California State University, Long Beach s21

CALIFORNIA STATE UNIVERSITY, LONG BEACH Health Care Administration Program

HCA 320, Operations Management in Health Administration Sec 01 4064

SYLLABUS Spring 2015

Instructor: Courtney A. Atkins, MHA Class time and location: Tel (work): (714) 377-2907 Wednesday, 7:00 – 9:45 Tel (school): (562) 985-5694 Room: HHS1 room 101 Email (school): [email protected] Office hours: Tuesday 6:45 – 8 and Wednesday 6 – 7 Please call prior to coming to office hours to make sure I will be there. I am also available by appointment.

The best way to contact me is by email. Another way to contact me is by phone. I will be very happy to explain something to you either by phone, by email, or in person. I hold limited scheduled office hours, but I am flexible and accessible to you when you need me.

Course Description

Prerequisites: A grade of "C" or better in PSY 210 or SOC 250 or equivalent. Prerequisite/Corequisite: HCA 300. The application of the concepts and methods of operations management to health care organizational setting. Emphasis on planning and control in management process. Letter grade only (A-F). (Lecture)

The following table discusses key competencies you will gain through this class in compliance with our Undergraduate Program Accreditation. This is only a snapshot of the valuable knowledge and skills you will gain in this class. Domain Competency Activity/Assignment/Assessment Domain 1: Communication and Present results of data analysis homework assignments, lectures Relationship Management to decision makers with test questions, and oral presentation, as well as in-class ad hoc group assignments Domain 2: Leadership Promote and manage change chapter on project management as well as using data to make the case for change. Domain 5: Business Knowledge Champion systems thinking teach to ask the right questions to and Skills (e.g., breaking down silos; look at entire process, not just one integrating parts; big picture) aspect. Lecture, discussion, exam Domain 5: Business Knowledge Collect and analyze data from lecture, discussion, exam, and Skills internal and external sources homework, key point of almost the relevant to each situation entire class. Domain 5: Business Knowledge Conduct needs analysis, identify PDSA model and other PI models Domain Competency Activity/Assignment/Assessment and Skills and prioritize requirements discussed along with how to use analysis to promote change. Lecture, discussion Domain 5: Business Knowledge Define the problem or teach to look at whole problem and Skills opportunities (flow charts, large and small scale analysis, drilling down into data, lecture, discussion, homework, exam Domain 5: Business Knowledge Perform audits of systems and PDSA model and other PI models and Skills operations discussed along with how to use analysis to promote change. Lecture, discussion Domain 5: Business Knowledge Demonstrate critical thinking lecture, discussion, exam, and Skills and analysis homework, key point of almost the entire class. Domain 5: Business Knowledge Knowledge of National quality discussion and website review and Skills: G. Quality initiatives including patient during performance improvement Improvement safety chapter of class. Lecture, discussion, exam Domain 5: Business Knowledge Knowledge of Quality planning discussion, lecture, exam, review of and Skills: G. Quality and management websites Improvement

Required text and materials

McLaughlin, Daniel B. and Julie M. Hayes. Health Care Operations Management, Second Edition. Health Administration Press, Chicago, 2012.

Access to a computer with Microsoft Excel is recommended very highly.

Course Requirements and Grading Criteria

Students receive a letter grade for this course based on the percentage of total points earned. PLEASE NOTE THIS IS DIFFERENT THAN MOST CLASSES! 93% to 100% A 86% to 92% B 77% to 85% C 70% to 76% D 0% to 69% F

Policy on late assignments: Assignments turned in late (after the start of class) will be subject to a 2% penalty reduction per weekday unless adequate documentation of an extenuating circumstance can be provided.

Class assignments Points for class assignments will be as follows: Assignment Points Midterm Examination #1 100 points Midterm Examination #2 100 points Final Examination 150 points Term Paper 150 points Group Project 150 points Attendance 25 points Homework: Anatomy of Care 50 points Homework: Flowchart 50 points Homework: Lean Exercise 50 points Homework: Excel Solver 75 points Homework: Chapter 6 100 points

Attendance: All points for attendance will be evenly distributed among the 12 in-class sessions. One absence will be automatically forgiven. Extenuating/work-related circumstances will be considered.

Examinations: The midterm and final exams will consist of multiple choice, short answer questions, math problems, matching, and true/false. The tests will cover material presented from the required text and from the lectures.

Term Paper: Find 2 or more articles from peer reviewed journals about healthcare management. These articles should be about the same or similar topics. These articles should address an operational issue such as patient flow or materials management, not evaluating the difference between clinical care issues. Compare and contrast all aspects of the articles including methodology and analysis/discussion sections. Your paper should properly cite the articles and include the following:  Brief summary of the problems that each healthcare organization is trying to solve/improve  Who was involved in forming the solution  How were the methods or processes different  Did the improvement process produce the desired result  Would you use these processes in your organization if you were trying to solve the same problem The paper should be no more than 10 pages. Use common sense to determine font size, line spacing, and margins. Short, well-written papers will score more highly than long boring ones.

Group Project: Your group is requesting funds from your board of directors and/or CEO/administration for an expanded service or improvement project. Using data, a project schedule, and a convincing 10 minute presentation, answer the following questions.  What is the proposed change?  What is the purpose of the change?  What are the plans to accomplish the change?  What are the consequences associated with the change?

What I hope you will learn through this group project:  What data I need to prepare/present to my boss/board of directors, etc. in order to get a newer better project started and funded  How to organize the data and presentation in a meaningful way  How to make projections/predictions  How to improve something using data  How to work as a team  How to speak to an audience with confidence  How to allow everyone in your team to speak  How to dress up for an important presentation More extensive details regarding this project as well as topic options will be posted on the Beachboard

Homework is posted in detail on Beachboard and briefly listed below. Homework: Anatomy of Care 50 points The Anatomy of Care video will be shown in class and together we will go through the nurse’s scenario. At home, due the following week, you will go through one of the other character scenarios, explaining what decisions they should make. Write 1-2 paragraphs about what you learned from this assignment.

Homework: Flowchart 50 points Draw a flowchart, by hand or on the computer, using proper symbols and rules. Your flow chart should include 3 decision points.

Homework: Lean Exercise 50 points In class we will talk though a management decision first using traditional methods and then using lean methods. We will complete the analysis in class, but the following week you must turn in a written summary of what we did as well as 1-2 paragraphs about what you learned from this assignment.

Homework: Excel Solver 75 points Excel is a wonderful tool for making management decisions. In class in the computer lab we will go through a few scenarios together. Working independently, solve 1 more problem, I will check your work in lab. The following week write 1-2 paragraphs about what you learned from this assignment. Also tell at least 1 more example of where you can use this tool in health care management.

Homework: Chapter 6 100 points Healthcare management is full of decisions and these 2 problems will help us analyze how to make decisions using data. Schedule

Week 1 Review of Class & Welcome January 21 Chapter 1 Discuss term paper in depth Week 2 Chapter 2 & 3 January 28 DUE: Bring in 2 article possibilities for term paper Week 3 Chapter 4 & 5 February 4 Midterm Review Week 4 MIDTERM EXAM #1 covering Chapters 1-5 February 11 Week 5 Chapter 6 & 7 February 18 Week 6 DUE: Flowchart homework February 25 Chapter 8 & 9 Week 7 DUE: Lean exercise March 4 Chapter 10 Review Chapter 6 Set up group project Midterm review Week 8 MIDTERM EXAM #2 covering Chapters 1-10 (emphasis on March 11 6-10) Week 9 DUE: Chapter 6 homework March 18 Chapter 11 & 12 Week 10 Chapter 13 – 15 March 25 Week 11 SPRING BREAK – NO CLASS April 1 Week 12 DUE Term Paper April 8 Anatomy of Care Video and In-class exercise Week 13 DUE Anatomy of Care homework April 15 Computer Lab Day? Using data to make management decisions Week 14 DUE: Excel Solver April 22 External websites covering patient satisfaction, patient safety goals, patient safety survey, employee satisfaction, and much more  Prep time for Group project Week 15 Review of Entire Class: what have I learned and how will this April 29 help me get a job? Also Review for final and last time to prep for group presentations Week 16 Group Presentations May 6 May 13 FINAL EXAM 7:15 pm Important University Policies You Should Know Attendance policy On-time attendance at the first class is mandatory. Excused absences will be granted only if written evidence (e.g. a doctor's written notice, a letter for jury duty, or a copy of a funeral program) is provided in a timely manner. (University Attendance Policy, PS 01- 01, defines excused absences as 1) illness or injury to the student; 2) death, injury, or serious illness of an immediate family member or the like; 3) religious reasons (California Educational Code section 89320); 4) jury duty or government obligation; 5) University sanctioned or approved activities.) You are allowed to miss one lecture with no negative consequence to your attendance grade. Additional missed lectures will result in loss of attendance points. For the purposes of summer school a lecture is defined as half of a 4 hour class. It is your responsibility to obtain notes from a fellow student if you miss a class.

Student behavior during lectures I. Making noise or causing distractions during lectures will not be permitted. II. No eating during lectures. Drinks are OK. III. Beepers and cell phones must be turned off during lectures. IV. Laptops, IPhones, and iPads are not allowed during lectures.

Disabled students Students with disabilities who need reasonable modifications, special assistance, or accommodations should promptly direct their request to the instructor.

Withdrawal policy ( the policy below applies to a standard semester, please find out the appropriate dates for summer school ) 1. Withdrawal Between the 3rd and 12th Weeks of a Semester – Withdrawals during this period semester are permissible only for "serious and compelling reasons." a) The definition of "serious and compelling reasons" as applied by faculty and administrators becomes narrower as the semester progresses. b) Please be advised that doing poorly in a class does not constitute a serious or compelling reason. The "W" is not intended to be used as a mechanism to escape being awarded the grade that a student has been earning. Thus, the instructor and Department Chair will generally not authorize a withdrawal from this course unless the student seeking to withdraw (a) has been regularly attending classes; (b) has been performing at the level of a "C" or higher in the course; and (c) has a serious and compelling reason for seeking withdrawal. c) To withdrawal during this period you will need both the signature of the course instructor and the signature of the Department Chairperson. Please note that the Department Chair may apply more stringent criteria than your instructor for assessing whether your reasons for seeking to withdraw are "serious and compelling."

2. Withdrawal During the Final 3 Weeks of a Semester – Withdrawals after the 12th week of instruction are not granted absent the most serious and compelling of reasons, such as the documented death of an immediate (not extended) family member; a documented, serious medical condition that requires withdrawal from all courses; a call from reserve to active military service; etc. The procedures for withdrawal during this period are the same as in above, but also require the approval and signature of the Dean or Associate Dean of the College of Health and Human Services. Moreover, the Office of the Provost will review all such requests before they are formally approved.

Campus Behavior 1. “Civility Statement-Civility and mutual respect toward all members of the University community are intrinsic to the establishment of excellence in teaching and learning. The University espouses and practices zero tolerance for violence against any member of the University community. A threat of violence is an expression of intention that implies impending physical injury, abuse, or damage to an individual or his/her belongings. All allegations of such incidents will be aggressively investigated. Allegations that are sustained may result in disciplinary action up to and including dismissal from employment, expulsion from the University, and /or civil and criminal prosecution.” (CSULB Catalog, AY 2010-2011, p. 743). 2. Classroom Expectations—All students of the California State University system must adhere to the Student conduct code as stated in Section 41301 of the Title 5 of the California code of Regulations as well as all campus rules, regulations, codes and policies. Students as emerging professionals are expected to maintain courtesy, respect for difference, and respect for the rights of others. 3. Unprofessional and Disruptive Behavior-It is important to foster a climate of civility in the classroom where all are treated with dignity and respect. Therefore, students engaging in disruptive or disrespectful behavior in class will be counseled about this behavior. If the disruptive or disrespectful behavior continues, additional disciplinary actions may be taken.

Cheating and plagiarism 1. “Plagiarism is defined as the act of using the ideas or work of another person or persons as if they were one’s own, without giving credit to the source. Examples of plagiarism include, but are not limited to, the following; the submission of a work, either in part or in whole, completed by another; failure to give credit for ideas, statements, facts or conclusions [which] rightfully belong to another; in written work, failure to use quotation marks when quoting directly from another, or close and lengthy paraphrasing of another’s writing or programming.” 2. “Cheating is defined as the act of obtaining or attempting to obtain or aiding another to obtain academic credit for work by the use of any dishonest, deceptive or fraudulent means. Common examples of cheating during an examination would include, but not be limited to the following; copying, either in part or in wholes, from another test or examination; giving or receiving copies of an exam without the permission of the instructor; using or displaying notes; “cheat sheets,” or other information or devices inappropriate to the prescribed test conditions; allowing someone other than the officially enrolled student to represent the same.” 3. “Faculty choices for confirmed plagiarism include; 1. Review- no action; and/or 2. An oral reprimand with emphasis on counseling toward prevention of further occurrences; and/or 3. A requirement that the work be repeated; and/or 4. Assignment of a score of zero (0) for the specific demonstration of competence, resulting in the proportional reduction of final course grade; and /or 5. Assignment of a failing final grade; and/or 6. Referral to the office of Judicial Affairs for possible probation, suspension, or expulsion.”

Commitment to Inclusion California State University, Long Beach is committed to maintaining an inclusive learning community that values diversity and fosters mutual respect. All students have the right to participate fully in university programs and activities free from discrimination, harassment, sexual violence, and retaliation. Students who believe they have been subjected to discrimination, harassment, sexual violence, or retaliation on the basis of a protected status such as age, disability, gender, gender identity/expression, sexual orientation, race, color, ethnicity, religion, national origin, veteran/veteran status or any other status protected by law, should contact the Office of Equity and Diversity at (562) 985-8256, University Student Union (USU) Suite 301, http://www.csulb.edu/depts/oed .

Bibliography Please see my class on the Beachboard for class bibliography