1 Columbia College Online Campus P a g e 1 MGMT 340 A Introduction to Healthcare Management Winter Session Monday, January 11 Saturday, March 5, 2016 Course Description Overview of the basic structure and operations of the U.S. healthcare system. Prerequisite: MGMT 330 Proctored Exams: None Textbooks Knickman, J. R., and Kovner, A.R. (2015). Jonas and Kovner s Health Care Delivery in the United States. 11 th ed New York, NY: Springer Publishing Co. ISBN Textbooks for the course may be ordered from MBS Direct. You can order online at (be sure to select Online Education rather than your home campus before selecting your class) by phone at For additional information about the bookstore, visit Course Overview This course is designed to give students an overview of U.S. health care management. We will study and compare the structure, operation, governance, and financing of U.S. health care systems and subsystems; examine key public health issues and policies affecting health care delivery; distinguish health care delivery stakeholders interests; and identify issues, trends and the impact of technology on U.S. health care. This course also surveys the recently enacted Affordable Care Act (ACA) and its anticipated implications on US health care. Technology Requirements Participation in this course will require the basic technology for all online classes at Columbia College: A computer with reliable Internet access, a web browser, Acrobat Reader, Microsoft Office or another word processor such as Open Office. You can find more details about standard technical requirements for our courses on our site. Course Objectives
2 Columbia College Online Campus P a g e 2 To understand the features, components and services of the U.S. healthcare system and how they interact with one another. To understand the constraints and opportunities of stakeholders in the healthcare system. To understand how the U.S. healthcare system is organized, managed and financed. To understand the characteristics and issues of healthcare delivery with respect to organizations, institutions, government and individuals. Measurable Learning Outcomes Grading Grading Scale Describe the structure and organization of health care in the United States. Explain how the healthcare delivery system affects cost, access and quality. Describe key problems and current issues in healthcare delivery. Describe the constraints and opportunities for change in the delivery of health care. Describe the role of financing and insurance in the U.S. healthcare system. Explain the impact of technology on the healthcare industry. Describe the roles of healthcare professionals and institutions. Describe the major legal and ethical issues facing the healthcare sector. Describe the role of government in the regulation and delivery of health care. GRADE POINTS PERCENT A B C D F Schedule of Due Dates WEEK ASSIGNMENT Grade Weights ASSIGNMENT POINTS PERCENT Discussions % Short Papers (2) % Research Paper % Quizzes % Total % POINT S DUE DATE 1 Discussion 1 20 Wednesday Discussion 2 20 Friday Quiz 1 40 Sunday 2 Discussion 3 20 Wednesday Discussion 4 20 Friday Paper 1 80 Sunday Quiz 2 40 Sunday 3 Discussion 5 20 Wednesday Discussion 6 20 Friday Quiz 3 40 Sunday 4 Discussion 7 20 Wednesday Discussion 8 20 Friday Paper 2 80 Sunday Quiz 4 40 Sunday 5 Discussion 9 20 Wednesday
3 Columbia College Online Campus P a g e 3 Discussion Friday Paper Topic Submission Quiz 5 40 Sunday 6 Discussion Wednesday Discussion Friday Quiz 6 40 Sunday 7 Discussion Wednesday Discussion Friday Research Paper 200 Sunday Quiz 7 40 Sunday 8 Discussion Wednesday Discussion Saturday Quiz 8 40 Saturday TOTAL 1000 Assignment Overview Discussion Assignments: There will be two graded discussions each week on topics addressed in the readings. The first discussion must be completed by Wednesday night; the second, by Friday night, and all other responses must be completed by Sunday night (except in Week 8, when all work is due by Saturday). Your initial response to each discussion question or prompt should be a full paragraph in length (8-10 sentences) and demonstrate your familiarity with and thoughtful analysis of the readings. In addition, you are expected to respond to at least 2 classmates in each discussion by Sunday. Responses should be substantive posts that advance the discussion. Reflect the strengths of their comments and/or challenge them when you disagree (politely, of course). Pose questions that will engage your classmates in further discussion. Papers: You will write two short papers and one longer research paper for the course. Paper 1 (Due Week 2): Interview a health care worker. Give a brief summary their background, education, job title, the nature of their facility, and the type of patients with they work. Your interview should include questions about their general perceptions of both the U.S. health care system and their facility. Ask them, for example, what concerns they have with our current system in general, and with their facility in particular. Document several suggestions that they offer to make the U.S. health care system better, and specifically, how they would effectuate these changes. Lastly, add your own analysis. Do you agree or disagree that the issues raised by the health care worker are important? Would the solutions the health care worker proposes be feasible or effective? In your analysis, indicate several health care issues that you believe are important, and how you propose we address those problems. Cite to at least three (3) authoritative sources, one of which may be our text. This paper should be a minimum of 750 words. Paper 2 (Due Week 4): Identify a current public health care issue raised in our text that affects you or someone you know. Public health care issues can be, for example, related to: clean air and water, vaccinations, communicable diseases, traffic safety, healthy food, gun use, birth control, birth defects, smoking, school lunches, and recreation opportunity, such as sufficient parks and bike paths. Define the public health issue you choose, and the public policy about this concern. Describe how this issue is addressed, whether federally, by states, locally, or by private groups, or by some combination of these. If this particular issue is relevant to only certain
4 Columbia College Online Campus P a g e 4 locations, or handled differently in different areas, explain this variance; and which, and how, various entities are responsible for and address (or don t) the problem; and the difficulties involved. Conclude with your analysis on the importance of the issue, and, propose how the issue might be better addressed. Cite to at least 3 authoritative sources, one of which may be our text, to support your analysis and recommendations. This paper should be a minimum of 750 words. Proposed paper topic (Due Week 5): Submit your paper proposal to me in the Dropbox, describing your topic in a minimum of 4-5 sentences. Research Paper (Due Week 7): Your research paper will address a current health care topic (approved by the instructor in Week 5) that relates to this class or an extension of subject matter addressed in this class. It will be graded on your demonstrated grasp of the basic subject matter, supporting and conflicting authority on the issue, your application of critical thinking and analysis, which is supported by existing research and logical thought. The paper should use APA or MLA format for citations and include primarily materials from credible sources, such as those found at the Columbia College Stafford Library. Some citing to newspapers and authoritative magazine articles is acceptable, particularly peer-reviewed articles; however, the bulk of your research must include current authoritative sources from recognized and respected authorities in the field of your chosen subject, and not from random websites with no scholarly credentials (Wikipedia, WebMD, magazines or ezines of a general nature are not considered respected authorities. If you have any questions about the acceptability of a source, please contact me.) A rubric is attached to this assignment under Assignments. The body (title page and citations not included) research paper should be at least 2000 words excluding any abstract, title or references pages. Refer to the research paper rubric for additional grading details. Quizzes: You will have a quiz each week to test your understanding of the readings for the course. Quizzes may include multiple-choice, fill in the blank questions or essay questions. Any essay question requires a minimum of 5 sentences in response. You will have 55 minutes to complete each quiz. Please note that all submissions for this class must contemporaneously written, and not have been previously submitted for this class, for any other class, or previously written for another purpose.
5 Columbia College Online Campus P a g e 5 Course Schedule Week 1 Health Policy Readings: Chapters. 1-3 Discussion 1 Discussion 2 Introduce yourself to me and to your classmates. Tell us something about your interest in the field of health care management.. What is your experience with, and knowledge of the US health care system? Also feel free to share information about your hobbies, family, educational goals, and favorite books so that we can get to know one another as the class begins. Respond to at least two classmates posts. Take an ungraded practice quiz on the ACA Discuss the shared responsibilities and general policy in health care. Where does the money come from, and how is it used? What is the relationship in our health care cost to our health care value? Quiz 1: Covers content in Chapters 1-3 Week 2 Comparative Health Systems and Population Health Readings: Chapters 4-5 Discussion 3 Discussion 4 Discuss the various health care system models and compare the systems in England, Canada, France and China to that in the US. Identify the primary components of, and compare, the Population Heath Model to the Medical Model, and discuss the social determinants on health behavior and health outcomes. Paper 1: Interview. Your interview paper is due by Sunday night this week. Quiz 2: Covers content in Chapters 4-5 Week 3 Public Health and Health Behaviors Readings: Chapters 6-7 Discussion 5 Discussion 6 What is public health, who s in charge of it, what is its role, its core functions and its future? What strategies would you implement as an employer to address your employees health behavior risk factors? During the past 20 years, what successful health interventions have we identified that increased patients adherence to prevention-oriented health behavior, and, increased providers use of clinical health interventions? Quiz 3: Covers content in Chapters 6-7
6 Columbia College Online Campus P a g e 6 Week 4 Access to Care Readings: Chapter 8 The ACA (pp. 344, also look up and read online); also: Kovener and Knickman ACA Supplement Discussion 7 Discussion 8 Who remain vulnerable populations in the delivery of health care, and how should their health care be organized, financed, delivered and improved upon? How does the Patient Protection and Affordable Care Act (PPACA) affect our health care system the needs, the access, the financing, the delivery, and the barriers (economic and non-) to the receipt of health care? Paper 2: Health Care Issue: Your paper on a current public health care issue is due by Sunday night this week. Quiz 4: Covers content in Chapter 8 and additional readings Week 5 Health Care Delivery Readings: Chapters 9-11 New Yorker Article re: McAllen TX (Link to this article on Content page) Discussion 9 Discussion 10 What does the McAllen example demonstrate about the delivery of health care motives, financing, HCO ownership, the practice of medicine and how different HCOs operate? How could these systems be improved upon? What are the critical issues today regarding the health workforce training, hiring, paying and building--and how are these be handled by HCOs and insurers? Quiz 5 Covers content in Chapters 9-11 Week 6 Health Care Cost and Effectiveness Readings: Chapters The Bitter Pill, Time Magazine (2013) Steven Brill (Link to this article on Content page) Discussion 11 Discussion 12 Why do we have such costly health care, and is this commensurate with the value received? What drives our health care costs and how can we control or reduce them while maintaining or increasing value? What are the advantages and the disadvantages of comparative effectiveness research (CER)? Should the US implement a CE effort? How is the US doing as far as major recent developments affecting quality care, and providing incentive for quality care? Quiz 6: Covers content in Chapters Course Evaluations: Please evaluate the course. You will be able to submit your course evaluation near the end of the session. A link will be sent to your CougarMail that will allow you to access the evaluation.
7 Columbia College Online Campus P a g e 7 Week 7 Health Care Governance, Management, Accountability and the Health Workforce Readings: Chapters Discussion 13 Discussion 14 How do HCOs operate how are they governed, what do boards do and what challenges do they face? What are the responsibilities of an HCO manager? What responsibility do HCOs have in promoting health? In providing quality, coordinated, and reasonably-priced health care? How can this be measured in relation to evidence-based management? Health Information Technology: what is it, what is the government s role (and why), what does HIT do for health care, how is it implemented, what are its challenges, and how will it work in the future? What s good about EHR, and what s not so good? Research Paper: Your research paper is due by Sunday night. Check the rubric for specifics. Quiz 7: Covers content in Chapters Week 8 Information Technology and the Future of Health Care Delivery Readings: Chapters Discussion 15 Discussion 16 What major trends affecting health care delivery will be important in the next 10 years, including the most significant aspects that will change? What are the most significant positive impacts of health care reform? What are likely to be the most serious problems? Was the ACA a good idea, or not? Can it be improved upon, and if so, how? How is the implementation of the ACA better than single-payer, and if not, why not? If single payer, similar to other OECD countries would be better, how could we get our country to go there, given the disagreements and reluctance to go as far as we have? Why are so many people opposed to health care for everyone what is possibly gained by the denial of health care to some? What should we do next? Does it make sense to deny people medical care? Should health care be a profit-driven business? Quiz 8: Covers content in Chapters Course Policies Proctor Policy Students taking courses that require proctored exams must submit their completed proctor request forms to their instructors by the end of the second week of the session. Proctors located at Columbia College campuses are automatically approved. The use of ProctorU services is also automatically approved. The instructor of each course will consider any other choice of proctor for approval or denial. Additional proctor choices the instructor will consider include: public librarians, high school or college instructors, high school or college counseling services, commanding officers, education service officers, and other proctoring services. Personal friends, family members, athletic coaches and direct supervisors are not acceptable [THIS COURSE DOES NOT REQUIRE PROCTORED EXAMS].
8 Columbia College Online Campus P a g e 8 Student Conduct Plagiarism All Columbia College students, whether enrolled in a land-based or online course, are responsible for behaving in a manner consistent with Columbia College's Student Conduct Code and Acceptable Use Policy. Students violating these policies will be referred to the office of Student Affairs and/or the office of Academic Affairs for possible disciplinary action. The Student Code of Conduct and the Computer Use Policy for students can be found in the Columbia College Student Handbook. The Handbook is available online; you can also obtain a copy by calling the Student Affairs office (Campus Life) at The teacher maintains the right to manage a positive learning environment, and all students must adhere to the conventions of online etiquette. Your grade will be based in large part on the originality of your ideas and your written presentation of these ideas. Presenting the words, ideas, or expression of another in any form as your own is plagiarism. Students who fail to properly give credit for information contained in their written work (papers, journals, exams, etc.) are violating the intellectual property rights of the original author. For proper citation of the original authors, you should reference the appropriate publication manual for your degree program or course (APA, MLA, etc.). Violations are taken seriously in higher education and may result in a failing grade on the assignment, a grade of "F" for the course, or dismissal from the College. Collaboration conducted between students without prior permission from the instructor is considered plagiarism and will be treated as such. Spouses and roommates taking the same course should be particularly careful. All required papers may be submitted for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers may be included in the Turnitin.com reference database for the purpose of detecting plagiarism. This service is subject to the Terms and Conditions of Use posted on the Turnitin.com site. Non-Discrimination There will be no discrimination on the basis of sex, race, color, national origin, sexual orientation, religion, ideology, political affiliation, veteran status, age, physical handicap, or marital status. Disability Services Students with documented disabilities who may need academic services for this course are required to register with the Coordinator for Disability Services at (573) Until the student has been cleared through the disability services office, accommodations do not have to be granted. If you are a student who has a documented disability, it is important for you to read the entire syllabus before enrolling in the course. The structure or the content of the course may make an accommodation not feasible. Online Participation You are expected to read the assigned texts and participate in the discussions and other course activities each week. Assignments should be posted by the due dates stated on the grading schedule in your syllabus. If an emergency arises that prevents you from participating in class, please let your instructor know as soon as possible. Attendance Policy Attendance for a week will be counted as having submitted a course assignment for which points have been earned during that week of the session or if the proctoring information has been submitted or the plagiarism quiz taken if there is no other assignment due that week. A class week is defined as the period of time between Monday and Sunday (except for Week 8, when the week and
9 Columbia College Online Campus P a g e 9 the course will end on Saturday at midnight). The course and system deadlines are all based on the Central Time Zone. Cougar All students are provided a CougarMail account when they enroll in classes at Columbia College. You are responsible for monitoring from that account for important messages from the College and from your instructor. You may forward your Cougar account to another account; however, the College cannot be held responsible for breaches in security or service interruptions with other providers. Students should use for private messages to the instructor and other students. The class discussions are for public messages so the class members can each see what others have to say about any given topic and respond. Late Assignment Policy An online class requires regular participation and a commitment to your instructor and your classmates to regularly engage in the reading, discussion and writing assignments. Although most of the online communication for this course is asynchronous, you must be able to commit to the schedule of work for the class for the next eight weeks. You must keep up with the schedule of reading and writing to successfully complete the class. Assignments are due on the dates specified. Points for any late submissions may be deducted each day that an assignment is late. I may not grade assignments submitted after more than one week after a deadline. Quizzes must be taken by the date assigned. In the case of an emergency, you must contact with me prior to the deadline. Emergent situations will be evaluated on a case-by-case basis. Course Evaluation You will have an opportunity to evaluate the course near the end of the session. A link will be sent to your CougarMail that will allow you to access the evaluation. Be assured that the evaluations are anonymous and that your instructor will not be able to see them until after final grades are submitted. Additional Resources Orientation for New Students This course is offered online, using course management software provided by Desire2Learn and Columbia College. The Student Manual provides details about taking an online course at Columbia College. You may also want to visit the course demonstration to view a sample course before this one opens. Technical Support If you have problems accessing the course or posting your assignments, contact your instructor, the Columbia College Helpdesk, or the D2L Helpdesk for assistance. Contact information is also available within the online course environment ex
10 Columbia College Online Campus P a g e 10 Online Tutoring Smarthinking is a free online tutoring service available to all Columbia College students. Smarthinking provides real-time online tutoring and homework help for Math, English, and Writing. Smarthinking also provides access to live tutorials in writing and math, as well as a full range of study resources, including writing manuals, sample problems, and study skills manuals. You can access the service from wherever you have a connection to the Internet. I encourage you to take advantage of this free service provided by the college. Access Smarthinking through CougarTrack under Students->Academics->Academic Resources.