COLLEGE OF HEALTH AND HUMAN SERVICES California State University, Long Beach Department of Health Care Administration HCA 465 – Analysis and Evaluation Fall 2014 Instructor: E. Erlyana M.D., Ph.D. E-mail: erlyana.erlyana@csulb.edu Phone: 562/985-5800 Office: HHS1 – FOA 007 Class Number: 4888 (Section 1) Class Meets: Aug 25 to Dec 12th, Mondays & Wednesday, 9:30 - 10:45 AM, Classroom: SPA 105 Office Hours: Mondays and Wednesday (11 AM – 1 PM) or by appointment Additional Contact Information: HCA Program Administrative Coordinator: Deby McGill, dmcgill@csulb.edu Tel. 562/985-5694; fax 562/985-5886 Course Description: Prerequisite or Co-requisite: HCA 202 or 300 and Prerequisite: PSY 110 or SOC 250 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. 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. 1 The CSULB HCA program is accredited by AUPHA and this course represents the following domains and competencies required for AUPHA accreditation: 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: Chatburn, Robert L. Handbook for Health Care Research, 2nd ed. 2011, Jones and Bartlett Publishers, LLC. Palant, Julie. SPSS Survival Manual, 4th ed. -- OPTIONAL BEACHBOARD is being set up and other reading will be posted 2 Student Assignments and Grading: Tests: There will be two tests each worth 50 points (for a total of 100 points) and one final exam worth a total of 100 points. There will also be five quizzes on reading assignments and inclass videos, each worth 10 points (for a total of 50 points). Exercises: There will be five exercises applying analytical concepts to data and the textbook readings, each worth 15 points (for a total of 75 points). These include: Statistics homework assignment Charts & Graphs exercise – completed on-line Analysis of secondary data Assignment I Analysis of secondary data Assignment II Human subjects’ protection module – completed on-line Group Presentation: You will work in groups (2 – 3 members) to prepare a presentation on research article analysis. You need to pick a topic and find at least 2 journal articles about the topic. Discuss in class. (50 points) Attendance & Participation: Attendance is required and participation is highly rewarded (25 points) 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: The tests (midterm exams and final exam), exercises, group presentation, attendance and participation will be used to compute your final grade, which will be distributed as follows: Tests 250 points o 2 Tests @ 50 points o Final Exam @ 100 points o 5 Quizzes @ 10 points Exercises 75 points Group Presentation 50 points Attendance & Participation 25 points TOTAL 400 points 90%+=A 80-89%=B 70-79%=C 60-69%=D <60%=F 3 Class Policies 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 01-01, 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. Cheating & Plagiarism 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/20102011/academic_information/cheating_plagiarism.html 4 Class Schedule (subject to change depending on availability of guest speaker & lab) Week # Date 1 Aug 25 & 27 2 Sep 3 Topics Welcome and Introductions Review of the course syllabus Introduction: Why Study Research? Research or Evaluation? Outcome Research Types of Evaluation Ethics 6 Sep 29 & Oct 1 The Scientific Method & Steps in Conducting Scientific Research Developing the Study Idea Reviewing the Literature Designing the Experiment Creating a Survey Making Measurements Generic & Conditional-Specific Measures Basic Statistical Concepts 7 Oct 6 & 8 LAB DAY: Introduction to SPSS 8 Oct 13 & 15 Introduction to Nominal, Ordinal, and Continuous Measures LAB DAY: Data Analysis with SPSS 3 Sep 8 & 10 4 Sep 15 & 17 5 Sep 22 & 24 9 Oct 20 & 22 10 Oct 27 & 29 11 Nov 3 & 5 Analysis of Nominal, Ordinal, and Continuous Measures (Inferential Statistics) LAB DAY: Data Analysis with SPSS 12 Nov 10 & 12 Steps to Implementation Publishing the Findings 13 Nov 17 & 19 Applying Health Care Research Translation of Evidence into Practice Guest Speaker: TBA Readings/ Assignments Ch. 1 & 3 Ch. 2 Exercise # 1, due next week Ch. 4 & 5 Quiz 1 (Ch. 1 – 3) Ch. 6 & 7 Quiz 2 (Ch. 4, 5) Ch. 9 Test 1 (Ch. 1 – 7) Ch. 10 Exercise # 2, due next week Quiz 3 (Ch. 9, 10) Exercise # 3 (in class) Ch. 11,12, and 13 Test 2 (Ch. 9 – 13) Exercise # 4 (in class) Exercise # 5 (in class) Quiz 4 (SPSS) Ch. 8, 14 - 17 Quiz 5 (Ch. 8, 14 & 17) Group Presentation 14 Nov 24 Group Presentation 15 Dec 1 & 3 Final Exam Reviews 16 Dec 8 17 Dec 12 Final Exam (Cumulative) (Friday) 8 – 10 AM Notes: No class on Sep 1 (Labor Day Holiday) and Nov 26 (Thanksgiving Holiday) 5 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). 6 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) 7