HEALTH CARE ADMINISTRATION DEPARTMENT CALIFORNIA STATE UNIVERSITY, LONG BEACH COLLEGE OF HEALTH AND HUMAN SERVICES HCA 452/552 Medical Group Practice Management Fall 2013 Syllabus Instructor: Charles Del Campo, MBA On Campus: Charles.DelCampo@csulb.edu or seedelcampo@aol.com Course #: 6747/6748 Class Meets: Wednesday, 4-6:45 pm, UTC 201 August 28 – December 11, 2013 562/985-5694 Office Hours: W 2:45-3:45 pm & by appointment Office Location: Classroom 1 hour before class Cell: 562- 537- 5396 (OK to call 9 am – 6 pm M-F) Additional Contact Information: HCA Dept. Administrative Coordinator: Deby McGill, dmcgill@csulb.edu Tel. 562/985-5694; fax 562/985-5886 Course Description: Prerequisites/Corequisites: For undergraduates, HCA 300 (previously 402) and 341. For graduates HCA 502 and HCA 515.Fundamental operational responsibilities of medical group administration today, with emphasis on finance, operations and management skills. Letter grade only (A-F). (Lecture) Course Outcomes, Competencies, and Assessments. The Health Care Administration Department has adopted a competency-based curriculum, based on the American College of Health Care Executives (ACHE) Competencies Assessment Tool and the Healthcare Leadership Alliance (HLA) Competency Directory. This course is designed to develop competencies in the HLA domains of leadership (#2), professionalism (#3), knowledge of the healthcare environment (#4), business knowledge and skills and knowledge (#5). The chart below describes course outcomes and how they will be met and measured. Learning Objective Domain Demonstrate an understanding of the fundamental principles of the market forces affecting and anticipate new developments in the medical practice environment. 4, 5 Competency Community standards of care Socioeconomic, regulatory &administrative environment in which the organization functions Corporate compliance laws and regulations Government, regulatory, professional and accreditation agencies Legislative issues and advocacy Nursing, physicians and other allied health Activity (A1), Assignment (A2) or Assessment (A3) A1- In-class discussion; A2 exams Learning Objective Domain Competency Investigate and explain the day to day operations of a medical group 5 Demonstrate proficiency in aspects of management such as planning, organizing, staffing and control of a medical group. 2, 5 Define the role of the medical group executive 3, 5 professions roles & practice Standards applicable to IT integration and interoperability Clinical systems IT programs Strategic planning process, development and implementation Patient access and flow Purchasing, inventory control Operating budgets Physician reimbursement Privacy and security for information management Worker safety and security Project management Capital budgeting Facilities planning Contract negotiations Crisis and disaster planning, management and principles Leadership principles Benefit package to attract & retain physicians Business case and exit strategy development Staff retention and development Management principles and tools Activity (A1), Assignment (A2) or Assessment (A3) A1- In class discussion, A2- case discussion, A3exams A1- In class discussion, A2presentation, A3exams, group project A1- In class discussion, A2presentation, A3exams Required text: Pickles, C., Novak, A. & Schryver, D. L. (2011). An Assessment Workbook Manual for Medical Practices (5th Ed.). Englewood, CO: Medical Group Management Association. Center for Research in Ambulatory Care Administration. New text Other Requirements: E-mail address and Internet access to use the online BeachBoard course software system. If you have trouble with registration, contact the CSULB Technology Help Desk by phone at 562-985-4959, via e-mail at helpdesk@csulb.edu or go in-person to AS-120. Student Assignments and Grading 1. Class Attendance, Preparation and Participation: You are expected to have read the assigned readings for the week, be prepared to comment on them, and to actively participate in class discussions. Lectures will cover highlights of the reading and include supplementary information. If you have trouble understanding what you read or hear, please ask for clarification in class or make an appointment with me to discuss the problem area(s). Attendance policy conforms to: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2001/01/. Disabled students requiring special accommodations, please advise instructor early in the course. Participation is 5% of your course grade. You will have various opportunities to earn participation points throughout the semester. These include but are not limited to: Commenting on the assigned reading, asking or answering questions when called on in class. Formulating answers in your group to problem situations (mini case studies). Guest speakers: You will learn more from guest speakers if you: a) learn something about their organization or function beforehand (go to the website, when applicable); and b) formulate a question or two to ask them. This will also help your class participation grade! 1. Group Project & Presentation: Groups of students will prepare and present a solution for a medical group problem. Document with appropriate bibliographic and electronic citation protocols in APA style; see style manual and (for website citations) http://www.apa.org/journals/webref.html; http://www.csulb.edu/library/eref/vref/style.html. You will submit your product in two parts: (1) Outline, two weeks after planning meeting with professor; (2) Final draft, two weeks prior to presentation date. The entire project is worth 30% of your grade. 2. Group presentations (up to 30 minutes, including time for questions) will be scheduled for the second half of the semester. You will have time in class most weeks for group work sessions and consultations with the instructor. All participants in the group will receive the same grade for the written plan and group presentation. Each student will also receive an individual grade for teamwork based on confidential peer review evaluations by other members of the group. One member of your group should submit to instructor at aol email: a. 1 page summary1 week after meeting with instructor b. Slide presentation and 1-page summary 2 weeks prior to presentation date 1. Exams: There will be a mid-term and a final exam (multiple choice and true-false format.. The exam questions will come from the readings, class lectures and guest lecture/student presentations. The mid-term will cover pages 1-280. chapter 1 thru 10. The final will be cumulative, with more emphasis on material from sessions since the midterm. Disabled students who qualify for alternative testing arrangements, please advise the instructor well in advance of the exams. 2. Course Assignments, Due Dates and Grade Weights Item Description Due Date Points Group presentation initial meeting Group project – establish scope of report and align with professor expectations 0 Midterm Group project report & presentation Peer Review Extra credit Final exam Participation Total 23 multiple choice/true-false questions Group oral presentations By order of presentation, one week after assignment Week 7 Weeks 11 thru 14 % of Grade 00 115 100 31 27 Week 14 Week 14 Week 16 Ongoing 20 20 115 20 370 5.5 3.0 31 2.5. 100 Peer evaluations of team contributions See section 5 23 multiple choice/true-false questions Informed participation in class discussions Grade weights and thresholds. A = 370-351+ points; B = 350-331; C = 330-292; D = 291-234; F = <234 3.Performance Expectations and Deadlines: Assignments are due on the date specified. Late assignments lose 20% of points for each week past the deadline. 4. Extra Credit. You may earn up to 20 points of extra credit if you: a. Join the HCA Student Forum, the American College of Healthcare Executives, Health Care Executives Association, Women in Health Administration, or the Healthcare Financial Management Association or the Medical Group Management Association,. Others? Ask. Submit proof of membership. (5 points/association) b. Attend meetings of the HCA Student Forum (5 points/meeting); sign attendance sheet. c. Attend a CSULB Career Development workshop (see http://careers.csulb.edu), a campus networking event, or healthcare professional association meeting. A list of organizations can be found at: http://www.csulb.edu/depts/hca/career_info.htm. (5 points/meeting). Submit proof of attendance. e. Meet with a networking contact and submit a 1 page report: Who, why, etc. (5 pts.) 5. Cheating And Plagiarism. Please be aware of and ensure that your behavior conforms to University Policy:http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2008/02/. 6. Withdrawal policy. Per University policy: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2002/02/. Withdrawal after 2nd week and before final 3 weeks “permissible for serious and compelling reasons;” instructor will evaluate student withdrawal requests on a case by case basis. COURSE SCHEDULE AND ASSIGNMENTS May vary depending on class size & guest speaker availability Week # - Date Topic Assignments 1 Aug. 28 Introduction &course overview. Roll check, introductions Business ops, purchasing systems, Submit Student Information Sheets facilities mgmt, outsource services Form Groups for presentation p 1-47 2 Sep. 4 Action items, financial mgmt, budget, controls, p 48-80, gp 1 meet 3 Sep. 11 Financial audits, A/R mgmt, monitor p 81-120 gp 2 meet and report 4 Sep. 18 Payroll process, banking, insurance, p 121-160 gp 3 meet contracts, staff mgmt 5 Sep. 25 Retention, staff development, p 161-200 gp 4 meet performance mgmt, compensation, training, compliance. 6 Oct. 2 Enhance knowledge, internal p 201-240 gp 5 meet communication, information technology. 7 Oct. 9 Information technology, protect data, p 241-280 gp 6 meet manage medical info, dashboard 8 Oct 16 Midterm first hour, Medical records, Multiple choice Pages 1 thru 280 reports, legal structure, corporate group 7 meet records. gp 1 Present 9 Oct 23 Mission statement, strategic plan, p 320-360; gp 2 Present leadership, growth and development. 10 Oct 30 Advocacy, worksheets, monitor p 360-400 gp 3 Present patient care, patient education, referrals. 11 Nov 6 Patient flow and satisfaction, front p 400-440 gp 4 Present office, pharma supplies, worksheets, quality mgmt, safety 12 Nov 13 Quality, peer review, customer p 440-480 gp 5 Present satisfaction, benchmarks, pay performance, credentialing, worksheets 13 Nov 20 Risk mgmt plan, adverse legal, p 479-499 gp 6 Present disaster, Fed and state compliance 14 Nov 27 No class – Fall break ENJOY & GIVE THANKS 15 Dec 4 Presentations, review, clean up p. 500- 527; Group 7 meet; REVIEW 15 Dec 11 FINAL EXAM (5-7 PM); FREEDOM Cumulative, emphasis on pg 280-560 Bibliography Carter, J. H. (2010). Electronic health records (2nd ed.). Philadelphia: ACP Press. Balestracci, Davis, Jr. Data Sanity: A Quantum Leap to Unprecedented Results, 2010, MGMA Fabrizio, Nick, PHD, FACMPE, Front Office Success: How to satisfy Patients and Boost Bottom Line, 2010, MGMA Keegan, Deborah Walker, PHD, FACMPE, Woodcock, Elizabeth W., MBA, FACMPE, Larch , Sara M, MSHA, FACMPE, CPC. Physician Billing Process: 12 potholes to avoid in the road to getting paid, 2nd edition, 2009, MGMA Pointer, Dennis D , Orlikoff, James, Principles of Health Care Organization and Governance, 2010, Jossey Press Sterling, Ronald B, CPA, MBA, Keys to EMR/HER Success, 2nd edition, Greenbranch Publishing,2010, Phoenix, Md Woodcock, Elizabeth, MBA, FACMPE, Mastering Patient Flow, 2nd edition, 2010, MGMA Youngberg Barbara J, Principles of Risk Management and Patient Safety, Jones and Bartlett Learning Publishing, 2011, Sudbury, Ma CONFIDENTIAL INDIVIDUAL PEER EVALUATION OF LEARNING TEAM (To be filled out by each team member) Group name/topic:__________________________________________________ Your name:________________________________________________________ Please list your team members and describe/rate their work in rank order of their contribution, from highest to lowest. Do not include yourself. All responses and comments are confidential. Award each member up to 20 points. Rank 1 Name Comment # Points 2 3 4 5 6 7 8 What did you learn from participating in this group project? How useful was this project in expanding your knowledge of health care management? How do you feel your group worked together as a team? What will you do differently on your next team project? STUDENT INFORMATION SHEET (Turn in to Instructor) HCA 452/552 – FALL 2013 Name_________________________________________________________________ Name you prefer to use__________________________________________________ Phone(s):_____________________________________________________________ Best time/place to reach you:____________________________________________ E-mail address:______________________________________________________________ Please describe briefly: a. Your educational background and work experience: b. Future educational and work plans: c. Your reasons for taking this course and what you hope to learn. d. Languages you speak, read and write