Fall 2020

NURS 7324-002 Healthcare Economics and Policy

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.

COVID-19
Students are expected to follow all policies related to COVID-19 found on the university webpage: https://wp.uthscsa.edu/coronavirus/.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with 
Please be sure to check the Current Computer Requirements

Welcome to NURS 7324 Healthcare Economics and Policy.

Please check the schedule for recent updates and class location (virtual).

Class will be conducted viertually. Synchronous classes are Wednesdays at 1:00 - 3:50 pm:

August 26
September 9
September 23
October 7
October 21
November 4
November 18

In addition, class member teams will convene for discussions via Canvas at scheduled times

For more information about the first day of class and required readings, refer to the course content, Module 1 posted in Canvas.

First Day In Class Assignment: Come to class prepared to actively engage in discourse and learning activities.

FACULTY CONTACT INFORMATION

Clarice Golightly-Jenkins, PhD MSN RN CNS
Assistant Professor/Clinical
Office: (210) 567-5898
Office: SoN 2.226
Office hours by appointment 

golightlyjen@uthscsa.edu

Jeremy A. Viles, DNP MSB RN NE-BC

Assistant Dean of ClinicalPractice

Office: 210-450-1422

Office: Mays Cancer Center, Urshel Tower, 6th Floor

Office hours by appointment

Viles@uthscsa.edu

COURSE DESCRIPTION

This course prepares the student to lead improvements in health care through an understanding of macroeconomic principles in the health care market.  Students will be given the opportunity to apply theoretical and empirical economic analysis to business and public policy issues in health care.

CREDIT AND TIME ALLOCATION

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

PREREQUISITES

Graduate Standing

PROGRAM OUTCOMES

Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.

COURSE OUTCOMES

1. Describe the role of health economics in healthcare and healthcare policy at the macroeconomic level (DNP Essentials III, VI; NONPF Competency: Quality 2)
2. Synthesize relevant economic concepts and models in the health care sector. (DNP Essentials III, VII; NONPF Competency: Quality 1)
3. Critically analyze the role of payers from an economic perspective. (DNP Essentials I, III, VII; NONPF Competencies: Health Delivery System 5, 6, Quality 1, 2, 3)
4. Describe the relationship between insurance and health. (DNP Essentials I, VII; NONPF Competencies: Health Delivery System 5, 6, Quality 1, 2, 3)
5. Critically analyze perspectives on the role of government in health care. (DNP Essentials I, VII, VIII; NONPF Competencies: Health Delivery System 5, 6, Quality 1, 2, 3)
6. Evaluate the role of economic factors in the development of policy concerning health and health care. (DNP Essential V; NONPF Competencies: Health Delivery System 5, 6 Quality 1, 2, 3, Policy 2)

CLINICAL OUTCOMES

N/A

GRADING SCALE FOR GRADUATE COURSES

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)

CRITERIA FOR EVALUATION / GRADES

Online Participation 35%
Reflection Journals 35%
Oral Presentation 30%

CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

WRITTEN ASSIGNMENTS

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.

APA GUIDELINES

The APA Publication Manual 7th edition is required for use in all nursing school programs. 

SCHOLASTIC DISHONESTY

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.

PROFESSIONAL CODE OF CONDUCT

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.

http://catalog.uthscsa.edu/schoolofnursing/policiesandprocedures/

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.

• Be courteous about what you say to or about others in any electronic format. In electronic communication the golden rule is "Remember the Human." Remember there is a real person with real feelings on the receiving end of your email or post.
• Be respectful and open to opinions and ideas that differ from yours. The exchange of diverse thoughts, ideas and opinions are an important part of the scholarly environment. Keep in mind that the people in your classes may come from different backgrounds and have views that may vary significantly from your own.
• Flaming (defined as posting of messages that are deliberately hostile and insulting in an online social context) is never appropriate. While everyone (learners and instructors alike) is encouraged to share ideas and opinions openly, you should never use insults or resort to name-calling even if you disagree strongly with what someone else has written.
• When responding to messages or posts made by others, address the ideas, not the person.
• It’s often best to avoid using sarcasm and humor online. Without social cues, such as facial expressions and body language, a remark meant as humorous could come across hurtful or offensive. Keep in mind that ‘emoticons’ (such as J) may not convey your tone or intent.
• Capitalizing whole words is generally seen as SHOUTING and is difficult for most people to read. Use all capital letters sparingly, such as to highlight an important word or point.
• Think and reread what you’ve written before you post! Make sure that what you’ve written makes sense (is clear and to the point).
• Remember you are responsible for the content you communicate on CANVAS. What you write represents you, so use appropriate language. Remember that all writing should be professional, consisting of complete sentences, and free of grammatical and spelling errors.
• Be aware that distributing copyrighted materials, such as articles and images, is illegal. Most of the materials on the Internet are copyrighted. The only time it’s ok to distribute materials from the Internet is when you are sure those materials are "fair use." To be safe, if you want to share materials with classmates and/or your instructor, share the web link or URL only.
• To avoid plagiarism, make sure you properly cite all source materials. All materials should be cited unless you are the author of the content.
• Protect your privileges in online communication (avoid posting spam or emailing chain letters).

ADA ACCOMMODATIONS

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.

REQUIRED TEXT / REFERENCE

Health Economics (2014) by Jay Bhattacharya, Timothy Hyde and Peter Tu
Red Globe Press, (ISBN: 978-1-137-02996-6)

Wall Street Journal. The WSJ offers a digital student subscription for $4/monthfor individual students.

Articles will be distributed via Canvas

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Health Policy Issues: Paul Feldstein 

e book:

ISBN-13: 978-1640550100

ISBN-10: 1640550100

Economicsfor Healthcare Managers: Robert H. Lee

ISBN- 13: 978-1640550100

ISBN: 10: 1640550100

CONTENT OUTLINE

1.      Overview of key participants in health care 

2.     Economic concepts and models

a.     Efficiencies

b.     Production

c.      Demand

d.     Utilities

e.     Elasticities

f.      Supply

g.     Market Failures

h.     Health Care Labor Markets

3.     Demand for health services

4.     Healthcare production, costs and supply

5.     Insurance: Government, Private, and Self

6.     Health care market structure, conduct and performance

7.     Healthcare markets: Provider, Hospital and Pharmaceutical

8.     Government regulation and intervention

CALENDAR - 1st Day Only

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

Welcome to NURS 7324Healthcare Economics and Policy.

Please check the schedule for recent updates and classlocation (virtual).

Class will be conducted viertually. Synchronous classes are Wednesdays at 1:00 - 3:50 pm:

August 26
September 9
September 23
October 7
October 21
November 4
November 18

In addition, class member teams will convene for discussions via Canvas at scheduled times

For more information about the first day of class and required readings, refer to the course content, Module 1 posted in Canvas.

First Day In Class Assignment: Come to class prepared to actively engage in discourse and learning activities.

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