LSU SHREVEPORT SCHOOL OF BUSINESS

MHA 707 HEALTH CARE SYSTEMS

SPRING AP1

CATALOG DESCRIPTION

Explores the various components of the United States health care system, with significant attention being placed on the various entities operating within the industry, the labor requirements of healthcare organizations, the application of technology within the industry, the role of third-party payer systems, and the role of regulatory agencies and government. We'll examine its good, bad, and where it might go next.

PREREQUISITES

Consent of the department.

TYPE & TIME OF CLASS

This course consists of seven modules and spans approximately 7 calendar weeks. Course delivery is completely on-line with all assignments posted in Moodle weekly.To cover this much material in 7 weeks requires strict adherence to posted deadlines. Please note that the time is compressed; and not the requirements or the expectations.It is recommended that you log in to the course at least three to four times weekly, and before taking a test or submitting a major assignment, to stay on top of the work flow. Paying attention to deadlines and staying current with assignments is your responsibility. Exceptions will be granted, but rarely.

All references to time during this course are U.S. Central Time (Chicago, IL).

REQUIRED TEXTS

Goldsteen R, et al., (2021). Jonas Introduction to the U.S. Health Care System, 9^thEdition. New York, NY: Springer Publishing Company

This book can be downloaded from the Noel Library. Please login to the library website using your LSUS login credentials. You will be limited to the number of pages (100) you can download at a given time just come back later and get the rest. Alternatively, you may enter the Noel Library tab. Click on e-textbooks. Then click on Masters in HC in the left-hand tool bar. Scroll down to MHA 707 where you will find the book. Click on the title and you will see the textbook. You can read it there or download up to 100 pages per day under Save pages. Should you have trouble with accessing or downloading, contact the Library Help Desk or a fellow student for assistance.

Other readings and related assignments will be shown on the Main Course Page and detailed in the assignments themselves. Updates and corrections are usually announced in the Announcements and Weekly Assignments posts throughout the semester.

N.B. If you are not receiving these posts in your email, you are not in touch with this class!

The Announcements and Weekly Assignments forum is where important information about schedule changes, instructor hints on assignments and correction notifications are issued. If you are not receiving these posts, it is YOUR responsibility to check for spam blockers, computer glitches, etc. The LSUS Computer Center can often help you with these issues.

SOFTWARE REQUIREMENTS

Proctorio is the required proctoring system for examinations and is referenced in the next section.

Other software such as spell checkers or Grammarly (available athttps://www.grammarly.com) is optional, but may be very useful. Effective communication, particularly in written assignments, is mission critical to success. English is a funny and difficult language, even for those who grew up speaking it. Getting it right is important!

TECHNOLOGY REQUIREMENTS

All students must have access to a computer capable of running a current version of Windows or a Mac-comparable operating system, a webcam, speakers, and microphone. Google Chrome is the web browser required for taking examinations in this course.

Proctorio is a virtual testing modality that, by Department policy, is required for taking all examinations.You must have a current version of Chrome on your computer and successfully download the Proctorio Extension to take an exam. Your camera must be enabled to take the exam. You can find details in the MHA Resource Center under the Program Requirements and Guidelines banner Online Learning and Required Technology sub-section - MHA Proctoring and Turnitin Services tab.

Computer problems, power failures, server outages, etc. not directly caused by LSU Shreveport will not be accepted as excuses for late or missed assignments or examinations. Do required assignments earlier than later. Always have a back-up plan.Handling contingencies is part of the training program.

PHOTO REQUIREMENT

Please note that you are required to post and maintain a recent photo of yourself to serve as your Moodle user picture throughout the duration of this course.. The photo must be a full-color headshot of you ALONE, similar to that used for passports. Your face must not be obstructed in any way (e.g., with hats, sunglasses, Halloween masks, large ships or airplanes, etc.). Photos help humanize the online experience.

RESEARCH REQUIREMENT

This is a graduate course. Assignments will involve reviewing and reflecting on research from current published literature and reference materials. The Noel Memorial Library at LSUS offers numerous databases (e.g., Business Source Complete, JSTOR, Medline) which allow electronic searches and to access articles remotely. If you have questions concerning library reference resources, please direct them to the Noel Memorial Library. You also use resources such as Google Scholar and PubMed.

INSTRUCTOR

Rohit Pradhan, PhD

Since I do not maintain a physical office on the LSUS campus, please contact me via email at:Rohit.Pradhan@lsus.edu

Virtual Office hours: Monday:8.30-11.00 am.

Please use this zoom link:https://lsus.zoom.us/j/93568984269?pwd=bm8zNXJtR2I0ZFlUM09ORDg4NTZ3QT09

If this time doesnt work for you, please send me an email and I will set up a meeting with you based upon mutual convenience.

Email policy: My policy is to respond to every emailwithin 24 hoursduring the business week. Realistically, I will respond to your queries much more quickly. However, considering the large course roster, I would urge you to carefully review course policies---including this syllabus! ---to ensure that your questions have not already been covered. Include your full name and student ID number in all correspondence.

LEARNING OBJECTIVES

After completing this course, a student will have the ability to:

1. Discuss key drivers of change in the health care system and the current organization of the U.S. health care system, how it has evolved over time, and the shape it is likely to take in the future.
2. Explain the past and present roles of all levels of government and public policy in the U.S. health care system.
3. Compare the U.S. health care system with those of other nations and describe similarities and differences.
4. Define and discuss the significance of population health and public health in the United States.
5. Identify vulnerable populations in the United States, describe the challenges they face in accessing health care, how individual and group behaviors influence health, and identify potential solutions to this problem.
6. Explain how health care is financed in the United States and explain how the costs of health care influence the quality and delivery of care.
7. Discuss how innovations in health information technology are generating both positive and negative effects in the delivery of health care.
8. Identify and discuss key issues facing the future of U.S. health care delivery and health policy.

ASSESSMENT OF LEARNING OBJECTIVES

Student success and participation will be assessed via the following activities over the course of the seven modules:

Examinations (EX A D; 4 exams for a total of 2/3 of the final course grade):Exams will be given at the end of each odd number week (1, 3, 5 and 7) and coincide with each Module A D. Each test will consist of 25 40 multiple-choice and True-False questions. The time limit for each exam will be 90 minutes. These tests are designed to assess your working knowledge and familiarity with the course material. Hint: Do NOT leave questions blank. By guessing, you will generally have a 1:4 chance of getting it right. Hint 2: Unless you receive explicit notice to the contrary, each question has ONLY ONE correct response. Period. Moodle has occasionally been known to pose questions with Select one or more: DO NOT BE DECEIVED.There is only ONE RIGHT response to each question. You have been warned.

Tests will be given in Moodle utilizing Proctorio. All course materials the textbook, PowerPoint presentations (most with audio) and extra readings are fair game for exam questions.Examinations are closed book. More specifically, no textbooks, notes, slides, internet or smart device resources (printed or on-line) are permitted to be accessed during the exam. Additionally, there is no time allotted for breaks of any kind during the exam, therefore each examination must be completed at one sitting.

Examinations will not be given outside of the scheduled examination time to accommodate personal or work schedules.The examination window opens on Wednesday at 6 pm and closes on Saturday at 6.00 pm CST. Students who plan to travel during examination periods should be certain that they have adequate internet access and required technologies to complete the examination during the prescribed period. The class is too large to allow for individual exceptions and frankly, it is unfair to the students who comply with deadlines to grant exceptions without a penalty. Therefore, once an examination window closes, no extension will be granted. If you absolutely cannot complete the exam during the allotted time,please make arrangements with me as soon as you know. I will require a very good reason and documentation to grant you an extension. A late submission grade penalty would still apply.

Finally, the MHA program at LSUS has a no return policy on exams and written assignments meaning, you will not receive feedback on specific questions after a test, just an overall grade. I dont personally like this policy, but it IS the policy. Sorry.

Writing Assignments (1/6 each x 2 = 1/3 of the final course grade):

Writing assignments will be presented the week before they are due. Each assignment will consist of a primary post and two (2) secondary posts. ALL posts must be placed before the deadline stated in the assignment. Instructions for both the primary and secondary posts will be given with the assignment.

Posts will be set up in Moodle using the Q & A format. This format is unique in thatuntil you post your assignment, you will not be able to see anyone elses work.I believe this does several good things: it allows/forces you to write your own material. In other posting formats, the few brave souls that post early do the majority of the work for those who post later, i.e. those who post later do so after having read earlier posts. This format also helps later authors by allowing them to feel that their post is fresh. In other words, late posters often feel that its hard to come up with something new something that hasnt already been said 40-50 times by the time they write their posts. This format obviates this issue.

N.B. There is a 30-minute delay between posting your initial post and being able to read other peoples posts. This 30-minute buffer allows you to go back and tweak your post during the first 30 minutes after entering it. Once the initial 30-minutes delay is over, no more editing is allowed.

Late submission of a writing assignment will result in a 10-point grade reduction.

Academic Integrity/Plagiarism

Plagiarism is taking the work, words or ideas of others and passing them off as your own. Plagiarism is dishonest and violates the LSUS MHA Honor Code. Writing assignments are graded on many parameters, one of the most important is originality of though. Please keep this in mind when writing your posts.I take plagiarism very seriously and you will receive a zero grade. Please dont do it.

GRADING FORMAT

A (100-90), B (89-80), C (79-70), D (69-60), F (59-0)

POLICY ON MAKE-UPS

Make-up examinations are not allowed unless the STUDENT is involved in amedical emergency that

was incapacitating for the entire duration of the assignment for which the make-up is sought. Medical

emergencies of friends, uber drivers, BFFs, or other individuals generally do NOT qualify. IF you think

you have an exception; you may email me the details. Be prepared to provide a signed physicians excuse

with contact information for verification purposes.

ATTENDANCE REQUIREMENTS

This is an exclusively on-line course offered in a dyssynchronous format. Therefore, timely completion

of assignments is a surrogate for attendance.

Student Support Resources

LSUS provides many support resources that address not only students academic needs but also various aspects of students nonacademic needs. Information about and website links for such resources are available in the syllabus supplement posted in Moodle or attached as the last page of this document, etc.Some resources such as the Student Success Center (tutoring and coaching) and IT support are also available from the Student, Technical, or Web Links drop-down menus available at the top of the Moodle screen.

Academic Accommodations

The Americans with Disabilities Act (ADA) and other related laws protect the rights of individuals with disabilities in work, educational, and other settings. Students are responsible for making their needs known and must contact the LSUS Office of Disability Services for accommodation requests. For the request form, the Pilot Your Ability Student Manual, and more information, visit theLSUS Disability Services webpage.

Title IX Protections

Title IX of the Education Amendments Act of 1972 is a U.S. federal law that provides various sex-based discrimination protections under educational programs that receive federal-level financial assistance. Such protections include, but are not limited to, pregnancy/parenting and gender-based harassment. For LSUSs Title IX policy (PM-73) and informational brochure as well as contact information and forms for emergency and non-emergency incident reporting, visit theLSUS Title IX webpage.

Syllabus Addendums

Additional communications, if any, at the University or the College of Business levels are posted in the Getting Started section of Moodle.

MHA 707

SEMESTER SCHEDULE

Spring 2024

Note:Please note that all readings included in the supplementary readings are required readings and may form part of your exam.All supplementary readings are available on Moodle arranged according to their respective week.

MODULE A (Monday, Jan 15)

Week 1

Chapter 1 Introduction to the US Health Care System

Supplementary readings a) Is the US healthcare system Broken? Shmerling

1. b) Health Expenditure Comparison: OECD
2. c) National Health Expenditure 2022 (CMS)

**WA-1 Opens **

Consult Moodles schedule for supplementary readings and related assignments

EXAM A (MODULE A) Wednesday Saturday @ 6 pmCentral

MODULE B - 1 (Monday, Jan 22)

Week 2

Chapter 2 The Settings for Health Care

Chapter 3 The People Who Provide Health Care

Supplementary readings a) Nursing Shortage: Haddad et al. 2023

1. b) Physician salaries, international comparison: Incidental Economist

**WA-1 All posts due by Saturday @ 6 pm Central **

Consult Moodles schedule for supplementary readings and related assignments.

.

MODULE B - 2 (Monday, Jan 29)

Week 3

Chapter 4 Medicines, Devices and Technology
Chapter 5 Government and the Health Care System

Supplementary readings a) How to Reduce Prescription Drug Prices: Atlas

1. b) Medicare New Drug Price Negotiation Program: KFF

Consult Moodles schedule for supplementary readings and related assignments

EXAM B (MODULES B-1 & B-2) Wednesday Saturday @ 6 pm Central

MODULE C - 1 (Monday, Feb 5)

Week 4

Chapter 6 Financing the Health Care System

Chapter 7 Health Care System Performance

WA-2 Opens

Supplementary readings Health Costs and Financing: Shrank et al.

Consult Moodles schedule for supplementary readings and related assignments

MODULE C - 2 (Monday, Feb 12)

Week 5

Chapter 8 Debates That Have Structured Health Care System Change

Supplementary readings a) Current Debates in Health Care Policy: Fiedler & Young

Consult Moodles schedule for supplementary readings and related assignments

EXAM C (MODULES C-1 & C-2)Wednesday Saturday @ 6 pm Central

MODULE D - 1 (Monday, Feb 19)

Week 6

Chapter 9 History of Change 1900 - 2010: Incrementalism

Chapter 10 History of Change from 1900 2010: Comprehensive Reform

Supplementary readings a) An overview of Medicare: KFF

1. B) Health Insurance and the Promise of Incrementalism: Muthulingam

Consult Moodles schedule for supplementary readings and related assignments

WA-2 All posts due by Saturday @ 6 pm Central

MODULE D - 2 (Monday, Feb 26)

Week 7

Chapter 11 The Affordable Care Act

Chapter 12 Trends in the US Healthcare System
Supplementary readings a) Transforming Healthcare with AI (Executive summary only)

1. B) US Health Care Reforms: Obama

Consult Moodles schedule for supplementary readings and related assignments

WEEK 8 (Monday, 4thonly)

Mandatory Accreditation Day

All accelerated online programs in the College of Business at LSUS now include an 8^thweek

(1 day). This day is set aside specifically for assurance of learning, and no course-related activities are allowed to be performed after the closing time on Saturday, as set by your professor. This exercise will not influence your grade in the course and must be administered after the conclusion of the course content. Therefore, an online assessment will be available on the Monday of the 8^thweek. Your participation is necessary for us to maintain our top tier business accreditation. This does not affect the structure of your course, and your only action item is to login to Moodle on Monday of the 8^thweek and complete the 30-minute assurance of learning assessment.