Fordham University            The Jesuit University of New York
 



MANAGING HEALTHCARE IN THE NEW ECONOMIC ENVIRONMENT  
   


 

http://www.fordham.edu/images/academics/graduate_schools/gsss/continuinged/managing%20healthcare%20icon.jpgThis course is presented by Fordham University Graduate School of Social Service in cooperation with New York Medical College of Health Sciences and Practice.  This online distance learning course for multidisciplinary healthcare practitioners provides an introduction to basic concepts of managing healthcare.  Managing healthcare and the associated consequences are dominating contemporary health and mental health care for insurers, provider organizations, consumers, and practitioners.

Healthcare professionals, including clinical practitioners, are in need of a full understanding of managing healthcare concepts in order to appropriately modify their interventions and professional behaviors to maintain high quality of care and consumer satisfaction, while containing costs.

Each of the six modules take approximately 2 hours to complete through totally independent study - Powerpoint lectures, assigned readings, and quizzes.  This asynchronous online program can be accessed at any time.  The link to the program, user name and password information will be emailed after payment is received.

The topics/modules covered are:


I.  Managing Healthcare in the New Economic Environment: Basics


The complex historical, social and market forces that have shaped contemporary healthcare finance, delivery and practice are presented:

  • the history
  • the components
  • the present day
  • corporate America's influence in shaping the present


II.   How it Works


Fundamental concepts are explained including the various types of plans and systems for reimbursement for services provided.  The health plans for public benefits - Medicaid and Medicare - are also highlighted.

  • insurance products
  • provider reimbursement for services
  • public benefits: managed Medicaid and Medicare


III.  Alphabet Soup for the Economist's Soul


The importance of the underlying economic models, including case studies is stressed.

  • cost/benefit analysis, cost effectiveness analysis, cost/utility analysis
  • case studies


IV.  Advanced Care Management


How is medical care managed under various health plan arrangements?  The focus of this unit is on disease and case management, utilization management, various uses of data, and the central topic of importance for healthcare practitioners: the quality of care.  The managed approach to the provision of mental health and substance abuse treatment services, and behavioral health care, are introduced.

  • quality
  • use of data and reporting
  • utilization management
  • case management
  • disease management
  • behavioral health


V.   Ethical Issues


Utmost on the minds of healthcare practitioners today are ethical dilemmas brought about by health plans and their reimbursement methods; the confidentiality and privacy of medical records; the freedom or limitations on autonomous practice by providers; and the choices and rights of consumers.

  • confidentiality
  • patient bill of rights
  • provider autonomy
  • payment incentives
  • choice/access
  • healthcare disparities


VI.  The Future


What are the trends in the market?  Are new patterns emerging of finance and delivery of healthcare?  What shape might current healthcare reform efforts take?


CONTINUING EDUCATION CREDIT

This course represents 12 continuing education hours.  You can apply for a certificate when you have completed all six modules and passed the 6 quizzes.  Please use this certificate to apply for CE credits with your professional organizations.

Social Work Continuing Education Credit
Application has been made for continuing education social work credits through Fordham University's Graduate School of Social Service in the states of NY, NJ and CT.


Course Directors


Lydia V. Cavieux, RHIT, MPA
Assistant Professor of Practice
New York Medical College
School of Health Sciences and Practice

Elaine Congress, MSW, DSW
Professor and Associate Dean
Fordham University Graduate School of Social Service

In addition to her work in the medical education field, Ms. Cavieux has had many years of experience in the industry including managing operations for U.S. Healthcare's Greater NY Region and Clinics Administrator for Kaiser-Permanente-Northeast Region.  She currently serves on the Board of Directors for AETNA-New York and U.S. Health Insurance Company.

Dr. Congress is a Fellow in the New York Academy of Medicine and Governing Councilor for the Social Work Section of APHA.  She is the author of seven books and over 40 articles and book chapters on cultural diversity, ethics, and social work education.


Faculty

Annette Choolfaian, RN, MPA
Chair, Department of Health Policy and Management
Professor of Practice New York Medical College School of Health Sciences and Practice

Ms. Choolfaian has extensiveexperience in healthcare operations including acute care, ambulatory care and home health agencies, faculty practices, hospital and physician malpractice insurance programs and new patient care systems and models.  Ms. Choolfaian has received awards and recognition for her work from The New York Academy of Medicine, the NYC Academy of Women Achievers and the New York University Distinguished Alumni Award in Health Policy Management.

James J. O 'Brien , PhD
Vice Dean and Associate Professor
New York Medical College School of Health Sciences and Practice

Dr. O'Brien previously held several executive positions at Empire Blue Cross and Blue Shield including VP of Government and Community Affairs.  He is a recognized expert in the field of health insurance and health planning.  He has served as the Executive Director of the NY-Penn Health Planning Council and as President of the Board of Nassau-Suffolk Health Systems Agency.

Deborah Viola, PhD
Associate Professor of Practice
New York Medical College School of Health Sciences and Practice

Dr. Viola is health economist teaching classes in Health Economics and Economics of Managed Healthcare.  Areas of study include the determinants of physician practice patterns and the evaluation of medical technologies including pharmaceuticals.


Faculty will be accessible via email and will monitor each student's progress throughout the course offering period.  Please direct all questions to: lydia_cavieux@nymc.edu


CLICK HERE for a copy of the Course Outline & to Register / Pay By Mail

CLICK HERE to Register / Pay Online


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