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Associate in Applied

Science

in

Health Information

Technology

Hazard Community & Technical College

Bluegrass Community & Technical College

Gateway Community & Technical College

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Kentucky Community and Technical College System

3

Proposal for Initiation of a New Degree/Diploma Program

Associate in Applied Science Health Information Technology

Credential to be Awarded Program Name

Hazard Community and Technical College

Option (s): (if applicable)

Fall 2011

College

Proposed Starting Date

CIP Code ___51.0707_________________________

CIP Taxonomy Title

Health Information/Medical Records Technology/Technician

March 2, 1011

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Kentucky Community and Technical College System

3

Proposal for Initiation of a New Degree/Diploma Program

Associate in Applied Science Health Information Technology

Credential to be Awarded Program Name

Bluegrass Community and Technical College

Option (s): (if applicable)

Fall 2011

College

Proposed Starting Date

CIP Code ___51.0707 _________________________

CIP Taxonomy Title

Health Information/Medical Records Technology/Technician

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Kentucky Community and Technical College System

3

Proposal for Initiation of a New Degree/Diploma Program

Associate in Applied Science Health Information Technology

Credential to be Awarded Program Name

Gateway Community and Technical College

Option (s): (if applicable)

Fall 2011

College

Proposed Starting Date

CIP Code ___51.0707________________________

CIP Taxonomy Title

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Kentucky Community and Technical College System

Board of Regents

Academic Affairs and Curriculum Committee

New Program Proposal Evaluation Format

I. Program Description

A. Does the proposal include a program description including the program’s goal(s) and the role of program graduates? (If program graduates are prepared to fill a number of different positions, a list of specific kinds of jobs for which graduates are qualified should be included.) Yes; pg 13

B. Does the proposal identify the program competencies (tasks)? Yes; pg 19-20

C. Is there an approved curriculum for this program in the KCTCS program inventory, i.e., is the program already offered by at least one other college? Yes pg 13-14

D. If this is a program with multiple options, is it clear which option(s) will be offered and that the option(s) to be offered is/are needed for meeting workforce needs? Yes; pg 24

E. Is the proposed curriculum consistent with the program definitions in the KCTCS Policy on Collaborative Program Development approved by the Board of Regents? (See attachments.) Yes pg 23, 25

F. Does the proposal demonstrate that development of the new curriculum was driven by local, regional, or national factors? Yes; pg 24; Appendix A

G. Does the proposed program avoid all unnecessary duplication? Yes; pg 25

H. Is there evidence (e.g. letters of support from other institutions, meeting notes from collaborative meetings regarding the program, draft articulation

agreements) of optimal intra- and inter-institutional collaboration as specified in the KCTCS Policy on Collaborative Program Development? Yes; pg 23;

Appendix B

I. Was consideration given to the potential for delivery of all or part of the proposed program by distance learning technologies? Yes; pg 27-28

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II. Program Objectives

A. Does the program proposal provide evidence of strong and compelling

community/workforce needs that would be met by this program? (e.g. surveys of potential employers, letters from business and industry, advisory committee minutes) Yes; pg 24; Appendix A & B

B. Is sound rationale provided to justify projected student enrollment/completion rates? Yes; pg 27-28

C. Is there evidence that a program advisory committee has been established for this program including a list of committee members and their addresses? Yes; pg 22-23

D. If professional programmatic accreditation is available for this program, will accreditation be sought forthis program? Yes; pg 15

E. If optional programmatic accreditation is not planned, is the justification for not seeking accreditation sufficient? N/A; pg 15

III. Program Evaluation

A. Is it clear how program evaluation will be used for continuous program improvement? Yes; pg 21

B. Are both short-term and long-range goals addressed (e.g. matching graduation rates with workforce needs)? Yes; pg 21

IV. Program Resources

A. Are the needed facilities available to support this program? Yes; pg 29

B. If new funding is required, has the proposal explained how the program will be supported? N/A; pg 41

C. If reallocated funds are being used to support the program, will other

programs/services be negatively affected? (The source of internally reallocated funds should be clearly identified.) No; pg 41

D. Does the proposal provide for an adequate number of qualified faculty?

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EXECUTIVE SUMMARY

Associate in Applied Science in Health Information Technology

Bluegrass Community and Technical College

Gateway Community and Technical College

Hazard Community and Technical College

A Proposal for Initiation of a New Degree Program

Mission, Influence, Organization

The proposed Associate in Applied Science in Health Information Technology is

consistent with System and institutional missions. The goals of the Kentucky Community and Technical College System (KCTCS), Bluegrass Community and Technical College (BCTC), Gateway Community and Technical College (GCTC), and Hazard Community and Technical College (HCTC) are to provide high quality, affordable, accessible, and inclusive postsecondary education and training resulting in a positive contribution to the economic vitality of the region and enhanced quality of life for the citizens.

Program Description

This 68 credit hour AAS in Health Information Technology program prepares the graduate to take an active role in the field of health information management. Graduates will interact with physicians, health professionals, and financial and administrative staffs to ensure the protection of information systems. Graduates will help determine health information budgets, resources, and policies, utilizing current and accurate data. The curriculum includes course work in the supporting sciences and general education areas. Classroom instruction is supplemented with learning experiences in the campus laboratory and in area health care facilities. Students enrolled in Health Information Technology are required to achieve a minimum grade of ―C‖ in each Health Information Technology course.

Supportive Data

According to the Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, employment of medical records and health information technicians is expected to increase by 20 percent, much faster than the average for all occupations through 2018. Employment growth will result from the increase in the number of medical tests, treatments, and procedures that will be

performed. As the population continues to age, the occurrence of health-related problems will increase. Cancer registrars should experience job growth as the incidence of cancer increases from an aging population.

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In addition, with the increasing use of electronic health records, more technicians will be needed to complete the new responsibilities associated with electronic data management.

Resources

All colleges have facility space, equipment, and resources to implement the program. No additional funding is required to implement the program

Conclusion

This proposed program is consistent with the missions of KCTCS, BCTC, GCTC, and HCTC. The curriculum has been approved through the KCTCS curriculum approval process. Local and state needs support the establishment of this program. Resources are available to implement the AAS in Health Information Technology. The approval of this program will assist the colleges in meeting needs locally and regionally.

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Table of Contents Section I

Mission, Influence, Organization

1.01 Consistency with Mission ...9

1.02 Internal/External Influences ...10

1.03 Relationship to Organizational Structure ...11

Section II Program Description 2.01 Curriculum ...13

2.02 Didactic/Clinical Relationship ...15

2.03 Accreditations/Certifications ...15

2.04 Admissions Criteria/Standard Procedures ...16

2.05 Objectives/Evaluation Scheme ...19

2.06 Advisory Committee ...22

2.07 Plans for Articulation/Transfer Cooperation ...23

Section III Supportive Data 3.01 Workforce Requirement...24

3.02 Similar Programs in Kentucky ...25

3.03 Comparative Programs in Other States ...26

3.04 Enrollment/Productivity ...27 Section IV Resources 4.01 Resources required ...29 4.02 Expenditures ...31 4.03 Source of Revenues...31 Appendices Appendix A ...51 Appendix B ...69

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New Degree/Diploma Request Format

I. Mission, Influence, Organization 1.01 Consistency with Mission

State the relevance of this program to the institution’s mission and to its long- range instructional plan.

With students at the heart of our mission, the consortia colleges provide excellence in teaching and learning. Through comprehensive and responsive programs and services, the colleges sustain a strong partnership with our communities to improve economic vitality and quality of life in the region. The consortia colleges strive for a physical and intellectual environment that promotes access to life-long learning and a commitment to diversity. The colleges meet the needs of a broad community of learners, both individuals and business and industry, by offering literacy skills, developmental

education, workforce training, continuing education, liberal arts, and technical programs at multiple campus sites through distance learning. The consortia colleges work to foster professional competence, critical thinking, cultural and global awareness, civic responsibility, and a commitment to environmental sustainability within the college community. The consortia colleges value excellence in teaching, lifelong learning, and service with the highest regard for ethics and the dignity of work, the heritage of Appalachia, and a shared appreciation for cultural diversity. Graduates are awarded associate degrees, diplomas, certificates in preparation for careers or for transfer to baccalaureate programs.

The Associate in Applied Science program in Health Information Technology specifically relates to the Colleges’ mission to offer high quality technical education programs. The purpose of the Health Information Technology program is to prepare individuals for employment in the health information management industry.

The consortia colleges (Hazard, Bluegrass, and Gateway Community and Technical Colleges) take pride in supporting the Kentucky Community and Technical College System (KCTCS) strategic agenda to improve the quality of life and employability of the citizens of the Commonwealth by offering postsecondary education programs, training and services. The faculty and staff believe that students come first, that employer expectations are exceeded, that the community is enriched, and that quality lifelong education and

training are paramount to the College’s mission. To accomplish the mission, the consortia colleges offer the following:

 To offer curricula for the first two years of a baccalaureate program which lead to the awarding of the Associate in Arts or Associate in Science degree

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and which are transferable to all colleges and universities, public and private, in the Commonwealth;

 To offer curricula for two-year, career oriented programs which lead to the Associate in Applied Science degree and which prepare students for immediate technical or semi-professional employment;

 To offer curricula for technical diploma and certificate level programs which are not necessarily intended for transfer and which are designed to meet the changing demands of business and industry;

 To offer courses in developmental education, adult basic education and workplace essential skills training, which prepare participants to be successful at the postsecondary level and in the workplace;

 To provide customized training services to Kentucky employers; and

 To provide continuing education, professional development and personal enrichment opportunities to the public, and arts appreciation and arts education opportunities for the region…all for the purpose of encouraging life-long learning and improving the quality of life, knowledge and skills of Kentucky workers and citizens.

1.02 Internal/External Influences

a. Briefly describe any identified institutional, local, and regional needs to which the proposed program would be responsive (do not include workforce data).

Several healthcare organizations are located in each consortium’s area and, at least, one primary healthcare partner in each consortium’s area has been encouraging the college to establish a Health Information

Technology Program for the past several years. In addition to the request from major healthcare organizations for this program, the Medical

Information Program Advisory Committee (i.e., hospital medical, clinic managers) has expressed the need for a Health Information Technology program within our local community for the past several years.

The number of inquiries from potential students has also been steadily growing. The college frequently receives telephone calls from students requesting information regarding the availability of a health information technology in each of our colleges.

Locally and regionally, this program will assist hospitals, out-patient clinics, and private doctor offices with meeting local workforce needs. Additionally, such a program will create opportunities for job retraining and continuing education. At present the closest health information technology program is approximately one-hundred miles from the HCTC Hazard Campus, approximately eighty miles from the BCTC campus, and approximately ninety-eight miles from GCTC campus.

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b. Describe any exceptional circumstances that favor the development of this program. For example, special facilities, grants, patrons, etc.

The addition of a degree will allow graduates to be more competitive at the local, state, and national level for health information management positions. Past graduates, as well as currently enrolled students have expressed a strong desire to obtain a degree that would allow health information management careers. Documentation supports that most successful health information technicians possess strong technical skills and academic proficiency.

The need for credentialed health information technicians is dramatic considering only a few actually reside in this area. The consortia colleges receive Perkins grant allocations annually to support growth and

expansion of technical programs. Perkins funds will be used to help support this program.

c. Identify current issues and anticipated trends that are likely to impact the proposed program and describe the expected impact.

The HITECH Act which is part of ARRA has set the stage for much needed training/education in Health Information Technology. The increase need of qualified and national credentialed employees will be survival for healthcare facility. In order for applicants to be considered for jobs in healthcare facility, formal training and credentialing will be mandatory.

As the demand for graduates in health information technology continues to grow, the consortia colleges must be proactive in providing this course of instruction at the local level. The Health Information Technology program will provide our students with additional education opportunities.

1.03 Relationship to Organizational Structure

Describe the placement of the program within the institution’s department/division structure.

The Hazard Community and Technical College’s Business Division under Occupational Technologies has three programs. The Health Information Technology program will be the Business Division’s fourth program of study. The Health Information Technology Program Coordinator, who will teach the courses, will also work collaboratively with the faculties of the Business/IT Departments and the Medical Information Technology Program Coordinators. The Bluegrass Community and Technical College’s Business and Education Division includes seven programs. The Health Information Technology program will be the Business Division’s eighth program of study. The Health

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Information Technology Program Coordinator, who will teach in the program, will also work collaboratively with the IT Department and the Business Division and Medical Information Technology Program Coordinators.

The Gateway Community and Technical College’s Allied Health Division has four programs: a Massage Therapy certificate and an AAS degree with a Massage Therapy option in Health and Wellness Technology; a diploma and an AAS degree in Medical Assisting; a certificate, diplomas, and an AAS degree, Administrative Option, in Medical Information Technology, and a Medical Coding and Reimbursement Specialist certificate in Medical Administrative Services. The Health Information Technology program will add two certificates and an AAS degree to the academic offerings. The Health Information Technology Program Coordinator, who will teach in the program, will also work collaboratively with the IT Department, the Business Division, and the Medical Information Technology Program Coordinators.

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II. Program Description 2.01 Curriculum

a. Include the catalog description and curriculum of the proposed

program and indicate the semester by semester sequence of courses taken by a typical student to complete the program.

This program prepares the graduate to take an active role in the field of health information management. Graduates will interact with physicians, health professionals, and financial and administrative staffs to ensure the protection of information systems. Graduates will help determine health information budgets, resources and policies, utilizing current and accurate data. The curriculum includes course work in the supporting sciences and general education areas. Classroom instruction is supplemented with learning experiences in the campus laboratory and in area health care facilities. Students enrolled in the Health Information Program are required to achieve a minimum grade of ―C‖ in each Health Information Technology course.

Health Information Technicians are employed in hospitals, medical clinics, nursing homes, other health care facilities and industry. Graduates may take the American Health Information Management Association’s CCA, CCS-P and CCS coding examinations and the American Academy of Professional Coders’ CPC and CPC-H coding examination. Graduates are qualified to take the American Health Information Management

Association’s Registered Health Information Technician examination. Documentation of computer literacy as defined by KCTCS is required prior to enrolling in the first HIT course.

The Health Information Technology associate degree program is

accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM.)

HEALTH INFORMATION TECHNOLOGY* FIRST YEAR

Summer Semester

OST 103 Medical Office Terminology OR 3 CLA 131 Medical Terminology from Greek or Latin OR (3)

AHS 115 Medical Terminology (3)

BIO 137 Human Anatomy and Physiology I 4

7 credit hours Fall Semester

BIO 139 Human Anatomy and Physiology II 4 HIT 100 Introduction to Healthcare Delivery Systems 3

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HIT 104 Pathophysiology of Human Diseases 3 HIT 106 Pharmacology for Health Information

Professionals 2

12 credit hours Spring Semester

CIS 130 Microcomputer Applications or 3

OST 240 Software Integration (3)

MAT 110 Applied Mathematics or 3

MAT 150 College Algebra (3)

HIT 108 Clinical Classification Systems I 3 HIT 110 Legal/Ethical Issues in Health Information 2 HIT 112 Reimbursement Methodologies 3

HIT 114 Clinical Practicum I 2

16 credit hours Summer Semester ENG 101 Writing I 3 Heritage/Humanities 3 6 credit hours SECOND YEAR Fall Semester ENG 102 Writing II 3

COM 181 Basic Public Speaking or 3

COM 252 Interpersonal communication (3)

PSY 110 General Psychology or 3

SOC 101 Introduction to Sociology (3)

HIT 200 Computers in Health Care 3

HIT 202 Clinical Classification Systems 3 HIT 204 Quality Assessment in Health Information 2

17 credit hours Spring Semester

HIT 206 Clinical Classification Systems 2

HIT 208 Clinical Coding Practicum 1

HIT 210 Health Care Statistics 2

HIT 212 Health Care Organization & Supervision 2

HIT 214 Clinical Practicum II 3

10 credit hours TOTAL: 68

Final course scheduling will be determined by the College and may vary from the above calendar.

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b. Designate with an asterisk those courses, which are required. All courses listed in the sequence are required for completion of the program.

2.02 Didactic/Clinical Relationship

a. If a clinical/experiential component is part of the curriculum, provide evidence which demonstrates that clinical sites are sufficient, available, and appropriate to meet the program needs.

This program has a strong theory and several hands-on components. Lecture courses develop cognitive skills, whereas the lab and

experiential opportunities develop analysis/application skills. Affective skills are learned and practiced in both the classroom and experiential setting. The student/health information technologist ration is 1:1 in all practicum affiliates, providing each student with individual instruction. Several opportunities exist in each consortium’s area for practicum sites. Ten have been identified for Hazard; twelve have been identified for Bluegrass; and at least five have been identified for Gateway in the Northern Kentucky and Greater Cincinnati area. The consortia colleges plan to utilize the Virtual Lab available through AHIMA. These sites are located in clinics, health departments, doctor’s offices and hospitals that have health information technology departments and/or medical records and billing departments.

b. Discuss the nature, location, and availability of experiential/co-op/practicum opportunities required by the program.

This program requires students to complete 5 credit hours of practicum experience. The practicum requirement is performed at several area health care facilities that provide students with hands-on real work experience.

2.03 Accreditations/Certifications

a. If professional program accreditation is available for this program,

will accreditation be sought?

Yes. Accreditation will be sought through Commission on Accreditation for Health Informatics and Information Management Education

(CAHIIM).

b. If optional program accreditation is not planned, is the justification for not seeking accreditation sufficient?

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2.04 Admission Criteria/Standard Procedures

a. List and describe any program admission or transfer criteria,

standards, or procedures, which are more specific than published institution-wide admission or transfer criteria, standards, or procedures.

Health Information Technology Program Technical Standards

The health information technician works to promote, maintain and improve the management of health information within health

organizations. Computerization, on-going legislative reforms, information security issues, advances in medical science, and the need to contain health care costs have resulted in an increased demand for information specialists. In order to be considered for admission or to be retained in the program, all applicants should possess:

1. sufficient visual acuity, such as is needed to read and assess patient medical records;

2. sufficient auditory perception to receive and interpret verbal communication from individuals and groups; 3. sufficient gross and fine motor coordination to perform

business machine, office and computer tasks;

4. sufficient communication skills (speech, reading, writing) to interact effectively with individuals and groups; and 5. sufficient intellectual and emotional functions to plan and

implement Health Information Management functions. The consortia colleges will, in compliance with KCTCS regulations and in the manner and to the extent permitted by law, endeavor to recruit students who add to the diversity of the student population in the Health

Information Technology Program.

Selection of students for the Health Information Technology Program will be made by the President of the College or the President’s designee, after considering the recommendations of an Admissions Committee, which is to be appointed for this purpose. Membership on this committee shall be from the college as follows:

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Technical Faculty Member

General Education Faculty Members (2) Admissions Officer

Terms for the technical faculty member and the two general education faculty members are to be two-year, staggered terms.

In order to be considered by the Admissions Committee for admission to the Health Information Technology Program, each applicant must submit the following documentation two (2) months prior to the beginning of the semester in which you are applying for admission:

1. application for admission to the college;

2. official high school transcript from a public high school, a certified nonpublic high school, a non-certified high school, a passing GED official score report or the student has completed a home school curriculum, subject both to the ability to benefit criteria for KCTCS financial aid purposes and to the KCTCS Assessment and Placement Policy. 3. official transcripts of all postsecondary education;

4. ACT (or SAT) and/or, ASSET or COMPASS test results; 5. documentation of attendance at a Health Information

Technology Program Pre-Admission Conference or an interview with the program coordinator or designee; and 6. completion of a selective admissions form.

Applications for admission to the Program may be accepted by the Admissions Committee later than the stated dates provided that:

1. positions are still unfilled and

2. all the required documentation has been submitted. Preference may be given to applicants:

1. with an ACT composite score of 19 or above (or equivalent on the SAT, ASSET or COMPASS);

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2. who have completed 12 or more college credit hours with a GPA of 3.0 or better (4 point scale); or

3. who have completed the medical terminology and anatomy and physiology requirements with a GPA of 3.0 or better (4 point scale).

Readmission

1. A student who withdraws from or earns lower than a ―C‖ in a Health Information Technology Program core course will be dropped from the Program.

2. Application for readmission to the Health Information Technology Program must be made by the established college program deadline.

3. Readmission to the Health Information Technology Program will be dependent upon available resources. 4. In order to be considered for readmission by the Health

Information Technology Program Admissions Committee, the applicant must:

a. submit a written request to the Program Coordinator presenting documentation to justify readmission; and

b. meet current admission guidelines. Transfer Students

1. Students wishing to transfer from one Health Information Technology program to another will be considered on an individual basis.

2. Admission will be dependent upon available resources. 3. Students must meet all program admission requirements set

by the college to which transfer is sought.

b. State any program provisions for advanced placement.

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Students must meet the same admission standards as all other applicants to the Health Information Technology Program and placement is dependent on available resources.

A student may be granted credit by special examination for HIT 108-Clinical Classification Systems I, HIT 202-108-Clinical Classification Systems II and HIT 206-Clinical Classification Systems III if the following criteria are met:

1. The student has completed 12 hours within KCTCS and 2. The student has:

a. earned the CCS and CCS-P credentials from the American Health Information Management Association (AHIMA), or

b. earned the CPC and CPC-H credentials from the American Academy of Professional Coders (AAPC), or

c. taken a formal coding course, or d. is currently employed as a coder.

Any student achieving a grade of ―C" or greater on each special exam will be awarded credit for that course. A failure to achieve a grade of "C" or greater will require the student to take the course. Each special

examination may be taken only once by the student.

2.05 Objectives/Evaluation Scheme

a. List the competencies the student will have upon completion of the

program.

General Education Competencies: I. Communicate Effectively

1. Read and listen with comprehension.

2. Speak and write clearly using Standard English.

3. Interact cooperatively with others using both verbal and non-verbal means.

4. Demonstrate information processing through basic computer skills.

II. Think Critically

1. Make connections in learning across the disciplines and draw logical conclusions.

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2. Demonstrate problem solving through interpreting, analyzing, summarizing, and/or integrating a variety of materials.

3. Use mathematics to organize, analyze, and synthesize data to solve a problem.

III. Learn Independently

1. Use appropriate search strategies and resources to find, evaluate, and use information.

2. Make choices based upon awareness of ethics and differing perspectives/ideas.

3. Apply learning in academic, personal, and public situations. 4. Think creatively to develop new ideas, processes, or

products.

IV. Examine Relationships in Diverse and Complex Environments 1. Recognize the relationship of the individual to human

heritage and culture.

2. Demonstrate an awareness of the relationship of the individual to the biological and physical environment. 3. Develop an awareness of self as an individual member of a

multicultural global community.

Note: The Cultural Studies courses will appear in italics within the standard general education categories.

Technical Competencies:

1. Evaluate the content, structure, collection, maintenance and dissemination of health care data and how these components relate to record systems, documentation standards and quality assessment.

2. Apply the concepts of computer technology related to

healthcare and the tools and techniques for collecting, storing, retrieving and presenting health care data.

3. Assign valid diagnostic and/or procedure codes for health care reimbursement.

4. Demonstrate an awareness of organizational and management principles as related to health information management.

5. Demonstrate skills and attitudes needed to maintain professional and technical competence.

6. Demonstrate the ability to think abstractly, reason logically and apply problem solving skills in the practice of health

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b. Describe the evaluation scheme planned for the program. (Reference Policy 4.3.1.1-3)

The Health Information Technology Program will be assessed annually by a program advisory committee. The committee will evaluate the program mission, goals, objectives to ensure they meet the needs of students, business and industry, and the community. Program evaluation is an ongoing process which includes but not limited to: program review, program outcomes, faculty evaluation, and an advisory committee. Once accredited, the Commission on

Accreditation for Health Informatics and Information Management Education (CAHIIM) will review program as well.

The consortia colleges will also participate in all called state-wide curriculum committee meetings. Feedback from all assessment measures will result in changes in instructional methods, revision of curriculum and course information updates as needed in the program.

c. Describe short-term and long-range program objectives (e.g.

success on licensure exams, skills certification, diversity,

articulation, continuous improvement, graduation rates matched with workforce needs).

Updated, current reference and review material are areas of continuous modification. Additional practicum sites will be sought to offer

students a greater variety of experience. Faculty will actively pursue professional development opportunities.

Health Information Technology students will be eligible for the national coding examinations through AAPC and AHIMA. The students will also be eligible for the AHIMA’s Registered Health Information Technologist examination. We are confident the program will be successful in placement of students in jobs related to their training in the Health Information Technology program.

d. Provide evidence that distance learning will be used in the

program or an explanation why such use would be inappropriate.

Health Information Technology courses will be web-enhanced and world wide web. This will provide students greater accessibility and flexibility to course content. In addition, general education courses are available online.

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2.06 Advisory Committee

If an advisory committee has been used in the development of the

proposal, identify committee members and their affiliations and describe the committee’s role in developing and overseeing the program.

Members will be recruited for terms on a Program Advisory Committee. Committee members will have an intricate role in the continued development and evaluation of the program through bi-annual reviews and evaluations of the program and ongoing recommendations and involvement.

The following Medical Information Technology Advisory Board Committee external members supported the Health Information Technology program proposal:

Hazard

 Debbie Crank, ARH Corporate Compliance, Coder

 Rebecca Fletcher, Crown Medical Management, Executive Director

 Barry Martin, Primary Care Centers of Eastern KY, Owner/CEO

 Mahayla Mullins, Mountain Comprehensive Health Care, Manager

 Sharmila Shankar, Shankar and Gowder, Manager

 Cecilia Stewart, Kentucky River Community Care

 Annie Williams, Hazard Clinic, Administrator

Bluegrass

 Rhonda Sewell, Dept. Administrator, University of Kentucky

 Ann White, Medical Records Dept., Central Baptist Hospital

 Cindy Sewell, Employment Coordinator, Lexington Clinic

 Dianna Devine, Human Resources, EMRMC

 Lewis Bosworth, Human Resources, UKCMC

 Shannon Cropper, Business Services Team, Coding Specialist, Lexington- Fayette County Health Department

 Shellie Shouse, CFO Bourbon County Hospital

Gateway

 Pat McMillan, St. Elizabeth Healthcare Florence

 Vickie Sanders, RHIT, St. Elizabeth Healthcare Florence

 Melinda Chappell, Cincinnati Children’s Hospital Medical Center

 Tamela Dodds, Cincinnati Children’s Hospital Medical Center

 Kim Rash, Health Information Management, St. Elizabeth Healthcare

 Peggy Miller, Northern Kentucky Foot Specialists

 Lisa Edmonds, Human Resources, St. Elizabeth Healthcare Edgewood

 Karen Czirr, MS RHIA, CHP, Florence, Kentucky

 Marlene Williams, Commonwealth Orthopaedic Centers, Edgewood, Kentucky

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 Jessica Detrick, Head and Neck Surgery Associates, Ft. Thomas, Kentucky

2.07 Plans for Articulation/Transfer Cooperation

a. Describe how this program will articulate with related programs in other KCTCS colleges and with universities.

The consortia colleges will accept credit for the general education courses from any KCTCS College or Regional University. In addition, students may transfer from other KCTCS Health Information Technology

programs. Health Information Technology credit from other institutions is evaluated on a course by course basis.

b. Provide evidence of intra- and inter- institutional collaboration as specified in the KCTCS Policy on Collaborative Program

Development.

The general education courses may be completed at any KCTCS College or by distance learning and transferred to a regional university for

completion of a baccalaureate degree. There are currently two Health Information Technology associate degree programs in the state of

Kentucky. One college is a KCTCS sister college (Jefferson Community and Technical College) and will collaborate on curriculum development and online courses. The other is at Western Kentucky University. However, Eastern Kentucky University is a willing participant in

collaboration of a 2 + 2 degree option. Midway College has also expressed interest.

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III. Supportive Data

3.01 Workforce Requirements

Complete Section 3.01 only if the proposed program will prepare graduates for a specific occupation or profession.

a. Is this program designed to prepare students primarily for the local, state, regional, or national market?

The program proposal is primarily the result of the local and regional requests to help meet the need for specialists in Health Information Technology.

With the awarding of an associate degree and the Registered Health Information Technician certification, graduates can compete for positions at the local, state, or national levels. However, this program is designed primarily to meet the demands of the consortium’s area.

b. Provide evidence of strong and compelling community/workforce needs that will be met by this program (e.g., survey results of potential employers, letters from business and industry on company letterhead, advisory committee minutes signed by members, etc.).

According to the Bureau of Labor Statistics, U.S. Department of Labor,

Occupational Outlook Handbook, 2010-2011 Edition, Health Information Technicians, projected job growth is expected to increase by 20 percent, much faster than the average for all occupations through 2018.

Employment growth will result from the increase in the number of medical tests, treatments, and procedures that will be performed. As the population continues to age, the occurrence of health-related problems will increase. Cancer registrars should experience job growth as the incidence of cancer increases from an aging population.

In addition, with the increasing use of electronic health records, more technicians will be needed to complete the new responsibilities associated with electronic data management.

Job prospects will be very good as reflected from surveys as well as advisory board input. In addition to job growth, numerous openings will result from the need to replace medical record and health information technicians who retire or leave the occupation permanently. Technicians that demonstrate a strong understanding of technology and computer software will be in particularly high demand.

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3.02 Similar Programs in Kentucky

a. Identify similar programs available elsewhere in the state. Please provide a five-year productivity history.

Production History – Number Graduated

2006 2007 2008 2009 2010 Jefferson Community & Technical

College 6 9 5 4 7

**This data was extracted from PeopleSoft for AAS Degrees only.

b. Explain how the proposed program avoids unnecessary duplication.

This will be the only Associate in Applied Science Degree in Health Information Technology in the consortia service areas. These service areas depend on consortia colleges for the Health Information Technology Degree Program. The proposed degree is not duplicative; therefore, will not affect enrollment in other programs across the state.

There are three Health Information Technology programs in the state of Kentucky. The other programs are located at Jefferson Community and Technical College (Associate Degree), Eastern Kentucky University (Bachelor Degree), and Western Kentucky University (Associate Degree). None of these colleges service the Health Information Technology needs of our region.

c. Have you examined the possibility of collaborative and/or sharing of resources with similar programs within the state? What were the results of your examination?

KCTCS has developed policies for cooperative efforts between KCTCS colleges, such as the Policy on Collaborative Program Development, which ensure that collaborative program development processes shall meet criteria specified by the accrediting bodies of the respective colleges and any required programmatic standards, and the Policy for Consortia Relationships and Contractual Agreement, which ensures that agreements meet the accreditation required of the Commission on Colleges of the Southern Association.

In support of these policies, the Health Information Technology programs within KCTCS have a system-wide curriculum committee whereby a representative from each college offering the credential serves on the committee. The curriculum is developed/revised via this committee and the KCTCS curriculum approval process. This committee/process promotes consistency of curriculum and the ability of students to transfer

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among the KCTCS colleges and also to four-year colleges/universities.

d. Discuss the transferability of this new program through actual or

probable articulation agreements with other secondary or post-secondary institutions. Include articulation agreements or letters of intent in the appendices.

The consortia colleges will accept credit for the general education courses from all KCTCS colleges as well as all Kentucky Regional Universities. In addition, students may transfer the technical credit from the other KCTCS Health Information Technology Program.

3.03 Comparative Programs in Other States

a. Identify nearby institutions in adjacent states that have comparable

(similar) programs.

The following colleges offer comparable accredited associate degree programs.

Illinois

DeVry University--online campus Northwestern College

Rasmussen College--Rockford campus

Indiana

Vincennes University

Missouri

Meridian Community College

Ohio

Sinclair Community College—online

Cincinnati State Technical and Community College

Tennessee

Chattanooga State Community College Dyersburg State Community College Nation College—Madison

Virginia

Northern Virginia Community College Tidewater Community College

West Virginia

Marshall Community and Technical College Pierpont Community and Technical College

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West Virginia Northern Community College

b. Explain why the proposed program is not unnecessarily duplicative.

There are currently no institutions of higher education within our service area that offer Health Information Technology as a program of study.

3.04 Enrollment/Productivity

a. Project the full-time headcount enrollment, the part-time headcount enrollment, and the full-time equivalent enrollment of day students in the proposed program for the fall semester for the first five years

following implementation of the program.

Consortia Colleges

Hazard, Bluegrass, Gateway Community and Technical Colleges

Year Full-Time Part-Time

2011-2012 20 0

2012-2013 20 0

2013-2014 20 0

2014-2015 20 0

b. Repeat a. for evening students, if applicable.

The online program will be accessible for evening students as well as one consortium’s courses (Gateway) will be on campus.

c. Repeat a. for weekend students, if applicable.

The online program will be accessible for evening students as well as one consortium’s courses (Gateway) will be on campus.

d. How were the above projections determined?

The above enrollment projects are based on annual faculty/staff

resources and the number of qualified practicum spaces available within the service area.

e. Estimate the number of students projected above who will be drawn from existing programs within the institution and the net increase in institutional enrollment in the fifth year of the program as a result of the program.

It is projected that this program will draw additional new students rather than pulling students from existing programs.

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f. Project the number of graduates from the day program during each of the first five years.

1st 2nd 3rd 4th 5th

Projected Number of Graduates

20 20 20 20 20

g. Repeat f. above for the evening programs, if applicable.

The online program will be accessible for evening students as well as one consortium’s courses (Gateway) will be on campus.

h. Repeat f. above for weekend programs, if applicable.

The online program will be accessible for evening students as well as one consortium’s courses (Gateway) will be on campus.

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IV. Resources

4.01 Resources Required a. Facilities

1) Describe the facilities to be used for this program. If existing facilities are available, will they be temporary or permanent? If new facilities are required, describe renovation or construction plans. Include a statement of review by the facilities management or other facilities administrators indicating concurrence with the above description.

The HCTC Health Information Technology Program will be housed in existing permanent facilities on the Technical Campus. Space has been identified at the campus which includes an office, classroom, and computer lab for students.

The BCTC Health Information Technology Program will be housed in existing permanent facilities on the Regency Campus. Space has been identified at the campus which includes an office, classroom, and computer lab for students.

The facilities required for the certificates and AAS degree Health Information Technology program are available on the Edgewood campus in the Student Services Center, Gateway Community and Technical College. Upon implementation of the certificates and AAS degree Health Information Technology program this facility will continue to be utilized by the program.

In spring 2012, renovation of the Urban Center location on Scott Street in Covington, Kentucky, will provide for additional offering of Health Information Technology classes through the Health Profession

Opportunity Grant. The Urban Center location is currently available. Plans for this property are currently being discussed. The HPOG will run concurrent with the new program once approved. Space has been identified at the Edgewood and Urban Center campus which includes an office, classroom, and computer lab for students.

b. Library

1) Provide a statement by the librarian concerning the availability of

current and proposed library resources.

The consortia colleges’ libraries will ensure that sufficient resources are available in support of the proposed Health Information

Technology AAS degree. The library collection will include both print and electronic materials.

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Electronic Journals AHIMA web access

Kentucky Virtual Library—EBSCO Academic Search Premier

2) Compare holdings to standards/recommendations of national accrediting agencies, the Association of College and Research Libraries, and/or any other recognized measure of adequacy.

Currently, the library resources for Health Information Technology are adequate for supporting a new program, but will be expanded to meet accreditation standards after the program has been approved and as needed. The college appropriates money for the purchase of library holdings and reference material as prescribed the program accrediting agencies.

c. Faculty

1) Submit by means of curriculum vitae (see FORM 3) the qualifications of current ranked faculty members and

part-time/voluntary faculty who will launch the program. Indicate the

time each will devote to the proposed program.

Each college within the consortia is projecting one full-time faculty/coordinator for this program. Faculty vita are on Form 3.

2) Describe where and how non-ranked faculty (e.g., teaching

assistants, preceptors) will be utilized. Indicate the time each will devote to the proposed program.

N/A

3) If additional faculty will be required immediately or in the next five years, indicate the number and submit specific qualifications for each new faculty member. Discuss recruitment potential.

In addition to one full-time faculty, a part-time faculty member will be needed. The minimal education qualification is an associate degree in the field with 3 years’ experience—bachelor’s and Registered Health Information Technician credential preferred. The recruitment potential appears to be good.

d. Resource Sharing

Identify collaborative arrangements for maximizing resources.

Presently, KCTCS has one Health Information Technology program, Jefferson Community and Technical College. Bluegrass, Hazard, and

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Gateway Community and Technical Colleges are seeking approval through this process as a consortium. If approved, the consortia will become the one part of the second set of KCTCS Colleges to offer this program. Collaborative web-based instruction may be used for

maximizing resources between the sister institutions, all of which share a common curriculum.

4.02 Expenditures

Present all anticipated program expenditures for the next four years on FORM 1. Use FORM 1A to provide a rationale for the expenditure data.

4.03 Source of Revenues

a. Using FORM 2, specify the amount of revenues for the program from each source.

b. If applicable, provide evidence of institutional intent to maintain the program as described herein when grant or other outside funds are terminated.

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Form 1 - Hazard

Departmental Expenditures for the Program (Academic Year)

I. Personnel Year 1 Year 2 Year 3 Year 4

1. Full-time Ranked Faculty (FTF)

a. Number of FTF* 1 1 1 1

b. Average salary 46659.74 52840.00 52840.00 52840.00 c. Fringes per average salary 16984.14 19233.76 19233.76 19233.76 Cost of FTF: a x (b+c) 63643.88 72073.76 72073.76 72073.76 2. Part-time Faculty (PTF)

a. Course credit hours taught by PTF

6 6 6 6

b. Average PTF salary per credit hour

600 600 600 600

c. Average PTF fringes per credit hour

Cost of PTF: a x (b+c) 3600.00 3600.00 3600.00 3600.00 3. Instructional Assistants (IA)

a. Student contact hours b. Staff contact hours c. Average IA fee

Cost of IA 4. Other (specify)**

Categories % (e.g., secy.) full-time

rate

Cost of other

TOTAL PERSONNEL COSTS 67243.88 75673.76 75673.76 75673.76

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1. Supplies 1000 1000 1000 1000 2. Travel 3. Library*** a. Department budget 1. journals 2. books 3. other (specify) b. Central library budget

1. journals 2. books 3. other (specify) 4. Student support 5. Equipment*** a. instructional b. research c. other 6. Off-campus facilities 7. Accreditation 4000 4000 1550 1550 8. Other (specify)

TOTAL OPERATING COSTS 5000 5000 2550 2550

Program expenses are supported by institutional budget. Some expenses may be funded with Perkins Grant funds.

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III. CAPITAL COSTS** Year 1 Year 2 Year 3 Year 4 1. Facilities a. new construction b. renovation c. furnishings 2. Other (specify)

TOTAL CAPITAL COSTS

TOTAL EXPENDITURES 72243.88 80673.76 78223.76 78223.76

*Show How FTEF is calculated on FORM 1A.

**If the department will operate programs other than the proposed program, use the ratio of the projected student credit hours generated within the department by the program to the student credit hours generated by the department to allocate costs to the proposed program when it is otherwise difficult or impossible to allocate the programs’ responsibility for the cost. If such a ratio is used, enter its value here _________, and identify items to which it is applied with two asterisks.

***Insert here the annual portion of the department budget set aside for this item of the program. Extraordinary or special purchases beyond the regular or continuing line item should be recorded in III.2.

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Form 1 - Bluegrass

Departmental Expenditures for the Program (Academic Year)

I. Personnel Year 1 Year 2 Year 3 Year 4

1. Full-time Ranked Faculty (FTF)

a. Number of FTF* 1 1 1 1

b. Average salary 37595.00 37595.00 37595.00 37595.00 c. Fringes per average salary 14312.88 14312.88 14312.88 14312.88 Cost of FTF: a x (b+c) 51392.88 51392.88 51392.88 51392.88 2. Part-time Faculty (PTF)

a. Course credit hours taught by PTF

6 6 6 6

b. Average PTF salary per credit

hour 725.00 725.00 725.00 725.00

c. Average PTF fringes per credit hour

Cost of PTF: a x (b+c) 4250.00 4250.00 4250.00 4250.00 3. Instructional Assistants (IA)

a. Student contact hours b. Staff contact hours c. Average IA fee

Cost of IA 4. Other (specify)**

Categories % (e.g., secy.) full-time

rate

Cost of other

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II. Operating Costs Year 1 Year 2 Year 3 Year 4 1. Supplies 1000 1000 1000 1000 2. Travel 3. Library*** a. Department budget 1000 1000 1000 1000 1. journals 2. books 3. other (specify) b. Central library budget

1. journals 2. books 3. other (specify) 4. Student support 5. Equipment*** a. instructional b. research c. other 6. Off-campus facilities 7. Accreditation 4000 4000 1550 1550 8. Other (specify)Professional Development 1000 1000 1000 1000

TOTAL OPERATING COSTS 7000 7000 4550 4550

Program expenses are supported by institutional budget. Some expenses may be funded with Perkins Grant funds.

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III. CAPITAL COSTS** Year 1 Year 2 Year 3 Year 4 1. Facilities a. new construction b. renovation c. furnishings 2. Other (specify)

TOTAL CAPITAL COSTS

TOTAL EXPENDITURES 62742.88 62742.88 60292.88 60292.88

*Show How FTEF is calculated on FORM 1A.

**If the department will operate programs other than the proposed program, use the ratio of the projected student credit hours generated within the department by the program to the student credit hours generated by the department to allocate costs to the proposed program when it is otherwise difficult or impossible to allocate the programs’ responsibility for the cost. If such a ratio is used, enter its value here _________, and identify items to which it is applied with two asterisks.

***Insert here the annual portion of the department budget set aside for this item of the program. Extraordinary or special purchases beyond the regular or continuing line item should be recorded in III.2.

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Form 1 - Gateway

Departmental Expenditures for the Program (Academic Year)

I. Personnel Year 1 Year 2 Year 3 Year 4

1. Full-time Ranked Faculty (FTF) 51000 515000 515000 515000

a. Number of FTF* 1 1 1 1

b. Average salary

c. Fringes per average salary 23511 23511 23511 23511 Cost of FTF: a x (b+c) 74511 74511 74511 74511

2. Part-time Faculty (PTF) 1 1 1 1

a. Course credit hours taught by PTF

6 6 6 6

b. Average PTF salary per credit hour

625 625 625 625

c. Average PTF fringes per credit hour

53.88 53.88 53.88 53.88

Cost of PTF: a x (b+c) 4073.28 4073.28 4073.28 4073.28 3. Instructional Assistants (IA)

a. Student contact hours b. Staff contact hours c. Average IA fee

Cost of IA 4. Other (specify)**

Categories % (e.g., secy.) full-time

rate

Cost of other

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II. Operating Costs Year 1 Year 2 Year 3 Year 4 1. Supplies 1000 1000 1000 1000 2. Travel 3. Library*** a. Department budget 1. journals 2. books 3. other (specify) b. Central library budget

1. journals 2. books 3. other (specify) 4. Student support 5. Equipment*** a. instructional b. research c. other 6. Off-campus facilities 7. Accreditation 4000 4000 1550 1550 8. Other (specify)

TOTAL OPERATING COSTS 5000 5000 2550 2550

Gateway Community and Technical College’s HIT Program expenses are supported by a five-year Health Professions Opportunity Grant. Additional expenses may funded with Perkins Grant funds.

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III. CAPITAL COSTS** Year 1 Year 2 Year 3 Year 4 1. Facilities a. new construction b. renovation c. furnishings 2. Other (specify)

TOTAL CAPITAL COSTS

TOTAL EXPENDITURES 83584.24 83584.24 81134.28 81134.28

*Show How FTEF is calculated on FORM 1A.

**If the department will operate programs other than the proposed program, use the ratio of the projected student credit hours generated within the department by the program to the student credit hours generated by the department to allocate costs to the proposed program when it is otherwise difficult or impossible to allocate the programs’ responsibility for the cost. If such a ratio is used, enter its value here _________, and identify items to which it is applied with two asterisks.

***Insert here the annual portion of the department budget set aside for this item of the program. Extraordinary or special purchases beyond the regular or continuing line item should be recorded in III.2.

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FORM 1A

BUDGET JUSTIFICATION

A rationale should be provided for all costs recorded on FORM 1. If explanation of an expenditure is contained elsewhere in the proposal, it is necessary only to record on this form the section in which it appears.

The Health Information Technology program will operate with one full-time faculty and one part-time faculty. There will be no additional funding needed for these positions as existing full-time and part-time faculty will be used. These positions are already included in the institutional budget. Gateway Community and Technical College will be hiring a full-time and a part-time faculty member as part of the five-year HPOG. There will be minimal additional funding required for operating expenses. This will be obtained from Perkins Grant.

An annual operation budget of $5000 is needed for: (a) purchasing program instruction materials, (b) providing faculty professional development and continuing education opportunities, (c) purchasing updated library resources, and (d) paying program accreditation expenses. This will be obtained from Perkins funds. Gateway will use HPOG and Perkins funds.

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FORM 2 - Hazard

AMOUNT AND SOURCES OF REVENUE

Year 1 Year 2 Year 3 Year 4

1. Regular state appropriation and tuition and fees

a. new money

b. internal reallocation* 72243.88 80673.76 78223.76 78223.76 2. Institutional allocation from restricted

endowment

3. Institutional allocation from unrestricted endowment

4. Gifts

5. Extraordinary state appropriation 6. Grants or contracts** a. private sector b. local government c. state d. federal e. other 7. Capitation 8. Capital 9. Other (specify) TOTAL REVENUES 72243.88 80673.76 78223.76 78223.76

*If revenue will be provided through reallocation within the college, explain in detail how this will be done. *There will be no additional funding needed as existing faculty will be used. These positions are already included in the institutional budget.

**List funding sources and specify funding period. **Perkins funds will be used for supplies and equipment for program implementation.

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FORM 2 - Bluegrass

AMOUNT AND SOURCES OF REVENUE

Year 1 Year 2 Year 3 Year 4

1. Regular state appropriation and tuition and fees

a. new money

b. internal reallocation* 62742.88 62742.88 60292.88 60292.88 2. Institutional allocation from restricted

endowment

3. Institutional allocation from unrestricted endowment

4. Gifts

5. Extraordinary state appropriation 6. Grants or contracts** a. private sector b. local government c. state d. federal e. other 7. Capitation 8. Capital 9. Other (specify) TOTAL REVENUES 62742.88 62742.88 60292.88 60292.88

*If revenue will be provided through reallocation within the college, explain in detail how this will be done. *There will be no additional funding needed as existing faculty will be used. These positions are already included in the institutional budget.

**List funding sources and specify funding period. **Perkins funds will be used for supplies and equipment for program implementation.

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FORM 2 - Gateway

AMOUNT AND SOURCES OF REVENUE

Year 1 Year 2 Year 3 Year 4

1. Regular state appropriation and tuition and fees

a. new money

b. internal reallocation*

2. Institutional allocation from restricted endowment

3. Institutional allocation from unrestricted endowment

4. Gifts

5. Extraordinary state appropriation

6. Grants or contracts** 83584.24 83584.24 81134.28 81134.28 a. private sector b. local government c. state d. federal e. other 7. Capitation 8. Capital 9. Other (specify) TOTAL REVENUES 83584.24 83584.24 81134.28 81134.28

*If revenue will be provided through reallocation within the college, explain in detail how this will be done.

**List funding sources and specify funding period. **Gateway will use the five-year Health Professions Opportunity Grant as the primary funding source. Perkins funds will be used for additional supplies and equipment for program implementation.

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FORM 3 - Hazard

FACULTY VITA

Name:

Stephanie Vergne, MAEd, CPC

Rank Associate Professor

Tenure Track: Yes No x Date of Tenure: Date Appointed to Faculty: August 1998 Percentage of Time to be Devoted to Proposed Program: 100% Identify your Sub-Specialty Within the

Discipline:

Seeking RHIA credential; CPC

Degrees Awarded: Year 2001 Degree Master of Arts in Ed. Major Subspecialty Secondary Ed/CIS Institution Morehead State University Title of Dissertation:

Title of Master's Thesis: Relevant Work Experience

(Begin with most recent position)

Year(s) Employer Program

1998-present Hazard CTC Medical

Information Technology 1995-1998 ARH Division of Home

Services/Eastern KY Worker’s Comp

Program

Honors/Awards Date Description:

2008-present Who’s Who of American Women Dec. 2008 Certified Professional Coder Professional

Organizations/Committees:

American Health Information Management Association American Academy of Professional Coders

Grants Received as Principal Investigator:

Beginning and Termination Date of the Grant:

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Other Grant Activities:

Date Amount Sponsoring

Agency

Description (Grant and Activities)

Discipline-Oriented Public Service Activities:

Date: 1998-present Description Assist local companies with creation of forms Bibliography of Major Publications and Scholarly Achievements/Creative activities for the Last Five Years:

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FORM 3 - Bluegrass

FACULTY VITA

Name:

Heather Greene, RHIA

Rank Instructor

Tenure Track: Yes No x Date of Tenure: Date Appointed to Faculty: January 2011 Percentage of Time to be Devoted to Proposed Program: 100% Identify your Sub-Specialty Within the

Discipline: Degrees Awarded: Year 2011 Degree Master of Arts

Major Subspecialty Institution Midway College Title of

Dissertation:

Title of Master's Thesis: Relevant Work Experience

(Begin with most recent position)

Year(s) Employer Program

Honors/Awards Date Description:

Professional

Organizations/Committees:

American Health Information Management Association American Academy of Professional Coders

Grants Received as Principal Investigator:

Beginning and Termination Date of the Grant:

Amount Sponsoring Agency Description

Other Grant Activities:

Date Amount Sponsoring

Agency

Description (Grant and Activities)

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Date:

Bibliography of Major Publications and Scholarly Achievements/Creative activities for the Last Five Years:

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FORM 3 - Gateway

FACULTY VITA

Name:

Gateway has a Search Committee currently seeking a full-time faculty member

Rank

Tenure Track: Yes No x Date of Tenure: Date Appointed to Faculty: Percentage of Time to be Devoted to Proposed Program: 100% Identify your Sub-Specialty Within the

Discipline: Degrees Awarded:

Year Degree Major Subspecialty Institution

Title of Dissertation:

Title of Master's Thesis: Relevant Work Experience

(Begin with most recent position)

Year(s) Employer Program

Honors/Awards Date Description:

Professional

Organizations/Committees:

Grants Received as Principal Investigator:

Beginning and Termination Date of the Grant:

Amount Sponsoring Agency Description

Other Grant Activities:

Date Amount Sponsoring

Agency

Description (Grant and Activities)

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Date: 1998-present Description Assist local companies with creation of forms Bibliography of Major Publications and Scholarly Achievements/Creative activities for the Last Five Years:

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Appendix A

References

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