COLLEGE OF HEALTH AND HUMAN SERVICES
California State University, Long Beach
Health Care Administration Department
HCA 439 Management Challenges in Long-Term Care
Spring 2014 Syllabus
Instructor: Rebecca Perley, M.H.A., N.H.A.Campus Phone: (562) 985-5694
E-mail:
Campus Office Hours: Monday, 9:00 – 10:00 am
Office Location: FOA 007 / Course Number: 17188
Section Number: 1
Class Meets: Monday, 4:00 – 6:45pm
Class Room: HHS1-201
Additional Contact Information:
HCA Dept. Administrative Coordinator:
Deby McGill,
Office Location: HHS2-118
Tel. 562/985-5694; fax 562/985-5886
Course/Catalog Description
Functions and essential skills to manage LTC organizations and facilities: Institutional arrangements; Patient/family/community relations; workforce management; marketing; reimbursement. (Lecture)
Letter grade only (A-F).
**Instructor reserves the right to alter or change the syllabus and/or assignments based on class needs . Changes in the syllabus will be announced in class, via email and on the BeachBoard. It is a student’s responsibility to remain updated on course changes.
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. This course is designed to develop competencies in the domains of Professionalism, Knowledge of the Healthcare Environment, Business Knowledge & Skills (Financial Management, Human Resource Management), Communication and Relationship Management and Leadership. The chart below describes course outcomes and how they will be met and measured.
Learning Objective / Domain / Competency / Activities (A1) , Assignments (A2) & Assessments (A3) /Identify the principal clients and stakeholders of Skilled Nursing Facilities / Professionalism / Patients’ rights and responsibilities / A1 – Field Trip, A1 – Guest Presentation, A2 – Research Paper, A3-Exams
Identify the major state, federal and regulatory agencies for LTC organizations, and the statutory sources of their authority. / Knowledge of the Healthcare Environment / Governmental, regulatory, professional, and accreditation agencies (e.g., CMS; JCAHO; NCQA) related to healthcare delivery / A1 – Field Trip, A2- Research Paper, A3- Exams
Differentiate between principal LTC coverage including financing and payment systems currently in use, including both public and private payers. / Business Knowledge & Skills: Financial Management / Reimbursement methodologies and ramifications / A1- Guest Presentation, A3-Exams
Discuss physicians and other allied health professionals’ roles and practice / Knowledge of the Healthcare Environment / Nursing, physicians, and allied health professionals' roles and practice / A1- Guest Presentation, A1 – Field Trip, A3 -Exams
Illustrate how support staff (e.g. nursing, housekeeping, dietary) affect quality assurance, quality of care and quality of life. / Business Knowledge & Skills: Human Resource Management / The varying work environments in which staff work / A1- Movie Presentation, A2- Case Study Presentation, A2 – Research Paper, A3- Exams
Discuss the role of the administrator in overseeing the clinical, social, therapeutic activity and facility management functions of LTC organizations. / Communication and Relationship Management / Labor relations strategies / A1- Guest Presentation, A2- Case Study Presentation, A3-Exams
Develop recommendations to improve the LTC workplace through the application of effective leadership, management practices and culture change. / Leadership / Leadership styles/techniques / A1- Guest Presentation, A2- Case Study Presentation, A3- Exams
Text(s) and other course materials
· Required: Singh, Douglas. A. (2010). Effective Management of Long-Term Care Facilities. Sudbury, Second Edition, MA: Jones & Bartlett Publishers. (Course text is on reserve in the library under instructor and course name)
· Articles supplied by instructor, posted on BeachBoard and/or distributed in class.* (*If you miss a class lecture it is your responsibility to procure materials distributed.)
· APA manual (6th Edition) is in the library under general reference
Student Assignments and Grading
1. Research Paper (60 pts)
A. Undergraduate (439) students: Select a Long-Term Care management challenge and research “best practices” to address it within the U.S. healthcare system. Use a minimum of six (6) reference sources from the course text and eight (8) references from professional literature (journals, articles, documentaries etc.) Total paper: 13 pages.
B. Graduate (539) students: Select three (3) Long-Term Care management challenges and research “best practices” to address it within the U.S. healthcare system. Use a minimum of ten (10) reference sources from the course text and fifteen (15) references from professional literature (journals, articles, documentaries etc.) Total paper: 17 pages.
The following must be followed for organization and formatting of your paper (439 and 539 students):
A. Title page (1 page)
B. Abstract (1 Page) A three quarter to one-page summary of your thesis.
C. Outline (1 Page) Must be in correct outline form with aligned main headings and sub-headings. The outline may serve as your Table of Contents.
D. Body of the paper (439 students: 10 pages, 539 students: 14 pages)
1. Clearly state what you are trying to prove. Include pertinent introductory information and the Thesis Statement on the first page.
2. Detailed analysis of topic
3. Integration of original thought throughout analysis of topic
4. Use correct APA documentation throughout the paper with authors’ names, book or periodical titles, and pages. Also, cite electronic sources.
5. You may use a movie as a starting point for your discussion of health issues affecting a minority culture or a special needs/socially different group.
6. Optional: Table of figures, graphs, illustrations, photo-copied material.
7. Optional: survey results or interviews.
8. Last part of the paper –restate the thesis with a strong conclusion.
E. Formatting and References: APA Style. Page numbers/subheadings included on each page. Typed, double space, 12 Font, normal margins.
439 students: 6 references from the text, 8 references from professional literature
539 students: 10 references from the text, 15 references from professional literature
F. Writing: Content, depth of analysis, original thought throughout paper, correct grammar, sentence structure, spelling and syntax.
Use the drop box created on BeachBoard for submission.
Points will be deducted if the above format is not followed.
IMPORTANT: Plagiarism is a violation of Academic Ethics. All work not completely your own must be documented.
2. Case Study and Team Presentation (60 pts)
Each group will prepare a case study on a topic to be approved by the instructor and present the information to the class using a variety of visual and verbal methods.
A. A typed outline, with aligned main headings and sub-headings, must be submitted through the drop box per the deadline in the syllabus. Included in your outline should be 6 research references. 4 references must be from industry related publications and up to 2 may be from personal experiences.
B. You must clearly illustrate how your topic is affected by the current U.S. healthcare system.
C. You are responsible for facilitating a class discussion and creating a unique experience for the students to learn about the case study.
D. A graduate student will lead each team.
E. Each team member must present information on the topic.
F. All team members will receive the same grade.
G. If a team is dissatisfied with a member(s) participation then the team must notify the instructor one week prior to presentation day. An evaluation of each team member (including him/herself) will then be submitted to the instructor on the day of presentation. Each team member will receive an individual grade to be determined by the instructor. This is only necessary if member(s) of the group are unhappy with another member(s) completion of team duties.
H. Presentation time: 20 minutes (including question and answer period)
I. Grading is based on clarity of presentation, the degree of class involvement your presentation encourages, cooperation with team mates and beginning/ending your presentation on time.
J. All presentation equipment is to be provided by the team (e.g. laptop, flash drive etc.) If a VGA cable and/or audio cable is needed 72 hours advance notice to the instructor must be given. Apple devices require special adaptors which cannot be provided by the instructor. It is the student’s responsibility to determine if the audio/visual department has such adaptors available for use.
You will have time in class for team work sessions and consultations with the instructor.
3. Attendance, Preparation and Participation
Attendance
You are expected to engage with the material, ask questions, respond with answers and participate fully in each class session. In order to do this you need to be in class. Students who attend class show their commitment to learning! There will be an attendance roster that you must sign each session.
There will be no makeup opportunities for unexcused absences. Unexcused absences will impact a student’s participation grade through the loss of opportunity to make up points for in class exercises. Students with excused absences per university policy should contact the professor within 3 days of absence to receive a makeup assignment. All make up assignments are due within 2 weeks of absence date and late submissions will not be accepted.
The university policy defines excused absences as 1) illness or injury to the student; 2) death, injury, or serious illness of an immediate family member or the like; 3) religious reasons (California Education Code section 89320); 4) jury duty or government obligation; 5) University sanctioned or approved activities (examples include: artistic performances, forensics presentations, participation in research conferences, intercollegiate athletic activities, student government, required class field trips, etc.) (CSULB Catalogue, 2010). To receive credit for an excused absence you must submit documentation to the submission folder. Emails do not count. You only need to contact the instructor about an absence, if it is on the day of an exam.
Attendance policy conforms to University policy: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2001/01/.
In-Class Exercises
In Class Exercises (ICE) – must attend class to receive credit for the assignment
Preparation and Participation
You are expected to have read the assigned readings before the class session, to be prepared to comment on the material (including the exercises) and to actively participate in class discussions. Lectures will cover highlights of the reading and include supplementary information. If you have trouble understanding what you read or hear, please ask for clarification in class or make an appointment with me to discuss the problem area(s). Disabled students requiring special accommodations, please advise instructor.
Guest speakers
From time to time a guest speaker will present in class. Dates to be determined. You will learn more from guest speakers if you ask questions during class. Topic matter may be included on the midterm and final exam.
Movie/Documentary
From time to time a movie/documentary or portions of a movie/documentary will be shown in class. This presentation will offer another avenue for you to learn about class material. If you have any restrictions on movie content inform the professor. Topic matter may be included on the midterm and final exam. An in-class exercise assignment may be due.
4. Exams
A. Midterm (80 pts)
The mid-term will be multiple choice/true-false format. The exam questions will come from assigned readings and lectures. Chapters to be covered on the exam will be announced in class. Scantron will be required.
B. Final (120 pts)
The final will be multiple choice/true-false format. The exam questions will come from assigned readings and lectures. Chapters to be covered on the exam will be announced in class. Scantron will be required.
5. Summary: Course Assignment Summary and Grade Weights
Item / Points / PercentResearch paper / 60 / 15%
Case study and team presentation / 60 / 15%
Attendance (5 points/12 classes) and Participation / 60 / 15%
In-Class Exercise (4 assignments) / 20 / 5%
Midterm exam / 80 / 20%
Final exam / 120 / 30%
Total / 400 / 100%
Final Course Grade Thresholds:
A = 400-360 B = 359-320 C = 319-280 D = 279-240 F = 239-0
The total number of points determines your grade. There will be no curving.
6. Course Schedule and Assignments
Session # and Date / Topic / Reading Assignments / Class Work/Deliverables1. 1/27 / Introduction to HCA 439/539
Review syllabus, question/answer
The “Savages” Movie Clips
“So you want to be a CNA” Video
2. 2/3 / Overview of Long-Term Care
Long-Term Care Policy: Past, Present, and Future / Chapter 1
Chapter 2
3. 2/10 / The Long-Term Care Industry
Legal Environment / Chapter 3
Chapter 5
4. 2/17 / Regulation and Enforcement / Chapter 6 / Mandated Reporter/Abuse Video
Form Case Study Teams & Select Topic
5. 2/24 / Financing and Reimbursement / Chapter 7 / Kiplinger Video
Work with Team
Post Case Study Team Topic on Discussion Board and in Group Drop Box
6. 3/3 / Social Services, Admission, and Discharge
Medical Care, Nursing, and Rehabilitation / Chapter 9
Chapter 10 / Work with Team
7. 3/10 / “Away From Her” Movie / In-Class Exercise (5 points)
Research paper topic due
8. 3/17 / Midterm Exam / Chapters 3, 5-7, 9, 10
9. 3/24 / Recreation and Activities
Dietary Services / Chapter 11
Chapter 12 / Work with Team
10. 3/31 / Spring Break
11. 4/7 / Plant and Environmental Services
Administrative and Information Systems / Chapter 13
Chapter 14 / Research Paper Due
12. 4/14 / Case study presentations / N/A / All Case Study Group outlines due
Case study presentations
Group 1-4
In-Class Exercise (5 points)
13. 4/21 / Case study presentations / N/A / Case study presentations
Group 5-8
In-Class Exercise (5 points)
14. 4/28 / Effective Governance, Leadership, and Management
Effective Human Resource and Staff Development / Chapter 15
Chapter 16 / Case study presentations
Group 9-11
In-Class Exercise (5 points)
15. 5/5 / Ethical issues facing LTC administrators
Effective Budgeting and Financial Controls
Effective Quality and Productivity Management / Chapter 18
Chapter 19
16. 5/12 / Final Exam 5:00 – 7:00 p.m. / Chapters 11-16
7. Classroom Rules
Turn off and put away laptops, cell phones or other electronic devices before class begins. Violation of this policy will result in 1. First time per semester "verbal warning," 2. 2nd time excused for class session that day and written warning, 3rd time per semester 5 points deducted from course score and each violation thereafter.
No eating during class.
Arrive on time
Actively participate in all classroom activities and discussions.