What was the problem this portion of legislation attempted to solve?This course will provide an overview and developmental summary of the American health care system and its driving forces.

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
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; todays 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 & Kovners (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 nations 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 ACAs 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)

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