Lifelong Learning for a Brighter World

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Health Informatics

Where health and information
technology intersect.

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HTH 122 - Quality and Performance Evaluation- Spring 2021

Academic Credit Value:
3 units
Course Delivery Mode:
Hours of Study:
36 hours
Course Prerequisite(s):
HTH 120, HTH 110
Course Anti-requisite(s):
Instructor Name:
Umair Majid
Course Dates:
05/10/2021 - 07/11/2021

Required Course Materials:
Online readings in A2L course website.
Optional Course Materials:
Course Description:
In this course we will explore how the principles and practices of health informatics are integral parts of performance management and quality improvement in the healthcare system. The fundamental concepts of performance management and quality improvement will be examined. The focus is on methodologies and tools typically used by health informatics professionals that have an impact on an organization’s strategy to achieve performance and quality improvement goals.
Learning Outcomes:
Upon completion of this course, students will be able to:
Propose methods and measures to improve performance within a healthcare organization and the quality of care for patients.
Apply QI tools that are used during the implementation of an improvement project.
Create an online toolbox of performance and quality improvement resources.
In addition, students will be able to:
• Apply ethical standards and guidelines as identified by professional associations and the field of work.
• Apply group and team building strategies in order to complete course projects.
• Demonstrate effective and audience-appropriate communication practices (verbal and written) throughout course activities.
Course Evaluation
The final grade is calculated based on the following components:

Discussion Board Participation (3 discussions) 15%
Assignment 1: PQI Toolbox 50%
Assignment 2: Quality Indicators 15%
Assignment 3: QI Models (Group) 20%

Course Format:
This course is designed to present the fundamental concepts and theories in Quality Improvement and Performance Management Evaluation, as it relates to health informatics professionals and to promote the application to the workplace and professional practice. Course activities will include instructor presentations, required readings and experiential learning activities (i.e. case studies, group discussions, projects, etc.).
Assignment Submission:
Course assignments are submitted to the appropriate A2L Assignment folder by the specified due date
Late Coursework:
Late submissions will be penalized 2% per day (including weekends and holidays) up to seven (7) days past the due date. After seven days, the Assignments folder will close, no further assignments will be accepted, and a grade of “0” will be assigned for the course work item unless otherwise specified by the Instructor.Requests for extensions must be submitted to the Instructor before the assignment due date (see Coursework Policies).Extensions are permitted for exceptional circumstances only; supporting documentation may be requested.

Requests for late submissions due to technological issues will be considered only with supporting documentation from the Avenue to Learn technical support team.  This information must be provided by the student.

Policy & Procedures:

Academic Regulations (Attendance, Coursework, Tests/Exams):
In accordance to McMaster University’s General Academic Regulations, “it is imperative that students make every effort to meet the originally scheduled course requirements and it is a student’s responsibility to write examinations as scheduled.” Therefore, all students are expected to attend and complete the specific course requirements (i.e. attendance, assignments, and tests/exams) listed in the course outline on or by the date specified. Students who need to arrange for coursework accommodation, as a result of medical, personal or family reasons, must contact the course instructor within 48 hours days of the originally scheduled due date. It is the student’s responsibility to contact the Program Manager to discuss accommodations and procedures related to deferred tests and/or examinations within 48 hours days of the originally scheduled test/exam, as per policy. Failure to contact the course instructor, in the case of missed coursework, or the Program Manager, in the case of a missed test/examination, within the specified 48-hour day window will result in a grade of zero (0) on the coursework/exam and no further consideration will be granted.

*Note: Supporting documentation will be required but will not ensure approval of accommodation(s).
Academic Integrity
You are expected to exhibit honesty and use ethical behaviour in all aspects of the learning process. Academic credentials you earn are rooted in principles of honesty and academic integrity. Academic dishonesty is to knowingly act or fail to act in a way that results or could result in unearned academic credit or advantage. This behaviour can result in serious consequences, e.g. the grade of zero on an assignment, loss of credit with a notation on the transcript (notation reads: “Grade of F assigned for academic dishonesty”), and/or suspension or expulsion from the university.

It is your responsibility to understand what constitutes academic dishonesty. For information on the various types of academic dishonesty please refer to the Academic Integrity Policy, located at

The following illustrates only three forms of academic dishonesty:
Plagiarism, e.g. the submission of work that is not one’s own or for which other credit has been obtained.
Improper collaboration in-group work.
Copying or using unauthorized aids in tests and examinations.
Academic Accommodations:
Students with disabilities who require academic accommodation must contact Student Accessibility Services(SAS) at 905-525-9140 ext. 28652 or  to make arrangements with a Program Coordinator. For further information, consult McMaster University’s Academic Accommodation of Students with Disabilities policy.

Academic Accommodation for Religious, Indigenous or Spiritual Observances (RISO)
Students requiring academic accommodation based on religious, indigenous or spiritual observances should follow the procedures set out in the RISO policy. Students will need to contact their instructors as soon as possible to make alternative arrangements for classes, assignments, and other coursework. and tests. It is the student’s responsibility to contact McMaster Continuing Education to discuss accommodations related to examinations. (if applicable)
On-line Elements:

Conduct Expectations:
As a McMaster student, you have the right to experience, and the responsibility to demonstrate, respectful and dignified interactions within all of our living, learning and working communities. These expectations are described in the Code of Student Rights & Responsibilities (the “Code”). All students share the responsibility of maintaining a positive environment for the academic and personal growth of all McMaster community members, whether in-person or online.

It is essential that students be mindful of their interactions online, as the Code remains in effect in virtual learning environments. The Code applies to any interactions that adversely affect, disrupt, or interfere with reasonable participation in University activities. Student disruptions or behaviours that interfere with university functions on online platforms (e.g. use of Avenue 2 Learn, WebEx or Zoom for delivery), will be taken very seriously and will be investigated. Outcomes may include restriction or removal of the involved students’ access to these platforms.

Copyright and Recording:
Students are advised that lectures, demonstrations, performances, and any other course material provided by an instructor include copyright protected works. The Copyright Act and copyright law protect every original literary, dramatic, musical and artistic work, including lectures by University instructors.

The recording of lectures, tutorials, or other methods of instruction may occur during a course. Recording may be done by either the instructor for the purpose of authorized distribution, or by a student for the purpose of personal study. Students who wish to record sessions need to acquire permission from the instructor. Students should be aware that their voice and/or image may be recorded by others during the class. Please speak with the instructor if this is a concern for you.
In this course, we will be using a web-based service ( to reveal plagiarism. Students will be expected to submit their work electronically to so that it can be checked for academic dishonesty. Students who do not wish to submit their work to must still submit a copy to the instructor. No penalty will be assigned to a student who does not submit work to All submitted work is subject to normal verification that standards of academic integrity have been upheld (e.g., on-line search, etc.). To see the Policy, please go to McMaster Academic Integrity Policy.

Course Changes:

The instructor reserves the right to modify elements of the course and will notify students accordingly.Extreme Circumstances:
The University reserves the right to change the dates and deadlines for any or all courses in extreme circumstances (e.g., severe weather, labour disruptions, etc.). Changes will be communicated through regular McMaster communication channels, such as McMaster Daily News, A2L and/or McMaster email.


Course Withdrawal Policy:
Policies related to dropping a course and course withdrawals are posted to the Centre for Continuing Education’s program webpage, FAQs & Policies (
Grading Scale:


Equivalent Grade Point

Equivalent Percentages








































Course Schedule:



Assignments/Graded Components

Module 1

Performance and Quality Improvement

Assignment 1: PQI Toolbox - Student Info + Organization

Discussion: Let’s Meet Everyone

Module 2

Dimensions of Quality in Healthcare

Assignment 1: PQI Toolbox - Balanced Scorecard

Discussion: Quality Dimensions (reflection)

Module 3

Measuring Healthcare Quality

Assignment 1: PQI Toolbox - Quality Indicators

Assignment 2: Quality Indicators

Module 4

QI Models and Plans

Assignment 1: PQI Toolbox - QI Plans

Assignment 3: QI Models (group)

Module 5

Measuring Patient Experience

Assignment 1: PQI Toolbox - Patient Experience

Module 6

Data Quality

Assignment 1: PQI Toolbox - Run Chart

Module 7

Engaging Clinicians in QI

Discussion: Engaging Clinicians

Module 8

Sustaining and Spreading Improvements

Assignment 1: PQI Toolbox - Dashboards

Module 9

Health IT

Assignment 1: PQI Toolbox - Patient Registries

Module 10

Integrating PM and QI

Discussion: Integrating PM and QI (case study)