Submission Guidelines Are Posted to the GCC Web Site s1

Graduate Curriculum Committee Course Proposal Form for Courses Numbered 6000 and Higher

Note: Before completing this form, please carefully read the accompanying instructions.

Submission guidelines are posted to the GCC Web site: http://www.ecu.edu/cs-acad/gcc/index.cfm

NURS 8273 09/06/12 1. Course prefix and number: 2. Date:

3. Requested action: x New Course: Health Care Finance Revision of Active Course Revision & Unbanking of a Banked Course Renumbering of an Existing Course from from # to # x Required Elective

4. Method(s) of delivery (check all boxes that apply for both current/proposed and expected future delivery methods within the next three years): Current or Expected Proposed Delivery Future Delivery Method(s): Method(s): On-campus (face to face)

Distance Course (face to face off campus) x Online (delivery of 50% or more of the instruction is offered online) x

5. Justification (must cite accreditation and/or assessment by the graduate faculty) for new course or course revision or course renumbering: The Graduate Faculty of the College of Nursing, in response to the 2004 endorsement by the American Association of Colleges of Nursing (AACN) to move the entry level preparation for all advanced practice nursing from the master’s level to the doctorate level by 2015, determined that the Doctor of Nursing Practice (DNP) will be offered. The DNP degree more accurately reflects competencies required for the complexities of the evolving healthcare environment, prepares graduates for leadership in practice, and translates research into evidence-based practice that promotes high quality and safe patient care. This course proposal supports this endeavor and is approved by the graduate faculty at the College of Nursing.

6. Course description exactly as it should appear in the next catalog: 8273. Health Care Finance (3) P: NURS 8270 or consent of the program director. Provides a working knowledge of selective financial and management control techniques with practical application within the interdisciplinary environment. Provides a broad overview to important financial concepts, issues, tools, and vocabulary useful for healthcare leaders, clinicians, policy makers and administrators. 7. If this is a course revision, briefly describe the requested change:

8. Course credit: Lecture Hours 3 Weekly OR Per Term Credit Hours 3 s.h. Lab Weekly OR Per Term Credit Hours s.h. Studio Weekly OR Per Term Credit Hours s.h. Practicum Weekly OR Per Term Credit Hours s.h. Internship Weekly OR Per Term Credit Hours s.h. Other (e.g., independent study) Please explain. s.h. Total Credit Hours 3 s.h.

9. Anticipated annual student enrollment: 25

10. Changes in degree hours of your programs: Degree(s)/Program(s) Changes in Degree Hours DNP CON N/A

11. Affected degrees or academic programs, other than your programs: Degree(s)/Program(s) Changes in Degree Hours None N/A

12. Overlapping or duplication with affected units or programs: x Not applicable Documentation of notification to the affected academic degree programs is attached.

13. Council for Teacher Education (CTE) approval (for courses affecting teacher education): x Not applicable Applicable and CTE has given their approval.

14. University Service-Learning Committee (USLC) approval: x Not applicable Applicable and USLC has given their approval.

15. Statements of support: a. Staff x Current staff is adequate Additional staff is needed (describe needs in the box below):

b. Facilities x Current facilities are adequate Additional facilities are needed (describe needs in the box below):

c. Library x Initial library resources are adequate Initial resources are needed (in the box below, give a brief explanation and an estimate for the cost of acquisition of required initial resources):

d. Unit computer resources x Unit computer resources are adequate Additional unit computer resources are needed (in the box below, give a brief explanation and an estimate for the cost of acquisition):

e. ITCS resources x ITCS resources are not needed The following ITCS resources are needed (put a check beside each need): Mainframe computer system Statistical services Network connections Computer lab for students Software Approval from the Director of ITCS attached

16. Course information (see: Graduate Curriculum and Program Development Manual for instructions): a. Textbook(s) and/or readings: author(s), name, publication date, publisher, and city/state/country. Include ISBN (when applicable). APA (2009). Publication manual of the American Psychological Association (6th ed., 2nd printing). Washington, D.C.: American Psychological Association. ISBN-13: 978- 1433805615

Zelman, W., McCue, M., Millikan, A. & Glick, N. (2009). Financial Management of Health Care Organizations (3rd ed.). Malden, MA: Blackwell Publishing. ISBN 13: 978-0470497524.

Selected readings from current periodicals and URL’s.

b. Course objectives for the course (student – centered, behavioral focus) Upon completion of this course, students will be able to: 1. Evaluate the effectiveness of budgets developed by the student for specific practice initiatives.

2. Analyze the cost-effectiveness of practice initiatives accounting for risk and improvement of health care outcomes.

3. Employ principles of business, finance, and economics related to health policy to develop and implement effective plans for practice-level and/or system-wide practice initiatives that will improve the quality of care delivery.

4. Synthesize health finance terms, organizational types, reimbursement concepts, and clinician responsibility for financial decisions in the development and monitoring of budgets for practice initiatives.

5. Explain quality measurement challenges, current regulatory initiatives related to reimbursement, and the balance between quality care and financial responsibility.

c. Course topic outline

1. Health care cost a. Aging population, b. Chronic disease c. Uninsured, d. Cost control e. Ethical issues in finite resource management. 2. Health care financial statements a. Balance sheet b. Liabilities c. Statement of operations d. Operating income e. Net assets f. Cash flow 3. Financial statement analysis a. Categories of ratios b. Working capital management c. Time value of money 4. Investment decisions a. Internal rate of return b. Net present value to guide decision-making 5. Capital financing for health care providers a. Cost information for decision-making b. Budgeting c. Responsibility accounting 6. Provider payment systems a. Health care regulation b. Patient rights c. Innovations in healthcare d. Information technology

d. List of course assignments, weighting of each assignment, and grading/evaluation system for determining a grade Grading Scale 93-100 = A 85-92 = B 77-84 = C <76 = F

Evaluation Methods: Finance Projects (2 projects for 20% each consisting of the planning and evaluation of small healthcare projects ) 40% Discussion board participation (5 discussion boards worth 4 points each focusing on health care financial content of the respective units of study 20% Mid-term exam (multiple choice/true& false, essay) 20% Final Exam (multiple choice/true& false, essay) 20% 100%