Ambulatory Case Management

Masters Degree in Case Management

CSM 725

Breyer State University
Instructor: Deryl E. Gulliford, Ph.D.

SYLLABUS

COURSE OVERVIEW: This course focuses on the key role of the case manager in ambulatory medicine, and it includes the study of the insurance environment, legal and ethical issues, consulting, credentialing, and future trends in the field. The key learning outcome of this course is a strong knowledge of the professional role of the case manager.

TIME FRAME: This is a five-semester hour course. This course is allotted ten weeks of time. You must complete all the requirements for the course successfully by the end of the ten-week period. The first day of week one will begin the day that you register for the course, or the day, which you notify me that your textbook(s) have arrived and you are ready to begin your studies. Please be cognizant of the time frame. It is rare that extensions of tie are permitted, unless the student has good justification. Upon successful completion of this course, you will be awarded five semester hours of credit.

TEXTBOOKS: The following book is required for this course.

Book 1: The Case Manager’s Handbook. (4th Ed). Mullahy, C.M.  Gaithersburg, MD: Aspen Publishers, Inc. 2010. ISBN: 0763777242.

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COURSE FORMAT: This course is divided into five units, covering text chapters as follows:

Unit One – Chapters 1-7
Unit Two - Chapters 8-11
Unit Three - Chapter 12-13
Unit Four - Chapter 14-18
Unit Five - 19-23

It is intended for the five units to be completed in ten weeks time.

EVALUTION: There is a written essay examination for each Unit, and a Scholarly Paper (approximately 10 pages in length, double-spaced) is also required for completion of the course. The Scholarly Paper topic and outline must be approved prior to the writing.

GRADING SCALE: The midterm and final are weighted equally.
You will receive a letter grade based on your overall achievement. The grading scale is as follows:

90–100%    = A
80–89%      = B
70–79%      = C
Below 70%  = Fail

Grade Weighting: Each Unit Exam is worth 15% of the course grade, and the Scholarly Paper is worth 25% of the course grade.

COMMUNICATION: Students are expected to communicate with the professor weekly during the course term. A brief email update is sufficient, although the professor will be pleased to discuss any matter by phone during the work day or during the evening hours at home.

ABOUT YOUR INSTRUCTOR: Dr. Gulliford is CEO of the Northwest Oklahoma Healthcare Consortium, based in Enid, Oklahoma. He has 20+ years of experience in senior healthcare management. His clinical background includes work in respiratory care, critical care, non-invasive and invasive cardiology, and perfusion. Dr. Gulliford is currently National Chairman of the AAMA Small and Rural Healthcare Section and State Director of AAMA for Oklahoma.

Dr. Gulliford's Philosophy: therefore however you want other people to treat you, so treat them.

COURSE OBJECTIVES: Upon completion of this course, you will be able to:

1). Identify the case manager’s role in modern healthcare.
2). Cite the primary payor sources which the case manager will deal with in his/her work.
3). Present key legal and ethical issues related to case management.
4). Discuss the elements of strong communication skills in case management.
5). List and discuss the components of case management.
6). Define the importance of effective communication between case management and the business office.
7). Present key future trends in case management.  

INFORMATION: If you have any questions regarding this program, you may address them to admassistant@breyerstate.com. An administrative faculty member will respond to all questions.

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