Class Meets: Wednesday 1-3:50 L28-2201 Ed 2 South HSMP 6606: Public Health Administration SYLLABUS Fall 2011 Course Director: Sara E. Miller, MPA Phone: 303-910-4682 Office Hours: by appointment e-mail: sara.e.miller@ucdenver.edu University of Colorado, Anschutz Medical Campus PURPOSE: This Public Health Administration course provides a comprehensive introduction to public health management and administration. In public health, administration and management of the wide types of organizations, such as nonprofit organizations, voluntary associations, rural health networks, and county and state health departments is a complex undertaking. Public organizations operate in a much more politicized environment than do private organizations, with multiple constituencies and interests groups seeking to influence the organization’s activities. The various components of this course aim to stimulate interactions around important problems and issues facing public health administrators. CLASS STRUCTURE: The content for this course is provided in the specific readings and other resources identified on blackboard. The texts, with a comprehensive bibliography, simultaneously introduces the participant to the class components and to the recognized experts for some of these components. Students are expected to have read the assigned materials in advance of the class session in order to participate meaningfully in class discussions. Guest speakers with expertise in particular components have been invited to add their perspectives to specific class sessions. Within the course, several learning activities are evaluated, including class participations, group exercises, case studies, paper, and final presentations. GOALS: The course examines the theoretical and philosophical underpinnings of managerial decisionmaking, and the practical knowledge, tools, and strategies required by organizational decisionmakers. Public Health Administration covers the basics of administration, including public health law, human resources management, budgeting and financing, and legislative relations in public health. It also discusses emerging areas, such as health information management, performance measurement, project management, improvement, ethics, leadership, and communication and media relations. COMPETENCIES: 1 After completing this course, learners will be proficient in describing public health administration, including its unique and important characteristics, to general audiences. Key aspects of this competency expectation include: Identify the main components and issues of the organization, financing of public health systems in the US Describe the legal, regulatory, and ethical bases for public health services Explain methods of ensuring community health safety and preparedness Discuss the policy process for improving the health status of populations Apply the principles of program planning, development, budgeting, management and evaluation in organizational and community initiatives Apply the principles of strategic planning to public health Apply “systems thinking” for resolving organizational problems Communicate health policy and management issues using appropriate channels and technologies Demonstrate leadership skills for building partnerships Identify future challenges for public health and potential solutions REQUIRED READINGS: (PHA) Novick, L. F., Morrow, C. B., & Mays, G. P. (2007). Public Health Administration: Principles for Population-Based Management (2nd edition). Sudbury, Massachusetts: Jones and Bartlett Publishers. (PHPB) Orton, Stephen N, Menkens, Anne J., Santos Pamela (2009) Public Health Business Planning: A Practical Guide. Sudbury, Massachusetts:Jones and Bartlett Publishers. Journal articles may be found by using the links on Blackboard. Reading assignments are listed under each class session. Some of the readings are long, so plan enough time to complete them before class. RECOMMENDED READINGS: Institute of Medicine, The Future of the Public’s Health in The 21st Century (Washington, D.C.: Nat. Acad. Press, 2003) (available online at http://iom.edu/Reports/2002/The-Future-of-the-Publics-Health-in-the-21st-Century.aspx ) 2 STUDENT EVALUATION: GRADING SCALE: A AB+ B B- 93-100 90- 92 87- 89 83- 86 80- 82 Assignments Due Class Participation: One Pager on Business Plan Article Analysis Group Case Study and Reflection Paper Presentation Paper Due Date ongoing 9/21 10/19 11/9 11/30 and 12/7 12/14 Points 10 n/a 20 15 10 45 Policies on late assignments: LATE ASSIGNMENTS WILL automatically lose 20% point value. No assignments will be accepted 1 week after original due date. NO INCOMPLETES WILL BE GIVEN WITHOUT DOCUMENTATION OF NEED. To the extent possible in a survey course, class meetings will be used to discuss the readings, class assignments, and the related experiences of class participants. The opening of each class session will be used to clarify terms and concepts. Class Participation Students are expected to attend every class meeting. In addition to attending, students are expected to read all assigned readings prior to class and be prepared for class discussion. The discussion guide will prepare you for class. Class participation will include preparing presentation related to additional reading, as assigned (using the Discussion Guide). Each member of the course has some experience in organizations and this personal experience will help enrich discussions. Therefore, the willingness of all members to participate in class discussions, offer opinions, ask questions, and bring relevant issues to class will be critical for successful completion of this course. Students will be evaluated on both the quantity and quality of their participation in class discussions, exercises, and case study analyses. Quality class participation is: Input that maintains the continuity and coherence of the class discussion. This rules out off-the-wall comments. Input that was picked up and responded to by others in the class (such as a controversial, yet intelligent, question or comment that reflects an understanding of the issue at hand). 3 Input that demonstrates an in-depth analysis of the issue at hand, well-supported by data or a relevant conceptual framework. Input that makes connections between material or ideas in different parts of the course or between this and other courses. Input that provides an example from personal observation or experience of the subject at hand. Civility in the give-and-take of a heated discussion. (This is required, actually.) Class discussion questions will provoke disagreement, as more than one viable, legitimate approach will exist with regard to most issues. (adapted from an unknown source) Group Case Studies Groups and cases will be assigned on September 21. Students are assigned to groups and will make a group presentation on November 16th and hand in a reflection paper (no more than two pages) on your experience and relevance to class content. For the case presentation, students will lead the class in a discussion of the case, including working with the case and any relevant course material. Grades will be determined by evaluation by both the instructor and group members. Paper Presentation and Paper All students will be preparing a public health related business plan as their paper (25 pages maxthis includes any attachments). You are expected to read relevant course material and apply the material to your own experiences when writing the plan. All papers must be turned in at the start of class on the due date (email copy). Late papers will not be accepted. HONOR CODE: Education at the Colorado School of Public Health is conducted under the honor system. All students who have entered health professional programs should have developed the qualities of honesty and integrity, and each student should apply these principles to his or her academic and subsequent professional career. All students are expected to have achieved a level of maturity, which is reflected in appropriate conduct at all times. All work done, with the exception on the group case study, is to be done independently unless specific instruction to the contrary is provided. PLAGARISM: ALL WORK MUST BE STUDENT’S OWN. Any student who is caught plagiarizing another’s work will receive “0” points for that assignment and may be subject to University disciplinary action. FOR FURTHER INFORMATION ABOUT PLAGARISM— WHAT IS IS AND HOW TO AVOID IT see UCD’s Academic Honor Code: 4 COMMUNICATION: There are several ways to communicate with me but the quickest way is to send me an e-mail. It is necessary for all students to have a UCD e-mail account, because I will be sending announcements, changes, updates through E-MAIL and blackboard. Format: If you send me an e-mail, it is very helpful if you begin your subject heading for each e-mail with the course number and then what it pertains to. For Example: Subject: HSMP 6606: Question about readings BLACKBOARD We will be using Blackboard as a place to post readings and upload assignments. If you are looking for course resources, check here. Blackboard provides online assistance on how to most effectively configure your web browser. GENERAL GUIDELINES FOR WRITTEN PAPERS Please utilize the following criteria for submitting all written assignments: Assignments that do not follow these guidelines will reflect a lower grade: (1) Word processed, double-space text; (2) Use 12-point type (Times New Roman is preferred); (3) 1 inch margins all around; (4) Include name in the header of the report & paginate in the footer: (5) Proofread, spell-check and ensure that your written assignment is professional in appearance; (6) Use citations for attribution of writing, or ideas of other authors must be indicated through the use of citations. Tips for Effective Writing 1. Be upfront and clear about the purpose of your writing and the direction it will take— providing an introduction to your paper and your findings. 2. Use theoretical concepts to support your analysis and recommendations. Draw upon network concepts to support your analysis. 3. Demonstrate that you read the course material by referencing the readings (both required and anything additional that you access to complete your paper). C Paper: Demonstrates that the student read the course material; “Given what we know now, the manager should have obviously done something different.” B Paper: The student understands key concepts; “The manager should have taken different action based upon logical reasoning or common experience.” A Paper: The student expands class readings. “The manager should have done “x” because of the cause and effect that theory/concept “y” implies.” Also demonstrates that the student has explored additional materials/resources on the background of the care/ or theoretical concepts. 5 Class Schedule & Readings/Assignments (subject to change based upon guest speaker availability, acts of nature and other interesting world events.) Session 1: August 31 TOPIC: Introductions, Review of Syllabus; Introduction to Public Health Administration ASSIGNEMNTS DUE (we will do this in class): One pager personal description. Session 2: September 7 TOPIC: History and Evolution of Contemporary Public Health Systems and Frameworks for Public Health Administration and Practice GUEST SPEAKER: Lisa N. VanRaemdonck, CALPHO/Alliance (not confirmed) READINGS DUE: PHA: Chapter 1, 2, 3 PHBP: through page 26 Core Competencies: On Blackboard Familiarize Yourself With: The National Association of County and City Health Officials’ website (www.naccho.org ), especially 1) Profiles of Local Public Health Departments 3) Operational Definition of a Local Health Department. http://www.naccho.org/topics/infrastructure/accreditation/OpDef.cfm The Association of State and Territorial Health Officials’ website (www.astho.org ) with links to state health agency websites Session 3: September 14 (CLASS TIME Will BE 1:30 to 4:30) TOPIC: Leadership and Ethics READINGS DUE: PHA: Chapters 5, 10 PHBP: 27-43 Health Code of Ethics 6 http://www.apha.org/NR/rdonlyres/1CED3CEA-287E-4185-9CBDBD405FC60856/0/ethicsbrochure.pdf) GUEST SPEAKER: Christopher Urbina, MD MPH Executive Director and Chief Medical Officer, Colorado Department of Public Health and Environment Session 4: September 21 TOPIC: Law, Financing and Budgeting; Group Case Studies READINGS DUE: PHA: Chapter 4, 6, 7 PHBP: 45-71 Online class (blackboard) Selected Articles ASSIGNMENTS DUE: One Pager on Business Plan SESSION 5: September 28 TOPIC: The Business of Public Health, Human Resources Management, Workforce READINGS DUE: PHA Chapters: 8, 9 PHBP: 73-107 Selected Articles Careers in Public Health: Please read 2 that interest you (down on the right hand side) http://www.whatispublichealth.org/careers/index.html GUEST LECTURE: Roz Bedell, CDPHE, Chief Operating Officer ASSIGNEMENTS: Group Case Study; Article Analysis Session 6: October 5 TOPIC: Budgeting 7 READINGS: PHBP: 109-161 Selected Articles SESSION 7: October 12 TOPIC: Project Management READINGS DUE: PHA: Chapter 21 Project management in health departments: Enterprise application to ensure successful outcomes http://apha.confex.com/apha/134am/techprogram/paper_137925.htm SESSION 8: October 19 NO CLASS—Be working on your group case studies this week. ASSIGNMENTS DUE: Article Analysis Session 9: October 26 TOPIC: Role and Function of Public Health Systems in Comprehensive Disaster and Emergency Response; READINGS DUE: PHA: Chapter 23 Selected Articles Session 10: November 2 TOPIC: Community Engagement; Partnerships, Stakeholders and Coalitions READINGS DUE: PHA: Chapter 16, 19 Community Engagement in Public Health http://www.cchealth.org/groups/phoec/pdf/community_engagement_in_ph.pdf Selected Articles 8 Session 11: November 9 TOPIC: Using Information Systems for Public Health Administration; Evaluation of Public Health Interventions; Group Case Study Presentations ASSIGNMENTS DUE: Case Studies and 2 page write up. GUEST LECTURE: Doug Fernald or Art Davidson (or Both) READINGS DUE: PHA: Chapter 12, 13, 14, 18 Selected Articles Session 12: November 16 TOPIC: Communication and Media Relations READINGS DUE: PHA: Chapter 20, 22 Selected Articles Session 13: November 23 NO CLASS THANKSGIVING DRAFT paper (OPTIONAL). DRAFTS will not be accepted after this date (returned within the week) Session 14: November 30 TOPIC: Business Plan Presentations Session 15: December 7 TOPIC: Business Plan Presentations, Class Conclusion, Evaluation Session 16: December 14 ASSIGNMENTS DUE: Final Paper DUE. 9