Business, Professionalism & Justice (BPJ400)
Course
Directors: Mark Kuczewski, PhD & Patricia Cassidy, MBA
This is a required
course. Credit: 1.0
Dates & Times: July 2 - 3, 2007, 8:00am
Rooms: All lectures are in Tobin Hall (SSOM 190). Small group room
assignments are attached with the course schedule and will be distributed on Monday.
Registration Information: You will be automatically registered for the
course as there is only one offering and each student must take it.
Course Description: This innovative
course is the capstone of the Bioethics & Professionalism Curriculum at SSOM. The
course provides an overview of the U.S. health-care system and then considers a variety of
macro and microeconomic pressures on health-care providers and institutions. The goal of
the course is for students to analyze the choices that patients, providers, and policy
makers must make and the justice implications of those choices. The responsibility of the
medical profession to advocate for systemic remedies to inequities in the financing and
delivery of care is the guiding ideal that guides inquiry throughout the course. The unique feature of the
course is that faculty are drawn from high-level LUHS/SSOM administrators and clinicians.
This combination of executive and clinical expertise provides frontline perspectives on
ethical and policy problems.
2007 Topics/Schedule:
July 2- Health Care in the United States: Running a Practice and a Health System
July 3- The Uninsured and the Underserved
Course requirements and
grading: The course has two components, i.e., class attendance & participation and
online post-test. You will receive a score for each item.
Attendance
at each class: 25 points for each of the two dates (total of 50 pts)
Online Post-test: (50 points (maximum)
Total: 100 points
Failure
to complete any element results in the forfeiture of those points. No absences from
class are excused; points from missed classes are simply forgone.
Grade
Scale: Grading is tallied on a straight scale. Results are not curved.
Honors: 85 – 100 points
High Pass: 60 – 85 points
Pass: 40 – 59 points
Click
here
 for
detailed daily schedule of lectures and small groups
View the following
presentation before day 1 (July 2nd). Overview of the U.S. Health
Care System
video is linked in four parts as a video stream and video podcast
download and the power point (with no audio) is linked as a
compressed Java run file.
Video and
audio
 will play on your iTunes menu template. You can view on
your computer or "take it with you" on your iPod or MP3 player. Go to
apple.com for a free
download of iTunes. Click
here for
additional information on downloading podcasts.
Overview of the U.S. Health
Care System,
G. Petruzzelli, MD, MBA
Presentation Power
Points (compressed java files for viewing):
-
Opening a Physician Practice: Lessons from the Front,
Keith Veselik, MD
-
Clinical, Educational & Research Mission,
Cindy Gonya
-
Physician Group Practice,
Stephen Valerio
-
Values and Mission in Health Care
and Medical Education
William Cannon, MD and Lawrence Reuter, SJ
web site:
http://www.luhs.org/about/mission.htm
-
State Medical Boards and Physician Self-Regulation,
Larry McLain, MD, Chief Medical Coordinator for the Illinois
Department of Financial and Professional Regulation
-
Health Disparities, Lena Hatchett,
PhD, MPH
-
National Health Care
Reform: Problems & Proposals, Mark G.
Kuczewski, PhD
-
Serving the Underserved: A Model,
John Wilhelm,
Executive Director,
Infant Welfare Society
web link:
http://infantwelfare.homestead.com/AboutIWSmanagementteam.html
Day 1 required readings
(Monday, July 2, 2007):
-
Familiarize yourself with the
Illinois Department of Professional Regulation by going here:
http://www.idfpr.com/dpr/WHO/med.asp
-
Ian Urbina, "In the Treatment of
Diabetes, Success Often Does Not Pay," NY Times, January 11,
2006.
Day
2 required readings (Tuesday, July 3, 2007):
-
Uwe E. Reinhardt, Peter S. Hussey
and Gerard F. Anderson, U.S. Health Care Spending In An
International Context, Health Affairs, 23 (3): 10-25, 2004.
-
Jonathan Oberlander, “The Politics
of Health Reform: Why Do Bad Things Happen to Good Plans?”
Health Affairs Web Exclusive
http://content.healthaffairs.org/cgi/reprint/hlthaff.w3.391v1.pdf
-
Overview and
Executive Summary of S. R. Collins, K. Davis, M. M. Doty, J. L.
Kriss, and A. L. Holmgren, Gaps in Health Insurance: An
All-American Problem, The Commonwealth Fund, April 2006
http://www.cmwf.org/publications/publications_show.htm?doc_id=367876
-
Peter A. Clark,
"Prejudice and the Medical Profession: Racism, Sometimes Overt,
Sometimes Subtle, Continues to Plague U.S. Health Care," Health
Progress, 84(5): September-October, 2003
http://www.chausa.org/Pub/MainNav/News/HP/Archive/2003/09SeptOct/articles/HP0309f.htm
-
Expanding Insurance
Coverage Through Tax Credits, Consumer Choice, and Market
Enhancements: AMA proposal for health insurance reform.
http://jama.ama-assn.org/cgi/content/full/291/18/2237
Suggested
Further Reading (not required):
-
David
U. Himmelstein, Elizabeth Warren, Deborah Thorne, and Steffie Woolhandler, "Illness
and Injury as Contributors to Bankruptcy," Health Affairs (web exclusive) February
2005, W5 – 63 to W5 – 73.
http://content.healthaffairs.org/cgi/content/full/hlthaff.w5.63/DC1
-
Richard Birrer, “Becoming a Physician
Executive: To Be Effective Leaders, Clinicians Must First Adopt a New Mind-Set, Health
Progress, January-February, 2003
http://www.chausa.org/Pub/MainNav/News/HP/Archive/2003/01JanFeb/articles/hp0301l.htm
-
Institute of Medicine (IOM) Report, 2002-3, Unequal
Treatment: Confronting Racial and Ethnic Disparities in Health Care, (Brian D. Smedley,
Adrienne Y. Stith, and Alan R. Nelson, Editors, Committee on Understanding and Eliminating
Racial and Ethnic Disparities in Health Care), Free executive summary available at
http://books.nap.edu/execsumm_pdf/10260.pdf
-
What
Americans Say about the Nation's Medical Schools and Teaching Hospitals-Key Findings AAMC
2004
-
Public
and Congressional Staff Opinion Research Project. November 2004. Click
here
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