Spring 2018

NURS 5356-001 Financial and Economic Evidence in Healthcare

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

Please read Chapter 1 in Leger and Dunham-Taylor; and Chapters 1,2, and 3 in Dunham-Taylor and Pinczuk prior to class on Monday, January 8

The class will meet Monday, January 8, 2018 from 1:00 - 3:50 pm in ALTC in classroom 3:303


Clarice Golightly-Jenkins, PhD, RN, MSN, CNS

Assistant Professor, Clinical

School of Nursing

Office: NS 2:226; Phone: 210-567-5898

Office hours: by appointment

Email: golightlyjen@uthscsaedu


Cindy Sickora, PhD, RN

Vice Dean

School of Nursing

Office: NS 2:656, Phone: 210-567-5889

Office hours: by appointment

Email: Sickora@uthscsaedu


Wesley Richardson, PhD, RN, MSN, CNL

Assistant Professor

School of Nursing

Office: NS 2.670; Phone: 210.567-5854

Email: Richardsonwf@uthscsa.edu


The student is introduced to the economic and financial factors affecting practice in a complex healthcare environment.  Principles of healthcare economics, third party reimbursement, developing budgets, variance and economic evaluation methods, are considered.


Credit Hour Allocation: 3 Semester Credit Hours
Clock Hour Allocation: 3 Clock Hours Class (45 hours class)


Graduate standing


Upon completion of the Master of Science in Nursing Program (MSN) students will:

  1. Integrate scientific findings from nursing and related sciences, including genetics and genomics, into the delivery of advanced nursing care to populations in diverse settings.
  2. Demonstrate organizational and systems leadership to assure ethical and critical decision-making at all systems’ levels for quality and patient safety.
  3. Incorporate performance improvement strategies for quality, safety, and patient-centered care delivery.
  4. Use improvement science to achieve optimal patient care and care environment outcomes.
  5. Integrate meaningful and usable information systems and healthcare technologies to support safe, quality patient care and healthcare systems effectiveness.
  6. Advocate for policy changes that influence healthcare at appropriate levels.
  7. Lead interprofessional teams using collaborative strategies to effect quality patient care and population health outcomes.
  8. Analyze and incorporate broad ecological and social health determinants to design and deliver evidence-based clinical prevention and population healthcare and services to individuals, families, and aggregates/identified populations.
  9. Integrate the advanced competencies expected of a master’s prepared nurse to design, deliver, and evaluate outcomes of systems of care for individuals, families, and diverse populations.


1.  Apply principles of healthcare economics in the context of evolving trends in the healthcare system.  [Essential I, II]
2.  Compare perspectives of key participants (consumers, providers, payers, regulators, and suppliers) in the healthcare financial environment.  [Essential II, III, VI]
3.  Evaluate attributes of selected healthcare payment systems.  [Essential II, III, VI]
4.  Examine patient care and business requirements for third party reimbursement. [Essential II, III, VI]
5.  Apply methods of economic evaluation and costing for decision-making.  [Essential II, III, VI]
6.  Prepare and manage budgets.  [Essential II, III, VI]
7.  Apply a logic model to develop and defend a scenario-based business plan to market a healthcare program. [Essential II, IV, VI, IX]




A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)


Course Grade:


Financial Point Paper (FPP) – 100 points                    -     10%

Business Plan  written (8-12 pages)  - 100  points    -      20%

Discussion Board, Worksheets – 100 points              -      30%

Class Attendance  - 100 points                                     -      20%

Business Plan Presentation – 100 points                    -      20%


Maximum Pointe:  100 Points


Grading Scale:


A = 90-100%

B = 80 – 89 %

C = 70 -79%

D = 60 – 69%

F = Below 60%


Schedule: The course is posted on Canvas. Refer to Canvas for details on topisc, reading and assignments.


Five On Campus Dates: Sections 01 and 02: Mondays. 1:00 – 3:50 pm:

January 22; February 26; April 16 and April 23: Business Plan presentations and discussions.


Online Dates: All other weeks of the semester



Attendance in class is an expectation of each student.


  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.


The APA Publication Manual 6th edition is required for use in all nursing school programs. 


Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.


Students who are nurses or are preparing to enter the profession of nursing are expected to treat others with respect and compassion. “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise and to resolving conflict. This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others” (American Nurses Association Code for Nurses, Interpretive Statement 1.5).

The students, faculty, Department Chairs, Associate Deans, and the Dean of the School of Nursing of the University Texas Health Science Center San Antonio subscribe to the highest standards of conduct. Our aim is professional behavior beyond reproach. Failure to abide by the signed code of professional conduct may lead to suspension and/or permanent dismissal from the UTHSCSA SON. In particular, we subscribe to the provisions of the Code of Ethics for Nurses (http://bit.ly/1mtD5p2) and the following points of conduct.


School of Nursing Netiquette Guidelines for Online Interaction

Netiquette guidelines provide information for behaving properly online, when using email, tweets or texts so that you may successfully communicate your thoughts in a manner that is respectful and avoids misunderstandings with others.


Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.


Dunham-Taylor,J. and Leger, J.M. (2018). Financial Management for Nurse Managers: Merging theHeart with the Dollar. (4th ed.) Burlington, MA: Jones &Bartlett ISBN 9781284127256


Dunham-Taylor,J. and Pinczuk, J. (2015). Financial Management for Nurse Managers. (3rded.) Burlington, MA: Jones & Bartlett ISBN 978-1-284-03103-4


Additional Required Resources will beavailable in Canvas within related Modules.


Finkler, S.A. and McHugh, M (2008). Budgeting Concepts for Nurse Managers. (4th ed.) Philadelphia: W.B. Saunders ISBN 978-1-4160-3341-7


Waxman, K.T., (2005) Creating a Culture of Financially Savvy Nurse Leaders. Nurse Leader, 3(1), 31-35.


US Small Business Administration Write Your Business Plan https://www.sba.gov/business-guide/plan/write-your-business-plan-template


Institute for Healthcare Improvement Business Plan Template with Patient Safety goals http://www.ihi.org/resources/Pages/Tools/BusinessPlanTemplate.aspx





Principles of healthcareeconomics including markets, demand, supply, market failure and how health caremarkets are imperfect. (Objective 1)

 Key participants in the healthcare financialenvironment: Consumers, providers, payers, regulators, suppliers. (Objective 2)

Tools for expressing economic evidence and decision-makingincluding cost-benefit, cost-effectiveness, break-even, activity-based costing,cost minimization and cost. Consequence analysis. (Objectives 3 and 5)

Budget (Objectives 5 and 6)

             a.    Components

                                 i.    Fixed,variable, incremental and total costs

b.    Types

                                 i.    Statistical,master, operational, capital, and program

c.    Process

                                 i.    Planning,data gathering, estimating costs, timelines, cycles, approvals, andinterprofessional communication and prioritization.

Healthcare payment systems including third party reimbursementfrom government such as Medicare, Medicaid, government charity, privateinsurance and fee for service. (Objective 4)

 Examinepatient care, information management, and business requirements for financial reimbursement. (Objective 4)

Meaning and Importance of business planning (Objective 7)

Components of a plan based onlogic model.  (Objective 7)

Meaningful use, Accountable CareOrganizations (ACO), Value-based purchasing.   (Objective 1)

Healthcare financial ethics. (Objectives 3 and 4)

CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

Please read Chapter 1 in Leger and Dunham-Taylor; and Chapters 1,2, and 3 in Dunham-Taylor and Pinczuk prior to class on Monday, January 8

The class will meet Monday, January 8, 2018 from 1:00 - 3:50 pm in ALTC in classroom 3:303

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