Duration: 2 hours Prerequisites: Session 1 completion Session Type: Foundation

• Master essential medical terminology and healthcare abbreviations
• Understand healthcare industry structure and key stakeholders
• Learn major healthcare regulations (HIPAA, FDA) and their impact on BA work
• Map patient care workflows and clinical processes

• Providers: Hospitals, clinics, physician practices, specialists
• Payers: Insurance companies, Medicare/Medicaid, self-pay patients
• Suppliers: Pharmaceutical companies, medical device manufacturers
• Regulators: CMS, FDA, state health departments
• Technology Vendors: EHR vendors, HMIS providers, digital health companies

• Primary Care: First point of contact, preventive care, basic treatment
• Secondary Care: Specialist care, outpatient procedures
• Tertiary Care: Advanced specialized care, complex procedures
• Quaternary Care: Experimental and rare condition treatment

• EMR/EHR: Electronic Medical/Health Records
• ICD-10: International Classification of Diseases, 10th Revision
• CPT: Current Procedural Terminology
• DRG: Diagnosis-Related Groups
• SOAP: Subjective, Objective, Assessment, Plan (clinical documentation format)

• Admission: Patient registration and bed assignment
• Discharge: Patient release and care transition planning
• Transfer: Moving patients between departments/facilities
• Census: Patient count and bed occupancy tracking
• Rounds: Physician visits and patient status reviews

• Privacy Rule: Protects patient health information
• Security Rule: Safeguards electronic protected health information
• Business Associate Agreements: Required for third-party vendors
• Impact on BA Work: All requirements must consider privacy and security implications

• Medical Device Regulation: Software as Medical Device (SaMD) considerations
• Clinical Trial Requirements: If HMIS supports research activities
• Quality Management: 21 CFR Part 820 for medical device software

• CMS Guidelines: Medicare/Medicaid reimbursement requirements
• Joint Commission Standards: Hospital accreditation requirements
• State Licensing: Varies by state, affects system requirements

1. Registration/Scheduling: Patient demographic capture, insurance verification
2. Check-in: Arrival confirmation, co-pay collection
3. Clinical Assessment: Vital signs, chief complaint documentation
4. Diagnosis and Treatment: Clinical decision-making, order entry
5. Documentation: Clinical notes, procedure documentation
6. Billing: Charge capture, coding, claims submission
7. Follow-up: Discharge planning, care coordination

• Legal Requirements: Medical records as legal documents
• Quality Metrics: Core measures, patient safety indicators
• Reimbursement Impact: Documentation affects payment
• Continuity of Care: Information sharing between providers

1. Terminology Quiz: Match medical abbreviations with definitions
2. Stakeholder Analysis: Create a stakeholder map for HMIS implementation
3. Workflow Mapping: Document patient flow from admission to discharge
4. Regulation Impact Assessment: Identify HIPAA implications for new features

• Healthcare terminology is essential for effective communication with clinical staff
• Multiple regulations impact every aspect of healthcare technology
• Patient workflows are complex and involve multiple touchpoints
• Understanding the business of healthcare (reimbursement, quality metrics) is crucial

• ADT: Admission, Discharge, Transfer
• LOS: Length of Stay
• NPO: Nothing by mouth (nil per os)
• PRN: As needed (pro re nata)
• STAT: Immediately (statim)
• QOD: Every other day
• BID: Twice daily (bis in die)
• TID: Three times daily (ter in die)

Session 3 will provide a comprehensive overview of Hospital Management Information Systems (HMIS), including architecture, core modules, and integration points.