COLLEGE OF HEALTH AND HUMAN SERVICES
California State University, Long Beach
Department of Health Care Administration
HCA 422-01 - Global Issues in Health Services (Hybrid)
Spring 2017
Instructor: Dr. Henry O’LawrenceE-mail: Henry.O’
Office Hours: Wednesdays 3:15-6:15PM
Office Location: HHS1 – 001
Phone: (562-985-8103) / Class Number: 3264
Class Meets in: PH1 Room 209 on MoWe from 2:00PM -3:15PM
Additional Contact Information:
HCA Program Administrative Coordinator: Deby McGill,
Tel. 562/985-5694; fax 562/985-5886
Course Description: This course examines factors that impact global health, including geography, climate, demography, culture, religion, and social organization. It then analyzes the characteristics of healthcare delivery systems and the governmental, economic, social and political forces that influence them. Issues are discussed from the standpoint of individual nations, regions, and the world. Behaviors, over which one can exert control, are juxtaposed with genetic and environmental factors, over which one has limited or no control. (Lecture) Letter grade only (A-F).
Expected Learning Objectives: 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. The emphasis in this course is on acquiring competencies in HLA Domain 4, knowledge of the healthcare environment. Students who have completed this course are expected to achieve the following learning objectives, according to the listed methods of assessment.
Learning Objectives / Domain / Competency / Activity (A1), Assignment (A2) or Assessment (A3)Compare and contrast different country social justice & ethical perspectives on health / Domain 3: Professionalism / Organizational business and personal ethics / A1. Lecture and class discussion and discussion board
A2. Movie Critique
Compare and contrast the structure, organization and financing of the health care system in major developed and selected developing nations. / Domain 4: Knowledge of the Healthcare Environment, Knowledge of global healthcare issues, trends, and perspectives (e.g., aging population, insurance costs, malpractice crisis, etc. / Regulatory and administrative environments in which the organizations function / A1. Lecture and critical thinking discussion questions, class activities
A3. Final exam
Funding and payment mechanisms of the healthcare system
Describe how environmental, social and political forces affect health in a country. / Global healthcare issues, trends and perspectives (e.g., aging population, insurance costs, malpractice crisis, etc) / A1. Lecture and class discussion
A2. Movie critique, Country Report, Final Exam
Identify issues affecting the health of underserved populations in the U.S. and abroad. / A2. Case study report & presentation
Examine the impact of globalization on health in the U.S. and worldwide. / A3. Final exam
Find resources to examine global health, including recent trends and comparative data. / A3. Country report
E-Portfolio Designated Assignments
Learning Objective, from Syllabus / Domain / Competencies,{Job relevant skills to learn} / Title of E-Portfolio
Designated Assignment
Compare and contrast the structure, organization and financing of the health care system in major developed and selected developing nations;
Identify issues affecting the health of underserved populations in the U.S. and abroad;
AND
Examine the impact of globalization on health in the U.S. and worldwide. / Professionalism
Knowledge of the healthcare Environment, Knowledge of global healthcare issues, trends;
AND
perspective (aging population, insurance costs, malpractice crisis; etc.) / Organizational business and personal ethics
Outcomes measures and Management
Funding and payment mechanisms of the healthcare system / Comparative Analysis Project, Case Study Project and Final Research Paper
Expected Outcomes:
Upon successful completion of the course, the student will be able to analyze provision of health care in several nations and apply theories of market failure and government failure to the operation of these health services systems. In addition, students will:
A. Describe supply and demand patterns for health services in several countries.
B. Analyze how government and politics affect health policy.
C. Identify different approaches used to bring health care to the poor and underserved.
D. Analyze the relationship between economic/industrial development and health care delivery.
E. Examine how resources are expended on hospitals, physicians, nurses, preventive and sanitation services in various countries.
F. Describe the role of indigenous healers in several countries.
G. Relate social and political change to consequent reforms in health care and changes in health status.
H. Identify issues affecting underserved population’s health in the United States and abroad.
SPECIAL NOTE:
* Instructor reserves the right to alter or change assignments. Changes in the syllabus will be announced via email and on the BeachBoard. It is a student’s responsibility to remain updated on course changes.
* Instructor will announce in class when class would not meet for lecture and when group should get together for their assignment.
Commitment to Inclusion
California State University, Long Beach is committed to maintaining an inclusive learning community that values diversity and fosters mutual respect. All students have the right to participate fully in university programs and activities free from discrimination, harassment, sexual violence, and retaliation. Students who believe they have been subjected to discrimination, harassment, sexual violence, or retaliation on the basis of a protected status such as age, disability, gender, gender identity/expression, sexual orientation, race, color, ethnicity, religion, national origin, veteran/veteran status or any other status protected by law, should contact the Office of Equity and Diversity at (562) 985-8256, University Student Union (USU) Suite 301, http://www.csulb.edu/depts/oed
Required Texts:
/ Jacobson, K. H. (2014). Introduction to global health (2nd Ed.).Burlingham, MA: Jones & Bartlett Learning.
/ Lovett-Scott, M. & Prather, F. (Eds.). (2014). Global health systems:
Comparing strategies for delivering health services. Burlingham,
MA: Jones & Bartlett Learning.
/ American Psychological Association. (2010). Publication Manual of the
American Psychological Association, (6th ed.). Washington, DC:
American Psychological Association.
Reference Textbooks (Free downloads)
Reid, T.R. 2008. “Sick Around the World” PBS Home Video. We will watch DVD in class together. PBS offers a free online version here: http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/ or you may read the transcript here: http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/etc/script.html. Website also offers many learning resources, all from a socialist democracy perspective.
Tanner, Michael D. 2008. The Grass Is Not Always Greener: A Look at National Health Care Systems Around the World. CATO Institute. Policy Study No. 613. Available online and Beach Board: http://www.cato.org/pubs/pas/pa-613.pdf. A critical look at the various socialist democracy attempts to provide universal health care in several nations and the criticisms that these systems are unsustainable and tend to compromise quality and freedom of choice.
Tanner, Michael D. 2011 (Revised from 2010). Bad Medicine: A Guide to the Real Costs and Consequences of the New Health Care Law. CATO Institute, Washington, D.C. http://www.cato.org/pubs/wtpapers/BadMedicineWP.pdf.
A critical but comprehensive examination of ObamaCare’s (PPACA) impact on health care access, costs, taxes and business.
White, E.B. 2006. The Elements of Style. Paperback (about $3.00) or online http://www.bartleby.com/141. Instructor has Chapter II posted on BeachBoard. This short classic writing guide is considered the best ever produced; keep it at your desk throughout your career. You are tested on Chapter 2.
http://owl.english.purdue.edu/owl/resource/560/01 The Purdue University Writing Lab’s free guide to putting your paper in APA format.
Lecture notes, details of assignments, additional readings, and relevant web sites will be posted on BeachBoard. Keep checking BeachBoard for new information and announcements.
Other Requirements: E-mail address and Internet access to use the online BeachBoard course software system. If you have trouble with registration, contact the CSULB Technology Help Desk by phone at 562-985-4959, via e-mail at or go in-person to Horn Center.
Methods of Instruction: The course is taught through a combination of lectures and BeachBoard, guest lecturers, class discussion, discussion board and in-class presentations.
· Discussion
· Analytical and reflective writing
· Informal peer content critique/feedback
· Informal and formal critique/feedback by the instructor
· Readings from class texts, class notes/material, and from additional sources
· Individual field and research activities
Expectations of Student Skill Performance
· Write clearly and concisely, using correct grammar, punctuation and spelling. Cite all references using APA style; see style manual and (for website citations) http://www.apa.org/journals/webref.html; http://www.csulb.edu/library/eref/vref/style.html.
· Communicate articulately in oral presentations; use appropriate audio-visual aids.
· Search the web and research publications and then apply the information found.
· Analyze information, both numeric and text; don’t just present data.
· Apply internationally-accepted metrics to compare health and healthcare systems.
· Synthesize information about factors that impact health and healthcare systems
· Compare and contrast countries, situations, historic and current times.
· Participate in class discussions, in person and online.
· Submit all assignments on time through the BeachBoard Assignments folder.
· Disabled students requiring special accommodations, please advise instructor.
Course Assignments and Grading
1. Basic Background Knowledge (team assignment). Teams will research answers to a take home exam and discuss answers in class in week 4. Be prepared to answer each question. Same grade for all team members.
2. Sicko Movie Critique (individual written assignment – minimum 500/maximum 1,000 words). Watch the movie “Sicko” and use the questions below as a guide for your critique. You can rent this movie through your local video store or check it out at the CSULB library for free. You may be able to watch this online as well for free. Be prepared to discuss your answers in class in week 5.
a. How do the disparities displayed in the movie differ between the U.S. and other countries reviewed in the movie?
b. Consider (or research) the political and public policy conditions that affect the health conditions displayed in the movie within the countries.
c. The film shows that different countries have found a variety of ways to makehealth care available to everyone. How can that inform our opportunities toimprove the U.S. health system?
d. What further information is needed about howother countries figured out how to do this?
e. Does this film portray a realistic picture of the US health system? Why or why not?
3. Country Report (Group written assignment). Prepare a comprehensive report describing the health status of the population and the healthcare system of that country. The Country Report Outline should be your starting point. Minimum/Maximum length: 2,000/3,000 words; minimum of 10 references. Supplemental materials may be included in appendices.
4. Case Study Discussion Questions (team report and presentation). Student teams will be assigned one of the case studies in the Levine text. Answer the discussion questions about it in Appendix B, and research additional sources for which you will need to cite a minimum of five references. Minimum/Maximum length: 1,000/2,000 words. Your individual grade for the group report and presentation will be based on the instructor's evaluation of the case study presentation (same for all members of the group).
5. Team Peer Review. Complete a 1-page individual (use form posted on BB), rating each team member’s contribution (except yourself). Your grade is the average of your peers' confidential evaluation of your contribution.
6. Exams. The exam questions will come from the readings, class lectures and guest lecturer/student presentations. Disabled students, who qualify for alternative testing arrangements, please advise the instructor well in advance of the exams. Exam questions will be posted at least four weeks before the due date.
7. Attendance, Participation and Activities. Your participation in discussions and activities is highly valued and therefore, points will also be assigned to your willingness to get involved. You will learn more from guest speakers if you: a) learn something about their organization or country beforehand (go to the website, when applicable); and b) formulate a question or two to ask them. This will also help your class participation grade! You are expected to have read the assigned readings for the week, be prepared to comment on them, and to actively participate in class discussions.
Course Assignments, Due Dates and Grade Weights
Item / Due Date / Points / % of total GradeWeekly Discussion Board Assignments / Ongoing (No make-up opportunity)
***WEEKLY / 120 / 30%
Basic Background Knowledge – Team Assignment / See BB for due date / 10 / 1%
Movie Critique Report– “Sicko” (Team) / See BB for due date / 10 / 1%
Country Report –Presentation / Varies (Week 12 – 14)
See BB for due date / 10 / 2%
Case Study (Team Report) / Varies (Week 10 – 12)
See BB for due date / 100 / 5%
Country Report (Team) [5-7pages long]
This research paper must be written in APA format / Week 12-14 (See BB for due date) / 20 / 5%
Homework (Team) / Week? (See BB for due date) / 10 / 4%
Midterm exam / Week 7-9 (See BB for due date) / 100 / 10%
Quizzes (2): (Individual) / Week 5-13 (See BB for due date) / 50 / 7%
Final Research Paper - Individual
(8-10pgs.long) not included reference page / See BB / 100 / 20%
Final Exam - Individual / See BB. / 100 / 15%
Total / 530 / 100%
.
Note: Assignments are due at 11:59 p.m. on the date specified. Late assignments lose 45% of points for each work submitted past the deadline.
Final course grade computation:
% / Letter Grade92.5 - 100 / A
82.5 – 92.4 / B
72.5 – 82.4 / C
63 - 72 / D
IMPORTANT UNIVERSITY POLICIES YOU SHOULD KNOW
Attendance Policy conforms to: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2001/01/
University Withdrawal Policy conforms to http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2002/02/. Withdrawal after 2nd week and before final 3 weeks “permissible for serious and compelling reasons;” instructor will evaluate student withdrawal requests on a case by case basis.
Cheating and Plagiarism
Cheating And Plagiarism. Please be aware of and ensure that your behavior conforms to University Policy: http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2008/02/. I expect that all work that you produce for my course will be your own original work created during this semester. Therefore, you may not submit written work for this course that you have already submitted to another course. This includes all academic courses you have previously taken. Submission of this type of work will be treated in the same manner as plagiarism for grading purposes.
Students agree that by taking this course all required papers may be subject to submission for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such papers. You may submit your paper in such a way that no identifying information about you is included. Another option is that you may request, in writing from your instructor, that your papers not be submitted to Turnitin.com. However, if you choose this option you will be required to provide documentation to substantiate that the papers are your original work and do not include any plagiarized material.