Syllabus HS 6550: Legal Aspects of Health Care Administration Spring 2010 Instructor: Textbook: Eugenia Stark Thomas, Esq. Pozgar, George D. Legal Aspects of Health Care Administration, 10th edition. Other required reading materials (articles, cases, etc.) will be provided by the instructor, usually by email. Optional reference text for paper: Publication Manual of the American Psychological Association, Sixth Edition. Schedule: Tuesday nights, 6:00-8:45 Course Description: This course will provide students with a basic working knowledge of the regulatory fabric governing the structure and operation of the health care industry. Specifically, this course will address special problems of hospitals with respect to governing boards and medical staff, the professional liability of physicians, medical personnel and hospitals, various bioethical issues, and governmental regulation of the health care industry. Prerequisite: Graduate Standing 3 Semester hours credit Teaching Method: Students are expected to read all assigned materials and to attend class prepared to discuss the assignment and concepts. Student participation in class discussions and group activities is expected and forms part of the student’s grade. Class format will be a combination of power point presentations, lectures, and facilitated discussions and analysis. Many assignments and supplemental readings will be sent by email; students are expected to check email regularly for additional reading assignments, any changes to the syllabus, and any updated class information. This course requires extensive reading. Guest Lecturers: Occasional guest lecturers may present a scheduled topic. Location: Classes will be held at Mississippi Baptist Health Systems, 1225 N. State Street in the Busey Auditorium on the lower level of the Hospital unless otherwise specified. Parking at Baptist is free of charge. Absences and Tardiness: According to the 2009-2010 Graduate Catalog, a student receives a grade of “F” in any course immediately upon accumulating four (4) absences for classes that meet once per week. Any exception to this rule, granted only in extraordinary circumstances, must be approved by the Dean’s Committee on Absences. For a lesser number of absences, the student should expect a lower grade in the course. Responsibility for missed work is that of the student. Please refer to the Attendance Regulations in the Graduate Catalog for more information on this subject. Academic Conduct: Honesty and personal integrity are essential to this class, to the Graduate program, and to Mississippi College. Neither plagiarism nor cheating of any kind will be tolerated and all instances of same will be reported immediately to the Dean. Consequences 1 for misconduct will be determined in consultation with the Dean. The Mississippi College student handbook and specifically Policy 2.19 provide for penalties associated with dishonest behavior. Violators can expect to receive the maximum penalties available. Drop Day: January 21, 2010, is the last day to drop a class with full refund. March 26, 2010, is the last day to officially drop a class. Students can drop classes to this date without a reason. However, after the official Drop Date, students can drop a course or withdraw from school and receive a “W” instead of an “F” only if these conditions exist: - Extenuating circumstances beyond his/her control. - Student must be passing the course. - Student has attended class regularly (does not have excessive absences) and has demonstrated general good faith toward completing the requirement of the course. Graduate Student Orientation: Graduate students should read the Graduate Orientation Manual in its entirety. This is an important part of the orientation for graduate students. Please get your hard copy from your department or from the Graduate Office in Nelson 202. You may also view the manual at www.mc.edu/publications/graduate/orientation. Grading: Grading will be based on student’s classroom participation, research paper, research project, mid-term and final exams. Informed classroom participation is expected, and students who do not attend class regularly, who are habitually tardy, who do not participate regularly in class, or who are not prepared for class should not expect to perform as well as those who do. The mid-term and final examinations will cover assigned readings, guest lecturers’ comments, classroom discussion and any handouts. Class participation Research Paper & Presentation Research Project & Presentation Mid-term Exam Final Exam TOTAL Grading Scale: A B+ B = 94-100 = 92-93 = 85-91 10% 25% 25% 20% 20% 100% C+ C D = 83-84 = 75-82 = 70-74 F = 0-69 No late work will be accepted, and no arrangements will be made for missed exams. Any exception to this policy will be in the sole discretion of the instructor. Research Paper: The research paper will address a current topic of interest in health care, as assigned by the instructor. The paper will be between 15-20 typed pages in length, citations not included, and a summary should be prepared and presented in class on the scheduled date. Grading for the research paper will be based on a combination of (a) written quality of the paper; (b) content of the paper/ quality of analysis; and (c) presentation of the paper. The paper format 2 and all citations therein shall conform to APA style and citation conventions as contained in the Publication Manual of the American Psychological Association, Sixth Edition. Students are advised to take advantage of the free writing laboratory at Mississippi College if they have any questions regarding the appropriate use of citations. More detailed information on the paper requirements will be forthcoming. Research Project: The research project will provide a focused, detailed examination of a healthcare topic assigned by the instructor. The project will require (a) selecting background reading materials for the class; (b) giving a class presentation on the topic (with powerpoint); and (c) preparing a detailed student study guide for the topic. More detailed information on the research project will be forthcoming. Exams: The midterm will cover all material up to the date of the midterm. The final exam will focus on the class material subsequent to the midterm; however, due to the subject matter of the course, concepts from the beginning of the class necessarily will be tested in the final exam. Each exam will be three hours in length and will be comprised of a combination of essay and multiple choice questions. Contact information: Ms. Thomas may be contacted by email at gstark@mbhs.org or by leaving a message (including your name, return phone number and reason for your call) at (601) 968-5141. Calls and emails will be returned, but please do not expect an immediate response. Disability accommodations: In order for a student to receive disability accommodations under Section 504 of the Americans with Disabilities Act, he or she must schedule an individual meeting with the Director of Student Counseling Services immediately upon recognition of his/her disability (if the disability is known he/she must come in before the semester begins or make an appointment immediately upon receipt of syllabi for the new semester). The student must bring written documentation from a medical physician and/or licensed clinician that verifies the disability. If the student has received prior accommodations, he/she must bring written documentation of those accommodations (e.g., Individualized Education Plan from the school system). Documentation must be current (within 3 years). The student must meet with SCS face-to-face and also attend two (2) additional follow-up meetings (one mid-semester before or after midterm examinations and the last one at the end of the semester). The student may also schedule additional meetings as needed for support through SCS throughout the semester. Note: Students must come in each semester to complete their Individualized Accommodation Plan. Student Counseling Services is located in Alumni Hall Room #4 or may be contacted via email at christia@mc.edu or rward@mc.edu or by telephone at 601-925-7790. 3 Class Schedule and Lecture Topics All background reading assignments are in the assigned textbook unless otherwise specified. For many classes, the student should expect to receive additional, non-textbook reading material. These materials will be distributed in the class immediately prior, by MC email, or by reference to a web link. Non-textbook reading materials are subject to change to accommodate current, relevant material and therefore are not listed on this syllabus. January 12, 2010 Introductions, review syllabus, expectations January 19, 2010 Basic legal concepts, Part I Introduction to the legal system and regulatory scheme Torts Assignment: Chapters 1, 2 and 3 January 26, 2010 Basic legal concepts, Part II Criminal law, contracts, and civil procedure Assignment: Chapters 4, 5 and 6 February 2, 2010 Organization and Management Issues: director, officer and institutional liability and duties Duties of care and loyalty Fiduciary duties Assignment: Chapter 7 and additional reading TBA February 9, 2010 Tax-Exempt Institutions and Issues State and federal tax exemption Community benefit Excess benefit transactions Assignment: TBA February 16, 2010 Medical Staff Issues Credentialing and medical staff bylaws Liability issues Assignment: Chapter 8, 18 February 23, 2010 Labor and Employment Issues Industry unionization Assignment: Chapter 19, 20 March 2, 2010 MIDTERM EXAM 4 March 9, 2010 Patient Care Issues: Informed Consent Consent and withholding consent End-of-life issues Assignment: Chapter 12, 15, 17 March 16, 2010 SPRING BREAK-NO CLASS March 23, 2010 RESEARCH PAPERS DUE/ CLASS PRESENTATIONS Admission and Discharge/Hospital Regulation Emergency care treatment and EMTALA CON and COP Assignment: TBA March 30, 2010 Liability of health care professionals Nurses and other HCP Mandatory reporting Assignment: Chapter 9, 10, 13 April 6, 2010 Medical Records and Patient Privacy State law, HIPAA and other privacy issues Assignment: Chapter 11 April 13, 2010 RESEARCH PROJECTS DUE/ CLASS PRESENTATIONS April 20, 2010 Reimbursement Overview Introduction to Medicare and Medicaid Insurance overview Assignment: TBA April 27, 2010 Fraud and Abuse Stark and anti-kickback statute False Claims Act Enforcement and Compliance Assignment: TBA May 4, 2010 FINAL EXAM 5