UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
SUMMER 2011
COURSE NUMBER
NGR 7891
COURSE TITLE
Health Policy and Finance in Advanced Nursing Practice
CREDITS
3
PLACEMENT
DNP Program
PREREQUISITE
None
COREQUISITE
None
FACULTY
Holly Farish-Hunt, EdS, MS, ARNP
h.farish.hunt@ufl.edu
(352) 219-0850
Office hours: By appointment only
DEPARTMENT CHAIR
M. Josephine Snider, EdD, RN
snidemj@ufl.edu HPNP 4221
(352) 273-6359
Office hours: By appointment only
JACKSONVILLE
CAMPUS DIRECTOR
Andrea Gregg, DSN, RN
greggac@ufl.edu
(904) 244-5172
Office hours: By appointment only
COURSE DESCRIPTION This course provides knowledge and understanding needed to
participate in health policy development, analysis and implementation. The impact of
policies on the delivery of health care and nursing services will be explored. The
relationship of health policies to the financing of health care will be presented. Students
will be introduced to health economics with a focus on the elements of financial
management including the language and basic concepts of cost, the budgeting process
and systems of reimbursement. Global, national, state, and local systems of financing
health care will be compared.
1
COURSE OBJECTIVES
to:
Upon completion of this course, the student will be able
1.
Analyze the influence of health policy, social factors and other variables on
advanced nursing practice roles and methods of health care delivery.
2.
Analyze the effects of health policy on health promotion for selected aggregates.
3.
Critique health policy issues at the local, state, national, and international levels
that affect the health care system and the nursing profession.
4.
Construct a plan to enhance the role of advanced nursing practice in the
formulation, analysis and implementation of health care delivery policies.
5.
Examine methods of health care financing and how these affect advanced nursing
practice.
6.
Formulate strategies for active participation in financial activities within health
care settings and within other larger systems that influence the distribution of
fiscal resources.
COURSE SCHEDULE
Section
8076
Day
Time
On-line course
Room
E-Learning (Sakai) is the course management system that you will use for this course. ELearning is accessed by using your Gatorlink account name and password at
http://lss.at.ufl.edu. There are several tutorials and student help links on the eLearning
login site. If you have technical questions call the UF Computer Help Desk at 352-392HELP or send email to helpdesk@ufl.edu.
It is important that you regularly check your Gatorlink account email for College and
University wide information and the course eLearning site for announcements and
notifications.
Course websites are generally made available on the Friday before the first day of
classes.
ATTENDANCE
Students may be expected to attend on-campus or synchronous classes periodically.
Students are expected to participate in the activities and discussions as listed in the course
syllabus and on the course web-site. Timeframes for the posting and receiving of
materials are listed in the course materials on the course web-site. Make-up exams may
not be available in all courses.
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ACCOMMODATIONS DUE TO DISABILITY
Each semester, students are responsible for requesting a memorandum from the Disability
Resource Center to notify faculty of their requested individual accommodations. This
should be done at the start of the semester.
STUDENT HANDBOOK
Students are to refer to the College of Nursing Student Handbook for information
about College of Nursing policies, honor code, and professional behavior.
TOPICAL OUTLINE
1. Perspectives on health, health care and health policy
2. Comparison of the U.S. and International Health Care Delivery Systems
3. Health Policy:
A. Policy Making
B. Policy analysis
C. Power and Politics as they relate to Health Policy
4. Critical Health Policy Issues: Finance, Delivery Systems, Populations and the
Nursing Profession
5. Health Care Economics
6. Health Care Financing:
A. Language of Finance: Cost, Price, Revenue, Expenditures, and
Reimbursement
B. Methods of Finance and Reimbursement
7. Strategic Management and Budgeting: Form and Process
8. Impact of technology on organizations, policy, politics and health care
delivery
9. Nursing and Financial Management: Current Issues and Future Developments
TEACHING METHODS
Seminar discussion, critique of readings, audiovisuals, case studies and exposure to
experts.
LEARNING ACTIVITIES
Group discussions, projects and presentations, individual assignments , web-based
learning activities and research
EVALUATION METHODS/COURSE GRADE CALCULATION
This course includes small group participation, written assignments, web-based activities
and a team project. A grade penalty may be assigned for late assignments.
Written Assignments
Team Project
Wiki
Class Participation
=
=
=
=
30%
30%
30%
10%
100%
3
Class participation
Students are expected to participate in all course activities and learning experiences.
Students who have extraordinary circumstances preventing participation should explain
these circumstances to the course instructor prior to the scheduled online learning
activities as soon as possible. Instructors will make an effort to accommodate reasonable
requests. A grade penalty may be assigned for late assignments.
Students are responsible for checking weekly assignments – posted as “Monday Morning
Announcements” (MMA) – to review any changes or supplements to the weekly
schedule. Readings, podcasts, videos and learning activities are structured as ‘units’ with
specified dates for completion. The professor will monitor unit assignments and topic
postings frequently with feedback given as appropriate. Students should look for email
within eLearning routinely. To contact the professor, however, the student can email
directly to h.farish.hunt@ufl.edu or call the listed number.
GRADING SCALE/QUALITY POINTS
A
AB+
B
BC+
95-100 (4.0)
93-94 (3.67)
91- 92 (3.33)
84-90 (3.0)
82-83 (2.67)
80-81 (2.33)
C
CD+
D
DE
74-79*
(2.0)
72-73
(1.67)
70-71
(1.33)
64-69
(1.0)
62-63
(0.67)
61 or below (0.0)
* 74 is the minimal passing grade
REQUIRED TEXTS
Mason, D. J., Leavitt, J. K, & Chaffee, M. W. (2012). Policy and politics in nursing and
health care (6th ed.). St. Louis, MO: Saunders. ISBN: 978-1-4377-1416-6
Finkler, S. A., Kovner, C. T., & Jones, C. B. (2007). Financial management for nurse
managers and executives (3rd ed.). St. Louis, MO: Saunders. ISBN: 978-1-41603342-4
4
RECOMMENDED TEXTS
Shi, L., & Singh, D. A. (2008). Delivering health care in America: A systems approach
(4th ed.). Gaithersburg, MD: Jones & Bartlett.
Swayne, L.E., Ginter, P.M., & Duncan, J. (2009) Strategic management of health care
organizations (6th ed.). San Francisco: John Wiley & Sons.
Halvorson, G.C. (2009) Health care will not reform itself: a user's guide to refocusing
and reforming american health care (1st ed.) London: Taylor & Francis.
Costa-Ford, J. McGuire, A. and Courbage, C. (Eds.) (2009) The economics of new
health technologies: incentives, organization, and financing (1st ed.). Cary:
Oxford University Press.
5
WEEKLY CLASS SCHEDULE
DATE
TOPIC/EVALUATION
ASSIGNMENTS/R
EADINGS
eLearning Content
Required Readings
*eLearning Wiki
Week 1 & 2
May 09– May
20
Unit 1: Influence of Health
Policy
Perspectives on US &
International Health Care
Delivery Systems
Weeks 3 & 4
May 23 –
June 03
Unit 2: Policy and the Political
Process
Policy Making, Analysis,
Power & Politics
eLearning Content
Required Readings
*eLearning Wiki
Weeks 5 & 6
June 06 – 17
Unit 3: Health Policy Issues
Reform, the Political Milieu, and
Policy Development
eLearning Content
Required Readings
*eLearning Wiki
Week 7
June 20 - 24
Summer Break
Weeks 8 & 9 Unit 4: Policy & Politics
June 27 – July The Economics & Impact of Big
08
Pharma and Technology on
Healthcare & Practice
DUE DATE
*eLearning Wiki
DUE EVERY
SUNDAY @MN
starting 05/15
Team Project Topic
@0800 on 05/30
Written
Assignment 2
@0800 on 06/13
eLearning Content
Required Readings
*eLearning Wiki
Weeks 10 &
11
July 11 - 29
Unit 5: Finance & Financial
Management
Language and Methods
Budgets
eLearning Content
Required Readings
*eLearning Wiki
Week 12
July 25 – July
29
Unit 5: Finance & Financial
Management (Continued)
Nursing Roles in Policy &
Finance
Management: Current Issues
and Future Developments
eLearning Content
Required Readings
*eLearning Wiki
Week 13
Aug 01 - 05
Team Presentations
Team Project
DRAFT @0800 on
07/11
Team Project
Posting @0800 on
07/25
TBA
Teacher evaluation will be completed on-line or you may contact
Kelly Reid at (352) 273-6375
Approved:
Academic Affairs Committee: 02/05; 03/05
Faculty:
03/05
UF Curriculum:
02/06
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