5370 … · Web viewThe course is designed to assist students as they develop a set of tools that...

Fall 2014 Semester—EHCA 5370—Dr. Timothy Rotarius

The University of Texas at TylerExecutive Health Care Administration MPA Program

FALL 2014

Graduate Health Care Economics (EHCA 5370)

Dr. Timothy Rotarius, Ph.D., MBAProfessor

[email protected] 407-970-9284

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This course meets in-class for 20 hours. There will be five (5) sessions, each four hours long. These five sessions will be spread over a three-day period. The dates of in-class meetings are shown later in this syllabus. In addition, this course regularly uses email and the course website.

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Statement of Accountability for this Graduate Course

As a student in this course, you agree to the following: I have read and understand the course policies as explained in the syllabus. I plan to spend a minimum of 10 hours per week working on this course work. I agree to attend all in-class sessions. I will not offer personal excuses or work-related excuses to my Professor. I accept responsibility for issues related to my computer and internet connection. I will follow the email protocols as described in the syllabus. If I cheat or plagiarize, I will accept a score of zero on the specific item. I will meet every deadline or will accept a score of zero on the specific item. I will not ask for favoritism from the Professor. During the semester, I will periodically re-read the entire syllabus.

Course Description

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The course is designed to assist students as they develop a set of tools that can help them make economic-based policy decisions in today’s healthcare environment. Students will study economic paradigms and apply economic theories as a way to approach resource allocation issues in the healthcare industry.

Course Learning Objectives

1. Express how and why market systems work and what makes healthcare markets different from the markets in other industries.

2. Apply basic economic analysis tools to healthcare topics.3. Recognize current healthcare expenditures and demographic patterns in the U.S.

affecting healthcare markets. 4. Understand private and public health insurance systems in the US.5. Have an understanding of the factors that influence the supply and demand for

healthcare products and services.6. Use economic tools to examine current public policy issues in healthcare. 7. Characterize the differences between public healthcare goods and private

healthcare goods and explain how decisions about their production and distribution are made by society under different political systems.

8. Demonstrate the use of cost‐benefit techniques and cost‐effectiveness analysis in decisions to produce and distribute healthcare goods and services.

9. Interpret the findings of health economics research and examine the implications for predicting the behavior and performance of consumers and organizations in the healthcare industry.

Graduate health administration programs strive to cultivate specific competencies within their programs. These competencies are intended to develop related knowledge, skills, and abilities in each student. Each of the learning objectives presented above are mapped to program competencies as elucidated by the Commission on Accreditation of Healthcare Management Education (CAHME). The results of this mapping process are presented at the end of this syllabus in the appendix

Course Materials

Required Textbooks:

Lee, Robert. 2009. Economics for Healthcare Managers, 2nd edition. Health Administration Press. ISBN: 978-1-56793-314-7. [Note: The 3rd edition will be published sometime after the semester begins. Instead of waiting for the newest edition, we will use the 2nd edition (which was published in 2009).]

Tate, Nick J. 2013. ObamaCare Survival Guide. Humanix Books. ISBN: 978-0-89334-862-5.

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Other required course materials:

Discussion section of course website.

Microsoft Word, Microsoft Excel, and Adobe Acrobat.

Calculator (no preference as to brand or model number).

Supplemental Reference Textbooks (Not Required):

Getzen, Thomas E. 2013. Health Economics and Financing, 5th ed. Wiley Publishing. ISBN: 978-1-11818-490-5.

Feldstein, Paul J. 2012. Health Care Economics, 7th ed. Delmar Publishing. ISBN: 978-1-11131-326-5.

Note: Movies will be shown during the in-class sessions. The references for these movies are:

The Ascent of Money by Niall Ferguson, PBS (provided via the Internet). Mind Over Money by Malcolm Clark, PBS (provided via the Internet)

Additional readings and reference materials will be provided via the course website.

Learning Objectives for the Lee Textbook

Chapter 1—Why Health Economics? Describe the value of economics for managers. Identify major challenges for healthcare managers. Find current national and international information about healthcare

outcomes. Distinguish between positive and normative economics.

Chapter 2—An Overview of the U.S. Healthcare System: Articulate the input and output views of healthcare products. Identify major trends in healthcare. Find current national and international information about healthcare

outputs. Apply marginal analysis to a simple economic problem.

Chapter 3—An Overview of the Healthcare Financing System:

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Use standard health insurance terminology. Identify major trends in health insurance. Describe why health insurance is common. Describe the major problems faced by the current insurance system. Find current information about health insurance.

Chapter 4—Describing, Evaluating, and Managing Risk: Calculate an expected value and standard deviation. Describe the key features of a risky outcome. Construct and use a decision tree to frame a choice. Discuss common approaches to managing risk.

Chapter 6—The Demand for Healthcare Products: Calculate sales and revenue using simple models. Discuss the importance of demand in management decision making. Articulate why consumer demand is an important topic in healthcare. Apply demand theory to anticipate the effects of a policy change. Use standard terminology to describe the demand for healthcare

products. Discuss the factors that influence demand.

Chapter 7—Elasticities: Calculate and arc elasticity. Use elasticities to describe economic data. Apply elasticities to make simple forecasts. Use elasticity terms appropriately.

Chapter 9—Supply and Demand Analysis: Define demand and supply curves. Interpret demand and supply curves. Use demand and supply analysis to make simple forecasts. Identify factors that shift demand and supply curves.

Chapter 13—Economic Analysis of Clinical and Managerial Interventions: Identify when a cost-minimization analysis is appropriate. Distinguish between cost-benefit analysis and cost-utility analysis. Explain why economic evaluation is necessary in healthcare. Discuss the importance of comparing the best alternatives.

Chapter 15—Government Intervention in Healthcare Markets:

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Describe the advantages of perfectly competitive markets. Explain when markets may be inefficient. Discuss alternative approaches to market failure.

Course Work & Grading

Course work consists of:

Solving end-of-chapter problems sets (PS1, PS2, PS3)

Writing and reviewing exam questions (Q1-Q9 and R1-R9)

Preparing reports based on the Affordable Care Act (A1, A2, A3)

Course Work from the Lee Textbook: 54%

PS1 End-of-Chapter problem sets from Chapters 1,2,3 = 12 pointsPS2 End-of-Chapter problem sets from Chapters 4,6,7 = 12 pointsPS3 End-of-Chapter problem sets from Chapters 9,13,15 = 12 points

Q1-Q9 Writing exam questions from the Lee textbook = 9 points

R1-R9 Reviewing exam questions from the Lee textbook = 9 points

Assignments using the Affordable Care Act : 46%

A1 Details when assignment becomes available = 18 pointsA2 Details when assignment becomes available = 18 pointsA3 Details when assignment becomes available = 10 points

TOTAL POINTS = 100 points 100%

Course grading scale: A = 90+ pointsB = 80-89 pointsC = 70-79 pointsD = 60-69 pointsF = fewer than 60 points

Neither makeup work nor extra credit will be offered in this course.

Learning Schedule

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Please visit the university’s academic calendar for important dates (www.uttyler.edu).

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General Dates

Aug 25 Semester begins

Aug 27 Complete course preparation: Access course website to become familiar with the course. Identify open and due dates during the semester.

Sept 1 Labor Day Holiday

Nov 24-29 Thanksgiving Day Holidays

In-Class Sessions

Sept 11 1:00 pm to 5:00 pm in-classIntroductions and review of syllabus.Lee Textbook: Chapters 1, 2, 3.Tate Textbook: Chapters 1, 2, 3, 4.Movie: The Ascent of Money: Episode 1.

Sept 12 8:00 am to noon in-classLee Textbook: Chapters 4, 6.Tate Textbook: Chapters 5, 6, 7.Movie: The Ascent of Money: Episode 2.

Sept 12 1:00 pm to 5:00 pm in-classLee Textbook: Chapter 7.Tate Textbook: Chapters 8, 9, 10, 11.Movie: The Ascent of Money: Episode 3.

Sept 13 8:00 am to noon in-classLee Textbook: Chapters 9, 13.Tate Textbook: Chapters 12, 13, 14.Movie: The Ascent of Money: Episode 4.

Sept 13 6:00 pm to 10:00 pm in-classLee Textbook: Chapter 15.Tate Textbook: Chapters 15, 16, Appendix.Movie: Mind Over Money.


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From the Lee Textbook

Sept 24 Read Chapters 1, 2 Oct 1 Read Chapter 3 Oct 8 Read Chapters 4, 6Oct 15 Read Chapter 7 Oct 22 Read Chapter 9 Oct 29 Read Chapter 13 Nov 5 Read Chapter 15

From the Tate Textbook

Sept 22 Read Chapters 1, 2, 3 Sept 29 Read Chapters 4, 5, 6, 7 Oct 6 Read Chapters 8, 9, 10 Oct 13 Read Chapters 11, 12, 13 Oct 20 Read Chapters 14, 15, 16 Oct 27 Read the Appendix

Problem Sets from the Lee Textbook

Oct 2 PS1 opens Oct 18 PS1 due Oct 16 PS2 opens Nov 1 PS2 due

Nov 6 PS3 opens Nov 22 PS3 due

Questions Written (using the Lee Textbook)

Sept 28 Q1 and Q2 dueOct 5 Q3 due Oct 12 Q4 and Q5 due Oct 19 Q6 due Oct 26 Q7 due Nov 2 Q8 due Nov 9 Q9 due


University Administrative Issues

Student Rights and Responsibilities: The policies that affect you as a student at UT Tyler can be found at: http://www.uttyler.edu/studentaffairs.

Grade Replacement/Forgiveness: If you are repeating this course for a grade replacement, you need to file an intent to receive grade forgiveness with the registrar by the 12th day of class. Failure to do so will result in both the original and repeated grade being used to calculate your overall grade point average. Graduate students will receive grade forgiveness (grade replacement) for only two course repeats during an academic career at UT Tyler.

Disability Services: In accordance with Section 504 of the Rehabilitation Act, Americans with Disabilities Act (ADA) and the ADA Amendments Act (ADAAA), the University offers accommodations to students with learning, physical, and/or psychiatric disabilities. If you have a disability, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, PTSD, or ADHD, or you have a history of modifications or accommodations in a previous educational environment, you are encouraged to contact the Office of Student Accessibility and Resources (SAR) to schedule an interview with Cynthia Lowery Staples, the Accessibility Case Manager/ADA Coordinator. If you are unsure if the above criteria apply to you, or

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Questions Reviewed

Oct 4 R1 and R2 due Oct 11 R3 due Oct 18 R4 and R5 due Oct 25 R6 due Nov 1 R7 due Nov 8 R8 due Nov 15 R9 due

Assignments using the ACA

Aug 29 Begin reading the ACA

Sept 5 A1 opens Oct 5 A1 due

Oct 10 A2 opens Nov 2 A2 due

Nov 7 A3 opens Dec 7 A3 due

http://www.uttyler.edu/studentaffairs


have questions or concerns, please contact the SAR office. For more information or to set up an appointment, please visit the SAR office located in the University Center, Room 3150 or call 903-566-7079. You may also send an email to [email protected].

Student Absence due to Religious Observance: Students who anticipate being absent from class due to a religious observance are requested to inform the Professor of such absences by the end of the first week of the semester.

Social Security and FERPA Statement: It is the policy of UT Tyler to protect the confidential nature of social security numbers. The University has changed its computer programming so that all students now have an identification number. The electronic transmission of grades (e.g., via e-mail) risks violation of the Family Educational Rights and Privacy Act (FERPA). Therefore, grades will not be transmitted electronically.

Course Policies and Rules

Your up-to-date grade percentage is calculated as follows:(sum of your scores at this time ÷ total possible points at this time)

Do not plagiarize. Plagiarism is defined as using another’s work without any indication of the source, thereby attempting to convey the impression that such work is your own. All submitted course work must represent the student’s own scholarly and creative efforts, which means that an anti-plagiarism statement must be included on all submitted work (or penalty points will be deducted).

Computer Issues

Students are responsible for any computer problems (such as disk crashes and internet connection failures) that you experience.

If you sincerely believe there was a problem with the university’s computer system, visit the university website to find if a university-caused computer problem has occurred.

If there really was a university problem, it will show up on the university website within a day or so. Keep looking at those webpages and, if you see that a university problem occurred when you were having difficulties, let me know.

If the university computer department says that there was a university problem, I will make every effort to make sure students’ scores are not adversely affected by university computer problems.

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Email Communication Protocol

For communications containing private and personal information, please use the private course email system. In your email to me, please remember to include your phone number (if necessary).

For course-related (i.e., non-personal) communications, please use the public course communication system.

Medical Issues

Verifiable medical documentation and funeral documentation will be reviewed to determine if special arrangements are warranted.

If you believe you deserve special consideration for these types of issues, please scan your documentation into a pdf file and send the file to me (via the private course email system).

Course Work Guidelines

Course work provides opportunities for students to demonstrate practical application of economics concepts, critical thinking skills, and general knowledge in various economic content areas.

Since repetition in problem solving is the key to understanding the principles of economics, the completion of course work is critical to achieving success in this course.

Course assignments will be open for a defined number of days during which time students need to (a) read the assignment and (b) submit their homework.

Late course work cannot be accepted. Course work cannot be changed once it is submitted.

Submitted course work that is deemed incomplete by the Professor will incur an additional penalty of 3 points (which reduces whatever score was earned on the assignment). The decision of “incomplete” rests entirely with the Professor. For example, a homework submission that is 99% complete may still be considered “incomplete” for purposes of assessing the penalty.

All general inquiries related to course work should be posted to the appropriate discussion section of the course website. That way, everyone in the course will benefit from the discussion of the issue.

Individual homework scores will be available about 3-5 days after the due date.

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For each homework assignment, after the scores are computed, I submit a “Results” posting within the general discussion section of the course website. These “Results” postings show the main reasons why students lost points on specific assignments.

Formatting for Course Work

All homework will be submitted as a pdf file (with the following filename extension: .pdf ).

Course work submitted as a word processing file will NOT be accepted for credit.

Course work submitted as a spreadsheet file will NOT be accepted for credit.

Do not use a separate cover page for your homework. Be sure to place your full name near the top of your first page.

The name of your submitted homework files shall contain only the following information before the filename extension:

Last initial (not your entire last name). First initial. Middle initial (put a ‘z’ if you do not have a middle name). Two-digit month of submission Two-digit day of submission

Example, if Alice B. Connors submits her assignment on May 9th, she would name her file cab0509.

REMEMBER—last initial first!!

Please do NOT include any other letters, words, or phrases in your filename. Only use the 7 digits as described above.

PENALTY: 2 points if you do not use the correct file name.

Discussion Section of the Course Website

To simulate the question-and-answer portion of an in-class course, we will utilize the discussion section of the course website. Periodically, topics of interest will be posted that are intended to facilitate learning the chapter content. While students do not have to respond to the these postings, responses are encouraged.

There are no participation points related to student involvement with the course discussion section (just as there are no points for reading the textbook). However, you

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still need to keep up with the discussions. These discussion postings are intended to help you. I read every student discussion posting and, as necessary, make corrections to student postings. In addition, I sometimes provide clarifications that may alter a course expectation (such as changing a due date or altering an assignment requirement or changing something else in the course).

Regarding the discussion postings, we do not want our course discussion section to resemble a disorganized pile of postings. Therefore, please post your discussions in the appropriate place. If, for example, you want to ask a question about Assignment 2, look for the discussion section titled A2. If it exists, then post your thoughts there. If it does not exist, feel free to create the new discussion section.

Here are some guidelines for using the discussion section:

Every student is expected to read every posting in the discussion section.

The discussion section is not to be used as a forum to have other students do your work.

Do not use the discussion section to ask questions regarding, for example, when an assignment is due (that specific answer is in the syllabus).

Feel free to use the discussion section to schedule a place to meet to study together.

Please use the discussion section to ask questions about interpreting the assignments and to post discussions about current healthcare issues. That is one way we can learn from others.

Closing Details

Now that you have finished reading the syllabus, it is a good idea to re-read it one more time so that you understand your responsibilities and your required commitment to this course. That way, there will be no surprises later.

This syllabus is subject to change based on the Professor's perception of the overall preparation and progress of the class.

One last point—As you decide how much time to devote to this course, please keep the following in mind:

If you spend a lot of time listening to music, you will remember a lot of songs.

If you spend a lot of time watching TV, you will know a lot about TV.

If you spend a lot of the time following sports, you will learn a lot about sports.

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If you spend a lot of time studying healthcare economics, you will learn a lot about healthcare economics.

Good luck!!

APPENDIX—Learning Objectives and Links to CAHME Competencies

COURSE OBJECTIVE PROGRAM COMPETENCY*

1. Express how and why market systems work and what makes healthcare markets different from the markets in other industries.

I.A.1I.A.2I.B.1

2. Apply basic microeconomic analysis tools to healthcare topics.

II.A.4II.D.4II.G.2II.H.1

3. Recognize current healthcare expenditures and demographic patterns in the U.S. affecting healthcare markets.I.B.1I.B.2

4. Understand private and public health insurance systems in the US.I.A.1I.A.2II.D.4

5. Have an understanding of the factors that influence the supply and demand for healthcare products and services.

I.A.2II.H.1

6. Use economic tools to examine current public policy questions in healthcare.II.A.3II.D.4II.H.2II.H.3

7. Characterize the differences between public healthcare goods and private healthcare goods and explain how decisions about their production and distribution are made by society under different political systems.

I.B.1I.B.2II.A.4

8. Demonstrate the use of cost‐benefit techniques and cost‐effectiveness analysis in decisions to produce and distribute healthcare goods and services.

I.A.1I.A.2II.A.1II.G.2

9. Interpret the findings of health economics research and examine the implications for predicting the behavior and performance of consumers and organizations in the healthcare industry.

I.B.2II.A.3

Teaching and learning methods utilized in this course (per CAHME reporting):

TEACHING/LEARNING METHODS % of TimeHigher Level(e.g. In class presentations, Cases, Team Activities, Simulations, External Field Experiences, Strategic/Consulting Projects, Reflective Learning)

35%

Lower Level(e.g. Readings, Lectures, Guest Speakers, Online/Class Discussions, Web Modules)

65%

Assessment methods utilized in this course (per CAHME reporting):

TEACHING/LEARNING METHODS % of GradeHigher Level(e.g. Observation checklists; Case/Project review and feedback; Team effectiveness assessment; Journals; Experiential report/Portfolios; Reflective Modeling; Class participation; Strategic/Consulting Projects)

40%

Lower Level(e.g. Pre/Post Knowledge/Skills Testing; Exams; Papers/Reports

60%

* List of CAHME Competencies

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DOMAIN COMPETENCY INDICATORI. Understanding of

the Healthcare Environment:

The understanding of the healthcare system and the environment in which healthcare managers and providers function.

A. Healthcare Systems and Organizations

1. Demonstrate knowledge of the healthcare system, its funding and payment mechanisms, and the environment in which it operates

2. Assess the interrelations among access, quality, cost, resource allocation, accountability, and community

B. Public Health and Health Outcomes

1. Understand and articulate health and public health policy outcomes

2. Develop outcome measures for planning and policy

II. Business Skills and Knowledge:

The ability to apply business principles, including systems thinking, to the healthcare environment.

A. General Management 1. Analyze and evaluate information to support a decision or recommendation

2. Conduct needs analysis, identify and prioritize requirements

3. Demonstrate critical thinking and analysis4. Identify alternate processes and potential

solutionsB. Financial Management 1. Understand and apply basic accounting,

financial management, and financial analysis principles

C. Human Resource Management

1. Familiarity with and ability to apply human resource laws and regulations

2. Performance management and employment satisfaction measurement and improvement systems

3. Examine and implement selection, recruitment, and retention techniques

4. Develop organizational policies and procedures

D. Organizational Dynamics and Governance

1. Ability to analyze and apply organizational systems theory and structure

2. Ability to analyze and apply governance theory and structure

3. Assess organizational culture and its impact on effectiveness

4. Interpret and integrate federal, state, and local regulation/laws

E. Strategic Planning and Marketing

1. Define and construct strategic planning principles and processes

F. Information Management

1. Explain the role and function of information technology in operations

2. Ability to plan and implement information systems

3. Ability to integrate technology security requirements

4. Interpret and analyze data necessary for decision making

G. Quality Improvement 1. Understand and apply quality management principles

2. Familiarity with and ability to apply data collection, measurement, and analysis tools and techniques

H. Health Economics and Policy

1. Analyze and apply economic theory and concepts to business decisions

2. Identify policy issues and key stakeholders3. Design and evaluate policy strategies

III. Communication and Relationship Management:

The ability to communicate clearly and concisely with internal and external stakeholders, establish and maintain relationships, and facilitate constructive interactions

A. Communication Skills 1. Demonstrate effective written, oral communication, and presentation skills

2. Provide and receive constructive feedback3. Listen and respond effectively to the ideas

and thoughts of othersB. Relationship

Management1. Build collaborative relationships2. Demonstrate effective interpersonal relations3. Practice and value shared decision making

C. Facilitation and 1. Demonstrate effective negotiation and

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with individuals and groups. Negotiation facilitation techniques2. Facilitate conflict, mediation, and alternative

dispute resolution

DOMAIN COMPETENCY INDICATORIV. Leadership:

The ability to inspire individual and organizational excellence, create a shared vision and effectively manage change to attain the organization’s strategic ends and successful performance.

I. Leadership Skills and Behavior

1. Champion solutions and encourage decision making

2. Engage in critical thinking and decision making

3. Utilize relevant data to critically analyze financial and organizational issues

4. Provide visionary leadership identifying future possibilities for the organization

II. Organizational Climate and Culture

1. Create an organizational climate that encourages teamwork

2. Establish an organizational culture that values and supports diversity

3. Support innovation and creativityIII. Communicating Vision 1. Create and communicate a shared vision

2. Promote systems thinking in operations3. Identify opportunities for growth and

development of the organizationIV. Managing Change 1. Demonstrate change management skills

2. Anticipate and plan strategies for overcoming obstacles

3. Anticipate the need for resources to carry out initiatives

DOMAIN COMPETENCY INDICATORV. Professionalism:

The ability to align personal and organizational conduct with ethical and professional standards that include a responsibility to the patient and community, a service orientation, and a commitment to lifelong learning and improvement.

A. Personal and Professional Accountability

1. Uphold and act upon ethical and professional standards and principles

2. Demonstrate and promote cultural sensitivity

B. Professional Development and Lifelong Learning

1. Provide personal commitment to enhance knowledge, skills, and abilities in healthcare administration

2. Value and act on feedback that is provided about one’s own strengths and weaknesses

C. Contributions to the Community and Profession

1. Participate in community service

2. Support collegial relationships with peers through networking, information sharing, and mentoring

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