HCA 468 Sec 02, Spring 2018, Instructor: Lu

COLLEGE OFHEALTH AND HUMAN SERVICES

California State University, Long BeachDepartment of HealthCare Administration

HCA 468– Principles of Risk Management and Patient Safety

Spring 2018

Instructor: Yang Lu, MPP, PhD
E-mail:
Phone: 562/985-1788Fax:562/985-5886
Office: HHS2-007
OfficeHours:
Mon/Thu,2:00 – 3:30PM;
or by appointment / Class Number:7043Section:02
Class Meets: Jan 25 – May 10
Day/ Time:Thu,4:00 – 6:45 PM
Classroom: HHS-205
Additional Contact Information:
HCA Program AdministrativeCoordinator:
DebyMcGill,, HHS2-118
Tel.562/985-5694;fax562/985-5886

Course Description

A study and application of comprehensive resources for risk management in health care services; measurement and outcomes of core policies in patient and staff safety; analyses of case studies and system failures; outcomes of and design models for health care providers and caregivers.

Letter grade only (A-F).

Course LearningObjectives

Learning Objectives, Domain, 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 Health care Leadership Alliance (HLA) Competency Directory.

The following table describes how the course learning objectives and related competencies could be acquired and measured.

Learning Objectives / Domain / Competency / Activity (A1), Assignment (A2) or Assessment (A3)
State the major trends in risk management and patient safety; and articulate risk financing issues and insurance / 3 / B. Professional Development and Lifelong Learning / A1.Lecture classdiscussion
A2 &A3. Quizzes, exams,case studies, projectpresentation & written report
Synthesize patient/consumer communication skills to reduce risk and identify the value and context of mitigation and the mitigation planning process / 2 / A. Relationship Management
Analyze hazard-specific loss reduction strategies and the link between mitigation and sustainability / 5 / E. Strategic Planning and marketing
Discuss and address ethical issues for Risk Managers to ensure safety and security issues; and identify and control risks in the workplace / 1 / B. Professional standards and codes of ethics

Required Textbook:

Youngberg, B. J. (2011). Principles of Risk Management and Patient Safety. Sudbury, MA: Jones & Bartlett Learning.

Recommended Readings:

Carroll, R. & Brown, S.M. (2012). Risk Management Handbook for Health Care Organizations, Business Risk: Legal, Regulatory, and Technology Issues. (Volume 3) by American Society for Healthcare Risk Management (ASHRM). ISBN-13: 978-0470620830.ISBN-10: 0470620838. Volume 3. Sixth Edition.

Suggested Fun Readings:

Duhigg, C. (2014). The Power of Habit: Why We Do What We Do in Life and Business. ISBN-10: 081298160X. ISBN-13: 978-0812981605.

Chapter 4. Keystone Habits or the Ballad of Paul O’neill – Which Habits Matter Most

Chapter 6. The Power of a Crisis – How Leaders Create Habits through Accident and Design

Course lecture notes and additional readings will be available on BeachBoard. Lectures will include additional information from instructor’s explanations and current events.

Access Requirements:

You must have an e-mail address and Internet access to use the online BeachBoard course software system. If you have problems with BeachBoard, contact the CSULB Technology Help Desk at 562-985-4959, via e-mail at r in-person at the Horne Center.

Course Assignments:

Class Preparation and Participation

The class format will be a combination of lecture, interactive discussion of the assigned readings and other relevant materials, and student presentations. You are expected to have read the assigned readings (text chapters and web sites) before the class session, and to be prepared to discuss them. If you have trouble understanding what you read or hear, please ask for clarification in class or on the discussion boards on our course website, or make an appointment with me to discuss the problem area(s). Class participation will be graded out of a total score of 20, based on the frequency and quality of your participation. For the specific rubric, refer to: BeachBoard – Content –Rubrics.

Quizzes. There will be 12 online quizzesavailablethroughout the course on BeachBoard, each containing five (5) questions based on the assigned readings and lectures for the week. Each quizwill be due before the lectures of the week (i.e., by 4PM on Thursday).

In-Class Exercises (ICEs) and Case Studies. There will be eight (8)ICEs in total. Some ICEs will be applications of qualitative principles and quantitative techniques we learn in class. Case studies are an integral part of these ICEs, so are data analyses. Where applicable, ICEs could also be used for students to summarize what they learn from guest lectures. The ICE will be assigned in class without a predetermined schedule.

Midterm and Final Exams. The midterm exam will be administered online on BeachBoard and the final exam will be administered in the classroom on Dec 12.The exam questions will be based on the textbook, supplemental readings and lectures, and may also include information from guest speakers and student presentations.

Group Assignments.Students will form teams of no more thanfour (4) members and choose a specific topic for the project, highlighting a health care related risk/patient safety event that has been in the news within the past five years. Acting as in-house risk managers or external risk management consultants, your job will be to provide recommendations to an established health care organization regarding its risk management/patient safety operations.You will define your specific topic, identify and prioritize 1-2 risks,explore potential solutions, and choose/implement best practices that work best for the organization.

In general, choose a topic that is relevant to the course topics and discussions, on the one hand; and on the other, something that is relevant to your own professional, personal, and/or academic experience and interests. We will review potential topics in class when discussing the assignment. Examples of areas you might want to focus on includerisks in patient safety, financial risks, liability of health care providers/physicians, cyber security, and emergency preparedness, etc. The National Patient Safety Goals (NPSG) is also a useful resource for identifying specific problem areas in healthcare risk management.

For each team, the following will be required:

  1. Team Formation, Topic Selection and Approval:Students will team up based on theirinterests on the theme and general topic by the second class. There should be no more than 4 students per team.Once formed, each team is required to submit the chosentopic (½ -1 page including title, team members, and a short paragraph of justification) via Dropbox for approval by midnight on Feb 15. Teams are encouraged to ask for instructor feedback well before the deadline. Potential sources to look for ideas include health-related websites, journals, and media. For example, a good resource is the Advisory Board Daily Briefing, which you can findhere.
  1. In-Class Presentation

a)Each team will perform a 12- to 15-minute presentation of your full and final research findings.

b)Your grade will be based on the instructor's evaluation for your and the team’spart ofpresentation.

c)Submit a copy of the slides (1 member can do this for the whole team) through the BeachBoard DropBox by end of the day before your presentation date (April 19). There is a 10% penalty per day for late submissions (see details in late submission policy under Assignment Policies and Grading).

d)This assignment is intended as an exercise for giving a professional presentation and should demonstrate how you would present information at work such as a health care agency.

  1. Written Report.The purpose of this assignment is to develop the ability/habit of critical thinking and reasoning while learning in a group setting. The report should not exceed 12 pages (double-spaced, 10–12 point font), not including the title page, executive summary, and references. Infographics are encouraged in the report and so are techniques/methodologies covered in class. Refer to the written report paper outline and rubric for specifics.

The best way to complete the project is to start early. Use APA or any other professional format, such as JAMA or Health Services Research journal style, consistently and correctly.

NOTE: This assignment requires you to do independent research; thus, the teams are expected to demonstrate they learned from the textbook and lectures AND complete the report with strategic planning and independent thinking. The university provides both an online and onsite library service to help you with your research. If there is sufficient demand, we can arrange for a librarian to demonstrate in class basic search/research skills, such as utilizing PubMed and/or Refworks.

The written reportssubmitted will be scanned by Turnitin®, a plagiarism prevention service available on BeachBoard. Students submit their papers electronically, and Turnitin® compares the text of those papers to the text in millions of other documents on the Internet, in papers submitted by other students around the world, and in commercial databases of journal articles and periodicals. Whenever similarities between the text in a student's paper and the text in an existing document are found, Turnitin® highlights those similarities, providing an annotated document showing both the student's paper and the original source. The similarity index for your papers should be less than 33%. Policy on plagiarism will apply in this case.

Professional Development. The professional development points could be earned through mini presentations of a current risk management issue in healthcare. Points could be earned until last day of class (before finals week).

  1. Mini in-class presentation (~5 minutes) of notable news in risk management and patient safety from the general media (website news sources, e.g., California HealthLine), newspapers (health sections in LA Times and NY Times), magazines (Wall Street Journal, Newsweek, Business Week, etc.). The presenter is expected to utilize 2 – 3 Powerpoint slides.

The criteria for grading the mini in-class presentations including the following:

  1. Whether the topic is relevant to risk management and/or patient safety
  2. Whether the topic is closely related to materials covered during the week you are presenting
  3. Whether the presenter summarizes the news and relates it to what we are learning or have learned in class.
  4. Whether the presenter upload the Powerpoint slides and link(s) to the news story to the Discussions section on BeachBoard, in order to share with the rest of the class.

Each criterion is worth up to 5 points. Up to 20 points total.

  1. Extra Credit Opportunity:In-person interviews with a healthcare risk manager or patient safety officer to learn about their risk management and patient safety practices. Five (5) points per interview, up to 10 points in total. For each interview, send documentation to Dropboxincluding (a) confirmation of the interview (e.g. email correspondence; pictures; and/or business card of risk managers you interviewed) and (b) awritten summary of what you’ve learned from the interview.

Assignment Policies and Grading:

ALL assignments are due on the date specified. Late assignments lose 10% of points for each day past the deadline unless otherwise specified. NO ASSIGNMENTS ACCEPTED AFTER LAST DAY OF CLASS. Submit all assignments through BeachBoard unless otherwise specified. Students absent for midterm or final exam must provide written third party documentation of unforeseen and unavoidable circumstances in order to be eligible to take a make-up exam. Such documentation should be submitted in a timely manner. Disabled students who qualify for alternative testing arrangements, please advise the instructor at least 2 weeks prior to the exam. For all specific rubrics, refer to BeachBoard – Content –Rubrics.

Grading

Individual Assignments / Due Dates / Points / Percent
Class Participation / Ongoing / 20 / 5
Quizzes (5 points * 12) / Ongoing / 60 / 15
ICEs (5 points * 8) / Ongoing / 40 / 10
Midterm Exam / Mar 15 / 60 / 15
Final Exam / TBD / 60 / 15
Professional Development – news briefing / Ongoing / 20 / 5
Group Assignments
Final Project Presentation / Apr 19 / 40 / 10
Final Written Report / May 11 / 100 / 25
Total / 400 / 100

Final Course Grade Computation:

360+ = A 320-359 = B 280-319 = C 240-279 = D<240 = F

Classroom and Online Behavior

  1. All cell/smart phones must be turned off or on vibrate and hidden from view during class time.
  2. Laptop computer or tablets are allowed for (quiet) note taking only: i.e., other activities such as checking personal e-mail or browsing the internet are prohibited.
  3. Students are responsible for what transpired if they miss a class. It is the student’s responsibility to contact a classmate to determine what was missed. “Excused absences” are specified in the University “Excused Absences Policy Statement” (e.g., hospitalization, death of an immediate family member).
  4. Students (and faculty) must adhere to University rules regarding online access and usage.
  5. Individual instructors may have additional requests regarding classroom behavior. Please adhere to those as well.

Email Etiquette

If you need to email me something, please be sure you specify your class number and section and if there is a file, please submit in Word using the format below:

………………………………………………………………..

Lastname.Firstinitial.AssignmentName

Example: Jones.X.ResearchPaper

…………………………………………………………………

Commitment to Inclusion

California State University, Long Beach is committed to maintaining an inclusive learning community that values diversity and fosters mutual respect. All students have the right to participate fully in university programs and activities free from discrimination, harassment, sexual violence, and retaliation. Students who believe they have been subjected to discrimination, harassment, sexual violence, or retaliation on the basis of a protected status such as age, disability, gender, gender identity/expression, sexual orientation, race, color, ethnicity, religion, national origin, veteran/veteran status or any other status protected by law, should contact the Office of Equity and Diversity at (562) 985-8256, University Student Union (USU) Suite 301,

Other Policies

Accessibility

Students with a disability or medical restriction who are requesting a classroom accommodation should contact the Disabled Student Services at 562-985-5401 or visit Brotman Hall, Suite 270 during 8AM-5PM weekday hours. Disabled Student Services will work with the student to identify a reasonable accommodation in partnership with appropriate academic offices and medical providers. We encourage students to reach out to DSS as soon as possible.

Attendance

Our class attendance policy conforms to University policy:

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: No form of cheating will be tolerated. Anyone found to be cheating will, at minimum, receive zero credit for the assignment or test involved. Stiffer penalties, including course failure, may be imposed at the instructor’s discretion.

Withdrawal Policy. Per University policy: For withdrawals after 2nd week and before final 3 weeks “permissible for serious and compelling reasons,” the instructor will evaluate student withdrawal requests on a case by case basis.

COPYRIGHT NOTICE: Any copyrighted materials used in this class are used for education purposes only and in compliance with United States copyright law. Use of these materials is limited to students enrolled in the course, for the duration of the course. Students must refrain from saving, changing, or distributing any such copyrighted materials.

Class Topic and Weekly Schedule

Week / Dates / Topic/Activity / Text; readingassignments[1] / Tasks/Deliverable(s)
1 / 1/25 / Course Overview; Synergy and Tension; Culture of Medicine, liability, and patient safety Patient Safety; / Ch. 01, 06, 10 / Team formation
2 / 2/1 / Integration; Strategic planning; Setting up a RM department / Ch. 02, 04, 05 / Quiz
3 / 2/8 / Benchmarking; Never Events / Ch. 03, 07 / Quiz
4 / 2/15 / Patient Safety and Quality Improvement Act; Role of governance / Ch. 08, 09 / Quiz; team project topic selection due on 2/15
5 / 2/22 / Enterprise RM; Developing RFP for insurance providers / Ch. 11-12 / Quiz
6 / 3/1 / Medical liability cost-allocation system; Workers’ compensation / Ch. 13-14 / Quiz
7 / 3/8 / In-house claims management; Principles of strategic discovery / Ch. 15-16 / Quiz
8 / 3/15 / Midterm Exam (Online) / Ch. 01-16 / No class this week
9 / 3/22 / Full disclosure; Development of full disclosure programs; Early-offer programs / Ch.17-19 / Quiz
10 / 3/29 / Spring Break / No class this week
11 / 4/5 / Healthcare negligence; Limiting potential liability during disaster events / Ch.20-21 / Quiz
12 / 4/12 / Systemic mindfulness; High-risk hospital department; High reliability principles / Ch. 22-24 / Quiz
13 / 4/19 / Final Project Presentations / Slides due by midnight on 4/18
14 / 4/26 / Simulation; Physician education; Informed consent / Ch. 25-27 / Quiz
15 / 5/3 / Improving health literacy; Fatigue and error; Failures of communication / Ch. 28-30 / Quiz
16 / 5/10 / Handoff procedures; e-mail between physicians & patients; RM for research / Ch. 31-33 / Quiz; final project report due by end of5/11
17 / TBD / Final Exam(in-class)

Bibliography

Brennan, J. A. (2005). Principles of EMS systems. American College of Emergency Physicians. 3rd Edition. ISBN-10:0763733822.

Cailahan, M. (2008). Negligent credentialing developments: Impact of recent cases and new joint Commission medical staff standards. Katten, Muchin, Rosenman, LLP. Webinar presentation, April 16, 2008, p.8.

Carroll, R., et al. (2006). Risk management handbook for health care organizations. American Hospital Publishing. 5th Edition.

Hoetmer, G. L. (1991). Introduction in emergency management: Principles and practice for local government. Washington, D.C.: International City/County Management Association, XXXIV.

The Joint Commission. (n.d.). Comprehensive office manual for hospitals: The official handbook. CAMH Refreshed Core, Standard MS.08.01.01, MS-22; MS.08.01.03, MS-23.

Kemp, R. L. (2006). Emergency Management and Homeland Security: An Overview. Washington, D. C.: ICMA.

Kohn, L., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health care system. Committee on Quality of Health Care in America. Institute of Medicine. Washington, DC: National Academy Press.

Kristen, M. C. et al (2004). Population trends along the Coastal United States: 1980-2008, Coastal Trends Report Series (Washington, D.C.: National Oceanic and Atmospheric Administration. U.S. Department of Commerce.

Light, P. C. (2007). The Katrina Effect on American preparedness: A report on the lessons Americans learned in watching the Katrina disaster unfold. New York: Center for Catastrophe Preparedness and Response, New York University.