HC451 Hlth Care & the Political Proces

for S1B 2012

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Vision Statement: Park University, a pioneering institution of higher learning since 1875, will provide leadership in quality, innovative education for a diversity of learners who will excel in their professional and personal service to the global community.


HC 451 Hlth Care & The Political Process


S1B 2012 BL


McGee, Jacqueline Y.


Adjunct Faculty


Master of Arts Health Care Management, Webster University

Office Hours

By Appointment and After Class

Daytime Phone





Semester Dates

Jan 16, 2012 to March 11, 2012

Class Days


Class Time

7:40 - 10:10 PM

Credit Hours



Longest, Health Policy Making in the United States, 5th Edition,
ISBN: 978-1-56793-3548

Textbooks can be purchased through the MBS bookstore

Textbooks can be purchased through the Parkville Bookstore

Additional Resources:

Publication Manual of the American Psychological Association, 6th edition
ISBN -10-1-4338-0561-8 (soft cover)

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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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 to treat students as adult learners, exchanging views, opinions, thoughts, ideas, and real world experiences relating to health care system. Readings and examinations contribute to the learning process; however, participation in this class is very important. I do not believe in doing "busy work" which does not contribute to learning. There will be total academic freedom in my classroom.

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:

   Classroom discussion will be on current events. Articles, quiz, presentations, examinations and final paper.
    Informational paper will include 8 page body, excluding the title page, abstract and references


   Classroom Discussion                      100 points
   Mid-term                                          200 points
   Articles (4 at 50 point each)            200 points
   Quizzes (4 at 12.5)                           50 points
   Final Paper                                      150 points
   Final Examination                            300 points
                                      Total          1000 points
   Points will translate to the following letter grade:
   A = 1000-900
   B =   899-800
   C =   799-700
   D =   699-600
   F =   599 and 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:
Students are responsible for ensuring timely submission of their coursework. If circumstances arise, it is the student's responsibility to discuss the issues ahead of time with the instructor. Assignments will be considered late if submitted 24 hours after the due date. Any work submitted late will be deducted one (1) point for each day for up to five (5) days past the due date. Assignment will not be allowed after five (5) days, resulting in zero points for the assignment.

Classroom Rules of Conduct:
Students will act in a mature and appropriate manner at all times. Students will arrive on time for class and will be prepared for the lesson outlined. Cell phones will be turned off.

Course Topic/Dates/Assignments:
  Week One

  1/16    Administrative announcements, course explanation and review of course objectives.

          Read Chapter 1 Health and Health Policy: Week One learning Outcomes:

1.       Define Health and Health Policy.

2.       Describe the health determinants.

3.       Describe the categories of health policies and their use.

 1/18   Read Chapter 2 Discussion will impact of Health Policies and Services. 

                  1.       How do the policy formulations influence the role of Chief Executives in Agenda setting?

                  2.       Describe the context of health policymaking and the influence of suppliers and policies.

                  3.    Apply concepts learned about the policy making process to real world policies.

     Homework: Students will submit a two to three page paper based on a current health care article that relates to that night reading. Be prepared to share the article and discuss why you chose it. Due 1/21 electronically by Midnight.

 Quiz – Over Chapters 1 &2

 Week Two

 1/23   Read Chapter 3.Policy Formulation: Development of Legislation:

1.       Describe the context of health policymaking and the influence of suppliers and demands of policies.

2.       Describe the Agenda Setting and problems that occur in health policies

3.       Discuss interest group involvement in Agenda Settings.

 1/25   Read Chapter 4. Policy Formulation: Development of Legislation:

1.       Describe the Choreography of Legislation Development.

2.       Explain how the Committees with Health Policy Jurisdictions are outlined.

                  3.       Discuss the House and Senate Floor Action on Proposed Legislation.

       Quiz over chapter 3 & 4

       Week Three

        1/30 Read Chapter 4 and 5 Policy Implementation: Rulemaking

      1.       Discuss the Legislation Development for the Federal Budget.

                  2.       Explain how the Legislation Development for State Budgets.

                  3.   Describe the Committees within the Health Policy Jurisdiction.

          2/01Read Chapter 5 Policy Implementation:  Rulemaking

1.       Explain the relationship between rulemaking and the operational activities with the implementation of the law.

                  2.       Explain the Executives Agencies’ Implementation and responsibilities.

                  3.   Describe the implementation phase and the responsibility for policymaking shifts.
       Homework: Students will submit a two to three pages paper based on a current health care article that relates to that night reading. Be prepared to share the article and discuss why you chose it  Due 1/28 electronically by Midnight
Fi      Final Papers: Students should give topic and date for presentation.

   Week Four

         2/6 Read Chapter 5 Policy Implementation: Rule makers

1.       Discuss the beginning of Implementation.

2.        Explain the key features of the rulemaking process.

3.       Discuss the interactions between rulemakers and those affected by the rules.

   2/8 Mid Term examination

   Week Five

   2/13  Read Chapter 6 Policy Implementation: Operation

1.       Discuss the example of an Implementing Organization and the Administration on Aging.

2.       Describe the AoA organizational structure and budget.

3.       Explain the AoA strategic goals and objectives for 2007- 2012.

Homework: Students will submit a two (2) page paper based on a current health care article that relates to that night reading. Be prepared to share the article and discuss why you chose it. Due 2/18 Electronically by Midnight

   2/15   Read Chapter 6

1.       Explain the effect of a policy design or construction on operation.

2.          Discuss the hypothesis of the policy and the degree of flexibility in operating the policy.    

Q     Quiz  over Chapter 5 & 6

        Week Six       

2/20 Read Chapter 7 Policy Modifications

1.       Explain the incrementalism in policymaking and changes.

2.       Describe the mechanics of the modification phase.

3.       Discuss the modification in the policy implementation phase.

        Homework: Students will submit a two (2) page paper based on a current health care article that relates to that night reading. Be prepared to share the article and discuss why you chose it. Due 2/ 23 electronically by Midnight.

   2/22 Read Chapter 7 Policy Modifications:

           1.  Overview of Medicare and Medicaid

           2.  Explain the Social Security Act

           3.  Discuss the Medicaid Eligibility

   Quiz - Over Chapter  7

Week Seven
 2/27  Read Chapter 8 Developing Competence in the Policy Making Process:
          1.       Discuss the health policy and people, organizations and interest groups.
          2.       Explain the health policy and consequences at the individuals’ level.
          3.       Describe the relationships between an organization’s external environment and its performance.

 2/29  Chapter 8 Developing Competence in the Policy Process:

1.       Discuss the types of organizations in the Healthcare system.

2.       Explain the organization designs and resources.

                  3.       The human element in analyzing and influencing public policy environments.

W        Week Eight

   3/5 Overview of U.S. Federal Laws Pertaining to Health

            1. Discuss the acts that the nation put in place since 1798 through 2009.

            2. Explain the program or Investment Area and the amount and purpose of funding.

           Students will submit their final paper in APA style by Midnight 3/8/2012

   3/7      Final Examination


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 2011-2012 Undergraduate Catalog Page 93

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 2011-2012 Undergraduate Catalog Page 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.

Park University 2011-2012 Undergraduate Catalog Page 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:12/13/2011 12:50:24 PM