Syllabus

Master of Science in Health Informatics

HIN 750 – Consumer Informatics – Summer 2017

Credits - 3

Description

This course introduces students to the concept of Healthcare Consumerism, including the
relationships between consumer, technology, and healthcare information. Topics covered in this
course include: consumer applications, mHealth, innovative wearable, consumable, peer
engagement, and behavior management systems. We explore how consumers receive and
engage with their healthcare data, such as PHRs, patient portals and Exchange systems.

Materials

Required Textbook:

Wetter, T. (2016). Consumer health informatics: New services, roles, and responsibilities.. ISBN: 978-3319195896

Required Case Studies:

In addition to the textbook above, this course requires students to purchase case studies from the Harvard Business Review Web site (HBR Online). The price of each case study is in the range of $4-$15.   Please purchase the following case studies

Please review the detailed course schedule section of the syllabus for case study details and deadlines.

Learning Objectives and Outcomes

Program Outcome addressed by this course:

  • Evaluate the ways new and developing healthcare technology trends influence world-wide health outcomes, and propose potential technology-based solutions for increasing world-wide health outcomes
  • Analyze, evaluate, and apply the range of tools needed to implement new technology, including identifying, evaluating, selecting, implementing, and upgrading technological systems

Course Outcomes:

Upon the successful completion of HIN 750, students will be able to:

  • Explain the origin of consumer health informatics
  • Discuss consumer health informatics (CHI) tools
  • Analyze electronic tools for patient to physician communication
  • Outline barriers to CHI adoption
  • Discuss the future of consumer health informatics

Assignments

Individual assignments

Weekly Discussion Posts — Each week there will be a discussion board that addresses a topic within the current module. For each discussion board, you must submit an original post and respond to at least 2 posts from your colleagues. Your original post should be 400–600 words. Be substantive and clear, and use examples to reinforce your ideas. Cite any references using APA Style.

Individual Assignment 1 (Week 1) — 2 to 3 page paper on a CHI application

Individual Assignment 2 (Week 2) — 2 to 3 page paper on sensor-based technology

Course Reflection — (Week 8) – Submitted in a discussion board, but no responses are required

Group assignments

In professional careers, people often collaborate on projects with colleagues. For that reason, many of the assignments in this class will be done in groups in order to give you experience with collaborative work. You will work within the same group throughout the course; group members will be assigned by the Instructor in Week 1. For each group assignment, you should plan to divide the work up among group members, then come together to review all the component parts, revise the individual pieces, and finally pull it all together into a cohesive piece. 

Group Case Study Assignments (due weeks 4 and 6) – 3 to 4 page APA formatted papers based on information found in the case studies.

Final Group Project  (due week 7) — The final project for this course is a Group Presentation. You will design a real-world (or hypothetical) project that helps improve the delivery of patient care or helps improves outcomes for consumers. Since this is an Informatics course, there must be a strong component of utilizing technology as part of the solution. Group members will submit a 2-3 page topic proposal in week 3.

Note: In week 8 each group member will fill out a form evaluating the contributions of the other group members. If there was an imbalance in workload, individual grades may be adjusted.

Course Schedule at a Glance 

Week Topic Activities and Assignments Dates
1 Introduction to Consumer Health Informatics Reading: Ch. 1, Online Health IT article, and Teamwork articles
Discussion
Individual Assignment 1
6/28/2017 – 7/5/2017
2 Medical Ethics for Consumer Applications Reading: Ch. 8, Online reading
Discussion 
Individual Assignment 2
7/5/2017 – 7/12/2017
3 Provider – Patient Relationship in the digital era Reading: Ch. 4, 1st Case Study
Discussion
Group Topic Proposal
Begin Group Case Study Assignment 1
7/12/2017 – 7/19/2017
4 Patient Engagement Tools and Applications Reading: Ch. 5, Online Reading
Discussion
Turn in Group Case Study Assignment 1
 7/19/2017 – 7/26/2017
5 Personal Health Records and Patient Portals Reading: Ch. 14
Discussion
Begin Group Case Study Assignment 2
7/26/2017 – 8/2/2017
6 Consumer P2P, Communities, Social Media Reading: Ch. 6, Online Readings
Discussion
Turn In Group Case Study Assignment 2
8/2/2017 – 8/9/2017
7 Patient Advocacy Movements Reading: Ch. 15, Online Readings
Discussion
Turn in Final Group Project
8/9/2017 – 8/16/2017
8 Patient Reported Outcomes in Clinical Research and Real-World Evidence Online Readings
Discussion
Reflection
8/16/2017 – 8/20/2017

Grading Policy

Your grade in this course will be determined by the following criteria:

Grade Breakdown

Assessment ItemPossible PointsPercent of Total Grade
Discussion Posts24 (3 points per week)24%
Topic Submission66%
Individual Assignment 11111%
Individual Assignment 21111%
Case Study 1 (Group)1010%
Case Study 2 (Group)1010%
Reflection33%
Final Presentation (Group)2525%
Total100 points100%

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Detailed Course Schedule

Week 1

Theme:  Introduction to Consumer Health Informatics

Learning Outcomes:

  • Discuss Consumer Health Informatics (CHI) tools
  • Describe personal experiences as a healthcare consumer
  • Describe the Office of National Coordinator’s strategy for engaging consumers

Readings

Video:

Week 1 Discussion:

All of us have had experiences with medical professionals and medical institutions—physicians’ offices, emergency rooms, and hospitals. Use your prior knowledge and your readings from this week to answer the following questions about how patient information is gathered:

  • What type of information is taken?
  • In what ways has technology improved the exchange of information?
  • Where are you surprised to find that technology is not used?
  • Is all the information you expected routinely available?
  • How has technology enhanced or inhibited your experience as a patient or consumer?

Week 1 Assignment:  

What are the major types of consumer health informatics (CHI) applications available today? What are they used for? Pick a specific application. Research this application and discuss its successes, challenges, and opportunities.

Submit a 2 to 3 page, double-spaced word document using APA formatting. Citations are expected.

Group Work:  

Your instructor will assign the groups this week. Once you have your group, you should contact one another to plan how you will meet.

There are a number of ways your group can choose to work together. It may be that a combination of several ways works best.

  • Discussion board – An ungraded discussion board has been set up for you to use within your group. You can find this discussion under the “My Group” button on the left hand navigation menu. You may want to use this discussion board throughout the course to work within your group.
  • Email
  • Google hangout, etc – You can hold synchronous meetings via Google hangout, Skype, Zoom, etc.
  • Other?

Week 2

Theme:  Medical Ethics for Consumer Applications

Learning Outcomes:

  • Discuss the challenges and opportunities of consumer health informatics
  • Evaluate consumer health applications in terms of ethical considerations
  • Identify the principles of ethics for consumer health informatics
  • Identify the dimensions of Patient Risks and Requirements for Patient Safety
  • Analyze a specific consumer health informatics application 

Readings

Week 2 Discussion:

What were your key takeaways from this week’s online and textbook reading? What are some key challenges and opportunities to address in Consumer Health Informatics? How has your perspective or approach either as an informaticist or as a patient/consumer changed as a result of what you read about ethical issues in Consumer Health Informatics?

Week 2 Individual Assignment:

Breathometer was a widely popular consumer technology that was pitched on Shark Tank (please see this YouTube video for reference). It is an example from the growing field of sensor-based technology.

  • What possibilities do sensor-based technologies introduce for CHI applications?
  • What role does Medical Ethics play in these CHI applications?
  • Describe another consumer app or Internet of Things application
  • What do you like and/or dislike about this app?
  • Are there ethical concerns about this app?
  • Would you recommend it to others? Why or why not?

Submit a 2 to 3 page, double-spaced word document using APA formatting. Citations are expected.

Group Work:  Topic Proposal for Final Project

Your final project for this course will be a group presentation. Imagine that your group has been asked to make a presentation about a healthcare intervention to the Board of Directors of a healthcare system. Select a real-world (or hypothetical) project that could help improve the delivery of patient care or could improve outcomes for consumers. Because this is an Informatics course, there must be a strong technological component to your project. 

This week, your group should start thinking about the topic proposal for your final group project. Next week you will turn in that topic proposal. (The final project itself will be presented in week 7.) 

Week 3

Theme:  Provider-Patient Relationship in the Digital Era

Learning Outcomes:

  • Evaluate online consumer healthcare sites to determine accuracy and transparency 
  • Evaluate how Telemedicine is transforming healthcare
  • Analyze the evolving Provider-Patient relationships through technology
  • Identify a Consumer Health Informatics project for your final presentation

Readings

Video:

Week 3 Discussion:

Choose a doctor you are familiar with. Go to at least three non-governmental consumer sites to find evaluations of the doctor you have chosen. Now do the same for a hospital you are familiar with.

  • What type of information did you find?
  • Is the available information helpful?
  • Do you think differently about the provider or hospital after visiting the sites?
  • Does the site have a commercial interest?

Visit a government website for the hospital and compare that information with the information you found previously.

  • Is the information more helpful or less helpful on the government site?
  • Is there physician information on the government site?
  • Is there a trend toward transparency?

Week 3 Group Assignment:  Submit Topic Proposal for Final Project

This week, please submit the topic proposal for your final group project. (Look back at information in week 2 to read more about the final project. The final project will be presented in week 7.) Your proposal should be a 2-3 page APA styled word document; citations are required. Please include the following sections:

  • Background – Why is the project being undertaken? Describe an opportunity or problem that the project will address. Clearly outline the current state.
  • Expected Results – After the interventions that you will propose in your project, what do you predict that the future state will look like? How will it solve the problem or opportunity that you described in the first section?

Note:  Your instructor will approve all topics.

Group Work: Case Study — American Well:  

This week you should begin working with your group on the first case study:

Read the case study, American Well: The Doctor Will E-See You Now and start to think about the questions below:

  • Do you share the assessment of the founders regarding the potential for online care to revolutionize healthcare delivery? Why or why not?
  • What value do you see “Team Edition” creating?  What barriers to its adoption do you foresee?
  • Which of the new market opportunities did you see as most promising? Why?
  • If you were in the shoes of American Well Management, would you have pursued any of the next-generation options (products or markets) in 2010, or would you have focused on the core platform with the core target market? Why?

Note: Please limit your answers to information based on the content from the case study itself.

This week get together as a group and discuss how you will break up the task. You should plan for each group member to write their part this week. At the end of this week or early next week you should meet again to review the individual pieces and decide on a plan for editing the work. You will turn in one document for the group.

Next week your group will turn in a 3 to 4 page APA formatted paper which answers the above questions. 

Week 4

Theme:  Patient Engagement Tools and Applications

Learning Outcomes:

  • Discuss the relationship between wearable devices and patient outcomes
  • Examine how a healthcare service organization can design its next-generation offering 
  • Identify the commonly used Consumer Health IT applications and their impact
  • Analyze the online and self-service offerings for consumers in healthcare

Readings

Week 4 Discussion:

How does self-monitoring help patients and consumers?  What impact have wearable devices (such as Fitbits and Smart Watches) and mobile health apps made on patient outcomes? Please discuss a specific example and include supporting references.

Week 4 Group Assignment:  Submit Case Study — American Well:  

This week you will submit the case study assignment you began last week. Your submission should be in the form of a 3 to 4 page APA formatted paper that answers the questions from last week. Remember to limit your answers to information based on the content from the case study itself. Your group will turn in 1 copy of the assignment for the entire group.

(See week 3 or Blackboard for the list of questions and detailed instructions.)

Group Work: Continue work on Final Presentation

Once you have received approval for the topic of your final presentation, you group should begin working on the presentation itself. Your group will need to plan how to divide up the work. In week 7 you will turn in your slides (Google slides) along with a video slide presentation of those slides in Adobe Spark. Click here for complete information on final project.

Week 5

Theme:  Personal Health Records (PHRs) and Patient Portals

Learning Outcomes:

  • Examine the differences between Personal Health Records and Patient Portals
  • Discuss the successes and challenges of Personal Health Records
  • Describe how Personal Health Records and Patient Portals can be more effective and improve outcomes

Readings

  • Wetter, Chapter 14 – The Patient-Centered Electronic Health Record and Patient Portals 

Videos

Week 5 Discussion:

Describe how Personal Health Records like Microsoft HealthVault or Google Health are meeting (or not meeting) consumer needs. What’s working well?  What’s not working well? As a consumer, what would you like to see? How are PHRs different from Patient Portals? Describe your personal experience with PHRs and/or Patient Portals.

Group Work: Case Study — Patients Like Me

This week you should begin working with your group on the first case study:

Read the case study, PatientsLikeMe: An Online Community of Patients and start to think about the questions below:

  • In 2011, why did patients join PatientsLikeMe (PLM)? Did the platform work for any disease?
  • What are the reactions of physicians to sites like PLM? Do you agree with them?
  • Should PLM launch the General Platform? If no, how wouild PLM grow?
  • As of 2011, PLM had generated revenues by providing market research to pharmaceutical companies. Should it expand its business model to insurance companies and research institutions? Does it have the potential of becoming the “Bloomberg of medical data?”

Note: Please limit your answers to information based on the content from the case study itself.

This week get together as a group and discuss how you will break up the task. You should plan for each group member to write their part this week. At the end of this week or early next week you should meet again to review the individual pieces and decide on a plan for editing the work. You will turn in one document for the group.

Next week your group will turn in a 3 to 4 page APA formatted paper which answers the above questions. 

Group Work: Continue work on Final Presentation

Click here for complete information on final project.

Week 6

Theme:  Consumer P2P, Communities, Social Media

Learning Outcomes:

  • Examine the evolving landscape of Social Media in Consumer Health
  • Evaluate the effectiveness of online patients communities in improving outcomes
  • Compare and contrast different care coordination platforms

Readings

Video 

Week 6 Discussion:

Compare and contrast the following care coordination applications. What are their features? What needs might exist that are not met by existing applications? Would you suggest any of these applications to a friend or family member? Which one? Why?

Week 6 Group Assignment:  Submit Case Study — Patients Like Me:  

This week you will submit the case study assignment you began last week. Your submission should be in the form of a 3 to 4 page APA formatted paper that answers the questions from last week. Remember to limit your answers to information based on the content from the case study itself. Your group will turn in 1 copy of the assignment for the entire group.

(See week 6 or Blackboard for the list of questions and detailed instructions.)

Group Work: Continue work on Final Presentation

Remember: your group presentation is due next week. Please don’t put off all the work until then. Click here for complete information on final project.

Week 7

Theme:  Patient Reported Outcomes (PROs)

Learning Outcomes:

  • Examine the role of patient reported outcomes to advance patient-centric care
  • Analyze how PRO organizations help consumers make informed decisions based on research guided by patients, caregivers, and healthcare communities
  • Discuss the successes and challenges in using Patient Reported Outcomes data
  • Apply the Consumer Health Informatics lessons learned in your Final Presentations

Readings

Week 7 Discussion:

Based on your research and this week’s readings on Patient Reported Outcomes, what role do Patient Reported Outcomes data play in clinical research and patient care today?What recommendations would you make to improve the use of PROs in driving outcomes?

Week 7 Group Assignment:  Submit Final Presentation 

Your final group presentation is due by 11:59 pm on Wednesday of this week. Your should submit a pdf of your Google Slides and a link to your Adobe Spark video of your presentation. Click here for complete information on final project.

Week 8

Theme:  Patient Advocacy

Learning Outcomes:

  • Analyze the impact and changes driven through Patient Advocacy Movements
  • Discuss the role of technology in enabling Patient Advocacy services

Readings

Video:

Week 8 Discussion:

What does a Patient Advocate do? How do they interact with consumers and other stakeholders? What role can technology play in enabling Patient Advocacy services and improving outcomes?

Week 8 Course Reflection:

What are your top 3-5 key takeaways from this course?  How do you see applying these concepts as a healthcare professional and/or personal life as a patient? 

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