Instructor: Jon Gerson, MHS Phone: 904-476-7016 E-mail: jdgerson@siu.edu Course Description: HCM 360 US Health Care Systems Online Course Spring Semester, 2015 This course is a study of the major components which comprise the U.S. health care system. This course will focus primarily on basic terminology, history, settings, personnel, utilization of service, and managerial epidemiology. Restricted to SAH major, HCM majors/minors. Required Textbook: Shi, L. & Singh, D.A. (2012). Delivering Health Care in America: A Systems Approach.(Fifth Edition).Jones & Bartlett Publishers. ISBN# 978-128-4035452 Other Requirements: A computer which can effectively run Desire to Learn (D2L). Proficiency with the D2L system pertaining to quiz/assignment/and testing. Students are expected to check their D2L (and their email address that they have entered in D2L) daily during the duration of the course. The student s email address, as it appears in D2L, is the ONLY email the instructor will use for course correspondence. If students choose to use a different email address other than their assigned siu.edu email address, they do so at the risk of not receiving course information. No exceptions to due dates/times or failure to receive information will be made if the student is using an email address different than there assigned siu.edu email address References: Aaron, J.E. The Little, Brown compact handbook, (7th ed.). New York: Addison-Wesley. American Psychological Association. (2009). Publications manual of the American Psychological Association, (6th ed.). Washington, D.C.: Author. ***Corrections & supplements to the APA Manual, 6th edition can be found at: http://apastyle.apa.org/manual/supplement/index.aspx 1
Course Outcomes/Objectives: The student will be able to: 1. Identify the essential components of an effective health services delivery system. 2. Compare and contrast the philosophical underpinnings of market justice and social justice approaches to health services delivery. 3. Critically compare and contrast the U.S. health services system with those from other Countries. 4. Outline the major legislative milestones in the evolution of the American Health Care System. 5. Describe major indicators of the health status of the US population. 6. Identify and describe the major settings for the delivery of health services in the US. 7. Identify and describe the major providers of health services in the US. 8. Discuss the influence of technology on the delivery of health services in the US. 9. Discuss ethical considerations of information management in a health services delivery system. 10. Identify and describe the major funding mechanisms for health services in the US. 11. Discuss current issues in access, cost and quality of health care. 12. Discuss the role of government in the US health services. 13. Explain how major components of the system are interrelated and impact the delivery of health services in the US. 14. Discuss the status of health care reform in the US. 15. Perform a scientific literature search, read selected articles and critique them. 16. Write a quality annotated bibliography using APA format. 17. Develop/foster skills working as a group, with other members of the class TOPICAL OUTLINE: Percentages I. A Distinctive of Health Delivery System 5% II. Key Clinical Actors 10% a. Nursing b. Pharmacy or others III. Health Care Environment 5% a. Access Trends IV. Financing Health Services 25% a. Medicare b. Medicaid c. Managed Care d. Private Health Insurance V. Medical Technology 10% a. E-Health b. Internet VI. Pharmaceuticals 5% a. Health Equipment VII. Public Health, Promotion & Wellness 20% 2
Course Evaluation: Assignment Point Value Case Studies (4) 32 Quizzes (2) 12 Discussion Boards (4) 32 Course Checkpoint 4 Final Exam 25 Total Points 100 Grading Scale: 90 100 = A 80 89 = B 70 79 = C 60 69 = D 59 or less = F We will utilize Desire to Learn (D2L), which is a University web site where all materials may be obtained, to include this syllabus, power point, and exams (at specified times). D2L also provides us with discussion opportunities/forums, whereby we can communicate as a group, as needed, at specified times. Please note that you will have to obtain a network ID and a password, but once this is done accessing D2L is easy. You will need the following information to create a network ID: Your Student Identification Number Your SIU assigned PIN for SalukiNet (should have been mailed to you) Determine your preferred Network ID (suggestion: first letter of your first name and entire last name) Your default password for your Network ID: the last 4 digits of your Student Identification Number and the 4 digits of your assigned PIN (Example: Student ID ends with 4321. Pin is 9876. Password will be 43219876) If you have problems with D2L, please contact the help desk at 618-453-5155 between 8 and 4:30 CST. It is highly recommended that you establish a Network ID as soon as you can, and check your D2L account on a regular basis to ensure that you are up to date about what is taking place in class and to ensure that assignments are done and submitted on time. Pre-Test & Post-Test The pre-test will be available the first week of the course. Please check D2L for exact dates and times. The pre-test is to determine what you currently know. Students should avoid using their textbook and answer the questions based off current knowledge and experience. Your grade on this test will not count towards your final grade in the course. 3
The post-test will be available the last week of the course. Please check D2L for exact dates and times. The post-test, like the pretest, does not count towards your final grade. Students are able to use any course material. Discussion Boards For the discussion forums, students will be asked to reflect and analyze a case study or a discussion question. Students will post their response to the topic on the discussion board. Your initial post should be at least 2 paragraphs in length. Click on Start a New Thread and compose (or cut and paste) your response. When you have finished writing your answer, click on the Post button at the bottom of the page. There are questions at the end of each discussion board; these are questions to help you develop your response. Your response should NOT just be answering the questions. Your response should be in paragraph form with complete sentences. Students, who only answer the questions, will receive NO credit. Your reflection should include the following: Assessment of the case or the discussion question Thoughtfulness of what and how your write your post (based on course material) Any conclusions that might be considered. Your response and reply to other classmates must be posted no later than midnight CST on the due date. Late discussion responses and replies will receive NO credit. Do not wait until the last minute to post your answer. Posting early allows you to write well-thought-out answers and to be the first one to make important points. Posting early also ensures that you will not miss the deadline. Make sure you check your response for spelling and grammar. You may go back and edit your answer but not remove it. When you are ready to reply to an answer given by your classmates, go to the thread, open it, and click Reply to thread. Post your response and click on Post. The discussion board is not an informal chat room. Your answers and replies should be thoughtful, considerate, and use college-level language and grammar. Replying to the postings of your classmates In addition to writing your own reflection, for each discussion board, you will compose a response to at least two other classmate s reflection. In your replies to other students you can: Expand on or clarify a point made in the answer Offer an additional argument to support a position taken in an answer Suggest ways in which an idea could be more clearly expressed Identify passages where you think the writer misunderstood a concept or applied it incorrectly Disagree with a point or position made in an answer If you are disagreeing with the views of another student, please be constructive and respectful. You may criticize a position but not the author. State precisely the point you disagree with and offer reasons why you think their view is incorrect and support your position by citing the text or other sources. 4
Student Responsibilities The purpose of the discussion board assignments is for students to reflect thoughtfully and exchange ideas on the topics covered in this course. As a class, you will benefit from this assignment only as much as you put into it. Last minute posts that are inaccurate, sloppy, unorganized, and unclear will help no one. If you find that a post is unclear or inaccurate, it is your role to ask your classmate for further clarification or to point out the inaccuracy. If someone replies to your post with a question, you owe him/her the courtesy of a response. You are also responsible for posting your answer and replies on time. Grading of the discussion board assignments There are four discussion board assignments. Each discussion board assignment has a value of eight points. Case Studies An integral component of this class is to have the ability to research, analyze, and then draw conclusions from real life situations. A case study can begin a journey in our further understanding of the complexity of a situation. There will be four case studies throughout the course, please see the course schedule for due dates. Each case study will be specific enough to perform some research and provide a response to the question/concept being presented. Each case study should be approximately 3-4 pages in length (not including a title page and reference page). Please remember that you are permitted and encouraged to include what you think in this written work. If you have questions about this work, please feel free to contact me. Exams There will be one exam, during module 4 of this course. The exam will be made up of multiple choice, true/false and matching questions. Quizzes There will be two quizzes. More information and scheduled due dates can be found in D2L and on our course schedule. Online Course Checkpoint Each student is required to contact the instructor sometime during module 2 and module 3. Be prepared to share your progress, ask questions, and discuss the course. This checkpoint can be via email or telephone call. Your instructor wants to make sure that you are doing well and that there is time to resolve/answer questions and concerns before the course ends. Student Conduct Code: It is each student s responsibility to know and comply with the SIUC Student Conduct Code and any policies referenced therein. 5
Emergency Procedures: Southern Illinois University Carbondale is committed to providing a safe and healthy environment for study and work. Because some health and safety circumstances are beyond our control, we ask that you become familiar with the SIUC Emergency Response Plan and Building Response Team (BERT) program. Emergency response information is available on posters in buildings on campus, available on BERT s website at www.bert.siu.edu, Department of Safety s website at www.dps.siu.edu (disaster drop down) and in the Emergency Response Guideline pamphlet. Know how to respond to each type of emergency. Instructors will provide guidance and direction to students in the classroom in the event of an emergency affecting your location. It is important that you follow these instructions and stay with your instructor during an evacuation or sheltering emergency. The Building Emergency Response Team will provide assistance to your instructor in evacuating the building or sheltering within the facility. Academic Dishonesty: Students may be subject to disciplinary proceedings resulting in an academic penalty or disciplinary penalty for academic dishonesty. Academic dishonesty includes, but is not limited to, cheating on a test, plagiarism, or collusion. ADA Statement: As per 504 of the Vocational Rehabilitation Act of 1973 and the American Disabilities Act (ADA) of 1990, if accommodations are needed, please inform the instructor or program advisor as soon as possible. Your written case studies must follow the APA manuscript writing style. Below is the APA Format to use. Title/Cover Page Body - Introduction, Discussion, Conclusion, Bibliography/Reference Page (the textbook can be one of your references). Proper Citations throughout paper Double spaced line spacing Reasonable margins 12 point font size Objective/Criteria Need Improvement Meet Expectations Exceptional Spelling Excessive spelling errors present. Some infrequent spelling errors noted. Little to no spelling errors noted. Grammar Excessive grammar errors noted. Some infrequent grammar errors noted. Little to no grammar errors noted. Tone/Style Formatting Tone of the paper was inappropriate or unprofessional. Formatting did not meet assignment criteria. Tone was not very professional and could use refinement. Minor formatting error(s) noted. Appropriate professional tone. Formatting met all assignment criteria, 6
Objective/Criteria Need Improvement Meet Expectations Exceptional Questions Questions were not adequately answered, or the case information was not incorporated within the questions.. Some questions were answered and case information was somewhat incorporated within the questions. the questions. Citations and References No sources are cited or referenced. Sources are referenced, but are not cited properly, or citations are lacking references. Adequately answered all questions; identified and incorporated all case information within Sources are cited adequately and appropriately. 7
Our course schedule has been organized into 4 modules. My expectation is that all work will be completed and received prior to the due date. Work received past the due date will probably not be accepted. Please note that this schedule might change as needed. Further details about each of the assignments below can be found in D2L. Please let me know if you have any questions Module Textbook Chapters Activities - assignments One 1/24 Monday, 2/2 Two 2/2 Friday, 2/13 Three 2/13 Friday, 2/27 Four 2/27 Monday, 3/9 Chapter 1 An Overview of US Health Care Delivery Chapter 2 Beliefs, Values, and Health Chapter 3 The Evolution of Health Services in the United States Chapter 4 Health Services Professionals Chapter 5 Medical Technology Chapter 6 Health Services Financing Chapter 7 Outpatient and Primary Care Services Chapter 8 Inpatient Facilities and Services Chapter 9 Managed Care and Integrated Organizations Chapter 10 Long-Term Care Chapter 11 Health Services for Special Populations Chapter 12 Cost, Access, and Quality Chapter 13 Health Policy Chapter 14 The Future of Health Services Delivery Exam will open on 3/2 and will close on 3/9, 10pm, CST Review the course syllabus, begin to plan the work. Begin the Discussion Boards, and Case Studies (the more you can do early, the less you will have to do later) Please complete the Student Introduction Discussion Board by Friday, 1/30, 10pm CST Please complete the PRE-TEST by Friday, 1/30, 10pm CST Case Study #1 by Monday, 2/2, 10pm CST Work due on 2/13, 10pm CST Case Study #2 Quiz #1 Please email me your quiz #1 and case study #2, jdgerson@siu.edu Discussion Board #1 in D2L Work due on 2/27, 10pm CST Quiz #2 Case Study #3 Please email me your quiz #2 and case study #3, jdgerson@siu.edu Discussion Board #2 and #3 in D2L Work due on 3/9, 10pm, CST Exam due by 3/9, 10pm Case Study #4 Please email me your case study #4, jdgerson@siu.edu Discussion Board #4 in D2L Please complete the Post test Please complete the ICE Survey 8
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