Spring 2021

NURS 7324-001 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 WebCT icon
Please be sure to check the Current Computer Requirements

Welcome to NURS 7324 Healthcare Economics and Policy. Class will meet Tuesdays from 2:00 - 4:50PM via Canvas Conference in Online Synchronous NURS 7324 Healthcare Economics and Policy class:

January 12
January 26
February 9
February 23
March 16
March 30
April 13

In addition, class member teams will convene for discussions via Canvas Conference at faculty/team designated times.

Check the SP 21 NURS 7324 Healthcare Economics and Policy course Announcements for recent updates. Refer to SP 21 NURS 7324 Healthcare Economics and Policy course content, Module 1 posted in Canvas.
First Day Synchronous In-Class Assignment: Come to class prepared to actively engage in discourse and learning activities.

FACULTY CONTACT INFORMATION

Clarice Golightly-Jenkins, PhD RN MSN CNS
Assistant Professor
School of Nursing
Email: golightlyjen@uthscsa.edu        
Office Phone (210) 567-5898
Office Virtual
Office Hours by Appointment


 

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 Synchronous Class Attendance and Participation 35%
Reflection Journal 35%
Oral Presentation 30%

Grading Criteria
1. Synchronous Class Attendance and Participation: Students are required to attend Synchronous classes prepared to participate in class discussions, share insight from the readings, and demonstrate integration of course content with professional practice. Students are expected to progressively develop professional voice as a skill and ability toward leader competency.

2. Consistently engaged online participation is paramount to gaining the full benefit of the content and its application in this course. It is an expectation that students will follow specific instructions for each online discussion. Students are expected to contribute to online discussion in a scholarly manner, using literature to support statements. Supporting literature must be referenced with APA 7th ed. standards. Students will be expected to share insights from the readings and learning resources integrated with practice experience, challenging the readings or practice where there seems to be incongruence. It is an expectation that postings will be grammatically correct with minimal typographical and grammatical errors.

Grading Rubric and Criteria for Discussion Board Forums, Reflection Journals, Team Conferences and Oral Presentations are provided in Canvas

3. Submissions less than or equal to one day late will be given a 50% beginning deduction prior to grading criteria being applied. Submissions more than one day late will not be accepted.

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.

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

Bhattacharya, J., Hyde, T., and Tu, P. Health Economics (2014). Paulgrave Macmillan (ISBN 978-1-137-02996-6)

Selected articles will be distributed via CANVAS

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Feldstein, P. Health Policy Issues: An Economics Perspective (2019). Health Administration Press, Chicago. e book: ISBN-13: 978-1640550100; ISBN-10: 1640550100

Lee, R. Economics for Healthcare Managers (2019). Health Administration Press, Chicago. 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

9.    Governance as Leadership


CALENDAR - 1st Day Only

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

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

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