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Healthcare Reform Policy Issue Report

Healthcare Reform Policy Issue Report
Order Description
• Introduction: Define the issue (can be in the form of a question)
• Background and discussion
• What was the problem this portion of legislation attempted to solve?
• Key players and interest groups: Advocates, opponents, stakeholders,
• People affected and how
• If applicable, discuss the scope of the issue (local, state, national, international) and your focus (national or state)
• Implementation issues and time line
• Preliminary list of bibliographic research sources and a short statement of your research plan
• Questions about your selected issue
Course Description:
This course will provide an overview and developmental summary of the American health care system and its driving forces. Areas of review will include major elements of the healthcare system; today’s major health policy issues in a historical, economic and political context. Letter grade only (A-F). (Lecture)
Course Outcomes, Competencies 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 Directory.  As HCA 502 is one of the first courses that students majoring in Health Care Administration take, the emphasis is on acquiring competencies in HLA Domain 4, knowledge of the healthcare environment. 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)
Describe the organization, administration and financing of the U.S. health care delivery system and the principal California health care programs and administering agencies    4- Knowledge of the healthcare system    •    Role of non-clinical professionals in the healthcare system
•    Organization and delivery of healthcare
•    Funding and payment mechanisms of the hc system
•    The interrelationships among access, quality, cost, resource allocation, accountability and community
•    Governmental, regulatory, professional and accreditation agencies
•    Educational funding for healthcare personnel
•    Nursing, physicians, and allied health professionals’ roles and practice
•    Managed care models, structures and environment
•    Socioeconomic environment in which the organization functions    A1-On-line class discussions
A3-Midterm, final exams
Name the major historical events that shaped the U.S. health care system    4- Knowledge of the healthcare system    •    Interaction and integration among healthcare sectors
•    Workforce issues
•    Healthcare technological research and advancements    A1-On-line class discussions
A3-Midterm, final exams
Articulate the key elements of health policy formation and the policy making process    4- Knowledge of the healthcare system    •    Legislative issues and advocacy
•    The patient perspective
•    Workforce issues
•    Interaction and integration among healthcare sectors    A2-Health policy issue report and literature review
Analyze major contemporary U.S. health care policy issues.
4- Knowledge of the healthcare system    •    Legislative issues and advocacy
•    The interrelationships among access, quality, cost, resource allocation, accountability and community
•    Funding and payment mechanisms of the hc system    A2-Health policy issue report and literature review;
Required texts (available for purchase and on 3-hour reserve in Library)
1.    Jonas & Kovner’s (2015). Health Care Delivery in the United States (11th ed.). New York: Springer Publishing Company, LLC.
Other required reading:
Kaiser Family Foundation (2013). Summary of the Affordable Care Act. Retrieved from:
Highly recommended reference/reading:
American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, D.C.: Author.
PERRLA. APA and MLA Format and Style Software. Retrieved from:
Cornell University Library. How to Prepare an Annotated Bibliography. Retrieved from:
Purdue University: Online Writing Lab. Annotated Bibliography. Retrieved from:
California HealthCare Foundation, California HealthLine. Free daily electronic newsletter. Available at: www.californiahealthline.org/.
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, contact the CSULB Help Desk by phone at 562-985-4959, Email to helpdesk@csulb.edu or visit the web site at www.helpdesk.csulb.edu. You may seek in-person help at AS-120.
Student Assignments and Grading
1.    Class Preparation and Participation, Discussion Leadership:
a.    The class format will be web-based with interactive discussion of the assigned readings. I expect you to have read the assigned readings before the class session, and encourage you to contribute new information. A principal focus of discussion will be on current health policy information on the topic for that week.  Web sites and other sources may be used to gather information on the topics discussed. Your level of engagement in class discussions will determine your class participation grade, which is a combination of your individual postings and group posting combined.  Disabled students requiring special accommodations, please advise instructor at start of course.
b.    The class will be divided into groups.  Each student is required to post to their assigned discussion group each week.  Initial individual postings to your assigned discussion group should appear no later than Tuesday each week.  Failure to post and provide detailed discussion will result in a lowered overall posting and participation grade.  Group leaders will rotate on a weekly basis.  Considering there are 8 weeks of postings, each group leader will post approximately twice during the course.  Groups consisting of less than 4 members may need to post a 3rd time.  The group leader is responsible for summarizing the group discussion and formulating a response due by 11:55pm on Friday each week.  Final group responses will be posted to the Master Discussion Board.  Failure to post to the Master Discussion Board will result in each team member receiving zero points.    Once final summaries are posted, members from other groups are required to read the postings.  Comments are optional and may be posted to share other opinions, thoughts or beliefs about a discussion topic.
2.    Healthcare Reform Policy Issue Report and Annotated Bibliography: The Patient Protection and Affordable Care Act, Public Law 111-148 and companion legislation PL-11-152, commonly known as the Affordable Care Act (ACA), will have significant and far-reaching effects on the nation’s health care system. With implementation of this large and complex law now underway, your major assignment for this course is to select and study one aspect of the ACA’s implementation and share your findings. You will find articles in recent issues of many of the health care journals listed in the bibliography, major urban/national newspapers (LA Times, NY Times, Washington Post, Wall Street Journal), the Internet (see policy and stakeholder web sites) and general interest magazines such as Time, Newsweek, U.S. News and World Report, Business Week, etc. Full text of the enacted legislation is available at http://housedocs.house.gov/energycommerce/ppacacon.pdf.
The Kaiser Family Foundation website, http://healthreform.kff.org/, has a wealth of information on health reform, other major health policy issues, and the principal publicly funded health insurance programs.
The Commonwealth Fund has a site devoted to tracking health reform implementation: http://www.healthreformgps.org/.
You will submit the paper in stages:
a.    Issue outline. Submit a fairly detailed outline (approximately 2 pages, single-spaced) of your selected health policy issue. Suggested format:
•    Introduction: Define the issue (can be in the form of a question)
•    Background and discussion
•    What was the problem this portion of legislation attempted to solve?
•    Key players and interest groups: Advocates, opponents, stakeholders,
•    People affected and how
•    If applicable, discuss the scope of the issue (local, state, national, international) and your focus (national or state)
•    Implementation issues and time line
•    Preliminary list of bibliographic research sources and a short statement of your research plan
•    Questions about your selected issue
b.    Stakeholder interview protocol. Arrange a personal interview (in person, by telephone or via email) with a policy expert or professional in the field impacted by the issue or a leader in an advocacy organization. Submit a protocol with the questions you will be asking during your stakeholder interview. Describe the intent of your questions. By stating the intent you will be able to clarify or re-phrase the question if your source is unclear. Examples are posted on BeachBoard.  (Approximate length 2 – 3 pages.)
c.    Annotated bibliography. List (APA style) and summarize the literature you have reviewed for your healthcare reform policy topic (minimum 10 sources, maximum 12 sources). For information on how to write an annotated bibliography, see: http://owl.english.purdue.edu/owl/resource/614/01/ .  An example is posted on BeachBoard.  An annotated bibliography is NOT an abstract but an annotation to inform the reader as to the relevance, quality and accuracy of the source being cited
d.    Stakeholder interview transcript summary. Summarize the responses to your stakeholder interview questions.  An example is posted on BeachBoard.
e.    Final health reform policy issue report – submit final paper via Turnitin. MAXIMUM of 3,000 words (about 15 double-spaced pages), with a 1-page single spaced 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 6th 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:
–    Introduction/Archaeology of the problem. Provide brief background and contextual information on the issue. How did it arise? How did it become a problem issue on the public agenda? Is this at its core a national or state issue?
–    Stakeholder analysis. Here, your objective is to understand the positions of the various interest groups. What groups, industries and organizations supported/opposed this part of the legislation and why? Discuss how they are affected, and what they stand to gain or lose. In addition to investigating stakeholders’ published materials, you may also personally contact representatives of key interest groups or request information from an elected official. If the reform policy you are analyzing is occurring at the national level, discuss the policy’s impact on California.
–    Legislative summary and impact analysis. Summarize the key provisions of the legislation. Analyze the proposed legislation in a thoughtful, objective manner. What will change? What will it cost and how will it be funded?
–    Implementation issues and time line. What are the challenges you or stakeholders note with respect to making the proposed legislation operational? When will the legislation become effective? What regulatory actions will occur at the federal and state levels? How are stakeholders seeking to influence the administrative regulations? Are there any legal challenges?
–    Reflection and conclusion.  Remember, at least one source should 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).
Tips for writing a strong paper:
•    USE QUOTES SPARINGLY, and only in situations where inserting such verbiage adds support to your point, provides a position or argument, adds historically significant language, and when paraphrasing or summarizing would result in meaningful language being lost or changed.
•    Choose your topic and begin your research early in the term. Schedule time to go to the university library to learn about resources available through the library and its vast selection of data bases. If you work for a health care organization which has a medical library, make friends with the librarian and find out what resources are available to you.
•    Seek feedback on your work. Fellow students are a great resource.  Ask for someone in your class to review your work while you review theirs.  Discuss and provide feedback to each other on your reports.
•    The Writers’ Resource Lab (http://www.csulb.edu/colleges/cla/departments/english/wrl/) offers free individualized tutorials to guide students throughout the process of writing a paper.
Taxonomy of Leadership Theories
Order Description
Select four leadership theories for this Assignment. Search for additional peer-reviewed scholarly resources about your selected leadership theories.You must use proper paraphrasing techniques when completing your analysis. Avoid using direct quotes by paraphrasing as appropriate. Include proper APA citations.
•A 1-page taxonomy that follows the Leadership Theory Taxonomy Template available in this Module’s Learning Resources to the Assignment Part 1 – Module 2 link.
DDBA 8151: Organizational Leadership: Doctoral Theory and Practice
Leadership Theory Taxonomy Template
Leadership Theory Name    Year Introduced    Author/Theorist    Theory Description

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