Syllabus Template - University of Colorado Denver

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Syllabus


Department of Health
Systems,
Management and Policy

Colorado School of Public Health

HSMP

6670

University of Colorado, Anschutz Medical Campus


Ambulatory Healthcare
Management


2

Credit Hours

Spring, 2012



Instructor

Information:



Name:

William F. Jessee, MD, FACMPE




Sr. Vice President / Sr. Advisor




Integrated Healthcare Strategies
, and




Clinical Professor of Health Systems,
Management and Policy




Colorado School of Public Health, Denver

Office Hours:
By arrangement

Phone/email:
303
-
883
-
6807
; wfj
essee@yahoo.com


Course Description:


This elective course will overview the variety of ambulatory settings in which healthcare
services are delivered,
and provide students with basic knowledge and skills needed to
manage care delivery in those settings. The content domains to be addressed will
include: business operations, financial management, human resources management,
information management, organiza
tional governance, patient care systems, quality and
safety management and risk management. Practical examples will be used to illustrate
the application of management methods to specific issues encountered in a variety of
ambulatory care settings


Course
Objectives:


Upon completion of this course, students will be expected to have attained the following
competencies:


1.

Describe and discuss alternative organizational forms for delivery of ambulatory
healthcare services

2.

Develop a budget and describe methods
for overseeing financial performance in
ambulatory care organizations

3.

Describe basic concepts for billing and collection for insured services, including
disease and procedure coding

4.

Discuss key laws affecting management of human resources in ambulatory car
e
organizations


2


5.

Discuss principles for assuring safe, high quality care for patients in ambulatory
care organizations, and for managing adverse results

6.

Describe basic approaches for managing financial risks in ambulatory care

7.

Discuss alternative structures

for governance of ambulatory care organizations
and describe the role of the manager in governance

8.

Describe alternative approaches to managing business and clinical information
needs in ambulatory care


Instructional Methods and
Course Contact Hours
:


Th
e course will be taught through a blend of face
-
to
-
face and on
-
line activities. Face
-
to
-
face classes
(primarily lecture and discussion)
will be held for two hours
(4:00pm


6:00
pm)
every other
Tuesday
, totaling 16 hours of face to face instruction during
the 16
week semester. In alternate weeks, students will complete on
-
line exercises and
required readings, which will require an additional total of 16 hours of instruction.
Some
of the on
-
line exercises will be team activities.
Total contact hours will be
32.


Classroom:


The eight on campus sessions are scheduled for Ed 2 South L28
-
1307.

.


Required textbook
:


Wolper, L.F.
Physician Practice Management
( 2005), Sudbury, MA: Jones and Bartlett
Publishers, 695pp.


Additional readings will be
assigned from time to time and
made available via
e
-
mail or
as handouts in the face
-
to
-
face sessions.



Grading Criteria
:


Written exercises (3 will be assigned)


10 points each


30 points total

Participation in on
-
campus discussions and presentations,


with demonstration of c
ompetence in required readings

3
0 points

Final
exam









4
0 points

Total possible points







100


Grading Scale
:

A = 90
-
100

B = 80
-
89

C = 70
-
79

F = below 70






3






Course outline and calendar
:


Week 1.
January 24

On campus


Alternative Ambulatory Care Settings



Wolper



Chapter
s

1

and 2


Week 2.
January 31 Distance



Governance and Leadership Issues



Wolper


Chapters 3 and 4



Teams of two will be assigned a series of discussion questions on this topic
and will be expected to
work together, either face to face or virtually, to
prepare responses to each question. The discussion questions will be
distributed at the January 24 session and will also be e
-
mailed to each
student. Discussion questions will be addressed during the Febr
uary 7 face
-
to
-
face class.


Week 3.
February 7 On campus


Human Resources

Issues



Wolper


Chapters
5,
6

and 19

Week 4.
February 14 Distance



Planning and Marketing



Wolper


Chapter 7



Teams of two will be assigned a series of discussion questions on th
is topic
and will be expected to work together, either face to face or virtually, to
prepare responses to each question. The discussion questions will be
distributed at the February 7 session and will also be e
-
mailed to each
student. Discussion questions
will be addressed during the February 21 face
-
to
-
face class
.

Week 5.
February 21 On campus


Accounting and Budgeting



Wolper


Chapter 9

Week 6.
February 28 Distance



Financial Management I



Wolper


Chapter 10



Written Exercise #1
. Each student

will

develop a
n operating

budget for a
medical practice, ba
sed on assumptions in the

Assignment Sheet.
The
budgetary assumptions

will be distributed at the
February 21

session and will
also be e
-
mailed to each student
. Students will present and defend their
bu
dgets at the March 6 face
-
to
-
face class. (10 points)

Week 7.
March 6 On campus



Financial Management II




Wolper


Chapter 12




4


Week 8.
March 13 Distance



Performance Benchmarking



Wolper


Chapter 11



Teams of two will be assigned a series of discussion questions on this topic
and will be expected to work together, either face to face or virtually, to
prepare responses to each question. The discussion questions will be
distributed at the
March 6

session

and will also be e
-
mailed to each student.
Discussion questions will be addressed during the
March 27

face
-
to
-
face
class
.

Week 9.
SPRING BREAK


No class or assignments


Week 10. March
27


On campus


Information Management



Wolper


Chapter 13

Week 11.
April 3 Distance



Compliance and Risk Management



Wolper


Chapters 15 and 16



Written Exercise #2.
Each student will describe their approach to handling a
delicate human resources and compliance issue, involving both staff and
physicians, as outlined in t
he Assignment Sheet. Papers should be
no longer
than 5 pages
, and each student will present their approach to the problem for
class discussion during the face
-
to
-
face class on April 10. (10 points)

Week 12.
April 10 On campus



Legal Issues



Wolper


Chapt
er 18


Week 13.
April 17 Distance



Physician Compensation



Wolper


Chapter 20



Teams of two will be assigned a series of discussion questions on this topic
and will be expected to work together, either face to face or virtually, to
prepare responses to each question. The discussion questions will be
distributed at the
April 10

sessio
n and will also be e
-
mailed to each student.
Discussion questions will be addressed during the
April 24

face
-
to
-
face class
.


Week 14
.
April 24 On campus



Safety and Quality



Wolper


Chapter 22


Week 15.
May 1 Distance



Innovations in Ambulatory Care



Ch
ristensen, C.C., Grossman, J.H., and Hwang, J., Disrupting the Business
Model of the Physician’s Practice, Chapter 4 in
The Innovator’s Prescription,
New York: McGraw
-
Hill Publishing, 2009.



MacColl Institute for Healthcare Innovation,
Reducing Care
Fragmentation: A
Toolkit for Coordinating Care
, pp.

1
-
29, 2011. (See
http://www.improvingchroniccare.org/downloads/care_coordination_toolkit.pdf
for full text)


5




Written Exercise #3.
In a paper no longer than 5 pages,
each student should
describe the three
mo
st significant challenges that you

believe face the US
healthcare system in the delivery of safe, high quality, cost
-
effective
ambulatory care over the next decade. Use your best “crystal ball technique”
to predict how those challenges may be resolved. (
10 points)


Week 16.
May 8 On campus



Facility Design



Wolper


Chapter 23


Week 17.
May 15 On campus



FINAL EXAM

(40 points)






Policies:


Attendance


Attendance is
required

at all on
-
campus sessions. Due to the
blended

format of this
course, one or more absences may result in the student’s inability to complete the
course during the current term.



Misconduct


Students are required to comply with the
Student Academic Honor and Conduct Code
of the Colorado School of Publ
ic Health.

This document covers such issues as

plagiarism and
professional misconduct. View the link

below for additional information:


http://www.ucdenver.edu/academics/colleges/PublicHealth/Academics/academics/Docu
ments/PoliciesHandbooks/CSPH_Honor_Code.pdf