HCM 360: The U.S. Healthcare System Fall 2016 Tuesdays And .
HCM 360: The U.S. Healthcare SystemFall 2016 Tuesdays and Thursdays 9:35am – 10:50amInstructorCarrie L. Acklin, Ph.D.Office: Rehn Hall, Room 325AE-mail: clacklin@siu.eduPhone: (618) 536-7704Office Hours: Tuesdays 11:00-12:00 and by appt.Course Date/Time/LocationTuesdays and Thursdays 9:35am – 10:50amApplied Sciences and Arts Building Room 118Credit Hours: 3PREREQUISITES TO: Restricted to SAH major, HCM majors/minors.This document can be available in alternative media.Requests for accommodations should be made with faculty at the beginning of the semester.Course MaterialsTextRequiredShi, L. & Singh, D. A. (2012). Delivering health care in America: A systems approach (6thed.). Burlington, MA: Jones & Bartlett.Course OverviewCourse DescriptionThis course is a study of the major components which comprise the U.S. health care system. Thiscourse will focus primarily on basic terminology, history, settings, personnel, utilization ofservice, and managerial epidemiology. Restricted to SAH major, HCM majors/minors.Course ObjectivesUpon completion of the course, the student will be able to: Identify the essential components of an effective health services delivery system. Compare and contrast the philosophical underpinnings of market justice and socialjustice approaches to health services delivery. Critically compare and contrast the U.S. health services system with those fromother countries. Outline the major legislative milestones in the evolution of the American HealthCare System. Describe major indicators of the health status of the US population. Identify and describe the major settings for the delivery of health services in the US.HCM 360 FALL 2016-1
Identify and describe the major providers of health services in the US.Discuss the influence of technology on the delivery of health services in the US.Discuss ethical considerations of information management in a health servicesdelivery system.Identify and describe the major funding mechanisms for health services in the US.Discuss current issues in access, cost and quality of health care.Discuss the role of government in the US health services.Explain how major components of the system are interrelated and impact the deliveryof health services in the US.Discuss the status of health care reform in the US.Perform a scientific literature search, read selected articles and critique them.Write a quality annotated bibliography using APA format.Develop/foster skills working as a group, with other members of the class.Course Deliverables (may vary based on instructor)Article Summaries, Group Presentation, Exams, QuizzesLearning Assessment Method(s)Pre and Post Test, Final Grade PercentageCourse Topical OutlineI. A Distinctive of Health Delivery SystemII. Key Clinical ActorsA. NursingB. Pharmacy or othersIII. Health Care EnvironmentA. Access TrendsIV. Financing Health ServicesA. MedicareB. MedicaidC. Managed CareD. Private Health InsuranceV. Medical TechnologyA. E-HealthB. InternetVI. . PharmaceuticalsA .Health EquipmentVII. .Public Health, Promotion & WellnessA. Physician ServicesB. Ambulatory ServicesVIII. Hospital & Health ServicesA. Nursing, Intensive Care & Emergency Services10%10%10%20%10%10%20%10%HCM 360 FALL 2016-2
Course Requirements and ExpectationsClass ParticipationClass discussion and participation are extremely important given the nature of this course. Sincethis class is dependent upon class participation, it is important that you attend every class. It isexpected, however, that all students will have read the material and will be prepared to discussthe material in class. Based on the readings, presentations and experiential activities, you areexpected to assume an active role in this course. From time to time you may be asked tofacilitate small group activities.AttendanceClass attendance will not be taken and students will not receive any credit for attending class.E-mailAll students should have an active SIU e-mail account no later than the first day of the course(Tuesday, August 23rd, 2016). I will only use your SIU email address to correspond by email. Itis also the responsibility of the student to check their SIU e-mail account at least three times aweek (Monday thru Sunday) and follow directions posted on D2L and e-mails sent by theinstructor. Please notify the instructor as soon as possible if you are not receiving emails.Grades and ExpectationsGrades will be assigned based on your performance on written assignments, oral presentations,and examinations. Please keep a copy of your class paper(s) on disk/thumb or in a cloud (e.g.Dropbox or Google Docs). Although this instructor has never lost a paper, this will protectagainst papers that are misplaced. It is important that you check your grade every week, whichwill ensure accuracy.Late AssignmentsUnless otherwise indicated, ALL assignments will be accepted only through the Desire to Learn(D2L) course website. There will be a specific drop box for each assignment. Please pay closeattention to which Dropbox your assignment is uploaded to. Credit will only be given forassignments that are in the correct drop box. If your assignment is uploaded to the incorrectdrop box, you will not receive credit for that assignment. All students are required to check D2Lto make sure your assignment is uploaded before the deadline date for that particular assignment.Please see the instructor before assignment due date for extension on possible late assignments.ALL assignments turned in late (i.e., after the deadline date and time) without priorapproval from the Instructor, will start with an 80% for that particular assignment. Morespecifically, unless otherwise indicated, assignments are late if not posted on D2L by 9:35am ofthe due date. No credit will be given for assignments turned in later than 24 hours of thedue date without prior approval from the professor. Please contact me via office phone (618536-7704), email address (clacklin@siu.edu or rhen@siu.edu), or before or after class for apossible extension on assignments expected to be late. Please do not wait until the last minute toupload or complete your assignments.HCM 360 FALL 2016-3
Cell PhonesCell phones and other electronic devices not used for note taking must be turned off and putaway during all examinations. Students who use their cellphones during these times will beasked to turn in their exam at that time and leave the class. No exceptions.Course Materials and Assignments: VITAL InformationCourse materials can be found under HCM360-001 on D2L (online.siu.edu). All assignmentswill be posted in the "Assignments" folder in the Content Browser. To submit your assignments,you must upload your document to the appropriate Dropbox. You can access the list of dropboxes on D2L by clicking on "Activities" (which is located on the maroon banner at the top ofthe class page) and then selecting "Assignments". Again, credit will only be given forassignments that are uploaded to the correct drop box. No credit will be given if yourassignment is uploaded to the incorrect Dropbox.All of your assignments MUST be uploaded as a Word document or a Rich text format (RTF).They MUST have one of the following file extensions: .doc, .docx, or .rtf and your name(s)needs to be within the document itself. No exceptions. This is to ensure that your assignmentscan be opened and graded.All assignments will be due on Thursdays by 9:35am. Please review the specific dates thatassignments are due under the "Class assignments and exams" section of this syllabus as well asthe "Schedule of topics and assignments" section. The Pre-Test, Exam I (midterm), Post-Test,and Exam II (final) will be taken in class.Course PoliciesAccommodation/Students with DisabilitiesIf you have a documented disability and need reasonable accommodations, please contact theinstructor during the first week of class (week of Monday August 22nd) so that I can ensurethat your needs are met in a timely manner. Students with disabilities must contact theUniversity’s Disability Support Services (DSS) at the beginning of the semester to inform themof the disability and obtain information about services that can facilitate learning. Please stop bytheir office in Woody Hall, or refer to the DSS website for further eating: Although I do not expect that this will be a problem, any student caught cheating canexpect, at minimum, serious penalties. Such penalties may include failure of the assignment and/orthe course. Further disciplinary action may result per university policy.Academic DishonestyYou are responsible for making yourself aware of understanding the policies and procedures inthe University Catalog that pertain to Academic Integrity. These policies include cheating,fabrication, falsification and forgery, multiple submission, plagiarism, complicity and computermisuse. If there is a reason to believe you have been involved in academic dishonesty, you willbe referred to the Office of Student Judicial Affairs. You will be given the opportunity to reviewthe charge(s). If you believe you are not responsible, you will have the opportunity for a hearing.HCM 360 FALL 2016-4
You should consult with us if you are uncertain about an issue of academic honesty prior to thesubmission of an assignment or test.If I have evidence of any form of academic dishonesty, I will charge the student with violatingthe Academic Honesty Policy of the University in a report to the Office of Student JudicialAffairs. A student who is found responsible for an act of academic dishonesty will receive afailing grade in the course. Cheating consists of, but is not limited to, looking at anotherstudent’s exam, using external aids (such as books, notes, conversation with others) when takingthe exam, or plagiarizing the work of another person and submitting it as your original work. Nocourse books or materials should be within the student’s view during exams.Emergency Class CancellationIn the event that classes are officially canceled (e.g., snow day, inland hurricane), the followingschedule changes will automatically be in effect: If the day canceled is a day on which an exam has been scheduled, then the exam will begiven on the first day that classes resume. For example, if an exam is scheduled onTuesday, and classes are canceled on Tuesday, the exam will be given on the followingThursday. If the Thursday classes are canceled as well, the exam will be given on theTuesday after that. If the lecture day that immediately precedes the exam is cancelled or if BOTH lecturedays are canceled, the exam will be given on the regularly scheduled day, or on the firstday that classes resume.Emergency ProceduresSouthern Illinois University Carbondale is committed to providing a safe and healthyenvironment for study and work. Because some health and safety circumstances are beyond ourcontrol, we ask that you become familiar with the SIUC Emergency Response Plan and BuildingEmergency Response Team (BERT) program. Emergency response information is available onposters in buildings on campus, available on the BERT'ʹs website at www.bert.siu.edu,Department of Public Safety's website www.dps.siu.edu (disaster drop down) and in theEmergency Response Guidelines pamphlet. Know how to respond to each type of emergency.Instructor will provide guidance and direction to students in the classroom in the event of anemergency affecting your location. It is important that you follow these instructions and staywith your instructor during an evacuation or sheltering emergency. The BuildingEmergency Response Team will provide assistance to your instructor in evacuating the buildingor sheltering within the facility.Other Relevant Information1. If you need help improving your writing skills, SIUC offers free tutoring services to allstudents. Contact the Writing Center at 618-453-6863 for more information.2. If you wish to drop this course for any reason, SIUC designates a final date by which you cando this. It is your responsibility to ensure that the drop process is officially completed. PleaseHCM 360 FALL 2016-5
visit the Registrar's page at http://registrar.siu.edu/ for important dates regarding dropping thecourse. The absolute last day that you can withdrawal from a class (which will result in a "W"grade) is Sunday, October 30, 2016.3. A grade of incomplete will be given only under the conditions specified in the UndergraduateCatalog. That is, a grade of incomplete (INC) can only be given if a student has completed morethan HALF of the semester and is PASSING the course. An incomplete exists to help thosestudents who would have passed the course had they been able to continue, but EXTREMEcircumstances exist such that the student cannot continue. To receive a grade for an INC, allcoursework must be completed no later than the last month of the next semester. For example, ifyou received an INC for this course for the fall, you would have no later than May to completethe coursework. If you do not make up the coursework, your INC will become an F.Class Assignments and ExamsHealthcare Systems Project (HSP): Total 30% of final gradeThe Healthcare Systems is a TWO Part project. The first part is the Healthcare SystemsPlan (HSPL) which is worth 10% of your grade. The second part is the Healthcare SystemsPresentation (HSPRE) which is 20% of your grade.Students are required to develop a healthcare systems project that is designed to increaseawareness regarding key issues that can have an impact on quality of care, patientsatisfaction, employee satisfaction, or service delivery. The instructor will leave time afterclass so that students can begin to form groups of no more than eight (5) people and begindiscussing common topics of interest. Students will designate one (1) group member to bethe facilitator. The facilitator is responsible for uploading a document to D2L(Activities Assignments Group Topics) that contains the group members’ names andwhat the group topic is. Groups must identify a topic for the HAPL no later than Thursday,September 8th, 2016 by 9:35AM. The course instructor will review these topics to makesure that they are appropriate and that no topics are duplicated. Groups and topics will befinalized on Tuesday, September 13th, 2016 by 9:35AM. Every person in the group willreceive the same grade for both the HSPL and HSPRE.Part 1: Healthcare Systems Plan ([HSPL] 20% of Final Grade)DUE: Thursday, September 29th by 9:35AMFor the HSPL Worksheet: Content Browser Assignments HSP HSPL WorksheetTo Submit the HSPL Worksheet: Activities Assignments HSPLWorking in the healthcare system involves working collaboratively with other team or groupmembers, so one skill this class will focus on is how to work effectively with team members.Most of the time in the workplace, we cannot select who is on our team Utilize the belowHSPL to help your group structure a plan for the development of your project. The HSPLmust be turned in no later than Thursday September 29th by 9:35AM. Only one HSPLHCM 360 FALL 2016-6
needs to be turned in per group. Please be sure someone in your group is designated tosubmitting the plan. Once finalized, the project plan will serve as a contract among teammembers. Teams and or individuals who do not complete their plan by the stated deadlinewill receive nothing higher than an 80% for the HSPL assignment.Planning a project is a crucial to ensure that the project stays on track and each team memberknows what his or her roles, responsibilities, and deadlines are. Below is a description ofwhat your group's DAPL must include:Healthcare Systems Plan (HSPL)Healthcare Systems TopicState the topic for your Healthcare Systems Project: A list oftopics is provided on page 9 of the syllabusProject ObjectivesList three (3) objectives that you and your group would like toachieve with your project.The following are examples of what objectives may include: Increase awareness of factors related to effective healthcare service delivery. Increase knowledge and awareness of healthcare legislation and the impact thatit has on patients. Compare factors that lead to patient satisfaction and factors that lead to patientdissatisfaction. Critically compare and contrast the U.S. healthcare system with other healthcaresystems around the world.FocusList at least three specific points you will address about your topic.These points can be how you will address the objectives of yourproject.Project CategoryWhat is your project? (e.g., book, poster, video, etc.)Project DescriptionProvide a description in one paragraph of what your project willlook like.OrganizationLook at the points you identified in the Focus section above.Describe how you, or your group, will organize these three (ormore) points so that they are clearly communicated in your project.Provide a plan of research to gather the necessary information thatyou will need for this project. This process should include yourplan for searching for resources (e.g., what databases will youuse?).Research and AnnotatedBibliographyProvide a list and a summary of no less than 5 additionalreferences that you will use to develop the project (in addition tothe course readings/supplemental material) to inform you and yourgroup about the topic.These references should be from peer reviewed/scholarly journalsand the citations should be listed in APA 6th editionHCM 360 FALL 2016-7
For tips on APA 6th edition formatting, go toContent Browser Templates and Guides APA GuideFor tips on writing an Annotated Bibliography, go toContent Browser Templates and Guides AnnotatedBibliography GuideHSPL Planning Template: Who will complete what goals of the HSPL and when will thesegoals be completed? Below is a template that you can use to organize the tasks of yourHSPL. Using this template, fill in the planning chart with your team members so that youcan identify tasks, responsibilities, and other due dates. You do NOT need to turn this in.The DAPL template is for you and your group to use to stay organized and on task.You can find this template on D2L by going toContent Browser Templates and Guides HSPL Planning TemplateTaskAgree upon HSPtopicAgree uponoutcomeResearch PlanIdentify anyadditional stepsneeded tocomplete theprojectassignments andassign rolesSchedule projectmeetingsEstablish TeamGuidelinesWhat needs to be done? Who isResponsible?If you did not agree upon a topic today,what additional information do you need tomake your decision? What process will youuse to select a topic?Entire TeamWhat type of HSP do you want to develop(video clip, presentation, poster, children’sbook, website, other?)Identify search terms and search engines touse to learn more about your topic.Note who will complete each search. How,when and where will this information beshared?Discuss additional tasks (organizingcontent, developing presentation) that willneed to be done to achieve the goals ofyour HSP and include these in your overallplan with assigned tasks and deadlines.Due DateAchieved Y/NWhat is yourdeadline formaking adecision?Identify and reserve times when all groupmembers would be free to meet outside ofclass to work on this project. Reserve keytimes to review and finalize project.and a time when all team members canmeet at least 3 times outside of the classsetting.Discuss Team guidelines forcommunication and workingcollaboratively together? Discuss yourexpectations from Team members.HCM 360 FALL 2016-8
Potential Topics for HSP:1. Essential components of an effective health services delivery system.2. Current issues and barriers associated with not accessing healthcare services.3. Comparing and contrasting the market justice and social justice approaches to healthservices delivery.4. U.S. healthcare legislation and the impact it has on the system.5. Major health indicators among the U.S. population.6. Major settings for the delivery of health services in the U.S.7. The influe
HCM 360 FALL 2016-1 HCM 360: The U.S. Healthcare System Fall 2016 Tuesdays and Thursdays 9:35am – 10:50am Instructor Carrie L. Acklin, Ph.D.
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