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HC 451 Hlth Care & the Political Proces
De La Cruz, Laura K.


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.

Course

HC 451 Hlth Care & the Political Proces

Semester

F1T 2009 DL

Faculty

De La Cruz, Laura K.

Title

Adjunct Faculty

Degrees/Certificates

M.B.A. w/Healthcare Management Specialty
M.P.A.
Ph.D in Business w/Healthcare Administration Specialty - ABD

Office Hours

Tuesdays & Thursdays 3pm - 5pm (Mountain Time)

Daytime Phone

915-472-3203

E-Mail

Laura.DeLaCruz@Park.edu

professordelacruz@gmail.com

Web Page

http://delacruzconsulting.biz

Class Days

TBA

Class Time

TBA

Credit Hours

3


Textbook:

 

Text:  Health Policymaking in  the United States, 4th ed.
Author: Beaufort B. Longest, Jr 
ISBN: 156793245-2
Text Ordering:
http://direct.mbsbooks.com/park.htm

Overview

Textbooks can be purchased through the MBS bookstore

Textbooks can be purchased through the Parkville Bookstore

Additional Resources:
In my courses, the papers are required to be turned in to BOTH the course dropbox AND a website called www.turnitin.com.  This site checks for proper referencing per the requirements set by Park in its policy on Academic Honesty.   

Please check my weekly discussion postings for instructions on how to access turnitin and how to submit your work.
Be sure to place the assignment in the correct assignment area - Read the name of each dropbox carefully!

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.
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FAQ's for Online Students - You might find the answer to your questions here.


Course Description:
HC451 Health Care and the Political Process: 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:

My educational philosophy is one of interactiveness based on lectures, readings, quizzes, dialogues, examinations, internet, videos, web sites and writings. I hope to engage each learner in what is referred to as disputatious learning to encourage the lively exploration of ideas, issues and contradictions.
 

My role: It will be my role to guide your reading, to provide you with an occasion to think and explore the concepts of the course. 

Your role: Be curious; be inquisitive; take your education seriously; open yourself up to new information and ideas; think about what it is that you are hearing and reading.


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 three most important grading criteria for your work will be breadth, depth, and application of course concepts. For purposes of this course, the following definitions will apply to each of these terms:


  • Breadth (B):  Refers to the "number" of chapter and lecture concepts that you have applied to the homework questions, discussion, and report.
  • Depth (D):  Refers to the degree you provide "detailed" analyses to the homework questions, discussion, and report.
  • Application (A):  Refers to the chapter and lecture concepts you "apply" to your homework questions, discussion, and report. You can accomplish this by referencing page numbers, concepts such as data collection methods, etc.

During the first two weeks, I will respond to the work you submit with either a B, D, A, or combination thereof. 

For example, if you need additional breadth and application as they relate to your work, I will provide the following comment:

Areas for additional focus: BA

Each time you submit work, I will respond (In the comment section) to the work you submit with either a B, D, A, or combination thereof. For example, if you need additional Depth and Application as they relate to your work, I will provide the following comment:

Areas for additional focus: D1/A2.  Note:  A number (1, 2, or 3) by the letter indicates the degree to which additional focus is needed.  For example, D1, indicates a small amount of additional depth is needed, a D2  indicates a moderate amount is needed, while a D3 indicates a substantial amount is needed.  In terms of relating the above to point deductions, the following can be used as a guideline (Actual point deductions may vary somewhat)

Homework Point Deductions

  • B1 or D1 or A1  =  1 point deduction
  • B2 or D2 or A2  =  2 point deduction
  • B3 or D3 or A3  =  3 point deduction
  • B1/A1, etc. = 2 point deduction
  • B1/A2, etc. = 3 point deduction
  • B1/A3, etc. = 4 point deduction
  • B2/A2, etc. = 4 point deduction
  • B2/A3, etc. = 5 point deduction
  • B3/A3, etc. = 6 point deduction
  • B1/A1/D1, etc. = 3 point deduction
  • B1/A2/D1, etc. = 4 point deduction
  • B1/A2/D2, etc. = 5 point deduction
  • B1/A3/D3, etc. = 7 point deduction
  • B2/A2/D2, etc. = 6 point deduction
  • Etc.

Discussion Point Deductions

  • B1 or D1 or A1  =  2 point deduction
  • B2 or D2 or A2  =  4 point deduction
  • B3 or D3 or A3  =  6 point deduction
  • B1/A1, etc. = 4 point deduction
  • B1/A2, etc. = 6 point deduction
  • B1/A3, etc. = 8 point deduction
  • B2/A2, etc. = 8 point deduction
  • B2/A3, etc. = 10 point deduction
  • B3/A3, etc. = 12 point deduction
  • B1/A1/D1, etc. = 6 point deduction
  • B1/A2/D1, etc. = 8 point deduction
  • B1/A2/D2, etc. = 10 point deduction
  • B1/A3/D3, etc. = 14 point deduction
  • B2/A2/D2, etc. = 12 point deduction
  • Etc.

Your participation grade will be determined by your positive responses to the discussion postings of others and your timeliness in terms of submitting your work, etc.

IMPORTANT!! Your grade for each discussion posting will be determined not only by the "B-D-A" of your postings, but also by your positive responses to the postings of your team members. Please respond to at least one posting of another student for each discussion assignment. Failure to do so will result in a loss of five points for each case you post in the Discussion Area.

Late work will be deducted 10% each day for up to 5 days, unless there are special circumstances that are discussed ahead of time. No credit will be given after 5 days past the due date.

Grading:

Grading Criteria

Letter grades will be used, to include A, B, C, D and F.  Pluses and minuses will be used in projects and other course components, but University policy precludes the use of pluses and minuses in final course grades.

Grading Scale

In-class writing assignments and class participation will constitute 50% of your course grade.  This includes homework assignments, article summaries, peer review, and discussions.

A midterm exam and a final exam will be given over current issues presented in class, readings and the content of papers developed by students, and will constitute 25% of your course grade.

The term paper presented in prescribed format will constitute 25% of your course grade, and is expected to be approximately ten to fifteen double spaced pages in length not including the reference and title pages. 

Term paper:  Write a paper about a current issue in health care that is currently being addressed in the process of health policymaking.   Include in the paper: 

1) The role of the political process on health care delivery

2) The roles of the demanders and suppliers of health policies

3) How the political process affects cost of health care, human resources, and various health care facilities.

4) Explain how the various levels of government are involved in the political process and its effect on health care delivery

5) Describe involvement of interest groups and organizations in addressing the issues to sway modifications to the policy and/or formation of the policy.

6) Describe any strategies and recommendations made to resolve this current issue. Include any specific interests in the health care industry that would have an effect on health policy decisions.

7)Finally, discuss how this current issue could affect future initiatives in health care delivery. 

GRADING OF PAPER:

200 Points

Approved Topic by the Instructor:  5 points

Title Page: 5 points

Introduction of Topic: 10 points

Body of Term Paper includes:

a)       Role of political process on health care delivery: 20 points

b)       Roles of the demanders and suppliers of health policy20 points

c)       Description of how the political process affects costs of health care, human resources, and various health care faciltiies:  20 points

d)       Explanation of how the various levels of government are inolved in the issue and its effect on health care delivery:  20 points

e)       Describe inovlement of interest groups and organizations in addressing the topic:  20 points

Strategies and Recommendations for addressing healthcare issue:  30 points

Effect of current issue on future initiatives in healthcare delivery:  30 points

Sources of information in body of paper are cited using APA style format: 10 points

Reference Page: 10 points

TOTAL POINTS:  200 points

Topics should be selected and approved by the end of Week One, but not later than the end of Week Two.

The entire term paper will be submitted at the end of Week Eight, for grading.

(There will be opportunity for revisions in each section, based on interaction with the professor and peer reviews until the end of Week 7.)

The final exam must be completed and submitted Saturday of Week Eight by Midnight. Please check your calendar dates and arrange to complete the final accordingly.

GRADING PLAN:

Midterm Examination

100 points

Final Paper

200 points

Class Participation

240 points

Final Examination

100 points

Article Summary (2)

100 points

Peer Review (2)

  50 points

TOTAL POINTS

790 points

Total Points for the course will be converted to a percentage grade, and letter grades will be assigned as follows:  

Grading Scale

A=

90- 100% (711 to 790 points)

B =

80-89% (632 to 710 points)

C = 

70-79% (553 to 631 points)

D =

60-69% (474 to 552 points)

F =

< 60% (473 or fewer points)

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 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.

Late Submission of Course Materials:
Late work will be deducted 10% each day for up to 5 days, unless there are special circumstances that are discussed ahead of time. No credit will be given after 5 days past the due date.

Classroom Rules of Conduct:

Preferred Contact Method:  Please try email first.  Please make a note of my office hours should you need to call.  While I don't mind calls at other times, particularly in cases of emergencies, please keep in mind that I live in El Paso, Texas which is on Mountain time.  I will NOT answer my phone before 8:00 am or after 8:00 pm!!  I try to check the Office Discussion Area each time I log-in to the course, which is typically six days a week.

Preferred Method for Submitting Assignments:  Please use the Dropbox when asked.  All work MUST be done in Word (.doc or .docx) or Rich Text (.rtf) format.  All other formats (including Works and WordPerfect) will be returned with a grade of 0.
 
Response Policy I will try to respond within twenty-four to forty-eight hours. Please note that on Sundays I will not log-in to the course, I will not check email and I will not answer my phone!

Course Topic/Dates/Assignments:

Week 1 Overview: 

During this week, we will take a look at how health and health policy are connected.  We will examine the roles of each branch of government in the formation of health policy and the types of health policies that are created.  Students will also discuss current health policy issues that are outlined in the book as well as online.

Week 1 Objectives: 

1.   Explain health and health determinants role on the development of health policies. 

2.   Define the different types of health policy and provide an example of each.

3.   Identify the role of each branch of government, interest groups, and organizations in health policy.

4.  Describe how the political process affects cost of health care, human resources, and various health 
     facilities.
 

Week 1 Activities: 

Readings

Text: Read Chapter 1

On-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday evening.  Respond to classmates postings as appropriate.  Also, please post your e-mail address, along with a brief work and/or educational background to the Discussion Area.

Homework: Select a topic for the individual term paper related to the effect of health policy on health care delivery.  Submit selected topic in discussion thread.  Topics must be approved by instructor.

Week 2 Overview: 

During this week, we will take a look at the factors that shape health policies.  Students will examine the effect of interest groups and organizations on health policies and health-related systems of care.

Week 2 Objectives: 

1.   Explain the role of the poltical process on health delivery in the United States. 

2.   Understand the social, political, technological,  and economic forces affecting health care policies.

3.   Discuss ethics in the development of health care policies and delivery of health care.

4.   Describe how the political process affects cost of health care, human resources, and various health 
      facilities

Week 2 Activities: 

Readings

Text: Read Chapter 2

On-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday evening.  Respond to classmates postings as appropriate.  

Homework: List sources available to assist in writing paper on an approved topic and post in the discussion thread by the end of the week.  Interact with classmates as appropriate.

Week 3 Overview:

During this week, we will take a look at the suppliers and demanders of health policies.  We will compare and contrast the trditional economic markets with political markets.

Week 3 Objectives: 

1.   Describe and anlayze the key roles of demanders and suppliers olf health policies.

2.   Discuss how politics at all levels of government affect health care delivery.

3.   Explain the conceptual model of the public policymaking process.

4.  Describe ethics in the political marketplace.

Week 3 Activities: 

Readings

Text: Read Chapter 3

On-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday evening.  Respond to classmates postings as appropriate.  

Homework: Complete article summary related to term paper topic by the end of the week and post the article summary in the dropbox area.

Week 4 Overview:

During this week, we will take a look at the processes used to formulate policies. Students will examine the key roles of government, organizations, and special interest groups in policy formulation. The use of agenda setting and development of legislation will be the focus of this week in policy formulation.

Week 4 Objectives:

1. Discuss how politics at all levels of government affect health care delivery.

2. Explain the current and future issues in health policy and the role of government in the formulation of health policy.

3. Describe the role of research in health policy agenda setting.

4. Discuss the link between agenda setting and the development of legislation.

Week 4 Activities:

Readings

Text: Read Chapters 5 and 6

On-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday evening. Respond to classmates postings as appropriate.

Homework: Complete the Introduction to the topic portion of your term paper and post it in the document sharing area of the course by the end of the week.

Midterm Test: The midterm test is located in Week 4. The test will need to be completed before the end of the week.

Week 5 Overview:

During this week, we will examine the various aspects of policy implementation. Students will analyze the relationship between rulemaking and operation in the policy implementation process and the role of interest groups and organizations in shaping policy implementation. An overview of the use of legislative oversight will also be included.

Week 5 Objectives:

1. 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.

2. Describe the relationship between rulemaking and operation in the policy implementation process.

3. Evaluate the roles of local, state, and federal politics on the current and future developments of health care delivery.

4. Discuss the managerial challenges of policy implementation.

Week 5 Activities:

Readings

Text: Read Chapters 7 and 8

On-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday evening. Respond to classmates postings as appropriate.

Homework: Complete the 2nd article summary on your term paper topic and submit the article along with the article summary in the dropbox area by the end of the week.

Week 6 Overview:

During this week, we will explore the relationship between policy formulation, policy implementation on that of policy modification. Students will also examine the two key features of policy modification and their effectiveness in the process.

Week 6 Objectives:

1. Evaluate the roles of local state, and federal politics on the current and future development of health care delivery.

2. Discuss the key features of policy modification and their effectiveness on health policy.

3. Describe the mechanics of the modification phase of public policymaking.

4. 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.

Week 6 Activities:

Readings

Text: Read Chapter 9

On-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday evening. Respond to classmates postings as appropriate.

Homework: Complete an outline of your term paper and submit it in the document sharing area by the end of the week.

Week 7 Overview:

During this week, we will be focusing on the concept of corporate citizenship and political competence. The impact of health policies and strategies for analysis of public policy environments will also be explored.

Week 7 Objectives:

1. Understand the impact of health policies on health care.

2. Understand political pressures between public and private forces in health care.

3. 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.

Week 7 Activities:

Readings

Text: Read Chapter 4

In-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday evening. Respond to classmates postings as appropriate.

Homework: Complete a rough draft of your term paper and submit it into the document sharing area by the end of the week.

Week 8 Overview: 

During this week, we will evaluate the roles of local, state, and federal politics on the current and future developments of health care delivery.  Students will have an opportunity to discuss the pros and cons of their researched health policies and discuss the impact of the policy making process on the delivery of healthcare.

Week 8 Objectives: 

1.   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.

2.  Evaluate the roles of local, state, and federal politics on the current and future developments of health care delivery.

3.  Discuss the impact of the policy making process on the delivery of healthcare.

 Week 8 Activities: 

On-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday evening.  Respond to classmates postings as appropriate.

Homework: Complete the final draft of your term paper and submit it to the dropbox area for grading by the instructor by Sunday of the eighth week.

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 2008-2009 Undergraduate Catalog Page 87

Plagiarism:
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 2009-2010 Undergraduate Catalog Page 92

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, but unexcused absences may carry further penalties.
  3. 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".
  4. A "Contract for Incomplete" will not be issued to a student who has unexcused or excessive absences recorded for a course.
  5. 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.
  6. 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.
ONLINE NOTE: An attendance report of "P" (present) will be recorded for students who have logged in to the Online classroom at least once during each week of the term. Recording of attendance is not equivalent to participation. Participation grades will be assigned by each instructor according to the criteria in the Grading Policy section of the syllabus.

Park University 2009-2010 Undergraduate Catalog Page 95

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:8/1/2009 7:57:28 PM