Online Degrees at Breyer State University
 

HEALTH CARE SYSTEMS

Masters in Health Care Administration

MHA 500

Breyer State University
Instructor: Mark C. Barabas, BS in BA, DHA

SYLLABUS

TIME FRAME: This is a four semester hour course. This course is allotted ten weeks of time. You must complete all of the requirements for the course successfully by the end of the ten-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 four-semester hours of credit.

TEXTBOOK: There is one required textbook for this class.

Book 1: Introduction to health Services, Sixth Edition, by Stephen J. Williams and Paul R. Torrens, Delmar Publishing 2002, ISBN# 0-7668-3611-8.


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This course focuses on the major components of the healthcare Delivery System. The materials for this course are focused in Chapters 1 to 17 in the book.

PROCEED: Once your textbook arrives, please begin reading the text. Your assignment for this course is to read, study and review this textbook. You may proceed as rapidly or as paced as you desire. Your FINAL examination will cover all of the material in this textbook.

As you read the texts, you may certainly want to underline or highlight important concepts, theories, modalities, etc. you may take your own notes, although note taking is not a requirement for this course. There is one written exam (objective type, Open Book), which is to be taken after you have completed all of the readings and the written assignments.

Prerequisite: admission into a graduate program in business or management.

GRADING: This course will be graded based on the following scale:

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

ABOUT YOUR INSRUCTOR: Mark C. Barabas, DHA is your instructor for this course.
· Current, COO, Mercy Suburban Hospital, Mercy Health System
· Former, Hospital CEO for 20 years
· Former, Adjunct faculty @ Youngstown State University and Lebanon Valley College
· Former, Chair of the Board for two national Health Care Organizations
· Current, Editorial Board JONA's Healthcare, Law, Regulation and Ethics Journal
and frequent contributor of published articles
· Winner of the Graduate Literary Award from the University of Toronto Department of Healthcare Administration for 2001
· Current and former member of numerous non-profit community organizations Board of
Trustees
· Hospital Accreditation Administrative Surveyor for the Healthcare Facility Accreditation Program
· See Breyer State website "Faculty" for more information

COURSE OBJECTIVES: Upon completion of this course, you will be able to:

1). Understand the evolution of healthcare delivery.
2). Identify the factors affecting health and wellness.
3). Review public health agencies role in disease promotion.
4). Discuss the levels and settings for ambulatory care.
5). Understand the hospital’s role in Healthcare Delivery.
6). Review community Hospital’s organization.
7). Identify service levels in the Long-Term care settings.
8). Understand trends in the Mental Healthcare Industry.
9). Gain an understanding of the complicated workings of the Pharmaceutical Industry.
10). Review employment trends in healthcare.
11).Analyze Healthcare Expenditures.
12). Understand the origins of Health Insurance and benefit structures.
13). Differentiate Community rating and experience rating as related to group health insurance.
14). Discuss Managed Care Theory and Principles.
15). Review the Government’s role in establishing Medicare and Medicaid programs including Managed Care.
16). Understand Health Policy Formation and the role of the political system.
17). Relate measuring quality to Benchmark, Outcomes and Health Status.
18). Identify ethical issues in Healthcare.
19). Understand DRG’s and PPS systems.
20). Review physician reimbursement, distribution, employment and expenditure issues.
21). Relate what you’ve learned in this course to your work environment.

COURSE CONTENT:

1). Historical evolution and overview of Health Services.
2). Chronic illness implications.
3). Disease vs. illness.
4). Leading causes of death and lifestyle implications.
5). Incidence of infectious diseases.
6). Access to healthcare and trends.
7). Types of access measures.
8). Public Health and disease prevention.
9). Governmental role in public health.
10). Private sector involvement in health promotion.
11). Evolution of ambulatory services.
12). Levels and settings for ambulatory care.
13). Ambulatory patient behavior.
14). Organization of ambulatory care.
15). The hospital’s role in healthcare delivery.
16). Type of hospitals and their historical development.
17). Vertically integrated health systems.
18). Trends in hospital ownership activity.
19). Community hospital organizations.
20). Long-Term care continuum.
21). Long-Term care settings.
22). Characteristics of Nursing Homes.
23). Home Healthcare.
24). Financing of Long-Term care.
25). Mental Health-Care settings.
26). Mental Health-Care professionals.
27). The structure and operation of the Pharmaceutical Industry.
28). Pharmaceutical Price determination.
29). Government intervention in Pharmaceutical industry-PA’s and NP’s.
30). Availability of Healthcare professionals.
31). Healthcare Expenditures.
32). Medicare and Medicaid.
33). Origins of Health Insurance.
34). Benefit Structure.
35). Experience rating and Community rating.
36). Case Mix Index.
37). HMO’s, PPO’s…
38). Managed Care Theory and Principles.
39). Continuium of Insurance type.
40). Provider Concerns.
41). Medicare and Medicaid Managed Care.
42). Health Insurance as a group benefit- funding.
43). Blue Cross and Blue Shield.
44). Drug, Dental, Vision, Retiree and Long Term Care Plans.
45). Disability Insurance.
46). Health Insurance Industry changes.
47). Health Policy and the political system.
48). Federalism and Pluralism.
49). Policy implementation.
50). Measuring quality – benchmarking.
51). Outcomes and Health status.
52). Cost Containment and Quality.
53). Disease Management.
54). Ethical Issues in Public Health.
55). Ethical issues in Healthcare.
56). Government Intervention.
57). Special Interest Groups.
58). Adverse Selection and Moral Hazard.
59). The Uninsured.
60). Physician distribution, employment and expenditures.
61). Physician reimbursement – trends.
62). Supplier induced demand – Manipulated by physicians.

INFORMATION: If you have any questions regarding this program, you may address them to adm@breyerstate.com. An administrative faculty member will respond to all questions.

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