HSMP 6612 -Spring 2012 – University of Colorado, Anschutz Medical Campus terry.batliner@ucdenver.edu Office: 303 724 5467, Cell: 720 261 9453 Nighthorse Campbell Building, Room 225 Course Description: Participants in the course will learn the essential management skills necessary to perform well in the modern healthcare environment. It starts with an overview of typical structures of healthcare entities such as hospitals, group practices, HMOs. The role of governance versus management is presented. Then the important principles of organizational structure are discussed. Successful performance in healthcare organizations depends on the people involved. No responsibility is more important than attracting and retaining excellent people and developing an atmosphere of high expectations in which they can thrive. Recruitment, retention and management of various types of health care professionals and support staff will be explored. Technical quality is a vital element of any successful healthcare organization. Methods to assess quality, develop interventions to improve quality, monitor the results of changes and then maintain the gains are presented. Simple and clever statistical methodologies will be presented so that students will be able to identify problems, key into the essential elements causing the problems and propose ways to improve. Excellent quality of care is required to participate in the healthcare sector. Service excellence is required to excel in the healthcare sector. Methods to assess and manage the service provided to patients are presented. The cost versus benefit of providing excellent service is discussed and examples of problems and corrections are examined. Change usually involves costs. These could take the form of new technologies or additional staff. In either scenario, managers must be able to assess analytical products presented by various consultants and leaders to arrive at an appropriate decision. The course will provide an introduction to financial decision models and the models will be used in several exercises. Project management is a methodology used by healthcare organizations to produce improvements. Methodologies for effective project management will be discussed through examination of the case of Harvard Pilgrim Health Care. A final case based project will require students to bring the elements learned in the course together as they examine the current state of a hypothetical healthcare organization, identify the essential elements causing problems through the smoke of abundant data, propose ways to improve, describe the implementation process and present methods to assess the effect of implemented changes. 1 HSMP 6612 -Spring 2012 – University of Colorado, Anschutz Medical Campus terry.batliner@ucdenver.edu Office: 303 724 5467, Cell: 720 261 9453 Nighthorse Campbell Building, Room 225 Course Material: 1. Simple Solutions: How "Enterprise Project Management" Supported Harvard Pilgrim Health Care's Journey from Near Collapse to #1 by Lisa A. DiTullio 2. Selected topical readings to be assigned during the semester Course Learning Objectives: 1. Understand the responsibilities encompassed by governance and management 2. Understand the importance of organizational structure 3. Acquire and demonstrate the basic skills of personnel management 4. Understand and know when to use various technical quality management tools 5. Understand and know the value and shortcomings of various financial decision models 6. Acquire and use project management skills Competencies Addressed: At the completion of this course you will have exposure to and made progress in the development of the following competencies: • Analyze health policy issues, including health, fiscal/economic, administrative, legal, social, ethical and political implications. Recognize issues that transcend national boundaries and/or have global implications. • Demonstrate an understanding of the relationship of public health to the health care delivery system and the economic factors influencing components of the delivery system. These include organization, management, financing, and resources. • Apply the principles of program planning, development, budgeting, management and evaluation in organizational and community initiatives. • Apply quality and performance improvement concepts to address organizational performance issues. • Apply 'systems thinking' for resolving organizational problems. 2 HSMP 6612 -Spring 2012 – University of Colorado, Anschutz Medical Campus terry.batliner@ucdenver.edu Office: 303 724 5467, Cell: 720 261 9453 Nighthorse Campbell Building, Room 225 Course Structure and Grading: I. Class sessions: Lectures will be provided along with discussions of readings and exercises to assure skill development. II. Assignments and quizzes: There will be a graded assignment due or a quiz given each class 20% of final grade. Participation also contributes to grade and may override quiz scores. II. Project: A health care management case will be assigned in the last third of the semester. The analysis of the case will be presented to the class in an oral presentation. Students will work in groups and all students in the group get the same grade - 30% of final grade III. Exams: There will be two 1 hour exams during the semester - 50% of final grade Expectations: Attendance - Since the class meets only once per week and an assignment or quiz is given at every class it is expected that students will attend and participate during class. Preparation - students are expected to have read any assignments and to have completed outside work prior to class. Each class will involve a graded quiz or problem. Group assignments - The groups for the project management case will be assigned and will not typically be changed . In a workplace environment learning to work effectively with diverse groups of people is an important aspect of success. Presentations - Assigned presentations will involve the use of power point and should typically be 10 to 15 minutes in length with a similar amount of time set aside for questions. The presentations should be direct and efficient with the fewest words and slides possible used to present the material. Policies: Honesty - The Student Conduct Code will be strictly enforced. Civility - Professional behavior is expected at all times. The discussion of differing views is encouraged but these discussions must be conducted in a professional and respectful manner. Access and disability - Students with disabilities registered with the office of Disability Resources and Services will receive appropriate accommodation as prescribed by relevant university policies. 3 HSMP 6612 -Spring 2012 – University of Colorado, Anschutz Medical Campus terry.batliner@ucdenver.edu Office: 303 724 5467, Cell: 720 261 9453 Nighthorse Campbell Building, Room 225 Schedule: Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Week 11 Week 12 Week 13 Week 14 Week 15 January 23 – January 27 January 30 – February 3 February 6 – February 10 February 13 – February 17 February 20 – February 24 February 27 – March 2 March 5 – March 9 March 12 – March 16 March 19 – March 23 March 26 – March 30 April 2 – April 6 April 9 – April 13 April 16 – April 20 April 23 – April 27 April 30 – May 4 May 7 – May 11 May 14 – May 18 Management v. governance – structure and roles Management of people Personnel management exercise QA/QI history and theory QA/QI continued – tools and their application Management decision making – models and tools Harvard Pilgrim case discussion Mid Term Exam Spring Break Project management and case assignments Readings and case discussions – tools and skills Readings and case discussions – tools and skills Readings and case discussions – tools and skills Group case presentations Group case presentations Semester in review Final Exam 4