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Canyon College School of Health Administration
Masters of Health Care Administration
Leading Health Care Transformation Course


Welcome to Quality and Change-Tools for Leaders and Organizations.
Building and Sustaining Optimum Processes, People and Performance Through Continuous Quality Improvement


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Syllabus Information

Course Description
Overview
Introduction
Assumptions
Objectives
Text Books
Schedule
Weekly Assignments







Vision
Mission
Goals and Success Factors
Performance Measurement
Integrity
Communication-Contacting me and the group


COURSE DESCRIPTION

This course focuses on the diversity of health care environments, organizational structures, processes and participants that are contributing factors in the practical applications of continuous quality improvement methods and tools. The role of data driven decision making to improve quality, efficiency, and effectiveness will be a focus of this course. This course emphasizes the interconnection of leadership and change management, team development, and continuous quality improvement.

OVERVIEW

The course begins with a brief perspective of health care system management today and an examination of the key purpose and concepts of quality management, change, revitalization and the continuous quality improvement (CQI) that includes an overview of strategic leading and managing practices. This leads to:

INTRODUCTION
Instructor: Mike C. Montanari, MS E-Mail Biography
Prerequisites: None

This masters level, self-paced course focuses on the diverse heath care environment, organizational structure, processes and people and the practical application of continuous quality improvement methods and tools.

The course places heavy emphasis on leadership, change management, redesign, team development, continuous quality improvement practices and outcomes measurement concepts and tools. Topics include leading Continuous Quality Improvement (CQI), managing change, redesign and continuous improvement, team development and teamwork, transforming organizational systems and processes, measuring outcomes and sustaining improvement.

Within your own working environment you will be able to develop theories, perspectives and successful applications of continuous quality improvement to successfully analyze complex organizational situations, diagnose problems, identify and evaluate alternative solutions, and recommend appropriate courses of action. Your capabilities and experiences will be enhanced to rationally and successfully apply critical, creative and innovative thinking skills and continuous quality improvement within today's demanding health care financial, operational, technical and managerial environment.

ASSUMPTIONS

  1. The ability to learn and apply knowledge faster and more effectively than other health care systems is your number one competitive advantage.
  2. Leaders and managers achieve their goals and objectives through skillful application of system, process and critical thinking skills on a consistent basis.
  3. Specifically, this course will describe methods and proven practices for organizing and implementing a focused, practical and cost effective process for improving and sustaining short and long term performance, financial stability and community well being.
OBJECTIVES

  1. Discuss the framework and fundamentals of organizational culture as the foundation for building and sustaining optimal quality and service performance.
  2. Develop a long-term strategy for patient care quality, service, and performance improvement for a selected organization or scenario.
  3. Identify and apply structures, processes and methods that can measurably improve individual, group performance, hospital or system effectiveness.
  4. Apply a "hands on" approach in using problem solving techniques and process assessments, including data selection, data collection, and common techniques of data analysis, plus plan, develop and implement various continuous quality improvement competencies.
TEXT BOOKS-LEARNING RESOURCES

Required texts:
  1. Transforming Healthcare Organizations: How to Achieve and Sustain Organizational Excellence, Ellen Marszalek-Gaucher and Richard J. Coffey, 1990, Jossey-Bass Inc., San Francisco, CA. 94104 ISBN #: 1555422500
  2. Total Quality Management in Healthcare: Implementation Strategies For Optimum Results, D.H. Stamatis, 1996, Mcgraw-Hill, New York, N. Y. ISBN #: 0786309806
  3. The Team Handbook: How to Use Teams to Improve Quality, Peter R. Scholtes, 1998, Oriel Inc., Madison, Wisconsin, 53705 ISBN #: 1884731112
Supplemental text:
  1. Quality Management 2000: Preparing the Quality Improvement Professional for the Future, Deborah K. Hall 1997, Precept Press, Chicago, Il 60611 ISBN #: 0944496512
TECHNICAL REQUIREMENTS

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Operating System: Windows 95/98/NT or Macintosh 7.5+.

VISION

What do you see yourself learning? See yourself as you want to be and you will pave the way for learning and becoming all you can be. Ralph Waldo Emerson stated, "What lies behind us and what lies before us are small matters compared to what lies within us." In addition to presenting the tools and techniques of a CQI this course will emphasizes how to see things as they are but envision things as they could be. Why? All great achievements were impossible until someone set a goal to make it happen.

Henry Kaiser summarized his vision as follows: "Decide what you want most of all out of life: then write down your goals and plan to reach them". Enjoy the journey of pursuing your vision.

MISSION

As Socrates said, "I cannot teach anybody anything, I can only make them think."

I will provide each participant with a course structure and content that contains established, proven, current and useable heath care concepts and methods to successfully support and enhance your vision and learning goals. My long-term mission is to establish a partnership that mutually challenges, stretches and builds critical thinking and life long learning skills.

GOALS AND SUCCESS FACTORS

  1. Develop a foundation to "act locally, think strategically and systemically" working foundation to increase awareness and application of meaningful leadership practices for health care systems and personal growth.
  2. Develop lasting continuous quality improvement (CQI) strategies and actions to build and sustain optimal performance through demonstrated applications of courses concepts.
  3. Assess, analyze, diagnose, and successfully act within a rapidly changing health care environment and situations to create a more direct link between strategic mission and goals, processes, people, performance and the bottom line.
  4. Develop a methodology for "best practice " leadership practices as critical success factors for continuous quality improvement.
  5. Increase and enhance your personal skills as a hospital leader and manager.
ASSIGNMENTS

The course schedule identifies self-assessments, reading and discussion (chat) room assignments, weekly progress checks, and written responses for selected topics. All assignments are from the textbook(s), weekly notes, web articles and popular health care and business publications. Weekly notes are designed to allow you to study additional or alternative theories, methods or ideas.

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Guidelines:
  1. Topics in the course schedule are generally related to a section in the text (s), assigned reading and notes.
  2. Assignments will be posted by weeks and will be available each Sunday by 5:00 p.m. EDT and are do back to me for review and feedback via email by 3:00 p.m. EDT the following Saturday.
  3. Submit all assignment content for a specific week together in one email.
  4. Assignments more than two days overdue will not be accepted.
  5. Progress checks (PC) will be scheduled every week.
  6. Assignment responses must include in the email subject line: your name (last, first), course title and schedule code: Example- Jones, Mary, HCM-PC1 (FYI---HCM-PC1=------------- --------------- -Progress Check 1)
  7. It is each participant's responsibility to send emails properly with or without attachments.
SELF-ASSESSMENTS

Self-assessment learning exercises (true/false, multiple choice, rating questions and profiles), critical thinking and application exercises will be completed weekly as part of this course. As related topics are covered, the results of your self-assessments will be available to you. The individual weekly assignments will discuss the meaning of the self-assessment results and ways to use the information to facilitate your personal learning. Individual results are for your use only and will not be shared with anyone. You may choose to share your results with others as a learning opportunity.

READINGS AND WRITTEN RESPONSES

Your ability to use the knowledge in the chapter readings and related assignments (R01-R08) will be demonstrated in on-line discussions, written responses, and examinations. Written responses are based on the key textbook (s) reading concept questions, weekly notes, mini case studies or projects, critical thinking exercise or practice situations.

DISCUSSION ROOMS

Discussion (chat) rooms have been created on the course web site for each course topic for general course discussion when two or more students are experiencing assignments in the same week. Discussion (chat) rooms allow you to post questions and answers or to make comments about course issues and other participant's responses. The on-line discussion rooms organize information and course learning points from participants and make it easily accessible to all. Discussion (chat) rooms will be assigned by the instructor depending on the number of students enrolled.

INDIVIDUAL ASSIGNMENTS

There will be weekly learning assessments, two exams (mid-term and final), progress checks and independent reading exercises. Progress checks (PC) may consist of a "mini case study" and/or a number of short answer and/or objective questions. Independent readings will be assigned per week according to the current course schedule or added according to weekly assignment postings.

You will be expected to communicate with your participant group (when assigned) and me. Discussion (chat) rooms give us the opportunity to engage in a conversation of selected topics and will assist you in clarifying, developing, generalizing, and considering the implications of key concepts. Expectations for your participation include responding individually to assigned questions, exercises or situations and responding to other participant's responses by sharing your opinion, feeling, perspective, ideas and experiences. Both expectations must be met to earn credit.

For each week, 20 points will be awarded for participation in the group discussion room. No participation points are possible if you do not take part in the discussion. You must participate at least 2 days a week. (Monday through Saturday) to earn points. Each time you participate over 2 you will receive 2 bonus points for each day. I expect you to diagnose, analyze, and respond to questions and comments from myself as well as your group participants. Routine comments and statements of agreement are not sufficient for this assignment. You must add your personal critical thinking perspective to the original discussion to be awarded points.

Since many of you will want to discuss your company and its policies, procedures and issues as they apply to the course I expect everyone to respect the confidentiality of the facts that are discussed with the group. Common courtesy and respect is expected. Although your comments will not be screened prior to posting I do reserved the option of removing any contribution that devalues this learning area or is deemed inappropriate in accordance with Canyon College or program standards.

WEEKLY NOTES

The weekly notes are organized as a series of web pages. Each web page outlines and supports portions of the weekly course material. You may access the web pages as often as you wish and in any order. Successful completion of the course includes the understanding and application of note concepts and tools in your assignments, evaluations and examinations.

PERFORMANCE MEASUREMENT

Performance in this course is measured by a mid-term examination, weekly assignments, progress checks, independent readings, a team project and a final examination. Evaluation of your performance in the course will be based on a 1000-point scale. Final course grades will be based primarily on the number of points earned, although I may consider other relevant factors such as quality of on-line participation. Better quantity and/or quality participation may raise your grade.

Midterm Examination. A mid-term examination will be administered during the course: MTE. The midterm (MTE) will consist of one "mini case study and/ or a number of short answer and/or objective questions. Weekly notes are posted online within the course schedule that contain material that enhances and supplement text content. You are responsible for the material contained in the notes.

Independent Readings. Other books and articles have been assigned as outside, independent readings. Further information can be found in the appropriate links in the Schedule as R01, R02, R03, R04, R05, R06, R07 and R08.
Final Examination. The final exam (FE), which will cover all key course concepts consisting of true/false, multiple-choice, personal assessments, several "mini case studies" and coaching situation activities. The first part of the final examination, (FE), has a comprehensive true-false, multiple-choice format to measure your mastery of course material. The second half of the final examination is a series of critical thinking short answer questions and activities that require you to demonstrate knowledge of the major concepts conveyed in the course along with an "real" concept tool to apply, analyze and develop recommendations related to your findings.
No makeup or alternate examinations during the course will be offered.

Final Grade. Grades are determined by an alpha-numeric % point system:

SCHEDULE

The following schedule identifies the weekly course topics, the activities associated with each topic, and course reading assignments. There are specific dates on this schedule for required assignments. It is your responsibility to complete all readings and assignments.

Schedule and On-Line Course Material
         Week # 	         Schedule                Assignments (Due Date/Time)
1 & 2 -- The Quality, Change and Revitalization
Challenge

3. & 4. -- Continuous Quality Improvement
Breakthrough and Sustainment Process

Midterm Examination

5. & 6. High Performance Teaming and Tools

7. & 8. Accelerated Learning and Continuous
Improvement

Final Examination
Review Learning Objectives
Complete Registration Tasks
Complete Review and Reading sections
Complete Learning Assessments
Complete Application Exercises
Review key points
Review weekly notes


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The schedule and online materials are subject to change. You are responsible for any changes announced using email, discussion room or web postings.

Communication

* Initial Administrative Task. You are required, prior to the start of the course to submit an email to me from your complete, accurate, functioning personal email address to be used during this course. I would appreciate the following emailed information: name, email address, registration number, learning goal, course expectation, concise work experience summary (job variety, management experience, present position, number of people supervised, education background), hobbies and a personal item (ski, golf, love music (jazz, rock, country/western), Kiwanis or Rotary member, do volunteer work, mentor, jazzercise instructor).

I will check email each Tuesday and Thursday of each course week. I will also be available on Tuesdays and Thursdays for a 1.5 hour block to respond "real time" to questions, comments or other issues. However, I would anticipate increasing this frequency depending on the volume of communications. Please use this address, eagle1@canyoncollege.edu as the primary point of contact whenever you need to communicate with me. I will respond to you within 24 hours.

Please feel free to use the Discussion Room for any course-related communication (ie, "Does anyone know the four key concepts of system thinking?" "How can I get a copy of the two additional resource books?" Anyone have a good idea on what our team project might be?). I will communicate messages to all participants using the Discussion List as well. I will also frequently forward additional information concerning a selected topic (ie, the current Fortune Table of Contents) to the Discussion List.

Emailing Assignments

If you are asked to email assignments, you may email at anytime you choose prior to the due date/time. However, your last email on a certain assignment/topic will be considered your primary work for evaluation/grading purposes.

Please follow the guidelines below:

1. Send your work within the body of all your emails or use attachments.
2. To ensure your email was sent, send a copy to yourself. Use "confirmation option" if available.
3. Save your work frequently.

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Course Integrity

Academic integrity is highly valued at Canyon College. You must complete all course assignments that represents your original work. If you use any ideas or expressions that are not original, you must cite all relevant sources.

Violation of academic integrity could include:

1. Having someone complete any part of your assignments.
2. Using information from on-line information services without proper notation on the source and author.
3. Submitting work done by others.
4. Communicating private course content to others.

Evaluation/Grading

Your evaluation/grade in the course will be determined as follows:

Assignment (Task)

Description

Points

01
02-09
10
11
12
13
14
15
16
17
18

Registration
PC1-PC09
R01
R02
R03
R04
Midterm Examination (MTE)
R05
R06
R07
R08
Final Examination (FE)

50 points
160 points
30 points
30 points
30 points
30 points
150 points
30 points
30 points
30 points
30 points
400 points


Total Points Offered


1000 points


The final posted grade will be calculated by:
  1. Summing all points earned
  2. Applying the traditional 100%-point scale:
A=90% (900 points and above)
B=80% (800 points and above)
C=70% (700 points and above)
D=60% (600 points and above)
F=59% and below INC (Incomplete)

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Performance Expectations

A = Excellent performance; consistent and most effective application of critical thinking, insightful comments on situation recommendations, articulate, superior writing ability (concise, clear, candid), able to relate course content to previous experience and learning without difficulty, very active participant and a model for others to follow.

B = Good performance; effective application of critical thinking, insightful comments on situation recommendations, articulate, solid writing ability (concise, clear, candid with minor errors), able to relate course content to previous experience and learning with some difficulty, active participant and consistently completes all assignments well above minimum requirements; a solid performer.

C = Satisfactory performance; accomplishes minimum requirements; communicates at a generally acceptable level; satisfactory understanding of the basic concepts; meets requirements.

D = Quality and quantity of work and participation is below average and barely acceptable; marginally acceptable performance

F = Quality and quantity of work and participation is unacceptable.

Written Assignment Expectations

Format- 12" Font, 1" top, bottom and margins.

Content - 80% of available points - factors: Critical thinking and relevance; identification of critical issues, strength and depth of analysis, innovative thought and understanding of factual information.

Technique- 20% of available points - factors: grammar, spelling, punctuation, organization and structure/flow.

Assignments are due at the end of each week as listed in the syllabus, assignments section or posted using email. All changes or modifications to assignments will be noted by the word "New". Points will be deducted for late assignments as follows:

Your grade in progress will be communicated on a continuous basis during the course using your personal email.

If I decide to change an assignment date on short notice I will address any scheduling conflicts participants may have with the new date on a "case-by- case" basis. However, I anticipate changes to be minimal.

SUMMARY

On behalf of Canyon College and myself, welcome to the course.

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