UNIVERSITY OF FLORIDA

Department of Health Services Administration

 

HSA 3111

Introduction to US Health Care System

Fall Semester, 2008

 

INSTRUCTOR:          Robert G. Garrigues, Ph.D.
                                    Associate Dean Emeritus
Room 2126, HPNP Building
Office Hours:  By appointment; 273-6379
                                    Telephone:  273-6194 (office), 372-0954 (home), 281-4315 (cell)
                                    email:  rgarrigu@phhp.ufl.edu

                                    Assisted by: Ms.  Kathryn Eclar
                                    Email: Kde6825@ufl.edu

MEETINGS:               Monday, 6th periods, 12:50 pm to 1:40 pm
Wednesday, 6th & 7th periods, 12:50 pm to 2:45 pm

OBJECTIVE:             This course is intended to provide an overview of the American Health System as it has developed during the past century.  Students are expected to achieve a basic understanding of the building blocks in anticipation of a future careers and employment in the health care industry of the United States.

REQUIREMENTS     The course is organized in a lecture format.  The lectures will be organized around the chapters in the text but I will be presenting material not necessarily found in the readings.  Students are expected to read the text and attend all lectures. 

EVALUATION:        There will be a mid-term and final examination both counting equally.  There will be a Current Events project for each student.  There will be opportunities for extra credit work, if needed.  See the last page of this document for expanded detail.

Lecture Notes

Current Events Project

 

TOPICAL OUTLINE

August 19                   Orientation – 1pm to 4pm in the HPNP Auditorium

 

August 25 –                “A Distinctive System of Health Care Delivery”
August 27
                                                                                                                       
August 25 – 6th Period Lecture:  Introduction to the Class
August 27 – 6th Period Lecture:  “A Distinct System”
August 27 – 7th Period Lecture:  “Primary Characteristics”

September 1 -              “Beliefs, Values, and Health”
September 3   
                                               
September 1 – 6th Period Lecture: No Class – Labor Day
September 3 – 6th Period Lecture:  “A Question of Access”
September 3 – 7th Period Lecture:  “Illness and Disease” & “National and State Initiatives”

 

September 8 -              “Federal Agencies”
September 10
                                   
September 8 –   6th Period Lecture:  “Health and Human Services - An Overview”
September 10 – 6th Period Lecture:  “The Veterans Administration  – An Overview”
September 10 – 7th Period Lecture:  “Health Care Finance Administration – An Overview”
                                   

September 15 -            “Health Services Professionals”

September 17

                                   

September 15 – 6th Period Lecture:  “Physicians – A Profile”

September 17 – 6th Period Lecture:  “Nursing – A Profile”
September 17 – 6th Period Lecture:  “Dentistry and Physician Assistants – Profiles”

 

September 22 -            “Medical Technology”

September 24
                                   
September 22 – 6th Period Lecture:  “National and State Initiatives”
September 24 – 6th Period Lecture:  “Medical Technology”
September 24 – 7th Period Lecture:  “Telemedicine” 

 

 

                   
September 29 -            “Health Services Financing”
October 1       
                                   
September 29 – 6th Period Lecture:  “National Health Care Expenditures – An Overview”
October 1 – 6th Period Lecture: “Medicare and Medicaid, An Overview”
October 1 – 7th Period Lecture:  “Health Insurance – An Overview”

 

October 6                    “The Hospital”
October 8
                                   
October 6 -   6th Period: “The Language of the Hospital”
October 8 - 6th Period:  Mid-Term Examination Review
October 8 - 7th Period:  Mid-Term Examination Review

 

October 13-                 “Mid-Term Examination Week” 
October 15
                                   
October 13 – 6th Period Lecture: “Universal Health Care”
October 15 – 6th Period Lecture:  Mid-Term Examination
October 15 – 7th Period Lecture:  Mid-Term Examination

 

October 20 -                “Managed Care and Integrated Organizations”
October 22

                                   

October 20 - 6th Period Lecture:  “Managed Care”
October 22 -  6th Period Lecture:  “Managed Care”
October 22 -  7th Period Lecture:  “Health Savings Accounts”

 

October 27 -                “Long Term Care” & “Primary Care”
October 39
                                   
October 27 – 6th Period Lecture  “Primary Care,”
October 29 – 6th Period Lecture: “Aging of America”
October 29 – 7th Period Lecture: “Assisted Living – Nursing Homes”

November 3 -              “Health Services for Special Populations”

November 5
                                   
November 3 – 6th Period Lecture:  - “Financing Long Term Care”
November 5 – 6th Period Lecture: - “HIV/Aids Population”
November 5 – 7th Period Lecture: - “Children and Rural Health”

 

 

November 10 -                        “Health Policy”
November 12

                                   

November 10 – 6th Period Lecture:  No Class – Veteran’s Day
November 12 – 6th Period Lecture:  “Health Policy, A Primer”
November 12 – 7th Period Lecture: “Medical Malpractice Insurance.” Randy Jenkins,  Esq., Coordinator of Insurance and Risk for UF Self-Insurance Program.

 

November 17 -            “Medical Compliance Issues & Public Health”

November 19

                                   
November 17 –6th Period Lecture:  “Compliance in Medical Reimbursement Matters,” Ms. Nina Tarnuzzer, CPA, Compliance Manager for the College of Medicine
November 19 – 6th Period Lecture: “Public Health,” Dr. Allyson Hall, Research Director, Florida Center for Medicaid and the Uninsured
November 19 – 7th Period Lecture:  “Future Trends”

                                   

November 24 -            “Thanksgiving Week”

November 26

                                   

November 24 -  6th Period Lecture:  No Class - Thanksgiving Week
November 26 – 6th Period Lecture:  No Class - Thanksgiving Week

November 26 – 7th Period Lecture:  No Class - Thanksgiving Week

 

December 1 -               Capstone Lecture

December 3                

December 3 – 6th Period:  Lecture: “Rehabilitation Research”
Mark Bowden, Physical Therapist, Veteran’s Administration Hospital
December 5 – 6th Period:  Review for Final Examination
December 5 – 7th Period:  Review for Final Examination                 

 

December 8-                Study Day and Final Exam
December 10              

December 8 – 6th Period – no class, exam preparation
December 10 – 6th Period – Final Exam
December 10 – 7th Period – Final Exam

 

 

Evaluation

 

 

  1. Examinations:  There will be a mid-term and final exam, both counting equally.  The material will come from the lectures.  Prior to the test, there will two hours of review.  If you wish, you may schedule a small group review session with me (three or four class members) and I will answer questions, etc.
  1. Extra Credit Paper:  After the mid-term, there will an opportunity to write an extra credit paper.  At that time, you will be given specific guidelines about the paper, negotiation of the topic, and, of course, a due date.  A good paper may earn up to ten points.

 

  1. Currents Events Project:  Since Health Care is such a dynamic part of the social and political landscape, not a day goes by that newspapers and magazines carry an abundance of articles about health care, medicine, research, etc.  This requirement will encourage you to keep current on the healthcare field.  It is part of your grade so it is important to understand what is required.

Ms. Catherine Christian will discuss this in class on Monday, August 25th,  2008.

  1. Scoring for Grade

 

a.  Mid-term:                100 points
b.  Final:                       100 points
c.  Articles:                     10 points
d.  Extra Credit Paper:   10 points

Total:                            220 points

Grade Calculation:  220/210 gives you your percentage.  The normal college grade ranges will apply.