SBNM 5510 1

School of Business and Nonprofit Management

Course Syllabus Course: 5510, Principles of Healthcare Management Academic Year: 2016/17

Semester/Quad: Fall A

Credit Hours: 2

Instructor: Rochelle Robinson-Levant, MBA, MJ

Office Phone: 773-244-5677

Email: rrobinson-levant@northpark.edu

Availability: Please e-mail me to schedule an appointment in the School of Business office building or via phone.

Course Description:

This course is a comprehensive approach to health care delivery to provide students with an in-depth understanding of health systems and organizations. Further analysis will identify areas in the field that are at a crisis status and in need of further considerations. The formation of health care policy in view of current trends and social concerns is explored from the prospective of the consumer, the provider and society at large. Extensive consideration is given to ethical concerns arising out of these issues. Students will examine the historical evolution of the health care industry and recent impacts that influence the delivery of health care.

Course Materials:

REQUIRED Textbook(s): Health Care USA Understanding Its Organization and Delivery, Harry A. Sultz, Kristina M. Young, 8th edition, Jones & Bartlett Learning, ISBN: 9781284065480

Course Description and Student Learning Objectives:

The purpose of this course is to develop an understanding of health care system in the United States and view key points to promote the optimal patient through the presentation of tools and methods that are available to increase effectiveness. The course surveys principles and theories to examine the varied delivery systems and how such systems impact a varied and diverse consumer base. The course also surveys ethical issues and the rational integration of ethical thinking and decision-making between similar health care organizations. Current regulatory health policy and practices are studied as the product of today’s transforming health care model. Introductory Objectives:

The course objective is for students to develop a basic understanding of the key aspects of the United States health care system through the lens of an organizational leader, consumer, and policy contributor.

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The following three objectives point to the most important course outcomes. Please focus on these objectives as you begin the course:

Comprehend fundamental principles, generalizations, or theories Develop a clearer understanding of, and commitment to, health care organizational structure. Ask questions and seek answers for further learning.

More specifically, students will:

Discuss current challenges and issues prevalent within the health care system.

Examine the differences in values related to health status across cultures and generations.

Examine the role and impact of values as a means to manage and achieve organizational success with constrained financial limitations and a complex reimbursement structure.

Integrate into discussions and written paper the impact the health care system has on generational wellness and long term needs.

Identify the historical philosophies prevalent within health care setting that impact quality outcomes.

Identify the historical financial management philosophies most closely associated with the need for healthcare reform.

Essential IDEA Objectives:

1. Gaining factual knowledge (terminology, classifications, methods, trends).

2. Learning fundamental principles, generalizations, or theories.

3. Learning to apply course material (to improve thinking, problem solving, and decisions).

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Course Prerequisites:

This course has no prerequisites. All directions and support are provided for the assignments in this course.

However, it is expected that participants know how to perform basic tasks such as sending email with attachments, creating, editing and saving documents in a file structure, and performing web searches.

Technical Skills Required:

The orientation in Moodle should be completed before beginning this course. Other than having the having ability to function in Moodle, students should be able to write papers using MS Word. Additionally, PowerPoint will be needed to access slides that are posted as resources for the week.

In order to effectively participate in and successfully complete this course, each participant will need to have access to a computer and a high-speed Internet connection. Please visit http://www.northpark.edu/Campus-Life-and-Services/Information-Technology/Network/Minimum- Requirements for information on computer requirements.

Course Objectives Week 1

Definition and discussion on the Patient Protection and Affordable Care Act in a population context.

Comparisons and contrasts among the U.S. health status indicators and the costs with other developed nations.

Discussion on the political circumstances and prelude to the Patient Protection and Affordable Care Act introduction for congressional action.

Overview of the judicial challenges to the ACT and final U.S. Supreme Court Decisions. Week 2

Emergence of hospitals as one component of integrated community based continuums of care.

Current trends on hospital adoption of health information technology.

Trends in complementary and alternative medical utilization and costs.

Data on the highest projected demand in health care occupations. Week 3

Discussion of the ACA impacts on medical residency and training incentives to increase primary care and physician supply in underserved areas.

Discussion on physician workforce trends and ACA initiatives.

Reviews of major health care financing provisions of the Affordable Care Act including the individual mandate, Medicare expansion, health insurance exchanges, accountable care organizations, value based hospital purchasing, bundled payments for care initiatives, and the Independent Payment Advisory Board.

Week 5

Discussion of the ACA’s Class Act provision to enact national voluntary long-term care insurance and the Act’s failure.

Description of ACA Medicare and Medicaid provisions to decrease institutional care by expanding access to home care community based services.

Definition and discussion on the three core functions of public health.

Description and discussion of the major public health related provisions of the ACA. Week 7

Discussion on the ACA created Patient Centered Outcomes Research Institute and its priorities and challenges.

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Discussion on the future of the employer sponsored health insurance.

Discussion on the challenges in implementing health information technology.

Examine the shortage of primary care physicians and other primary care practitioners.

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Schedule of Weekly Assignments:

Weeks Dates Topics Assignment(s)

1 08/30/16 *Course Overview Overview of Health Care: A Population Perspective *Benchmark Developments in US Healthcare *Ambulatory Care

Chapter 1 Chapter 2 Chapter 5

2 09/06/16 *Health Information Technology

*Hospitals: Origin,

Organization and Performance

*The Health Care Workforce

Chapter 3 Chapter 4 Chapter 7

3 09/13/16 *Medical Education *Financing Health Care

Chapter 6 Chapter 8

4 09/20/16 Health Care Presentations/ Essay Teams

5 09/27/16 *Long-Term Care *Public Health and Government

Chapter 9 Chapter 11

6 10/04/16 Exam

7 10/11/16 Research: How Health Care Advances Future of Health Care Article Presentations

Chapter 12 Chapter 13

Grading:

Assignment Points Grade %

Class Participation 20%

Team Presentation 20%

Exam 30%

Article Presentations 30%

Total 100%

Grade Mapping:

Letter Grade Numeric Grade Letter Grade Numeric Grade Letter Grade Numeric Grade

A (95-100%) B- (80-82%) D+ (67-70%)

A- (90-94%) C+ (77-79%) D (63-66%)

B+ (87-89%) C (73-76%) D- (60-63%)

B (83-86%) C- (70-72%) F (<60%)

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Criteria for Essay and Presentation – Use the criteria below to check on your progress. Use the matrix in conjunction with the outline provided for the development of the final project slide presentation.

The project report should follow the outline provided outline above. APA: Although it is a PowerPoint presentation, it should still begin with an abstract and end with a list of references.

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Category

Excellent 5 points

Very Good 4 points

Good 3 points

Fair 2 points

Poor 1 point

Unacceptable 0 points

1. Introduction

(Organization)

The introduction states the

The introduction states the

The introduction states the

The introduction states

An attempt has been to

There is no clear introduction

main topic and main topic and main topic the main introduce of the the main topic the main topic and the topic topic, but the project, main clearly relates clearly relates clearly the topic but the topic or to the content to the content relates to the as main topic structure of the project. of the project. content of introduced has not of the The introduction The introduction the project. does not relate been clearly project.

previews the structure of the

previews the structure of the

clearly to the content

stated.

project. Additionally the

project. of the project.

2. Research

(Scholarship)

Reference list contains more than two

Reference list contains more than

Reference list contains two

Reference list contains

Reference list contains

Reference list contains

references per two references more than one less than number of references per number one but reference one team per number of team less than per reference members.

Additionally, interviews or other internal sourcing of data is

of team members members two references per number of team members

number of team members

per number of team members

document

3. Focus on

Topic (Content)

Project topic is clear and well- focused topic.

Project topic is clear and well- focused. Main

Project topic is clear but

Project topic is somewhat

Project topic is not clear.

The project topic is not

Main idea stands out and is supported by detailed

idea stands out and is supported by detailed knowledge of

the supporting information is general – not clearly

clear but there is a need for more supporting

Although the material is alignment with

clear and the content is not in alignment

knowledge of theory provided in both text books.

theory provided in one text book.

based on theory provided in the course.

information .

course concepts, it is presented in a

with course concepts.

4. Grammar &

Spelling

(Conventions)

Writer makes no errors and using grammar and

Writer makes no errors in grammar, spelling or

Writer makes 1- 2 errors in

Writer makes 3-4 errors in grammar,

Writer makes more than 4 errors in

Writer makes more than 5 errors in

formatting Power Point grammar, spelling or grammar, grammar, proficiently to

enhance the overall readability of the project.

formatting. spelling or Power Point formatting.

PowerPoint formatting

spelling or PowerPoint .

spelling or PowerPoint formatting

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5.

Conclusion

n

(Organizatio

n)

The conclusion is strong and

The conclusion is strong, but

The conclusion is recognizable

The conclusion is

Only one two sentences

There is no clear conclusi

concise. It

wordy. It pulls and relates recognizab have been on, the pulls

together together all

to the topic le, but written to project all aspects

of aspects of the described in does not indicate that just

the project as each relates to the topic

project as each relates to the topic

the introduction, but elements

clearly relate to the topic

the project is complete.

ends.

described in

described in within the described the the body of the in the introduction

. introduction. project have

been lost between the

introductio n.

introduction and the 6.

Presentation

(Delivery)

All team members are prepared,

All team members are prepared,

Most team members are

Most of the team members

One or two of the team

Team members are not

demonstrate

demonstrate prepared, are well members well knowledge

of knowledge of demonstrate prepared are well prepared.

the topic and

the topic and but the prepared Members are able

to are able to knowledge team is not but the do not

present

present of the topic organized team is not demonstra witho

ut without

and are able or organized te clear reading

from reading from to present cohesive. or knowledge

the slides.

the slides. Some material

without reading

Multiple redundanc

cohesive. Multiple

of the topic and

is redundant across

from the slides.

ies exist. redundanc ies exist.

read from the slides.

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Assignment Grading Policies:

Assignments are due at the start of each class. Late assignments will not be accepted unless prior permission was granted.

Student Responsibilities:

Students are expected to have completed the readings and assignments prior to class. Active

participation in class discussions is encouraged.

Instructor Responsibilities:

The material covered in class will be current in the industry. I will seek to foster an active classroom discussion and provide each student with an opportunity to contribute. Students will complete the course having developed a broad understanding of the issues that impact the health care delivery system in the United States.

ASSIGNMENTSPECIFICATIONS

Team Project/Presentation – Case Analysis

The purpose of this team project is to demonstrate an in-depth understanding of the impact of health care systems on an organization’s capacity to deliver quality care for your specified country. Each team should choose one country and prepare an outline which details the teams approach to the assignment to obtain faculty approval prior to the second class session.

Together with your team choose a country that you would like to further examine the health care system structure with emphasis on the delivery model and patient demographic. As a team you will analyze the service offerings, payment structure, and access model and how quality outcomes are measured. Through this analysis, you will then conduct a comparison contrast detailing how this model is similar or in contrast to the current U.S. model of health delivery. Use the following outline to prepare your analysis:

1. Present an overview of your selected country with statistical relevance.

2. How do the climate and lifestyle choices play a role in the health status of the population?

3. How are physicians compensated for services?

4. Examine patient access and perceptions of quality care though patient satisfaction.

5. Discuss how system cost reductions impact the quality and efficiency of health care.

6. Discuss how pay-for-performance affects health care providers and their customers if applicable.

Write a 700- to 1,050-word paper which summaries your findings and provides recommendations for the current United States Delivery System.

Format your paper consistent with APA guidelines.

Presentation should be 25 minutes with a minimum of 20 content slides with speaker notes.

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ASSIGNMENT#2 Current Events

Students will be assigned a week within the course to present a current events article that is taken from one of the assigned topics for that class session. The article should capture an event, policy change, and or health care issue that is news worthy from a scholarly source. The student will present a brief summary of the article (10-12 minutes) and provide a copy of the article from each class member for review. The summary should outline the significance to the course and relevance to the health care community. Students will be given their assigned week during the first class session.

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POLICY STATEMENTS

Academic Honesty

In keeping with our Christian heritage and commitment, North Park University and the School of Business and Nonprofit Management are committed to the highest possible ethical and moral standards. Just as we will constantly strive to live up to these high standards, we expect our students to do the same. To that end, cheating of any sort will not be tolerated. Students who are discovered cheating are subject to discipline up to and including failure of a course and expulsion.

Our definition of cheating includes but is not limited to:

a. Plagiarism – the use of another’s work as one’s own without giving credit to the individual. This includes using materials from the Internet.

b. Copying another’s answers on an examination. c. Deliberately allowing another to copy one’s answers or work.

d. Signing an attendance roster for another who is not present.

In the special instance of group work, the instructor will make clear his/her expectations with respect to individual vs. collaborative work. A violation of these expectations may be considered cheating as well. For further information on this subject you may refer to the Academic Dishonesty section of the University’s online catalog.

In conclusion, it is our mission to prepare each student for a life of significance and service. Honesty and ethical behavior are the foundation upon which such lives are built. We therefore expect the highest standards of each student in this regard.

Attendance Policy for Graduate Courses

The graduate courses in the SBNM are all 7 weeks in length. Missing one class session is allowed without penalty as long as all readings and assignments are made up by the student within a reasonable time period (the following week). Failing to log into an online course site for an entire week is allowed, but a penalty may be applied at the instructor’s discretion. Missing a second class session is allowed only in unusual circumstances by prior arrangement with the instructor. Since this represents almost 30% of the engagement time for the course, the student runs the risk of receiving a lower overall grade for the class. Faculty are encouraged to drop the course grade by a full letter grade in this situation. A student who misses three classes (or the equivalent two weeks for an online class) will automatically fail the course, unless the student drops the course before the seventh week of class. Students who drop a course will be held responsible for tuition, based upon the current North Park University refund policy outlined in the University Catalog.

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APA Requirement

The School of Business and Nonprofit Management (SBNM) has adopted the Publication Manual of the American Psychological Association (APA) as the standard and required format for all written assignments in SBNM courses.

Our goal in adopting the APA Manual is to enhance student learning by:

1) Improving student’s writing skills.

2) Standardizing the required format of all written assignments in all SBNM courses. 3) Emphasizing the importance of paper mechanics, grammatical constructs, and the necessity

of proper citations.

4) Holding students accountable for high quality written work.

If you are unfamiliar with the requirements of the APA Manual, we recommend that you purchase the reference manual and/or that you consult one or more of the suggested resources as listed on the Student Resources section of the SBNM website. It is your responsibility to learn and ensure that all written work is formatted according to the standards of the APA Manual.

Disabilities Students with disabilities who believe that they may need accommodations in this class are encouraged to contact your program's office (Business: 773-244-6270). Please do so as soon as possible to better ensure that such accommodations are implemented in a timely manner. For further information please review the following website: http://www.northpark.edu/Campus- Life-and-Services/Disability- Resources

Title IX

Students who believe they have been harassed, discriminated against, or involved in sexual violence should contact the Dean of Students (773-244-5565) or Director of Human Resources (773-244-5599) for information about campus resources and support services, including confidential counseling services. As a member of the North Park faculty, we are concerned about the well-being and development of our students, and are available to discuss any concerns. Faculty are legally obligated to share information with the University’s Title IX coordinator in certain situations to help ensure that the student’s safety and welfare is being addressed, consistent with the requirements of the law. These disclosures include but are not limited to reports of sexual assault, relational/domestic violence, and stalking.

Please refer to North Park’s Safe Community site for contact information and further details. http://www.northpark.edu/Campus-Life-and-Services/Safe-Community