HSA 1100 - Healthcare Delivery Systems

College of Health Sciences

Credit(s): 3
Contact Hours: 47
Effective Term Fall 2023 (625)

Course Description

This course is an introduction to health care facilities and health delivery systems including their purpose, organization, general functions and staffing. Facilities such as hospitals, nursing and rehabilitation centers, health maintenance organizations, private and public outpatient clinics and health care centers are analyzed and discussed. Additional topics include an overview of accreditation standards; licensure agencies, reimbursement systems, legal/ethical issues, healthcare computerization, documentation, quality, compliance, and regulatory requirements.

Learning Outcomes and Objectives

  1. The student will outline the purpose, organization, general functions and staffing of various types of healthcare facilities by:
    1. tracing the history and evolution of hospitals, nursing and rehabilitation centers, health maintenance organizations, private and public outpatient clinics and health care centers, such as mental health, hospice, home-health services, etc.
    2. describing the common organizational structure and functions of the various healthcare facilities.
    3. describing the selection, composition, and responsibilities of the administrative officers and governing body.
  2. The student will explain the organization/facility accreditation standards by:
    1. listing the various agencies that accredit healthcare organizations.
    2. identifying common accreditation standards specific to healthcare facilities.
    3. describing a typical accreditation preparation process and site visit survey.
    4. describing the importance of accreditation status to quality and the impact to reimbursement.
  3. The student will discuss the professional licensure of healthcare practitioners by:
    1. identifying state and/or federal agencies that regulate licensure of health care professionals.
    2. explaining the importance of licensure status as it relates to the organization’s operation, employment considerations, and reimbursement process.
    3. describing the types of credentialed healthcare professionals who provide patient care and administrative services.
  4. The student will summarize financial reimbursement systems by:
    1. describing the various types of financial reimbursement systems – Diagnosis Related Groups (DRGs), Ambulatory Payment Classifications (APCs), Resource-Based Relative Value Scale (RBRVS), Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and other major insurance carriers.
    2. explaining the relationship between cost and quality of patient care.
    3. describing the typical flow of documentation necessary to generate a patient bill – patient registration, generation of patient documentation (medical record), patient discharge, coding, and billing.
  5. The student will recognize legal and ethical healthcare issues by:
    1. describing the fundamental components of the legal system and identifying the sources of law (federal, state, local).
    2. distinguishing between legal requirements (federal/state laws and statutes) and ethical guidelines documented in professional codes of ethics.
    3. explaining the importance of patient confidentiality for healthcare professionals.
    4. explaining patient information access and disclosure policies, including consent to treatment.
    5. discussing common legal and ethical dilemmas faced by healthcare professionals.
  6. The student will outline healthcare computerization by:
    1. describing the importance of computers in health care systems.
    2. identifying common healthcare products and applications (hardware and software).
    3. reviewing emerging technologies used in healthcare facilities.
  7. The student will define the documentation, quality, compliance and regulatory requirements for healthcare organizations by:
    1. identifying basic patient documentation (medical record) requirements.
    2. describing patient care quality evaluation and review processes.
    3. discussing emerging compliance requirements, such as federal legislation regarding the Health Insurance Portability and Accountability Act (HIPAA), Advanced Directives, laws related to employer practices, etc.

Criteria Performance Standard

Upon the completion of the course the student will, with a minimum 70% accuracy, demonstrate mastery of each of the above stated objectives through classroom measures developed by individual instructors.

History of Changes

C&I 9/25/01, BOT 10/17/01 Effective YrTr 20012. Effective as HSA1111 20013. Effective as HSA1100 20031/State change. C&I 9/23/03, BOT 10/21/03, Effective 20041. C&I 9/28/04, BOT 11/16/04, Effective 20051(0355). C&I 12/4/07, BOT 1/15/08, Effective 20072(0390). State changed CTS 1101 to CGS 1060, effective 20091(0415). Prereq # change: CGS 1060 chg to CGS 1070 Effective 20102(0435). C&I Approval: 12/04/2007, BOT Approval: 01/15/2008, Effective Term: Fall 2014 (490). C&I Approval: , BOT Approval: , Effective Term: Fall 2015 (505). C&I Approval: 11/20/2015, BOT Approval: 03/15/2016, Effective Term: Summer 2016 (515).
C&I Approval: 02/14/2019, BOT Approval: 03/19/2019, Effective Term: Fall 2023 (625)

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