OFFT2041 — Healthcare Documentation Fundamentals
OFFT 2041 - Healthcare Documentation Fundamentals OFFT 2041 - Healthcare Documentation Fundamentals Hours/Week: Lecture 3 Lab 0 Internship hours per week 0 Course Description: This course introduces the basics of provider documentation in the health record, proofreading, and editing healthcare documentation. The course incorporates skills in the English language, technology, medical knowledge, proofreading, and editing of speech-recognized documentation. MnTC Goals None identify the uses of healthcare documentation. define the content and purpose of the various medical reports. identify the parts of a provider note including the history of present illness, review of systems, past medical, social, and family history, and physical exam and vital signs. incorporate medical terminology into medical documents using a body system approach. demonstrate the use of language skills and medical knowledge to document, edit, revise, and clarify while editing or proofreading dictation. demonstrate medical editing of speech-recognized reports. identify professional and ethical conduct. use medical references and other resources while proofreading, editing, and reviewing reports. investigate careers in healthcare documentation quality and editing. Minnesota Transfer Curriculum (MnTC): Goals and Competencies None Competency Goals (MnTC Goals 1-6) None Theme Goals (MnTC Goals 7-10) None Practicum hours per week: 0 Courses and Registration
Prerequisites: CAPL1010, OFFT2010