SKI106 Health InsuranceIstanbul Okan UniversityDegree Programs Medical Documentations And Secretariat WorkGeneral Information For StudentsDiploma SupplementErasmus Policy StatementNational Qualifications
Medical Documentations And Secretariat Work
Associate TR-NQF-HE: Level 5 QF-EHEA: Short Cycle EQF-LLL: Level 5

General course introduction information

Course Code: SKI106
Course Name: Health Insurance
Course Semester: Fall
Course Credits:
Theoretical Practical Credit ECTS
3 0 3 4
Language of instruction: TR
Course Requisites:
Does the Course Require Work Experience?: No
Type of course: Department Elective
Course Level:
Associate TR-NQF-HE:5. Master`s Degree QF-EHEA:Short Cycle EQF-LLL:5. Master`s Degree
Mode of Delivery: Face to face
Course Coordinator : Öğr.Gör. BÜLENT DERSE
Course Lecturer(s):
Course Assistants:

Course Objective and Content

Course Objectives: To gain a basic perspective on public and private health insurance and to explain the importance of insurance and insurance in health management.
Course Content: This course includes the following topics; Health Care System and the Border, Basic Criteria in Health Organization, Basic Finance Models and Role and Importance of Health Insurance on Health, Health Insurance Concepts, Types, and Classification of Private Health Insurance History in Turkey, Technical and Market Analysis, Distribution Channels, Private and Public Health Basic Legislation in Insurance, Organizational Structure in Health Insurances, Underwriting and Production Processes, Related Legislation, Organizational Structure in Health Insurances, Underwriting and Production Processes, Related Legislation (continued), Compensation and Provision Process in Health Insurances, Related Legislation, Network and Contract Management in Health Insurances, related Legislation (continued), Sustainability in Health Spending, Financial Management of Chronic Diseases in Health Care and Reimbursement Methods, Process and General Health Insurance Complementary Health Insurance in Turkey, Medical Tourism and Health Tourism Insurance, Analysis of General Health Data and Strategic Goals, Analysis of General Health Data and Strategic Goals (continued).

Learning Outcomes

The students who have succeeded in this course;
Learning Outcomes
1 - Knowledge
Theoretical - Conceptual
2 - Skills
Cognitive - Practical
3 - Competences
Communication and Social Competence
Learning Competence
Field Specific Competence
1) Reviews health system and its sub-systems from a financial macro perspective.
2) Explain health financing resources and the importance of diversity.
3) Classifies health expenses by source and distribution and explains the importance of sustainability of health expenditures.
4) Explain the concepts of insurance and insurance and comprehend basic working principles of insurance.
Competence to Work Independently and Take Responsibility

Lesson Plan

Week Subject Related Preparation
1) Health Services System and Boundaries, Basic Criteria in Health Organization Examination of sample cases related to the subject
2) Basic Financing Models in Health and the Importance of Health Insurances Examination of sample cases related to the subject
3) Health Insurance Concepts, Types and Classification Examination of sample cases related to the subject
4) History of Private Health Insurance in Turkey, Technical and Market Analysis, Distribution Channels Examination of sample cases related to the subject
5) Basic Legislation in Private and General Health Insurance Examination of sample cases related to the subject
6) Organizational Structure, Underwriting and Production Processes in Health Insurance, Related Legislation Examination of sample cases related to the subject
7) Midterm exams
8) Compensation and Provision Process in Health Insurance, Related Legislation Examination of sample cases related to the subject
9) Compensation and Provision Process in Health Insurance, Related Legislation Examination of sample cases related to the subject
10) Sustainability in Health Expenditures, Reimbursement Methods in Health Services and Financial Management of Chronic Diseases Examination of sample cases related to the subject
11) Process and General Health Insurance Complementary Health Insurance in Turkey Examination of sample cases related to the subject
12) Health Tourism and Health Insurance in Tourism Examination of sample cases related to the subject
13) Analysis of General Health Data and Strategic Targets Examination of sample cases related to the subject
14) Analysis of General Health Data and Strategic Targets Examination of sample cases related to the subject
15) Final exams none

Sources

Course Notes / Textbooks: Özbolat, M. (2017). Temel Sigortacılık, Seçkin Kitapevi, Ankara.
References: Orhaner, E. (2000). Türkiye’de Sağlık Sigortacılığı, Gazi Kitapevi, Ankara

Course-Program Learning Outcome Relationship

Learning Outcomes

1

2

3

4

Program Outcomes
1) It is possible to code using the ICD-10 system from the medical records that are the basis for coding.
2) It can write at the speed of speech with ten fingers without touching the screen and keyboard.
3) Has knowledge and skills in using office programs.
4) Business writings, official and private correspondence will have the necessary skills.
5) They become compatible employees based on the voluntary principle with the principle of zero mistake that best represents the institution.
6) They have the desire for continuous learning, their appearance and behavior become exemplary individuals.
7) They have information about patient rights, business ethics, ethical concepts.
8) As an individual, he acts in accordance with laws, regulations, legislation and professional codes of ethics regarding his duties, rights and responsibilities.
9) Social responsibility contributes to the projects and activities within the social environment in which they live with consciousness.
10) It is an example of gathering with external appearance, attitude, attitude and behavior.
11) It carries out the dependent and independent duties given by using basic knowledge accumulation related to medical documentation.
12) It interprets and evaluates data using basic knowledge and skills related to medical documentation, identifies and analyzes problems, and takes part in planned work / responsibility for solution.
13) Cooperates with members of the health team to resolve complex and unforeseen problems encountered in medical documentation related applications.
14) They gain proficiency in research.
15) Can convey the ideas and suggestions of the level of knowledge and skills about the field in written and verbally
16) Will be able to perform interdisciplinary and interdisciplinary team work.
17) He can make mathematical calculations and analyzes for his profession.
18) Basic professional vocabulary and definitions and basic vocational language knowledge competencies gain.
19) His ethical values ​​about his profession are assimilated.
20) To use the lessons learned in an enterprise and to learn the working conditions of the business life.
21) Becomes the agent of development and change in the professional and social field,
22) Being aware of social and political problems, contributes to the development of society,
23) Continue life-long learning and development responsibility, think critically and have effective communication skills,
24) Uses the information and communication technologies required by the profession,
25) Using a foreign language, she tracks, follows and communicates with her colleagues,
26) Both individuals and communities communicate verbally and in writing with other segments of society using existing possibilities.

Course - Learning Outcome Relationship

No Effect 1 Lowest 2 Low 3 Average 4 High 5 Highest
           
Program Outcomes Level of Contribution
1) It is possible to code using the ICD-10 system from the medical records that are the basis for coding.
2) It can write at the speed of speech with ten fingers without touching the screen and keyboard. 2
3) Has knowledge and skills in using office programs.
4) Business writings, official and private correspondence will have the necessary skills. 3
5) They become compatible employees based on the voluntary principle with the principle of zero mistake that best represents the institution. 2
6) They have the desire for continuous learning, their appearance and behavior become exemplary individuals.
7) They have information about patient rights, business ethics, ethical concepts. 5
8) As an individual, he acts in accordance with laws, regulations, legislation and professional codes of ethics regarding his duties, rights and responsibilities. 3
9) Social responsibility contributes to the projects and activities within the social environment in which they live with consciousness.
10) It is an example of gathering with external appearance, attitude, attitude and behavior.
11) It carries out the dependent and independent duties given by using basic knowledge accumulation related to medical documentation. 3
12) It interprets and evaluates data using basic knowledge and skills related to medical documentation, identifies and analyzes problems, and takes part in planned work / responsibility for solution.
13) Cooperates with members of the health team to resolve complex and unforeseen problems encountered in medical documentation related applications.
14) They gain proficiency in research.
15) Can convey the ideas and suggestions of the level of knowledge and skills about the field in written and verbally 4
16) Will be able to perform interdisciplinary and interdisciplinary team work.
17) He can make mathematical calculations and analyzes for his profession.
18) Basic professional vocabulary and definitions and basic vocational language knowledge competencies gain. 3
19) His ethical values ​​about his profession are assimilated.
20) To use the lessons learned in an enterprise and to learn the working conditions of the business life.
21) Becomes the agent of development and change in the professional and social field, 2
22) Being aware of social and political problems, contributes to the development of society, 3
23) Continue life-long learning and development responsibility, think critically and have effective communication skills,
24) Uses the information and communication technologies required by the profession,
25) Using a foreign language, she tracks, follows and communicates with her colleagues, 2
26) Both individuals and communities communicate verbally and in writing with other segments of society using existing possibilities.

Learning Activity and Teaching Methods

Expression
Q&A / Discussion

Assessment & Grading Methods and Criteria

Written Exam (Open-ended questions, multiple choice, true-false, matching, fill in the blanks, sequencing)

Assessment & Grading

Semester Requirements Number of Activities Level of Contribution
Midterms 1 % 40
Final 1 % 60
total % 100
PERCENTAGE OF SEMESTER WORK % 40
PERCENTAGE OF FINAL WORK % 60
total % 100

Workload and ECTS Credit Grading

Activities Number of Activities Duration (Hours) Workload
Course Hours 1 30 30
Midterms 1 40 40
Final 1 60 60
Total Workload 130