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HM 510 Health Care Delivery Systems Syllabus

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Printable Copy of The ExamAccess Online ExamCourse Evaluation Form

ATTENTION: PLEASE READ THE FOLLOWING!

For students who registered before 12/28/2022 or use the textbook “Introduction to Health Services, 7th Edition”. You can find your syllabus page by Clicking Here.

Thank you.

AIHCP Admin Department

 

COURSE OVERVIEW: Welcome to the online CE course; HM 510 – Health Care Delivery Systems

Upon successful completion of this course, students are awarded 35 contact hours of continuing education creditsCourse Code: HM 510.

This course focuses on the major components of the Healthcare Delivery System, past and present. You will review interesting complex systems and public policy issues. The Insurance industries response to managing patients through Population health initiatives and other regulatory concepts are reviewed. The healthcare workforce’s influence of credentialing methods employed to ensure that providers are qualified. Ambulatory and office-based models of providing services are also considered. Multiple healthcare delivery models will be discussed including the rapid growth of outpatient services. Public Health, Long-Term care and Behavioral Health reviews are included in the course content. The importance of Health Information systems impact on operational provider protocols. The role of Emergency Financial and service struggles that challenge the effectiveness of Rural Healthcare providers is reviewed. Management regulations have in light of natural disasters and health emergencies is considered by recent events. The future of healthcare is projected as well. This course will expose any prospective or sitting manager to the many contemporary issues they need to be conversant with to be successful in their jobs.

Course Code: HM 510. Contact hours of Education = 35

Course Refund & AIHCP Policies: access here

Confident male nurse in front of his medical team looking at camera. Smiling african young surgeon standing in front of his colleagues with folded arms. Multiethnic doctor with staff in background.

This Course is Board approved. The American Institute of Health Care Professionals Inc. is an Approved Provider of Continuing Education by the Florida State Board of Nursing and the District of Columbia Board of Nursing. CE Provider # 50-11975.The American Institute of Health Care Professionals, Inc. is a licensed Continuing Education Provider in the State of California, Board of Registered Nursing, Provider # CEP 15595. Access Info

The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the Arkansas Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the Georgia Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the South Carolina Board of Nursing. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the West Virginia Board of Examiners for Professional Registered Nurses. CE Provider # 50-11975.
The American Institute of Health Care Professionals Inc: is a Rule Approved Provider of Continuing Education by the New Mexico Board of Nursing. CE Provider # 50-11975.

Instructor/Course Author: Mark C. Barabas, BS, DHA, FACHE

Link to Resume

E-mail: mcbarabas@aol.com

This is a guided, independent study CE Course. You are to study and progress at your own rate. There are no written assignments. It is recommended that you follow this process for completion of the course :

1. Order your textbook for the course. Information and a link to order the book online are presented below.

2. Review the course objectives.

3. You are required to read/review all chapters in the assigned textbook, unless otherwise indicated by your instructor in this syllabus. As you read/review each chapter, you may want to stop and identify the corresponding questions on the exam related to the material of that chapter, and answer the questions on your printed out copy of the examination. You can obtain a printed copy of your examination simply by clicking on the link at the top of this syllabus “Printable Copy of The Exam.” This will allow you to work with your exam as you study the text book (s) and progress through your course. Then, when you have completed your examination using the printable copy, you will be ready to transfer your responses into the computer based examination program for final submission and grading. You can proceed doing this with each chapter, until you have completed your study of the textbook. Please read/review each chapter in sequence. Do not “skip” ahead, as each chapter builds upon the materials in the previous chapter.

4. Once you have completed all of the chapters in the textbook, you can proceed to your final online examination by clicking the “Access Online Exam” link below the course banner at the top of this syllabus. You can also download the exam as a PDF file by clicking on the “Printable Copy of The Exam” link next to Access Online Exam. If you wish you can print this file out as a printed off copy of your examination. Once you access the online exam you will see a screen that will ask you to input your Name, E-mail address, and your student ID/AH Number (AH####). Please fill out all of the requested information accurately. If you do not, we will not be able to identify who took the exam and your answers will be lost. The following slide will welcome you to your exam and present the introduction slide with further instructions on how to take the exam. Answer the questions to the best of your ability. There is only ONE correct response for each question.

5. When you have answered the final question, it will ask you to submit your answers. It will then show you your grade for the exam, and if you passed the exam it will allow you to review your answers. If you passed, the close button in the bottom right hand corner will take you to the course evaluation form. At which time, please fill out an evaluation so your grade can be processed. Once received, we will send you an e-mailed copy of your exam with the correct and incorrect answers.

5a. If you did not pass your examination, you will receive a notification stating failed. You will not receive any feedback on your answers. Please press the close button on the bottom right hand corner to exit your exam. At which point, contact the Assistant Executive Director @ Mark@aihcp.org,  for a chance to retake the exam. If you fail on your second attempt, you will fail the course and have to pay to retake it.

6. If you have successfully completed the examination with a passing score, we will process your CE Certificate, which will include the course title, the awarded contact hours of continuing education, and the date of completion. Your CE certificate will be e-mailed to you as a PDF file. You can expect to receive your certificate (via e-mailed PDF file) within 2-3 business days upon receipt of the completed evaluation form. No CE Course Certificate will be processed without a completed course evaluation. If you missed the course evaluation link after the exam, you can alternatively click the “Course Evaluation Form” at the top of this syllabus. Please note that the Organizations and the licensing Boards that provide our CE approvals all require that a course evaluation be completed by the course participant before a CE Course Certificate may be awarded; as such there are no exceptions. A course evaluation must be completed in order to receive your CE Course Certificate.

TIME FRAME: You are allotted two years from the date of enrollment, to complete this course. There are no set time-frames, other than the two year allotted time. If you do not complete the course within the two-year time-frame, you will be removed from the course and an “incomplete” will be recorded for you in our records. Also, if you would like to complete the course after this two-year expiration time, you would need to register and pay the course tuition fee again.

TEXTBOOKS: There is one (1) required textbook for this course.

Sultz and Young’s Health Care USA, Understanding its Organization and Delivery, 10th Edition, James A. Johnson, Kimberly S. Davey, Richard G. Greenhill, Jones & Bartlett LEARNING.

ISBN-10: 1284211606

ISBN-13: 978-1-284-21160-3.

This book may be purchased online via Amazon.com: Access Here

GRADING: You must achieve a passing score of at least 70% to complete this course and receive the 35 hours of awarded continuing education credit. There are no letter grades assigned. You will receive notice of your total % score. Those who score below the minimum of 70% will be contacted by AIHCP and will be permitted one more attempt to retake the online examination.

FINAL EXAMINATION: It is recommended that you click on the “Printable Copy of Exam” near the top of the syllabus. It will download as a PDF file. Below are detailed instructions on how to take your exam.

1). When ready to start your final examination for the course, please click on the “Access Online Exam” link near the top of the syllabus.

2). You will be prompted to input your Name, E-mail Address, and Student ID # (AH####). You must fill this out, the exam will not allow you to proceed if you do not. It is very important that you use your full name, your valid e-mail address and your student ID/AH Number. If you do not input your correct information, we will have no way of identifying your exam and it will be deleted! All unidentifiable exams are deleted!

3). Next you will be taken to the introduction screen for your exam. There will be detailed instructions on how to take the online exam. Please review them and when ready click the “Continue” button on the bottom right hand side of the screen to begin your exam.

4). When you have answered all of the questions and are happy with your answers, the exam will prompt you to either “SUBMIT ALL” or “RETURN TO EXAM”. If you are ready press “SUBMIT ALL”.

5). If you received a passing score, you will receive a “Congratulations, you passed” screen with a green check mark. You will have a chance to review your questions and answers. A copy of your exam will be e-mailed to you within 1-2 business days.

5a). If you failed the exam, you will receive a “You did not pass” with a red X. You will have no chance to review your questions and answers. At this point, please contact Administration, Mark D. Moran, Assistant Executive Director for instructions on re-taking the online examination. You may retake the online examination one time. You will receive full instructions regarding the re-take of the examination.

6). After receiving a passing score, click the “CLOSE” button in the bottom right hand corner to close out of the exam and be redirected to the course evaluation form. You must fill out the course evaluation form in order for your grade to be processed and for you to receive an CE certification.

Note: all of our Examinations are Copy Written

COURSE EVALUATION: upon submitting your responses to the examination questions, you are required to complete the online Course Evaluation Form.  This will take you directly to the online evaluation form. Complete the evaluation and be sure to click the “submit” button. CE certificates will not be sent unless a course evaluation is completed.

COMMUNICATION: this is a self-directed, independent study course. However, you may certainly submit to us questions or comments regarding the course materials. We will be sure to forward any questions you may have to the author of the course. You will then receive a follow-up response from the author. All of our course authors are fully educated and credentialed in the practice of Health Care Management. You may email any questions to: info@aihcp.org. Please be sure to include the full title of the course you are in, as well as the course code (provided above). If you have any questions at all or need any assistance, please do not hesitate to contact us.

TECHNICAL SUPPORT CENTER: Our Technical Support Center is open Monday-Friday; 9:00 am to 5:00 pm (EST).  You may e-mail technical support at: admn@aihcp.org   You may also phone us at: 330-652-7776. If you leave an e-mail after normal business hours, the Support Center will respond to you as soon as they open up the next business day.

INTERACTIVE STUDENT FACEBOOK GROUP
Please join the Interactive Facebook Group for Health Care Management!

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We host a private (students only) Facebook page for Health Care Managers. This page is dedicated for private use by all students in our Health Care Manager courses. We highly encourage all of our students to “join” this private group. The group is used for:

  • Providing interactions between all students in the Health Care Manager program.
  • All members may post on the page as well as download documents and photos.
  • Interactions between students and faculty.
  • Meeting new colleagues/friends who have the same interests in Health Care Management.
  • Providing a medium for Chat sessions among members of the group.
  • Providing new information to all student on an ongoing basis via posts in the room.
  • Stimulating discussions related toHealth Care Management and other professional issues/topics.
  • Sharing articles, links to recommended websites, links to videos as well as links to events and other education resources.
  • Our staff provides up to date articles for your review. Articles are added almost on a daily basis. Reviewing the information is voluntary but highly recommended.

Joining the private Facebook group is voluntary. We do highly encourage you to join and participate. Your participation will enhance your learning and provide a platform for networking with your colleagues. Join the group today! You must ask for permission to join this group. Our staff will receive your permission notice and will verify your student status and then authorize your membership to the group page.

Important Information: You must have a Facebook account to join this group. If you have a Facebook account, just click on the link below and you will be taken to the Facebook sign in page. You would then log into your account. You will be on the Health Care Manager private group page. Once you have clicked on the link, a notice will be sent to our administrative office and you will be authorized to the page. On your Facebook page, the group page will be listed on the left hand side of your page. You can click it at any time and enter the private page. If you do not have a Facebook account, it is easy to open one. The link below will take you to the sign in page and you can click on the link to open an account. Facebook accounts are free.

Click here to access the Health Care Manager Private Facebook page

Click here to access Health Care Management & Leadership Public Facebook page

AIHCP BLOG: Please visit our interactive web blog. Students and certified members are encouraged to visit our blog frequently. You will find useful articles, news, posts and much more related to the specialty area of Certification you are pursuing. Click the link above to access the blog. Then, click on the link on the right hand side that corresponds to the subject area you are studying. Feel free to posts replies, comments and news. Register to become active on the blog and contribute your own unique information for all to see and share. Sharing and interacting with your peers is an excellent learning process. By sharing you contribute to the ever growing body of knowledge in your specialty area.

STUDENT RESOURCE CENTER: Please access our student resource center. The Resource Center contains all of our current policies, as well as important information regarding classroom and examination accesses. Also included are trouble-shooting tips when a student has any difficulties with classroom or examination accesses. The Resource Center also provides other information regarding our continuing education and certification programs. Access to online libraries is also provided. To Access the Student Resource Center: click here.

Discussion Boards:  Please access the Discussion Boards by clicking on the Tab on the left side of your computer screen. The Discussion Boards are provided for our students as means to communicate with others taking courses in our Health Care Manager Courses and Programs.  You have full access to the Discussion Boards throughout the time you are enrolled in a course. They are a great means to meet others who are studying Health Care Management, exchange ideas, post questions and ideas, provide responses to other’s questions, provide links to outside resources and more.  Once you access the Discussion Boards, simply follow the instructions to create your own account and start reading and posting.

E-Learning Library: Please access our E-Learning Library by clicking on the Tab on the left side of your computer screen. The E-Learning Library is a free service for all of our students. It is an ever-growing library of FREE E-Books that you may access at any time. The books are produced by us professionally on a wide array of health care related topics. You may read and or download them for later references. We frequently add new E-Books to the library on an on-going basis. The E-Books are not related to this course and so are not required readings for this course.

Malpractice Insurance: Many are interested in seeking out companies that provide health care professional malpractice insurance. We have compiled a list of companies that you may contact directly regarding this. Most companies will provide you with a quote online. For information, click here.

Submit a Testimonial: Students and certified members may submit a testimonial to our public Testimonials Page. Visitors to our website, especially those considering our certification programs, are keenly interested in hearing about the experiences of health care professionals who are enrolled in our programs. To submit a Testimonial, simply access the online Form: Access Here. You may also preview our current Testimonials Page Here.

COURSE OBJECTIVES: Upon completion of this course, you will be able to:

Chapter 1 describes and discusses systems theory, complex adaptive systems, and systems thinking. It will define key health terms such as health, health system, population health, and health determinants. It will describe the WHO Health System Framework and associated building blocks. Lastly, this chapter will discuss the distinguishing characteristics of the U.S. health system and describe key stakeholders in the U.S. health system.

 

  • Discuss systems theory, complex adaptive systems and systems thinking
  • Define key health terms such as health, health system, population health and health determinants
  • Describe the WHO Health System framework and associated building blocks
  • Discuss the distinguishing characteristics of the U. S. health system
  • Describe key stakeholders in the U. S. health system

 

Chapter 2 discusses the chronological developments of U.S. health care. It will describe key events in the development of health care and discuss the interplay between health care and social trends. It will discuss major legislative and technological breakthroughs and the efforts to reform health care, including the Affordable Care Act.

 

  • Discuss the chronological development of U. S. healthcare
  • Describe key events in the development of health care
  • Better understand the interplay between health care and social trends
  • Discuss major legislative and technological breakthroughs
  • Discuss the efforts to reform health care including the ACA

 

Chapter 3 will provide a context for better understanding public policy as it pertains to health care, it will review the role of government in shaping healthcare, structure of government and its impact on health. It will discuss the public policy process and provide appreciation for the ethical considerations for policy analysis. Lastly this chapter will review the federal and state roles in health policy.

 

  • Better understand the role of government in shaping health care
  • Gain knowledge of the public policy process
  • Better understand the structure of government and its impact on health
  • Gain appreciation for the ethical considerations for policy analysis
  • Better understand the federal role in health policy
  • Better understand the role of the states

 

Chapter 4 will discuss healthcare expenditures. It will describe the role of healthcare financing and identify the public and private sources of healthcare financing. It will discuss the general principles and role of insurance in the U.S. health system and identify the characteristics of managed care. It will identify key legislation that is impacting healthcare financing and reimbursement. Lastly, it will discuss future challenges and opportunities associated with healthcare financing.

 

  • Discuss healthcare expenditures
  • Describe the role of healthcare financing
  • Identify the public and private sources of healthcare financing
  • Describe the general principles and role of insurance in the U. S. health system
  • Identify the characteristics of managed care
  • Identify key legislation that is impacting healthcare financing and reimbursement
  • Discuss future challenges and opportunities associated with healthcare financing

 

Chapter 5 will explain how the healthcare workforce influences healthcare delivery. It will

define the key terms, such as health professional, and specific health professional roles. It will discuss how interprofessional education and practice, evidence-based practice, and clinical practice guidelines influence healthcare delivery. It will identify the four primary mechanisms through which health professionals are credentialed and regulated. It will examine the evolving roles of physicians, nurses, and other independent healthcare professionals and allied health professionals. Additionally, this chapter will explain the factors that influence the demand for healthcare professionals and discuss healthcare workforce opportunities and challenges.

 

  • Explain how the healthcare workforce influences healthcare delivery
  • Define key terms such as healthcare professional and specific healthcare professional roles
  • Articulate how interprofessional education and practice influence healthcare delivery
  • Discuss how evidenced -based practice and clinical practice guidelines influence healthcare delivery
  • Identify the 4 primary mechanisms through which healthcare professionals are credentialed and regulated
  • Examine the evolving role of physicians, allied healthcare professionals and nurses
  • Explain the factors that influence the demand for healthcare professionals
  • Discuss healthcare workforce opportunities and challenges

 

Chapter 6 will discuss the history of hospitals in the United States, the types of hospitals, and their roles in care delivery. It will describe the divisions in hospitals. It will explain the growth and decline in hospitals. It will describe the hazards of hospitalization.

 

  • Discuss the history of hospitals in the U. S.
  • Name the type of hospitals and their role in healthcare delivery
  • Describe the division in hospitals
  • Explain the growth and decline in hospitals
  • Describe the hazards of hospitalization

 

Chapter 7 will define ambulatory care and discuss the role private medical office practices play in the ambulatory care system. It will discuss the core functions of Patient-Centered Medical Homes. It will explain the accountable care organization concept and model. It will describe and discuss key aspects of the integrated ambulatory care models, and the evolution and rise of ambulatory care services in hospitals and freestanding ambulatory care facilities. Lastly, this chapter will explain the role telehealth plays in providing ambulatory care services.

 

  • Explain the definition, history, and evolution of ambulatory care in the U.S.
  • Discuss the role private medical practices in the ambulatory care system
  • Describe integrated ambulatory care models
  • Discuss the core functions of Patient-Centered-Medical -Homes.
  • Explain the Accountable Care Organization concept and model
  • Discuss the evolution and rise of ambulatory care services in hospitals
  • Discuss the evolution and rise of freestanding ambulatory care facilities
  • Explain the role telehealth plays in providing ambulatory care services

 

Chapter 8 will describe the history of long-term care in the United States and the continuum in terms of who might require long-term services. It will discuss the trends in the population that will impact long-term care services. It will explain the differences in types of care for those needing care. It will summarize the innovations in long-term care. Lastly, it will discuss the history of hospice and skilled nursing.

 

  • Describe the history of long-term care in the U.S.
  • Explain the continuum in terms of who might require long-term services
  • Discuss the trends in thew population that will impact long-term care services
  • Explain the differences in types of care for those needing care
  • Discuss the history of hospice and skilled nursing
  • Summarize the innovations in long-term care

 

Chapter 9 will explain the history of behavioral health in the United States and describe behavioral health and its fit in the health delivery continuum. It will discuss the recent trends in mental illness and serious mental illness. It will discuss and describe the barriers to care. It will describe financing for behavioral health services. Lastly, it will provide examples of service offerings by the Veterans Health Administration.

 

  • Describe behavioral health and its place in the health delivery continuum
  • Explain the history of behavioral health
  • Discuss thew recent trends in mental health illness and serious mental illness
  • List and describe the barriers to care
  • Explain financing for behavioral health services
  • Discuss examples of services offered by the Veterans Health Administration

 

Chapter 10 will describe public health from a population health perspective. It will discuss the systems perspective in public health. It will describe the core functions of public health and identify the essential services of public health. It will discuss public health management, identify the core competencies of public health professionals, and describe the multidisciplinary nature of the public health workforce. Lastly, this chapter will review the Public Health 3.0 initiative, Healthy People 2030 national health objectives, and the social determinants of health in the context of the national health agenda.

 

  • Describe public health from a population health perspective
  • Discuss the systems perspective in public health
  • Describe the core functions of public health
  • Identify the essential services of public health
  • Introduce public health management and public health 3.0
  • Identify the core competencies of public health professionals
  • Discuss the national health objectives from Healthy People 2030
  • Discuss social determinants of health in the context of the national health agenda
  • Outline the multidisciplinary nature of the public health workforce

 

Chapter 11 will describe the background and history of health information technology (HIT) in the United States. It will explain the challenges with HIT implementation and summarize the key components required for successful HIT implementation. It will discuss initiatives and responses that the federal government has taken to deal with implementation challenges. It will describe the ONC structure and its role in HIT issues, implementation, and policy execution and explain the role of computerized clinical decision support in quality and patient safety. It will compare the differences of ICD-9 and ICD-10 in terms of depth and patient care, as well as discuss trends in general and certified electronic health record adoption. It will discuss the use of health information exchanges in quality improvement and define the models. It will list the organizations associated with quality in the United States and describe their role. Lastly, it will describe seven pillars of quality in health care.

 

  • Describe the background and history of Health information technology (HIT)
  • Explain the challenges that come with HIT implementation
  • Summarize the key components required for successful HIT implementation
  • Discuss initiatives and the responses of the federal government for dealing with implementation challenges
  • Describe the Office of the National Coordinator of Health Information Technology structure and its role in HIT issues, implementation and policy execution
  • Explain the role of computerized clinical decision support in quality and patient safety
  • Explain the differences between ICD-9 and ICD-10 in terms of depth and patient care
  • Contrast the differences between general electronic health record adoption and certified electronic health record adoption
  • Discuss the use of health information exchanges in quality improvement and define the models
  • List the organizations associated with quality in the U.S. and describe their role
  • Describe 7 pillars of quality in healthcare

 

Chapter 12 will distinguish different types of health research and the focus of each. It will describe health services research and health systems research and the scope and scale of health-related research in the United States. It will discuss the two major research agencies: AHRQ and NIH.

 

  • Distinguish different types of health research and the focus of each
  • Describe health services research and health systems research
  • Understand the scope and scale of health-related research in the U.S.
  • Introduce 2 major research agencies: AHRQ and NIH

 

Chapter 13 will define foundational terms associated with emergency preparedness and list the four phases of disaster. It will describe the agencies in the U.S. government associated with disaster preparedness. It will provide a review of the role of the National Incident Management System, Incident Command System, emergency operations center, and international and national entities in health preparedness. It will explain the purpose of the Assistant Secretary for Preparedness and Response.

 

  • Define foundational terms associated with emergency preparedness
  • List the 4 phases of disaster
  • Identify the government agencies associated with disaster preparedness
  • Explain the role of the National Incident Management System
  • Name the roles associated with the Incident Command System
  • Discuss the role of the emergency operations center
  • Describe the role of international and national entities in health preparedness
  • Explain the purpose of the Assistant Secretary for Preparedness and Response

 

Chapter 14 will discuss the reason there are several definitions of rural. It will identify the key non-healthcare challenges for rural communities. It will review the healthcare challenges in rural communities. It will identify states and their regions that have experienced hospital closures. Lastly, it will describe the pros and cons with using telehealth.

 

  • Define the term “rural”
  • Discuss why there are several definitions for the term “rural”
  • Name the key characteristics for rural communities that are not related to healthcare
  • Identify the healthcare challenges in rural communities
  • Identify states and regions that have experienced hospital closures
  • Describe the pros and cons of using telehealth

 

Chapter 15 will discuss the future of health care to better understand several key trends in health care. It will identify emerging technologies and their potential impact on health care for the coming decades. It will review key developments in health care, the concept of health systems thinking, and the value of workforce diversity.

  • Project forward in the near future of healthcare
  • Better understand several key trends in healthcare
  • Gain awareness of emerging technologies and their potential impact on healthcare
  • Better access the healthcare workforce landscape for the coming decades
  • Engage with key developments in healthcare
  • Become more grounded in the concept of health systems thinking
  • Understand the value of workforce diversity