Rutgers, The State University of New Jersey The Bloustein School of Planning and Public Policy Department of Urban Studies and Community Health Undergraduate Program in Public Health 10:832:334 Principals of Health Administration Monday 6:10pm – 9:00pm Campbell Hall – A3 Stephen K. Jones, FACHE President and CEO Robert Wood Johnson University Hospital email: stephen.jones@rwjuh.edu 732.937.8900 Syllabus – Fall 2011 Douglas A. Campbell, BS, MM Administrator Jersey Shore University Medical Center email: dcampbell@meridianhealth.com 732-996-0925 I Course Definition: Application of administrative theory to health care delivery, policy, and planning. structures and functions of management. Application of principles of management in a the field of Healthcare. This course is a three credit, elective for Public Health students interested in expanding their frame of reference to include the administration, management, and leadership of organizations providing health services in a wide range of settings. II Required Textbook: Delivering Health Care in America Leiyu Shi & Douglas Singh Jones and Bartlett Publishers 2004 Fourth Edition A number of additional readings will be assigned including handouts in class discussing management practices and theories as well as supplementing the related health care chapters and topics. III Format of the course: The course will include lectures and substantial class participation. Lectures will follow the course syllabus, which may require adjustment during the course of the year. Any such changes will be communicated well in advance. Lectures will review assigned readings and highlight practical examples of healthcare administration and “real-life” tools and techniques of management. Guest speakers and possibly a class tour of a health care facility may be arranged and scheduled during the semester. Students will be encouraged to develop knowledge of current events in the Healthcare Administration. Students will be required each week to bring in a healthcare article from a current newspaper or journal with a one paragraph typed summary. The summary should comment on the relevant healthcare administrative issue, healthcare reform, public health implications and highlight the management principles involved. Each week specific topics or areas will be assigned to correspond to the readings and lectures. Oral presentations of the current event article will be given by several students each week. Each student will be required to do several oral presentations during the course. Students will be expected to learn the broad range of healthcare administration opportunities. Students will learn management principles applied in various health services organizations. Students will be expected to demonstrate knowledge of current events and future trends in healthcare administration. Handouts will be included into the content of test material. Exams: will include materials covered in the assigned text, materials discussed during class lectures and class discussions. The Exam format will vary and may include a combination of the following types of questions: true and false, multiple choice, complete the answer, essay and short essay. IV Grading: 25% Examination #1 25% Examination #2 25% Examination #3 15% Term paper on management application in Health Administration must include works cited upon submission of final paper. 10% Homework, will be required each class. Submission of the assignment is required at the beginning of class. E mail submissions will not be accepted. If submitted late, homework material will be deducted 50% of the grade assigned for each assignment. Additionally, no homework materials will be accepted later than 1 week of the class assignment. The above six grades will be averaged together for the determination of the final grade V Each student is expected to come to class fully prepared and actively participate in the class discussion. VI. Academic Misconduct (Academic Integrity Policy) The University’s Academic Integrity Policy can be found at: http://academicintegrity.rutgers.edu/ integrity.shtml. Please note that penalties for misconduct range from failing an assignment/ exam to dismissal from the university. VII. Absence from class, Missed exams. Students are expected to attend all classes; if you expect to miss one or two classes, please use the University absence reporting website https://sims.rutgers.edu/ssra/ to indicate the date and reason for your absence. An email is automatically sent to me. Please note: Arrangements for missed exams are to be made within 24 hours of the missed. Class extenuating circumstances will be considered. Course Schedule: week 1 9.8. 2011 - course overview, objectives, expectations, format, examinations -discussion of health services and the healthcare delivery system (HCDS) -discussion of health services administration, regulatory overview -discussion of management functions Assignment: read chapters 1 and 2, review and be prepared to discuss the topic of the current status of the HCDS. Assignment of TERM PAPER week 2 9.12.2011 - review and discuss assignment -review chapters 1 and 2 -review development of US hospitals and discuss their role in the HCDS -discuss hospital organization and management -review the Quad model and Systems Approach -discuss historical development of management concepts Assignment: read chapter 3 and 4, current event review - be prepared to discuss the topic of physicians and the organized medical staff Week 3 9.19.2011 - review and discuss assignment -review chapter 3 and chapter 4 -review historical developments that shaped the US HCDS -review the concepts of national health insurance and national healthcare -discuss the role of the Clinton health plan in the expansion of managed care -discuss the birth of voluntary health insurance -discuss the role of the organized medical staff in hospitals -review chapter 4 and the health professions and implications for management -discuss management of human resources Assignment: read chapter 5, current event review - be prepared to discuss the topic of healthcare technology week 4 9.26.2011 -review and discuss assignment -review chapter 5 information management & technology -discuss role and implications of other uses of technology in healthcare -discuss the role of government in the promotion of healthcare technology Assignment: prepare for examination #1, read chapter 8, current event review be prepared to discuss the topic of inpatient care. week 5 10.03.2011 -Examination #1 (Chapters 1-5, class handouts, class assignments, class discussions) -review and discuss assignment - review and discussion of chapter 8 - discuss management concepts and functions of “planning” and “controlling” -discuss the transformation of the Hospital in the US -key utilization measures and operational concepts Assignment: read chapter 6, current event review topic - be prepared to discuss the topic of healthcare financial systems and healthcare financial results, further review of healthcare strategic planning. week 6 10.10.2011 -further review of strategic planning by a healthcare leader - review handouts on strategic planning in healthcare - discuss strategic planning theories and techniques -review chapter 6 - discuss healthcare financial management -focus on historical and current reimbursement systems -discuss managerial accounting Assignment: read chapter 9, current event review - be prepared to discuss the topic of healthcare strategic planning week 7 10.17. 2011 -review and discuss current event assignment - review and discuss chapter 9 -discuss the beginning of the managed care era -discuss provider response strategies and implications for management -discuss consumer responses to managed care and implications for providers -discuss multi-provider healthcare systems, nationally and in New Jersey -discuss investor-owned and non-profit healthcare organizations -consider impact of these changes on public health and urban New Jersey Assignment: read chapter 7, current event review - be prepared to discuss the topic of outpatient care / services. week 8 10.24.2011 - TERM PAPER DUE -review and discuss class assignment - review and discuss chapter 7 -discuss outpatient and primary care and the management implications -consider ambulatory care, home healthcare, and neighborhood health centers -discuss management implications of public health strategies Assignment: current event review - be prepared to discuss the topic of medical malpractice. Also, be familiar with and prepared to discuss election topics relating to healthcare. week 9 10.31.2011 - review of current event, pending healthcare related issues - discussion on risk management in healthcare services -review concepts of negligence and liability -discuss current issues with medical malpractice and governmental actions - discuss impacts the legal system has on the health care delivery system Assignment: prepare for Examination #2, week 10 11.07.2011 -Examination #2 - Chapters 6-9, handouts, outlines, class assignments and discussions -impact of the recent elections -discussion on healthcare reform -Assignment: read chapter #14, review and be prepared to discuss the topic of health care reform. week 11 11.14.2011 - review and discuss class assignment - potential impact of the recent election results on the HCDS -discussion on health care reform on the impact on healthcare Assignment: read chapters 12 and 13, current event review - be prepared to discuss the topic of cost, quality and access week 12 11.21.2010 No Monday Classes – Wednesday Classes to be held. week 13 11.28.2011 - review chapters 12 and 13 -discuss outcomes measurement and management -review public health strategies for cost, quality and access. -discuss health policy development and implications for health administrators Assignment; review and be prepared to discuss the topic of reducing medical errors week 14 12.05.2011 -Involvement of patients, physicians and the gov’t in reducing medical errors, possible guest speak, -former intern presentation on career paths - impact the current events may have on healthcare reform week 15 12.12.2011- Current event review - review management functions, styles in the different healthcare sectors -discuss specific health administration issues, regulatory over-site -discussion of assuming personal responsibility for one’s own management self-development - Review for Final Exam - Assignment: prepare for Final Exam – all chapters that were reviewed in class, any handouts, class discussions. Final Exam 12. 19.2011 8:00pm – 11:00pm, (to be confirmed)