HC465 Bas Is in Comm Based Hlth Cr Dev

for U1T 2011

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HC 465 Bas Is in Comm Based Hlth Cr Dev


U1T 2011 DL


Buttelmann, Julia A.


Adjunct Faculty


Masters Healthcare Leadership
Bachelor of Science, Criminal Justice

Office Location

Virtual Office

Office Hours

Mon-Fri, 7pm-9pm (CST) (Weekends by Appointment)

Daytime Phone




Semester Dates

June 6 - July 31, 2011

Class Days

Mon-Sun Online

Class Time


Credit Hours



 Stephen J. Williams and Paul R. Torrens (2008). Introduction to Health Services, 7th ed., Delmar Thomson Learning, Albany, NY.  ISBN 1418012890

Textbooks can be purchased through the MBS bookstore

Textbooks can be purchased through the Parkville Bookstore

Additional Resources:

American Hospital Association, www.aha.org 

American Public Health Association, www.apha.org

Robert Wood Johnson Foundation. www.rwjf.org

Milbank Memorial Fund, www.milbankmemorialfund.org

Healthforum, www.healthforum.com

Purdue Online Writing Lab,http://owl.english.purdue.edu/owl/resource/560/01/

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

Course Description:
HC465 Basic Issues in Community Based Health Care Delivery: Historical and philosophical factors defining the functions and scope of current community and public health based health care delivery. Introduction to the concepts of epidemiology, ecology, community needs assessment and social and cultural influences on utilization of health care by community aggregates. 3:0:3

Educational Philosophy:
The facilitator’s educational philosophy is one of interactiveness based on lectures, readings, quizzes, dialogues, examinations, internet, videos, web sites and writings. The facilitator will engage each learner in what is referred to as disputatious learning to encourage the lively exploration of ideas, issues and contradictions.

Learning Outcomes:
  Core Learning Outcomes

  1. Outline the philosophical and historical background of public health issues.
  2. Analyze the social, political, cultural, technological, ethical and economic forces affecting health care.
  3. Distinguish among various health financing strategies for provision of care and postulate future changes in these systems.
  4. Categorize the basic services and practices of public health care system.
  5. Assess the current and future issues in the public health care and the role of government.
  6. Interpret the relationship of specific interests in the health care industry and the effect on health policy decisions and organization and delivery of health care.
  7. Evaluate current priorities and future developments in health issues as they relate to social, political, cultural, technological, ethical and economic forces in health care delivery.

Core Assessment:

Class Assessment:

On-Line Discussion Assignment: Complete discussion questions and post your answers in the discussion thread by Thursday night (no later than 11:59 CST).

Peer Responses:

To receive full credit for weekly participation, the learner must actively participate which includes:

  • posting the required completed assignment in each discussion area no later than Thursday, 11:59pm (CST);
  • posting one peer response in each discussion area no later than Thursday, 11:59pm (CST);
  • AND,  post a minimum of 2 additional peer responses to other students in each discussion or assignment area no later than Sunday, 11:59pm (CST) each week (for a total of three "peer" responses each week).


Homework:  Homework assignments are assignments that pertain directly to the writing of the term paper. Points for homework are given for completion of discussion questions that pertain to the term paper. In week three and five, homework points are granted for article summaries if they are completed.


Article Summary:  You will be writing a paper specifically related to the different health issues that will be discussed in your term paper. These are basically reaction papers to articles that you will need to locate for your term paper. The summary should be about a different aspect of your approved topic for your term paper. These are due by Sunday night (by 11:59 CST) of week due. Guidelines for completion of the article summary are as follows:

1. Locate a current article that examines a health issue topic that is relevant to the forces affecting the
    delivery of health care such as political, economical, technical, cultural, social and ethical components.
    (A Website is not an acceptable resource, BUT journal articles found on the Internet are acceptable.)
    Articles can be found at your local library, a college library, or from Internet sources. The article must show
    a correlation between the health issue and concepts discussed in your textbook. Textbooks are not an
    acceptable resource for this assignment.

2. Write a one to two page paper that includes the following components:
    a. A summary of the article in your own words: DO NOT COPY from the article!
    b. Your own personal reaction to the article: What did you learn? What did you think of the information
    c. Your analysis of how the article demonstrates a correlation between what we have been discussing in
        class (and in the text and lecture materials) about an issue.

    In other words: What aspects of the article demonstrate how this particular issue impacts health
    practices, structure of, government role in, and financing of health care?

3. Submit the summary along with the copy of the article by the due date listed by Sunday night
    (by 11:59pm CST) of the required week. Papers should be submitted to the drop box area.
4. Use APA style formatting for article review.  Only one article should be cited or reviewed DO NOT review
    multiple articles or provide multiple references.  See link for additional information regarding APA style
    formatting-  http://owl.english.purdue.edu/owl/resource/560/01/
Term Paper:  Write no less than a 10 page paper about a current issue in Community Based Healthcare. 

Include the following sections in the body of your paper: 
1.  Cover Page (does not count towards the 10 pages)
2.  Social
3.  Political
4.  Cultural
5.  Technological
6.  Ethical
7.  Economic Forces (affecting this healthcare issue)
8.  Describe Strategies and Recommendations (made to resolve this current issue)
9.  Include any specific interests in the health care industry that would have an effect on health policy decisions. 
10. Finally, discuss how this current issue could affect future initiatives in community based health care delivery. 

APA format, Grammar, and Spelling must be correct.

Topics to be submitted and approved by the Thursday of week one in the discussion thread area.  Do not start paper until topic approval is noted in this area.  Homework assignments build on paper completion.  Paper will be graded based on grammar,  APA formatting, content, depth of knowledge understanding in each prescribed section. The final version of paper should be submitted in Term Paper Dropbox area on Thursday of week 8 (by 11:59pm CST).
**No assignments will be accepted outside of the course room.  This means no emailed work will be accepted for credit.  All work must be submitted through designated Dropbox areas within course room.


Point values for class assessments will be as follows:

Articles (2 at 50 points each) = 100 total point value
Discussion Threads (8 at 25 points each) = 200 total point value
Mid-term Exam = 200 point value
Final Paper =  150 point value
Peer Review (2 at 25 points each) = 50 point value
Final Exam= 300 point value 

Total achievable course points= 1000

The above point values achieved will equal the following letter grades:
A = 1000 - 895 
B =   894 - 795
C =   794 - 695 
D =   694 - 595
F =   594 - below

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 submission of work must be discussed and cleared with the instructor for each circumstance.  For example, getting clearance from the instructor for late submission one week does not give you clearance to be late every week.  Stay in communication with your instructor.  Peer responses are never accepted late after the close of each week.  Assignments are NOT accepted late when not pre-arranged and is determined on a case by case basis.  Completed assignments will be reduced by half the original points when turned in ater the due date.

Classroom Rules of Conduct:

Class Week: A class week is defined as the period of time between Monday and Sunday 11:59pm, Central Standard Time (CST), the time zone of the home campus in Parkville, Missouri.

Students who anticipate receiving credit for participation will have reviewed the material and posted the assignment in each discussion thread and one peer response in each discussion area by Thursday, midnight (CST) each week, so as to have time to engage in class discussions in a meaningful way.  Two additional peer responses in each discussion area must be completed by Sunday 11:59pm each week.  Late work is not accepted unless previous arrangements have been made.  Missing assignments and missing peer responses will have will have a negative impact on the discussion thread (participation) grade. 

E-Mail Procedures and Submitting General e-mail: When sending e-mail other than assignments, you must identify yourself by the class and by name in all e-mail subject line sent to me and/or other members of our class.  (EXAMPLE:  HC465 U1T 2011  Julia Buttelmann)

My Response Policy:  I will check my e-mail frequently. I will respond to course-related questions within 24-48 hours (unless I notify you previously that I will be unavailable).

Course Topic/Dates/Assignments:

Week 1: Chapter 1 
A brief look at the history and philosophy of health care delivery in the United States. 

*Select a topic for the individual term paper related to community based health care delivery.  Submit selected topic in discussion thread.  Topics must be approved by instructor.

Week 2: Chapters 2 & 3   
Patterns of illness and disease and Access to Health Care Delivery Systems in the United States.  Advances in medicine and technology and their impact on access to health care.
Week 3: Chapters 4 & 5 
How various health care delivery systems are structured and financed. Compare and contrast managed care and traditional private health care systems and benefits.
Week 4: Chapters 6, 7, & 8 – MIDTERM EXAM 
The role of public health, and structure of health care delivery in ambulatory and hospital systems.  The roles of each system in health promotion and the impact of insurance systems on the future roles of each type of provider in the delivery of health care.
Week 5: Chapters 9 & 10 
Continuum of long-term care and mental health services in the United States.  The impact of social, technological, ethical, cultural, political and economic forces affecting health care delivery and explore the future of health care delivery in each system of care.
Week 6: Chapters 11 & 12 
Explore the role of health care professionals and other non-financial resources on the impact of health care delivery in various systems.
Week 7: Chapters 13 & 14 – Draft Paper/Peer Review: 
Health care policy and the politics of health care.  Various means of assessing and improving the quality of health care delivery in the United States.
Week 8: Chapters 15 & 16 – Final Paper Due & FINAL EXAM    
Ethical issues related to the development, organization, and delivery of public health and Health Services.  The future of healthcare and challenges healthcare will face.

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 students and faculty members are encouraged to take advantage of the University resources available for learning about academic honesty (www.park.edu/current or http://www.park.edu/faculty/).from Park University 2010-2011 Undergraduate Catalog Page 92

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. from Park University 2010-2011 Undergraduate Catalog Page 92-93

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 2010-2011 Undergraduate Catalog Page 95-96

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:5/18/2011 8:36:56 PM