HC451 Hlth Care & the Political Proces

for S2B 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 451 Health Care and the Political Process


S2B 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

17 March - 11 May 2008

Class Days


Class Time

5:00 - 10:00 PM

Credit Hours



Health Policymaking in the United States.  Beaufort B. Longest, Jr.  Fourth Edition. Health Administration Press, Chicago, IL 2006. 

Textbooks can be purchased through the MBS bookstore

Textbooks can be purchased through the Parkville Bookstore

Additional Resources:

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:
Analysis of the process of health policy formation at the federal, state, and local levels from historical and contemporary perspectives. Specific topics will include cost controls, utilization review, methods of changing public and private health policies, and political factors in health care delivery. 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. Explain the role of the political process on health delivery in the United States.
  2. Describe how the political process affects cost of health care, human resources, and various health facilities.
  3. Analyze the key roles of demanders and suppliers of health policies .
  4. Explain the current and future issues in health policy and the role of government in the formulation of health policy.
  5. Interpret the role of specific interests in the health care industry and the effect on health policy decisions and organization and delivery of health care.
  6. Evaluate the roles of local, state, and federal politics on the current and future developments of health care delivery.

Core Assessment:

Class Assessment:

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


The grading plan will consist of the following:

Midterm Test: 40 points

Final Exam: 40 points

Presentation: 15 points

Attendance and Participation: 5 points

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. If you are going to miss a class, I expect to be communicated with prior to class, if possible.

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 (Health and Health Policy). Students will understand the following:

  • Health Policy defined including health determinants
  • Forms of health policies
  • Categories of health care policies
  • Connection between health policy and health

Week 2: Discuss chapter 2 (Impact of Health Policy) and chapter 3 (Context and Process of Health Policy Making). Students will understand the following:

  • Understand how health determinants affect health policy
  • Be able to differentiate how individuals , organizations and interest groups affect health policy
  • The political marketplace
  • Demanders and suppliers of health policies
  • Influence of interest groups
  • Ethics in the market place
  • The public policy making model

Week 3: Discuss chapter 4 (Policy Competency) and chapter 5 (Policy Formulation: Agenda Setting). Students will understand the following:

  • How organizational design supports policy competency
  • Analyzing public policy environments
  • Benefits and limitations and procedure of effectively analyzing public policy environments
  • Influencing public policy environments
  • The human element of public policy environments
  • The policy formulation phase
  • Agenda Setting
  • Interest group involvement
  • Impact of Chief Executives in agenda setting

Week 4:  Mid-term examination (includes chapters 1 through 5 and lecture material). Students will understand the following:

Week 5: Review of Mid-term. Discuss chapter 6 (Policy Formulation: Development of Legislation) and case study. Students will understand the following:

  • Originating and drafting legislative proposal’s
  • Introducing legislation to committees (house, senate, conference)
  • Inter-relationship and development with the federal budget
  • Inter-relationship and development with the state budget
  • Formulation to implementation

Week 6: Discuss chapter 7 (Policy Implementation: Rulemaking), and chapter 8 (Policy Implementation: Operation).  Presentation of case studies. Students will understand the following:

  • The responsibilities the various components of rulemaking
  • Rules of rule making
  • Role of interest groups in rule making
  • Design impact of policy on its own operation
  • Policy goals and objectives
  • Flexibility in implementing policy
  • The impact on the implementing organization and staff
Week 7: Discuss chapter 9 (Policy Modification), along with final examination review.  Students will understand the following:
  • Difference between policy modification and initiatives
  • The cyclical process of policy making
  • The mechanics of the modification phase
  • The Medicare program’s modification practices
  • Role of analysis in policy modification

Week 8:  Final examination. (Includes chapters 6 through 9 and lecture material). 

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:2/3/2008 10:44:35 PM