UNIVERSITY OF WEST FLORIDA PENSACOLA, FLORIDA

SYLLABUS FOR HSA 4110-1026 & 5115-1029 HEALTH CARE POLICY AND ADMINISTRATION MONDAYS, 5:30-8:25 P.M., Bldg. 77, Rm. 0121

FALL 2012

1. PURPOSE: To provide the student with the ability to:

(1) Apply basic economic principles to health care policy issues and to the behavior of institutional and individual providers of health care services; (2) Understand the financing of health care in the United States; (3) Assess the impact of Federal and State non-health care policies on the provision of health care services; and, (4) Understand the factors that influence the delivery of health care services by various providers to meet the needs of the patient population.

II. COURSE REQUIREMENTS:

A. GRADUATE AND UNDERGRADUATES:

(1) Two Examinations, a Mid Term and a Final, each of which will constitute forty (40%) percent of the course grade for a total of eighty (80%) percent; (2) Class Attendance, Participation & Special Presentations which will constitute ten (10%) percent of the course grade. Note: Class Attendance records will be maintained. (3) Ethical Issue Class Debate will constitute ten (10%) percent of the course grade. (4) Advance Assignments must be studied prior to class. (5) Undergraduate Students must make one (Graduate Students - two), classroom presentations (five minutes maximum) on a topic related to healthcare policy or administration, including the latest “health care reform” legislation. Assignments for the presentations will be made at least one week prior to the date of the presentation on a voluntary basis. A one-page written summary of the presentation must be provided the instructor at the time the presentation is given. (More information on this portion of the class will be discussed at the first class meeting. Graduate students will be additionally required to prepare a research paper(minimum 10 pages not including the title page or bibliography, double spaced on a healthcare topic. (I will meet separately with the graduate students on this pass/fail assignment.)

III. TEXTBOOK: Health Care USA, Understanding Its Organization & Delivery, Seventh Edition, Harry A. Sultz & Kristina M. Young IV. EXAMINATIONS:

There will be two examinations consisting of a combination of 25 multiple choice, true/false, short response, and other format questions. The questions will be not only comprehensive but will require thought and synthesis. Questions may be of varied weight and students should allocate their examination response time in accordance to the weight of each question.

V. INSTRUCTOR: Dale O. Knee, MHSA PhD

Telephone: Office: 433-2155; FAX:433-7212; Direct E-Mail:[email protected] (8:00a.m. to 5:00p.m.) If I am not available, my Executive Assistant, Stephene Alft, will be glad to help. Home: 932-9533. (Ideally 7:00-9:00p.m. during the week and all day on Saturdays and Sundays). (NOTE: I carry a cell phone and can always be reached by calling the main office number for our after hours answering service - ask them to page me). Office:5041 N.12th Ave. across from Pensacola Airport.

VI. CLASS METHODOLOGY:

A. Each class will begin with the instructor entertaining any questions regarding material presented the previous week which is still not fully understood, and questions related to the reading assignments.

B. The next 20-30 minutes of each class will be reserved for student presentations and related discussions, the content of which will be used for bonus potential questions on examinations.

C. New material pertaining to the class topic will then be presented. This material will not necessarily be the same as the material covered in the reading assignment, but may be material that is either supplementary or complimentary to the reading assignments. Also, any current events that might pertain to the class subject matter will be discussed.

D. The last 30 minutes of each class will normally be reserved for general discussions including assessments of current topics/issues.

E. To supplement Textbook reading assignments, selected articles will be handed out from time to time for student study.

F. Student classroom presentations, text readings, and handout materials are subject to testing.

G. It is the instructor's goal that classes be very interactive and thus discussions, role playing exercises and other methodologies may be applied. VII. COURSE OUTLINE:

SESSION DATE SUBJECT ASSIGNMENTS

1. 27 AUG Orientation/Introductions/Review of Syllabus; Begin History of Healthcare

2. 03 SEP LABOR DAY – NO CLASS

3. 10 SEP Finalize History of Healthcare; Textbook Organization & Structure of HSOs Chaps. 1, 3, 4 & 7

4. 17 SEP Reimbursement Sources & Managed Care Chap. 8

5. 24 SEP HSO Strategic Planning, Marketing, Outreach, Decision & Policy-Making Chaps. 2 & 12

6. 01 OCT

7. 08 OCT

03 OCT 10 OCT

10. 29 OCT

11. 05 NOV

8. 15 OCT

9. 22 OCT

24 OCT

12. 12 NOV

Relationships & Decision-Making Within & Among 13. 19 NOV

14. 26 NOV

15. 03 DEC

16. 10 DEC Chap. 11 HSOs; Review for Mid-Term Exam

Mid-Term Examination

CQI/TQM & Risk Management In HSOs & Regulatory Agencies Chap. 12

Budgeting & Resources Allocations Chap. 6

Human Resources Management Chap. 7

Demand versus Need for Health Care Services; Access, Quality, Cost Containment. Technology’s Impact On Health Delivery Systems. Chaps. 5 & 9

VETERANS DAY – NO CLASS

NO CLASS – GROUP PROJECT FOR DEBATE PREPARATION

Ethical Considerations in Health Care Chap. 13

Class Debate on Assisted Suicide Review for Final Exam

FINAL EXAM ( 6 P.M. )

VIII. GRADING: Grades will be assigned consistent with University policies and procedures. The instructor is always receptive to discussions when a student feels an assigned grade does not accurately reflect the work product submitted.

IX. PARTIAL BIBLIOGRAPHY

TEXTS

Covey, Stephen R. The 7 Habits of Highly Effective People. Simon and Schuster. New York, New York 1990.

Fuchs, Victor R. Who Shall Live? Health, Economics, and Social Choice. Basic Books, Inc. New York, New York 1974

Ginzberg, Eli. The Medical Triangle: Physicians, Politicians and the Public. Harvard Press. Cambridge, Massachusetts,1990.

Gosfield, Alice G., Editor. 1992 Health Law Handbook. Clark Boardman Company, Limited. New York, New York 1992.

Greenberg, Warren. Competition, Regulation and Rationing in Health Care. Health Administration Press, Ann Arbor, Michigan 1991.

Jacobs, Phillip, PhD., The Economics of Health and Medical Care, 3d Ed. Aspen Publishers, Inc. Gaithersberg, Maryland 1991.

Meyer, Jack A, et. al., A National Health Plan in the U.S.: The Long Term Impact on Business and the Economy. Economic and Social Research Institute. Reston, Virginia,1991.

Smith, David G., Paying for Medicare, The Politics of Reform. Aldine DeGruyter. New York, New York,1992.

Snook, I. Donald, Jr. Hospitals: What They Are and How They work,2d Ed. Aspen Publishers, Inc. Gaithersburg, Maryland,1992.

PERIODICALS

Business and Health, "Solutions in Managed Care." Washington Business on Health. Washington, D.C., Monthly

Case Manager. Mosby Year Book, Inc. St. Louis, Missouri, 5 Times/Yr.

Federal Register. U.S. Government Printing Office. Washington, D.C. Weekdays.

Hospitals, "The Magazine for Health Care Executives." American Hospital Association. Chicago, Illinois, Weekly.

Journal of American Health Policy. Faulknew & Gray. Washington, D.C., Bi-Monthly.

Journal of the American Medical Association. American Medical Association, Weekly.

Modern Health Care, Weekly Business News." Crain Communications, Inc. Chicago, Illinois, Weekly.

New England Journal of Medicine. Massachusetts Medical Society. Boston, Massachusetts, Weekly.

Remington Report - The Business Intelligence Resource for Home Care and Alternate Site Industries. Lisa Remington Publishers, •Laguna Niguel, California, Monthly. X. PREREQUISITES

It is your responsibility to meet all course completion, credit hours, and GPA prerequisites for admission to the College of Business based on the program/degree requirements of the catalog under which you have entered UWF. Or, it is your responsibility to ensure you have meet any requirements of another College within UWF to take this course, if any are required. Otherwise, you may be subject to: (1)

Administrative removal from this course without being assigned a grade and (2) Loss of tuition and fees paid for the course. If you are not sure you meet these requirements, please discuss with your guidance counselor or appropriate official within the Dean's office.

XI. EXPECTATIONS FOR ACADEMIC CONDUCT/PLAGIARISM POLICY

I expect all student enrolled in this course to accept the responsibility of reading, understanding, and meeting all course requirements and policies as set forth in this syllabus and other accompanying documents. You are expected to inform me immediately of any personal circumstances that may require special consideration in meeting course requirements or adhering to course policies. I expect all students to abide by the University's Expectations for Academic Conduct" as published in the UWF Student Handbook. Failure to do so will result in disciplinary actions as specified in the Handbook.

As members of the University of West Florida, we commit ourselves to honesty. As we strive for excellence in performance, integrity (personal and institutional) is our most precious asset. Honesty in our academic work is vital, and we will not knowingly act in ways which erode that integrity. Accordingly, we pledge not to cheat, or to tolerate cheating, nor to plagiarize the work of others. We pledge to share community resources in ways that are responsible and that comply with established policies of fairness. Cooperations and competition are means to high achievement and are encouraged. Indeed, cooperations is expected unless our directive is to individual performance. We will compete constructively and professionally for the purpose of stimulating high performance standards. Finally, we accept adherence to this set of expectations for academic conduct as a condition of membership in the UWF academic community.

The complete current Student Code of Conduct can be accessed at: http://www.uwf.edu/judicialaffairs.

XII. SPECIAL ASSISTANCE

Students with special needs who require specific examination related or other course related accommodations should contact Barbara Fitzpatrick, Director of Disabled Student Services (DSS), [email protected], (850) 474-2387. DSS will provide the student with a letter for the instructor that will specify any recommended accommodations. GUIDANCE FOR GRADUATE STUDENTS' RESEARCH PAPERS

Research Papers are required to be a minimum of 10 double spaced pages, not including cover page but can include bibliography. There will be no grade assigned to these papers except that a PASS/FAIL will be awarded.

You should spend as much time as you need to fully develop the paper or analysis and be sure to document your sources; bibliographies and footnotes are required when used, but the format you use is flexible. Grammar, punctuation and spelling will be considered in the Pass/Fail assessment. Your paper must be related to Healthcare Administration or Policy and you must reach and defend a definitive position/opinion pertaining to the subject matter. Papers dealing with clinical areas will be accepted, but only if they also address the clinical subject matter in terms of administrative or policy considerations.

Papers will be due the week prior to Dead Week. I would like to pre-approve your topic. I would prefer you email me your topic with a very short description of that topic and do this within the first 5 weeks of classes commencing.

Don't hesitate to contact me if you have any questions. Thanks. XIII. GUIDANCE FOR CLASS PRESENTATIONS AND PARTICIPATION

I am firmly convinced this particular course's greatest potential value is in the interaction of the class. Thus, I assign a percentage grade value for your attendance and participation, including the quality of your formal classroom presentations. The area of healthcare is so vast and moving so quickly that it literally changes from day to day. Each presentation discussed should be accompanied with a one page written, preferably typed summary. The summary should include your name and the date of the presentations. These one page summaries will also be copied and handed out to all class members at the next meeting. Presentations may be used for testing purposes as well as bonus questions on the examinations, so the one page summaries are important for you and your classmates. We will normally do at least three presentations per class on a voluntary basis with students chosen for the previous week. Your presentations can come from any reliable source such as newspapers, magazines, internet, etc. Again, I reserve the right to pose test questions from any of the classroom article presentations, so be sure you obtain a copy of each of the presentations.

There are no special technology requirements beyond the baseline of e-mail and word processing required for this course.

I want you to feel free to express your opinions in this class and debate issues raised. In today's healthcare environment, there are not necessarily always "right answers" to the very difficult questions our nation is facing.

Finally, I want you to enjoy this class and offer your opinion from time to time as to how we can make the classes most productive and enjoyable. XIV. CLASS DEBATE PROJECT IN ETHICS

SUBJECT: PHYSICIAN ASSISTED SUICIDE: GOOD OR BAD HEALTHCARE POLICY? (NOTE THE SUBJECT IS NOT EUTHANASIA)

METHODOLOGY: THE CLASS WILL DIVIDE INTO TWO SECTIONS. ONE SECTION WILL TAKETHE POSITION THAT PHYSICIAN ASSISTED SUICIDE HAS MERIT AND IS GOOD HEALTHCARE POLICY; THE OTHER HALF OF THE CLASS WILL TAKE THE OPPOSITE POSITION.

EACH GROUP WILL HAVE 15 MINUTES TO MAKE AN UNINTERRUPTED PRESENTATION FOR THEIR CASE.

FOLLOWING THE TWO, 15 MINUTE PRESENTATIONS, EACH GROUP WILL HAVE 10 MINUTES TO QUESTION THE OTHER GROUP AS TO THEIR POSITION AND THE OTHER GROUP IS EXPECTED TO BE PREPARED TO DEFEND THE POSITION.

FOLLOWING THE QUESTIONING PERIOD FOR BOTH GROUPS, THE INSTRUCTOR WILL ASK EACH GROUP ONE TO THREE CHALLENGING QUESTIONS.

AFTER THE QUESTIONING SESSION, EACH GROUP WILL HAVE MAXIMUM OF FIVE MINUTES TO MAKE A SUMMARY STATEMENT AND AGAIN DEFEND THEIR POSITION.

EACH GROUP SHOULD PICK A PANEL OF FIVE PERSONS TO BE THE PRIMARY PRESENTERS, WITH ONE OF THE FIVE THE SPOKESPERSON AND MONITOR OF THEIR GROUP. HOWEVER, EACH MEMBER OF EACH GROUP SHOULD BE PREPARED TO PARTICIPATE AND THE INSTRUCTOR WILL ASK QUESTIONS OF THE MEMBERS OF THE GROUP NOT ON THE PANEL.

THE INSTRUCTOR WILL DECIDE WHICH GROUP MAKES THE BEST PRESENTATION AND DEFENDS ITS POSITION. MEMBERS OF THE "WINNING GROUP" WILL RECEIVE TWO POINTS ADDED TO THEIR FINAL GRADE. ANY MEMBER OF THE GROUP, AS IDENTIFIED BY THE GROUP LEADER, WHO DOES NOT PARTICIPATE IN THE DEVELOPMENT OF THE PROJECT WILL RECEIVE A ONE POINT DEDUCTION FROM THEIR FINAL GRADE.

GROUPS: THE GROUPS WILL BE FORMED ON A VOLUNTEER BASIS GIVEN THE SENSITIVITY OF THIS ISSUE.

WRITTEN REPORT: EACH GROUP WILL, WITHIN TWO WEEKS FOLLOWING THE CLASS PRESENTATIONS, PROVIDE A WRITTEN, 2-PAGE SUMMARY OF THEIR ARGUMENTS AND POSITIONS TAKEN. ALL STUDENTS IN EACH OF THE TWO GROUPS WILL SIGN THE PAPER CONFIRMING THAT THEY PARTICIPATED IN THE DEVELOPMENT OF THE PRESENTATION AS AN ACTIVE MEMBER. ANY STUDENT NOT SO CERTIFYING WILL NOT RECEIVE CREDIT FOR THIS PORTION OF THE COURSE.