COLLEGE OF HEALTH AND HUMAN SERVICES California State University, Long Beach Department of Health Care Administration HCA 465 – Analysis and Evaluation Spring 2016 General Information Instructor: Elizabeth Barnett, MSW, PhD E-mail: elizabeth.barnett@csulb.ed Office: Part-time Office SPA -006 Office Hours: Mon 11-12pm and by appointment Class Number: 10711 (section 6) Class Meets: Mon/Wed 12:30 – 1:45pm Classroom: SPA 005 Additional Contact Information: HCA Program Administrative Coordinator: Deby McGill, dmcgill@csulb.edu Tel. 562/985-5694; fax 562/985-5886 Course Description: Prerequisites: Open to Health Care Administration majors only and a grade of "C" or better in PSY 210 or SOC 250 or STAT 108 or equivalent. Techniques of analysis and evaluation applied to health services with respect to organizing, staffing, financing and utilization. Emphasis on the analytic process, program evaluation, and report of findings. Letter grade only (A-F). Teaching/Learning Objectives: Students who have completed this course should be able to: Develop evaluation/research questions, hypotheses, and propose specific analytic methods in health management issues. Differentiate between types of qualitative/quantitative evaluation/research philosophies such as monitoring, case studies, survey research, trend analysis, and experimental design; describe the assumptions, threats to validity, and outcomes of each type. Define key concepts of research design and methodology. Identify the steps of a generic research process, the tasks involved in each, and available data collection and analysis methodologies. Understand the ethics issues involved in the use of human subjects in research. Conduct basic analysis of secondary quantitative data through the use of the General Social Survey (GSS) or California Health Interview Survey (CHIS). Assemble a spreadsheet in SPSS, conduct basic univariate and bivariate analyses, and write a brief report illustrating findings. The CSULB HCA program is accredited by AUPHA and this course represents the following domains and competencies required for AUPHA accreditation: 1 Learning Objective Understand the ethics issues involved in the use of human subjects in research Domain Professionalism Develop evaluation/research questions, hypotheses, and proposal specific analytic methods in health management issues Differentiate between types of qualitative/quantitative evaluation research philosophies as monitoring, case studies, survey research trend analysis, and experimental design; describe the assumptions, threats to validity and outcomes of each type. Define key concepts of research design and methodology Business Knowledge and Skills Identify the steps of a generic research process, the tasks involved in each and available data collection and analysis methods. Conduct basic analysis of secondary quantitative data through the use of the General Social Survey or the California Health Interview Survey Assemble a spreadsheet in SPSS, conduct basic univariate and bivariate analyses, and write a brief report illustrating findings Competency Professional standards and codes of ethics; Ethics committee’s roles, structure and functions Outcomes measures and management Assessment Method On-line training module; quiz on training module materials (pass/fail); knowledge and retention of material also tested on inclass exam Business Knowledge and Skills Data analysis, including manipulation, understanding of, and ability to explain data Quizzes and tests Business Knowledge and Skills Business Knowledge and Skills Comparative analysis strategies Quizzes and tests Data collection, measurement and analysis tools and techniques Basis statistical analysis Oral presentation with explanatory powerpoint/lecture slides Business Knowledge and Skills Business Knowledge and Skills Application software Quizzes and tests Computer laboratory exercises completed and turned in; homework exercises completed and turned in Computer laboratory exercises completed and turned in Required Reading Materials: Perrin, Karen (Kay) M. (2014). Principles of Evaluation and Research for Health Care Programs, Jones and Bartlett Publishers, LLC. Palant, Julie. SPSS Survival Manual, 4th ed. -- OPTIONAL BEACHBOARD 2 Student Assignments and Grading: Credit/No Credit Assignments: All assignments and associated feedback interpretations must be completed in order to be eligible to earn an A in this class. 1. Complete Protecting Human Subjects Training. Submit certificate. http://www.hrsa.gov/publichealth/clinical/humansubjects/ 2. Introduction 3. Review of the literature a. Literature Review Tables b. Basic Science c. Interventions 4. Data Analysis Results a. Descriptive Table b. Data Analysis Results 5. Justification for further study and intervention 6. Qualitative Study 7. Proposed intervention 8. Implementation Plan and Gantt Chart 1/25 2/8 2/10 2/17 2/24 3/2 3/23 3/23 4/13 4/27 4/27 Final Proposal: (100 points) The final proposal will be a compilation of all of the sections developed in the assignments. 5/11. Final Presentation: (100 points) 15 to 20 minute presentations will be graded using a 48 point rurbric. Presentations will occur during the last 2 class sessions. Any remaining presentations will be made during the final exam session. There is no final exam in this class. Final grade = average classmate rating + professors rating + 4points. 5/2 and 5/4 Weekly Quizzes (100 points) - There will be 12 quizzes (one for each chapter we are reading) each worth 10 pts. The two lowest grades will be dropped. We will not be reading Chapter 12. Attendance & Participation: Attendance is required and participation will be noted. Late Homework Policy: No late homework assignments will be accepted. You may e-mail your assignment if you are unable to come to class as long as you do so that the assignment is received by the posted due date. Students absent for the final exam must provide written third party documentation. Disabled students, who qualify for alternative testing arrangements, please advise the instructor and make arrangements well in advance of the exams. Grade Computation: Assignments and Feedback Interpretation Quizzes 100 points Final Proposal 100 points Presentation 100 points 90%+ =A 80-89%=B 70-79%=C Credit/No Credit. Must submit all in order to earn an A 60-69%=D <60%=F 3 Classroom Conduct If you have any need for accommodation due to disability, please notify me as early as possible, but no later than the second class meeting. It is the student’s responsibility to drop a course he or she does not plan to attend. Instructors have no obligation to withdraw students who do not attend classes, and may choose not to do so. All papers should be typed, double-spaced, Times New Roman and 12-point font with one inch margins around the page. All pages should be numbered. All class assignments must be posted in Drop box via Beach Board prior to the beginning of the designated class. Once class has started, all other assignments will be considered late. Students who miss class will be penalized. When any of the reasons stated in the University Catalog directly conflict with class meeting times, students are responsible for informing the instructor of the reason for the absence and for arranging to make up missed assignments, tests, quizzes, and class work insofar as this is possible. Students are expected to treat each other, the instructor, and guests with courtesy and respect; please raise your hand and do not interrupt your colleague, lecturer, or guest speaker when s/he is speaking. Attendance Policy Please see section on excused and unexcused absences; this class will follow the University policy. CSULB policy on attendance (PS 01-01L http://www.csulb.edu/divisions/aa/grad_undergrad/senate/documents/policy/2001/01/). On-time attendance at the first class is mandatory. Attendance will be taken at the beginning of each class, and occasionally at the end of class. No points will be given for missed classes, unless it is an official excused absence. Excused absences will be granted only if written evidence (e.g. a doctor's written notice, a letter for jury duty, or a copy of a funeral program) is provided in a timely manner. (University Attendance Policy, PS 0101, defines excused absences as 1) illness or injury to the student; 2) death, injury, or serious illness of an immediate family member or the like; 3) religious reasons (California Educational Code section 89320); 4) jury duty or government obligation; 5) University sanctioned or approved activities.) Students missing 6 or more classes will be advised to drop the class and retake it in a subsequent semester. On-time attendance at each class is expected. Points may be deducted for tardiness, leaving early, or disrespectful or disruptive behavior to other students or the instructor, e.g. talking while other students or the instructor is speaking to the whole class. In rare cases, due to a documented emergency or a "serious and compelling reason" (PS 02-12) a student may need to request an authorized incomplete or withdrawal. In such a case University Policy will be strictly adhered to. The full text of University Policy Statements may be seen at http://www.csulb.edu/divisions/aa/catalog/20102011/academic_information/withdrawal_policy.html A note on communicating with the instructor: Please sign your full name to any emails sent to the instructor; instructor will not respond to anonymous or unsigned emails. The instructor may not be able to figure out who you are from your email address (cheesegirl45@yahoo.com; blondcowboyinLA@gmail.com). Also, please allow from 24-36 hours to receive a response, especially during the first month of the semester. University policies Statement of Accessibility and Accommodation 4 Students needing special consideration for class format and schedule due to religious observance or military obligations must provide the instructor with written notice of those needs by the second week of class. Students who require additional time or other accommodation for assignments must secure verification/assistance from the CSULB Disabled Student Services (DSS) office located at 270 Brotman Hall. The telephone number is (562) 985-5401. Accommodation is a process in which the student, DSS, and instructor each play an important role. Student contact DSS so that their eligibility and need for accommodation can be determined. DSS identifies how much time is required for each exam. The student is responsible for discussing his/her need with the instructor and for making appropriate arrangements. Students who are eligible to receive accommodation should present an Accommodation Cover Letter and a DSS Student/Teacher Agreement Form to the instructor as early in the semester as possible, but no later than a week before the first test. (It takes one week to schedule taking an exam at the DSS office.) The instructor welcomes the opportunity to implement the accommodations determined by DSS. Please ask the instructor if you have any questions. Cheating & Plagiarism “Plagiarism is defined as the act of using the ideas or work of another person or persons as if they were one’s own, without giving credit to the source. Examples of plagiarism include, but are not limited to, the following: the submission of a work, either in part or in whole, completed by another; failure to give credit for ideas, statements, facts or conclusions [which] rightfully belong to another; in written work, failure to use quotation marks when quoting directly from another, or close and lengthy paraphrasing of another’s writing or programming.” “Cheating is defined as the act of obtaining or attempting to obtain or aiding another to obtain academic credit for work by the use of any dishonest, deceptive or fraudulent means. Common examples of cheating during an examination would include, but not be limited to the following: copying, either in part or in wholes, from another test or examination; giving or receiving copies of an exam without the permission of the instructor; using or displaying notes; “cheat sheets,” or other information devices inappropriate to the prescribed test conditions; allowing someone other than the officially enrolled student to represent the same.” “Faculty choices for confirmed plagiarism include: a. Review- no action; and/ or b. An oral reprimand with emphasis on counseling toward prevention of further occurrences; and/ or c. A requirement that the work be repeated; and/ or d. Assignment of a score of zero (0) for the specific demonstration of competence, resulting in the proportional reduction of final course grade; and/ or e. Assignment of a failing grade; and/ or f. Referral to the Office of Judicial Affairs for possible probation, suspension, or expulsion.” Cheating or plagiarism may result in a grade of F. The University policy on Cheating and Plagiarism (PS 85-19) can be found at: http://www.csulb.edu/divisions/aa/catalog/2010-2011/academic_information/cheating_plagiarism.html Campus Behavior “Civility Statement- Civility and mutual respect toward all members of the University community are intrinsic to the establishment of excellence in teaching and learning. The university espouses and practices zero tolerance for violence against any member of the University community. A threat of violence is an expression of intention that implies impending physical injury, abuse, or damage to an individual or his/her belongings. All allegations of such incidents will be aggressively investigated. Allegations that are sustained may result in disciplinary action up to and including 5 dismissal from employment, expulsion from the University, and/ or civil and criminal prosecution.” (CSULB Catalog, AY 2010-2011, p.743). Classroom Expectations- All students of the California State University system must adhere to the Student Conduct Code as stated in Section 41301 of the Title 5 of the California Code of Regulations as well as all campus rules, regulations, codes, and policies. Students as emerging professionals are expected to maintain courtesy, respect for difference, and respect for the rights of others. Unprofessional and Disruptive Behavior- It is important to foster a climate of civility in the classroom where all are treated with dignity and respect. Therefore, students engage in disruptive or disrespectful behavior in class will be counseled about this behavior. If the disruptive or disrespectful behavior continues, additional disciplinary actions may be taken. Commitment to Inclusion California State University, Long Beach is committed to maintaining an inclusive learning community that values diversity and fosters mutual respect. All students have the right to participate fully in university programs and activities free from discrimination, harassment, sexual violence, and retaliation. Students who believe they have been subjected to discrimination, harassment, sexual violence, or retaliation on the basis of a protected status such as age, disability, gender, gender identity/expression, sexual orientation, race, color, ethnicity, religion, national origin, veteran/veteran status or any other status protected by law, should contact the Office of Equity and Diversity at (562) 985-8256, University Student Union (USU) Suite 301, http://www.csulb.edu/depts/oed. 6 Class Schedule (Subject to change) Week Day Date 1 Wed 1/20 2 Mon 1/25 Wed 1/27 Mon 2/1 Wed 2/3 Mon 2/8 Wed 2/10 Mon 2/15 Wed 2/17 Correlation Mon 2/22 Chi-square Wed 2/24 T-Test Mon 2/29 ANOVA Wed 3/2 Mon 3/7 Wed 3/9 Mon 3/14 Wed 3/16 Mon 3/21 Wed 3/23 Mon 3/28 Wed 3/30 Mon 4/4 Wed 4/6 Mon 4/11 Wed 4/13 Mon 4/18 Wed 4/20 Quiz Mon 4/25 TBD 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Reading Topic Assignment Due Class Overview - Groups and Topics CH1,2 Purpose; Ethics Quiz Human Subject Protection Introduction to SPSS; Ch3 Determinants of Health Quiz Literature Searches and Literature Reviews – Reading Scientific Literature Ch9 Data Tools Quiz Introduction Descriptive Statistics Literature Review Tables Ch11 Inferential statistics Quiz CH10 Populations & Samples Quiz Basic Science Literature Review Intervention Literature Review Descriptive Table Due Lab Work Ch5 Reliability and Validity Quiz Finding Scales/Developing Surveys Ch7 Elements of Research Quiz Lab Work Ch8 Surveys Quiz Ch6 Qualitative Methods Data Analysis Results Qualitative Methods Quiz Ch4 Theories and Models Theories and Models Quiz Ch13 Propose Qualitative Study with measurement tools Reports and presentations Wed 4/27 TBD Proposed Theory based Intervention and Evaluation, Implementation Plan and Gantt Chart Mon 5/2 Presentations Presentations Wed 5/4 Presentations Presentations Mon 5/9 Wed 5/11 NO CLASS Final Proposal Due NO CLASS Final Proposal Due 7 Bibliography: Bausell, R. B. (1992) “Methodologists Corner: Sources of Evaluation Instruments.” Evaluation and the Health Professions 15: 475-490. Berkowitz, S. (1996) “Using Qualitative and Mixed-Method Approaches.” In R. Reviere, S. Berkowitz, C.C. Carter, and C.G. Ferguseon (eds.), Needs Assessment: A Creative and Practical Guide for Social Scientists. (Washington, D.C.: Taylor & Francis, 1996). Boruch, R.F. Randomized Experiments for Planning and Evaluation: A Practical Guide. (Thousand Oaks: Sage, 1997). Campbell, D.T. and J. C. Stanley. Experimental and Quasi-experimental Designs for Research. (Skokie, IL: Rand McNally, 1966). Classic Chelimsky, E. and W. R. Shadish (eds.) Evaluation for the 21st Century: A Handbook. (Thousand Oaks, Sage, 1997). Cohen, J. Statistical Power for the Behavioral Sciences. 2nd ed. (Hilllsdale, NJ: Lawrence Erlbaum, 1988). Cook, T. D. and D. T. Campbell. Quasi-experimentation: Design and Analysis Issues for Field Settings. (Skokie: Rand McNally, 1979). Classic Cooper, H. and Hedges L. eds. The Handbook of Research Synthesis. (New York: Russell Sage Foundation, 1994). Cronbach, L.J. Designing Evaluations of Educational and Social Programs. (San Francisco: Jossey-Bass, 1982). Denzin, N.K. & Y.S. Lincoln eds. (1994) Handbook of Qualitative Research (Thousand Oaks, CA: Sage). Denzin, Norman K. The Research Act: A Theoretical Introduction to Sociological Methods. 3rd Ed. (Englewood Cliffs, NJ: Prentice Hall, 1989). Classic Duneier, Mitchell. Sidewalk. (New York: Farrar, Straus and Giroux, 2001). Gray, R. and C. Sinding. Standing Ovation: Performing Social Science Research about Cancer. (Walnut Creek, CA: Alta Mira Press, 2002). Hoff, T.J. & L.C. Witt (2000). Exploring the use of qualitative methods in published health services and management research, Medical Care Research and Review, 57 (2): 139-160. Hunt, M. How Science Takes Stock: The Story of Meta-Analysis. (New York: Russell Sage Foundation, 1997). 8 Jones, James. Bad Blood: The Tuskegee Syphilis Experiment (The Free Press, 1991). Lincoln, Y.S. and E. G. Guba. Naturalistic Inquiry. (Beverly Hills, CA: Sage, 1985). Morgan, David L. (1988). Focus Groups as Qualitative Research. Newbury Park, CA: Sage Publications. New York Times Correspondents. How Race Is Lived In America. First ed. (New York: Henry Holt, 2001). Patton, M.Q. Qualitative Evaluation and Research Methods. 2nd ed. (Newbury Park: Sagem, 1990). Shadish, W.R., T.D. Cook, and L.C. Leviton. Foundations of Program Evaluation: Theories of Practice. (Newbury Park: Sage, 1991). Weiss, C.H. Evaluation Research: Methods of Assessing Program Effectiveness. (Englewood Cliffs: Prentice Hall, 1972). Classic Also see websites: American Statistical Association American Evaluation Association Academy Health International Institute for Qualitative Methodology Sage Publications (press for methods) 9