May.5.2006May.5.2006

Issues and Visions ofIssues and Visions of

Health Information Manager (HIM)

Health Information Manager (HIM)

EducationEducation

In JAPANIn JAPAN

Hospitals supported by highly skilled servicesHospitals supported by highly skilled services

Department of Health Information Management, Showa University Hospital

Department of Health Information Management, Showa University Hospital

● 9 Health Information Managers

● 5 workers on contract

・ Medical records administration・ ICD coding ・ DWH (managing all information in the hospital) ・ Critical paths (308 different kinds of path) ・ DPC ・ Disclosure of medical records (four on average and up to 10 records every month)

● 9 Health Information Managers

● 5 workers on contract

・ Medical records administration・ ICD coding ・ DWH (managing all information in the hospital) ・ Critical paths (308 different kinds of path) ・ DPC ・ Disclosure of medical records (four on average and up to 10 records every month)

Showa University Hospital Beds:879 / Outpatients:1,800 a day / Discharged patients:1,600 a year

Precise management of information by Health Information Manager

Precise management of information by Health Information Manager

High-quality health information management leads to enhancement of medical services

High-quality health information management leads to enhancement of medical services

From collection to evaluation and provision of information

From collection to evaluation and provision of information

3861332

162 292 262650

5958

2744

1453 16922347

504273 754 472634453

9557 119

6430

34982981

15941745

812623481330

2145

0

1000

2000

3000

4000

5000

6000

7000

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Students

BasicsSpecialtiesTotal

Increasing entries of students in correspondence courseIncreasing entries of students in correspondence course

Entries from 1997 to 2006Entries from 1997 to 2006

1. Medical Care Overview 2. Study of Human Anatomy and Function 3. General Study on Clinical Medicine (Including Congenital Diseases and Exogenous Injuries and Sicknesses) 4. Clinical Medicine Detailed Study I (Infectious and Parasitic Diseases) 5. Clinical Medicine Detailed Study II (Neoplasms) 6. Clinical Medicine Detailed Study III (Blood, Metabolism, Endocrine, etc.) 7. Clinical Medicine Detailed Study IV (Cranial Nerves, Sensory System, etc.) 8. Clinical Medicine Detailed Study V (Circulatory and Respiratory System) 9. Clinical Medicine Detailed Study VI (Digestive and Urinary System) 10. Clinical Medicine Detailed Study VII (Perinatal Period) 11. Clinical Medicine Detailed Study VIII (Musculoskeletal System) 12. Medical Terminology

1. Medical Care Overview 2. Study of Human Anatomy and Function 3. General Study on Clinical Medicine (Including Congenital Diseases and Exogenous Injuries and Sicknesses) 4. Clinical Medicine Detailed Study I (Infectious and Parasitic Diseases) 5. Clinical Medicine Detailed Study II (Neoplasms) 6. Clinical Medicine Detailed Study III (Blood, Metabolism, Endocrine, etc.) 7. Clinical Medicine Detailed Study IV (Cranial Nerves, Sensory System, etc.) 8. Clinical Medicine Detailed Study V (Circulatory and Respiratory System) 9. Clinical Medicine Detailed Study VI (Digestive and Urinary System) 10. Clinical Medicine Detailed Study VII (Perinatal Period) 11. Clinical Medicine Detailed Study VIII (Musculoskeletal System) 12. Medical Terminology

Well-developed CurriculumWell-developed Curriculum

Medical Record and Information Management - Foundation Course Subjects (12 Subjects)

Medical Record and Information Management - Foundation Course Subjects (12 Subjects)

ICDICD

Specialized Study

Specialized Study

Basic Medicine

Basic Medicine

1. General Study on Medical Management

2. Medical Management Detailed Study I

3. Medical Management Detailed Study II

4. Medical Informatics 5. Medical Statistics 6. Medical Record and

Information Management Study I

7. Medical Record and Information Management Study II

8. Overview on 　International Classification of Diseases

9. Classification Rules

1. General Study on Medical Management

2. Medical Management Detailed Study I

3. Medical Management Detailed Study II

4. Medical Informatics 5. Medical Statistics 6. Medical Record and

Information Management Study I

7. Medical Record and Information Management Study II

8. Overview on 　International Classification of Diseases

9. Classification Rules

High-level Curriculum High-level Curriculum

Medical Record and Information Management - Specialized Course Subjects (9 Subjects)

Medical Record and Information Management - Specialized Course Subjects (9 Subjects)

ICDICD

Specialized Study

Specialized Study

Basic Medicine

Basic Medicine

Assignments of report 100 questions for each subject 12 subjects every year =

1200 questions 2 year course = 2400 questions

　　　↓

Examination Tests

Assignments of report 100 questions for each subject 12 subjects every year =

1200 questions 2 year course = 2400 questions

　　　↓

Examination Tests

Writing in-depth reports to enhance potentialsWriting in-depth reports to enhance potentials

Report Report

Those who have earned required credits are allowed to take exam organized by the Japan Hospital Association at designated universities and vocational schools for the qualification of Health Information Manager.

●8 universities

27 vocational schools

(including transfer students)

Those who have earned required credits are allowed to take exam organized by the Japan Hospital Association at designated universities and vocational schools for the qualification of Health Information Manager.

●8 universities

27 vocational schools

(including transfer students)

Expanding over the country in addition to eight universities

Expanding over the country in addition to eight universities

University of the Japan Hospital Association and Designated Vocational Schools

University of the Japan Hospital Association and Designated Vocational Schools

Qualified Health Information Managers throughout the country

Qualified Health Information Managers throughout the country

Number of members by region (4,124)Number of members by region (4,124)

ICD-Related Tasks and HIM Education in Japan ICD-Related Tasks and HIM Education in Japan

Structure of ICD Cooperation in Japan and HIM Education Organization

Structure of ICD Cooperation in Japan and HIM Education Organization

● Government (Ministry of Health, Labour and Welfare)

● Medical associations

● Japan Hospital Association (hospital organization)

● Japan Society of Medical Record Administration

● Universities and vocational schools

WHO-FICWHO-FIC

Collaboration

Proposals Proposals Report Report

Support Support

Support Support

Education and

Training

Education and

Training Collaboration

Ministry of Health, Labour and Welfare (ICD Group)

Ministry of Health, Labour and Welfare (ICD Group)

Japan Hospital Association Japan Hospital Association

Universities, other schools and medical institutions Universities, other schools and medical institutions

Health Information ManagerHealth Information Manager Japanese Association of Medical Sciences (Professional societies)

Japanese Association of Medical Sciences (Professional societies)

Japan Society of Medical Record Administration (International

Classification of Diseases Committee)

Japan Society of Medical Record Administration (International

Classification of Diseases Committee)

Council on Statutory Health Insurance

(Statistics Study Groups)

Council on Statutory Health Insurance

(Statistics Study Groups)

Education and TrainingEducation and Training

Collaboration

WHO-FIC Supporting Structure in Japan WHO-FIC Supporting Structure in Japan

The Japanese government, professional societies and the Japan Hospital Association met, confirming cooperation toward revision of ICD. WHO officials explained how to proceed with the revision for ICD-11.

The Japanese government, professional societies and the Japan Hospital Association met, confirming cooperation toward revision of ICD. WHO officials explained how to proceed with the revision for ICD-11.

Cooperation for ICD-11 Revision Cooperation for ICD-11 Revision

Meeting in Tokyo on February 13 (Monday)Meeting in Tokyo on February 13 (Monday)

ICD-Related Tasks and HIM Education in Japan ICD-Related Tasks and HIM Education in Japan

Issues and VisionsIssues and Visions

● ICD-10

● Accuracy of coding data

● Japanese translation

● Headers

● Comparison of domestic and overseas data

Study and research and support for ICD

● Mortality classification → Mortality statistics

● Disease classification → Disease statistics (contraction rate, morbidity, etc.)

● Mortality classification → Mortality statistics

● Disease classification → Disease statistics (contraction rate, morbidity, etc.)

Use of ICD in the Asian regionUse of ICD in the Asian region

Doubt about international dataDoubt about international data

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

MalaysiaMalaysia

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

MalaysiaMalaysia

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

MalaysiaMalaysia

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

MalaysiaMalaysia

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

MalaysiaMalaysia

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

MalaysiaMalaysia

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

MalaysiaMalaysia

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

MalaysiaMalaysia

Study programs of the Ministry of Health,Labour and WelfareStudy programs of the Ministry of Health,Labour and Welfare

PhilippinesPhilippines

WHO supporting projects of the Japan Hospital AssociationWHO supporting projects of

the Japan Hospital Association

Agreement made for further development of projectsAgreement made for further development of projects