Overview Of Undergraduate Curriculum Development

Undergraduate University Curriculum Committee Course Proposal Form for Courses Numbered 0001 – 4999 (Faculty Senate Resolution #09-44, November 2009)

Guidelines for submission may be accessed via the web at: www.ecu.edu/cs-acad/fsonline/cu/curriculum.cfm.

Note: Before completing this form, please carefully read the accompanying instructions. HSMA 4057 1. Course Prefix and Number:

2. Date: March 3, 2010

3. Requested Action (check only one box): X New Course Revision of Active Course Unbanking of a Banked Course Renumbering of Existing Course from: to

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):

X On-campus (face to face) X

Distance Course (face to face off campus)

X Online (delivery of 50% or more of the instruction is offered online) X

5. Justification for new course, revision, unbanking, or renumbering: Introduction to Long Term Care has been offered as HSMA 4083 Advanced Topics in Health Care Management and Service Delivery since the Spring 2005 semester. The Health Services and Information Management Department has partnered with the Department of Public Health of the Brody School of Medicine, College of Nursing, and Eastern (Area Health Education Center (AHEC) to increase the visibility of courses that pertain to the delivery of long term care. Due to the popularity of Long Term Care as a topic, the Department of Health Services and Information Management has decided to make the topic its own regularly-offered course. Faculty support the development of this course.

1 6. Course description exactly as it should appear in the next catalog:

4057. Introduction to Long Term Care (3) (S) P: HIMA 3120; HSMA 3035; or consent of instructor. Survey of the long term care. Historical development and future trends, organizational structure, regulatory and accrediting bodies, multicultural issues, and policy formulation.

7. If this is a course revision, briefly describe the requested change:

8. Page number from current PDF undergraduate catalog: 426

9. If writing intensive (WI) credit is requested, the Writing Across the Curriculum Committee must approve WI credit prior to consideration by the UCC.

Has this course been approved for WI credit (yes/no)? n/a

If Yes, will all sections be WI (yes/no)?

10. If service-learning (SL) credit is requested, the Service-Learning Advisory Committee must approve SL credit prior to consideration by the UCC.

Has this course been approved for SL credit (yes/no)? n/a

If Yes, will all sections be SL (yes/no)?

11. If foundations curriculum (FC) credit is requested, the Academic Standards Committee (ASC) must approve FC credit prior to consideration by the UCC.

If FC credit has been approved by the ASC, then check the appropriate box (check at most one): N/A

English (EN) Science (SC)

Humanities (HU) Social Science (SO)

Fine Arts (FA) Mathematics (MA) Health (HL) Exercise (EX) 12. Course Credit: 3 = 3.0 Lecture Hours Weekly or Per Term Credit Hours s.h.

Lab Weekly or Per Term = Credit Hours s.h.

Studio Weekly or Per Term = Credit Hours s.h.

2 Weekl Per = Practicum or Credit Hours s.h. y Term Weekl Per = Internship or Credit Hours s.h. y Term s.h. Other (e.g., independent study): Total Credit Hours 3 s.h.

13. Anticipated yearly student enrollment: 15

14. Affected Degrees or Academic Programs:

Degree(s)/Course(s) PDF Catalog Page Change in Degree Hours B.S. Health Services Management 165 None. This is an elective

15. Overlapping or Duplication with Affected Units or Programs: X Not Applicable

Applicable (Notification and/or Response from Units Attached)

16. Approval by the Council for Teacher Education (required for courses affecting teacher education programs): X Not Applicable Applicable (CTE has given their approval)

17. Instructional Format: please identify the appropriate instructional format(s): X Lecture X Technology-mediated Lab Seminar Studio Clinical Practicum Colloquium Internship Other (describe below): Student Teaching

18. Statements of Support: (Please attach a memorandum, signed by the unit administrator, which addresses the budgetary and staff impact of this proposal.)

X Current staff is adequate Additional staff is needed (describe needs below):

3 X Current facilities are adequate Additional facilities are needed (describe needs below):

X Initial library resources are adequate Initial resources are needed (give a brief explanation and estimate for cost of acquisition of required resources below):

X Unit computer resources are adequate Additional unit computer resources are needed (give a brief explanation and an estimate for the cost of acquisition below):

X ITCS Resources are not needed

Following ITCS resources are needed (put a check beside each need): Mainframe computer system Statistical services Network connections Computer lab for students

Describe any computer or networking requirements of this program that are not currently fully supported for existing programs (Includes use of classroom, laboratory, or other facilities that are not currently used in the capacity being requested).

Approval from the Director of ITCS attached

19. Syllabus – please insert course syllabus below. Do not submit course syllabus as a separate file. You must include (a) the name of the textbook chosen for the course, (b) the course objectives, (c) the course content outline, and (d) the course assignments and grading plan. Do not include instructor- or semester-specific information in the syllabus.

Department of Health Services and Information Management East Carolina University

Course Title: Introduction to Long Term Care

Course Number: HSMA 4057 (3 s.h.) 4 Course Description: This course is a survey of the long-term care segment of the health care industry. It is designed to introduce current information and major issues concerning the provision of institutional post-acute care in the United States.

Purpose: Survey of long term care including historical development and future trends, organizational structure, regulatory and accrediting bodies, multicultural issues, and policy formulation. Students will examine the objectives, services offered, and public policy issues of each institutional component of long-term care. The differences in the reimbursement issues of Medicare, Medicaid, and other third party payers involved with long-term care will be explored. The different types of ownership, governance, and management of long-term care facilities will be explained. An identification of the populations who can benefit from long-term care services will be covered. The physiological, psychological, social, and financial changes that are associated with care of senior citizens, the frail elderly, and the chronically ill will be explored.

This course is beneficial for those students contemplating clinical or managerial careers in skilled nursing facilities, nursing homes, and retirement communities.

Prerequisite(s) or Corequisite(s): HIMA 3120 Health Care Delivery Systems, HSMA 3035 Interpersonal and Team Communication in Health Care; or consent of the instructor.

Required Texts: Evashwick, Connie J. The Continuum of Long-Term Care, 3nd edition. Clifton Park, NY: Delmar Publishers/Thompson Learning, 2005. ISBN: 1-4018-9637-5.

Additional Resources: Allen, James E. Assisted Living Administration: The Knowledge Base, 2nd edition. New York, NY: Springer Publishing, 2004.

Griffin, Kathleen M., ed. Handbook of Subacute Health Care. Gaithersburg, MD: Aspen Publishers, 1995.

Health Care Financing Administration. State Operations Manual: ProviderCcertification. Springfield, VA: US Department of Commerce, National Technical Information Service, Transmittal No. 274, June 1995. Reproduced for Department of Health and Human Services.

Peden, Ann H. Comparative Health Information Management, 2nd edition. Clifton Park, NY: Thomson Delmar learning, 2005.

Schaie, K. Warner and Sherry L. Willis. Adult Development and Aging, 3rd ed. New York, NY: Harper Collins Publishers, 1991.

Singh, Douglas A. Effective Management of Long-Term Care Facilities. Sudbury, MA: Jones and Bartlett Publishers, 2005.

Methods of Instruction: Assigned readings; Case studies; Exercises; Self-instructional materials; Discussion

COURSE OBJECTIVES:

1. Describe the objectives, services offered, and public policy issues of each institutional component of long-term care.

2. Explain the differences in the reimbursement issues of Medicare, Medicaid, and other third party payers involved with long-term care.

3. Delineate the different types of ownership, governance, and management of long-term care facilities.

4. Identify populations who can benefit from long-term care services. 5 5. Analyze the physiological, psychological, social, and financial changes that are associated with care of senior citizens, the frail elderly, and the chronically ill. Become informed about how to care for this segment of our population.

Requirements of Students: 1. Participate in class activities 2. Complete all reading assignments and exercises 3. Complete all assessments

Methods of Evaluation: Two assessments (each worth 10%) 20% Two graded assignments (each worth 20%) 40% One graded provider profile worth 40% 40%

Assessments Assessment-A: Covers the course material up to and including the readings of (date).

Assessment-B: Covers the course material from the readings of up to and including (date).

Assignments There will be two graded assignments. 1. Medicaid Coverage of Long-Term Care Services. Review and prepare a report that explains the eligibility requirements, long-term care services covered, and application procedures for the State of North Carolina’s Medicaid program for long-term care services. Choose a second state’s Medicaid program and compare these aspects to North Carolina’s. The length of your report should be 5 to 7 pages exclusive of attachments. Reference all sources. 2. Medicare Coverage of Long-Term Care Services. Review and write a report that explains the eligibility requirements, serviced covered for Medicare skilled nursing facility services. The length of your report should be 5 to 7 pages exclusive of attachments. Reference all sources. Provider Profile Profile of a Long-Term Care Provider. Select a long-term care provider such as a nursing home, retirement center, or rehabilitation facility to study during the semester. Prepare a written report that addresses the following elements: 1. Mission and Values 2. Ownership and Corporate Structure 3. Types of Services Offered 4. Descriptions of Service Level Acuity 5. Service/Market Area 6. Number and Skill Levels of Employees 7. Reimbursement Sources 8. Federal, State, and Local Regulations Governing the Operation of the Facility 9. Major Challenges Faced by the Provider

The length of the profile is in the range of 10 to 15 pages of business writing reporting. Additional material can be submitted such as mission statements, excerpts from annual reports, financial statements, etc.

Grading A = 90-100 B = 80-89 C = 70-79 D = 60-69 F < 60

Course Content Readings

The Continuum of Long-Term Care Definition of the Continuum of Care Evashwick Chapter 1 Clients of the Continuum Evashwick Chapter 2 6 Informal Caregiving Evashwick Chapter 3 Overview of Long-Term Care Industry

Services of the Continuum Hospitals Evashwick Chapter 4 Nursing Homes Evashwick Chapter 5 Medicare Prospective Payment System (PPS) from Singh Chapter 4 [doc] and the Minimum Data Set (MDS) [6 pages]

Minimum Data Set (MDS) [23 pages] CMS [pdf]

Home Health Evashwick Chapter 6 The Importance of the Outcome and from HFMA, 54, NOV 2000 [doc] Assessment Information Set (OASIS) on Medicare Payments to Home Health Agencies [5 pages]

Outcome and Assessment Information Set (OASIS)  Start of Care Version (17 pages) OASIS-B1 soc-x [pdf]  Follow-Up Version (16 pages) OASIS-B1 fu-x [pdf]  Transfer to In-Patient Facility (4 pages) OASIS-B1 tfr-x [pdf]  Discharge Version (17 pages) OASIS-B1 dc-x [pdf]

Retirement Communities “CCRC Industry Growth Steady” Pallarito, Karen [pdf] Modern Healthcare, 25 (21) May 22, 1995, pp. 78-81.

“Alums Back on Campus: Baby Boomers are Halligan, Tom [pdf] Flocking to campus retirement communities and, in turn, pumping money back into the school.” University Business, 7 (12) December 2004, pp 46-50.

Assisted Living “The Assisted Living Industry: An Overview,” Allen, James E. [pdf] Assisted Living Administration: The Knowledge Base, 2nd edition, pp. 3-19. Housing Evashwick Chapter 9 Hospice Evashwick Chapter 7

Adult Day Services Evashwick Chapter 8 Wellness Evashwick Chapter 10 The Aging Network Evashwick Chapter 18

Integrating Mechanisms

Organization and Management Evashwick Chapter 11 Financing Evashwick Chapter 14 “Long-Term-Care Financial Strategies for the Elderly: Clapp, Alfred C. [pdf] Is the solution to spend down to qualify for Medicaid or to insure?” The CPA Journal, 63 (3) March 1993, pp. 20-27.

“Basic Reimbursement Categories and Pay Sources” Peden, Table 10-2 [pdf]

Long-Term Care Insurance A Shopper’s Guide to Long-Term Care Insurance, NAIC [pdf] Kansas City, MO: National Association of Insurance Commissioners, 2003, pp.3 to 33.

State of North Carolina State Health Plan Benefit LTC INSU Plan & Rates [pdf] Eligible Employees Long Term Care Insurance: 7 Plan Details and Rates. Prudential Financial [24 pages]

State of North Carolina State Health Plan Benefit LTC INSU Outline [pdf] Eligible Employees Long Term Care Insurance: Outline of Coverage. Prudential Financial [11 pages] Case Management Evashwick Chapter 12 “Nursing Home Costs and Quality of Care Outcomes,” Hicks et al [pdf] Nursing Economics, 22 (4) July-August 2004, pp.178-192.

Integrated Information Systems Evashwick Chapter 13

Continuums for Special Populations

Disability Evashwick Chapter 17 HIV/AIDS Evashwick Chapter 19

Mental Health and Mental Retardation Services Evashwick Chapter 20 The Department of Veterans Affairs Evashwick Chapter 21 Services for Children with Special Health Care Needs Evashwick Chapter 22

Profile of a Long-Term Care Provider:

Sub-Acute Care “The Subacute Care Industry,” Griffin, Kathleen [pdf] from Handbook of Subacute Health Care, pp.3 to 14.

“Federal and State Policy Initiatives McDowell, Theodore [pdf] and the Subacute Industry,” from Handbook of Subacute Health Care, pp.15 to 29.

Public Policy Evashwick Chapter 15 Ethical Considerations Evashwick Chapter 16