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Healthcare Reform Policy Issue Report

Healthcare Reform Policy Issue Report . Issue outline. Submit a fairly detailed outline (approximately 2 pages, single-spaced) of your selected health policy issue. Suggested format: • Introduction: Define the issue (can be in the form of a question) • Background and discussion • What was the problem this portion of legislation attempted to solve? • Key players and interest groups: Advocates, opponents, stakeholders, • People affected and how • If applicable, discuss the scope of the issue (local, state, national, international) and your focus (national or state) • Implementation issues and time line • Preliminary list of bibliographic research sources and a short statement of your research plan • Questions about your selected issue CALIFORNIA STATE UNIVERSITY, LONG BEACH COLLEGE OF HEALTH AND HUMAN SERVICES – HEALTH CARE ADMINISTRATION DEPARTMENT Course Syllabus: HCA 502 – The Health Care System – Fall 2015 Instructor: Matthew Graeser, MSHCA E-Mail: matthewgraeser@yahoo.com Office Phone: 818/815-6105 Office Location: Off Campus Office Hours: By Appointment Only Monday-Friday 8am – 5pm Course Number: 11076 Class Meets: Internet, On-Line September 26, 2015 – December 4, 2015 HCA Department Administrative Coordinator: Deby McGill, dmcgill@csulb.edu Tel. 562/985-5694 Fax 562/985-5886 HCA Office Location: HHS2-118 Course Description: This course will provide an overview and developmental summary of the American health care system and its driving forces. Areas of review will include major elements of the healthcare system; today’s major health policy issues in a historical, economic and political context. Letter grade only (A-F). (Lecture) Course Outcomes, Competencies and Assessments: The Health Care Administration Department has adopted a competency-based curriculum, based on the American College of Health Care Executives (ACHE) Competencies Assessment Tool and the Healthcare Leadership Alliance (HLA) Competency Directory. As HCA 502 is one of the first courses that students majoring in Health Care Administration take, the emphasis is on acquiring competencies in HLA Domain 4, knowledge of the healthcare environment. Alignment of the expected outcomes and the ACHE and HLA competencies provides clear expectations and standards for students and instructors alike. Students will demonstrate a level of proficiency in each of the expected outcomes through the course assignments as indicated in the following table. Learning Objective Domain Competency Activity (A1), Assignment (A2) or Assessment (A3) Describe the organization, administration and financing of the U.S. health care delivery system and the principal California health care programs and administering agencies 4- Knowledge of the healthcare system • Role of non-clinical professionals in the healthcare system • Organization and delivery of healthcare • Funding and payment mechanisms of the hc system • The interrelationships among access, quality, cost, resource allocation, accountability and community • Governmental, regulatory, professional and accreditation agencies • Educational funding for healthcare personnel • Nursing, physicians, and allied health professionals’ roles and practice • Managed care models, structures and environment • Socioeconomic environment in which the organization functions A1-On-line class discussions A3-Midterm, final exams Name the major historical events that shaped the U.S. health care system 4- Knowledge of the healthcare system • Interaction and integration among healthcare sectors • Workforce issues • Healthcare technological research and advancements A1-On-line class discussions A3-Midterm, final exams Articulate the key elements of health policy formation and the policy making process 4- Knowledge of the healthcare system • Legislative issues and advocacy • The patient perspective • Workforce issues • Interaction and integration among healthcare sectors A2-Health policy issue report and literature review Analyze major contemporary U.S. health care policy issues. 4- Knowledge of the healthcare system • Legislative issues and advocacy • The interrelationships among access, quality, cost, resource allocation, accountability and community • Funding and payment mechanisms of the hc system A2-Health policy issue report and literature review; Required texts (available for purchase and on 3-hour reserve in Library) 1. Jonas & Kovner’s (2015). Health Care Delivery in the United States (11th ed.). New York: Springer Publishing Company, LLC. Other required reading: Kaiser Family Foundation (2013). Summary of the Affordable Care Act. Retrieved from: http://kff.org/health-reform/fact-sheet/summary-of-the-affordable-care-act/. Highly recommended reference/reading: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, D.C.: Author. http://www.apastyle.org/. PERRLA. APA and MLA Format and Style Software. Retrieved from: http://www.perrla.com/. Cornell University Library. How to Prepare an Annotated Bibliography. Retrieved from: http://guides.library.cornell.edu/annotatedbibliography. Purdue University: Online Writing Lab. Annotated Bibliography. Retrieved from: https://owl.english.purdue.edu/owl/resource/614/01/. California HealthCare Foundation, California HealthLine. Free daily electronic newsletter. Available at: www.californiahealthline.org/. Course lecture notes will be available on BeachBoard. Lectures will include extemporaneous information in addition to that in notes. Other Requirements: You must have an Email address and Internet access to participate in this course and access materials through the BeachBoard online courseware system. For BeachBoard, MyCSULB, or other computer problems, contact the CSULB Help Desk by phone at 562-985-4959, Email to helpdesk@csulb.edu or visit the web site at www.helpdesk.csulb.edu. You may seek in-person help at AS-120. Student Assignments and Grading 1. Class Preparation and Participation, Discussion Leadership: a. The class format will be web-based with interactive discussion of the assigned readings. I expect you to have read the assigned readings before the class session, and encourage you to contribute new information. A principal focus of discussion will be on current health policy information on the topic for that week. Web sites and other sources may be used to gather information on the topics discussed. Your level of engagement in class discussions will determine your class participation grade, which is a combination of your individual postings and group posting combined. Disabled students requiring special accommodations, please advise instructor at start of course. b. The class will be divided into groups. Each student is required to post to their assigned discussion group each week. Initial individual postings to your assigned discussion group should appear no later than Tuesday each week. Failure to post and provide detailed discussion will result in a lowered overall posting and participation grade. Group leaders will rotate on a weekly basis. Considering there are 8 weeks of postings, each group leader will post approximately twice during the course. Groups consisting of less than 4 members may need to post a 3rd time. The group leader is responsible for summarizing the group discussion and formulating a response due by 11:55pm on Friday each week. Final group responses will be posted to the Master Discussion Board. Failure to post to the Master Discussion Board will result in each team member receiving zero points. Once final summaries are posted, members from other groups are required to read the postings. Comments are optional and may be posted to share other opinions, thoughts or beliefs about a discussion topic. 2. Healthcare Reform Policy Issue Report and Annotated Bibliography: The Patient Protection and Affordable Care Act, Public Law 111-148 and companion legislation PL-11-152, commonly known as the Affordable Care Act (ACA), will have significant and far-reaching effects on the nation’s health care system. With implementation of this large and complex law now underway, your major assignment for this course is to select and study one aspect of the ACA’s implementation and share your findings. You will find articles in recent issues of many of the health care journals listed in the bibliography, major urban/national newspapers (LA Times, NY Times, Washington Post, Wall Street Journal), the Internet (see policy and stakeholder web sites) and general interest magazines such as Time, Newsweek, U.S. News and World Report, Business Week, etc. Full text of the enacted legislation is available at http://housedocs.house.gov/energycommerce/ppacacon.pdf. The Kaiser Family Foundation website, http://healthreform.kff.org/, has a wealth of information on health reform, other major health policy issues, and the principal publicly funded health insurance programs. The Commonwealth Fund has a site devoted to tracking health reform implementation: http://www.healthreformgps.org/. You will submit the paper in stages: a. Issue outline. Submit a fairly detailed outline (approximately 2 pages, single-spaced) of your selected health policy issue. Suggested format: • Introduction: Define the issue (can be in the form of a question) • Background and discussion • What was the problem this portion of legislation attempted to solve? • Key players and interest groups: Advocates, opponents, stakeholders, • People affected and how • If applicable, discuss the scope of the issue (local, state, national, international) and your focus (national or state) • Implementation issues and time line • Preliminary list of bibliographic research sources and a short statement of your research plan • Questions about your selected issue b. Stakeholder interview protocol. Arrange a personal interview (in person, by telephone or via email) with a policy expert or professional in the field impacted by the issue or a leader in an advocacy organization. Submit a protocol with the questions you will be asking during your stakeholder interview. Describe the intent of your questions. By stating the intent you will be able to clarify or re-phrase the question if your source is unclear. Examples are posted on BeachBoard. (Approximate length 2 – 3 pages.) c. Annotated bibliography. List (APA style) and summarize the literature you have reviewed for your healthcare reform policy topic (minimum 10 sources, maximum 12 sources). For information on how to write an annotated bibliography, see: http://owl.english.purdue.edu/owl/resource/614/01/ . An example is posted on BeachBoard. An annotated bibliography is NOT an abstract but an annotation to inform the reader as to the relevance, quality and accuracy of the source being cited d. Stakeholder interview transcript summary. Summarize the responses to your stakeholder interview questions. An example is posted on BeachBoard. e. Final health reform policy issue report – submit final paper via Turnitin. MAXIMUM of 3,000 words (about 15 double-spaced pages), with a 1-page single spaced executive summary at the beginning. This report is designed to serve as a sample of your research, writing and analytical abilities and for inclusion in a professional learning portfolio (see portfolio guidelines on BeachBoard). Please follow APA 6th edition guidelines for text citations of printed and electronic references as well as for your literature review reference list. Your final report should be a thorough but concise textual elaboration of your outline, with particular attention to: – Introduction/Archaeology of the problem. Provide brief background and contextual information on the issue. How did it arise? How did it become a problem issue on the public agenda? Is this at its core a national or state issue? – Stakeholder analysis. Here, your objective is to understand the positions of the various interest groups. What groups, industries and organizations supported/opposed this part of the legislation and why? Discuss how they are affected, and what they stand to gain or lose. In addition to investigating stakeholders’ published materials, you may also personally contact representatives of key interest groups or request information from an elected official. If the reform policy you are analyzing is occurring at the national level, discuss the policy’s impact on California. – Legislative summary and impact analysis. Summarize the key provisions of the legislation. Analyze the proposed legislation in a thoughtful, objective manner. What will change? What will it cost and how will it be funded? – Implementation issues and time line. What are the challenges you or stakeholders note with respect to making the proposed legislation operational? When will the legislation become effective? What regulatory actions will occur at the federal and state levels? How are stakeholders seeking to influence the administrative regulations? Are there any legal challenges? – Reflection and conclusion. Remember, at least one source should be primary data collected through a personal interview either in person or via email with a policy expert, professional in the field impact by the issue or a leader in an advocacy organization (stakeholder interview). Tips for writing a strong paper: • USE QUOTES SPARINGLY, and only in situations where inserting such verbiage adds support to your point, provides a position or argument, adds historically significant language, and when paraphrasing or summarizing would result in meaningful language being lost or changed. • Choose your topic and begin your research early in the term. Schedule time to go to the university library to learn about resources available through the library and its vast selection of data bases. If you work for a health care organization which has a medical library, make friends with the librarian and find out what resources are available to you. • Seek feedback on your work. Fellow students are a great resource. Ask for someone in your class to review your work while you review theirs. Discuss and provide feedback to each other on your reports. • The Writers’ Resource Lab (http://www.csulb.edu/colleges/cla/departments/english/wrl/) offers free individualized tutorials to guide students throughout the process of writing a paper. 2. Exams: There will be a mid-term and a final exam. Most of the exam questions will be based on the textbook readings and lecture notes, but there will also be questions from your on-line group discussions. The mid-term will cover the first five weeks of instruction, while the final will be cumulative, with emphasis on subsequent sessions. Both the mid-term and final exams will be timed for a period of 2 hours. The exams will post for a 24-hour period in which you will have 2-hours to log-in, complete and submit your exams. Students absent for mid-term or final exams must provide written third party documentation of unforeseen and unavoidable circumstances in order to be eligible to take a make-up exam. Disabled students, who qualify for alternative testing arrangements, please advise the instructor and make arrangements well in advance of the exams. If you know you will be unable to participate during a particular class week, please provide advance notice. 3. Grade Weights and Policies. Assignments must be received by 11:55 p.m. on the due date. Submit via BeachBoard. You may email your assignment if you have any problems with BeachBoard submission. Late assignments will be downgraded 10% for each day they are late. NO ASSIGNMENTS ACCEPTED AFTER FRIDAY, December 4, 2015. Course Assignments, Due Dates and Grade Weights Item Due Date Points % of Grade Health Reform Policy (HRP) – Issue outline Week 2 – Oct 9 20 4 HRP – Stakeholder interview protocol Week 4 – Oct 23 20 4 HRP – Annotated bibliography Week 6 – Nov 6 50 10 HRP – Stakeholder interview transcript summary Week 7 – Nov 13 30 6 HRP – Issue report Week 8 – Nov 20 100 20 Class participation (8-weeks) Ongoing 80 16 Midterm: Material assigned Weeks 1-5 Week 5 – Oct 29 100 20 Final: Cumulative, emphasis material assigned Weeks 6-10 Week 10 – Dec 3 100 20 Total 500 100Final course grade weights are: 450+ = A; 400-449 = B; 350-399 = C; 300-349 = D; <300 = F 4. Cheating And Plagiarism. Please be aware of and ensure that your behavior conforms to University Policy, as contained in the California State University, Long Beach Policy Statement 80-01: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2008/02. Your final health policy issue reports will be screened for plagiarism using the “TurnItIn” software system. Turnitin is a plagiarism prevention service available in BeachBoard. Students submit their papers electronically, and Turnitin compares the text of those papers to the text in millions of other documents on the Internet, in papers submitted by other students around the world, and in commercial databases of journal articles and periodicals. Whenever similarities between the text in a student’s paper and the text in an existing document are found, Turnitin highlights those similarities, providing an annotated document showing both the student’s paper and the original source. The similarity index for your papers should be less than 30%. Although the University catalog does not cover this aspect of plagiarism, please be aware that it is NOT acceptable to submit the same paper for two courses. If you want to write a paper on the same topic area for two different courses, you must submit two different papers. If I discover that you have submitted the same paper for another course, you will receive an “F” for your paper in this course. 5. Class Topic and Assignment Schedule: Week # – Date Topic Assignments, Activities Deliverable(s) Week 1 Sat., Sep. 26, 2015 – Fri., Oct. 2, 2015 Introduction How to write a research paper (APA style) The Challenge of Health Care Delivery and Health Policy A Visual Overview of Health Care Delivery in the United States Major Provisions of the Patient Protection and Affordable Care Act of 2010 Chapters 1, 2 Appendix  Student Information (A Little About Myself)  Individual and Group Postings Week 2 Sat., Oct. 3, 2015 – Fri., Oct. 9, 2015 Government and Health Insurance: The Policy Process Comparative Health Systems Chapters 3, 4  Health Reform Policy (HRP) – Outline  Individual and Group Postings Week 3 Sat., Oct. 10, 2015 – Fri., Oct.16, 2015 Population Health Public Health: A transformation for the 21st Century Chapters 5, 6  Individual and Group Postings Week 4 Sat., Oct.17, 2015 – Fri., Oct.23, 2015 Health and Behavior Vulnerable Populations: A Tale of Two Nations Chapters 7, 8  HRP – Stakeholder Interview Protocol  Individual and Group Postings Week 5 Sat., Oct. 24, 2015 – Fri., Oct. 30, 2015 Organization of Care The Health Workforce Midterm: Thursday, October 29, 2015 (Materials from weeks 1 – 5) Chapters 9, 10  Midterm Exam (2 hours timed)  Individual and Group Postings Week 6 Sat., Oct. 31, 2015 – Fri., Nov. 6, 2015 Health Care Financing Health Care Costs and Value Chapters 11, 12  HRP – Annotated bibliography  Individual and Group Postings Week 7 Sat., Nov. 7, 2015 – Fri., Nov. 13, 2015 High-Quality Health Care Managing and Governing Health Care Organizations Chapters 13, 14  Individual and Group Postings  HRP – Stakeholder Interview Protocol Transcript Week 8 Sat., Nov. 14, 2015 – Fri., Nov. 20, 2015 Health Reform Policy Issue Report No Assigned Reading  HRP – Issue Report No Postings Required Week 9 Sat., Nov. 21, 2015 – Fri., Nov. 27, 2015 Health Information Technology The Future of Health Care Delivery and Health Care Organizations Chapters 15, 16  Individual and Group Postings Week 10 Sat., Nov. 28, 2015 – Fri., Dec. 4, 2015 Prepare for Final Exam Final Exam: Thursday, Dec. 3, 2015 No Assigned Reading  Final Exam (2 hours timed)  Deadline for all course assignments is December 4, 2015 No Postings Required Congratulations! 7. Pertinent Web Sites. Just a few of many web sites with information pertinent to this course, by topic: Topic Web Sites Health policy (national) Department of Health and Human Services: www.hhs.gov/ Healthcare.gov: www.healthcare.gov/index.html Medicare: www.medicare.gov Academy for Health Services Research & Health Policy: www.academyhealth.org/ Health Hippo: hippo.findlaw.com/hippohome.html Health Reform GPS: Navigating Implementation: http://www.healthreformgps.org/Health policy (California) California HealthCare Foundation: www.chcf.org Insure The Uninsured Project: www.itup.org Health Access: health-access.org/ Public Policy Institute of CA: www.ppic.org California Health Reform/Workforce Development: http://www.oshpd.ca.gov/Reform/ Health Consumer Alliance: http://healthconsumer.orgInformation resources National Library of Medicine: www.nlm.nih.gov Virtual reference style manuals: www.csulb.edu/library/eref/vref/style.html APA electronic citations: www.apastyle.org/apa-style-help.aspx.Health policy formation, agenda setting Robert Wood Johnson Foundation: www.rwjf.org The Urban Institute: www.urban.org; Families USA: www.familiesusa.org Center for Health Care Strategies: www.chcs.org Center for Studying Health System Change: www.hschange.comPolicy implementation & modification National Academy for State Health Policy: www.nashp.org UCLA Center for Health Policy Research: www.healthpolicy.ucla.edu California HealthCare Foundation: www.chcf.org Kaiser Family Foundation: www.kff.org; Rand Corporation: www.rand.org Mathematica Policy Research: www.mathematica-mpr.com/ The Commonwealth Fund: www.commonwealthfund.org/Health-Reform.aspxFinancing health services Center for Medicare & Medicaid Services: www.cms.gov Center on Budget & Policy Priorities: www.cbpp.org CA Legislative Analyst’s Office: www.lao.ca.gov Healthcare Financial Management Assn: www.hfma.orgManaged care, insurance & benefits Employee Benefits Research Institute: www.ebri.org America’s Health Insurance Plans: www.ahip.org CA Assn. Of Health Plans: www.calhealthplans.com CA Dept. of Managed Health Care: www.dmhc.ca.gov CA Office of the Patient Advocate: www.opa.ca.gov/index.aspx National Governors Association: www.nga.org/ National Association of Insurance Commissioners: www.naic.org/Ambulatory health services American Academy of Urgent Care Medicine: www.aaumc.com National Association for Ambulatory Care: http://www.urgentcare.org/ Medical Group Management Association: www.mgma.comHospitals & health systems American Hospital Assn.: www.aha.org; Blue Cross/Blue Shield Assn.: www.bluecares.com Association for Community Health Improvement: http://www.communityhlth.org/communityhlth_app/index.jsp Long Term Care; Politics of Aging & Disability American Association of Retired Persons: www.aarp.org Disability Rights Education & Defense Fund: www.dredf.orgMental health National Institute of Mental Health: www.nimh.nih.gov Bazelon Center for MH Law: www.bazelon.org Medline Plus: www.nlm.nih.gov/medlineplus/mentalhealth.htmlPharmaceuticals Pharmaceutical Research & Manufacturers of America: www.phrma.org American Society of Health-System Pharmacists: www.ashp.org/Public health Centers for Disease Control & Prevention: www.cdc.gov American Public Health Association: www.apha.orgHealth professionals Am. Medical Assn.: www.ama-assn.org; Am. Nurses Assn. www.ana.org Am. Academy of Physician Assistants: www.aapa.org Am. Pharmaceutical Assn.: www.pharmacist.com Quality of care Institute of Medicine: www.iom.edu National Committee for Quality Assurance: www.ncqa.org Joint Commission (accreditation): www.jointcommission.org California Healthcare Foundation Quality Initiative: www.chcf.org Robert Wood Johnson Foundation: National Quality Directory: http://www.rwjf.org/qualityequality/product.jsp?id=71857 Ethical issues Alliance for Health Reform: www.allhealth.org Hastings Center: www.thehastingscenter.org 8. Bibliography (books & articles) – updated 2011 Burke, S. (2011, June). The U.S. Congress and Health Policy. Retrieved from: http://www.kaiseredu.org/Tutorials-and-Presentations/US-Congress-and-Health-Policy.aspx. Campbell, C.G. & Zinner, D.E. (2010). Disclosing industry relationships – toward an improved federal research policy. New England Journal of Medicine, 363, 604-606. DOI: 10.1056/NEJMp1006973 Craig, R.L., Felix, H.C., Walker, J. F., & Phillips, M. M. (2010). Public health professionals as policy entrepreneurs: Arkansas’ childhood obesity experience. American Journal of Public Health, 100, 2047-2052. DOI: 10.2105/AJPH.2009.183939 Donabedian, A. (2003). An introduction to quality assurance in healthcare. Cary, NC: Oxford University Press. (Classic) Gawande, A. (2009, 1 June). The cost conundrum: What a Texas town can teach us about health care. The New Yorker. Retrieved from: gawande.com/articles. Gleckman, H. (2009). Caring for our parents: Inspiring stories of families seeking new solutions to America’s most urgent health crisis. New York: St. Martin’s Press. Hollingsworth, J.M., Ye, Z., Strope, S.A., Krein, S.L., Hollenbeck, A.T., & Hollenbeck, B.K. (2010). Physician ownership of ambulatory surgery centers linked to higher volume of surgeries. Health Affairs, 29, 683-689. Hsu, R.Y. , Kellerman, A.L., & Shen, Y. (2011). Factors associated with closures of emergency departments in the United States. Journal of the American Medical Association, 305, 1978-1985. Illich, I. (1975). Medical Nemesis: The expropriation of health. New York: Pantheon. (Classic) Joynt, K.E., Orav, E.J., & Jha, A.K. (2011). Thirty-day readmission rates for Medicare beneficiaries by race and site of care. Journal of the American Medical Association, 305, 675-681. Kaye, H.S., Harrington, C. & LaPlante, M.P. (2010). Long-term care: Who gets it, who provides it, who pays and how much? Health Affairs, 29, 11-21. DOI: 10/13777/hlthaff.2009.0535. Kongstvedt, P. (2009). Managed care: What it is and how it works. Sudbury, MA: Jones & Bartlett. Long, P. & Gruber, J. (2011). Projecting the impact of the Affordable Care Act on California. Health Affairs, 30, 63-70. doi:10.1377/hlthaff.2010.0961 Metzl, J.M. (2010). The protest psychosis: How schizophrenia became a black disease. Boston: Beacon Press. Meyer, H. (2011). Coding complexity: U.S. health care gets ready for the coming of ICD-10. Health Affairs, 30, 968-974. DOI: 10/13777/hlthaff.2011.0319. Neumann, P.J. (2005). Using cost-effectiveness analysis to improve health care: Opportunities and barriers. New York: Oxford University Press. Picard, A. (2008). The making of the American mouth: Dentists and public health in the twentieth century. Piscataway, NJ: Rutgers University Press. Pipes, S. (2011). The truth about Obamacare. Washington, DC: Regnery Press. Sisko, A.M., Truffer, C.J, Keehan, S.P., Poisal, J.A, Clemens, M.K. & Madison, A.J. (2010). National health spending projections: The estimated impact of reform through 2019. Health Affairs, 29, 1933-1941. DOI: 10/13777/hlthaff.201.0788. Starr, P (2011). The social transformation of American medicine. New York: Basic Books. (Classic) Warnock, M. & MacDonald, E. (2008). Easeful death: Is there a case for assisted dying? New York: Oxford University Press. Wilson, K.B. (2011, May). Health Care Costs 101, 2011 Edition. California HealthCare Foundation. Retrieved from: http://www.chcf.org/publications/2011/05/health-care-costs-101. Selected Health Administration & Policy Journals: American Journal of Managed Care American Journal of Medical Quality American Journal of Public Health Business and Health Harvard Business Review Cambridge Quarterly of Healthcare Ethics Health Affairs Health Care Financing Review Health Policy Health Services Research Health Technology Trends Inquiry Journal of the American Medical Association J of Health Services Research & Policy Journal of Health, Politics, Policy and Law Medical Care Medicine and Health Milbank Memorial Fund Quarterly New England Journal of Medicine J of Health Care for the Poor & Underserved Public Health Reports Journal of Public Health Policy Journal of Ambulatory Care Management Social Science and Medicine Journal of Law, Medicine & Ethics Medical Care Research and Review Policy Studies Journal Modern Healthcare]]>

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