0PHRM 5202 Course Syllabus

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PHRM 5202

Health Care Systems and Socioeconomics Course Syllabus

Spring 2015 Course Instructor/Coordinator

Name: Jack E. Fincham, Ph.D., R.Ph. Title/Department: Professor, Department of Pharmaceutical & Administrative Sciences Office: School of Pharmacy, Room 205 Phone: 864-938-3835 E-mail: [email protected] Office hours: by appointment, please just contact me via email.

Course Objective

Upon completion of this course, students should be able to effectively describe the flow of pharmaceuticals and funds throughout the US health care system.

Course Description

This course is designed to help the student develop an understanding of the characteristics, components, and structure of the US health care system. The social, cultural and economic dynamics of the system and emerging issues in health care reform will also be discussed. The methods of pharmacoepidemiology and pharmacoeconomics and their roles in healthcare decision-making will be introduced.

Class Meeting Times M W F 9:00-9:50 AM Room 271

Textbook

Pharmacy and the US Health Care System o Pharmaceutical Press, 2013 o ISBN 978-0-85711-22-0

Required reading materials are listed by date in this document. Course Learning Outcomes (ACPE Appendix B Outcomes)

Health Care Delivery Systems

Economics/Pharmacoeconomics

Pharmacoepidemiology

Social/Behavioral PC Twelve Competencies met by this Course

Communication

Evidence-based Decisions in the Practice of Pharmacy

Problem Prevention and Solving

Providing Pharmaceutical Care to Patient Populations

Inter-professional Interaction and Teamwork

Management Skills

Advancement of Pharmacy and Health Care

Promotion of Health and Public Welfare

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Course Grades

Basis for Course Grade: Weight Exam 1 20%

Exam 2 20% Exam 3 20% Final Exam 20% Group Presentations 10% Projects 10%

Grading Scale: 93 - 100% A 90 - 92 A- 87 89 B+ 83 86 B 80 82 B- 77 79 C+ 70 76 C 60 69 D

59 or below F

(Grading scale approved by faculty)

Students have 1 week to contest grades after they are posted; after 1 week the posted grade is final.

The course coordinator reserves the right to make adjustments to the grading scale as necessary in recording the final grade.

Honor code violations may result in failure of the course at the discretion of the course coordinator.

Attendance and Participation

Students are expected to attend and actively participate in all class sessions; attendance will be monitored regularly throughout the semester. Excused absences will be granted by the course coordinator on an individual basis, and only if an appropriate excuse (such as student illness or injury with doctors note, or death of immediate family member) is provided by the student within 1 week of the missed class, assignment, quiz, or exam. There will be no make-ups for any unexcused absences resulting in a missed graded assignment and/or or exam. Excessive unexcused absences may result in a 1 letter grade reduction to be imposed at the end of the semester upon the students final earned grade in the course.

Classroom Etiquette

Students are expected to be ready to begin class at the scheduled time and remain in the classroom until class is dismissed.

Reading assignments should be completed before class.

Avoid any and all behavior that does not allow others to hear and learn. Side conversations should be kept to a minimum during lectures.

Homework assignments are due at the beginning of class. Electronic versions will NOT be accepted.

All cell phones and other electronic devices/noise-making devices should be turned OFF during class. Laptops may only be used to the extent that they supplement learning relevant to this course. Texting, recreational use of the internet, etc. is NOT permitted during class. On the first offense, the student will be asked to leave class and will not receive credit for attendance for that particular class. A second offence may result in a 1 letter grade reduction to be imposed at the end of the semester upon the final grade earned in the course.

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Methods of Assessment

Short-answer exams

Multiple choice exams

Written assignments/homework

Group activities

Presentations Active Learning Techniques

Group activities

Individual assignments

Presentations Required Supplies

Calculator: Use of cell phones as calculators IS NOT permitted during exams. Programmable graphing calculators may not be used on exams.

Special Accommodations Any student in this course who has a disability that may prevent him/her from fully demonstrating his/her abilities should contact the instructor personally as soon as possible to discuss accommodations necessary to ensure full participation and facilitate his/her educational opportunities

Honor Code

The School of Pharmacy supports and enforces the Honor Code. Pharmacy students are expected to read, understand, and abide by the tenets of the Honor Code. Quizzes, tests,

examinations, projects, and papers to be graded should be accompanied by the pledge On my honor, I pledge that I have neither given nor received any unacknowledged aid on

this assignment followed by the students signature. Unacknowledged aid includes aid that is not allowed by the instructor. In some courses, students will be expected to work in small

groups to conduct experiments or other projects. When authorized by the instructor, these

activities are not Honor Code violations. However, the interpretation of data and the reporting of results and conclusions are, unless stated otherwise by the instructor, individual responsibilities.

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Course Topics

` Date Course Section Topic

1 January 5, 2015 (M) Introduction Introduction to Course and Semester

2 January 7, 2015

(W)

Structure US Health Care System

3 January 9, 2015 (F) Structure Changing Landscape of US Health Care

4 January 12, 2015 (M) Structure Channels of Drug Distribution

5 January 14, 2015

(W)

Structure Government Involvement in Health Care - FDA

6 January 16, 2015

(W)

Structure Govt Involvement - Medicare

January 19, 2015

(M)

No Class Dr. Martin Luther King Holiday

7 January 21, 2015

(W)

Structure Govt Involvement Medicaid

8 January 23, 2015

(F) Structure VA System

9 January 26, 2015

(M) Structure Health Insurance in US

10 January 28, 2015

(W) Structure Managed Care

11 January 30, 2015

(F) Structure Foreign Health Care Systems

12 February 2, 2015

(M)

Exam #1 200/1000 points

13 February 4, 2015

(W)

Structure Pharmaceutical Industry

14 February 6, 2015 (F) Process Pharmacists and Health Professionals

15 February 8, 2015 (M) Process Ambulatory Care, Retail 16 February 11. 2015

(W)

Process Ambulatory Care, Chain, Mail Order 17 February 13, 2015 (F) Process Medical Marijuana 18 February 16, 2015

(M)

Process Pharmacy Organizations 19 February 18, 2015

(W)

Process Hospital and Health Care Institutions 20 February 20, 2015 (F) Process Long Term Care and Home Health Care

21 February 23, 2015 (M) Outcomes Unmet needs, upper South Carolina

22 February 25, 2015 (W) Exam #2 200/1000 points 23 February 27, 2015

(F)

Outcomes Health Disparities

Spring Break March 2-6. 2015 No Class Spring Break

24 March 9, 2015 (M) Outcomes Medication Compliance

25 March 11, 2015 (W) Outcomes Drug Use Problems ADRs & Med Errors

26 March 13, 2015 (F) Outcomes Health Outcomes and Importance 27 March 16, 2015 (M) Outcomes Cost Minimization Analysis (CMA) 28 March 18, 2015 (W) Outcomes Cost Benefit Analysis (CBA) 29 March 20, 2015 (F) Outcomes Cost Effectiveness Analysis (CEA)

30 March 23, 2015 (M) Outcomes Cost Utility Analysis (CUA) 31 March 25, 2015 (W) Outcomes Cost of Medications 32 March 27, 2015 (F) Payments Drug Shortages

33 March 30, 2015 (M) Payments Pharmacy Benefit Management (PBMs)

34 April 1 , 2015 (W) Exam #3 200/1000 points

Easter Break April 3-5, 2015 No Class Easter Break

35 April 8, 2015 (W) Future Changes due to Health Care Reform

36 April 10, 2015 (F) Future Health Information Technology

37 April 13, 2015 (M) Future Accountable Care Organizations (ACOs) & Patient Centered Medical Homes (PCMHs)

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Assigned Textbook Readings

38 April 15, 2015 (W) Future US and Global Changes in Drug Use

39 April 17, 2015 (F) Class Presentations, Where You See Changes in Pharmacy Services are Needed & Your Proposal

for Changing these Situations

2 groups of 8 presenting

200/1000 points per group

40 April 20, 2015 (M) Class Presentations, Where You See Changes in Pharmacy Services are Needed & Your Proposal




41 April 22, 2015 (W) Class Presentations, Where You See Changes in Pharmacy Services are Needed & Your Proposal




42 April 24, 2015 (F) Class Presentations, Where You See Changes in Pharmacy Services are Needed & Your Proposal for Changing these Situations



May 7, 2015 (Th) Final Exam Room 271, 9 am 200/1000 points

Course Lecture Date Topic Readings from Textbook

Please note, Lectures are given by Dr. Fincham unless stated otherwise.

1 January 5, 2015 (M) Introduction to Course and Semester

None

2 January 7, 2015 (W) US Health Care System Chapter 1

3 January 9, 2015 (F) Changing Landscape of US Health Care

Chapter 19

4 January 12, 2015 (M) Channels of Drug Distribution Chapter 12

5 January 14, 2015 (W) Government Involvement in Health Care - FDA

Chapter 1

6 January 16, 2015 (W) Govt Involvement - Medicare Chapter 1

7 January 21, 2015 (W) Govt Involvement Medicaid Chapter 1 8 January 23, 2015 (F) VA System

9 January 26, 2015 (M) Health Insurance in US Chapter 2

10 January 28, 2015 (W) Managed Care Chapter 3

11 January 30, 2015 (F) First Examination

12 February 2, 2015 (M) Foreign Health Care Systems None from textbook

13 February 4, 2015 (W) Pharmaceutical Industry Chapter 11

14 February 6, 2015 (F) Pharmacists and Health Professionals

Chapters 4 and 5

15 February 8, 2015 (M) Ambulatory Care, Retail Chapter 2

16 February 11. 2015 (W) Ambulatory Care, Chain, Mail Order

Chapter 2

17 February 13, 2015 (F) Ambulatory Care, Supermarket

Chapter 2

18 February 16, 2015 (M) Pharmacy Organizations Chapter 6

19 February 18, 2015 (W) Hospital and Health Care Institutions

Chapter 9

20 February 20, 2015 (F) Long Term Care and Home Health Care

Chapter 10

21 February 23, 2015 (M) Health Outcomes and Importance

Chapter 20

22 February 25, 2015 (W) Health Disparities Chapter 13

23 February 27, 2015 (F) Second Examination

24 March 9, 2015 (M) Medication Compliance Chapter 14

25 March 11, 2015 (W) Drug Use Problems ADRs & Chapter 14 &15

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This schedule will be followed as closely as possible throughout the semester; however, the instructor(s) reserve the right to adjust the course schedule as he/she deems necessary.

Class Presentations, Where You See Changes in Pharmacy Services are Needed & Your Proposal for Changing these Situations

There are many differing course components to this course, this segment of your course is to allow you and a group you will work with to craft needed changes to the US health care system, our profession, or delivery components of health care impacted by pharmacists. Your written and oral presentations should include the following major components: 1.Title of your proposal 2. Executive summary of your proposal

a. Should be a concise description of personal/professional philosophy regarding the proposal and indication of how you suggest change

3. Description of the problem and its significance a. Why is this change necessary? b. Why is this problematic? c. What is the significance?

4. General considerations a. Please self-select among your classmates a group of 8 individuals to work on your suggested change, this needs to be completed by 2/2/2015. The Moodle link is as follows: http://moodle.presby.edu/mod/questionnaire/view.php?id=84538 b. Each member of the group needs to enter the name of your group (please reach a consensus among members of your group of a name for the group) & forward to me via email by 2/2/2015. Please have someone from the group forward to me the name of your proposed change presentation topic by 4/10/2015 via the Moodle link as follows: http://moodle.presby.edu/mod/questionnaire/view.php?id=84549 .

d. You will be assigned a day for your oral presentation and you need to submit your written plan by the start of class April 17, 2015 via the Moodle section

. e. You can use any and all classroom equipment that we have in Room 271 for your group oral presentation.

Med Errors

26 March 13, 2015 (F) Unmet needs, upper South Carolina

Chapter 16

27 March 16, 2015 (M) Cost Minimization

Analysis (CMA)

None from the Textbook

28 March 18, 2015 (W) Cost Benefit Analysis (CBA) None from the Textbook

29 March 20, 2015 (F) Cost Effectiveness Analysis (CEA)


30 March 23, 2015 (M) Cost Utility Analysis (CUA) None from the Textbook

31 March 25, 2015 (W) Cost of Medications Chapter 8

32 March 27, 2015 (F) Drug Shortages None from the Textbook

33 March 30, 2015 (M) Pharmacy Benefit Management (PBMs)


34 April 1 , 2015 (W) Third Examination

35 April 8, 2015 (W) Changes due to Health Care Reform

Chapter 7

36 April 10, 2015 (F) Health Information Technology

Chapter 18

37 April 13, 2015 (M) Accountable Care Organizations (ACOs) & Patient Centered Medical Homes (PCMHs)


38 April 15, 2015 (W) US and Global Changes in Drug Use


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f. The presentations will be scheduled during class sessions on April 17; April 20, April 22, and April 24.

5. The types of suggested changes are entirely up to your group. 6. Use of previously or concurrently prepared class assignments for this course, for organizations, and/or for other courses is strictly prohibited. 7. During the presentation of business plans, all group members are to dress professionally. 8. Attendance is mandatory for each of the business plan presentations, this is regardless of whether your group is presenting that day or not. 9. This component of the course is designed for you to think about our professions future, what needs to be done, and how to implement changes. It is also a chance for you to show your leadership, presentation, and practice knowledge skills. I simply wish for each of you to show your skills and potential in a non-threatening, facilitative environment. 10. There are two grading segments to this section of the course, one is the written document you provide and the other is the manner in which you present your suggested change. The breakdown of points for each of the 2 segments (written and oral) is as follows: A. Organization of material 25 points B. Content 25 points C. Grammar and/or presentation style 25 points 4. Professionalism 25 points 11. If you have any questions regarding any of this course segment, please contact me at your convenience.

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0PHRM 5202 Course Syllabus