Course Description
This course provides students an opportunity to learn about the health policy making process in the US, with a particular focus on factors that drive the development and implementation of health policy at the state and national levels. Additionally, part of the course will address how management influences policy development, implementation and change. We will focus the course on recent federal health reform, especially the Affordable Care Act, to illustrate many aspects of policy development and implementation. Indeed if you gain an understanding of even a quarter of this landmark legislation, its antecedents and current developments you will have mastered key aspects of this course. We will also review the policy process for promoting and protecting public health via population health policy and legislative approaches. As a graduate course, it will be demanding and intensive; but if you like learning it will be fun. Please be prepared to work hard to complete the requirements.
The goal of this course is for students to gain an understanding of how health policy is developed and implemented in the US. Students will learn what shapes health policy in the US, key drivers of policy such as cost, quality and access and how the culture of medicine, views of human rights and the economy shape efforts to protect and promote the health of the US population. To illustrate these issues we will use examples from recently passed federal health reform and the work of states prior to this landmark legislation, these are for illustrative purposes. We will also review how public policy may be utilized to promote health and protect the public from public health risks. The course competencies covered could just as well be applied to any health policy domain, for example environmental policy.
Course Format
This course is facilitated through Blackboard, UNE’s online learning management system. The course will be delivered in 8 weekly online modules, with each module beginning on Wednesday at 12:01 am ET and ending the following Wednesday at 11:59 pm ET, except for the last week (Week 8), which will begin on Wednesday and end on Sunday. Note all times are Eastern Time. Students will watch online lectures produced by the course instructor and field experts, engage in readings and other media provided by instructors, and will learn from one another through the discussion board and written assignments. Each section of this course will be facilitated by an instructor with significant professional and academic expertise in the area of study. Individual meetings with the course instructor will be up to the student to schedule.
The following competencies are linked to the coursework for this course and are based on the Core Competency model developed by the Association of Schools and Programs of Public Health (ASPPH):
Course Learning Objectives:
Position Paper. Select a policy issue that will be reviewed and approved by your instructor and write a 2-3 page paper (not including your page for references) that states your position on the chosen policy.
Policy Paper. This assignment should be 5-7 pages in length (not including your page for references). Using multiple references, draw from the material in your position paper. The policy paper should expand on your work, not simply reuse the same content. Critical thinking is imperative for this assignment; do not feel constrained when offering alternatives and modifications to the policy.
Advocacy Letter. Prepare an advocacy letter on the issue chosen for your Position and Policy Papers. Consider who you would like to send the letter/correspondence to and why you chose this person. The final project will be a copy of the letter that would be sent to the appropriate legislative body or agency (addressed to a real particular person) with the specifics of the issue outlined.
Discussion Forum. The discussion forum is meant to encourage dialogue, inquiry and scholarship and to deepen your engagement in the course materials. All students are expected to contribute to the written forum responses with an initial contribution and a response to a classmate. Please make sure that all posts are thoughtful, clear, and concise. You are encouraged to use outside resources for the forum questions; please reference any materials used. Posts may be stronger if supported by references as appropriate. Weeks, 3, 4, and 8 will not have Forum Questions to allow students to dedicate adequate time to other course assignments.
Your grade in this course will be determined by the following criteria:
Position Paper | 20 points |
Policy Paper | 40 points |
Advocacy Letter | 20 points |
Discussion Forum | 20 points |
Total: | 100 points |
Grade | Points Grade | Point Average (GPA) |
A | 94 – 100% | 4.00 |
A- | 90 – 93% | 3.75 |
B+ | 87 – 89% | 3.50 |
B | 84 – 86% | 3.00 |
B- | 80 – 83% | 2.75 |
C+ | 77 – 79% | 2.50 |
C | 74 – 76% | 2.00 |
C- | 70 – 73% | 1.75 |
D | 64 – 69% | 1.00 |
F | 00 – 63% | 0.00 |
Course Weeks:
Each week opens on Wednesday at 12:01 AM Eastern Time. Each week closes on Wednesday at 11:59 pm ET, with the exception of Week 8, which ends on Sunday.
Week 1: | Sept. 2 – Sept. 9 |
Week 2: | Sept. 9 – Sept. 16 |
Week 3: | Sept. 16 – Sept. 23 |
Week 4: | Sept. 23 – Sept. 30 |
Week 5: | Sept. 30 – Oct. 7 |
Week 6: | Oct. 7 – Oct. 14 |
Week 7: | Oct. 14 – Oct. 21 |
Week 8: | Oct. 21 – Oct. 25 |
Weekly Schedule:
Week 1:
Overview: Law, Public Policy, Public Health and the American Health Care System
Learning Objectives:
Readings:
Video:
Assignment:
Forum Question 1: What should be the role of government in health policy in the U.S. as an industrialized, democratic country? Please address this question from both individual (behavior) and societal perspectives. Due for posting on Sunday at 11:59pm. Responses due by Wednesday at 11:59pm.
Week 2:
Overview of the Health Care System and Federal Health Reform
Learning Objectives:
Readings:
Resource: please review for key concepts:
Assignment:
Forum Question 2: Select a policy issue that you would like to explore over the next several weeks of this course. The issue should be something that is prominent enough in public health that you will be able to locate a clearly articulated policy on the issue as well as credible information, data and resources that explore the policy from both sides. Submit a brief description of the issue (a paragraph) and a link or summary of the related policy to the discussion board. Your instructor will review your topic, and provide feedback about its suitability to the other assignments in the course. Peer responses should provide additional perspective on the proposed issue, based on your own experience and understanding of the issue. If it is an issue that you are unfamiliar with, what more would you like to learn about it? Due on Sunday at 11:59 pm. Responses due by Wednesday at 11:59 pm.
Week 3:
Health Care Reform – Affordable Care Act- Part 2, Population Health and Other Components
Learning Objectives:
Readings:
Assignment:
Position Paper due Wednesday, 11:59pm. (20 points)
Week 4:
Policy Processes: Legislation, Regulation, coalitions and advocacy, etc. (federal restrictions, etc.). The model of policy, systems and environmental change in public health.
Learning Objectives:
Readings:
Assignment:
Policy Paper: Detailed outline due by Wednesday, 11:59pm.
Week 5:
Health Policy for Promoting the Public Health and Health Protection… Food and Drug Safety, Environment, Fluoridation, Immunization, Tobacco, Obesity, etc.
Learning Objectives:
Readings:
Assignment:
Forum Question 3: Identify a public health issue and policy strategies that may be used to address it. Where might opposition come from? What allies might be engaged. What policy approach would work well for this issue? Due for posting on Sunday at 11:59pm. Responses due by Wednesday, 11:59pm.
Week 6:
Health in All Policies
Learning Objective:
Readings:
Assignment:
Forum Question 4: Identify an opportunity for a Health Impact Assessment that may lead to a
Health in All Policies initiative (May be from the literature or hypothetical), discuss why Health In All Policies may apply, what outcomes may be desirable, how citizen engagement may be important, and what unintended consequences may occur. Due for posting on Sunday at 11:59pm. Responses due by Wednesday at 11:59pm.
Week 7
New Models for an Emerging Health Care System- Quality, New Opportunities Triple Aim and Applicability to Public Health.. PCMH, ACOs etc.
Learning Objective:
Readings:
Assignments:
Forum Question 5: Federal health reforms (even the recent federal health reform) rely a great deal on state actions to implement. Identify a key emerging model and/or change in the health care delivery system and describe how it will improve cost, quality or health. Due for posting on Sunday at 11:59pm. Responses due by Wednesday, 11:59pm.
Final Policy Paper due by Wednesday, 11:59 pm.
Week 8
Issues: Disparities, Ethics, Community Engagement and Public Policy
Learning Objectives:
Readings:
Assignments:
Advocacy Letter due Friday, 11:59 pm
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Online resources: AMA Style Guide
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Make sure to cite your sources appropriately as well as use your own words in synthesizing information from published literature. Webinars and workshops, included early in your coursework, will help guide best practices in APA citation and academic writing.
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Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.
The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit https://www.une.edu/studentlife/plagiarism.
Academic dishonesty includes, but is not limited to the following:
Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations. Appeal of a decision may be made to the Dean whose decision will be final. Student appeals will take place through the grievance process outlined in the student handbook.
8 week: Students taking online graduate courses through the College of Professional Studies will be administratively dropped for non-participation if a graded assignment/discussion post is not submitted before Sunday at 11:59 pm ET of the first week of the term. Reinstatement is at the purview of the Dean's Office.
16 week: Students taking online graduate courses through the College of Professional Studies will be administratively dropped for non-participation if a graded assignment/discussion post is not submitted before Friday at 11:59 pm ET of the second week of the term. Reinstatement is at the purview of the Dean's Office.
The policies contained within this document apply to all students in the College of Professional Studies. It is each student's responsibility to know the contents of this handbook.
Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.
The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.
Academic dishonesty includes, but is not limited to the following:
Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations. Appeal of a decision may be made to the Dean whose decision will be final. Student appeals will take place through the grievance process outlined in the student handbook.