Syllabus HPA 101 Penn State Altoona Spring Semester 2006 Faculty Information Instructor David J. Duncan, PhD, FACHE E-mail Please use ANGEL for all email Course Information Credits 3 Course 101 Section 001 Location 138 Hawthorn, Penn State Altoona Meeting Times 7:00 PM to 9:30 PM, Tuesday Homepage http://www.aa.psu.edu/div/be/ Required Text Delivering Health Care in America, by Shi and Singh, Third Edition, Aspen Publications, Copyright 2004. Course Description Method of Instruction The method of instruction will be diversified and may include lectures, class discussion, class assignments, exams, guest speakers, films, projects, readings from the text, readings from other sources, and other activities that will help achieve the goal of the course. Student Responsibilities Each student will be responsible for attending class, participating in class, reading the textbook, completing all assignments, taking all exams, completing all outside readings, being motivated to learn, posing questions related to the class, approaching the instructor with class-related issues, completing a course evaluation [SRTE], and otherwise doing those things that are conducive to achieving the objectives of the course. Instructor Responsibilities The instructor will be responsible for setting course goals, establishing course content, determining the text and other readings, establishing the pace of the class, making assignments, giving examinations, encouraging participation in class, stimulating thinking, 1 grading all assignments, motivating students to learn, and other activities conducive to achieving the objectives of the course. The instructor will be available both before and after class for course related discussion. Class Activities There are five class activities in the course: 1. Homework 2. Attendance 3. Weekly Article 4. Presentation 5. Final Exam Each of these activities is managed entirely within ANGEL. Each activity will "become available" and then "go away" in ANGEL at a preset time during the semester. The five class activities are located in the "Lessons" tab of ANGEL. Directions for each class activity are available in the initial Lesson. All work required for each class activity is submitted by the student in ANGEL during the availability period. All assignments must be submitted on time, i.e. before the start of class the day before class. In order to maintain internal equity within the class, late assignments will not be permitted or accepted for any reason. Once the weekly Lesson goes away in ANGEL, it will not be reopened for any reason. Course Objectives The objective of HPA 101 is to provide a structured environment in which students can both achieve and demonstrate an understanding of the social, political, economic, historic, and scientific factors involved in the development, organization, and delivery of medical services in the United States. Class Schedule Class meets each Tuesday evening at 7 PM. Course Requirements Penn State University Policy 42-23 concerning credit distribution [as stated on pages 36-37 of Penn State's Policies and Rules for Students: 1996-97, http://www.ed.psu.edu/outreach/time.htm] stipulates that "a total of at least forty (40) hours of work planned and arranged by the University faculty is required to gain 1 credit." The following information clarifies this Penn State University expectation for the purposes of this course: 1. There are 120 total hours of work [40 hours X 3 credits = 120 hours of work per semester] for a three credit course. 2. These 120 hours divided by 15 classes [or weeks] in the semester equal 8 hours of work per week per three credit course. 3. These 8 hours of work are consumed by 2.5 hours of "inside" class work as stipulated below: 1. One 150 minute class (150/60=2.5 hours), or 2. Two 75 minute classes (75X2=150/60=2.5 hours), or 3. Three 50 minute classes (50X3=150/60=2.5 hours) per week. 4. Which leaves 5.5 hours of work "outside" class work per week. 2 Course Prerequisites There are no prerequisites for this course. Grading Policy Earning Points The following information provides the number of points each student can earn by each Class Activity [please refer to the Class Activity section within the Course Description section above]: 1. 2. 3. 4. 5. Homework: [total possible points: 30] Attendance: [total possible points: 15] Weekly Article: [total possible points: 15] Presentation: [total possible points: 15] Final Exam: [total possible points: 25] The total of all possible points that a student can earn for the entire semester is 100 points. ANGEL provides real time access to the number of points each student actually earns. Each student is encouraged to check the accuracy of earned points frequently during the semester. Any discrepancy should be brought to the attention of the instructor immediately. Letter Grade At the end of the semester, ANGEL provides the Instructor with a total of all points earned for each student. The instructor will populate a class "normal curve" with the individual "points earned" totals. The Instructor will then assign a letter grade to each student's points earned total according to the distribution revealed by the normal curve. This method of assigning the final letter grade takes into account the individual work of each student compared to the overall performance of the entire class. This "curving" method of assigning the Final Letter Grade is deemed to be both appropriate and fair to ensure internal classroom equity and external academic rigor. It should be noted that the assignment of a letter grade is entirely the responsibility of the Instructor. The Instructor takes the points earned by a student directly from ANGEL and, after using the curving technique described above, assigns a letter grade. The following information is an example of how the Letter Grade has been assigned in previous classes: 100=A 98-99=A95-97=B+ 91-94=B 86-90=B80-85=C+ 73-79=C 65-72=D 0-64=F In order to maintain internal equity within the class, late assignments will not be permitted or accepted for any reason. Once the weekly Lesson goes away in ANGEL, it will not be reopened for any reason. 3 Attendance Policy Each student is expected to attend each class. Academic Integrity Policy Academic integrity is the pursuit of scholarly activity in an open, honest and responsible manner. Academic integrity is a basic guiding principle for all academic activity at Penn State, and all members of the University community are expected to act in accordance with this principle. Consistent with this expectation, the University's Code of Conduct states that all students should act with personal integrity, respect others students' dignity, rights and property, and help create and maintain an environment in which all can succeed through the fruits of their efforts. Academic integrity includes a commitment not to engage in or tolerate acts of falsification, misrepresentation or deception. Such acts of dishonesty violate the fundamental ethical principles of the University community and compromise the worth of work completed by others. [49-20, Academic Integrity, The University Faculty Senate Policies for Students, http://www.psu.edu/advising/integrit.htm] Examination Policy The final exam will be composed of 25 True/False questions. The final exam will be administered within ANGEL during Final Exam Week. Additional information regarding the final exam will be provided in class. In order to maintain internal equity within the class, late assignments will not be permitted or accepted for any reason. Once the weekly Lesson goes away in ANGEL, it will not be reopened for any reason. Additional Information The following information is presented for those who wish to know what qualifies this instructor to teach this course: Resume of David J. Duncan, PhD, FACHE Work Experience 2004-Now 2004-Now 2002-Now 1999-Now 1996-Now 1996-Now Senior Vice President/CIO, Altoona Regional Health System Responsibilities: provide leadership and decision-making for all information technology services [IT, IS, PACS, CPOE, EMR, PDA, WiFi, Telephony, Outsourcing, etc] and Altoona Family Practice medical residency program, as well as facilitate the entire master facility planning process and the integration of all behavioral health services across the corporation. Managing Partner, Lexington Mall Partners, LLP Responsibilities: provide leadership and decision-making for the transformation of the Station Mall in Downtown Altoona into the Station Medical Center, an 18 million dollar business development project that includes physician investors. Secretary/Treasurer, Altoona Hospital Foundation for Life Responsibilities: participate in all Board meetings and carry out the legal responsibilities of the secretary and treasurer for the fund raising and fund allocation activities of this company. Secretary/Treasurer, Partnership for a Healthy Community Responsibilities: participate in all Board meetings and carry out the legal responsibilities of the secretary and treasurer while providing strategic direction for the grant money used for the medical clinic and dental clinic activities of this company. Secretary/Treasurer, Lexington Holdings, Inc. Responsibilities: participate in all Board meetings and carry out the legal responsibilities of the secretary and treasurer while providing leadership and decision-making for the subsidiaries that comprise this company. Secretary/Treasurer, Lexington Four, Inc. 4 1993-2003 1992-2004 1988-1992 1987-Now 1984-Now 1984-Now 1984-1988 1983-1984 1980-1983 1978-1980 1974-1978 1972-1974 1970-1972 1969-1970 1963-1969 Responsibilities: participate in all Board meetings and carry out the legal responsibilities of the secretary and treasurer for the numerous physician practices that comprise this company. Secretary/Treasurer, Lexington Three, Inc. Responsibilities: participated in all Board meetings and carry out the legal responsibilities of the secretary and treasurer for this company when it was providing skilled, intermediate, and personal care to discharged patients of Altoona Hospital. This company is no longer in business. Senior Vice-President, Operations, Altoona Hospital Responsibilities: provided leadership for departments of the hospital, e.g. Nursing, Radiology, OR, Emergency Room, Physical Medicine, Behavioral Health, Environment of Care, Human Resources, Altoona Family Physicians, as well as other areas; assisted with strategic planning and the development and implementation of cardiothoracic services and level two trauma services; acted as lead facilitator for the entire quality initiative, Continuous Process Improvement [CPI]. Vice-President, Corporate Services, Altoona Hospital Responsibilities: provided leadership for all planning [strategic and tactical], marketing, and corporate services as they developed for the newly formed Central Pennsylvania Health Services Corporation [CPHSC]. Secretary/Treasurer, Lexington Two, Inc. Responsibilities: participate in all Board meetings and carry out the legal responsibilities of the secretary and treasurer of this durable medical equipment company. Secretary/Treasurer, Lexington One, Inc. Responsibilities: participate in all Board meetings and carry out the legal responsibilities of the secretary and treasurer for this real estate holding company. Secretary/Treasurer, Central PA Ancillary Health Care, Inc. Responsibilities: participate in all Board meetings and carry out the legal responsibilities of the secretary and treasurer of this holding company. Vice-President, Planning and Marketing, Altoona Hospital Responsibilities: provided leadership for all hospital strategic planning, operational planning, marketing, and physician recruitment. Assistant Administrator, Planning, Altoona Hospital Responsibilities: provided leadership for the creation and implementation of a strategic planning process for Altoona Hospital while maintaining line authority for all functions of the Department of Human Resources as described below. Director of Human Resources, Altoona Hospital Responsibilities: provided leadership and decision-making for all aspects of human resources management: HR Planning, EEOC Compliance, Employee Recruitment and Retention, HR Development, Compensation and Benefits, Health/Safety/Security Compliance, and Labor/Management Relations for all 1500 employees of Altoona Hospital. Assistant Administrator, Geisinger Medical Center Responsibilities: provided leadership and decision-making for numerous departments while on the Administrative Team of Geisinger Medical Center. Research Assistant, Governmental Affairs, Penn State University Responsibilities: provided research and lobbying support for the Department of Governmental Affairs while pursuing a doctorate at Penn State University, including meetings in Old Main and trips to Harrisburg. Case Worker, Social Services, Altoona Hospital Responsibilities: carried out the duties of a geriatric, medical caseworker in the Department of Social Services at Altoona Hospital including all aspects of discharge planning and post hospital care. Medical Laboratory Technician, U S Army, BAMC, FSHT Responsibilities: performed autopsies as a 92B20 med lab tech, specifically brain removal, at Brooke Army Medical Center, Fort Sam Houston, Texas. Honorable Discharge, 635-20. Teaching Assistant, Duquesne University Responsibilities: assisted with classes in the Philosophy Department by giving lectures [primarily Logic], proctoring and correcting exams, and counseling students. Summer Jobs, City of Altoona, Altoona Hospital Responsibilities: worked as an apprentice slinger on a city garbage truck, laborer for the water Department; laundry worker, maintenance worker, dietary worker, and pharmacy worker at Altoona Hospital. Formal Education 1975-Now 1975-1979 1973-1975 1970-1971 1969-1970 Continuing Education, American College of Healthcare Executives [ACHE] Membership in ACHE requires continuing professional education provided by ACHE and other organizations. The status of Fellow requires earning additional educational credit units annually. Ph.D. Degree, Complex Systems, Health Policy Administration, Penn State Pursued a Plan of Study for the doctorate that emphasized the theory of general living systems as applied to complex organizations such as health services organizations, while receiving full Fellowship financial support from Penn State. MPA Degree, Health Services, Department of Public Administration, PSU Emphasis in the Masters program was on systems theory and its application to complex healthcare organizations, specifically in Blair County, PA. MLT Certification, Medical Lab Tech, U S Army, BAMC, FSHT, San Antonio After basic training at Fort Dix, NJ, medical lab tech training took place at Brooke Army Medical Center that led to MLT certification in the Army medical system. MA Studies, Existential Phenomenology, Duquesne University, Pittsburgh Duquesne University provided a full scholarship to pursue a Masters in Philosophy, specifically in the field of existential phenomenology. 5 1967-1969 1965-1967 1962-1965 BA Degree, Philosophy/Classics, Duquesne University, Pittsburgh, PA Received a Bachelor of Arts degree with a major in Philosophy and a minor in the Classics, Latin and Greek. AA Degree, Latin and Greek, St. Mary's University, Baltimore, MD Received an Associate of Arts degree after the first two years of a four-year academic program leading to a Bachelors degree in Philosophy and the Classics. High School Diploma, St. Charles College, Baltimore, MD Received a High School diploma from St. Charles College, with an emphasis on academics in preparation for continuation at St. Mary’s University. Professional Affiliations 1990-Now 1980-Now 1978-Now 1978-Now 1975-Now 1975-Now Institute of Noetic Sciences, Member Hospital Council of Western Pennsylvania, Member American Hospital Association, Member Hospital Association of Pennsylvania, Member American College of Healthcare Executives, Member Phi Kappa Phi Honor Society, Member for Life Community Affiliations 2000-Now 1996-2002 1994-2001 1993-Now 1992-2001 1990-2002 1990-1999 1989-1993 1989-1992 1985-2001 1985-1993 1984-2003 1983-2003 1983-1987 1983-1987 1981-Now 1980-Now 1980-2001 1980-Now Sister Cities Committee, City of Altoona, USA/City of St. Polten, Austria, Member Pennsylvania Economy League, Board Member, State Board Member Leadership Blair County, Steering Committee Member Peterson Society, Penn State University, Life Member Rails-To-Trails, Blair County Chapter, Member American Cancer Society, Member, Board Member Altoona Hospital Credit Union, Member, Board Member College of Health/Human Development, Alumni Board, PSU, Board Member Boy Scouts of America, Penn’s Woods Council, Sustaining Member Blair County Chronic Pain Association, Board Member Altoona Family YMCA, Athletic Member, Board Member Railroader's Memorial Museum, Life Member, Board Member Blair County Historical Society, Life Member, Board Member Altoona Area School District, Board Member Altoona Area Vo-Tech School, Board Member Rotary Club of Altoona, Member, Board Member Penn State Alumni Association, Life Member United Way of Blair County, Member, Committee Member Blair County Chamber of Commerce, Member, Board Member Servant Leadership 2002-Now 2002-2004 2001-2003 2000-2002 1999-2003 1998-2001 1998-2000 1995-2001 1993-1994 Chairperson, Sister Cities Committee, City of Altoona Altoona is affiliated with St. Polten, Austria and the Chair of the committee provides leadership for the entire program, including the activities of exchange visits of professionals and students. President, Blair County Chamber of Commerce The President of the Board provided leadership for all Board functions including committees and the strategic planning process, including strategic visioning and subsequent operational planning. Treasurer, Railroader's Memorial Museum Fulfilled the legal responsibilities of the Board Treasurer while guiding this not-for-profit museum back to fiscal solvency and renewed focus on values, vision, and mission. Transition Chairperson, Peterson Society, Penn State University As the Society was transitioning leadership, the Chair provided both strategic planning and leadership as was deemed appropriate for this group in support of the Alumni Board of the College of Health and Human Development. President, Blair County Historical Society The President of the Society presided at all meetings and generally took responsibility for all Society functions and affairs including a 1.4 million dollar restoration project. Chairperson, Leadership Blair County The Chairperson provided leadership for all activities of the Leadership Blair County program within the Chamber committee structure including a new curriculum and innovative class sessions. State Board Member, Pennsylvania Economy League Elected by fellow Board members of the Central PA Economy League to represent the local PEL organization at the State Board level of decision-making. Appointed Member, CEO Council, Penn State Altoona Appointed by the Dean of the Altoona College of Penn State to serve on the CEO Council and provide feedback to the College as it developed majors and maintained its relevance to the community. President, Rotary Club of Altoona 6 1990-2002 1990-1999 1989-1990 1983-1987 1983-1987 Served the Rotary Club as President with leadership and decision-making responsibilities for the 165 member Rotary Club of Altoona; implemented meeting best practices that are still used today; received Rotary International recognition for effective Club leadership. Chairperson, Daffodil Days, American Cancer Society Served as Chairperson with direct responsibility for the entire Daffodil Days campaign in Blair County. Raised more money than budgeted each year and beat last year’s total dollars raised each consecutive year. Vice President, Altoona Hospital Credit Union Elected Vice President by fellow members to serve the interest of the shareholders of the Credit Union. Implemented standard business practices and assured the viability of the Credit Union itself. Campaign Chair, Boy Scouts of America, Penn’s Woods Took direct responsibility for the annual fund raising campaign in the Penn’s Woods Council while raising more money than the budget called for and more than was raised in any previous year. Vice-Chair, Altoona Area School District Elected by fellow School Board members to be Vice Chair in first year of elected term on the School Board. Chairperson, Altoona Area Vo-Tech School Elected Chairperson by fellow Board members in first year of elected term on the Vo-Tech School Board. Distinctions/Honors 1999 1997 1996 1994 1993 1992 1991 1990 1988 1987 1975 1971 1970 1969 1967 Computer Success Story Recognition, Visio Smart Pages, Visio Corp. This recognition is provided to a professional who has demonstrated creative and cost-effective use of the Visio computer program, a computer graphics and charting program. Excellence in Teaching Award, Student Government Association, PSU This honor was given to the instructor at Penn State Altoona who demonstrated continued excellence in teaching as evidenced by student evaluation. Paul Harris Fellow, Rotary International This is the highest distinction that can be bestowed upon a Rotarian in recognition of commitment to “service above self” and the Rotary “four way test”. Committee Person of the Year Award, Blair County Chamber of Commerce The Chamber honors one person each year who has demonstrated excellence in committee work in pursuit of the mission of the Chamber. Senator, Faculty Senate, Penn State, Altoona Campus Elected by peers to represent them on the Faculty Senate at Penn State Altoona as it considered issues of importance to faculty. Fellow Status, American College of Healthcare Executives Fellow Status is the highest distinction bestowed upon members of ACHE after completion of required continuing education and a Fellowship Thesis. Touchstone Award, American Hospital Association This award was given for demonstrated high achievement in the area of marketing of hospital services. This specific Touchstone was in recognition of the Service Line campaigns carried out by Altoona Hospital. Achievement Award, Academy for Health Services Marketing This award was in recognition of several multimedia marketing campaigns carried out at Altoona Hospital in an effort to grow market share and secure top of mind awareness of hospital services. Touchstone Award, American Hospital Association This award was given for demonstrated high achievement in the area of marketing of hospital services. This specific Touchstone was in recognition of the Historical marketing campaign carried out by Altoona Hospital. Innovators Award, ACHE Congress on Administration This distinction was earned by submitting a creative project to the American College of Healthcare Executives that was subsequently selected to display to the general membership at the Annual Congress on Administration. Academic Fellowship, Penn State University. Penn State provided a full financial Fellowship to earn a PhD in complex living systems while working as a researcher and lobbyist in the Department of Governmental Affairs. Class Commander, Med Lab Tech School, US Army, BAMC, FSH, Selected to take command of the entire class in all Army activities during training as med lab techs at Brooke Army Medical Center, Fort Sam Houston. Outstanding Recruit, Basic Training, US Army, Fort Dix, NJ Received the distinction of being named by drill instructors as the most physically fit and most likely to take command after basic training. Academic Assistantship, Duquesne University Duquesne University provided a full academic Assistantship to earn a Masters degree in existential phenomenology in the Department of Philosophy. Team Captain, St. Mary’s University Selected to represent the University as all sport Team Captain and participate in inter-collegiate all-star competition in all sports. Presentations/Grants 2004 Authored and Received Grant 7 Authored and Received a Grant for $460,000 from the Commonwealth of PA for the planning and construction of a Health Walk at Station Medical Center in Altoona that connects to a full health circuit through downtown Altoona. Authored and Received Grant Authored and Received a Grant for $1.9 million over a four-year period from the Commonwealth of PA for Healthy Community services provided by Altoona Hospital. Authored and Received Grant Authored and Received a Grant for $1.4 million from the Commonwealth of PA for restoration of both the interior and exterior of Baker Mansion, the home of the Blair County Historical Society. Invited Presenter, Annual Symposium Selected to present a session on strategic planning at the Strategic Planning in Hospitals Conference, Annual Symposium for Health Care Marketing, Washington, DC Invited Panelist, VHA TV Broadcast Selected to be among five VHA marketing professionals to present examples of hospital marketing campaigns on a nationally broadcast, interactive presentation produced in Dallas, TX. Invited Presenter, Beijing, China Selected by the American Hospital Association to present a paper at the United States/China Conference on Managing Hospitals in the 90’s, Beijing, People’s Republic of China; including a three-week tour of South East Asia to observe medical services. Invited Presenter, Innovators Session Selected by the American College of Healthcare Executives to present a display of a creative strategic management system at the Innovators Session, Annual Congress on Administration, American College of Healthcare Executives, Chicago, IL 2000 1998 1989 1988 1987 1986 Teaching Experience 2003-Now 1998-2003 1980-Now 1976-Now Part-Time Facilitator, University of Phoenix, Online DHA 711 Administration of Complex Health Care Systems DHA 714 Health Care Marketing HCS 402 Introduction to Health Care in the United States Part-Time Instructor, Saint Francis University, Loretto, PA MBA 521 Perspectives of Healthcare Administration MBA 522 Healthcare Marketing MBA 523 Health Policy and Strategic Planning Part-Time Instructor, Penn State, Altoona, PA HPA 101 Introduction to Health Services in the United States HPA 332 Health Systems Management HPA 455 Strategic Planning and Marketing MGMT 100 Introduction to Management MGMT 220 Human Resources Management Part-Time Instructor, Penn State, University Park, PA BA 100 Introduction to Business Administration HPA 101 Introduction to Health Services in the United States HPA 332 Health Systems Management HPA 433 Administration of Hospital and Health Service Systems HPA 460 Human Resources Management in Health Services Organizations Publications/Research 2005 2005 2004 2003 2001 1998 1995 1994 1990 1989 1986 “Shake it up”, Opinion Letter, Modern Healthcare, Chicago, IL, June 20, 2005, page 22. “Practitioner Application”, Journal of Healthcare Management, American College Of Healthcare Executives, Volume 50, Number 1, January/February 2005. “Time Poverty”, Blair County Chamber of Commerce Magazine, an insert in The Altoona Mirror, April 13, 2004. “In Search of a Theme”, Blair County Chamber of Commerce Magazine, an insert in The Altoona Mirror, September 9, 2003. “One Page Strategic Planning”, Unpublished Research Manuscript, Central Pennsylvania Health Services Corporation, Altoona PA. “Systegics: Using Systems Thinking to Accomplish Strategic Management”, Unpublished Research Manuscript, Central Pennsylvania Health Services Corporation, Altoona, PA. “How to Plan Strategically”, Unpublished Article, Central Pennsylvania Health Services Corporation, Altoona, PA. “Perspectives”, column printed in STAT, a monthly news bulletin of the Hospital Council of Western Pennsylvania. “Strategic Management: A Systems Model”. Fellowship Thesis, American College of Healthcare Executives, Chicago, IL. “Strategic Management for Measurable Results”, Ninth Annual Symposium for Health Care Marketing, Academy for Health Services Marketing, American Marketing Association, Chicago, IL. “A Systems Perspective for Hospital-Based Health Promotion”, with Galen Cole, PhD, and Glenn Friedman, MD, Optimal Health, November/December, Madison, WI. 8 1980 “Behavioral Medicine”, Letter to the Editor, National Forum Magazine, The Phi Kappa Phi Journal, Honor society of Phi Kappa Phi, Baton Rouge, LA. “Geisinger Hospital/Clinic Contains Costs”, Hospital Topics, November/December, Sarasota, FL. “Evaluation Sequence of a Systematic Planning and Evaluation Model: A Heuristic Modality for Assessing Organizational Entities”. Doctoral Thesis, Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA. “A Management Science Approach to an Analysis of the Health Care Context of Blair County, Pennsylvania”. Masters Thesis, Department of Public Administration, The Pennsylvania State University, University Park, PA. “Women’s Libertim: Enlightened Feminism?”, Duquesne Magazine, Duquesne University, Pittsburgh, PA. 1979 1979 1975 1970 Personal Information My Family: My Interests: Spouse: Linda; Children: Michele, Michael, Nicole, and Ashley; Grandchildren: Anna, John Michael, Mason, and Andrew Personal fitness, Life-Long-Continuous-Learning, computers/technology, striking the speed bag, and riding a mountain bike on paved roads. My Research: General Living Systems Theory [GLST] specifically: entelechy, teleology, and equifinality; “End Of Life” [EOL] issues. Reference Information References available upon request Contact Information Home: David J. Duncan 3306 Baker Court Altoona, Pa 16602 Voice: (814) 942-2832 Cell: (814) 329-6000 Office: David J. Duncan, Ph.D., FACHE Senior Vice President/CIO Altoona Regional Health System 620 Howard Avenue Altoona, PA 16601-4899 Email: dduncan@altoonaregional.org Voice: (814) 946-2223 Fax: (814) 946-7808 In order to maintain internal equity within the class, late assignments will not be permitted or accepted for any reason. Once the weekly Lesson goes away in ANGEL, it will not be reopened for any reason. 9