HEALTH SERVICES MANAGEMENT
PHC 6180 HEALTH SERVICES MANAGEMENTFall 2016Sections 001Wednesday, 6:30-9:15Location: COPH 2003Instructor:Zachary Pruitt, M.H.A., Ph.D.Visiting Assistant ProfessorOffice: PHC 2134 (by appointment)zpruitt1@health.usf.edu @zacpruitt 727.560.9735 Course Description:This course is an advanced study of specific topics in health care operational and strategic management. The course will strengthen the student's knowledge of management theory and skills, and prepare the student for leadership in the healthcare field. Reply policy: Response to e-mail will be provided within 1 business day. Please contact Dr. Pruitt by e-mail to schedule a meeting or telephone conference. Text: 1. Health Services Management:?Cases, Readings, and Commentary, 10th Edition by McAlearney and Kovner (ISBN-13: 978-1567934908)2. Discover Your True North, 2nd Edition by Bill George (ISBN-13: 978-1119082941) Grading Scale: Grades for each requirement will be posted to the course website. Final course grades will be assigned as follows: A 90-100 pointsB 80-89.9 C 70-79.9 D 60-69.9 F <60Course ExpectationsThis is a 3 credit course. A minimum of three hours of reading or written work is estimated to be needed to prepare for one credit hour each week; therefore, students can expect 9 hours of work outside of class each week. Required readings may take longer for some students.STUDENT ASSESSMENTStudents develop knowledge and skills through lectures, readings, analyses, presentations, and periodic guest lecturers. Assessment StrategyPercentage EBMgt analysis5%EBMgt in-class Presentation5%Exam (short answer)20%Case analyses & activities (10 x 2.5%)25%HSM Consulting Project proposal15%HSM in-class presentation 10%Personal Leadership Development Plan15%Class participation and attendance at Health Management Student Association events5%Total100%Evidence-based management analysis:Students will create a one-page document, including a specific management problem, cited and summarized literature article, and analysis of how the evidence supports solution to the management problem. See list of HSM topics in the class schedule section below. Journal articles must be published in academic or trade publications. Please email article and summary to Dr. Pruitt, and bring enough printed copies for everyone. See rubric and example. Evidence-based management in-class presentationStudents will verbally present evidence-based analysis to the class, including explaining the specific management problem, cited and summarized literature article, and analysis of how the evidence supports solution to the management problem. Presentation must be no longer than 3 minutes. No Power Point presentation deck is required. See rubric.Exam: An in-class exam will cover lectures, reading material, and EBMgt topics. The exam format will be short answer, including questions testing student’s course content understanding application of EBMgt analysis fundamentals.Case analyses:For each assigned case, students will be responsible for a) producing written analysis and b) participating in the team-based case analysis activity. Groups will be created for team analysis. See rubrics for the written assignment and activity leadership.Health services management consulting project proposal:To prepare you for one of the HPM program culminating experiences, the Special Project, a consulting project proposal is required for each student. The proposal may be different than your final Special Project for the program. Deliverables include a problem definition draft, a rough draft, and a final proposal project. Only the final proposal will be graded. See separate handouts for format and rubric. HSM in-class presentation:Based on the student’s written HSM consulting project proposal, a 10 minute (maximum) in-class presentation of the management problem and proposed solutions will be required. Business appropriate attire must be worn for presentation. See rubric.Personal leadership development plan:The Personal Leadership Development Plan is a reflective writing project based on your True North readings. The assignment will be a series of short answer questions. The plan should take at least three hours to complete. See Personal Leadership Development Plan rubric.Class participation and HMSA meeting attendance:Effective graduate education requires consistent attendance to class and regular contribution to class discussions. Also, 1 point will be provided to students for each Healthcare Management Student Association Speaker Series meeting attended.COURSE OBJECTIVESAt the conclusion of the course the student should be able to:Identify the roles and responsibilities of the health services manager.Apply operational definitions (e.g., efficiency, effectiveness, and quality) to HSM topics.Describe process management methods and tools and appropriately apply them to health services management problem assignments.Determine values and ethics through health services management case studies.Demonstrate analytical thinking acumen, professionalism, and written/oral communication skills through health services management cases and projects.Describe organizational design improvement methods, including workforce diversity initiatives.Distinguish management from leadership, and comprehend concepts related to leadership, including conceptual approaches and styles of leadership.Understand management control approaches, including budgeting and organizational governance practices of effective healthcare organizations.Distinguish effective relationship management skills, including physician engagement.Apply human resources, payment methodology, and legal and regulatory concepts to various types of healthcare organizations.COURSE COMPETENCIESCompetencyLearning ObjectivesClass Week(s)Assessment StrategyA.1. Operational Definitions24Exam & activities; and casesA.2. Performance Measurement 26Exam & cases analysesA.5. Operations Management33, 4, 6Exam & case analysesA.6. Analytical Thinking5AllEBMgt analyses, case analyses, & HSM project proposalB.1. Operational and Strategic Planning103, 8-12EBMgt analyses, case analyses, & HSM project proposalB.3. Management of Organizational Design66, 8Exam & case analysesB.4. Leadership and Human Resources Management7, 9, 105, 6, 8-12Exam & case analysesB.5. Organizational Governance83Exam & case analysesB.6. Physician Relations and Engagement24, 6Exam & case analysesC.1. Healthcare System (organization and financing)101, 8-11Exam & case analysesD.1. Budgets 83Exam & case analysesD.5. Reimbursement Methods103Exam & case analysesE.1. Values and Ethical Decision-Making42, 5, 10Exam & case analysesE.2. Written Communication55EBMgt analyses; case analyses & projectE.3. Oral Communication55EBMgt analyses; case analyses, & presentationsE.4. Professionalism52Group activities; PresentationCOURSE POLICIESIncomplete Policy: COPH policy: and Class Participation:This class will meet one day each week, in a face-to-face classroom/seminar setting. The emphasis in class will be lecture and discussion.Exam Policies:Exams taken late without a signed medical excuse will automatically lose 10% of the potential grade. Exams taken late will be newly written exams. The course offers no repeat exams if an exam is failed. Grading Policies: Assignments will not be accepted after the assigned due date. In the event of a medical or other emergency, students should contact the instructors prior to the due date to make alternative arrangements. Evidence of an emergency situation may be required. CLASS SCHEDULEPart One: Evidenced-based ManagementWeek 1 Date: 8/24/16Lecture Theme: Evidence-based ManagementLecture Topics: Health services management history; evidence-based management, systems theoryTool/Skill: Finding EBM literature; Using OneNoteReading: Commentary (3-7), Evidence-Based Management Reconsidered (9-35)Week 2 Date: 8/31/16Lecture Theme: Role of the ManagerLecture Topics: Roles and responsibilities of the manager; career management; ACHE code of ethics; marketing health servicesTool/Skill: Policies and ProceduresReading: "Career Success and Life Satisfaction for Female and Male Healthcare Managers"Short Case 1: Nowhere JobShort Case 3: A Sure Thing Student EBMgt Topics: Managing for improved patient satisfaction; optimal health services staffing; healthcare compliance; healthcare administration and the interprofessional teamWeek 3Date: 9/7/16Lecture Theme: ControlLecture Topics: Strategic planning; excellent governance; budgeting; revenue cycle; supply chain management; Project managementTool/Skill: Gantt chartsReading: “Healthcare Project Management – Chapter 1” Short Case 7: Sparks Medical Center and the Board of Trustees Short Case 25: A Patient-Centered Medical Home at Twin Rivers? Student EBMgt Topics: Implementing patient-centered medical homes; Inventory management systems; managing payment reformWeek 4Date: 9/14/16Lecture Theme: Managing performanceLecture Topics: Strategic planning hierarchy; Operationalization of management measures; Process improvement; Lean/Six Sigma operations; Time studies; Physician relationsTool/Skill: Dashboards; Flow chartsReading: “Engaging Doctors in the Health Care Revolution”Short Case 10: Handoffs in Patient CareShort Case 19: Average Length of StayStudent EBMgt Topics: Engaging physicians; Magnet hospitals; evaluating employee performance; improving patient flow; measuring productivity; physician compensation planningWeek 5Date: 9/21/16Lecture Theme: LeadershipLecture Topics: Distinguish management from leadership; conceptual approaches and styles of leadership; types of power in organizations; motivation; leadership capabilities; leadership mistakes; Goleman's emotional intelligence; managing changeTool/Skill: The Persuasive PresentationReading: "Emotional Intelligence: A Core Competency for Health Care Administrators"Short Case 6: Annual Performance Evaluation: Can you Coach Kindness?Short Case 11: An Information Technology Implementation ChallengeStudent EBMgt Topics: Leadership development; managing mergers; change management; hospital-physician relationships: motivating voluntary medical staff Week 6 Date: 9/28/15Lecture Theme: Organizational designLecture Topics: Org design in the modern context; human resource management cycle; medical staff management; conflict resolution; employee evaluations; workforce diversityTool/Skill: Organization charts; Job description and analysisReading: “Clinical Integration: A Cornerstone for Population Health Management”Short Case 12: System Redesign to Implement an Accountable Care OrganizationShort Case 14: A Department Administrator’s Dilemma Student EBMgt Topics: Employee orientation and/or training; improving inter-organizational communication; nurse practitioners/physician assistants vs. physicians; employee retention; reorganizing care teamsWeek 7, 10/5/16, EXAMIn class Short answerPaper-basedClosed book/notesStudy guide will be providedPart Two: Leadership in Health Services Management Week 8Date: 10/12/16Theme: Leadership and the organizationReading 1: McAlearney & Kovner, Learning through the Case Method (xxxi-xxxii)Reading 2: True North, Ch. 1-3Case A: A New Faculty Practice Administrator for the Department of SurgeryCase G: Improving Organizational Development in Health ServicesWeek 9Date: 10/19/16HSM Project problem statement due via emailTheme: Leadership and communicationReading 1: “Leadership communication styles of health care professionals”Reading 2: True North, Ch. 4 & 5Case B: The Associate Director and the ControllersCase D: Moving the Needle: Managing Safe Patient Flow at YNHHWeek 10 Date: 10/26/16Theme: Leadership and accountabilityReading: “A Practical Roadmap … from a Culture of Entitlement to a Culture of Accountability”Reading: True North, Ch. 6 & 7Case P: Letter to the CEOPruitt/Orban Case: Patient Dumping and Risk-Based ContractsWeek 11Date: 11/2/16Theme: Leadership and performanceReading 1: “Setting the Stage for a Business Case for Leadership Diversity in Healthcare”Reading 2: True North, Ch. 8 & 9Case F: Controlling Performance ManagementCase M: Challenges for Mammoth Health System: Becoming the Best AroundWeek 12 Date: 11/9/16Draft of Project DueTheme: Leadership and professional integrationReading 1: “Physician Clinical Alignment and Integration”Reading 2: True North, Ch. 10 & 11Case L: It’s a Balancing Act: Improving Clinical Operations at Blackwell Medical CenterCase K: Getting from Good to Great: Nursing and Patient Care (Part 1)Week 13Date: 11/16/16Theme: Leadership and your developmentReading: True North, EpilogueLeadership Activities-- Week 14 - Thanksgiving Holiday - No Class 11/23/15 --Week 15Date: 11/30/16Final HSM Project Due PresentationsWeek 16Date: 12/7/16No class; submission of Personal Leadership Development Plan due via Canvas Turnitin.USF POLICIESStudent Handbook: Conduct: USF Student Rights/Responsibilities: USF Student Code of Conduct: Academic Dishonesty: Disruption of the academic process and violations of the policies regarding academic integrity will not be tolerated. Review USF policies on Disruption of the Academic Process and the Academic Integrity of Students at: : Plagiarism will not be tolerated and is grounds for failure. Review USF Academic Dishonesty and Disruption of Academic Process Policy at: University of South Florida has an account with an automated plagiarism detection service (Turnitin), which allows instructors and students to submit student assignments to be checked for plagiarism. I (the instructor) reserve the right to 1) request that assignments be submitted as electronic files and 2) submit students’ assignments to Turnitin, or 3) request students to submit their assignments to Turnitin through myUSF. Assignments are compared automatically with a database of journal articles, web articles, the internet and previously submitted papers. The instructor receives a report showing exactly how a student’s paper was plagiarized. Instructions to submit an assignment using Safe Assignment. Plagiarism tutorial: Turnitin tutorial: : An institution may not release a paper to a plagiarism detection software without the student’s prior consent unless all personally identifiable information has been removed, such as a student’s name, social security number, student number, etc. Note that a paper/essay is considered an educational record and an institution may not ask a student to waive their rights under FERPA for the purpose of submitting papers to a plagiarism detection software. Cheating Statement: The USF College of Public Health expects students to maintain academic honesty in all courses. By virtue of being registered in a public health course, students agree to refrain from cheating. If cheating in any form (academic dishonesty) is detected, appropriate action will be taken. & Religious Observance: Preparedness: In the event of an emergency, it may be necessary for USF to suspend normal operations. During this time, USF may opt to continue delivery of instruction through methods that include but are not limited to: Canvas, Elluminate, Skype, and email messaging and/or an alternate schedule. It’s the responsibility of the student to monitor Canvas site for each class for course specific communication, and the main USF, College, and department websites, emails, and MoBull messages for important general information. Special Accommodation: Students in need of academic accommodations for a disability may consult with the office of Services for Students with Disabilities to arrange appropriate accommodations. Students are required to give reasonable notice (typically 5 working days) prior to requesting an accommodation. Students with Disabilities Services: : : Grievance Procedure: Review USF Academic Grievance Policy at: : assistance is provided by Division of Student Affairs, Office of the Student Ombudsman. FOR STUDENTSLibrary Resources: USF Library Resources and Services: Shimberg Health Sciences Library: For Library Tutorials follow links under ‘Instructional Service’ section Creating Citations & Using Refworks: : (online communication etiquette for online courses) USF Email: Canvas: Tutorials: Live: Tutorials: (for online courses) ................
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