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Online MS Degree

University of Wyoming

School of Pharmacy

Online Master of Science in Health Services Administration

“Master The Next Step In Your Career”

 

Key Aspects of Program:

Note:  The University of Wyoming continues its efforts to comply with state authorization regulations. The Higher Education Act and current state authorization regulations impact the admission of out-of-state students in the University’s distance education programs.  At this time, the University of Wyoming will not be admitting distance education students from the following state:  Massachusetts.

Frequently Asked Questions:

Q. What is the title of the degree conferred through this program?

A. The degree is the “Master of Science in Health Services Administration.”

Q. By what branch of the University of Wyoming will the degree be conferred?

A. The degree will be conferred by the University of Wyoming’s School of Pharmacy.

Q. With this degree can I become licensed as a pharmacist?

A. No.  Those who wish to become licensed as a pharmacist must complete the PharmD degree.  A Masters degree does not qualify a person for licensure as a pharmacist.

Q. Is the degree accredited?

A. The University of Wyoming is accredited by the North Central Association of Colleges and Schools to confer the Master of Science degree.

Q. How long does it take to complete the degree?

A. The degree requires two years to complete, based on part-time study.  Students may extend their studies for up to six years.

Q. What are the admission requirements?

A. Completion of a bachelors degree in any field, a masters degree in any field, or a doctoral degree (PharmD, DPT, MD, JD, etc.) with an upper division GPA of 3.0 or better.  We also require experience in either the pharmaceutical or health care field.  Applicants with a GPA below 3.0 will be seriously considered, based on experience and commitment to graduate study.

Q. What must I submit with my application?

A. A transcript showing a qualifying degree from an accredited academic institution.  A current Curriculum Vitae or Resume.  A personal statement outlining your experience in the pharmaceutical or health care field.  Two letters of recommendation.

Q. Is the GRE required?

A. No.  However, students whose GPA does not meet the basic requirement of 3.0, yet who wish to apply based on their extensive experience in the pharmaceutical or health care fields, may be asked take the GRE to support their application.  This will be done at the discretion of the admissions committee.  A strong work history and a strong GRE score may offset a GPA that falls below the minimum of 3.0.

Q. Is there a fee to apply?

A. Yes.  The application fee to the University of Wyoming is $50.

Q. Can I start the program at any time?

A. There are two starting points for the program, fall semester (early September) and spring semester (late January). We eventually plan to admit students for summer term (mid-May), although there will be no admissions to start the program in the summer of 2017. 

Q. What is the deadline to apply?

A. The deadline to apply for spring, 2017 admission is January 13, 2017.  There may be some flexibility with extensions of these deadlines for students who can complete their applications quickly.

Q. How much does the tuition cost?

A. Wyoming in-state tuition is $650 per credit hour.  Out-of-state tuition is $825 per credit hour.  In-state tuition is extended to members of national pharmacy associations, and to pharmacy residents.

Q. Are there any additional discounts for members of the Wyoming Pharmacy Association?

A. All members of WPhA receive a full discount on the first two-credit course, so that the full tuition of $1,650 will be waived for that course.  This is a way for students to try the program with no tuition cost for the first course.  All students are eligible to join WPhA.  Go to: http://www.wpha.net/?page=Membership  Select the most appropriate member type.  If no other member type applies to you, then select “staff member” as your member type.

Q. Are there any discounts for pharmacy residents and/or residency directors?

A. The first-course full discount ($1,650) applies to pharmacy residents and residency directors.  For residencies that accept responsibility for teaching “PHCY 5160 Special Problems in Institutional Health Leadership,” the tuition for that course is waived as well.

Q. How does the program work for pharmacy residents?

A. We have four possible approaches for pharmacy residents:

  • Start in the fall of the residency year, and study with us full-time for the entire residency year, completing 12 credits by the end of May--8 of the credits will be tuition waived, leaving 18 credits to be earned post-residency.
  • Start in the spring of the residency year, and study with us full-time for the second half of the residency year, completing 6 credits by the end of May—5 of the credits will be tuition waived, leaving 24 credits to be earned post-residency
  • Start in the fall of the residency year, and study with us part-time for the entire residency year, completing 7 credits by the end of May—6 of the credits will be tuition waived, leaving 23 credits to be earned post-residency.
  • Start in the spring of the residency year, and study with us part-time for the second half of the residency year, completing 4 credits by the end of May—3 of the credits will be tuition waived, leaving 26 credits to be earned post-residency.

Q. Does the University of Wyoming charge any fees in addition to the tuition?

A. Yes.  These fees are approximately $25 per credit hour.  There are no discounts on these fees.

Q. Is financial aid available for students in the program?

A. The University of Wyoming Office of Financial Aid provides opportunities to apply for loans to support studies in this program.

Q. Can I transfer into this program graduate credits earned from another university?

A. Yes.  Up to 9 hours of graduate level coursework from an accredited university may be transferred into this program, subject to approval of the student’s advisor and the Dean of Pharmacy.  The student must provide an official transcript from the institution where the credits were earned, along with evidence that the course was approved for graduate credit at the institution where the credit was earned.  Transferred courses must be number or letter graded courses.  S/U or P/F courses may not be transferred in.  Transfer credits usually must have been earned within the previous six years.

Q. Can I start the program as a non-degree seeking student, without being formally admitted to the program?

A. Yes.  Non-degree seeking students may take program coursework.  You may take program courses as a non-degree seeking student for only one semester, during which application for admission to the program must be made.  Continuation in the program after this first semester must be as an admitted student.  A total of 12 pre-admission hours may be applied to the program.  This includes coursework being transferred in from another institution and program coursework completed as a non-degree seeking student.

Q. How are the program courses taught?

A. Most courses are taught online.  Students will be required to travel to Laramie, WY twice for intensive weekend seminars during their first and last semesters in the program.  Seminars are offered in the Fall and Spring terms; not in the Summer term.  Online courses all use a learning management system that delivers course content to the student’s computer.  Some courses are synchronous and require weekly or bi-weekly evening live attendance, via computer, using a virtual classroom program.  Other classes are asynchronous, and they do not require live virtual classroom attendance.

Q. Are the courses “go at your own pace” or are they scheduled so that assignments must be completed by specified times?

A. The synchronous courses that meet live through a virtual classroom are usually organized to require completing of assignments at specified times.  The asynchronous courses that do not meet live through a virtual classroom are usually organized on a “go at your own pace” system.

Q. What is the schedule of courses in a typical semester?

A. The schedule will vary, and will not necessarily follow the official University of Wyoming Calendar.  The schedule for Spring, 2017 is:

First Course: (Online, Synchronous): January 22 through February 26 (2 credits; 5 weeks).

Second Course: (Weekend Seminar): March 4 and 5 (1 credit; residential in Laramie).

Third Course: (Online, Synchronous): March 19 through May 7 (3 credits; 7 weeks).

Q. What is the difference between a “synchronous” course and an “asynchronous” course?

A. This is the standard language used to distinguish between courses where faculty and students meet regularly online in our virtual classroom (synchronous) and classes that are primarily self-study (asynchronous).

Q. How are the residential weekend seminars scheduled?

A. A typical seminar begins during the week preceding the weekend in-person meeting.  During that pre-week, assignments are made and groups meet online to develop strategies that address assigned problems.  The seminar in Laramie starts at 1pm on Saturday and ends at 3pm on Sunday.  During that time, students present strategies developed by their groups and they participate in problem-solving exercises presented by the faculty.

Q. Who is responsible for scheduling and paying for travel expenses associated with the weekend seminars?

A. Students arrange their own travel and their own lodging in Laramie.  Students pay all of their own travel expenses.

Q. Are the weekend seminars in Laramie scheduled twice during each semester or twice during the course of the program?

A. Students must attend two residential seminars in Laramie during their entire program, not two seminars each semester.  Students generally attend the weekend seminar during their first semester and the weekend seminar during their last semester.

Q. Is Continuing Education credit available for pharmacists and technicians who attend the live seminar?

A. We are working on an agreement that would lead to the awarding of 10 hours of CE credit for attendance at the live weekend seminar.  CE credit would be optional.  There would be an extra charge for those who opt to receive CE credit.  At present, students must arrange for CE credit with their own state board of pharmacy.

Q. Can I see sample syllabi for the courses?

A. Yes. A syllabus for the first course that is taken by all students is attached to this document.

Q. Does the program provide specialty areas of study within the area of Health Services Administration?

A. Yes.  Starting in spring of 2017, three specialty tracks will be offered: Biopharmaceutical Regulatory Compliance, Health Economics & Outcomes, and Health Institution Leadership.  Three additional tracks will be added in the fall of 2018: Patient Safety Program Administration, and Health Quality Measurement & Improvement, and Biopharmaceutical Product Representation.  These three new tracks were originally planned for implementation in the fall of 2017, but the new plan is to start them in the fall of 2018.  The final three additional tracks are planned for implementation in the fall of 2019.  Program administrators and student advisors are very open to meeting unique student needs through the creation of a plan of graduate study that combines elements of the nine tracks to provide knowledge and skills that achieve student objectives.  Through this individualized mechanism, we are open to the development of a general plan of study that does not conform with any of our specialty tracks.

Q. How can I see the curriculum for each of the six specialty tracks?

A. That information is contained within the pages that follow this FAQ.

Q. Can I start the program now, even though my preferred track will not begin the fall of 2018? 

A. Yes, and you would likely extend your studies over a 3 to 4 year period, which could help manage course workload and spread out the time over which tuition would be paid.  To discuss this possibility, contact program director, David Brushwood, at dbrushwo@uwyo.edu.

Q. Does the program award a graduate certificate, in addition to the Master of Science degree in the program’s specialty tracks?

A. We have proposed offering a formal graduate certificate in each of the specialty areas for those students who choose one of the areas of specialty.  If this proposal is approved, graduates of the program will receive both a Master of Science diploma and a Graduate Certificate in their specialty area, as long as they have pursued studies within a specialty are.

Q. Is there a thesis requirement for this degree?

A. No.  However, there is an independent project requirement.  Each student, under the mentorship of her or his academic advisor, will design and complete this project independently toward the end of the program.

Q. What is the comprehensive final exam?

A. The comprehensive final exam is required under our accreditation standards.  It is usually administered in person on the Laramie campus on the Friday prior to the seminar held during the student’s final semester.  This is a written (computer-administered) daylong exam that covers all material taught in courses taken by the student.  It is a pass-fail exam and no academic credit is awarded for its completion.  After the exam has been administered, faculty may request that students verbally (by telephone) clarify answers they have provided on the written exam.

Q. Does the University of Wyoming find jobs for program graduates?

A. No.  The University can assist in locating prospective employment opportunities.  It is the responsibility of each graduating student to pursue job opportunities and to market herself or himself as a suitable future employee.  Each student’s background and experience will combine with the knowledge and skills learned in the program to qualify the student for employment in an appropriate area of the pharmaceutical or health care fields.




 

Biopharmaceutical Regulatory Compliance Track (Fall Starter) (30 Credits Total) Starts Fall, 2016

Term

Course Title

Credits

Delivery Method

Fall I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Biopharmaceutical Regulatory Compliance

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Spring I

The Food & Drug Administration

2

Online Asynchronous

 

The Drug Enforcement Administration

2

Online Asynchronous

 

State Regulation of Health Professions

2

Online Asynchronous

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall II

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

Prescription Benefit Management Decisions

2

Online Asynchronous

 

Medicare, Medicaid & the Affordable Care Act

2

Online Asynchronous

Spring II

Preventing Fraud, Abuse & Waste

2

Online Asynchronous

 

Health Services Administration Independent Project

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

 

Comprehensive Final Exam

0

Residential-Laramie

 

Biopharmaceutical Regulatory Compliance Track (Spring Starter) (30 Credits Total)

Term

Course Title

Credits

Delivery Method

Spring I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Biopharmaceutical Regulatory Compliance

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall I

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

The Food & Drug Administration

2

Online Asynchronous

 

The Drug Enforcement Administration

2

Online Asynchronous

Spring II

Medicare, Medicaid & The Affordable Care Act

2

Online Asynchronous

 

Prescription Benefit Management Decisions

2

Online Asynchronous

 

State Regulation of Health Professions

2

Online Asynchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer II

Health Services Administration Independent Project

3

Online Synchronous

 

Preventing Fraud, Abuse & Waste

2

Online Asynchronous

 

Comprehensive Final Exam

0

Residential-Laramie

 

 


 

(Possible New Plan)  Health Economics & Outcomes Track (Fall Starter) (30 Credits Total) Starts Fall, 2016

Term

Course Title

Credits

Delivery Method

Fall I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Health Economics & Outcomes

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Spring I

Health Economics Decision Analysis

2

Online Asynchronous

 

Comparative Effectiveness

2

Online Asynchronous

 

Patient Reported Outcomes

2

Online Synchronous

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall II Option One

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

Medicare, Medicaid & The Affordable Care Act

2

Online Asynchronous

 

Prescription Benefit Management Decisions

2

Online Asynchronous

Fall II Option Two

SAS Course I

3

Online Synchronous

 

SAS Course II

4

Online Synchronous

Spring II

Health Economics & Policy

2

Online Synchronous

 

Health Services Administration Independent Project

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

 

Comprehensive Final Exam

0

Residential-Laramie

 

Health Economics & Outcomes Track (Spring Starter) (30 Credits Total)

Term

Course Title

Credits

Delivery Method

Spring I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Health Economics & Outcomes

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall I Option One

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

Medicare, Medicaid & The Affordable Care Act

2

Online Asynchronous

 

Prescription Benefit Decisions

2

Online Asynchronous

Fall I Option Two

SAS Course I

3

Online Synchronous

 

SAS Course II

4

Online Synchronous

Spring II

Health Economics Decision Analysis

2

Online Asynchronous

 

Patient Reported Outcomes

2

Online Synchronous

 

Health Economics & Policy

2

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer II

Health Services Administration Independent Project

3

Online Synchronous

 

Comparative Effectiveness

2

Online Asynchronous

 

Comprehensive Final Exam

0

Residential-Laramie

 


 Health Institution Leadership (Fall Starter) (30 Credits Total) Starts Spring, 2017

Term

Course Title

Credits

Delivery Method

Fall I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Health Institution Leadership

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Spring I

Financial Planning in Health Care

2

Online Asynchronous

 

Motivating Health Care Personnel

2

Online Asynchronous

 

Strategic Innovation in Health Care

2

Online Asynchronous

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall II

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

Health Economics Decision Analysis

2

Online Asynchronous

 

Identifying Healthcare Risk & Quality

2

Online Asynchronous

Spring II

Preventing Fraud, Abuse & Waste

2

Online Asynchronous

 

Health Services Administration Independent Project

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

 

Comprehensive Final Exam

0

Residential-Laramie

 

Health Institution Leadership Track (Spring Starter) (30 Credits Total)

Term

Course Title

Credits

Delivery Method

Spring I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Health Institution Leadership

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall I

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

Financial Planning in Health Care

2

Online Asynchronous

 

Motivating Health Care Personnel

2

Online Asynchronous

Spring II

Health Economics Decision Analysis

2

Online Asynchronous

 

Identifying Healthcare Risk & Quality

2

Online Asynchronous

 

Strategic Innovation in Health Care

2

Online Asynchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer II

Health Services Administration Independent Project

3

Online Synchronous

 

Preventing Fraud, Abuse & Waste

2

Online Asynchronous

 

Comprehensive Final Exam

0

Residential-Laramie

 


 

Patient Safety Program Administration (Fall Starter) (30 Credits Total) Starts Fall, 2018

Term

Course Title

Credits

Delivery Method

Fall I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Patient Safety Administration

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Spring I

Identifying Healthcare Risk & Quality

2

Online Asynchronous

 

Continuous Quality Improvement

2

Online Asynchronous

 

Risk Management Systems

2

Online Asynchronous

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall II

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

The Food and Drug Administration

2

Online Asynchronous

 

Medicare, Medicaid & the Affordable Care Act

2

Online Asynchronous

Spring II

Preventing Fraud, Abuse & Waste

2

Online Asynchronous

 

Health Services Administration Independent Project

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

 

Comprehensive Final Exam

0

Residential-Laramie

 

Patient Safety Program Administration Track (Spring Starter) (30 Credits Total)

Term

Course Title

Credits

Delivery Method

Spring I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Patient Safety Administration

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall I

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

Identifying Healthcare Risk & Quality

2

Online Asynchronous

 

Continuous Quality Improvement

2

Online Asynchronous

Spring II

Medicare, Medicaid & The Affordable Care Act

2

Online Asynchronous

 

Prescription Benefit Management Decisions

2

Online Asynchronous

 

Risk Management Systems

2

Online Asynchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer II

Health Services Administration Independent Project

3

Online Synchronous

 

Preventing Fraud, Abuse & Waste

2

Online Asynchronous

 

Comprehensive Final Exam

0

Residential-Laramie

 

 


 

Biopharmaceutical Product Representation (Fall Starter) (30 Credits Total) Starts Fall, 2018

Term

Course Title

Credits

Delivery Method

Fall I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Biopharmaceutical Product Representation

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Spring I

Outcomes: Measurement, Management, Marketing

2

Online Asynchronous-CMR

 

Strategies & Tools for Sales Effectiveness

2

Online Asynchronous-CMR

 

The Managed Healthcare Market

2

Online Asynchronous-CMR

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall II

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

The Food & Drug Administration

2

Online Asynchronous

 

Health Economics Decision Analysis

2

Online Asynchronous

Spring II

Preventing Fraud, Abuse & Waste

2

Online Asynchronous

 

Health Services Administration Independent Project

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

 

Comprehensive Final Exam

0

Residential-Laramie

 

Biopharmaceutical Product Representation Track (Spring Starter) (30 Credits Total)

Term

Course Title

Credits

Delivery Method

Spring I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Biopharmaceutical Product Representation

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall I

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

Outcomes: Measurement, Management, Marketing

2

Online Asynchronous-CMR

 

Strategies & Tools for Sales Effectiveness

2

Online Asynchronous-CMR

Spring II

Health Economics Decision Analysis

2

Online Asynchronous

 

The Food & Drug Administration

2

Online Asynchronous

 

The Managed Healthcare Market

2

Online Asynchronous-CMR

 

Health Services Administration Seminar

1

Residential-Laramie

Summer II

Health Services Administration Independent Project

3

Online Synchronous

 

Preventing Fraud, Abuse & Waste

2

Online Asynchronous

 

Comprehensive Final Exam

0

Residential-Laramie

 


 

Health Quality Measurement & Improvement Track (Fall Starter) (30 Credits Total) Starts Fall, 2018

Term

Course Title

Credits

Delivery Method

Fall I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Health Quality Measurement & Improvement

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Spring I

The Food and Drug Administration

2

Online Asynchronous

 

Identifying Healthcare Risk & Quality

2

Online Asynchronous

 

Continuous Quality Improvement

2

Online Asynchronous

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall II

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

Gathering Quality-Related Data

2

Online Asynchronous

 

Quality-Based Initiatives in Health Care

2

Online Asynchronous

Spring II

Managing Quality in a Healthcare Practice

2

Online Asynchronous

 

Health Services Administration Independent Project

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

 

Comprehensive Final Exam

0

Residential-Laramie

 

Health Quality Measurement & Improvement Track (Spring Starter) (30 Credits Total)

Term

Course Title

Credits

Delivery Method

Spring I

The Evolution of American Health Services

2

Online Synchronous

 

Intro to Health Quality Measurement & Improvement

3

Online Synchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer I

Health Services Administration Research Methods

2

Online Asynchronous

 

Statistics for Health Services Administration

3

Online Synchronous

Fall I

Empirical Analysis for Health Services Administration

3

Online Synchronous

 

The Food & Drug Administration

2

Online Asynchronous

 

Identifying Healthcare Risk & Quality

2

Online Asynchronous

Spring II

Gathering Quality-Related Data

2

Online Asynchronous

 

Continuous Quality Improvement

2

Online Asynchronous

 

Quality-Based Initiatives in Health Care

2

Online Asynchronous

 

Health Services Administration Seminar

1

Residential-Laramie

Summer II

Health Services Administration Independent Project

3

Online Synchronous

 

Managing Quality in a Healthcare Practice

2

Online Asynchronous

 

Comprehensive Final Exam

0

Residential-Laramie

 


 

SYLLABUS

PHCY 5040 The Evolution of American Health Services

2 Credit Hours

 

Background: American health care is changing rapidly.  Science has played a key role in bringing about this change, yet social and cultural forces have been even more influential.  The relationship between patients and health care professionals has changed dramatically as the result of advances in information technology and artificial intelligence.  Health service administration requires an understanding of how change occurs and how change can be directed in positive directions.

Course Description:  This course explores the predictable response to a crisis in health care that has led to a paradigm change in the way health services are delivered.  The professionalizaton of health care over the past century, and the development of the modern hospital over the past half century.  The implications of computerized health information, and the trend toward empowerment of patients through the democratization of health services.

Course Purpose: Students in this course learn how change happens in science, and how the environment in which change occurs can influence the direction of that change.  The history of medicine is reviewed, and the interaction between regulations, economics, patient advocacy, pharmaceutical marketing, organizational leadership, and biomedical ethics is emphasized.

Place and Time of Class Sessions
This course will be taught primarily in synchronous fashion.  Virtual classroom sessions will be held live each week on Sunday afternoon/evening.  Students will be responsible for completing course materials as their time permits, each week, during the 5 weeks of the course, with quizzes and exams being administered on weekends.  Discussion board sessions will be held around the clock during the course.  Students are expected to actively participate in discussion board on a regular basis.

 

Course Instructor

David Brushwood, RPh, JD

Phone: 307-399-3372

Email: dbrushwo@uwyo.edu

Office Hours: TBD

Course Objectives

Upon successful completion of this course, the student will be able to:

  1. Describe how “normal science” often suppresses fundamental novelties because they are necessarily subversive of its basic commitments.
  2. Describe how paradigms help bind scientific communities to their disciplines.
  3. List the principle problems of “normal science.”
  4. Discuss how paradigm shift comes about in science.
  5. Discuss how when there is a transition from a former to an alternate paradigm, the profession changes its view of the field, its methods, and its goals.
  6. Describe how the assimilation of either a new sort of phenomenon or a new scientific theory must demand the rejection of an older paradigm.
  7. Discuss how during scientific revolutions, scientists see new and different things when looking with familiar instruments in places they have looked before.
  8. Discuss the meaning of a “gestalt shift” as a perceptual transformation.
  9. Describe the process by which a new candidate for paradigm replaces its predecessor.
  10. Consider whether a field makes progress because it is a science, or whether it is a science because it makes progress.
  11. Describe the rise of the medical profession from an eclectic, competitive group of practitioners in the late 18th century to its current powerful role and high social status.
  12. Discuss the role of the hospital in cementing the authority of the medical profession.
  13. Discuss the social meaning of science and the influence of science on the rise of the health professions. 
  14. Consider whether health care should be viewed as a commodity that must, because of the unusual nature of the healing relationship, be provided to the buyer (patient) by the producer (licensed health professional).
  15. Describe how American health care was able to embrace modernity through a new science, and at the same time cling to an essentially traditional system of independent fee-for-service delivery.
  16. Discuss the trend away from fee-for-service payments and toward payments based on a population of people, adjusted for their baseline health.
  17. Discuss whether the federal law requiring that people have health insurance positively affects their engagement in their own health care or the health care system.
  18. Discuss the implications of initiatives like OpenNotes that allow patients to read their electronic health care record.
  19. Describe how a single tragic medication error can force changes in the provision of health care.
  20. Consider whether the advent of computerized health records has built a wall between health professionals and their patients.
  21. Discuss how intelligent networks in health care can allow place, time, and people to become more efficiently distributed.
  22. Consider whether the democratization of medicine means an end to medical paternalism.
  23. Describe how the democratization of medical knowledge can lead to innovation in new places.
  24. Describe how patients may ultimately be better at understanding medical risks than are health professionals.
  25. Discuss the risks of innovation in health care.

 

Course Learning Resources:

  • Required Textbooks:
    • Kuhn TS. The Structure of Scientific Revolutions (4th ed), Chicago University Press (2012).  Available free online.
    • Starr P. The Social Transformation of American Medicine. Basic Books (1984). Available free online.
    • Wachter R. The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age, McGraw Hill (2015).
    • Topol E. The Patient Will See You Now: The Future of Medicine is in Your Hands, Basic Books (2015).
    • Posted Video Lectures
    • Posted Expert Videos
    • Journal Articles

 

Course Structure & Outline

A live online virtual class will be held using the virtual classroom prior to the start of the course.  This orientation class will provide an explanation of course structure and operations, and it will provide an opportunity for students to meet the instructor and to meet each other.

Classes will then be held weekly, with multiple choice quizzes following weeks 1, 2, and 4, and short answer/essay exams following weeks 3 and 5. 

Evaluation Techniques:

Class participation                            30%

Quizzes & Exams                              70%

 

Grading:

A:          90 - 100

B:          80 – 89

C:          70 – 79

D:          60 – 69

F:            <60

 

Class Attendance Policy

Students must regularly attend online classes and productively participate in discussion board.  Each student is expected to initiate two original threads per week and three responsive threads that follow the original thread posted by another student.  All threads, whether original or responsive, must relate directly to the course material for that week, and must indicate reflective consideration of the material.

Quiz/Exam Policy

Inquiries regarding quizzes and exams should be directed to the course coordinator, preferably prior to the assessment, and always within a week following the assessment.

 

Make-up Quiz/Exam Policy
Students who are excused from a quiz or exam will not be required to make up that assessment and their final grade will be calculated without consideration of the missed assessment.  Students who are not excused from a missed quiz or exam will receive a grade of zero on that missed assessment.  Any student who misses quizzes and/or exams of a sufficient number that indicate the student has not completed enough coursework to achieve the objectives of the course will be given an incomplete (I) grade for the course.

 

Policy on Old Quizzes and Assignments

All quizzes and exams will be posted, with answers, to the course discussion board, and these materials may be shared with anyone who wishes to have them.

Academic Dishonesty Statement:

The University of Wyoming is built upon a strong foundation of integrity, respect and trust. All members of the university community have a responsibility to be honest and the right to expect honesty from others. Any form of academic dishonesty is unacceptable to our community and will not be tolerated.  Teachers and students should report suspected violations of standards of academic honesty to the instructor, department head, or dean. Other University regulations can be found at: http://www.uwyo.edu/generalcounsel/current-uw-regulations-and-presidential-directives/

Disability Support Statement:

The University of Wyoming is an affirmative action/equal opportunity educator and employer.  If you have a physical, learning, or psychological disability and require accommodations, please let the instructor know as soon as possible. You will need to register with, and provide documentation of your disability to University Disability Support Services (UDSS) in SEO, room 330 Knight Hall. The University Disability Support Services website, which may be found at: http://uwadmnweb.uwyo.edu/udss/facultyandstaff/tipsforteaching.asp  or you may contact UDSS for more information at (307) 766-6189, TTY: (307) 766-3073

 

Class Schedule

 

Module

Topic

Assignments

Course Activities

Assessment

I

The Process of Ordinary Change in Health Care

Kuhn, pp 1-76

Articles

Video Lecture

Weekly Live Online Class; Discussion Board

Exam I

II

Paradigm Shifts as Revolutions in Health Care

Kuhn 77-208

Articles

Video Lecture

Weekly Live Online Class; Discussion Board

Exam II

III

The Evolution of Health Care in America

Starr, entire book

Articles

Video Lecture

Weekly Live Online Class; Discussion Board

Exam III

IV

Technology and the Future of Health Care

Wachter, entire book

Articles

Video Lecture

Weekly Live Online Class; Discussion Board

Exam IV

V

Patient Empowerment Through Technology

Topol, entire book

Articles

Video Lecture

Weekly Live Online Class; Discussion Board

Exam V

 

 

 

 

  

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