HEALTH CARE ETHICS

Doctorate of Philosophy in Health Care Administration

HCA 750

Breyer State University
Instructor: Dominick L. Flarey, Ph.D., MBA, RN,CS, CNAA, FACHE

SYLLABUS

COURSE OVERVIEW: I am happy to provide you with information and instructions regarding this course. This is an exciting and challenging course and I am sure you will learn some of the most interesting principles related to organizational ethics and its application to practice as a manager/executive. After successful completion of the course, you will have a much greater understanding of the ethical issues of organizational life. You will also understand the importance of acquiring knowledge and skill in this area of practice in order to practice at a high standard. You will also learn the differences between legal issues in health administration and organizational ethics. A vast array of organizational issues related to ethics are presented, including implementing compliance programs to adhere to accreditation mandates. Several excellent case studies are presented to allow a clearer operationalization of the principles and concepts learned.

TIME FRAME: This is a six-semester hour course. This course is allotted 10 weeks of time. You must complete all of the requirements for the course successfully by the end of the 10-week period. The first day of week one will begin the day that you register for the course, or the day which you notify me that your textbook has arrived and you are ready to begin your studies. Please be cognizant of the time frame. It is rare that extensions of time are permitted, unless you have good justification. Upon successful completion of this course, you will be awarded six semester hours of credit.

TEXTBOOK: There is one (1) required textbook for this course. Please purchase your book as soon as possible.

Book 1: Organizational Ethics in Health Care: Principles, Cases and Practical Solutions. By Boyle, Philip J. et al. San Francisco; Jossey-Bass: 2001. ISBN # 0-7879-5558-2.

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You will find the textbook for this course to be one of the best available for the study of Organizational Ethics. It is packed with information, as well as presentation of related cases with analysis.

EXAMINATIONS: There are two examinations for this course. There is a mid-term examination and a final examination. Both examinations are objective type. The examinations are "open" book. They thoroughly test knowledge in key areas of course content. While open book, they require thought and knowledge of the related content for successful completion. Both examinations are taken "online." When you are ready to take the examinations, access the web site, and take the examination. The examinations are graded after completion and you will be notified almost immediately of your score.

Written Assignments: there is one research/writing assignment for this course. Full information is provided in the online classroom.

GRADE ASSIGNMENT FOR EXAMINATIONS: You will receive a letter grade, based on your over all score achievement. The grading scale is as follows:

90-100%    = A
80-89%      = B
70-79%      = C
60-69%      = D
Below 60% = Fail

WEIGHT OF LEARNING ACTIVITIES:

1). Learning Portfolio Mid-term = 33.3% of course grade.
2). Final Examination               = 33.3% of course grade.
3). Written Project                   = 33.3% of course grade.

SUMMARY: This course is a graduate course for students in the Ph.D program in Health Care Administration. This is an intermediate to advanced level organizational ethics course that focuses on the many principles and theories of organizational ethics as it relates to health care delivery and especially health care management and administration. This is an independent study course, with faculty mentoring. You will study the assigned material and create a mid-term Learning Portfolio. There is one online obejctive-type, final examination. There is one required research/writing project for this course. Full information is provided inside of the online classroom.

ABOUT YOUR INSTRUCTOR: Dominick L. Flarey, Ph.D, MBA, RN,CS, CNAA, FACHE, is President of Dominick L. Flarey & Associates, a health care consulting firm, and The Center for Medical-Legal Consulting. He is a Certified Legal Nurse Consultant, and is the Editor in Chief of JONA's ( journal of nursing administration's) Healthcare Law, Ethics & Regulation. He has held positions as a certified nurse practitioner, associate administrator of patient care, chief operating office and administrator in acute care hospitals. He was an executive consultant to a national "big 6" accounting firm's health care practice and was a service line administrator and consultant for case management for another national consulting firm. He holds a BSN, an MBA, and Doctorates in nursing administration and management.

Dr. Flarey is certified in nursing administration advanced and as an adult nurse practitioner by the American Nurses Association Credentialing Center. He is a board certified health care executive by the American College of Healthcare Executives, and is a Fellow in the college. He is also certified as a Medical-Legal Consultant. He is Professor of the Legal Nurse Consulting Certificate Program at Canyon College. He lectures around the country extensively on legal and ethical issues related to health care practice.

He is a member of the editorial boards of the Journal of Nursing Administration, Seminars for Nurse Managers, Case Management: Managing the Process of Patient Care, and Nursing Outcomes. He has authored over 50 published articles in peer-reviewed journals.

Dr. Flarey is editor/author of the book, "Redesigning Nursing Care Delivery: Transforming Our Future," published by Lippincott/Raven publishers. He is also co-editor/author of the following books by Aspen Publishers: "Reengineering Nursing and Health Care: The Handbook for Organizational Transformation," winner of a 1995 AJN book of the year award, "The Handbook of Nursing Case Management: Health Care Delivery in a World of Managed Care," "Case Studies in Case Management," "Health Care Outcomes: Collaborative, Path-Based Approaches," and "Cardiovascular Outcomes: Collaborative, Path-Based Approaches," and "Process-Centered Healthcare Organizations."

INSTRUCTOR AVAILABILITY: Upon registration, you will be given my e-mail address. I am available periodically through e-mail, so please e-mail me any questions that may occur. That is why I am here. I will do everything to help you as much as possible. Please do not wait until the end of the class to try to get help. It will be too late. Anytime your grade falls below C, I will try to contact you about it. If I do not, please do not hesitate to contact me through e-mail.

COURSE CONTENT:

1). The Moral Ecology of Health Care Organizations.
2). Theory, Culture, Psychology: Tools for Organizational Ethics.
3). Organizational Support for Ethical Behavior.
4). Corporate Compliance and Integrity Programs.
5). Law and Ethics.
6). Managing Human Resources.
7). Conflicts of Interest.
8). Discretion and Control.
9). Evaluating the Moral Life of an Organization.
10). Resource Allocation and Utilization.
11). Structural Issues.
12). Mission and the Bottom Life.
13). Case Studies and Analysis in Organizational Ethics.

COURSE GOALS: As a graduate level course, you must be prepared to operationalize the concepts learned into the reality of today's health care environment. The readings in the text, the analysis of case studies supplied in the text, our discussions, and your written portfolios will assist in meeting this broad based goal.

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