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502syll_Spring 2012; Page
1

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9


CALIFORNIA STATE UNIVERSITY, LONG BEACH

COLLEGE OF HEALTH AND HUMAN SERVICES
-

HEALTH CARE ADMINISTRATION DEPARTMENT

Course Syllabus: HCA 5
17

-

Th
e
Health Care System


Spring 2012


Instructor:

Kim Brant
-
Lucich, MBA
, PMP, FHIMSS

On Campus:

kbrantlu@csulb.edu

Office Hours:
M 2:30
-
3:45;
W 4
-
5 and 6
-
6:45;Th
3:30
-
4:30;
other times
by appointment

Office Location:
N/A

Home:
818
/
371
-
4318


(OK to call 9 am


9 pm 7 days/week)

Course Number:

517

Class Meets
:
TH 7


9:45, ET
-
105

January 2
3



May
7, 2012

HCA Department

Administrative Coordinator:
Deby McGill,
dmcgill@csulb.edu

Tel. 562/985
-
5694; fax 562/985
-
5886

HCA Office Location:
HHS2
-
118




Course Description:
Broad overview of healthcare information systems; close examination of business
needs for the information technology (IT) to deliver cost
-
effective quality health services.

Letter grade only
(A
-
F). (Lecture)


Course Outcomes, Competenc
ies and Assessments
:
The
Health Care Administration Department has
adopted a competency
-
based curriculum,
based on the American College of Health Care Executives (ACHE)
Competencies Assessment Tool and the Healthcare Leadership Alliance (HLA) Competency Di
rectory.
As
HCA 517

is one of the required

courses that
graduate
students in Health Care Administration take, the
emphasis
is on acquir
ing competencies in HLA Domain 4,
knowledge of the healthcare environment,
and
HLA
Domain 5
,
business knowledge and
skills
.
Alignment of the expected outcomes and the ACHE and
HLA competencies provides clear expectations and standards for students and instructors alike.

Students
will demonstrate a level of proficiency in each of the expected outcomes through the course
assignments as
indicated in the following table.

Learning Objective

Domain

Competency

Activity (A1),
Assignment (A2)
or Assessment
(A3)

Understand intermediate
Healthcare IT terminology

5
-

Business
Knowledge
and Skills:
Information
Management



Characteristics of clinical
systems/programs (e.g.,
electronic medical records;
medical decision support;
diagnostic information systems)



Electronic education and
information resources and
systems



Health informatics (e.g., coding;
communication standards;
data
standards)



Privacy, confidentiality and
security requirement for
information management (e.g.,
HIPAA; Medical Records)

A1


Class
discussion and
Lecture; A2


research and article
abstracts; A3
-

exams

Describe and discuss the
methods to analyze and
justify the cost of new
systems; discuss the range
of commercial system
offerings in healthcare and
how to “shop’ for systems.

5
-

Business
Knowledge
and Skills:
Information
Management



Characteristics of clinical
systems/programs (e.g.,
electronic medical r
ecords;
medical decision support;
diagnostic information systems)

A1


Class
discussion and
Lecture; A2


research and article
abstracts, student
presentations; A3
-

exams

Understand the role of
Healthcare IT Professionals

4
-

Knowledge
of the
Healthcare
Environment



The role of non
-
clinical
professionals in the healthcare
system

A1


class
discussion; A3


exams

Exhibit an understanding of
4
-

Knowledge



Healthcare technological
A1
-
Class
502syll_Spring 2012; Page
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Learning Objective

Domain

Competency

Activity (A1),
Assignment (A2)
or Assessment
(A3)

the essential elements of IT
strategic planning and the
importance of aligning
business and IT planning


of the
healthcare
system

research and advancements



Standards applicable to
information integration and
interoperability



Regulatory and Administrative
environment in which the
organization functions (e.g.,
antitrust; Stark I and
II;
accreditation; organized labor)

discussion; A2


Case Studies,
Student
presentations




Required texts (available for pur
chase and on 3
-
hour reserve in Library)

1.

B
rown, Gordon D.; Stone, Tamara T.; Patric
k
, Timothy B. (2005).
Strategic Management of Information
Systems in Healthcare.
Health Administration Press
.



Highly recommended
supplemental
reference/reading:


Merritt, David.
Paper Kills 2.0
, (2010). CHT Press.


James R. Langabeer II, FHIMSS, CMA (2009)
Performance
Improvement in Hospitals and Health Systems
,
Healthcare information and Management Systems Society.


Glandon, Gerald L.; Smaltz, Detlev H.; Slovensky, Donna J. (2008).
Information Systems for Healthcare
Management
. Health Administration Press. (
7
th

ed.
)



Kaiser Family Foundation (2010). Summary of new health reform law. Retrieved from:
http://www.kff.org/healthreform/8061.cfm
.




2009 HIMSS Leadership Survey
,” HIMSS, Summer 2007


2007 Gartner Healthcare Provider Hype Cycles
” August
2007

“The Five Competitive Forces that Shape Strategy,”
Harvard Business Review
, December 2006

“Fixing Healthcare from the Inside Today,”
Harvard Business Review


“The Hard Side of Change Management,”
Harvard Business Review

“Healthcare 2015: Win
-
Win or Lo
se
-
Lose,”
IBM Global Business Services White Paper

“Six IT Decisions Your IT People Shouldn’t Make,”
Harvard Business Review

”Why Good Projects Fail Anyway,”
Harvard Business Review
, November
-
December 2000


The 30 Most Important IT Trends for 2007
,”
CIO Insight
, November 2006


CIOs at the Crossroads
,”

CIO Insight, January
2008


Intelligent Disobedience
,”

Computerworld, August 2004

502syll_Spring 2012; Page
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Hospitals and Health Networks,
www.hhnmag.com


Health Data Management,
www.healthdatamanagement.org




Web Sites


www.hospitalconnect.com

www.cio.org


www.cioinsight.com

www.himss.org

www.ihi.org

www.aha.org

www.hhs.gov

www.healthcareitnews.com




Course lecture notes will be available on BeachBoard
.
Lectures will include extemporaneous
information in addition to that in notes.


Other
Requirements
:
You must have an Email address
and Internet access
to participate in this course and
access materials through the BeachBoard online courseware system.
For BeachBoard, MyCSULB, or other
computer problems, c
ontact the
CSULB
Help

Desk by phone a
t 562
-
985
-
4959,
Email to
helpdesk@csulb.edu

or visit

the web site at
www.helpdesk.csulb.edu
. You may s
eek in
-
person help at the
Horne
Center.


Student Assignments and
Grading

1.

Class Preparation
,
Participation

and Attendance
:
The class format will be a limited lecture and
interactive

discussion of the assigned readings and web sites.
You are expected to have read the
assigned readings and visited the web sites before the
class session
, and to

ask and
answer
questions and volunteer comments

in class
.
Your level of engagement in class discussions will
determine your
participation

grade.
Attendance is a necessary, but not sufficient, condition for
participation.
Class a
ttendance policy conforms to University policy:
http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2001/01/
.

Disabled
students

requirin
g special accommodations, please advise instructor

at start of course
.


2.

Healthcare IT

Report and Presentation
: Your major assignment for this course is to
s
elect and s
tudy
one

aspect of
Healthcare Information Technology that is a product of
the 2010

health
care
reform
legislation and share your findings with your classmates
. You will find articles in

recent

issues of
many of the health care
technology journals, HIMSS website, and related publications, as well as in
standard publications such as
major urban
/national

newspapers (LA Times, NY Times, Washington Post,
Wall Street Journal), the Internet) and general interest magazines such as
Time, Newsweek, U.S. News
and World Report, Business Week
, Harvard Business Review
,
etc. The HIMSS website,
www.himss.org
, has a w
ealth of information on
HIE, ACOs, ICD
-
10, EMRs, CPOE, Clinical Decision
Support, etc.


Other related publications are listed within this syllabus in the Healthcare Technology
section.
Full text of the enacted

healthcare
legislation
that drives technology changes in Healthcare
is
available at:
http://dpc.senate.gov/dpcdoc
-
sen_health_care_bill.cfm
.

You may do the final project as a
“team” exe
rcise with no more than three people constituting a team.
You will submit the paper in stages:


a.

Issue outline
.

Submit a fairly detailed
outline

of your selected
IT technology topic
.

Suggested
format:



Introduction: Define the issue

or technology

opportunity
(can be in the form of a question
; e.g.,
will organizations be able to achieve ICD
-
10 conversion prior to the government imposed deadline?)



Background and discussion



What
is

the
issue or technology

opportunity
?

502syll_Spring 2012; Page
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Key players and interest groups: Advocates, opponents, stakeholders,



How will the technology improve the practice of healthcare



How will the technology address healthcare reform legislation?



Implementation issues and time line



Preliminary list of bibliog
raphic research sources and a short statement of your research plan



Questions about your selected issue


b.

Literature review
.
Summarize the literature you have reviewed for your topic. List your print and
electronic references using
APA format

you should
have at least
6
different sources for a
passing
grade.


d.

Final
report and presentation


submit final paper via Turnitin.
MAXIMUM

of 3,000 words (abou
t
15 double
-
spaced
spaced pages


does not include executive summary or references)
,
with a 1
-
page
single s
paced executive summary at the beginning.

This report is designed to serve as a
sample of your research, writing and analytical abilities and for inclusion in a professional learning
portfolio (see portfolio guidelines on BeachBoard).
Please follow

APA
6
th

edition
guidelines for
text citations of printed and electronic references as well as for your literature review
reference list.

Your final report should be a thorough but concise textual elaboration of your outline,
with particular attention to:

-

Background of the Issue or Technology Opportunity.
Provide brief background and
contextual information on the issue.
Define the issue or opportunity and its origin.
How did it
become
an issue or technology
opportunity?

Is this
a strictly a technology is
sue, business issue
or both?

-

A
nalysis.
Here, your objective is to understand
various aspects of the issue or technology
, and
varied
viewpoints or
implementation
options. How is the Healthcare industry impacted?
What
are the benefits or challenges associated with the technology? How can it be implemented?
What are the best practices? Are there case studies or examples? Have you interviewed key
stakeholders?
Discuss how they are affected, and what they stand to

gain or lose.

-

Recommendations and Conclusions
.


-


It is recommended that

at least one source be
primary
data
collected through a personal interview
either in person or via email with a policy expert, professional in the field impact by the issue or a
leader in an advocacy organization (stakeholder interview).






You may submit a draft of your report for review and comment (and, if requested, a preliminary
grade)
2 weeks before the final paper is due
. If you are satisfied with your grade, you do
not need
to resubmit your paper.



e.

Oral presentation.
Students will make 10
-
15 min
ute presentations of the healthcare technology
reports during the last
two

weeks of class (time allowed depends on the number of students
enrolled).


2.

Exams
: There will be
one
final exam. Most of the exam questions will be based on the textbook readings
and lectures, but there will also be questions from guest speaker presentations and class discussions.
Students absent for scheduled presentations, mid
-
term or final exams mu
st provide written third party
documentation of unforeseen and unavoidable circumstances in order to be eligible to take a make
-
up
exam.

Disabled students who qualify for alternative testing arrangements, please advise the instructor
and make arrangements
well in advance of the exams. If you know you will be unable to attend a
particular class, please provide advance notice.


3.

Grade Weights and Policies
. Assignments are due by 11:55

p.m. on the day class meets for the week.
Submit via BeachBoard


not hard c
opy. You may email your assignment if you
have
any problems with
BeachBoard submission.
Late
assignments will be downgraded 10% for each day

they are late
.

NO
ASSIGNMENTS ACCEPTED AFTER THE LAST DAY OF CLASS.


Course Assignments, Due Dates and Grade Weight
s

Item

Due Date

Points

% of
Grade

502syll_Spring 2012; Page
5

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9

Item

Due Date

Points

% of
Grade

Research / article abstract on healthcare industry drivers
impacting technology

Week 3

20

7%

Project Management Case Study

Week 4

20

7%

Questions on IT Management and Competitive Advantage

Week 5

20

7%

Final Project
Outline

Week 7

20

7%

Questions on eHealth

Week 8

20

7%

Article Abstract on emerging technologies

Week 12

20

7%

Class participation

Ongoing

30

11%

Final Presentation

Week 14, 15

30

11%

Final Paper

Week 15

50

18%

Final Exam: Cumulative

Week 16

50

18%

Total



280

100%


Final course grade weights are:
2
48
+ = A;
194
-

247

= B;
1
94

-

220

= C;
168
-
192 = D; <168

= F


5.

Cheating And Plagiarism
. Please be aware of and ensure that your behavior conforms to University
Policy, as contained in the

California State University, Long Beach Policy Statement 80
-
01:
http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2008/02
.
Your final h
ealth
policy issue reports will be screened for plagiarism using the “TurnItIn” software system.



Although the University catalog does not cover this aspect of plagiarism, please be aware that
it is NOT
acceptable to submit the same paper for two courses
. If you want to write a paper on the same
topic

area for two different courses, you must submit two different papers.
If I discover that you have
submitted the same paper for another course, you will receive a
n “F”

for your paper in this
course.


6.

Class

T
opic And Assignment Schedule


Schedule may change depending upon availability of guest speakers



Week #
-

Date

Topic

Assignments, Activities

Deliverable(s)

1

Jan. 2
6

Introduction, course overview

How to write a research paper; APA style

Discuss what you know and
want to know about
Healthcare Information
Technology

Meaningful Use
Requirements

Turn in student info
sheet

2
Feb. 2

Guest Lecturer: Tony Lucich, MS, CSIO,
County of Orange:
“What the Geeks Do”


Healthcare I.T. Infrastructure and Security



Chapter 1, course text

Chapt
er 11




3 Feb.
9

Information skills for health systems
leaders, strategy, critical

success factors for
IT implementation, EHR Implementation

Chapter 2


H
IMSS

Portal on EHR and
Meaningful Use



Health Care IT: The Right
Dose of Technology Helps
the Medicine Go Down
,”

CIO
, November 2005


Research
/
article
abstract on
EHR and/or
Meaningful Use
.


4 Feb. 1
6

Independent study


IT Management and
Chapter
3

Project Management
502syll_Spring 2012; Page
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Week #
-

Date

Topic

Assignments, Activities

Deliverable(s)

competitive advantage

(No Class Meeting)



How To Kill A
Troubled Project
,” Gopal
K. Kapur,
CIO Insight
,
September 1 2001



ABC: An Introduction
to IT Project
Management
,” cio.com


Case Study


5 Feb. 2
3

Strategic Alignment of IT

Chapter 4

Questions on
Competitive Advantage


6
Mar. 1

Data and Information;
Knowledge
Management;
ICD
-
10

Guest Lecturer: TBD

B Chapter 5




7 March
8

Value migration, strategy alignment, HIE
and Interoperability

Guest Lecturer: TBD


B Chapter
6

Final project Outline



8 March 1
5

eHealth and CDS

Clinical Decision Support

Chapter 7


www.zynx.com


www.mdconsult.com

www.firstconsult.com

www.uptodate.com

www.webmd.com


Questions on eHealth


9 March
22

Genomic medicine, DSS, Standardization

B Chapters 8






March
2
9

No class


spring break

ENJOY


1
0

April
5

IT investment,
ROI, Evaluation

Chapter 9


1
1

April
12

IT Governa
n
ce, role of the CIO, IT Strategic
Planning

Guest Lecturer: TBD

B Chapters 10



Does it Take a
Psychopath to Make a
Good CIO?
,”
CIO
Insight,
September 2005


Can a CIO Become Too
Strategic?
,”

CIO Insight
,
February 2005




1
2

Apri l
19

Transforming HC, emerging technologies

B Chapters 12

Article Abstract on
emerging technologies

13

Apri l
26

In Class
Strategy exercise


Build a hospital IT
Strategic roadmap

14

May 3

St udent

present at i ons



15

May
10

Student presentations

Final exam review


Deadline for
all
course
assignments

16

May 1
7

Final Exam


FREEDOM




502syll_Spring 2012; Page
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7.

Pertinent Web Sites
. Just a few of many web sites with information pertinent to this course, by topic:


Topic

Web Sites

Health policy (national)

Department of Health and Human Services:
www.hhs.gov/

Healthcare.gov:
www.healthcare.gov/index.html

Medicare:
www.medicare.gov


Academy for
Health Services Research & Health Policy:
www.academyhealth.org/

Health Hippo:
hippo.findlaw.com/hippohome.html


Health Reform GPS: Navigating Implementation:
http://www.healthreformg
ps.org/

Health policy (California)

California HealthCare Foundation:
www.chcf.org

California Health Reform Implementation:
http://www.healthcare.ca.gov/
.

Information
resources

National Library of Medicine:
www.nlm.nih.gov


Virtual reference style manuals:
www.csulb.edu/library/eref/vref/style.html

APA electronic cit
ations:
www.apastyle.org/apa
-
style
-
help.aspx
.

Health policy formation, agenda
setting

Robert Wood Johnson Foundation:
www.rwjf.org

The Urban Institute:
www.urban.org
; Families USA:
www.familiesusa.org

Center for Health Care Strategies:
www.chcs.org

Center for Studying Health System Change:
www.hschange.com

Financing health services

Center for Medicare & Medicaid Services:
www.cms.gov

Center on Budget & Policy Priorities:
www.cbpp.org

CA Legislative Analyst's Office:
www.lao.ca.gov

Healthcare Financial Management Assn:
www.hfma.org

Managed care, insurance & benefits

Employee Benefits Research Institute:
www.ebri.org

America
’s Health Insurance Plans:
www.ahip.org


CA Assn. Of Health Plans:
www.calhealthplans.com


CA Dept. of Managed Health Care:
www.dmhc.ca.gov

CA Office of the Patient Advocate:
www.opa.ca.gov/index.aspx

National Governors Association:
www.nga.org/

National Association of Insurance Commissioners:
www.naic.org/

Ambulatory health services


American Academy of
Urgent
Care

Medicine
:
www.aaumc.com


National Association for Ambulatory Care:
http://www.urgentcare.org/


Medical Group Managem
ent Association:
www.mgma.com

Hospitals & health systems

American Hospital Assn.:
www.aha.org
;

Association for Community Health Improvement:
http://www.communityhlth.org/communityhlth_app/index.jsp


Hospitals and Health Networks:
www.hhnmag.com



Qu a l i t y o f c a r e

I n s t i t u t e o f Me d i c i n e:
www.i o m.e d u

Na t i o n a l Co mmi t t e e f o r Qu a l i t y As s u r a n c e:
www.nc q a.o r g

Jo i n t Co mmi s s i o n (a
c c r e d i t a t i o n
)
:
www.jointcommission.org


California Healthcare Foundation Quality Initiative:
www.chcf.org

Robert Wood Johnson Foundation: National Quality Directory:
http://www.rwjf.org/q
ualityequality/product.jsp?id=71857


Institute for Healthcare Improvement,
www.ihi.org


He a l t h c a r e I n f o r ma t i o n Te c h n o l o g y

He a l t h Da t a Ma n a g e me n t:
www.h e a l t h da t a ma n a g e m
e n t.c o m


H e a l t h c a r e I T Ne w s:
w w w.h e a l t h c a r e I TNe w s.c o m


C I O:
w w w.c i o.c o m

I n f o r m a t i o n We e k / H e a l t h c a r e:
h t t p://w w w
.i n f o r m a t i o n w e e k.c o m/h e a l t h c a r e


H I MSS w e bsi t e:
w w w.H I MSS.o r g

AH I MA w e bsi t e:
w w w.a h i m a.o r g



A d d i t i o n a l
S e l e c t e d H e a l t h
T e c h n o l o g y a n d B u s i n e s s P u b l i c a t i o n s
:

502syll_Spring 2012; Page
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Health Technology
Trends




Modern Healthcare
1










1

Free student subscription available at:
http://www.aupha.org/i4a/forms/form.cfm?id=51&pageid=3829&showTitle=1


502syll_Spring 2012; Page
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STUDENT INFORMATION SHEET

HCA 5
17


Spring 2012

(TURN IN TO INSTRUCTOR


FIRST CLASS SESSION)


Name___________________________________________________________


Name you prefer to
use____________________________________________


Address_________________________________________________________


________________________________________________________________


Phone(s):________________________________________________________


Best
time/place to reach you:_______________________________________


E
-
mail address:__________________________________________________



Please describe briefly:


a.

Your educational background:




b.

Work experience






c.

Future career (and education, if ap
plicable) plans:







d.

Your reasons for taking this course, what you hope to learn from it:






e.

Languages you speak, read and write