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California State=20 University, Chico

DEPARTMENT OF = HEALTH AND=20 COMMUNITY SERVICES

 

 

HCSV 431

Fall 2010

THE HEALTHCARE = DELIVERY=20 SYSTEM

 

SECTION 2: = Wednesday,=20 12:00 to 2:50

Butte 229

 

 

 

 

Richard A. Narad, = D.P.A.,=20 J.D.

Phone:  (530) 898-5309

Butte 627 =

FAX: (530) 898-5107

Email:=20 RNARAD@CSUCHICO.EDU

 

Office = Hours:  Tuesday=20 2-5, Wednesday 3-5, or by appointment

 

Scope=20 of Course:  This course will provide an overview of = the=20 healthcare delivery system in the United States as it responds to = the=20 range and extent of healthcare needs.  We will discuss: 1) = the major=20 components of the system and the roles and responsibilities of = system=20 participants, 2) the differences among health financing mechanisms = and=20 issues relating to healthcare cost containment, including market = failures=20 in healthcare, and 3) current issues in the healthcare delivery=20 system.

Learning=20 objectives:  This course helps to meet the following=20 objectives of the B.S., Health Science, Option in Health Services=20 Administration:

The graduate=20 in Health Services Administration will have knowledge, skills, and = beliefs=20 related to the health care delivery system and will identify = participants=20 in the system and describe their roles, responsibilities, and = trends and=20 issues related to them.

=B7       =20 Identify various system participants.

=B7       =20 Analyze a career within a specific type of health = services=20 organization or health subsystem.

=B7       =20 Describe some aspect of the healthcare delivery = system.

=B7       =20 Compare some aspect of the U.S. healthcare delivery = system=20 to that in another country..

The graduate=20 in Health Services Administration will have competent = communication=20 skills, including written and spoken communication, use of = electronic=20 media, and formal presentations/business reports

=B7       =20 Develop a variety of communication skills

=B7       =20 Search websites

The complete=20 objectives of the B.S. Health Science with an option in Health = Services=20 Administration are available at=20 = http://www.csuchico.edu/hcsv/hsa_obj.html

Reading=20 Materials:

Texts:

=B7       =20  Leiyu Shi & Douglas A. Singh.  = Delivering=20 Health Care in America:  A Systems Approach, 4th Ed. (Jones = and=20 Bartlett, 2008).

Health administration core = library:

=B7       =20 Vergil Slee, Debora Slee, & HJ Schmidt (eds.). = Slee's=20 Health Care Terms, 5th Edition (St. Paul, MN: Tringa Press, = 2008)=97earlier=20 editions are acceptable.

=B7       =20 Diana Hacker. A Pocket Style Manual, 5th ed. = (Boston:=20 Bedford Books of St. Martin=92s Press, 2008)=97earlier editions = are=20 acceptable.

Articles on WebCt Vista:

=B7       =20 Richard NARAD. "EMS System Design" Emergency Clinics = of=20 North America (1990)

=B7       =20 Dan Beckham. =93Integration versus = Independence=94  Health=20 and Hospitals Network Weekly

=B7       =20 Atul = Gawande.=20 =93The Cost Conundrum: What a Texas town can teach us about health = care=94 The=20 New Yorker (June 1, 2009 )

=B7       =20 Texas Medical Association. =93Border Health Caucus = Response to=20 The New Yorker Article The Cost Conundrum=94

Other (free subscription required)

=B7       =20 Kaiser Daily Health Policy Report

=B7       =20 California Healthline

Course=20 Format:  Classes will combine lectures, discussions, = and=20 guest speakers.

Grading:

Exams

Projects

Subtractions

Reading quizzes:  Up to five reading = quizzes will=20 be given during the semester.  Failure to pass the quiz will = result=20 in 25 points being deducted from your total grade, but no = additional=20 points will be added.

Other

Grades:

 

 

A           = ;=20 930 - 1000

C+       770 = =96=20 799

A-     =20      900 - 929

C         730 = =96=20 769

B+         =20 870 - 899

C-        = 700 =96=20 729

B           = ;=20 830 - 869

D+       660 = =96=20 699

B-          =20 800 - 829

D         600 = =96=20 659

Projects=20 and Activities:

=B7       =20 Healthcare personnel: Paper/presentation on a = category of=20 healthcare personnel.

=B7       =20 Hospital profile:  Paper describing and = analyzing a=20 hospital based on public records.

=B7       =20 Comparative systems: Paper/presentation comparing an = aspect=20 of the United States=92 healthcare delivery system with that of = another=20 country.

=B7       =20 Readings: Students are expected to have read the = assigned=20 readings by the date indicated on the course = schedule.

=B7       =20 Class participation: Attendance is expected. =20 Participation means more than being present in class.  = Students are=20 expected to actively participate in class activities and=20 discussions.

=B7       =20 Standard:  This syllabus includes descriptions = of each=20 of the written assignments.  General standards are described=20 below.  Students should ensure that papers include all of the = required items and meet these standards.

If you have = difficulty=20 writing, the Writing Center (898-5042, Student Services Building = 310) on=20 campus provides free tutoring and help with specific papers. USE = THEIR=20 SERVICES.

Confidentiality: =20 During this course, the instructor, guest speakers, or students = may share=20 information regarding specific organizations or individuals.  = Such=20 information should be treated as confidential and not discussed = outside of=20 the classroom.  If you are in doubt regarding the = confidentiality of=20 any information, consult the instructor.

Academic = honesty:=20 Students must ensure that appropriate credit is given for all=20 materials.  Ideas taken from other persons must be = properly=20 cited.  Any direct quote must be enclosed in quotation = marks=20 and must be cited.

            = All papers will be checked for plagiarism at "turnitin.com".  = Any=20 student who engages in academic dishonestly (e.g., plagiarism, = cheating,=20 etc.) will receive a failing grade in this course and Student = Judicial=20 Affairs will be notified.

Assignments=20 should be of the same quality that is expected of an employee in a = professional position in the healthcare field.  That means = that=20 grammar and spelling will be considered in grading = assignments.  It=20 means that due dates and project specifications are taken = seriously. =20 It means that attendance is expected.

Written=20 papers:  All papers turned in for this course must = comply=20 with the following:

=B7       =20 You must turn in a hardcopy (printed) version of = your term=20 paper (which I will grade and return to you).  You must also = submit=20 an electronic version to "turnitin.com" using the link available = on the=20 class WebCT Vista page.

=B7       =20 Use 81/2" x 11" paper, with one-inch margins on all=20 sides.

=B7       =20 Papers should be typed, with all text, = double-spaced.

=B7       =20 Do not use covers or cover pages.

=B7       =20 Use Courier or=20 Courier New 12 = font

=B7       =20 Do not exceed the maximum length for the = assignment.

=B7       =20 Papers should be free of typographical and spelling = errors=20 and should be grammatically correct

Papers not=20 meeting these standards may be returned for rewriting before they = are=20 graded.  Any rewrite will result in a reduction of one=20 grade.

 

 

On-line=20 resources:  This class requires the use of WebCT = Vista. =20 I will place class handouts on the site prior to each week's = class. =20 Other materials (including old exams) and relevant linkages can be = found=20 there.

 

 S&S =3D Shi & Singh

 

Week

Wednesday

Topic(s)

Assignments

1

8/25

Introduction

Health system overview

 

2

9/1

Resources

Development of the healthcare delivery = system

S&S 1 (except pp. 21-28), Ch. 3

=B7     =20 Paper signups

3

9/8

Acute care hospitals

S&S Ch. 8

4

9/15

Health personnel

Physicians

S&S pp. 119-137; Beckham

=B7     =20 Hospital profiles

5

9/22

Physicians (cont)

Physician practice settings

S&S Ch. 7

6

9/29

Nurses

Allied health professions

Non-MD independent practitioners

S&S pp. 137-151

=B7     =20 Personnel papers

=B7     =20 Presentations

7

10/6

Midterm

 

8

10/13

Healthcare subsystems:

=B7 =20 Long-term care

=B7 =20 Mental health

S&S Ch. 10, 11

 

9

10/20

Healthcare subsystems (cont):

=B7 =20 Emergency medical services

=B7 =20 Pharmaceuticals

S&S Ch. 5;  Narad

10

10/27

Utilization of health services

Gawande; Texas=20 Medical Association

=B7     =20 Comparative paper = subject

11

11/3

Health economics

Health insurance

 

12

11/10

Payers and managed care = organizations

S&S Ch. 6, 9

13

11/17

Healthcare issues and reform

S&S Ch. 2, 12, 13

14

12/1

Comparative health systems

S&S pp. 21-28, Ch. 14

=B7     =20 Comparative papers

=B7     =20 Presentations

15

12/8

Comparative health systems

Future of h/c delivery

=B7     =20 Presentations

 

16

12/14

FINAL EXAM (Time to be announced)

 

HEALTHCARE PERSONNEL=20 PAPER

Assignment: = Select a=20 category of health care personnel.  Sign up from a list provided in = class.=20

Content:  The=20 paper should include:

1.    General description = and=20 role

2.    Services provided

3.    Work setting(s)

4.  =20 Salaries

5.  =20 Career ladder

6.  =20 Training/education

7.    = Licensure/certification

Papers=20 will be a maximum of three pages (plus endnotes).  Your sources = should=20 include an interview with someone in this profession.

 

HOSPITAL PROFILE

Assignment: =20 Select a California hospital.  Sign up from a list provided in = class. =20 Using the data sources provided on WebCT Vista, create a profile of the=20 hospital

Content: 

1.     =20 Complete the hospital = profile=20 form (available on WebCT Vista).

2.     =20 Summarize the = data.

For each data point, show the source of the = information (list as =93A=94, =93B=94, etc.).

In=20 addition to the form, the summary should be one page.

COMPARATIVE HEALTH SYSTEMS PAPER

Assignment:. = Select an=20 area of interest from anywhere in the healthcare delivery system.  = Compare=20 it between the U.S. and one other country=92s health care system.  = You may=20 focus on a:

Subject/Outline: =20 A brief description of your subject is due earlier in the = semester.  This=20 should include

Content:  The=20 paper should include:

For=20 healthcare delivery subsystems:

1.    Overview of the other = country=92s=20 healthcare system;

2.    General description = and role of=20 the subsystem, including relation with other parts of the health system = (as=20 appropriate), types of organizations and personnel found in this sector = (as=20 appropriate), funding sources, and trends and issues;

3.    Comparisons and = contrast with=20 the equivalent subsystem in the U.S;

4.    Pros/cons of each = countries=92=20 approach;

5.    Lessons for the U.S. = and your=20 recommendations.

For health=20 policy issues:

1.    Overview of the other = country=92s=20 healthcare system;

2.    Summary of the issue, = including=20 current status, trends and issues, and potential policy options;

3.    Comparisons and = contrast with=20 the equivalent issue in the U.S;

4.    Pros/cons of each = countries=92=20 approach;

5.    Lessons for the U.S = and your=20 recommendations.

Do = not=20 take the whole paper to describe the systems/issues.  Instead, = at=20 least one-third of the paper should be used to analyze, including = your view=20 of the pros/cons of each countries=92 approach, lessons for the U.S., = and your=20 recommendations. 

Papers = will be a=20 maximum of three pages (plus endnotes).  

 

 

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