Why Training Programs Matter
Well-designed training programs improve productivity, reduce errors, and increase staff retention. HIM departments face constant changes in coding guidelines, regulations, and technology, making ongoing education essential. The RHIA exam covers instructional design principles that leaders apply when building training programs.
The ADDIE Instructional Design Model
ADDIE stands for Analysis, Design, Development, Implementation, and Evaluation. This model provides a systematic framework for creating training programs.
- Analysis: identify the training need and target audience
- Design: outline learning objectives and instructional methods
- Development: create training materials and content
- Implementation: deliver the training to staff
- Evaluation: assess whether training achieved its objectives
Onboarding New Employees
A structured onboarding program for new coders or HIM technicians typically includes orientation to policies, system access and training, shadowing experienced staff, and a probationary performance review period. Strong onboarding reduces early turnover and accelerates time to full productivity.
Adult Learning Principles
Adult learners are self-directed and motivated by relevance to their work. Training should connect directly to job tasks, allow hands-on practice, and provide immediate feedback rather than relying solely on lecture-style instruction.
Measuring Training Effectiveness
The Kirkpatrick Model evaluates training at four levels: reaction, learning, behavior, and results. Reaction measures satisfaction with the training, learning measures knowledge gained, behavior measures whether skills transfer to the job, and results measure the impact on organizational outcomes such as coding accuracy rates.
Continuing Education Requirements
RHIA-credentialed professionals must complete continuing education units to maintain certification. HIM leaders should support staff in meeting these requirements through internal training sessions, conference attendance, and access to online learning platforms.
Competency Assessments
Regular competency assessments, such as periodic coding accuracy audits, help identify skill gaps and inform targeted retraining before performance issues escalate.
Exam Tip
Know the five ADDIE steps in order and the four Kirkpatrick evaluation levels, as both frameworks are commonly referenced in leadership and training-related exam questions.