Course Syllabus

Course Information HMGT 6320 The American Healthcare System

Professor Contact Information Forney W Fleming, MD, MBA f fleming!"t#allas e#" $%2 &&3 '&(2 S)M * 22$ )ffice ho"rs +y a,,ointment

Course Pre-requisites, Co-requisites, and/or Other Restrictions -one

Course Description The course introduces students to the historical development, structure, operation, and current and future directions of the major components of the American health care delivery system. It reviews the historical evolution of the health care systems features and examines the ways in which health care services are organized and delivered, the influences that affect health care public policy decisions, factors that determine priorities for the allocation of health care resources, and the relationship of health care costs to measurable benefits. The course enables students to assess the role of organized efforts to influence health policy formulation, and the contributions of medical technology, research findings, and societal values on our evolving health care delivery system. ince almost every medical or technological advance or change in the way health care is delivered is accompanied by new and vexing policy, ethical and legal dilemmas, course time is devoted to open discussion of these complex and value!laden issues. "ourse materials are drawn largely by articles from the current literature. As appropriate, factual information is presented in its social, political and economic contexts to enhance understanding of the forces that shape the system and the evolving mandates for change.

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Student Learning Objecti es/Outcomes #pon completion of the course students will be able to$ %. describe the private, governmental, professional and economic contributions to the development and operation of the health care system. &. describe the types and interrelationships of health care facilities, services, and personnel. '. understand the influences of public sector health policy ma(ing and implementation processes. ). understand the major ethical, economic, professional and legal issues confronting providers, insurers, public policyma(ers and consumers. *. describe special problems of high!ris( populations and health system responses. +. identify and describe the ,uality control activities of the current health care system and relate service provider behaviors to legal, ethical, and financial considerations. -. #nderstand the implementation of the healthcare reform act .//A"A0 of &1%1

Required !e"tboo#s and $ateria%s .e/"ire# rea#ings 0ill +e ,oste# on e1earning ,rior to class

&ssignments ' &cademic Ca%endar

Will be covered in the Classroom Instructions.

(rading Po%ic) St"#ents 0ill +e e2al"ate#3 (04 on class ,artici,ation St"#ents are e5,ecte# to arri2e at class ,re,are# to #isc"ss the assigne# rea#ings an# acti2ely contri+"te to the learning e5,erience of their colleag"es $04 +ase# on three +riefing ,a,ers 6*'47 an# a final research re,ort 6*'47 These are f"lly #escri+e# in the 8lassroom 9nstr"ctions 0hich can +e #o0nloa#e# from e:learning

Gra#ing3 A, A:, B;, B, B:, 8;, 8, F, 9 A< $':(00= A: <$0:$*= B;<&6:&$= B<&3:&'= B: <&0:&2= 8;<%':%$=8<%0:%*

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Schedu%e of &ssignments Listed in the C%assroom Instructions

Course ' Instructor Po%icies More that three +riefing ,a,ers may +e s"+mitte# 8lass atten#ance is im,ortant More than t0o a+sences may +e reflecte# in the final gra#e

!echnica% Support
9f yo" e5,erience any ,ro+lems 0ith yo"r >TD acco"nt yo" may sen# an email to3 assist!"t#allas e#" or call the >TD 8om,"ter Hel,#es? at $%2:&&3:2$((

*ie%d !rip Po%icies Off-campus Instruction and Course &cti ities

Off-campus out-of-state and foreign instruction and activities are sub!ect to state la" and #niversity policies and procedures regarding travel and ris$-related activities. Information regarding these rules and regulations may be found at the "ebsite address http%&&""".utdallas.edu&'usiness(ffairs&)ravel*+is$*(ctivities.htm. (dditional information is available from the office of the school dean. 'elo" is a description of any travel and&or ris$related activity associated "ith this course.

Student Conduct ' Discip%ine

The #niversity of Texas ystem and The #niversity of Texas at 2allas have rules and regulations for the orderly and efficient conduct of their business. It is the responsibility of each student and each student organization to be (nowledgeable about the rules and regulations which govern student conduct and activities. The #niversity of Texas at 2allas administers student discipline within the procedures of recognized and established due process. /rocedures are defined and described in the Rules and Regulations of the 3oard of 4egents of the #niversity of Texas ystem , Part 1, Chapter VI, Section 3, and in Title 5, Rules on Student Services and Activities of the Course Syllabus Page 8, niversity!s "andboo# of $perating Procedures. "opies of these rules and regulations are available to students in the 6ffice of the 2ean of tudents, where staff members are available to assist students in interpreting the rules and regulations . 3 ).)11, 7-&899'! +'7%0. A student at the university neither loses the rights nor escapes the responsibilities of citizenship. :e or she is expected to obey federal, state, and local laws as well as the 4egents 4ules, university regulations, and administrative rules. tudents are subject to discipline for violating the standards of conduct whether such conduct ta(es place on or off campus, or whether civil or criminal penalties are also imposed for such conduct.

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&cademic Integrit)
The faculty and administration of the chool of ;anagement expect from our students a high level of responsibility and academic honesty. 3ecause the value of an academic degree depends upon the absolute integrity of the wor( done by the student for that degree, it is imperative that a student demonstrate a high standard of individual honor in his or her scholastic wor(. <e want to establish a reputation for the honorable behavior of our graduates, which extends throughout their careers. 3oth your individual reputation and the schools reputation matter to your success. The =udicial Affairs website lists examples of academic dishonesty. 2ishonesty includes, but is not limited to cheating, plagiarism, collusion, facilitating academic dishonesty, fabrication, failure to contribute to a collaborative project and sabotage. ome of the ways students may engage in academic dishonesty are$ "oughing and8or using visual or auditory signals in a test> "oncealing notes on hands, caps, shoes, in poc(ets or the bac( of beverage bottle labels> <riting in blue boo(s prior to an examination> <riting information on blac(boards, des(s, or (eeping notes on the floor> 6btaining copies of an exam in advance> /assing information from an earlier class to a later class> ?eaving information in the bathroom> @xchanging exams so that neighbors have identical test forms> :aving a substitute ta(e a test and providing falsified identification for the substitute> Aabricating data for lab assignments> "hanging a graded paper and re,uesting that it be regraded> Aailing to turn in a test or assignment and later suggesting the faculty member lost the item> tealing another students graded test and affixing ones own name on it> 4ecording two answers, one on the test form, one on the answer sheet> ;ar(ing an answer sheet to enable another to see the answer> @ncircling two adjacent answers and claiming to have had the correct answer> tealing an exam for someone in another section or for placement in a test file> #sing an electronic device to store test information, or to send or receive answers for a test> 2estroying or removing library materials to gain an academic advantage> "onsulting assignment solutions posted on websites of previous course offerings> Transferring a computer file from one persons account to another> Transmitting posted answers for an exam to a student in a testing area via electronic device> 2ownloading text from the Internet or other sources without proper attribution> "iting to false references or findings in research or other academic exercises> #nauthorized collaborating with another person in preparing academic exercises. ubmitting a substantial portion of the same academic wor( more than once without written authorization from the instructor. http$88www.utdallas.edu8judicialaffairs8#T2=udicialAffairs!3asicexamples.html #pdated$ August, &1%% Plagiarism on written assignments, especially from the web, from portions of papers for other classes, and from any other source is unacceptable. On written assignments, this

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course will use the resources of turnitin.com, which searches the web for plagiarized content and is over 90% effective. uring tests and !uizzes, students in this section are not allowed to have with them any food or drin"s, scratch paper, course materials, te#tboo"s, notes, invisible in" pens, or electronic devices, including IPads, IPhones, IPods, $P% Players, earphones, radios, smart phones, cameras, calculators, multi&function timepieces, or computers. 'hen possible, students should sit in alternating seats, face forward at all times, and remove any clothing which might conceal eye movements, reflect images of another(s wor", or hide course material for copying. )#am proctors will monitor any communication or signaling between students by tal"ing, whispering, or ma"ing sounds, or by using your hands, feet, other body movements, the test paper itself or your writing implement. *tudents in this course suspected of academic dishonesty are sub+ect to disciplinary proceedings, and if found responsible, the following minimum sanctions will be applied, -. 2. %. 5. 6. 8. .omewor" / 0ero for the 1ssignment 3ase 'rite&ups / 0ero for the 1ssignment 4uizzes / 0ero for the 4uiz Presentations / 0ero for the 1ssignment 7roup 'or" / 0ero for the 1ssignment for all group members 9ests / : for the course

These sanctions will be administered only after a student has been found officially responsible for academic dishonesty, either through waiving their right for a disciplinary hearing, or being declared responsible after a hearing administered by =udicial Affairs and the 2ean of tudents 6ffice . In the event that the student receives a failing grade for the course for academic dishonesty, the student is not allowed to withdraw as a way of preventing the grade from being entered on their record. <here a student receives an A in a course and chooses to ta(e the course over to improve their grade, the original grade of A remains on their transcript, but does not count towards calculation of their B/A. The chool of ;anagement also reserves the right to review a students disciplinary record, on file with the 2ean of tudents, as one of the criteria for determining a students eligibility for a scholarship. ;udicial 1ffairs Procedures #nder authority delegated by the 2ean of tudents, a faculty member who has reason to suspect that a student has engaged in academic dishonesty may conduct a conference with the student in compliance with the following procedures$ .i0 the student will be informed that he8she is believed to have committed an act or acts of academic dishonesty in violation of #niversity rules> .ii0 the student will be presented with any information in the (nowledge or possession of the instructor which tends to support the allegation.s0 of academic dishonesty> .iii0 the student will be given an opportunity to present information on his8her behalf> .iv0 after meeting with the student, the faculty member may choose not to refer the allegation if he8she determines that the allegations are not supported by the evidence> or .v0 after meeting with the student, the faculty member may refer the allegations to the dean of students along with a referral form and all supporting documentation of the alleged violation. #nder separate cover, the faculty member should forward the appropriate grade to be assessed if a student is found to be responsible for academic dishonesty>

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.vi0 the faculty member may consult with the dean of students in determining the recommended grade> .vii0 the faculty member must not impose any independent sanctions upon the student in lieu of a referral to =udicial Affairs> .viii0 the faculty member may not impose a sanction of suspension or expulsion, but may ma(e this reco%%endation in the referral documentation If the faculty member chooses not to meet with the student and instead forwards the appropriate documentation directly to the dean of students, they should attempt to inform the student of the allegation and notify the student that the information has been forwarded to the 6ffice of 2ean of tudents for investigation. The student, pending a hearing, remains responsible for all academic exercises and syllabus re,uirements. The student may remain in class if the students presence in the class does not interfere with the professors ability to teach the class or the ability of other class members to learn. . ee ection )7.1-, page 5!)7!) for information regarding the removal of a student from class0. #pon receipt of the referral form, class syllabus, and the supporting material8documentation from the faculty member, the dean shall proceed under the guidelines in the "andboo# of $perating Procedures, "hapter )7, ubchapter ". If the respondent disputes the facts upon which the allegations are based, a fair and impartial disciplinary committee comprised of #T2 faculty and students, shall hold a hearing and determine the responsibility of the student. If they find the student in violation of the code of conduct, the dean will then affirm the minimum sanction as provided in the syllabus, and share this information with the student. The dean will review the students prior disciplinary record and assess additional sanctions where appropriate to the circumstances. The dean will inform the student and the faculty member of their decision.

Cop)right +otice
The co,yright la0 of the >nite# States 6Title (%, >nite# States 8o#e7 go2erns the ma?ing of ,hotoco,ies or other re,ro#"ctions of co,yrighte# materials, incl"#ing m"sic an# soft0are 8o,ying, #is,laying, re,ro#"cing, or #istri+"ting co,yrighte# 0or?s may infringe the co,yright o0ner@s rights an# s"ch infringement is s"+Aect to a,,ro,riate #isci,linary action as 0ell as criminal ,enalties ,ro2i#e# +y fe#eral la0 >sage of s"ch material is only a,,ro,riate 0hen that "sage constit"tes Bfair "seC "n#er the 8o,yright Act As a >T Dallas st"#ent, yo" are re/"ire# to follo0 the instit"tion@s co,yright ,olicy 6Dolicy Memoran#"m &*:9 3:*67 For more information a+o"t the fair "se e5em,tion, see htt,3EE000 "tsystem e#"EogcEintellect"al,ro,ertyEco,y,ol2 htm

,mai% -se
The >ni2ersity of Te5as at Dallas recogniFes the 2al"e an# efficiency of comm"nication +et0een fac"ltyEstaff an# st"#ents thro"gh electronic mail At the same time, email raises some iss"es concerning sec"rity an# the i#entity of each in#i2i#"al in an email e5change The "ni2ersity enco"rages all official st"#ent email corres,on#ence +e sent only to a st"#ent@s > T Dallas email a##ress an# that fac"lty an# staff consi#er email from st"#ents official only if it originates from a >TD st"#ent acco"nt This allo0s the "ni2ersity to maintain a high #egree of confi#ence in the i#entity of all in#i2i#"al corres,on#ing an# the sec"rity of the transmitte# information >TD f"rnishes each st"#ent 0ith a free email acco"nt that is to +e "se# in all comm"nication 0ith "ni2ersity ,ersonnel The De,artment of 9nformation .eso"rces at > T Dallas ,ro2i#es a metho# for st"#ents to ha2e their > T Dallas mail for0ar#e# to other acco"nts

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.ithdra/a% from C%ass

The a#ministration of this instit"tion has set #ea#lines for 0ith#ra0al of any college:le2el co"rses These #ates an# times are ,"+lishe# in that semesterGs co"rse catalog A#ministration ,roce#"res m"st +e follo0e# 9t is the st"#entGs res,onsi+ility to han#le 0ith#ra0al re/"irements from any class 9n other 0or#s, 9 cannot #ro, or 0ith#ra0 any st"#ent Ho" m"st #o the ,ro,er ,a,er0or? to ens"re that yo" 0ill not recei2e a final gra#e of IFI in a co"rse if yo" choose not to atten# the class once yo" are enrolle#

Student (rie ance Procedures

Droce#"res for st"#ent grie2ances are fo"n# in Title J, ."les on St"#ent Ser2ices an# Acti2ities, of the "ni2ersity@s 0andboo$ of Operating Procedures 9n attem,ting to resol2e any st"#ent grie2ance regar#ing gra#es, e2al"ations, or other f"lfillments of aca#emic res,onsi+ility, it is the o+ligation of the st"#ent first to ma?e a serio"s effort to resol2e the matter 0ith the instr"ctor, s",er2isor, a#ministrator, or committee 0ith 0hom the grie2ance originates 6hereafter calle# Bthe res,on#entC7 9n#i2i#"al fac"lty mem+ers retain ,rimary res,onsi+ility for assigning gra#es an# e2al"ations 9f the matter cannot +e resol2e# at that le2el, the grie2ance m"st +e s"+mitte# in 0riting to the res,on#ent 0ith a co,y of the res,on#ent@s School Dean 9f the matter is not resol2e# +y the 0ritten res,onse ,ro2i#e# +y the res,on#ent, the st"#ent may s"+mit a 0ritten a,,eal to the School Dean 9f the grie2ance is not resol2e# +y the School Dean@s #ecision, the st"#ent may ma?e a 0ritten a,,eal to the Dean of Gra#"ate or >n#ergra#"ate K#"cation, an# the #eal 0ill a,,oint an# con2ene an Aca#emic A,,eals Danel The #ecision of the Aca#emic A,,eals Danel is final The res"lts of the aca#emic a,,eals ,rocess 0ill +e #istri+"te# to all in2ol2e# ,arties 8o,ies of these r"les an# reg"lations are a2aila+le to st"#ents in the )ffice of the Dean of St"#ents, 0here staff mem+ers are a2aila+le to assist st"#ents in inter,reting the r"les an# reg"lations

Incomp%ete (rade Po%ic)

As ,er "ni2ersity ,olicy, incom,lete gra#es 0ill +e grante# only for 0or? "na2oi#a+ly misse# at the semester@s en# an# only if %04 of the co"rse 0or? has +een com,lete# An incom,lete gra#e m"st +e resol2e# 0ithin eight 6&7 0ee?s from the first #ay of the s"+se/"ent long semester 9f the re/"ire# 0or? to com,lete the co"rse an# to remo2e the incom,lete gra#e is not s"+mitte# +y the s,ecifie# #ea#line, the incom,lete gra#e is change# a"tomatically to a gra#e of *

Disabi%it) Ser ices

The goal of Disa+ility Ser2ices is to ,ro2i#e st"#ents 0ith #isa+ilities e/"al e#"cational o,,ort"nities Disa+ility Ser2ices ,ro2i#es st"#ents 0ith a #oc"mente# letter to ,resent to the fac"lty mem+ers to 2erify that the st"#ent has a #isa+ility an# nee#s accommo#ations This letter sho"l# +e ,resente# to the instr"ctor in each co"rse at the +eginning of the semester an# accommo#ations nee#e# sho"l# +e #isc"sse# at that time 9t is the st"#ent@s res,onsi+ility to notify his or her ,rofessors of the nee# for accommo#ation 9f accommo#ations are grante# for testing accommo#ations, the st"#ent sho"l# remin# the instr"ctor fi2e #ays +efore the e5am of any testing accommo#ations that 0ill +e nee#e# Disa+ility Ser2ices is locate# in .oom ( 6(0 in the St"#ent >nion )ffice ho"rs are Mon#ay L Th"rs#ay, &330 a m to 6330 , m , an# Fri#ay &330 a m to '300 , m Ho" may reach Disa+ility Ser2ices at 6$%27 &&3:20$&

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G"i#elines for #oc"mentation are locate# on the Disa+ility Ser2ices 0e+site at htt,3EE000 "t#allas e#"E#isa+ilityE#oc"mentationEin#e5 html

Re%igious 0o%) Da)s

The >ni2ersity of Te5as at Dallas 0ill e5c"se a st"#ent from class or other re/"ire# acti2ities for the tra2el to an# o+ser2ance of a religio"s holy #ay for a religion 0hose ,laces of 0orshi, are e5em,t from ,ro,erty ta5 "n#er Section (( 20, Ta5 8o#e, Te5as 8o#e Annotate# The st"#ent is enco"rage# to notify the instr"ctor or acti2ity s,onsor as soon as ,ossi+le regar#ing the a+sence, ,refera+ly in a#2ance of the assignment The st"#ent, so e5c"se#, 0ill +e allo0e# to ta?e the e5am or com,lete the assignment 0ithin a reasona+le time after the a+sence3 a ,erio# e/"al to the length of the a+sence, ", to a ma5im"m of one 0ee? A st"#ent 0ho notifies the instr"ctor an# com,letes any misse# e5am or assignment may not +e ,enaliFe# for the a+sence A st"#ent 0ho fails to com,lete the e5am or assignment 0ithin the ,rescri+e# ,erio# may recei2e a failing gra#e for that e5am or assignment 9f a st"#ent or an instr"ctor #isagrees a+o"t the nat"re of the a+sence Mi e , for the ,"r,ose of o+ser2ing a religio"s holy #ayN or if there is similar #isagreement a+o"t 0hether the st"#ent has +een gi2en a reasona+le time to com,lete any misse# assignments or e5aminations, either the st"#ent or the instr"ctor may re/"est a r"ling from the chief e5ec"ti2e officer of the instit"tion, or his or her #esignee The chief e5ec"ti2e officer or #esignee m"st ta?e into acco"nt the legislati2e intent of TK8 '( $((6+7, an# the st"#ent an# instr"ctor 0ill a+i#e +y the #ecision of the chief e5ec"ti2e officer or #esignee

These descriptions and timelines are subject to change at the discretion of the Professor.

Course Syllabus

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