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Stanford University - Introduction to Healthcare 

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Introduction to Healthcare
 at 
Coursera 
Overview

Duration

12 hours

Total fee

Free

Mode of learning

Online

Difficulty level

Beginner

Official Website

Explore Free Course External Link Icon

Credential

Certificate

Introduction to Healthcare
 at 
Coursera 
Highlights

  • This Course Plus the Full Specialization.
  • Shareable Certificates.
  • Graded Programming Assignments.
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Introduction to Healthcare
 at 
Coursera 
Course details

More about this course
  • Solving the problems and challenges within the U.S. healthcare system requires a deep understanding of how the system works. Successful solutions and strategies must take into account the realities of the current system.
  • This course explores the fundamentals of the U.S. healthcare system. It will introduce the principal institutions and participants in healthcare systems, explain what they do, and discuss the interactions between them. The course will cover physician practices, hospitals, pharmaceuticals, and insurance and financing arrangements.
  • We will also discuss the challenges of healthcare cost management, quality of care, and access to care. While the course focuses on the U.S. healthcare system, we will also refer to healthcare systems in other developed countries.
  • The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Visit the FAQs below for important information regarding 1) Date of original release and Termination or expiration date; 2) Accreditation and Credit Designation statements; 3) Disclosure of financial relationships for every person in control of activity content.
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Introduction to Healthcare
 at 
Coursera 
Curriculum

Overview of Health Care Systems and Key Challenges They Face

Introduction

A Simple Interaction Between Providers and Patients

The Problem of Risk

Solving the Problem of Risk: Risk Pooling

Insurance and Intermediaries for Risk Pooling

Beyond Patients, Providers, and Intermediaries: Other Players in the Health Care System

Overview of the Types and Roles of Intermediaries

Overview of the Types and Roles of Providers

Providers and Levels of Care

The Challenge of Rising Health Care Costs

The Challenges of Quality and Access

Lessons for AI and Data

Video Image Credit

Study Guide Module 1

Reflection Exercise

Reflection Exercise

Reflection Execise

Knowledge Check

Physicians, Physician Practices, and Physician Payment

Characteristics of Physician Practices

Physicians, Intermediaries, and Networks

Fee for Service Payment

Procedure Codes and Diagnosis Codes

The Medicare Fee Schedule

Capitation Payment Systems: Overview and Structure

Capitation Payment Systems: Scope of Capitation

Episode-Based Payment Systems and Salary Systems

Risk Shifting in Physician Payment and Multi-Layered Physician Payment Arrangements

Incentives Created by Physician Payments

Lessons for AI and Data

Wrap Up

Study Guide Module 2

Reflection Exercise

Reflection Exercise

Knowledge Check

Hospitals, Other Provider Organizations, and Related Payment Systems

Basic Operations and Characteristics of Hospitals

How Hospitals Relate to Physicians and Intermediaries

Hospital Payment Methods: Charge Masters/FFS and Per Diem

Hospital Payment Methods: DRGs

Hospital Payment Methods: Global Budgets

Hospital Payment Topics: Payments for Inpatient vs Outpatient Services, Hospital vs Physician Payments; Charges and Payments

Risk and Incentives in Hospital Payment

Independent Facilities - Structure and Payment

Health Care Systems and Larger Provider Organizations

Pay for Performance

EMRs, EHRs, and PHRs

Providers, Provider Incentives, Data, and Tools

Wrap Up

Video Image Credit

Study Guide Module 3

Reflection Exercise

Reflection Exercise

Reflection Exercise

Knowledge Check

Intermediaries, Health Insurance Plans, and Health Care Financing

Intermediaries and their Goals

Intermediaries and the Broad Challenges Facing Health Care Systems

Networks and Selective Contracting

Provider Payment Methods and Levels

Patient Cost Sharing

Utilization Review, Gatekeepes, and Other Methods of Directly Influencing Care

Coverage Decisions

Combinations and Tradeoffs

Three Stereotypical Plan Designs: "Traditional," HMO, and PPO

Some More Recent Trends in Plan Design

Public and Private Plans (and Employer-Provided Private Insurance in the U.S.)

The U.S. Medicare Program

The U.S. Medicaid Program

Intermediaries: Lessons for Innovators

Wrap Up

Study Guide Module 4

Reflection Exericse

Reflection Exercise

Knowledge Check

Health Care Products and Prescription Drugs, and Quality Measurement and Improvement

Health care products, approvals, and prescription drugs

Prescription Drug Approval Processes

Patents, Branded Drugs, and Generic Drugs

Patients, Insurance, Formularies, and Prescription Drugs

Intermediaries, Pharmacy Benefit Managers, Drug Prices, and Rebates

Products and Prescription Drugs Wrap Up - Data and Opportunities for Innovation

Quality of Care Overview and Key Organizing Concepts

Overview, and Structural Quality Measures

Process Quality Measures

Outcome Quality Measures and Satisfaction Measures

Overview of Some Approaches to Improving Quality

Innovation and Data in Quality Improvement

Wrap Up

Video Image Credit

Study Guide Module 5

Reflection Exercise

Reflection Exercise

Knowledge Check

Ethics

Overview of AI applications in delivery of health care services and ethical issues

Ethical frameworks for health care and for AI

AI and incentives in health care delivery and payment structures

More examples of AI and incentives in health care delivery and payment structures

Exercise Reading

Study Guide Module 6

Reflection Exercise

Reflection Exercise

Course Wrap Up

Course Summary

Final Assessment Note

Claim CME Credit

Full Study Guide

Final Assessment

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Introduction to Healthcare
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