May Issues and Visions of Health Information Manager (HIM) Education In JAPAN

Hospitals 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

Increasing entries of students in correspondence course Entries 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 Curriculum Medical Record and Information Management - Foundation Course Subjects (12 Subjects) Medical Record and Information Management - Foundation Course Subjects (12 Subjects) ICD Specialized Study 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 Medical Record and Information Management - Specialized Course Subjects (9 Subjects) ICD Specialized Study 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 potentials 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

Qualified Health Information Managers throughout the country Qualified Health Information Managers throughout the country Number of members by region (4,124)

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-FIC Collaboration Proposals Report 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 Universities, other schools and medical institutions Health 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 Training Collaboration WHO-FIC Supporting Structure in Japan