Home » Faculty and Staff » Noha Emara » Emara U.S. Healthcare: Organization, Delivery and System (Online)

Emara U.S. Healthcare: Organization, Delivery and System (Online)

Department of Economics
Rutgers University

50:220:366:90
U.S. Healthcare: Organization, Delivery and System
(Online Course)
Instructor: Noha Emara

Office: Armitage Hall room 313 [3rd floor], 311 N. 5th St., Camden, NJ 08102
Phone: (856) 225-6765
Email: nemara@camden.rutgers.edu or noha.emara@rutgers.edu
Web site: http://economics.camden.rutgers.edu/faculty/noha-emara/
Class room and time: Online

COURSE DESCRIPTION

This course provides an introduction to health policies and policy making in the US public health and health care delivery systems. The primary objective of the course is to provide students with the tools and historical context to critically assess a wide variety of policies—past, current, and future.  The course covers the foundation that is necessary for understanding the U.S. health care delivery system, which is distinct from any other system in the world. In addition, the course covers the system processes, beginning with outpatient and primary care services, hospitals, managed care in integrated systems, as well as the different types of arrangements found in integrated organizations. Finally, the course covers the ability of the U.S. health care system to meet population needs, policy environment that influences access to care, and trends that could impact the system in the future. The instructor will introduce the topics and guide through online discussions. No disciplinary background is assumed, nor is any special familiarity with the field of health care is required.

PREREQUISITES

50:220:102 or 103.

TEXTBOOK

Required Textbook

Leiyu Shi and Douglas Singh, “Essentials of the US Health Care System“, 3rd edition, Jones & Bartlett Publishers, 2013.

Recommended

Reid, T.R. “The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care”. ISBN: 9780143118213.

Starr, Paul. “Remedy and Reaction: The Peculiar American Struggle over Health Care Reform”. ISBN: 9780300171099.

WEB ACCESS

The course web page is available through Sakai.  Announcements, Assignments, additional papers to accompany each topic, and a secure gradebook will all be on Sakai website. You are responsible for checking announcements, grades, and discussion board frequently.

ASSIGNMENTS

There will be a total of fourteen assignments. The eight assignments will count a total of 25% toward your final grade.   The assignments consist of a series of short essay questions. The due dates for the assignments are September 11, 18, 25, October 2, 9, 16, 23, 30, November 6, 13, 20, 27, and December 11.

QUIZZES

There will be a total of fourteen quizzes. These quizzes will count a total of 25% toward your final grade.   The quizzes consist of a series of multiple choice and true/false questions. The due dates for the assignments are September 9, 16, 23, 30, October 7, 14, 21, 28, November 4, 11, 18, 25, December 2 and 9.

Videos Discussion

Students will be assigned into groups on the first day of the class. You will be watching a video related to the course material and you will be required to set a list of questions for other groups to answer. You are required to respond in a team. Specific instructions and due dates are written on the course website. The discussion videos will count for 15% of your total score in the course.

EXAMS

There will be two Midterms and one non-cumulative Final exam.

The final exam is scheduled for Wednesday 18 December, 9:00am-12:00pm.

THERE WILL BE NO MAKE-UP EXAMS WITHOUT A DOCUMENTED MEDICAL EXCUSE. 

GRADING

Fourteen Assignments 25%
Fourteen Quizzes 25%
Discussion Videos 20%
Final Exam 30%

IMPORTANT DATES

  • Tuesday 3 September: First day of the online course.
  • Monday 23 December:  Last day of the online session.
  • Wednesday 18 December 9:00am-12:00pm: Final Exam.

FINAL REMARKS

  • I will NOT accept late assignments and I will NOT accept any assignments by email.
    • You can use a calculator for the exams.
    • You may work with your classmates for the assignments, but each student must turn in his/her own copy of the assignments.

ACADEMIC VIOLATION

  • Academic dishonesty, including cheating, is never acceptable.

Please refer to the following document on Rutgers Academic Integrity Policy http://academicintegrity.rutgers.edu/files/documents/AI_Policy_9_01_2011.pdf

DISABILITY STATEMENT

This course is open to all students who meet the academic requirements for participation. Any student who has a need for accommodation based on the impact of a disability should contact the instructor privately to discuss the specific situation as soon as possible. Information about requesting accommodations can be found at:

http://learn.camden.rutgers.edu/disability-services

COURSE SCHEDULE:

Week TENTATIVE TOPICS

Week 1:

September 3 – 8

Chapter 1: Major Characteristics of U.S. Health Care Delivery

  • Integrated delivery system
  • New section on long-term care delivery system
  • New section on public health system
  • Updated health care systems of selected countries

The following assessments are due this week:

  • Read Chapter 1

Week 2:

September 9 – 15

 

Chapter 1: Major Characteristics of U.S. Health Care Delivery

  • Integrated delivery system
  • New section on long-term care delivery system
  • New section on public health system
  • Updated health care systems of selected countries

The following assessments are due this week:

  • Quiz 1, Assignment 1, and Discussion Video (Groups 1 & 2)
  • Read Chapter 2

Week 3:

September 16 – 22

 

Foundation of U.S. Health Care Delivery

  • The determinants of health framework
  • Healthy People 2020
  • The Affordable Care Act of 2010
  • Examples of policy interventions
  • Examples of community interventions
  • Examples of health care interventions

The following assessments are due this week:

  • Quiz 2 and Assignment 2
  • Read Chapter 3

Week 4:

September 23 – 29

 

Historical Overview of U.S. Health Care Delivery

  • Historical information on mental asylums added to the section, Medical Institutions (Medical Services in Preindustrial America)
  • Education Reform (Medical Services in Postindustrial America) moved after American Medical Association
  • Is National Health Care on the Horizon?, introduces the passage of the Patient Protection and Affordable Care Act of 2010 and its status as of January 2012

The following assessments are due this week:

  • Quiz 3, Assignment 3, and Discussion Video (Groups 3 & 4)
  • Read Chapter 4

Week 5:

September 30 – October 6

 

Health Care Providers and Professionals

  • Health care providers
  • Public health professionals

The following assessments are due this week:

  • Quiz 4 and Assignment 4
  • Read Chapter 5

Week 6:

October

7 – 13

 

Technology and Its Effects

  • Electronic health records under the American Recovery and Reinvestment Act of 2009
  • Remote health services in the renamed section, Telemedicine and Remote Health Services

The following assessments are due this week:

  • Quiz 5, Assignment 5, and Discussion Video (Groups 1 & 2)
  • Read Chapter 6

Week 7:

October

14 – 20

 

Financing and Reimbursement Methods

  • Patient Protection and Affordable Care Act of 2010 and its main provisions.
  • Employer-based health insurance (section on Private Insurance) and Health Insurance by Employer Characteristics

The following assessments are due this week:

  • Quiz 6 and Assignment 6
  • Read Chapter 7

Week 8:

October

21 – 27

 

Outpatient Services and Primary Care

  • Expanded outpatient services
  • Community health centers
  • Alternative medicine
  • Primary care literature
  • Medical home

The following assessments are due this week:

  • Quiz 7, Assignment 7, and Discussion Video (Groups 3 & 4)
  • Read Chapter 8

Week 9:

October

28 –

November

3

 

Hospitals

  • The stages of evolution of hospitals are clearly identified using subheadings
  • Rural Hospitals includes Critical Access Hospitals
  • Teaching Hospitals includes Academic Medical Centers
  • Magnet Recognition Program of the American Nurses Association

The following assessments are due this week:

  • Quiz 8 and Assignment 8
  • Read Chapter 9

Week 10:

November

4 – 10

Managed Care and Integrated Systems

  • Accreditation and Quality Indicators (for managed care organizations) includes the CMS’s star rating system for Medicare Advantage plans
  • Managed Care Today, explains compromises made after the backlash of the 1990s
  • Differences between HMO, PPO, and POS plans
  • Integrated Systems and Accountable Care Organizations

The following assessments are due this week:

  • Quiz 9, Assignment 9, and Discussion Video (Groups 1 & 2)
  • Read Chapter 10

 

Week 11:

November

11 – 17

 

Long-Term Care Services

The following assessments are due this week:

  • Quiz 10 and Assignment 10
  • Read Chapter 11

Week 12:

November

18 – 24

 

Underserved Populations

  • Racial/ethnic minorities
  • Information on the uninsured and the Affordable Care Act of 2010
  • Information on HIV/AIDS

The following assessments are due this week:

  • Quiz 11, Assignment 11, and Discussion Video (Groups 3 & 4)
  • Read Chapter 12

Week 13:

November  25 –

December

1

 

Cost, Access, and Quality

  • Access to care and the Affordable Care Act of 2010
  • New quality initiatives
  • Accountable care organizations

The following assessments are due this week:

  • Quiz 12 and Assignment 12
  • Read Chapter 13

Week 14:

December

2 – 8

 

Health Policy

  • Health policy and the Affordable Care Act of 2010
  • Smoking and tobacco use
  • Cost containment strategies
  • Comparative international health policies

The following assessments are due this week:

  • Quiz 13 and Assignment 13
  • Read Chapter 14

Week 15:

December

9 – 15

 

The Future of Health Services Delivery

  • Conflicting Realities of Cost and Access
  • The Cost Control Imperative and what if the ACA of 2010 Fails, possible alternatives.
  • Future Model of Care Delivery
  • Future Workforce Challenges, in the context of a future model for health care delivery.
  • Global Threats and International Cooperation.

The following assessments are due this week:

  • Quiz 14 and Assignment 14
  • Get ready for the final exam. Review Chapters 7 – 14.

Week 16:

December

16 – 22

Final Exam Wednesday 18 December, 9:00am-12:00pm

(90 multiple choice questions on Chapters 7 – 14)