University of Pennsylvania Graduate Program in Public Health MPH Degree Program Course Syllabus – Fall 2010 Title: PUBH 505 - Introduction to Public Health Policy and Management Course Units: 1.0 c.u., Contact Hours: 42 hours Course Description: This course is an introduction to health policy and management. It examines both the historical and current state of health policy in America and integrates these concepts within the context of public health practice. We will examine key concepts in understanding US health care organization, financing and delivery, our current political and economic debate on health care reform, examining the role and management issues of public health departments, and case studies in public health policy and management. Placement / Room Assignment: Wednesday, 5:30 – 8:30 pm BRB 252 Course Directors: Walter Tsou, MD, MPH (Course Coordinator) walter.tsou@verizon.net Office Hours: By Appointment. Course Overview: This course is an introduction to health policy and management. It examines both the historical and current state of health policy in America and integrates these concepts within the context of public health practice. We will examine key concepts in understanding US health care organization, financing and delivery, our current political and economic debate on health care reform, examining the role and management issues of public health departments, and case studies in public health policy and management. Co-requisites: PUBH 500 Introduction to Public Health Course Objectives: 1. Understand the major national health programs: Medicare and Medicaid 2. Explain current concepts of health policy around costs, quality and access to care 3. Describe the current problems in public health workforce and future needs 4. Introduce management skills in budgeting, media, and advocacy Teaching Methods: An 80 minute interactive lecture followed by student presentations based on assigned readings. Students will be paired to discuss a topic of policy with particular emphasis on the new health reform law. An open book, multiple choice and short answer exam based on the prior week’s lecture, student presentations and readings will be given via Blackboard by Saturday which must be completed by Wednesday prior to class. The quiz will be done independently on an honor system on Blackboard. All students will complete a 5 minute NARRATED powerpoint presentation on a public health policy or management issue of your choice that will be put into the assignment box by December 8, the last day of class. Evaluation Methods: 45% 25% 15% 15% Quizzes Assigned presentations with references 5 minute Powerpoint policy presentation Class attendance Assigned Readings: All online. You don’t have to buy any books. Yea! Academic Integrity: Students are expected to adhere to the University’s Code of Academic Integrity. Care should be taken to avoid academic integrity violations, including: plagiarism, fabrication of information, and multiple submissions. Students who engage in any of these actions will be referred to the Office of Academic Integrity, which investigates and decides on sanctions in cases of academic dishonesty. See link for more information: http://www.upenn.edu/academicintegrity/index.html MPH Academic Standing Policy/Academic Probation: According to University policy, a graduate student must maintain a ‘B’ average or better to be considered in good academic standing. A student who does not meet the University policy of a ‘B’ /3.0 average will be reviewed by the MPH Program Director, the Associate Director and the Academic Progressions Committee. A student may be put on academic probation for a period of 1 semester to improve his/her overall average may be put on academic probation for a period of 1 semester to improve his/her overall average. Any course in which the student receives a grade below a B- will not be applied toward the Master of Public Health degree. The record of any student who receives an unsatisfactory grade (less than a ‘B-‘) in a course or who does not meet the University policy of a ‘B’ /3.0 average will be reviewed by the MPH Program Director, the Associate Director and the Academic Progressions Committee. A student may be put on academic probation for a period of 1 semester to improve his/her overall average Students may continue to take other courses during the probation period and the student must make arrangements with the course director to remediate any grades lower than a B-. These arrangements must be approved by the MPH Program Director with input from the Academic Progressions Committee as needed. Any student who is on academic probation for a period greater than 1 semester will be referred to the Academic Progressions Committee for review and recommendation. This committee is authorized to dismiss the student or allow the student to remain in the program on a probationary basis. A return to good academic standing is contingent on receiving an acceptable grade (B or higher) in all remaining courses. The MPH grading policy is at the discretion of the individual course instructors. Please find below the generally used grading scale for the MPH Program. A+ 97-100 B+ 87-89 C+ 77-79 A 93-96 B 83-86 C 73-76 A- 90-92 B- 80-82 C- 70-72 Please note that an A+ carries the same weight (4.0) as an A. F 0-69 Incomplete Grade: It is expected that a matriculated Master of Public Health student shall complete the work of a course during the semester in which that course is taken. A student who fails to complete a course within the prescribed period shall receive at the instructor’s discretion either a grade of I (incomplete) or F (failure). If the incomplete is given, the instructor may permit an extension of time up to one year for the completion of the course. In such cases, any course which is still incomplete after one calendar year from its official ending must remain as incomplete on the student’s record and shall not be credited toward the MPH degree. Students who receive two or more incompletes within a semester may not register for the subsequent semester(s) without the permission of the Department. For additional information on academic policies, please refer to the corresponding sections in the Student Handbook. Course Outline / Assignments: Class 1 Date 9/8 2 9/15 3 9/22 4 9/29 5 10/6 6 10/13 7 10/20 8 10/27 9 11/3 10 11/10 Class Topics Brief Introduction to Course Historical roots of Medicare Introduction to Medicaid Organization of DHHS A Closer Look at Medicare and Medicaid Private health insurance Models of Insurance, Consumer directed healthcare Cost of Health Care Factors for health care costs Cost containment strategies Quality of Care Pay for Performance Access to Care Uninsured Strategies for Accessing Care Organization of Health Care Delivery Primary Care, Tertiary Care Public Health Advocacy and Developing Public Policies Budget and Personnel Public Health Workforce Public health departments Public health approach to problem solving Information Management Systems Faculty Dr. Walter Tsou Alice Hoffman John Whitelaw Dr. Dalton Paxman Dr. Walter Tsou Dr. David Grande Readings On Blackboard Dr. Walter Tsou On Blackboard Dr. Walter Tsou On Blackboard On Blackboard Dr. Giridhar Mallya On Blackboard On Blackboard Dr. Walter Tsou On Blackboard Dr. Walter Tsou Dennis Gallagher On Blackboard On Blackboard Susan Salkowitz On 11 11/17 Social Marketing Ennis Carter 12 13 11/25 12/1 Thanksgiving Break Health Care Reform Dr. Walter Tsou 14 12/8 Leadership Case Study TBA Blackboard On Blackboard On Blackboard On Blackboard