I certify that I have not been convicted of a crime or offense that prohibits me from being granted Clinical privileges in a long-term care setting as required by P.A. 27, 28 and 29 of 2006 within the Applicable time period prescribed by each crime as detailed in the attached summary from the MDCH. __________________________________________________________ ____________________________ Signature of Student Date 2. I certify that I have not been the subject of an order or disposition under the Code of Criminal Procedure dealing with findings of “not guilty by reason of insanity” for any crime. ___________________________________________________________ ____________________________ Signature of Student Date 3. I certify that I have not been the subject of a state or federal agency substantiated finding of patient or resident neglect, abuse or misappropriation of property or any activity that caused my nurse aide certification to be “flagged”. ___________________________________________________________ ____________________________ Signature of Student Date 4. I have listed below all offenses for which I have been convicted, including all terms and conditions of sentencing, parole and probation and any substantiated finding of patient or resident neglect, abuse or misappropriation of property. ___________________________________________________________ ____________________________ Signature of Student Date Conviction/Offense Date of Conviction/Finding/City State Sentence Date of Discharge I certify that I have reviewed the list of prohibited offenses as defined in P.A. 27, 28 and 29, and that the above list of my convictions and/or substantiated findings of patient or resident neglect, abuse or misappropriation of property (if any) is true, correct and complete to the best of my knowledge. I also understand that if the information is not accurate or complete, my clinical privileges will be withdrawn immediately. I understand that the facility or educational program denying my privileges based on information retained through a background check is provided immunity from any action brought by a Student due to the decision to remove clinical privileges. ____________________________________________________________ ____________________________ Signature of Student Date Davenport University 1299029 192 COHP Student Handbook A-3 Statements: Confidentiality, Compliance, Child Protection, Criminal History STUDENT STATEMENTS: CONFIDENTIALITY, COMPLIANCE, CHILD PROTECTION, CRIMINAL HISTORY Students may be required to complete this form prior to beginning any clinical or professional experience. See your COHP Associate Chair for details. Confidentiality regarding the content of the examinations has always been an expectation. I agree that I will NOT divulge questions on examinations to individuals who have not completed these examinations. I understand that the unauthorized possessing or reproduction of any examination questions is in violation of the concept of confidentiality. A violation of this type WILL result in disciplinary actions. Confidentiality regarding the clinical experience has always been an expectation. I agree that I will not divulge or copy any information regarding staff, visitors, or patients or discuss the information outside of the clinical setting. A violation of this type WILL result in disciplinary action. Appropriate conduct concerning children is a concern of all of society. Recognizing the responsibility of all healthcare providers to protect children from being physically and sexually abused, we require the students to sign a statement, signifying there have been no accusations or charges filed against them for any inappropriate conduct concerning children. A violation of this type WILL result in disciplinary action. A resident of the state of Michigan seeking clinical privileges or employment in a nursing home, hospital, long term care unit, county medical care facility, or home for the aged may be required to have a criminal background history check done. Recognizing this as a possibility, we require the student to sign a statement regarding criminal background history stating they have not been convicted of: • A felony or an attempt or a conspiracy to commit a felony within the 15 years immediately prior to this date • A misdemeanor involving abuse, neglect, assault, battery, or criminal sexual conduct or involving fraud or theft against vulnerable adults as that term is defined in section 145m of the Michigan Penal Code, 1931 PA 328, MCL 750.145m, or a state or federal crime that is substantially similar to a misdemeanor described in this statement within the past 10 years immediately prior to this date. A violation of this type WILL result in disciplinary action. STATEMENT OF CONFIDENTIALITY: I HAVE READ AND AGREE TO ABIDE BY THE STATEMENT OF CONFIDENTIALITY AND ALL POLICIES AND PROCEDURES AS STATED IN THE CURRENT DAVENPORT UNIVERSITY COLLEGE OF HEALTH PROFESSIONS STUDENT HANDBOOK. STUDENT: ___________________________________ DATE: ________________ STATEMENT OF CHILD PROTECTION: I HAVE READ AND AGREE THERE HAVE BEEN NO CHARGES AND ACCUSATIONS ON FILE AGAINST ME. STUDENT: ___________________________________ DATE: _______________ STATEMENT REGARDING CRIMINAL HISTORY: I HAVE READ AND AGREE THAT I HAVE NOT BEEN CONVICTED OF A FELONY OR A MISDEMEANOR SINCE COMPLETING THE CBC AND DRUG SCREENING PROCESS, NOR ARE THERE ANY CHARGES PENDING AGAINST ME. STUDENT: ___________________________________ DATE: _______________ 193 COHP Student Handbook I ALSO UNDERSTAND THAT IF THE INFORMATION IS NOT ACCURATE OR COMPLETE MY CLINICAL PRIVILEGES WILL BE WITHDRAWN IMMEDIATELY. I UNDERSTAND THAT THE FACILITY OR EDUCATIONAL PROGRAM DENYING MY PRIVILEGES BASED ON INFORMATION RETAINED THROUGH A BACKGROUND CHECK IS PROVIDED IMMUNITY FROM ANY ACTION BROUGHT BY A STUDENT DUE TO THE DECISION TO REMOVE CLINICAL PRIVILEGES. STUDENT: ____________________________________ DATE: _______________ 194 COHP Student Handbook A-4 Criminal History Check/Drug and Alcohol Screening Authorization Form CRIMINAL HISTORY CHECK AND DRUG AND ALCOHOL SCREENING AUTHORIZATION FORM PLEASE PRINT CLEARLY Student Name: Student ID: I authorize Castle Branch, Inc. (d/b/a Certified Background), any other facility approved by Davenport University, the Federal Bureau of Investigations, the Michigan State Police or any other agency to conduct a criminal background check and/or a drug screen for any drug, alcohol or substance requested by Davenport University, and to release those results to Davenport University. I understand and agree that if I am arrested or convicted of any offense, I will immediately inform the relevant Associate Chair of the College of Health Professions. I understand that individuals who are arrested for or convicted of certain offenses (which are not limited to drug or alcohol offenses), even if the individual has previously taken and passed a drug screen, at Davenport University's discretion, may not be placed into a required clinical component or rotation of any course, may be removed from any such clinical component or rotation if already placed, and may be suspended or removed from the relevant Davenport University College of Health Professions program. I authorize Davenport University to release the results of my criminal background check and my drug screen, and my Clinical Student Disclosure Statement, if applicable, to any hospital, facility or other partner healthcare agency which requests the results as a part of fulfilling my education/training requirements, or assessing my qualifications for employment or a clinical component or rotation. I understand that the completion of education/training requirements, clinical components and/or rotations may be graduation requirements, and that a degree will not be granted to those who do not successfully complete all required education/training, clinical components and/or rotations. I also understand that the results of my criminal history check, drug screen and/or certain findings related to my status or conduct may impact my eligibility to enroll or continue my enrollment at Davenport University, participate in clinical components or rotations, and/or obtain licensure, certification or registration from the State of Michigan or other regulating agency. Signature Date 195 COHP Student Handbook A-5 Practicum Checklist COLLEGE OF HEALTH PROFESSIONS Student Practicum Process Internship Deadlines: Student Name: ______________________________ Fall Internship - paperwork due May 15th Winter Internship - paperwork due September 15th Spring/Summer Internship - paperwork due January 15th ID # ______________________________________ Advisor: ___________________________________ Practicum: (Circle One) HINT297/297C HINT296 HSAD495 MEDA262 MEDA290 MCMG495 Role of the Advisor: a. Ensure student has met all academic requirements for a practicum experience by providing unofficial transcript with advisor signature for application packet. b. Add student to applicable wait list (if not already done). c. Remind student of paperwork deadlines. d. Refer student to the applicable College of Health Professions (COHP) Associate Chair/Program Director for program specific questions. e. Document the meeting in Banner and indicate if academic requirements are met. f. Guide student to paperwork available on the Student Portal. Paperwork necessary for practicum application can be found on the Student Portal. Under the “Academic Tools” tab, there is a box for the College of Health Professions (left bottom of the page). Click on the link called “COHP Student Forms”. This takes you to a list of student forms. Look for “PrePracticum Checklist”. Select one of the two checklists appropriate for your practicum class. g. The “HINT/HSAD Practicum Application Requirement” form applies to the following internship courses: HINT 295 (Health Information Technology), HINT 296 (Health Insurance Claims Management), HSAD 495 (Health Services Administration), and MCMG 495 (Medical Case Management). h. The “MEDA Practicum Application Requirement” form applies to the following internship courses: MEDA 262 (Phlebotomy) and MEDA 290 (Medical Assisting). 196 COHP Student Handbook Role of the applicable College of Health Professions Associate Chair and/or Program Director: (Does not apply to out-of-state online students who are required to find their own sites) a. Discuss program-specific practicum requirements. b. *Discuss that student must not contact practicum sites without permission from the Associate Chair, Program Director or Internship Manager. (If student has an existing relationship with a potential practicum site, student can request possible placement at this site by providing contact information to the Associate Chair or COHP Internship Manager for follow up). c. Approve appropriate sites for potential student placement with Internship Manager. d. Refer student to Career Services for assistance with resume and interview skills. e. Document meeting and outcomes in Banner. f. NOTE: For HINT 297/297C Practicum: Ensure student has met all academic requirements for a practicum experience by providing Associate Chair signature of approval on unofficial transcript for application packet. Role of Career Services: Career Services Coordinator will: a. Review and critique student resume and explain how to upload into CareerNET. b. Initial and date as “approved” on back of resume for inclusion into application packet. c. Provide interview preparation assistance (i.e. discuss interview skills, appropriate “dress-forsuccess” information, important on-the-job behaviors such as attendance and attitude). d. Document meeting and outcomes in Banner. Role of the Student: a. Create application for EACH practicum, even if in the same semester. b. Make copies of all documents to be submitted for student’s own records. c. Turn in completed paperwork in ONE packet by applicable deadline. d. Include in packet, a hard copy of Career Services approved resume. e. Submit Application Packet postmarked NO later than deadline date to applicable Regional Internship Manager. f. STUDENT WILL NOT BE ELIGIBLE FOR PRACTICUM DURING REQUESTED SEMESTER IF APPLICATION PACKET IS INCOMPLETE OR SUBMITTED AFTER DEADLINE! g. NOTE: Application packet may NOT be submitted to Advising, Associate Chair/Program Director, Faculty, Career Services or any other entity. 197 COHP Student Handbook h. Immediately submit any changes or updates to resume to Internship Manager (such as phone number, email, etc.). i. Upon receiving documented eligibility of practicum, see Follow Up Section (below): Role of the Internship Manager: a. Meet with student, if desired (recommended). b. Document receipt of application and status in Banner. c. Determine student’s eligibility. d. Notify student of eligibility for practicum placement. e. Collaborate with Associate Chair/Program Director addressing placement of students. f. Inform student of approved practicum site and contact information. g. Provide student resume’s to potential practicum sites. h. Provide student with a “Practicum Site Authorization Form” to take to the practicum site interview (available on the website). i. Keep both Advisor and Associate Chair/Program Director informed by making notes in Banner. j. Notify student of site placement offer. k. Document in Banner: l. I. Student placement status II. Student acceptance of placement III. Practicum site contact information IV. Agreed upon start date Follow up with interview site to answer any questions or concerns site may have m. Notify student of interview feedback or offer. n. Notify Directors of Academics and Student Services to place student in applicable class upon practicum placement offer prior to the end of the “drop/add” end date for the term of practicum. Student Follow Up (if accepted for practicum): a. Arrange and attend interview at approved practicum site designated by Internship Manager (Pre-placement requirements vary by site). b. Notify Internship Manager of day, time, location and feedback of interview. 198 COHP Student Handbook c. Provide practicum site with the “Practicum Site Authorization Form” and request practicum site to fax or mail the form to the Internship Manager following the interview. Business reply envelopes are available in Career Services area. d. Notify Internship Manager immediately of any practicum offer and start date. e. Note practicum placement in CareerNET. f. Make contact with the faculty member (found on your class schedule) to set up a meeting to discuss learning outcomes and expectations of experience (This must be done within the first week of the practicum – expectations vary by program). Student Follow Up: (if NOT accepted for practicum prior to the end of the “drop/add” end date or is ineligible due to incomplete or late paperwork submission): a. Immediately schedule another meeting with the COHP Associate Chair/Program Director to discuss other options and develop a plan of action which may include resubmitting application for the following term. b. Meet with advisor to update current semester class schedule and plan scheduling for the next semester. c. See Career Services, if necessary, for interviewing or soft skill preparation for next interview(s). d. Student must re-apply if placement is desired in subsequent semester. (Copies of forms may be resubmitted if dated within one year of submission. Student may be required to renew CPR/First Aid certification, immunizations, and/or TB test if expiration occurs during the upcoming practicum.) 199 COHP Student Handbook A-6 Statement of Physical Fitness STATEMENT OF PHYSICAL FITNESS Return a copy to the Clinical Coordinator PART I: TO BE COMPLETED BY THE STUDENT A. Student Information Name: _______________________________________ S.S.#: ________________________ (Last) (First) Address: ____________________________________________________________________ (Street) ______________________________________________________________________ (City) (State) (Zip Code) Phone: _______________________________ Date of Birth: _________________________ Medical Insurance Co.: ___________________________ Policy #: ____________________ In case of an EMERGENCY, the following person(s) should be contacted: Name: _____________________________ Relationship: _____________________________ Day Phone #: ________________________ Evening Phone #: ________________________ Name: _____________________________ Relationship: _____________________________ Day Phone #: ________________________ Evening Phone #: ________________________ PART II: Must be completed by Physician, Physician Assistant or Nurse Practitioner In my professional judgment, the above named student is physically able to participate in the Medical Assistant and/or Phlebotomy Program of the Allied Health Division of Davenport University. _______________________________________________ Signature of Physician, Physician Assistant, or Nurse Practitioner DATE _____________ _______________________________________________ Print Name of Physician, Physician Assistant, or Nurse Practitioner Address of Medical Facility/Clinic: 200 Appendix A-7 Hepatitis Immunization Form HEPATITIS IMMUNIZATION REQUIREMENT FORM I have read the information concerning Hepatitis B and the Hepatitis B Vaccine in the College of Health Professions Student Handbook. (Circle and initial one statement number from the selections below). Choose only one of the statements below. 1. I have had the three (3) dose Hepatitis B Vaccination series and am submitting documentation for my student file. Copy of documentation attached. ______ (Initials) 2. I will have the three (3) dose Hepatitis B Vaccination series and will submit documentation for my student file, when completed. ______ (Initials) 3. Attached is documentation of a positive titer for Hepatitis B. _____ (Initials). 4. I decline the three (3) dose Hepatitis B Vaccination series. I will hold the University and Clinical Training Site(s) harmless in the event that I contract Hepatitis B during my practicum/internship experience as a Davenport University student. I understand that holding the University and Clinical Training Site(s) harmless means that if I were to contract Hepatitis B during my practicum/internship experience, I would be solely responsible for the cost of my healthcare to the extent that it is not covered by my own health insurance. I would not be reimbursed by the University or Clinical Training Site(s) nor would I be able to seek reimbursement or damages from the University or Clinical Training Site(s) through a lawsuit or otherwise. I understand that a refusal of the vaccination series could negatively affect my opportunity to participate in internships or clinical practicum. ______ (Initials) Printed Name: Student ID: Signature: Date: NO STUDENT CAN ENTER THE CLINICAL OR PROFESSIONAL EXPERIENCE UNLESS THIS FORM IS COMPLETED, SIGNED, DATED AND RETURNED TO THE REGIONAL INTERNSHIP MANAGER OR ASSOCIATE CHAIR OR PROGRAM DIRECTOR 201 Appendix Appendix 8 Bloodborne Pathogens Exposure/Needlestick Incident Reporting On Campus – Students – • Notify your instructor immediately, clean the wound with soap and warm water, and treat any bleeding. • Fill out the Davenport University Incident Report with your instructor. This report is found online at https://publicdocs.maxient.com/incidentreport.php?DavenportUniv. Go to your personal physician and have them draw blood for bloodborne pathogens exposure. If you do not have a personal physician, you must go to the nearest urgent care clinic. • If you have health insurance, the follow-up care should be covered by this expense, if not the Davenport University provided health insurance will. • If you are using the University provided health insurance, please request your physician or the clinic send all bills to the Department Chair/Associate Chair. This person will then send the bills on to the University’s Risk Management group for payment. Faculty – • As soon as a student notifies you of a needlestick, have the student clean the wound as above and fill out the Davenport University Incident Report ( https://publicdocs.maxient.com/incidentreport.php?DavenportUniv) with the student. • Unless it is a medical emergency, do not allow the student to leave the classroom without having filled out the University Incident Report first. • Make sure the student understands the importance of obtaining follow-up care and screening with his/her personal physician or the nearest urgent care facility. • Notify the Associate Department Chair by email or phone of the incident and what steps you have taken. Off Campus/Practicum Site Students • Notify your site preceptor immediately • Follow your practicum site’s policies and procedures for bloodborne pathogens exposure. Your site preceptor should be able to assist you with complying with this step. • If the site is not able to draw your blood for a bloodborne pathogens exposure, then you must go to your personal physician or the nearest urgent care clinic and have them draw blood for a bloodborne pathogens exposure. • Notify the davenport University Internship Manager for your practicum. • Fill out a Davenport University Incident Report. You must fill out this report as soon as possible. This report is found online at https://publicdocs.maxient.com/incidentreport.php?DavenportUniv. If you have questions about the report, ask the internship manager for assistance. • If you have health insurance, the follow-up care should be covered by this expense, if not the Davenport University provided health insurance will. 202 Appendix • If you are using the University provided health insurance, please request your physician or the clinic send all bills to the Department Chair/Associate Chair. This person will then send the bills on to the University’s Risk Management group for payment. Faculty – • As soon as a student notifies you of a needlestick, ask the student what has been done at the site, fill out the Davenport University Incident Report ( https://publicdocs.maxient.com/incidentreport.php?DavenportUniv) with the student and verify that the student is following-up with the practicum site. • Unless it is a medical emergency, do not allow the student to leave the clinic site without following that site’s policy and procedure. • As soon as possible have the student fill out the University Incident Report. • Make sure the student understands the importance of obtaining follow-up care and screening at the practicum site or with his/her personal physician/the nearest urgent care facility. Notify the Associate Department Chair by email or phone of the incident and what steps you have taken. 203 Appendix A-9 Professional Standards Form Please sign and date prior to beginning your Professional Practice Experience. Hand in or email to your Internship Manager. (Nursing students: Hand in to your clinical instructor prior to beginning every clinical rotation) College Of Health Professions Professional Standards In order to be successful in the Davenport University College of Health Professions Programs, students and faculty need to be aware that the ability to meet the following professional standards will be continuously assessed. Students and faculty in any healthcare related program need the ability and skills in the following domains: observational/ communication ability, motor ability, intellectual/ conceptual ability, and behavioral, interpersonal, and emotional ability. Students and faculty must be able to perform independently, with or without accommodation, to meet the following professional standards*: Observation/Communication Ability – Students and faculty must be able to: • effectively communicate both verbally and non-verbally with patients, peers, faculty and other healthcare professionals • use senses of vision, touch, hearing, and smell in order to interpret data • demonstrate abilities with speech, hearing, reading, writing, English language, and computer literacy Motor Ability – students and faculty must be able to: • display gross and fine motor skills, physical endurance, strength, and mobility to carry out healthcare related processes and procedures • possess physical and mental stamina to meet demands associated with excessive periods of standing, moving, physical exertion, and sitting • perform and/or assist with procedures, calculate, reason, analyze, and synthesize data in order to make decisions, often in a time urgent environment • incorporate new information from faculty, peers, and healthcare related literature and research • interpret data from electronic and other monitoring devices Intellectual/Conceptual Ability- Students must be able to: • • Problem solve, measure, calculate, reason, analyze, and synthesize data in order to make decisions, often in a time urgent environment. Incorporate new information from teachers, peers, health related literature, and research. 204 Appendix • Interpret data from electronic and other monitoring devices. Behavioral, Interpersonal, and Emotional Ability – students and faculty must be able to: • tolerate physically taxing workloads and function effectively during stressful situations • display flexibility and adaptability in the work environment • function in cases of uncertainty that are inherent in healthcare settings involving patients, clients, vendors, and others interacting with healthcare providers • possess the skills required for full utilization of the student’s and faculty’s intellectual abilities • exercise stable, sound judgment • establish rapport and maintain sensitive, interpersonal relationships with others from a variety of social, emotional, cultural, and intellectual backgrounds • accept and integrate constructive criticism given in the classroom, clinical, and healthcare facility settings *Adapted from SCSU Dept. of NUR and Western CT State University Department of Nursing Technical Standards NAME_____________________________________________________ DATE____________________________ 205