Analytics and Improvements Library

Learning Objectives

• Recognize the basic structures of ICD, CPT, HCPCS, and NDC coding systems
• Utilize available resources to look up meanings of codes used in healthcare data
• Understand the purpose of SNOMED CT, LOINC, and RxMed
• Describe how clinical terminology is used in healthcare data
• Describe how DRGs are used
• Describe how a DRG payment model works
• Use DRGs to calculate a hospital’s CMI
• Understand HCCs, DCCI, Elixhauser Comorbidity Index, LACE, and LACE+ Indices
• Describe how risk models are used to analyze mortality and readmission rates
• Recognize commonly used numerical prefixes
• Identify the medical terms for the location of procedures or conditions
• Describe positional, directional, and basic anatomy medical terms
• Recall terms for conditions of the body and surgical procedures
• Recognize common medical abbreviations

Course Description

Develop a basic understanding of the most common forms of data within healthcare, including terminologies, coding systems, groupers, and risk models. Effectively engage with available data and ultimately produce more meaningful insights for improvement.

3 modules | 3 CLUs