CALIFORNIA STATE UNIVERSITY, LONG BEACH
COLLEGE OF HEALTH AND HUMAN SERVICES - HEALTH CARE ADMINISTRATION DEPARTMENT
Course Syllabus: HCA 517 - The Health Care System – Spring 2012
Instructor: Kim Brant-Lucich, MBA, PMP, FHIMSSOn Campus:
Office Hours: M 2:30-3:45; W 4-5 and 6-6:45;Th 3:30-4:30; other times by appointment
Office Location: N/A
Home: 818/371-4318
(OK to call 9 am – 9 pm 7 days/week) / Course Number: 517
Class Meets: TH 7 – 9:45, ET-105
January 23 – May 7, 2012
HCA Department Administrative Coordinator: Deby McGill,
Tel. 562/985-5694; fax 562/985-5886
HCA Office Location: HHS2-118
Course Description: Broad overview of healthcare information systems; close examination of business needs for the information technology (IT) to deliver cost-effective quality health services. 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. As HCA 517 is one of the required courses that graduate students in Health Care Administration take, the emphasis is on acquiring competencies in HLA Domain 4, knowledge of the healthcare environment, and HLA Domain 5, business knowledge and skills. Alignment of the expected outcomes and the ACHE and HLA competencies provides clear expectations and standards for students and instructors alike. Students will demonstrate a level of proficiency in each of the expected outcomes through the course assignments as indicated in the following table.
Learning Objective / Domain / Competency / Activity (A1), Assignment (A2) or Assessment (A3) /Understand intermediate Healthcare IT terminology / 5- Business Knowledge and Skills: Information Management / · Characteristics of clinical systems/programs (e.g., electronic medical records; medical decision support; diagnostic information systems)
· Electronic education and information resources and systems
· Health informatics (e.g., coding; communication standards; data standards)
· Privacy, confidentiality and security requirement for information management (e.g., HIPAA; Medical Records) / A1 – Class discussion and Lecture; A2 – research and article abstracts; A3- exams
Describe and discuss the methods to analyze and justify the cost of new systems; discuss the range of commercial system offerings in healthcare and how to “shop’ for systems. / 5- Business Knowledge and Skills: Information Management / · Characteristics of clinical systems/programs (e.g., electronic medical records; medical decision support; diagnostic information systems) / A1 – Class discussion and Lecture; A2 – research and article abstracts, student presentations; A3- exams
Understand the role of Healthcare IT Professionals / 4- Knowledge of the Healthcare Environment / · The role of non-clinical professionals in the healthcare system / A1 – class discussion; A3 – exams
Exhibit an understanding of the essential elements of IT strategic planning and the importance of aligning business and IT planning / 4- Knowledge of the healthcare system / · Healthcare technological research and advancements
· Standards applicable to information integration and interoperability
· Regulatory and Administrative environment in which the organization functions (e.g., antitrust; Stark I and II; accreditation; organized labor) / A1-Class discussion; A2 – Case Studies, Student presentations
Required texts (available for purchase and on 3-hour reserve in Library)
1. Brown, Gordon D.; Stone, Tamara T.; Patrick, Timothy B. (2005). Strategic Management of Information Systems in Healthcare. Health Administration Press.
Highly recommended supplemental reference/reading:
Merritt, David. Paper Kills 2.0, (2010). CHT Press.
James R. Langabeer II, FHIMSS, CMA (2009) Performance Improvement in Hospitals and Health Systems, Healthcare information and Management Systems Society.
Glandon, Gerald L.; Smaltz, Detlev H.; Slovensky, Donna J. (2008). Information Systems for Healthcare Management. Health Administration Press. (7th ed.)
Kaiser Family Foundation (2010). Summary of new health reform law. Retrieved from: http://www.kff.org/healthreform/8061.cfm.
“2009 HIMSS Leadership Survey,” HIMSS, Summer 2007
“2007 Gartner Healthcare Provider Hype Cycles” August 2007
“The Five Competitive Forces that Shape Strategy,” Harvard Business Review, December 2006
“Fixing Healthcare from the Inside Today,” Harvard Business Review
“The Hard Side of Change Management,” Harvard Business Review
“Healthcare 2015: Win-Win or Lose-Lose,” IBM Global Business Services White Paper
“Six IT Decisions Your IT People Shouldn’t Make,” Harvard Business Review
”Why Good Projects Fail Anyway,” Harvard Business Review, November-December 2000
“The 30 Most Important IT Trends for 2007,” CIO Insight, November 2006
“CIOs at the Crossroads,” CIO Insight, January 2008
“Intelligent Disobedience,” Computerworld, August 2004
Hospitals and Health Networks, www.hhnmag.com
Health Data Management, www.healthdatamanagement.org
Web Sites
www.hospitalconnect.com
www.cio.org
www.cioinsight.com
www.himss.org
www.ihi.org
www.aha.org
www.hhs.gov
www.healthcareitnews.com
Course lecture notes will be available on BeachBoard. Lectures will include extemporaneous information in addition to that in notes.
Other Requirements: You must have an Email address and Internet access to participate in this course and access materials through the BeachBoard online courseware system. For BeachBoard, MyCSULB, or other computer problems, contact the CSULB Help Desk by phone at 562-985-4959, Email to or visit the web site at www.helpdesk.csulb.edu. You may seek in-person help at the Horne Center.
Student Assignments and Grading
1. Class Preparation, Participation and Attendance: The class format will be a limited lecture and interactive discussion of the assigned readings and web sites. You are expected to have read the assigned readings and visited the web sites before the class session, and to ask and answer questions and volunteer comments in class. Your level of engagement in class discussions will determine your participation grade. Attendance is a necessary, but not sufficient, condition for participation. Class attendance policy conforms to University policy: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2001/01/. Disabled students requiring special accommodations, please advise instructor at start of course.
2. Healthcare IT Report and Presentation: Your major assignment for this course is to select and study one aspect of Healthcare Information Technology that is a product of the 2010 healthcare reform legislation and share your findings with your classmates. You will find articles in recent issues of many of the health care technology journals, HIMSS website, and related publications, as well as in standard publications such as major urban/national newspapers (LA Times, NY Times, Washington Post, Wall Street Journal), the Internet) and general interest magazines such as Time, Newsweek, U.S. News and World Report, Business Week, Harvard Business Review, etc. The HIMSS website, www.himss.org, has a wealth of information on HIE, ACOs, ICD-10, EMRs, CPOE, Clinical Decision Support, etc. Other related publications are listed within this syllabus in the Healthcare Technology section. Full text of the enacted healthcare legislation that drives technology changes in Healthcare is available at: http://dpc.senate.gov/dpcdoc-sen_health_care_bill.cfm. You may do the final project as a “team” exercise with no more than three people constituting a team. You will submit the paper in stages:
a. Issue outline. Submit a fairly detailed outline of your selected IT technology topic. Suggested format:
· Introduction: Define the issue or technology opportunity (can be in the form of a question; e.g., will organizations be able to achieve ICD-10 conversion prior to the government imposed deadline?)
· Background and discussion
· What is the issue or technology opportunity?
· Key players and interest groups: Advocates, opponents, stakeholders,
· How will the technology improve the practice of healthcare
· How will the technology address healthcare reform legislation?
· Implementation issues and time line
· Preliminary list of bibliographic research sources and a short statement of your research plan
· Questions about your selected issue
b. Literature review. Summarize the literature you have reviewed for your topic. List your print and electronic references using APA format—you should have at least 6 different sources for a passing grade.
d. Final report and presentation – submit final paper via Turnitin. MAXIMUM of 3,000 words (about 15 double-spaced spaced pages – does not include executive summary or references), with a 1-page single spaced executive summary at the beginning. This report is designed to serve as a sample of your research, writing and analytical abilities and for inclusion in a professional learning portfolio (see portfolio guidelines on BeachBoard). Please follow APA 6th edition guidelines for text citations of printed and electronic references as well as for your literature review reference list. Your final report should be a thorough but concise textual elaboration of your outline, with particular attention to:
- Background of the Issue or Technology Opportunity. Provide brief background and contextual information on the issue. Define the issue or opportunity and its origin. How did it become an issue or technology opportunity? Is this a strictly a technology issue, business issue or both?
- Analysis. Here, your objective is to understand various aspects of the issue or technology, and varied viewpoints or implementation options. How is the Healthcare industry impacted? What are the benefits or challenges associated with the technology? How can it be implemented? What are the best practices? Are there case studies or examples? Have you interviewed key stakeholders? Discuss how they are affected, and what they stand to gain or lose.
- Recommendations and Conclusions.
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It is recommended that at least one source be primary data collected through a personal interview either in person or via email with a policy expert, professional in the field impact by the issue or a leader in an advocacy organization (stakeholder interview).
You may submit a draft of your report for review and comment (and, if requested, a preliminary grade) 2 weeks before the final paper is due. If you are satisfied with your grade, you do not need to resubmit your paper.
e. Oral presentation. Students will make 10-15 minute presentations of the healthcare technology reports during the last two weeks of class (time allowed depends on the number of students enrolled).
2. Exams: There will be one final exam. Most of the exam questions will be based on the textbook readings and lectures, but there will also be questions from guest speaker presentations and class discussions. Students absent for scheduled presentations, mid-term or final exams must provide written third party documentation of unforeseen and unavoidable circumstances in order to be eligible to take a make-up exam. Disabled students who qualify for alternative testing arrangements, please advise the instructor and make arrangements well in advance of the exams. If you know you will be unable to attend a particular class, please provide advance notice.
3. Grade Weights and Policies. Assignments are due by 11:55 p.m. on the day class meets for the week. Submit via BeachBoard – not hard copy. You may email your assignment if you have any problems with BeachBoard submission. Late assignments will be downgraded 10% for each day they are late. NO ASSIGNMENTS ACCEPTED AFTER THE LAST DAY OF CLASS.
Course Assignments, Due Dates and Grade Weights
Item / Due Date / Points / % of Grade /Research / article abstract on healthcare industry drivers impacting technology / Week 3 / 20 / 7%
Project Management Case Study / Week 4 / 20 / 7%
Questions on IT Management and Competitive Advantage / Week 5 / 20 / 7%
Final Project Outline / Week 7 / 20 / 7%
Questions on eHealth / Week 8 / 20 / 7%
Article Abstract on emerging technologies / Week 12 / 20 / 7%
Class participation / Ongoing / 30 / 11%
Final Presentation / Week 14, 15 / 30 / 11%
Final Paper / Week 15 / 50 / 18%
Final Exam: Cumulative / Week 16 / 50 / 18%
Total / 280 / 100%
Final course grade weights are: 248+ = A; 194 - 247 = B; 194 - 220 = C; 168-192 = D; <168 = F
5. Cheating And Plagiarism. Please be aware of and ensure that your behavior conforms to University Policy, as contained in the California State University, Long Beach Policy Statement 80-01: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2008/02. Your final health policy issue reports will be screened for plagiarism using the “TurnItIn” software system.
Although the University catalog does not cover this aspect of plagiarism, please be aware that it is NOT acceptable to submit the same paper for two courses. If you want to write a paper on the same topic area for two different courses, you must submit two different papers. If I discover that you have submitted the same paper for another course, you will receive an “F” for your paper in this course.
6. Class Topic And Assignment Schedule
Schedule may change depending upon availability of guest speakers
Week # - Date / Topic / Assignments, Activities / Deliverable(s) /1 Jan. 26 / Introduction, course overview
How to write a research paper; APA style / Discuss what you know and want to know about Healthcare Information Technology
Meaningful Use Requirements / Turn in student info sheet
2 Feb. 2 / Guest Lecturer: Tony Lucich, MS, CSIO, County of Orange: “What the Geeks Do”
Healthcare I.T. Infrastructure and Security / Chapter 1, course text
Chapter 11
3 Feb. 9 / Information skills for health systems leaders, strategy, critical success factors for IT implementation, EHR Implementation / Chapter 2
HIMSS Portal on EHR and Meaningful Use
“Health Care IT: The Right Dose of Technology Helps the Medicine Go Down,”
CIO, November 2005 / Research/article abstract on EHR and/or Meaningful Use.
4 Feb. 16 / Independent study – IT Management and competitive advantage
(No Class Meeting) / Chapter 3
“How To Kill A Troubled Project,” Gopal K. Kapur, CIO Insight, September 1 2001
“ABC: An Introduction to IT Project Management,” cio.com / Project Management Case Study
5 Feb. 23 / Strategic Alignment of IT / Chapter 4 / Questions on Competitive Advantage
6 Mar. 1 / Data and Information; Knowledge Management; ICD-10
Guest Lecturer: TBD / B Chapter 5
7 March 8 / Value migration, strategy alignment, HIE and Interoperability
Guest Lecturer: TBD / B Chapter 6 / Final project Outline
8 March 15 / eHealth and CDS
Clinical Decision Support / Chapter 7
www.zynx.com
www.mdconsult.com
www.firstconsult.com
www.uptodate.com
www.webmd.com / Questions on eHealth
9 March 22 / Genomic medicine, DSS, Standardization / B Chapters 8
March 29 / No class – spring break / ENJOY
10 April 5 / IT investment, ROI, Evaluation / Chapter 9
11 April 12 / IT Governance, role of the CIO, IT Strategic Planning
Guest Lecturer: TBD / B Chapters 10
“Does it Take a Psychopath to Make a Good CIO?,” CIO Insight, September 2005
“Can a CIO Become Too Strategic?,” CIO Insight, February 2005
12 April 19 / Transforming HC, emerging technologies / B Chapters 12 / Article Abstract on emerging technologies
13 April 26 / In Class Strategy exercise / Build a hospital IT Strategic roadmap
14 May 3 / Student presentations
15 May 10 / Student presentations
Final exam review / Deadline for all course assignments
16 May 17 / Final Exam / FREEDOM
7. Pertinent Web Sites. Just a few of many web sites with information pertinent to this course, by topic: