HCMT-515: Health Care System Design and InnovationJanuary 25, 2021 2021-01-25 21:52
HCMT-515: Health Care System Design and Innovation
HCMT-515: Health Care System Design and Innovation
Course DescriptionStudents learn about the U.S. health care system, including the government’s role in the industry, cost and quality issues, managed care, reimbursement mechanisms, legal and regulatory issues, profit vs. non-profit care, the role of technology, and then compare it to international health care systems. Students will begin to conceptualize new models of delivery through analysis of barriers to process improvement and the use of Systems and Design thinking and Data Analytics. Students will appraise development, implementation and management of system components.
Student Centered Learning OutcomesThe learning objectives for this course are:
- Use knowledge of the components of the healthcare delivery systems in the U.S., including the federal government’s role and for-profit and not-for-profit delivery systems, to analyze and evaluate the choices and trade-offs in delivering health care in the U.S. and begin to appraise the process of change.
- Assess and evaluate the often-conflicting healthcare needs of individuals and the general population, and the delivery options now used to address these differences, and propose and construct new, innovative models of care using elements of design thinking.
- Apply the knowledge of social issues affecting consumer demand, healthcare workforce, changing disease patterns, and other environmental factors that are reshaping healthcare to explain the current state and issues, and propose solutions that have the power to increase affordability, improve clinical outcomes, improve healthcare communication and enhance quality of care.
- In the context of current popular ideas related to health care reform, quality improvement, performance measurement, and information systems, use creative and systems thinking to identify those elements that are effective, and propose new methods and technologies for those that are not.
- Use a variety of media resources to illustrate various popular perspectives of healthcare systems today, so as to establish a benchmark from which more effective system elements can be proposed.
- Using the Stanford University’s bootleg boot camp design steps, develop a healthcare product or service based upon an issue affecting students’ specific areas of professional experience that can improve clinical outcomes, quality, and/or value of delivered services.
- Using class discussion fora, identify and evaluate various perspectives regarding personal and professional experience and activities related to the key elements of healthcare systems, including a review of healthcare resources, current epidemiological and public health issues, and comparisons to international health care systems.
- Apply data analytic methods and metrics for population health management and outcomes evaluation to explain the process of developing data-driven decisions and policies.
- Exhibit exemplary communication skills, through written, verbal and diagrammatic representations; and keen awareness of cultural challenges in leading an organization and its constituents through the process of innovation.
- Using theory and principles of the process of innovation, develop strategies that result in improved delivery systems, addressing the concepts of evidence-based practice, systems assessment, system interventions, feedback, and managing resistance to system innovation.
Textbook(s) and Technology Requirements (Links to an external site.)
Required Text:Creative Confidence, Unleashing the Creative Potential Within us All, Tom and David Kelley, Crown Business, 2013, ISBN: 978-0-385-34936-9
Required Case Study:The Dana-Farber Cancer Institute, published by the Harvard Business School, The case will be used as a basis for a class group project that will be due in Week 8 of the course. The project will focus on Systems Thinking and Design and will incorporate concepts from the Stanford d.school of design. Here is the HBSP case study is URL: http://cb.hbsp.harvard.edu/cbmp/access/79460355 (Links to an external site.) The case study is the property of HBR and there is a fee for accessing it.
Supplemental MaterialThe following is a list of supplemental websites useful for general information and exploration:
- Administration on Aging: https://www.acl.gov/about-acl/administration-aging (Links to an external site.) (Links to an external site.)
- DiversityRx: http://diversityrx.org/resources/database/ (Links to an external site.)
- Kaiser Family Foundation: http://kff.org/health-reform/ (Links to an external site.)
- MEDICARE Fact Sheets, https://medicare.net/medicare-facts/ (Links to an external site.)
- MEDICAID Facts, http://www.medicaid.gov/index.html (Links to an external site.)
- The Henry J. Kaiser Family Foundation, Employer Health Benefits, 2012 Annual Summary: http://ehbs.kff.org/ (Links to an external site.)
- The ACA, http://www.hhs.gov/healthcare/rights/law/index.html (Links to an external site.)
- The Commonwealth Fund, a private foundation working toward a high-performance health system: http://www.cmwf.org (Links to an external site.)
- Institute of Medicine, http://www.nationalacademies.org/hmd/ (Links to an external site.)
- Rand Health http://www.rand.org/ (Links to an external site.)
- Buchbinder and Shanks, Introduction to Health Care Management, edited by Sharon B. Buchbinder, Nancy H. Shanks., Buchbinder S. B. and Shanks N. H. (Eds.), Sudbury, Mass. : Jones and Bartlett Publishers, 2012.
- Chisolm, The Health Professions: Trends and opportunities in U.S. health care Sudbury, Mass. : Jones and Bartlett Publishers, 2007
- Shi and Singh, Delivering Health Care in America: A Systems Approach, Sudbury, Mass. : Jones and Bartlett Publishers, 2008
ResourcesLibrary:The Champlain College Library (Links to an external site.) has a wealth of online books and articles available for your research needs. You can search for books and e-books from the Library Catalog (Links to an external site.). E- books will say “ONLINE” for their status. The library also has access to thousands of online journal articles. These can be found in our databases which are broken up by subject (Links to an external site.). If you are looking for a specific journal title (such as “The Journal of Applied Psychology”) you can search for it under E-journals by title (Links to an external site.).If you are off-campus, you will be required to log in to authenticate that you are a Champlain student. Your log in is the same user name and password that you would use to access my.champlain (Links to an external site.). If you have any questions about research or access to any of these resources, don’t hesitate to contact a Librarian (Links to an external site.). They are available via phone, email, instant message and in person and are happy to assist you with your research. In addition, within Canvas there is a “Library Tools” tab at the top of the page that gives you access to most of these resources.
- Healthcare delivery systems and components (for-profit and not-for-profit)
- Managed care and payer models
- The public health system
- Concepts of design thinking
- Concepts of data analytics
- Comparison of the U.S. system to international health care systems
- Health Policy/Legislation: COBRA, ERISA, HIPAA, Medicare/Medicaid reform, etc.
- Societal Issues: Consumer demand, healthcare workforce, changing disease patterns, etc.
- Applying data analytic methods at the systems and granular level to the healthcare system: constraints, benefits, trends, etc.
- Current healthcare trends related to societal and environmental changes
- Application of data analytics and critical thinking to create appropriate innovative system designs to support improved access, quality and cost.
Methods of AssessmentYour final grade will be determined based on:
|Class Project Based on Dana-Farber Case Study||20%|
|Course Feedback Discussion||1%|
|Extra Credit Course Evaluation||1%|
|Appropriate and Relevant Content||Submission is articulate and relevant to course learning objectives, and applies those concepts to workplace situations. Submission provides clear evidence from the course readings and lecture information that demonstrates sound interpretation and reasoning. All opinion-based comments relate to the assignment and are fully supported by evidence from the course resources and other research.||50|
|Innovation and Critical Analysis||Submission expands the analysis beyond the scope of presented materials by providing evidence of reflection and insight, and integration of original and practical ideas. Submission provides solutions or positions based on well supported conclusions (i.e. evaluated relative to the issues of the assignment); Submission explores sound ideas in nontraditional ways. Submission recognizes the interrelatedness of stakeholders; Submission includes points that are crucial to the analysis and clearly addresses alternative points of view through integration of various perspectives.||30|
|Professional Language and Style||Submission is free of spelling and grammar errors. Language of submission clearly and effectively communicates ideas. Submission style is consistently professional. APA style is used for references and formatting and contains no errors.||10|
|Overall Assessment||Submission viewed in entirety; overall flow and achievement of learning objectives.||10|
|Maximum Total Points: 100|
Participation and EngagementAttendance and involvement is measured through your presence and participation in all aspects of the class. Your participation is extremely important to the learning experience for both you and your classmates.
ParticipationParticipation is a key factor to success in an online class. Participation in the discussion forums weighs heavily on the final grade. In order to receive credit, you will need to check into the discussion(s) each week. Points lost from prior weeks cannot be “made-up”. Here are some suggestions for successful participation:
- Respond to others with questions or comments that provoke elaboration.
- Answer questions raised in response to your own postings.
- Bring in resources from outside the class materials (website, reading inanother class, work experience etc.)
- Link the comments of two people in a very explicit way that has notbeen expressed.
- Demonstrate your interest with an active listening question to another.
- Build on another’s thinking.
- Use the course materials, including quotes from readings, as”evidence” to support your thinking.
- Avoid unsupported opinion.
|Participation||Submits one initial response by the due date and posts several substantive responses by the close of the discussion. Meaningfully participates on at least four days of the discussion period.||20 pts|
|Application||Explicitly explains, applies, and integrates a) concepts from this or other courses, b) outside resources or research, c) life experiences, and/or d) processes used to solve problems.||20 pts|
|Collaboration||Fosters collaborative learning while a) problem-solving, b) respectfully challenging others, and/or c) expanding thinking through responses and reflection with other learners. Builds on classmate and instructor contributions to further develop the conversation.||25 pts|
|Critical Thinking||Clearly articulates a desire to a) reflect, b) explore possibility, c) recognize ambiguity, d) question assumptions, and/or e) search for logical relationships among ideas. Selects, analyzes, and synthesizes relevant information to demonstrate original thinking.||25 pts|
|Presentation||Demonstrates attention to APA/MLA style and structure, adheres to rules of grammar and etiquette, and properly cites references to literature and course materials.||10 pts|
|Total Points: 100|
Student Resources & Policies
Academic Honesty PolicyChamplain College students are expected to be familiar with and adhere to the College’s policy for Academic Honesty. (Links to an external site.) Academic honesty entails creating original assignments, using your own words, and when using the words and ideas of others, documenting those sources using the method specified in this course. Please consult with your instructor if you are in doubt. Violations of the policy could result in a grade of F on the assignment or in the course as well as dismissal from the College.
Grading PoliciesCPS Grading Policy (Links to an external site.)Grading Scale (Links to an external site.)
|Accessibility and Accommodations (Links to an external site.)||Champ Support (Links to an external site.)|
|Bookstore (Links to an external site.)||Library Resources (Links to an external site.)|
|Canvas Support (Links to an external site.)||Online Tutoring (Smarthinking) (Links to an external site.)|
|Career Services (Links to an external site.)||Student Accounts (Links to an external site.)|
|Wed, 9 May 2018||Assignment Week 1: Discussion 1-1: Mental Models & Healthcare||due by 23:59|
|Sun, 13 May 2018||Assignment Week 1: Assignment 1-1: 11 Laws of Systems||due by 23:59|
|Assignment Week 1: Assignment 1-2: Course to Course Project||due by 23:59|
|Wed, 16 May 2018||Assignment Week 2: Discussion 2-1: Fear of Failure||due by 23:59|
|Sun, 20 May 2018||Assignment Week 2: Assignment 2-1: Interview for Empathy||due by 23:59|
|Wed, 23 May 2018||Assignment Week 3: Discussion 3-1: Chronic Illness||due by 23:59|
|Sun, 27 May 2018||Assignment Week 3: Assignment 3-1: Define Mode||due by 23:59|
|Wed, 30 May 2018||Assignment Week 4: Discussion 4-1: Acting Versus Planning||due by 23:59|
|Sun, 3 Jun 2018||Assignment Extra Credit Course Feedback Discussion||due by 23:59|
|Assignment Week 4: Assignment 4-1: Ideate||due by 23:59|
|Assignment Week 4: Assignment 4-2: Shared Visions||due by 23:59|
|Wed, 6 Jun 2018||Assignment Week 5: Discussion 5-1: The Heart and the Dollar||due by 23:59|
|Sun, 10 Jun 2018||Assignment Week 5: Assignment 5-1: Prototyping||due by 23:59|
|Wed, 13 Jun 2018||Assignment Week 6: Discussion 6-1: Karaoke Confidence||due by 23:59|
|Sun, 17 Jun 2018||Assignment Week 6: Assignment 6-1: Testing||due by 23:59|
|Assignment Week 6: Assignment 6-2: Language and Culture||due by 23:59|
|Wed, 20 Jun 2018||Assignment Week 7: Discussion 7-1: Process Improvement Tools||due by 23:59|
|Sun, 24 Jun 2018||Assignment Part 1: Week 7 Assignment 7-1 and 8-1: Class Group Project and Individual Assignment Submissions||due by 23:59|
|Wed, 27 Jun 2018||Assignment Week 8: Discussion 8-1: Taking Action||due by 23:59|
|Sat, 30 Jun 2018||Assignment Extra Credit: IDEA Survey Quiz||due by 23:59|
|Assignment Part 2: Week 8 Assignment 7-1 and 8-1: Class Group Project and Individual Assignment Submissions||due by 23:59|
|Assignment Week 8: Assignment 8-2: Course to Course Project Development||due by 23:59|