Syllabus
Graduate Programs in Public Health
GPH 706 Public Health Administration – Summer B 2019
Credits - 3
Description
This course provides an overview of the history, content, scope, and processes of public health administration. Emphasis is placed on administration, public health structure and framework, organizational culture, management functions and roles, leadership, motivation, and performance management. Basic principles and tools of budget and resource management will be addressed.
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 and ending the following Wednesday at 11:59 pm, except for the last week (Week 8), which will begin on Wednesday and end on Sunday. 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.
Materials
Novick, LF, Leiyu Shi, L, Johnson, JA. Novick & Morrow’s public health administration: Principles for population-based management. 3rd ed. Burlington, MA: Jones & Bartlett Learning; 2014. ISBN: 978-1449688332
Learning Objectives and Outcomes
Course Outcomes
- Explain basic principles and tools of resource management and budgeting concepts in the delivery of public health services.
- Evaluate the importance of administrative practices in maximizing the effectiveness of public health services in the community.
- Evaluate historical and current influences on public health services in the United States.
- Analyze public health administration from various organizational roles.
- Apply methods of strategic planning in public health organizations, considering how they affect internal and external stakeholders.
- Apply negotiation and mediation strategies in public health services delivery.
- Evaluate the necessity of relationships and partnerships throughout the public health field.
- Apply system thinking tools to public health practice.
CEPH Competencies
FC5. Compare the organization, structure and function of health care, public health and regulatory systems across national and international settings
FC10. Explain basic principles and tools of budget and resource management
FC16. Apply principles of leadership, governance and management, which include creating a vision, empowering others, fostering collaboration and guiding decision making
FC17. Apply negotiation and mediation skills to address organizational or community challenges
FC22. Apply systems thinking tools to a public health issue
Assignments
Quiz: Organization and History of Public Health Service Delivery (Week 1)
Class Discussions: Discussion forums are an essential part of the online course experience. Discussion prompts build on readings, lectures and course content, and allow students to contribute to the learning experience through collaboration with the instructor and peers. Discussion Forum guidelines are available here.
Weekly Assignments: In all weeks except Week 1, you will have assignments to complete. See the Course Schedule below and the relevant modules in Blackboard for full assignment details.
Final Project: You may view the full instructions and guidelines for the final project here. This project is due in Week 7.
Grading Policy
Your grade in this course will be determined by the following criteria:
Grade Breakdown
Assignment | Points |
---|
Discussions | 6 discussions x 3 points = 18 points |
Week 1 Quiz | 5 points |
Week 2 Assignment: Governance | 7 points |
Week 3 Assignments: Negotiation Role-Play and Mediation Paper | 10 points |
Week 4 Assignment: White Paper | 7 points |
Week 5 Assignment: SWOT Analysis | 4 points |
Week 5 Assignment: Mission and Vision | 3 points |
Week 6 Assignment: Application of System-Thinking Theories, Methods and Tools | 7 Points |
Week 7 Assignment: Budget Email | 7 points |
Final Assignment: Presentation Video | 25 points |
Week 8 Assignment: Leadership Philosophy Statement | 7 points |
Total | 100 points |
Grade Scale
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 |
Schedule
Course Weeks
Week 1: June 26 – July 3
Week 2: July 3 – July 10
Week 3: July 10 – July 17
Week 4: July 17 – July 24
Week 5: July 24 – July 31
Week 6: July 31 – Aug 7
Week 7: Aug 7 – Aug 14
Week 8: Aug 14 – Aug 18 (Sunday)
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 at 11:59 pm ET. Specific due dates can be found within the Blackboard Calendar feature in your Global Navigation. For more information, review the following article:
https://help.blackboard.com/en-us/Learn/9.1_SP_12_and_SP_13/Student/110_Nav_My_Blackboard
The assignment/discussion descriptions mentioned below are summaries. Please make sure to review the full assignment prompts in Blackboard. There may be additional readings/videos that are not mentioned in this weekly summary, make sure to carefully review the modules in Blackboard.
Week 1 – Organization and history of public health service delivery
Learning Objectives
- Analyze types of public health organizations and variables that define effective organizations to determine organizational success factors
- Explore the history of public health services in the US to assess the effectiveness of the overall public health system
Readings and Lectures
Readings
- Novick & Morrow Text:
- Chapter 2: Historical Developments in Public Health
- Chapter 4: Public Health Administration and Practice Framework
- Chapter 5: Organization of the Public Health System
- U.S. Department of Health & Human Services. (1999). Achievements in Public Health, 1900–1999
- Healthy Community Brookfield (HCB) Case Study
Lectures
- Course Introduction/Overview (10 minutes)
- Week 1 Introduction (9 minutes)
- Focused Lecture: Affordable Care Act (8 minutes)
- Focused Lecture: Essays, Citations and Scholarly References (5 minutes)
- Guide to Final Project (8 minutes)
Activities
Discussions
- Introductions
Introduce yourself in a minimum 5 minute audio or video recording. The introduction should include as much information as you wish to share about your background and experience, educational journey and any personal information about your family, etc. Respond to at least one of your co-learners. Record your introduction using Screencast-o-matic and upload your file to the discussion board.
- Effective Public Health Organizations
Original Post: There are many types of governmental and non-governmental public health organizations. Choose one type of organization that you think is the most effective in public health services delivery and discuss in an essay why you think it is the most effective programmatically and financially. Use examples to illustrate. Support your post with a minimum of two external references.Response Post: In an essay format, respond to a co-learner and argue why you think his/her type of organization may not be the most effective. Use examples to illustrate. Support your post with at least one external reference.
Week 1 Quiz
By the end of Week 1, let your instructor know (via course message) the time zone where you reside. Your instructor will use this information to assign you a partner (co-learner) early in week 2 for your role-playing assignment due in week 3.
Week 2 – Leadership, management and governance
Learning Objectives
- Evaluate leadership, management and governance principles to determine relevancy and efficacy of approaches to a public health service delivery
- Analyze skills of accomplished leaders to determine knowledge and attributes important to leadership success
Readings and Lectures
Readings
- Novick & Morrow Text:
- Chapter 12: Leadership for Public Health
- Healthy Community Brookfield (HCB) Case Study
- State Health Departments and Governance Structures (CDC)
- Zastocki DK. Board governance: Transformational approaches under healthcare reform. Front Health Serv Management. 2015;31(4):3-17.
- Carlson V, M.P.H., Chilton MJ, M.P.H., Corso LC, M.P.A., Beitsch, Leslie M,M.D., J.D. Defining the functions of public health governance. Am J Public Health. 2015;105:S159-S166.
Lectures and Videos
- Week 2 Overview Lecture (6 minutes)
- Week 2 Focused Lecture: Board Governance (4 minutes)
Activities
Discussion
- A Good Leader
Original Post: Think about someone you have worked for, or with, who you consider to be a good leader. Describe the attributes that they exhibited that made them a good leader. Explain whether each of these attributes was an example of good leadership skills or good management skills, and why you would classify them as such. Use examples to illustrate. Support your post with a minimum of two external references.Response Post: Argue why the leader identified by one of your co-learners may not be the best leader for another type of organization. Use examples to illustrate. Support your post with at least one external references.
Assignment: Governance
Read and reflect upon the Healthy Community Brookfield (HCB) Case Study. Put yourself in the position of Jack Price, the Chairman of the Board of Directors of HCB. As the governance leader for HCB, you will spend time tomorrow orienting Richard Russell, the new Executive Director, to the organization. Create a 3-4 page agenda in bullet-point format with detailed notes for the new executive’s orientation. At a minimum, you should consider the following as you prepare an agenda.
- Brief overview of HCB
- Role of Board of Directors and Chairman in planning and decision-making
- Board expectations of new Executive Director
- Significance of the organization’s history
- Programs and services
- Community relations
- Organization’s staff – culture and engagement
- Vulnerable programs, unmet community needs and financial uncertainty
- Quality improvement program needs
- Overall strengths and weaknesses of the organization
Support your assignment with a minimum of 2 external references.
Week 3 – Conflict resolution, negotiation and mediation
Learning Objectives
- Examine the similarities and differences of the concepts of conflict resolution, negotiation and mediation to assess their respective effectiveness in conflict situations
- Apply mediation and negotiation techniques successfully in a conflict situation
Readings and Lectures
Readings
- Mary E. Mills, Conflict in Health Care Organizations. Journal of Health Care Law & Policy. 2002; 5(2): 502-523.
- Berlin, JW, Lexa, FL. Negotiation techniques for healthcare professionals. Journal of the American College of Radiology. 2007-07-01;4 (7): 487-491
- McGuigan, PJ. Negotiation best practices: What a healthcare professional needs to know today. The Journal of Medical Practice Management : MPM. 2015;30(5):354-357.
- Marcus, L. J., Dorn, B. C. and McNulty, E. J. The Walk in the Woods: A Step-by-Step Method for Facilitating Interest-Based Negotiation and Conflict Resolution. Negotiation Journal. 2012; 28: 337–349. doi:10.1111/j.1571-9979.2012.00343.x
Lectures and Videos
- Week 3 Overview (5 minutes)
- Focused lecture: Negotiation & Mediation Techniques (6 minutes)
- Patty Farris: Sample Mediation (4 minutes)
- Mediation Matters: What is Mediation? (15 minutes)
Activities
Discussions
- No discussion posts this week.
Assignments
Assignment: Part 1 – Negotiation Role-Play
You will be role-playing with one of your co-learners to address an issue outlined in the Healthy Community Brookfield (HCB) case study. Your instructor will assign you a partner (co-learner) and the role of either HCB’s new Executive Director or the Director of the local health department. You will demonstrate negotiation skills in a 10-15 minute recorded “meeting”. In this role-playing assignment, it is important that you plan your negotiation strategies in advance of the “meeting” and that the strategies are evident in the role-play. In the role-playing exercise, the issue outlined below may or may not be resolved through the negotiation process.
Note: For this assignment, you will need to submit an audio file of your negotiation role-play meeting. If you are unsure how to record an online conference call, please view these directions. When you are ready to turn in your assignment, both you and your partner should submit the file, even though they will be identical.
Role-Play Scenario: The Director of Brookfield County’s Public Health Department has sent a letter to HCB’s new Executive Director indicating an intent to terminate the department’s contract with HCB for three programs.
Recently, the local county health department completed its Public Health Accreditation Board (PHAB) accreditation survey. As a subcontractor for three county-funded public health programs, HCB was also surveyed by the accreditation body. Survey results showed that HCB did not meet PHAB’s Domain 9 standards which require organizations to have a comprehensive quality improvement and performance management plan integrated into daily operations. The Director of the Public Health Department does not believe HCB has demonstrated progress on a corrective action plan to address this deficiency.
After receiving the letter from the Public Health Department Director outlining concerns about lack of progress on a corrective action plan, HCB’s new Executive Director has set up a meeting to discuss this critically important issue with the Public Health Department Director. The Executive Director is committed to implementing a corrective action plan, since revenue from the three county-funded programs is essential for the fiscal stability of HCB. The Public Health Department Director is skeptical as to whether HCB program staff understand the significance of the deficiencies and have the knowledge and skills to implement a corrective action plan.
Assignment Part 2 – Write a Brief Paper Describing Possible Mediation Strategies
Write a brief opinion paper (maximum 1 page, excluding references) describing how you would use mediation strategies in the above scenario. Specifically, which mediation strategies would you consider using in this conflict situation and how would you implement those strategies. Support your paper with a minimum of two external references.
Week 4 – Community partnerships and constituent engagement
Learning Objective
- Examine the importance of community relationships and constituent partnerships to determine strategies for improvement in constituent engagement
Readings and Lectures
Readings
- Novick & Morrow Text:
- Chapter 18: Engaging Communities and Building Constituencies for Public Health
- Principles of Community Engagement
- Chapter 2: Principles of Communication
- Chapter 4: Managing Organizational Support for Community Engagement
- Wise K. Why Public Health Needs Relationship Management. J Health Hum Serv Adm. 2008;31(3):309-31.
Lectures
- Week 4 Overview Lecture (4 minutes)
- Focused Lecture: Strategies for Engaging the Community (4 minutes)
Activities
Discussion
- Community Engagement
Original Post: Identify an organization that has had to deal with a public health-related community relations challenge. Describe the situation and how the organization dealt with the community, community partners and other constituents. Do you agree or disagree with the organization’s response strategies? Describe why or why not. Support your post with a minimum of two external references. Support your post with a minimum of two external references.Response Post: Respond to a co-learner by proposing other strategies that the organization described by one of your co-learners could have used to address the community relations challenge. Use examples to illustrate. Support your post with at least one external reference.
- Assignment: White Paper
You are the Public Relations Director for HCB. Develop a 2-3 page “White Paper” for the new Executive Director that will assist him in gaining an understanding of the current state of community relations. As you write the “White Paper”, take into consideration the nine guiding principles for organizations to apply when working with community partners outlined in Chapter 2 of Principles of Community Engagement (Second Edition). Describe your assessment of the current state of constituent engagement and partnerships between HCB and other key stakeholders in the community. Make at least three recommendations for future relationship building with those you believe to be the most important stakeholders in the community. Support your paper with a minimum of two external references.
Week 5 – Strategic planning, organizational mission & vision and environmental assessment
Learning Objectives
- Examine models of strategic planning to identify appropriate approaches for public health organizations
- Examine the importance of a public health organization’s mission and vision to determine how they guide an organization’s planning process
- Evaluate an organizational situation analysis approach to determine its relevance to complex challenges faced by public health organizations
Readings and Lectures
Readings
- Novick & Morrow Text:
- Chapter 16: Strategic Planning in Public Health
- New Hampshire Red Cross Strategic Plan (used in this week’s discussion)
- HCB Case Study
- McHatton, P. A., Bradshaw, W., Gallagher, P. A. and Reeves, R. Results from a strategic planning process: Benefits for a nonprofit organization. Nonprofit Management and Leadership.2011; (22): 233–249. doi:10.1002/nml.20051
- Zuckerman, Alan M. “Successful strategic planning for a reformed delivery system.” Journal of Healthcare Management May-June 2014: 168+. Business Insights: Essentials. Web. 8 Apr. 2017
- Minnesota Dept of Health: SWOT Analysis
Lectures
- Week 5 Overview Lecture (5 minutes)
- Week 5 Focused Lecture- Organizational Mission & Vision (5 minutes)
- Introduction to Strategic Planning 4 Parts
- Peter Senge: Introduction to Systems Thinking
- Situational Analysis Video-SWOT Analysis Tool
Activities
Discussion
- Vision, Mission, and Strategic Planning
Original Post: Read the New Hampshire Red Cross Strategic Plan. Describe how the organization has based the strategic plan on its vision and mission. Use examples to illustrate. Support your post with a minimum of two external references.Response Post: No response post this week.
Assignments
- SWOT Analysis
Re-read the HCB Case Study. Complete a SWOT (strengths, weaknesses, opportunities and threats) Situation Analysis of HCB. Support your SWOT analysis with a minimum of two external references.
- Mission and Vision
Review HCB’s current mission and vision. Write a new or revised mission and vision for HCB. Please refer to the Guide for Writing a Mission and Vision and this week’s focused lecture to assist you with this assignment. Support your work with a minimum of two external references.
Week 6 – Systems thinking: Theories, methods and tools
Learning Objective
- Examine systems thinking theories, methods and tools to determine their applicability to public health care delivery systems
Readings and Lectures
Readings
- Leischow, SJ, Best, A, Trochim, WM, et al. Systems thinking to improve the public’s health. Am J Prev Med 2008; 35 (2S): S196-S203
- Peters, DH. The application of systems thinking in health: why use systems thinking? Health Research Policy and Systems 201412(51): 1-6
Lectures and Videos
- Week 6 Overview (4 minutes)
- Focused Lecture – Process Mapping: A System Thinking Tool (9 minutes)
- CDC: The Value of Systems Thinking
- How Thinking in Systems can Change the World: Allison Bond at TEDxLangara
Activities
Discussion
- Systems Thinking
Original Post: Identify a non-healthcare related system issue impacting most Americans. Describe how systems thinking could assist in addressing this issue. Describe a possible high-impact/low consequence approach to the issue. Use examples to illustrate. Support your post with a minimum of two external references.Response Post: Respond to a co-learner as to the effectiveness of his/her approach to the identified issue. Describe possible alternative approaches to the issue and other unintentional consequences not considered by your co-learner. Support your post with at least one external reference.
Assignment
- Application of System-Thinking Theories, Methods and Tools
Write a 2-page (minimum) paper identifying a public health challenge. Using Table 1. in the Peters’ article, identify one theory, one method and one tool you believe are applicable in addressing the public health challenge. Describe how you would apply each in addressing the public health challenge. Use a minimum of two external references in writing your paper.
Week 7 – Budgeting and resource management principles
Learning Objective
- Explain principles of budgeting and resource management, types of budgets and budgeting tools to determine applicability in public health organizations
Readings and Lectures
Readings
- Novick & Marrow Text:
- Chapter 9: Public Health Finance
- Rundio, A. Nurse manager’s guide to budgeting and finance (Chapters 1&3). Indianapolis, IN: Sigma Theta Tau; 2012
- Fritze J. Is healthcare budgeting ethically justifiable? The European Journal of Health Economics : HEPAC. 2001;2(1):26-30.
- Guide to Writing Mission & Vision Statements
Lectures
- Week 7 Overview (4 minutes)
- Focused lecture – Budgeting & Budgets (10 minutes)
- Review Final Project Guide video
Activities
Discussion
- No discussion posts this week
Assignments
- Assignment A: E-mail to Staff
You are the Manager of HCB’s Primary Care Clinics. You have been busy lately focusing on budget preparation for the upcoming fiscal year. Your staff is frustrated because you have been less available and are expressing concern that they do not understand why you are spending so much time focusing on budgeting. One staff member says to you, “Why are you doing the Chief Financial Officer’s job? Shouldn’t he be taking care of budgeting?” You have decided to prepare an email to send to your employees explaining budgets and the budgeting process.Prepare a comprehensive email to send to staff explaining the four budgets (as outlined by Rundio) required for a successful organization and budgeting process responsibilities for a department manager. Explain both in terms that employees can understand. Use a minimum of 2 external references to support your work.
- Assignment B: Submit Final Project – Video Slide Presentation
Week 8 – Evidence-based Decision-making
Learning Objective
- Examine methods and tools for evidence-based decision-making to determine success factors for effective leaders
Readings and Lectures
Readings
- Barends, E, Rousseau, DM, Briner, RB. Evidence-based management: The Basic Principles. Center for Evidence-Based Management. 2015
- Brownson RC, Fielding JE, Maylahn CM. Evidence-based Decision Making to Improve Public Health Practice. Front Public Health Serv Syst Res 2013; 2(2).
- Dale B. Creating your personal leadership philosophy. Physician Leadership J. 2015; 2(6): 64-66.
- Jacobs, JA, Jones, E, Gabella, BA, Spring, B, Brownson, RC. Tools for implementing an evidence-based approach in public health practice. Prev Chronic Dis 2012; 9:110324.
Lectures and Videos
- Week 8 Overview (9 minutes)
- Focused lecture: Writing a Leadership Philosophy Statement (5 minutes)
- What is evidence-based management and why do we need it? (13:50)
- Evidence-informed Decision-Making- A guiding framework for public health (7:14)
Activities
Discussion
- Evidence-Based Leadership Decision-Making
Original Post: Describe an actual or hypothetical public health challenge requiring evidence-based leadership decision-making. Use the EIDM “5-Ovals” Model presented in the video- “Evidence-informed Decision-Making- A guiding framework for public health” as a model to describe the challenge and possible decision-making process. Identify whether or not the model is adequate for decision-making. Support your post with a minimum of two external references.Response Post: NO RESPONSE POST THIS WEEK
Assignment
Paper: Leadership Philosophy Statement (maximum 1-page)
Formulate a statement describing your personal leadership philosophy. At a minimum, the statement should identify your vision and values, beliefs about evidence-based decision-making, change management approaches and diversity in organizations. Provide a minimum of two external references to support your paper.
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Online resources: AMA Style Guide
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