HC461 The Hospital and the Community

for F1B 2005

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HC 461
The Hospital & The Community
Phillip L. Sims, Ph.D. Instructor
Cell 204-8985
e-mail psims@elp.rr.com
August 1 through September 21, 2005
Monday and Wednesday, 1940 to 2210 hrs
Fort Bliss, Texas



Issues specific to the organization and administration of hospitals, their scope of services in relation to community need, and relationships with community health care services. Topics covered dealing with the unique aspects of administration of hospitals and internal departments include improvement of organizational performance, personnel productivity, strategic planning, cost containment, materials management, image in the community, medical staff recruitment, patient census, utilization of services, and contracting for services from external suppliers.


The course is designed so that the student will have a better understanding of the major role that a hospital must have in the community as a health resource center. The course
will cover a variety of subjects dealing with the hospitals role in the community and what
internal and external factors have an effect on that role. Upon completion the student will
be able to discuss, analyze, and evaluate these roles


To provide an appreciation for health care organizational concepts and to recognize the role of the hospital in and to its community.

To review selected finance issues relative to health care financing, 3rd party reimbursement, and contract agreements.

To optimize the communication skills of the student through oral reports and written papers that focus on issues of health care organization and management.


Lecture/conference Lecture review
Paper Paper presentation
Mid-term examination Final examination

Page 2


Class participation. Active student participation is expected and represents a percentage
of the overall grade.

Paper. A paper will be required of all students. The paper will be at least seven (7) pages
long, not including the index (table of contents) and bibliography, typed and double
spaced. The paper willdeal with a subject in relation to the course and agreed upon
between the student and the instructor.

Paper presentation. Each student will prepare a 3 to 7 minute oral presentation which
will provide an overview of the paper the student is preparing on a subject dealing with
the course title. These papers will be presented in class with specific dates and time to
be discussed in class.


Hospitals, What They Are & How They Work, I. Donald Snook Jr., Aspen Publishers,
2nd Edition, 1992


Contracts In A Nutshell, Schaber & Rohwer, West Publishing Co., 2nd Edition, 1984

The Law of Hospital & Health Care Administration, Arthur F. Southwick, Health
Administration Press, 2nd Edition, 1988


8/1 Administrative announcements, discussion of the course description/requirements,
introductory comments. Chapter 1, A Brief History of Hospitals

8/3 Discuss Chapters 2 & 3. Todays Hospital and Hospital Organization

8/8 Discuss Chapters 4 and 5. The Governing Body and The Chief Executive Officer

8/10 Discuss Chapters 6 and 7. Outpatient Departments and the Emergency Department

SYLLABUS (contd)
Page 3

8/15 Discuss Chapters 8 and 9. The Admitting Department and the Medical Staff

8/17 Discuss Chapters 10 and 11. Nursing Services and Key Ancillary Services

8/22 Discuss Chapters 12 and 13. Other Ancillary Services and Patient Support Services

8/24 Mid-term examination. Chapters 1 through 13.

8/29 Discuss Chapters 14 and 15. Facilities Support Services and Administrative Support

8/31 Discuss Chapters 16 and 17. Generating Revenue and Hospital Budgeting. Diagnosis
Groups. Student Presentations

9/5 Discuss Chapters 18 and 19. Business Functions and Medical Records. Student

9/7 Discuss Chapters 20 and 21. Quality Assurance, Risk Management and Malpractice.
Student Presentations.

9/12 Discuss Chapters 22 and 23. Accreditation, Licensing, and Hospital Marketing.
Student Presentations. Research papers due.

9/14 Discuss Chapters 24 and 25. Planning and the Medical Care System. Student

9/19 Final Examination. Chapters 14 through 25. Make-up student presentations.

9/21 Review of final examination.


Class participation is expected and will form a part of the final grade. Students are
expected to come to all classes and to be on time. Roll will be checked at each
class meeting. Classes missed for legitimate reasons, such as illness, temporary duty,
are excusable, however, the student must make up the missed work. The student is
responsible for providing the instructor with justification for an excused absence either prior to or immediately after the absence. Two unexcused absences are excessive and
three unexcused absences will result in an involuntary withdrawal and a grade of “F”
(attendance) for the course.

SYLLABUS (contd)
Page 4


Submitting someone else’s work as your own will not be tolerated. If determined by the instructor that academic dishonesty has occurred in any part of the course, the student(s)
involved will normally be given an immediate grade of “F” and dropped from the course. The second violation results in automatic expulsion from the school. The Assistant Vice President will be notified in writing of the action taken.


The final course grade will be determined using the following measurement:

Mid-term examination 30%
Final examination 30%
Comprehensive cases (paper) 30%
Class participation 10%

The comprehensive case (paper) must be typewritten and submitted on or before the last
lecture (9/14) prior to the final examination. Late papers will not be accepted and will be
marked down accordingly.

The following will be used to assign course letter grades:

100 - 90 = A
89 - 80 = B
79 - 70 = C
69 - 60 = D
Below 60 = F (for three or more unexcused absences)