1 University of Texas, Arlington
HCAD 5301 Health Care Administration
Class Information / Syllabus
Fall Semester 2009 (8/25 to 10/6)
Tuesdays & Thursdays 6:00 p.m. to 9:20 p.m.
James Logsdon, MBA, MSHA Office Hours: By Appointment UTA FW Cohort Office Phone #: 682-236-3013 UTA Weather 972.601.2049 E-mail: [email protected]
Text Book
Griffith, John R., & White, K.R. (2002). The Well-Managed Healthcare Organization. (6th ed.). Chicago, Illinois : Health Administration Press. 1 -56793-258-4 (6th Edition) http://www.ache.org/PUBS/CLASSROOM/wmhco5/wmhco5im.cfm
Purpose
This course is designed to provide an overview of the functions of the U.S. healthcare delivery system in a systematic manner. The system is analyzed using the viewpoints of the consumer, provider, payer, and the policymaker. Concepts of managerial epidemiology are also included to assist this analysis.
Key Concepts
Key concepts for this course include:
1. utilization and effectiveness of health services.
2. organization and key functions of the healthcare system.
3. financing healthcare in the United States. 2 4. professional, provider, payer and consumer roles in the healthcare system.
5. quality of healthcare services.
6. policy formulation and its impact on the healthcare system.
7. health and health status including: definition of health; the natural history of
disease; models of health, disease and illness; health promotion and disease
prevention; and causes of morbidity and mortality.
8. measurement of health including: principles of managerial epidemiology,
assessment and use of health status measures and data collection and analysis.
9. behavioral models of health and disease.
Outcome Objectives
At the completion of this course, participants should able to meet the following competencies:
1. Analyze the healthcare provider system and its role in healthcare including:
a. the history of the healthcare system.
b. healthcare professionals and their roles.
c. ambulatory care.
d. hospitals.
e. extended care.
f. mental health services.
g. assistance for special populations.
h. government healthcare services. 3 i. corporate health initiatives.
j. health promotion efforts.
k. system reform.
2. Assess the effectiveness of the payer system in healthcare to include profit,
nonprofit, corporate and government sectors including
a. financing and insurance mechanisms.
b. public/private financing.
c. gaps in financing.
d. integrated financing & delivery mechanisms.
3. Evaluate the efforts to improve healthcare quality in the U.S. healthcare system
including accreditation, licensure, certification, financing, work organization and
outcome measurement.
4. Evaluate the role of the consumer and the healthcare system including:
a. definitions and models of health, disease and illness.
b. health beliefs, health behavior, and the sick
role.
c. social barriers to care.
d. health promotion and disease prevention.
e. models of healthcare use.
f. psychosocial factors impacting healthcare decisions. 4
Methodology
The learning strategies used in this course are based on principles of andragogy and on the philosophy of the learning community. This means that we are in a partnership for learning.
You are expected to take an active part in learning by contributing to the strategies used in class, asking questions when clarification is needed and, in general, contributing to the overall learning of the class. Strategies for learning used in this course include lecturette, discussion, small group exercises, role-plays, case studies, written assignments, and readings. Since we are a community, two-way communication is essential to successful learning in the course.
Readings
Readings for the course can be found in various books, periodicals, and series. As a master's level scholar in healthcare management, you are encouraged to read beyond the confines of the textbook. The UTA Library has many databases available through the web to assist you in acquiring the latest information.
Electronic Sources
Information germane to this course can be found through electronic sources including websites. Be careful to use only websites from government, professional associations, or major corporations. The credibility of information from websites may be in question. If you are using a journal article obtained through an electronic source, be sure to read the entire article and not just the abstract. Citation information can be obtained through the Guide to Form and Style. 5 Evaluation
During this course, you will be evaluated on your progress through class discussions and projects. In addition, you will demonstrate your achievement of competency in the course by completing competency demonstrations. These competencies are:
Competency Demonstration One
A major competency of leadership is the ability to facilitate action. To
accomplish action and achieve goals, a leader must coordinate the activity of many individuals and professionals within his or her organization. This competency demonstration allows you to practice the skills necessary for coordination in an academic setting. In addition, andragogy (adult learning
theory) embraces the concept of a “community of learning”.
The cohort concept of Masters level education provides an excellent opportunity to gain insight and knowledge from all members of the cohort and not solely relying on the pedagogical
(teacher centered) model of information delivery. The cohort will be divided into two groups.
Each group will be responsible for presenting the chapter as well as updated and current information, beyond that which is given in the text, for the topic listed for the following class sessions:
August 25, 2009 Review of Course and Syllabus (All) / Chapters 1 – 2 6
Group 1 “Tuesdays”
September 1, 2009 Managing the Healthcare Organization (Chapter 4)
September 8, 2009 The Physician Organization (Chapter 6)
September 15, 2009 Information Services (Chapter 10)
September 22, 2009 Human Resources System (Chapter 12)
September 24, 2009 Exam (all)
September 29, 2009 Planning and Internal Consulting (Chapter 14)
October 6, 2009 Executive Briefing (presentations)
Group 2 “Thursdays”
August 27, 2009 The Governing Board (Chapter 3)
September 3, 2009 Clinical Performance (Chapter 5)
September 10, 2009 Nursing Organization (Chapter 7)
September 17, 2009 Financial Management (Chapter 11)
September 24, 2009 Exam (all)
October 1, 2009 Marketing & Strategy (Chapter 15)
October 6, 2009 Executive Briefing (presentations)
The presentations will demonstrate your ability to inform and to coordinate information. Each group member will find an article in current literature that relates to the content in the text but 7 presents greater depth of information. Each individual student’s presentation must be done professionally. The use of your papers (reading from your papers) is not permitted. Each student should connect with the class audience as if they were advocating for new services etc.
The group should coordinate their findings to avoid repetition. On the night of the presentation, a group member will provide an introduction to the topic and the areas that will be presented.
Then group members will communicate their findings to the class in a “creative” presentation.
This presentation should not be longer then 1 hour. Each member of the group must participate and individual contributions should be no more than 1.5 – 2.5 minutes. Finally, a group member will provide a brief summary of the research findings of the group. There is no grading of these group presentations.
Grading for Competency One:
Each student will submit a short annotation (no more than 1 page, doubled spaced) of the article they used to update information in the text. A copy of the article will be attached for evaluation. You may give a copy of your paper to all classmates as well.
Each annotation represents 5% of your Competency Demonstration One grade. (5 Presentations
= 25 points) Demonstration One represents 25% of your course grade.
Competency Demonstration Two
There will only be one exam -- given on Thursday, September 24, 2009. The exam will cover material covered in class from the text, from the presentations, and from class discussions.
The exam represents 25% of your course grade. 8
Competency Demonstration Three
This competency is designed to engage you and your group members in community- based learning by exploring the application/operation of health and the health services system in your community.
Design your own innovative way to demonstrate your group’s community-based learning in an “Executive Briefing” format utilizing a computer “PowerPoint” presentation. The presentation must include an “analysis of data” substantiating your position. Prepare a summary and copies of your PowerPoint slides for your classmates on the night of your group presentation. Creativity, depth of information, data utilization, timeliness (35 minutes), and individual group member participation will be considered in evaluating the executive briefing.
This should be a positive experience for you and for your classmates.
All members of the group receive the Group Presentation grade.
Demonstration Two represents 40% of your grade.
Participation Credit
Participation in the learning community, represented by members of this class, is essential in order to obtain maximum benefit and learning from the course. Attendance is expected. If you come to class and have to leave, you will be given partial credit for the class. Please keep in mind that full participation is required. After a group presents its weekly articles, it does not excuse them to leave the class. If you need to leave the class before it is over, please let me know. If there is a legitimate reason to be absent from a class, you MUST contact me. Since we 9 all gain from each other’s wisdom and experience, you will receive 2 points for each class you attend and participate. A total of 10 points for the course are available based on attendance and participation. Participation and attendance represents 10% of your grade
Process Evaluation
For quality assurance purposes, process elements in the course will be evaluated using student oral feedback and a written assessment.
Due Dates for Assignments
Competency One As stated.
Competency Two (Exam) Thursday, September 24, 2009
Competency Two Executive Briefings will be made on October 6,
2009
Special Policies
1. Anyone with questions about the competency demonstrations or any aspects of the course is encouraged to contact the instructor before the product is due so that clarification can be made.
2. Regardless of the competency demonstration, the following criteria will be used for determining your grade:
a. Time: Is the demonstration handed in on the assigned date at the
beginning of class?
LATE WORK IS NOT ACCEPTABLE - you will be 10 down-graded one letter grade per day.
b. Specifications:
1. Do all of the written products conform to
instructions on length?
2. Is the paper typed and doubled spaced?
3. Are all citations in accord with APA American
Psychological Association 5th ed?
3. Academic Honesty: Graduate students are expected to demonstrate academic honesty in their conduct and writing. Violations of academic honesty are considered serious offenses and may result in failure in the course! Some basic premises of academic honesty include:
a. using correct citations for all paraphrases and quotes to avoid academic theft
(plagiarism). Plagiarism is a serious offense that will lead to failure on any academic work where it is found.
b. providing your fair share of input and effort for all group work that is required in a course. In the case where the project receives a group grade, you will share equally in the work by participating in all scheduled meetings, writing drafts, editing and completing the final product and any other tasks required for the completion of the project.
c. preparing for every class that you attend. This includes careful reading of assignments, being prepared to participate in discussions and completing any mini-assignments.
d. preparing separate work for each course. You cannot turn in the same paper for two courses. 11 4. Incomplete grades: The University has the following policy for a grade of incomplete:
An incomplete indicates the inability of a student to complete some vital requirement of a course due to circumstances beyond the student’s control. An “X” grade will be approved only when exceptional circumstances, clearly beyond the student's control, are substantiated (e.g. protracted illness, injury, or other acute personal emergency).
Unless a student has extenuating circumstances, failure to hand in all demonstrations of competency by Tuesday, October 6, 2009 will result in an automatic failure in the course.
Requests for an Incomplete (X) will be evaluated closely and where appropriate, will be assigned. A student will have until the date specified by the catalog to clear this grade. 12 In order to determine a grade in the course, the competencies are given a percentage for weighing purposes. These percentages are:
Competency One 25%
Competency Two (Exam) 25%
Competency Three (Executive Briefing) 40%
Participation 10%
Session Topics for HCAD 5301
NOTE: Reading assignments listed are for the session to follow. Readings are from Griffith &
White.
1 (8/25) Emergence of the Healthcare Organization (Chapter 1)
Relating Healthcare Organizations to Their Environment (Chapter 2)
Reading Assignment: Chapter 3
2 (8/27)) The Governing Board (Chapter 3)
Reading Assignment: Chapter 4
3 (9/01) Managing the Healthcare Organization (Chapter 4)
Reading Assignment: Chapter 5
4 (9/03) Clinical Performance (Chapter 5)
Reading Assignment: Chapter 6
5 (9/08) The Physician Organization (Chapter 6)
Reading Assignment: Chapter 7 13 6 (9/10) Nursing Organization (Chapter 7)
Reading Assignment: Chapter 10
7 (9/15) Information Services (Chapter 10)
Reading Assignment: Chapter 11
8 (9/17) Financial Management (Chapter 11)
Reading Assignment: Chapter 12
9 (9/22) Human Resources System (Chapter 12)
Reading Assignment: None
10 (9/24) Exam (all)
Reading Assignment: Chapter 14
11 (9/29) Planning and Internal Consulting (Chapter 14)
Reading Assignment: Chapter 15
12 (10/1) Marketing & Strategy (Chapter 15)
Complete Executive Briefings / Rehearse
13 (10/6) “EXECUTIVE BRIEFINGS”