HC461 The Hospital and the Community

for S1B 2008

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Mission Statement: The mission of Park University, an entrepreneurial institution of learning, is to provide access to academic excellence, which will prepare learners to think critically, communicate effectively and engage in lifelong learning while serving a global community.

Vision Statement: Park University will be a renowned international leader in providing innovative educational opportunities for learners within the global society.


HC 461 The Hospital and the Community


S1B 2008 BL


Ward, Robert S.


Adjunct Faculty


BS, Health Planning and Administration, Pennsylvania State University
MA, Health Services Management, Webster University

Office Hours

Before or after class or by appointment

Daytime Phone





Semester Dates

07 Jan – 02 Mar 2008

Class Days


Class Time

7:40 - 10:10 PM

Credit Hours


Health for All: Making Community Collaboration Work, Greenwald &Beery, Health Administration Press: Chicago 2002.

Additional Resources:

Hospitals, What They Are and How They Work, Third Edition, Don Griffin, Jones and Bartlett Publishers 2006.  I will use our e-companion classroom to post lecture material, supplemental materials, articles and other relative data for this course.


McAfee Memorial Library - Online information, links, electronic databases and the Online catalog. Contact the library for further assistance via email or at 800-270-4347.
Career Counseling - The Career Development Center (CDC) provides services for all stages of career development.  The mission of the CDC is to provide the career planning tools to ensure a lifetime of career success.
Park Helpdesk - If you have forgotten your OPEN ID or Password, or need assistance with your PirateMail account, please email helpdesk@park.edu or call 800-927-3024
Resources for Current Students - A great place to look for all kinds of information http://www.park.edu/Current/.

Course Description:
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 and utilization of services and contracting for services from external suppliers. 3:0:3

Educational Philosophy:

The facilitator's educational philosophy is to bring real world learning into the classroom. This adult learning style will encourage critical thinking, higher-level knowledge, and a fun academic environment. The learning process will be interactive by utilizing lectures, readings, examinations, exchange of views/ideas through presentations and case studies.

Learning Outcomes:
  Core Learning Outcomes

  1. Students will explain the governing bodies of hospitals.
  2. Students will justify the role of the hospital in and to its community.
  3. Students will compare and contrast the various departments and ancillary services of the hospital.
  4. Students will integrate concepts such as organizations, personnel and professional relationships, strategic planning, cost containment and other factors in the improvement of the organization's performance.

  Instructor Learning Outcomes
  1. Students will understand the basic quality care issues in current hospital organizations.
  2. Students will understand key health care legislation as it pertains to hospital operations.
  3. Students will describe the key hospital indicators utilized by hospital management teams.
Core Assessment:

Class Assessment:

The class assessment will be based on examinations, presentations, case studies, homework and class attendance/participation.



The grading plan will consist of the following:

Midterm Test: 30 points

Final Exam: 30 points

Case Studies and Homework: there will be a total of 5 assignments each worth 6 points with the combined case study/homework assignment totaling 30 points.

Class Participation: 10 points, students will be expected to attend class, answer questions, ask pertinent questions, and participate in the general group discussions on a regular basis.

Total Points = 100

The following will be used to assigned course letter grades:

90 to 100 A

80 to 89    B

70 to 79    C

60 to 69    D

 0 to 59    F (Includes 3 or more unexcused absences)

The course grade for students will be based on the overall average of homework and tests taken during the course in accordance with the weighting of the various requirements as stated in the syllabus.

All final exams in all School of Business and Management courses will be comprehensive and will be closed book and closed notes. They will constitute 30% of the total course grade and will not be a take-home exam. They will be completed during the test week in the period designated by the registrar or by the Proctor in the case online courses. If calculators are allowed, they will not be multifunctional electronic devices that include features such as: phones, cameras, instant messaging, pagers, and so forth. Electronic Computers will not be allowed on final exams unless an exception is made by the Dean of the School of Business and Management.

Late Submission of Course Materials:

Late assignments will not be accepted without prior instructor approval.

Classroom Rules of Conduct:

Attend all classes for the entire class period and be on time to all classes. Roll will be taken at each class meeting. If classes are missed for a legitimate reason such as temporary duty or illness the student is responsible to make up the missed work, obtain lecture notes and handouts.

Assignments must be turned in on time. Participate in classroom discussions. Be respectful when others are speaking and do not interrupt. Turn off cell phones and pagers during class period. Please do the online survey after the course completion.

Course Topic/Dates/Assignments:

Week 1: Administrative announcements, discussion of the course description, course requirements, student handouts, and introductory comments. Discuss chapter 1 (Hospital History), chapter 2 (Hospital Trends), Chapter 3 (Hospital Organization), and chapter 4 (Hospital Governance). Students will understand the following:

  • History of Early Hospitals
  • Hospital Types
  • Health Care Trends
  • Hospital Organizational Structure (line versus staff functions)
  • Functions/Selection/Operation of the Hospital Governing Board

Week 2: Discuss Chapter 5 (Chief Executive Officers), Chapter 6 (Outpatient Services), Chapter 7 (Emergency Room), and Chapter 8 (Admitting Department). Students will understand the following:
  • Functions/Role of the Hospital CEO
  • Types/Purpose of the Various Outpatient Services
  • Importance of Outpatient Services to the Organization
  • Trends in Outpatient Services
  • Medical Office Buildings (purpose/type)
  • Roles/Functions/Importance of the Emergency Room Department/Services
  • Categorization of Emergency Room Services
  • Financial and Legal Implications of the Emergency Room
  • Admitting Department Purpose
  • Types of Hospital Admissions
  • Inter-relationships of Admission Department with Patient Accounting/Billing and Medical Records Departments

Week 3: Discuss Chapter 9 (Medical Staff), Chapter 10 (Nursing Services), Chapter 11 (Ancillary Services), and Chapter 12 (Other Ancillary Services).  Students will understand the following:
  • Organization and Role of the Medical Staff in the Hospital Environment
  • Closed Versus Open Medical Staffs
  • Medical Staff Committee Structure
  • Role of the Hospitalist
  • Nursing Services Organization
  • Differentiate Between the Various Types of Nursing Service Patient Care Settings
  • Nursing Services Staffing and Scheduling
  • Various Types of Ancillary Department Functions

Week 4: Discuss Chapter 13 (Patient Support Services), Chapter 14 (Facilities Services). and Chapter 15 (Administrative Support Services).  Review material for mid-term and the mid-term examination (Includes chapters 1 through 15 and lecture material). Students will understand the following:
  • Types and Role of Patient Support Services Departments
  • Types and Roles of Facilities Services Departments
  • Types and Roles of Administrative Support Departments

Week 5: Review of Mid-term. Discuss Chapter 16 (Hospital Revnue), Chapter 17 (Budgets), Chapter 18 (Business Functions) and Chapter 19 (Medical Records). Students will understand the following:
  • Sources (Payers) and Types of Hospital Revenues
  • Types of Payments to Hospitals
  • Hospital Budget Purpose, Types, Process, and Importance
  • Hospital Business Functions (Accounting, Management Information Systems, Billing and Collections
  • Purpose of the Medical Records Department
  • Types of Medical Records, Legal Importance and HIPAA
Week 6: Discuss Chapters 20 (Quality), Chapter 21 (Risk Management/Malpractice), Chapter 22 (Patient Safety) and Chapter 23 (Bioethics). Students will understand the following:
  • Integration of Quality Throughout the Entire Organization
  • Types/Models of Hospital Quality Programs
  • Roles of Hospital Quality Committees
  • Defensive Medicine
  • Inter-relationship of Risk Management with Quality, Legal, and Medical Records Functions
  • Understanding the Importance of Patient Safety and Medical Errors in Health Care Organizations
  • Definition of Autonomy, Nonmaleficience, Beneficence, and Social Justice in the Bioethics Environment

Week 7: Discuss Chapters 24 (Accreditation/licensing), Chapter 25 (Hospital Marketing), Chapter 26 (Planning), Chapter 27 (U.S. Medical System), and Chapter 28 (U.S. Medical System Versus the World). Students will understand the following:
  • Purpose/Process of Accreditation of Hospitals
  • Types of Accreditation
  • Hospital Marketing Processes to Include Sales, Branding and Research
  • Hospital Fund Raising
  • The Outreach, Outpatient, Inpatient, and Extended Care Elements of the U.S. Health System
  • Comparison of the U.S. Health Care System to Other Industrialized Nations Health Care Systems

Week 8: Discuss Hospital Community Outreach and Collaboration. Final examination review and final examination. (Includes chapters 16 through 28 and lecture material). Students will understand the following:
  • Health Care Collaboration Model
  • Community Health
  • Partnership Challenges in Outreach/Collaboration Endeavors
  • Assessment Techniques of Collaboration Programs

Academic Honesty:
Academic integrity is the foundation of the academic community. Because each student has the primary responsibility for being academically honest, students are advised to read and understand all sections of this policy relating to standards of conduct and academic life.   Park University 2007-2008 Undergraduate Catalog Page 85-86

Plagiarism involves the use of quotations without quotation marks, the use of quotations without indication of the source, the use of another's idea without acknowledging the source, the submission of a paper, laboratory report, project, or class assignment (any portion of such) prepared by another person, or incorrect paraphrasing. Park University 2007-2008 Undergraduate Catalog Page 85

Attendance Policy:
Instructors are required to maintain attendance records and to report absences via the online attendance reporting system.

  1. The instructor may excuse absences for valid reasons, but missed work must be made up within the semester/term of enrollment.
  2. Work missed through unexcused absences must also be made up within the semester/term of enrollment.
  3. Work missed through unexcused absences must also be made up within the semester/term of enrollment, but unexcused absences may carry further penalties.
  4. In the event of two consecutive weeks of unexcused absences in a semester/term of enrollment, the student will be administratively withdrawn, resulting in a grade of "F".
  5. A "Contract for Incomplete" will not be issued to a student who has unexcused or excessive absences recorded for a course.
  6. Students receiving Military Tuition Assistance or Veterans Administration educational benefits must not exceed three unexcused absences in the semester/term of enrollment. Excessive absences will be reported to the appropriate agency and may result in a monetary penalty to the student.
  7. Report of a "F" grade (attendance or academic) resulting from excessive absence for those students who are receiving financial assistance from agencies not mentioned in item 5 above will be reported to the appropriate agency.

Park University 2007-2008 Undergraduate Catalog Page 87-88

Disability Guidelines:
Park University is committed to meeting the needs of all students that meet the criteria for special assistance. These guidelines are designed to supply directions to students concerning the information necessary to accomplish this goal. It is Park University's policy to comply fully with federal and state law, including Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, regarding students with disabilities. In the case of any inconsistency between these guidelines and federal and/or state law, the provisions of the law will apply. Additional information concerning Park University's policies and procedures related to disability can be found on the Park University web page: http://www.park.edu/disability .


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Last Updated:12/12/2007 11:08:02 PM