The course is an advanced Mergers & Acquisitions Seminar that focuses on current trends and recent developments in the media industry. The course will be divided into two parts. Each week during Part I will be devoted to the analysis of a different recent media transaction. The pedagogic framework is not structurally different from traditional M&A analysis. The overlay of mediaspecific commercial, strategic and regulatory issues will provide additional insight into a particularly dynamic segment of the economy. Each week will focus on a different transaction type (e.g., cash divesture, cash acquisition, stock merger etc.) different media industry sub-sector (e.g., cable, newspapers, broadcasting etc.) and different aspects of the analytical framework (e.g., financial analysis, corporate governance etc.) Part II will be devoted to group board presentations of hypothetical transactions. Groups must be formed and have their hypothetical transaction approved by the instructor by week 4 of the course. Course grades will be primarily based on the quality of written materials and presentations by the group. Each group member will receive the same grade on their project. 20% of the course grade will be on based on individual weekly homework assignments. Outside speakers/board members with first-hand knowledge of the industries and transactions considered will participate during both Part I and Part II of the course.
This course is a continuation of Seminar I. Using the DNP Competencies in Comprehensive Care as the framework, students will analyze clinical decision-making and utilization of evidence for best clinical practices in the inpatient setting. Clinical appraisal and critique of challenging cases from the practice environment will facilitate the students’ application of the knowledge base and skills essential to the role of the nurse midwife.
Interdisciplinary group work as part of Dissertation Proposal Seminar series.
This course introduces students to basic research methods used in health policy research. After providing an introduction to regression analysis, the class will focus on developing the skills to enable students to analyze the effect of a government program (or a variable that can be affected by a government program) on health outcomes. Specific learning objectives include: developing data management skills, computing descriptive statistics, and performing regression analysis using Stata, a simple yet powerful and widely-used statistical software package; critically evaluating empirical research conducted by others; and applying skills to evaluate the effect of a publicly provided government program.
This course covers marketing strategy for all players, from biotech startups to pharmaceutical firms and service providers. It has two objectives: Present methods and models used in the life sciences sector, and demonstrate how they are successfully used in current business situations. Key learnings include how to segment consumer and medical markets, brand a new product/service, create a marketing plan for a startup, decide on a pricing approach and integrate online/offline communications. Students customize the course to their needs with a term paper (instead of final exam) based on a consulting assignment for a company.
This course covers marketing strategy for all players, from biotech startups to pharmaceutical firms and service providers. It has two objectives: Present methods and models used in the life sciences sector, and demonstrate how they are successfully used in current business situations. Key learnings include how to segment consumer and medical markets, brand a new product/service, create a marketing plan for a startup, decide on a pricing approach and integrate online/offline communications. Students customize the course to their needs with a term paper (instead of final exam) based on a consulting assignment for a company.
See CLS Curriculum Guide.
See CLS Curriculum Guide
The goal of Post-Acute and Long-Term Care Delivery Systems is to provide students with an understanding of the continuum of post-acute and long-term care. Three perspectives or approaches are used to describe and discuss the structure and function of the continuum of care. First, the continuum is examined as a “system” - that is, a cluster of interrelated components. Next, the continuum is explored from the point of view of public policy - that is, from the perspective of various courses of action open to government to address the financial and care delivery challenges that are present in the continuum and that exists for stakeholders and consumers. Finally, the continuum is analyzed as a market for providers of health care, social services and housing to an expanding population of individuals with chronic care needs.
Managing professionals is crucial to the success (or failure) of health care organizations because the provision of services primarily relies on human decision-making and interaction. Health care professionals determine the level of quality as well as the costs associated with health care services directly or indirectly. The goal of this course is to introduce students to the functions and issues associated with managing human resources in health care organizations through in class exercises and outside of class assignment that demonstrate the human resource challenges that graduates may face as health care executives in the future. Significant attention is given to: 1) workforce issues, 2) understanding legal issues related to the employment setting, 3) selection and retention of employees, 4) establishing performance standards and evaluating performance, and compensation, and 5) understanding the use and effects of monetary and non-monetary incentives in human resources management in the United States and globally.
This course introduces students to the complex topics of family enterprise and family wealth. Wealth in the United States and globally has become increasingly concentrated in the hands of a small number of families, which is having a major impact on business, financial, and philanthropic sectors. These families often start with an entrepreneur who creates an operating business, that later evolves into trusts, holding companies, investment vehicles, a family office, and charitable foundations. This conglomeration of holdings is referred to as a complex "family enterprise" and all the assets of the family comprise its "wealth." Given the magnitude of this trend, it is almost inevitable that each MBA student will own, work for, invest in, or otherwise interact with family enterprises after graduation.
Students will be exposed to a variety of perspectives, including in-depth research, analysis, and insider's views on family dynamics, governance, business, investments, and philanthropy. The course will proceed from the perspective of family first and particular emphasis will be given the fact that the family’s “human capital” is its most important resource to foster a successful family enterprise and optimize its important role in society. Technical issues, including legal concepts and structures applicable to family enterprises, will also be examined. Guest lecturers from industry and family enterprises will provide real-life context to class discussions.
Students will leave the course prepared to more effectively own, manage, and work with family enterprises, and with a more nuanced understanding of family wealth as it is now understood by leading global families. This will have a direct impact on future success, both personally and professionally. While the course will be especially relevant for students who come from family enterprises, it will also provide insights and tools for students who intend to work in private wealth management, privately held companies, management consulting, private equity/ venture capital, and social enterprises. This is not just an investment, finance, or family business management course, as those subjects are covered in more detail elsewhere in the curriculum but is a multi-disciplinary approach to this complex set of issues.
The course has the following objectives:
- Increase awareness of the role and importance of family enterprises globally.
- Expand understanding of “family wealth” as it is defined and developed by leading
This is a course about analytical thinking and skills for managers. Our aim is to further develop statistical skills, while emphasizing practical applications, translation to policy, and communicating results. We will spend the first half of the course building technical skills on fundamental and some advanced analytical methods, where each session will be a combination of teaching and practice. Next, we will apply all skills into interactive challenges (including presentation of results), where we will focus on written and visual communication of insights. We will close the class by covering the principles of survey design and analysis, plus utilizing insights for decision-making. We will develop these skills not only through directed challenges, but also through more practical examples, where only general guidance is provided and participants will utilize their own creativity and experience.
Resolving seemingly intractable policy issues depends on harnessing an array of strategies used by political actors. These strategies may include reframing an issue or bringing new evidence to light that stimulates new coalitions, persuading legislators that supporting a controversial measure is actually beneficial for their political career, or getting the media excited about an important, but very dry, technical policy issue. Another strategy is to change the venue in which the policy debate takes place – perhaps for example, by filing a lawsuit in state or federal courts, or bringing legislation before city government or state legislatures. As this course shows, the venue in which policy debates take place will structure the kinds of debates that are likely to occur.
Mental health policy is both a field of study and an area of advocacy in which you can engage, no matter where your career takes you. We will grapple with fundamental questions about what mental health is, how we can impact it, and where policy fits in a rapidly changing world. We will build a foundation in current directions and debates in mental health policy as well as explore emerging and frontier issues. You will also gain practical knowledge and skills to bridge theory and practice day-to-day, setting you up to have impact on one of the most foundational issues in public health across your career.
How do unique characteristics of the healthcare industry influence financial management in this sector? What techniques are effective in this field? How can we uses cases to avoid mistakes and to maximize efficiency and ultimately patient health? The goal of this class is to teach the principles necessary for effective financial management in healthcare to individuals who are not experienced financial executives. It is intended to make administrators comfortable in managing the finances of the department or other entity for which they have responsibility.
Information technology and the management of this technology is increasingly critical in healthcare. Healthcare represents a new frontier for information management. This class explores the promises and challenges of health information technology in today's environment. Readings and lectures will focus on the nature and uses of health care information systems in a variety of health care settings. Students will learn fundamental IT terminology, understand how IT fits into the organizational structure in terms of quality of care, financing, and strategic organizational issues as well as project management. They will also learn about opportunities and challenges for IT in healthcare in the future.
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The primary goal of environmental regulation is to protect human health, but there are a wide range of options available to policy makers and considerable disagreement over how to best implement regulation. This class focuses on understanding environmental health policy from an economic perspective. After reviewing basic economic concepts relevant for this course, we discuss an economic viewpoint of environmental issues, including when and how to intervene with markets. Since all environmental regulation requires knowledge of the threats posed by environmental exposure, we then focus on measuring the health benefits from environmental policies, recognizing we omit several important non-health benefits. We also briefly discuss the costs posed to society from environmental regulation, an important component of regulatory impact analysis often required by federal rules. We discuss the main approaches to environmental policy in the US, including incentive based approaches, such as tradeable discharge permits, emission taxes and subsidies, and voluntary programs, and the more traditional ‘command and control’ approach. After highlighting the strengths and weaknesses of each approach, we apply these concepts to current environmental policy on such topics as air quality, toxic and hazardous waste, climate change, and ozone depletion.
In this course we explore constitutional law through the lens of public health policy. We examine the relationships and tensions between individual and collective concerns. We evaluate public health issues from an American legal perspective to determine the constitutional soundness of the health promotion objective. In this course we consider multi-disciplinary factors and how they interact with issues of federalism, morality, economics and the politics of science. Readings include case law and related legal materials, in addition to writings by public health practitioners, historians, sociologists, economists and philosophers. Core topics include, among others, constitutional law and major constitutional cases relating to public health, economic analysis in law, tort litigation in public health, historical public health law perspectives, health promotion campaigns, property regulation, privacy protection, various case studies including immunization, civil commitment, infectious disease, tobacco policy and abortion law. Guest speakers provide additional current perspectives from practitioners.
This course exposes students to many of the core concepts and principles of public health required for them to work as administrators in healthcare settings. As managers and administrators, an understanding of these concepts is critically important if they are going to be in positions where they can influence the creation of innovative programs, deliver services, develop policies and ultimately impact the health of local, national and global communities. Students will be asked to learn concepts from a variety of disciplines and how to translate that information into practice. The translation process will occur as they apply their learning to cases that will allow them to discuss the applicability of those concepts in an ever changing public health world and healthcare system.
The Course is the integrating exercise for the Management curriculum and provides students with the opportunity to experience the challenges of executive leadership and strategic decision-making in a realistic exercise that effectively emulates or simulates the full breadth and complexity of organizational decision-making in a complex, competitive marketplace. Using the HealthSquare Simulation and working in teams of 6-7 members, students will act as the executive leadership of a community hospital participating in a multi-hospital market. As hospital executives, they will be required to analyze the position of their institution and to make all decisions central to the successful management of the hospital, including such elements as service line mix, capacity, investment in quality professional/clinical, systems, etc., patient/payer mix, marketing, staffing, financial structure, and so on. Participation in this complex experiential learning experience is supported by group/team work session, readings, lecture/discussions, and presentations. As indicated above, all students are expected to take an active role in each session; the level of class participation will have a major effect on the quality of the Course.
The Course is the integrating exercise for the Management curriculum and provides students with the opportunity to experience the challenges of executive leadership and strategic decision-making in a realistic exercise that effectively emulates or simulates the full breadth and complexity of organizational decision-making in a complex, competitive marketplace. Using the HealthSquare Simulation and working in teams of 6-7 members, students will act as the executive leadership of a community hospital participating in a multi-hospital market. As hospital executives, they will be required to analyze the position of their institution and to make all decisions central to the successful management of the hospital, including such elements as service line mix, capacity, investment in quality professional/clinical, systems, etc., patient/payer mix, marketing, staffing, financial structure, and so on. Participation in this complex experiential learning experience is supported by group/team work session, readings, lecture/discussions, and presentations. As indicated above, all students are expected to take an active role in each session; the level of class participation will have a major effect on the quality of the Course.
The Course is the integrating exercise for the Management curriculum and provides students with the opportunity to experience the challenges of executive leadership and strategic decision-making in a realistic exercise that effectively emulates or simulates the full breadth and complexity of organizational decision-making in a complex, competitive marketplace. Using the HealthSquare Simulation and working in teams of 6-7 members, students will act as the executive leadership of a community hospital participating in a multi-hospital market. As hospital executives, they will be required to analyze the position of their institution and to make all decisions central to the successful management of the hospital, including such elements as service line mix, capacity, investment in quality professional/clinical, systems, etc., patient/payer mix, marketing, staffing, financial structure, and so on. Participation in this complex experiential learning experience is supported by group/team work session, readings, lecture/discussions, and presentations. As indicated above, all students are expected to take an active role in each session; the level of class participation will have a major effect on the quality of the Course.
The Course is the integrating exercise for the Management curriculum and provides students with the opportunity to experience the challenges of executive leadership and strategic decision-making in a realistic exercise that effectively emulates or simulates the full breadth and complexity of organizational decision-making in a complex, competitive marketplace. Using the HealthSquare Simulation and working in teams of 6-7 members, students will act as the executive leadership of a community hospital participating in a multi-hospital market. As hospital executives, they will be required to analyze the position of their institution and to make all decisions central to the successful management of the hospital, including such elements as service line mix, capacity, investment in quality professional/clinical, systems, etc., patient/payer mix, marketing, staffing, financial structure, and so on. Participation in this complex experiential learning experience is supported by group/team work session, readings, lecture/discussions, and presentations. As indicated above, all students are expected to take an active role in each session; the level of class participation will have a major effect on the quality of the Course.
This course is designed to prepare students for evaluating and treating the running athlete. This course includes an overview of foot and ankle mechanics, lower quarter strength and flexibility examination, application of the Functional Movement ScreenTM, and use of Video Analysis to identify relevant pathomechanics observed during running. Students are introduced to the clinical setting by evaluating patients in the context of a simulated running clinic, prior to participating in the student-led, Columbia RunLabTM clinic. Here they engage in clinical reason discussions and advise runners on exercise programs and improvements to running form. Students participate in training sessions required for the clinic including HIPPA and Blood-borne Pathogens training.
This course is designed to prepare students for evaluating and treating the running athlete. This course includes an overview of foot and ankle mechanics, lower quarter strength and flexibility examination, application of the Functional Movement ScreenTM, and use of Video Analysis to identify relevant pathomechanics observed during running. Students are introduced to the clinical setting by evaluating patients in the context of a simulated running clinic, prior to participating in the student-led, Columbia RunLabTM clinic. Here they engage in clinical reason discussions and advise runners on exercise programs and improvements to running form. Students participate in training sessions required for the clinic including HIPPA and Blood-borne Pathogens training.
Over the semester, the course considers questions of Mission and Vision (What areas, activities, or business(es) should we be in?") and questions of Strategy and Operations ("How can we perform or compete effectively in this area?"). It covers both strategy formulation ("What should our strategy be?") as well as strategy implementation ("What do we need to do to make this strategy work?"). The course also addresses several additional issues that are critical to the strategic management "process" (e.g.. designing planning systems, managing contention). The course emphasizes the multiple, related requirements of the leader/manager's job: analysis, creativity, and action.
This 14-week course, during the second year of the DPT curriculum, is the third in a series of four courses designed to educate students about the multiple dimensions of professional practice in contemporary physical therapy. These courses will explore the required interpersonal, ethical, and leadership skills required for as a physical therapist. Additionally, the course will address trans-curricular themes including leadership, service, health promotion, advocacy, teaching & learning, interprofessional teamwork, and self-reflection, culminating in the creation of a digital portfolio. The course series will include broad exposure to various professional and personal development experiences and expect more in-depth engagement in the student’s chosen area of focus.
PLP III will cover many intersecting areas focused on the development of clinical leadership skills including ethics and jurisprudent practice, communication, conflict management, cultural humility, mental health awareness and management, self-reflection, and self-care. Throughout these content areas, a strong focus will be on self-reflection, self-awareness, and self-care as a healthcare worker. These areas are organized into four focus areas for the course: 1) Leadership in Practice, 2) Cultural Humility, 3) Mental Health in Physical Therapy, and 4) Your Clinical Practice. Participants will add to their professional digital portfolio that allows for reflection on the three-year educational journey and participate in a leadership and service role. The assignments are distributed among the three content areas.
This clinical practice course is designed for students to develop clinical skills in family therapy based on Structural, Bowenian and Multicontextual Family Therapy models. It consists of clinical practice and supervision.
This course is designed to provide an introduction to the methods and growing range of applications of decision analysis and cost-effectiveness analysis in health care technology assessment, medical decision making, and health resource allocation. Course requirements:
1. Class attendance and participation
2. Case assignments
3. A brief essay (research article critique)
4. Final examination
The purpose of this course would be to familiarize its students with the form and function of musicals, and teach them how to work with writers of musicals. I would begin with a fundamental building block of the musical structure: the song. We would look at examples of songs both from musicals and not in order to analyze how songs contain information pertinent to both plot and emotional arcs. After this we would look at examples of classic musical structures. This might include shows and structures like Oklahoma! (for a classic structural template), Guys and Dolls (musical comedy), Gypsy (a dominant singular character), A Chorus Line (a superstructure), Assassins (a show that probably shouldn’t work but does) and A Strange Loop (a show that references many other shows and structures to build its engine.) We would also look at a new musical currently in process in order to determine which notes might be useful, and how to give them. We would also speak with current musical theater writers about the shows they are writing, their inspirations, methods, and various storytelling tools. Lastly, we would discuss the musical theatre industry, and how musicals are made and produced in the current theatrical ecosystem.
The Pivot_Professional Development is required for full-time MHA and MPH degrees in the Health Policy & Management (HPM) department. It is one component of the Professional Development Program (PDP), a comprehensive, co-curricular effort aimed at developing personal and professional skills to prepare students to enter the workforce successfully and to begin to develop necessary skills to be successful in their careers. The course will meet over three semesters for a total of 1.5 credits. Semester one will focus on self-discovery and personal branding, semester two will hone in on building skills to get your practicum and succeed in your practicum, and the third semester will largely focus on the full-time job search and the first 90 days on the job. Pivot will be complemented by Practicum Day, mock interviers, data software workshops and Career Service seminars.
The two main goals of this course are to develop skills needed to shape your professional self and develop the skills to find and thrive in a job. This course will help you achieve these goals by providing the tools to: (1) develop a professional persona (2) sharpen professional communication (3) collaborate effectively as a team member and (4) clarify career objectives.
This course focuses on an integrated systems approach, including Structural, Bowenian, and the Multicontextual Frameworks and is designed to assist the student in integrating the theoretical and practical aspects of the systems approach to treating families. The course will review the basic issues involved in psychiatric diagnosis and abnormal psychopathology from a systems perspective. Videotape review, didactic materials, class presentation, and discussion will provide a comprehensive theoretical basis for the understanding and development of more advanced clinical skills.
The Pivot_Professional Development is required for full-time MHA and MPH degrees in the Health Policy & Management (HPM) department. It is one component of the Professional Development Program (PDP), a comprehensive, co-curricular effort aimed at developing personal and professional skills to prepare students to enter the workforce successfully and to begin to develop necessary skills to be successful in their careers. The course will meet over three semesters for a total of 1.5 credits. Semester one will focus on self-discovery and personal branding, semester two will hone in on building skills to get your practicum and succeed in your practicum, and the third semester will largely focus on the full-time job search and the first 90 days on the job. Pivot will be complemented by Practicum Day, mock interviers, data software workshops and Career Service seminars.
The two main goals of this course are to develop skills needed to shape your professional self and develop the skills to find and thrive in a job. This course will help you achieve these goals by providing the tools to: (1) develop a professional persona (2) sharpen professional communication (3) collaborate effectively as a team member and (4) clarify career objectives.
Modern industrial democracies face a range of common problems in their health care systems. These include demographic and technological pressures on costs, rising expectations of consumers, the assimilation into medical and policy practice of rapidly growing knowledge about the system's performance, and the tensions that arise when swollen public budgets, slow economic growth, and rising health care costs converge. These nations face these common pressures in quite diverse ways, however. Their responses vary with the historical, cultural, legal, social, and political character of individual countries, and embody significant strategic differences in decisions about coverage, provider payment, funding, and more.
In this course we survey the policy responses of a range of nations to the strains imposed by the evolution of modern health care systems. We isolate the most salient pressures for policy change, trace the debates over and emergence of major strategic options, seek to explain why nations differ in their policy choices, explore the pros and cons of some of these approaches, and draw implications for U.S. policy debates. Students should leave the course with an enhanced understanding of the range of strategic responses to the major policy problems facing modern societies, and this understanding should help them to comprehend more fully both the dynamic environment in which they work and the complexities of health care reform.
This course is a continuation of Seminar I. Using the DNP Competencies in Comprehensive Care as the framework, students will analyze clinical decision-making and utilization of evidence for best clinical practices in a variety of mental health settings. Clinical appraisal and critique of challenging cases from the practice environment will facilitate the students’ application of the knowledge base and skills essential to the role of the psychiatric nurse practitioner.
Global health is not something that happens to people elsewhere – it is a shared context in which we all are born, lead our lives and die (cheery beginning). Recognizing a shared context in no way implies it is not a context rife with inequities, inequalities, and inefficiencies; it is. In the aftermath of the recent Ebola and Zika outbreaks and against a decades-long fight confronting HIV/AIDS and a millennia-long fight against tuberculosis and malaria, these fissures have been repeatedly exposed, and at times addressed. In the past decade alone, the world has invested billions of dollars in fighting these and other diseases but substantially less to help strengthen developing country health systems, expand health insurance coverage or combat the so-called neglected diseases, such as sleeping sickness, that continue to cause untold suffering. The institutions charged with ‘governing’ global health arguably do not have the requisite mandates, authorities or budgets to meet their respective missions, despite increasing amounts of pressure from donor governments, developing country governments and other constituents to do so. In this course, we will explore questions such as: Which entities govern and finance global health? What is on and off the global health agenda? Who determines what is on the global health agenda? What are recent ‘innovations’ in global health governance and financing? Have various ‘innovations’ worked or not? What are current significant debates in global health governance (e.g., what should World Health Organization reform entail)?
Due to technology and globalization, current problems we face in health systems research are more complex and require new techniques to assess them. This course will examine why health systems research requires multiple methods. Students will formulate a good research question, evaluate which method(s) could study this question, and provide recommendations to address the question. Class sessions will be interactive and provide opportunities to engage with various approaches to problem solve. The class complements the foundational quantitative methods learned to date with qualitative and mixed methods. Some topics will include interviewing, text analysis, and case studies. The strengths and weaknesses of various methodologies will be considered.
The purpose of this course is to introduce students to applied health services research. Specifically, students will be exposed to real world problems faced by health services researchers and learn how to address these problems. The course will have two major focuses. First, students will be exposed to the basic analytic and biostatistical concepts utilized in health services research. Much of this work is directed at addressing bias and confounding in study design and application. Second, students will be grounded in applied health services research. Specifically, topics addressed will include common problems in health services research across a variety of disciplines, methods to address these problems, and an exploration of policy initiatives that have resulted from health services research. The course will consider a variety of study designs, methodological approaches and concepts that are germane to health services researchers. Further, during the course students will be tasked to implement these concepts in the conduct of a team-oriented project.
The U.S. is one of the only developed countries in the world without a universal health system. Even though the Patient Protection and Affordable Care Act (ACA) expanded public and private insurance coverage, millions of Americans will remain uninsured for the foreseeable future. Many patients without insurance – and many other patients with public insurance – rely on health care safety-net institutions to provide affordable health care. The U.S. health care safety-net is made up of hospitals, community health centers, and private, office-based medical professionals who offer free or subsidized care to poor and other vulnerable patients.
This course will provide an overview of the U.S. health care safety-net and evaluate how health care policies have shaped the evolution and performance of this system. In particular, we will explore the impact of the ACA on the health care safety-net and its future. Students should leave the course with an enhanced understanding of the health care safety-net, its implications for access to health care, and policy challenges associated with maintaining this system.
This seminar course is designed to increase the student's understanding of the key concepts, the dynamics, and development of psychotherapy groups. Students are encouraged to explore the theoretical issues inherent in group practice and their relationship to psychiatric nursing theory and practice. Finally, students will address the developmental needs of clients as they relate to the group experience.
Patients are assigned according to the student's needs for a learning experience. Students arrange for clinical contact with the assigned patients at least weekly and more often if required. The student is responsible for assessing the biophysical, psychosocial, cultural, cognitive, and spiritual dimensions of the patients and planning appropriate interventions.
Patients are assigned according to the student's needs for a learning experience. Students arrange for clinical contact with the assigned patients at least weekly and more often if required. The student is responsible for assessing the biophysical, psychosocial, cultural, cognitive, and spiritual dimensions of the patients and planning appropriate interventions.
For students who wish to acquire further knowledge and research skills in areas of special interest. Tailored to the particular needs and interests of individual students, they can take many forms - literature reviews, research projects, field experiences, other special studies, or learning experiences. The objective is to enrich the students program.
The student participates as a leader or co-leader in a psychotherapeutic group of 10-12 sessions. Weekly clinical supervision is focused on group dynamics and development.
The type of capital investment used by a healthcare entity can have a profound impact on the financial viability of a healthcare organization. At one end of the spectrum, it can contribute to growth of the company and income generating potential. At the other end of the spectrum, it can create a crushing financial burden on the organization, as it tries to serve its debt obligations or repay its equity investors. It can also hamstring the management of the organization if investors sitting on the board have a different vision from the founders about the strategic direction of the company.
Capital finance therefore has short, medium and long-term consequences for the business opportunities and risks of healthcare organizations that go well beyond the capital investment itself.
Through a mixture of lectures, discussions, case studies and guest lecturers, students will be provided with the tools to understand the raising and allocation of investment capital for strategic and/or investment gain. The course will span the healthcare continuum from product makers (biotech, pharmaceuticals, medical devices,) supply (distributors, PBMs, pharmacies, CROs), payors (HMOs, government) and providers (hospitals, SNFs, Healthcare IT, diagnostics, practioners) and consumers. The course is for students who are interested in seeing how their healthcare management skills can be used in an applied setting.
Over the past 20 years, the U.S. experienced a sharp increase in the prevalence of opioid addiction which has led to record high levels of opioid-related overdose deaths, increasing use of heroin and fentanyl, rising rates of infants born opioid dependent, children entering foster care, outbreaks of injection-related infectious diseases and other health and social problems. Efforts by county, state and federal health officials, health care systems and other stakeholders have thus far failed to reduce the rate of opioid-related overdose deaths.
This course will explore the scope of the opioid crisis, its historical context, contributing factors, and lines of evidence indicating the role of addiction in exacerbating morbidity and mortality. We will examine 1) past opioid addiction epidemics, 2) the campaign launched by opioid manufacturers to increase opioid prescribing, 3) the regulatory role of the Food and Drug Administration and state medical boards, 4) opioid prescribing practices 5) treatment of opioid addiction and 6) lessons from the opioid crisis that can be applied to other complex public health challenges. We will also analyze and critique public health and legislative interventions to address the crisis.
Students will be asked to consider public health interventions to reduce opioid-related morbidity and mortality utilizing primary, secondary, and tertiary opioid addiction prevention strategies. Students will play the role of a state health official introducing a new effort to respond to an aspect of the opioid crisis. Students will have an opportunity to explain their proposal to their governor in a policy memo and to the public in an Op-Ed.
The course will focus on the challenges of providing healthcare in emerging markets in each of the major socio economic regions of the world that have developing countries.
Like in western countries, the health sector is one of the fasted growing and dynamic segments of the economy in many emerging economies, with a total annual revenue flow of over US$7 trillion in 2012. Particularly pressing are issues related to changing epidemiology of aging populations, the lack of funding and resources, poor governance, corruption and shifting demographic and epidemiological trends such as the HIV/AIDS epidemic and drug resistant malaria.
Today there are known and affordable interventions to deal with many of the most difficult public health challenges in developing countries. But the cost to individual households is unpredictable and can impoverish even middle-income families without access to effective health financing instruments. And many interventions are ineffective. Additional resources could be mobilized by increasing the share of government funding allocated to the health sector. Expanding fiscal space could have negative macro economic repercussions in many low-income countries and increasing the relative share allocated to the health sector means giving up public expenditure on other programs, some of which may also contribute to overall gains in health. Both are difficult to achieve politically.
In this context developing countries are increasingly looking at partnerships between the public and private sector to provide needed healthcare for their populations.
This course is designed to advance the student's clinical practice with patients in a variety of psychiatric mental health settings. The practicum is the second of two consecutive courses. Expectations of this clinical experience are direct patient contact, therapeutic interaction with staff, families, and systems, as well as medication management. The student will function in the role of the advanced practice psychiatric nurse practitioner. Details of the practicum will be coordinated with the student, preceptor/agency, and faculty based upon course objectives, clinical objectives, and student educational goals.
There is much talk and enthusiasm about new “value-based” methods of reimbursing for health care services. However, considerable variation exists across different approaches that fall within this broad category -- from incentive-based Pay for Performance (P4P) to Bundled Payments to Shared-Savings Arrangements to Global (Capitated) Payments – in terms of their design, the incentives imbedded within them, and the challenges associated with their implementation on the payer side and the managerial response to them on the provider side. In addition, the reality is that, at least for the near-/mid-term, many of these new approaches are likely to build upon or be put in place beside, rather than completely replace, existing fee-for-service-oriented reimbursement methodologies, such as Medicare’s prospective payment systems for inpatient hospital, physician services, and other care. Therefore, if students are to play their own ‘value-added’ role in as policymakers, as designers of new reimbursement strategies on the payer side, or as health systems managers implementing/managing providers’ responses to new payment initiatives, it is important that they have a solid understanding of the design, issues and incentives associated with both current and emerging health care reimbursement strategies. This course is designed to provide this knowledge.
Students learn to design a viable and culturally appropriate sexual and reproductive health program, in both a U.S. and developing-country context. Students develop skills in analyzing local needs and resources; articulating program goals and objectives; designing relevant program components; planning program monitoring and evaluation; and raising funds. Readings, case examples and class discussions will focus largely on sexual and reproductive health, though students are welcome to use other areas of relevant public health practice for class discussion and assignments. Students are required to complete short periodic assignments and develop a final program proposal. Students must register for a section of seminar P8602.
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The class explores how laws, policies, and rights function to shape public health, with particular emphasis on the implications of this interaction for rights-based approaches to health programs and policy. After introducing the principles, practices, and underlying assumptions of law, policy, and rights, the class offers students the opportunity to use human rights tools in documentation of health-related human rights violations and formulating programs, policy responses, and advocacy strategies to violations. A wide range of issues - sexual and reproductive rights, HIV/AIDS, health problems of criminalized populations, the intersection of the environment and health, and others - are explored to illustrate the importance of sustained human rights inquiry and analysis in public health.
In public health emergencies involving infectious disease, there is often a legitimate necessity to curtail individual rights in the name of protecting the public. COVID-19 illustrates this reality graphically and tragically. Quarantining and mandated isolation throughout history have been associated with a range of human rights abuses. In the COVID-19 crisis, they led in some places to inappropriate use of criminal law and elevated risk of interpersonal violence. COVID-19 has led to the undermining of access to sexual and reproductive health services, including abortion. In many parts of the world, the basic rights of persons who lost their livelihoods due to the disease, including women and low-paid workers, have not been protected. In infectious disease crises, the right to confidentiality of medical records may be readily violated. The health rights of prisoners, pretrial detainees, detained immigrants, and persons in refugee camps or settlements, where physical distancing is not possible, are likely to be denied on a massive scale. Marginalized persons who have struggled for essential health services in the past – including racial and ethnic minorities, women and girls, people who use drugs, LGBT persons, migrants, sex workers and disabled people – face new stigma and other challenges in health emergencies. Price-gouging and other practices of pharmaceutical and medical equipment companies may undermine the public’s right to health. The right to scientifically sound health information, crucial in infectious disease emergencies, is often denied.
The course will draw on the UN Siracusa Principles for rights-based management of emergencies to analyze the kinds of violations noted here and to identify policies and practices that would protect, respect and fulfill health-related human rights in these challenging circumstances. While COVID-19 provides vivid examples, literature from SAFS, MERS, H1N1, Ebola and other epidemics will also be consulted.
This is the first in a series of four courses on orthopedic physical therapy. This course emphasizes differential diagnosis, clinical decision-making, and development and implementation of a plan of care for patients demonstrating musculoskeletal dysfunction of the hip.
This course is the first in a series of four, which applies the Patient Management Model to musculoskeletal conditions associated with the hip. Examination, evaluation, diagnosis, prognosis, intervention and outcome assessment for the hip is linked with diagnostic imaging and conservative and surgical management. Interventions integrate joint and soft tissue manual therapy techniques with therapeutic exercise. Emphasis is placed on clinical decision-making and evidenced-based practice in individuals with orthopedic conditions. Exercise applications that are utilized throughout lifespan that address identified impairments; activity and participation limitations are emphasized. Students will apply clinical decision-making strategies to practice, design, modify and progress exercise programs with proper biomechanical alignment and proper muscle balance for optimal performance. This course consists of traditional face-to-face classroom lectures and labs that will incorporate active learning strategies, and integrated clinical experiences where students will spend time in authentic clinical environments practicing essential activities. The active learning strategies facilitate “thinking on your feet.” Students need to prepare before each class lecture and lab session.
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This 16-week course during the fifth term of the DPT curriculum is the final course in the orthopedic series offering the student an integrated approach to the theoretical and practical basis of clinical practice for musculoskeletal conditions of the spine. Critical thinking and problem solving is highlighted in an atmosphere of higher learning where cutting edge management of musculoskeletal spinal conditions is coordinated with contemporary research.
This is a problem-solving case-based course that promotes synthesis of evidence from the neurological and movement science literature in order to critically evaluate current trends in the examination, evaluation, diagnosis, intervention and prognosis of a variety of neurological conditions. Clinical reasoning is promoted through three pathways: 1) observation and participation in a variety of health care practice settings (e.g. hospitals, outpatient & clinic departments); 2) understanding societal needs; and 3) appreciating the prevailing legislative environment. Students develop an evidence-based paper formulated to serve as a resource for all course participants.
This, the second of two consecutive seminars, is designed to integrate knowledge from Fundamentals of Comprehensive Primary Care I along with corresponding pediatric courses into clinical application. Students will analyze clinical decisions, develop differential diagnosis, and apply evidence for best practice through the use of case scenarios representing pediatric acute and chronic disease processes.
Adolescent Health: A Public Health Perspective provides an overview of adolescent and young adult health, including global and U.S. perspectives.?? “Health”, as defined by the World Health Organization,?is viewed?as a positive construct that goes beyond physical health indicators and the prevention of?disease.? Throughout this course we will focus on a holistic conception of health that includes emotional, cognitive, and social well-being (e.g. feeling happy, hopeful, competent, useful, and socially connected), having adequate interpersonal skills, and achieving academic and vocational success.?Health"?will be?examined ecologically, i.e. recognizing the importance of the physical and social contexts in which young people are embedded.?
This course provides students the requisite skills for conducting successful survey research, particularly in a service-based, health promotion context. The course includes introduction to the fundamental concepts and components of survey design, the development of research questions and hypotheses, and guidelines for decision-making regarding various phases of a study. Students will become familiar with the pre-field and data collection activities inherent in survey research; and master the art and science of writing knowledge, attitude, and behavior questions. By the conclusion of the course students will have a full-length, self-designed and pretested questionnaire, and be able to plan and execute a sound research study that involves quantitative data collection.
In recent decades there has been an unprecedented increase in the level of funding for public health and medical research, which has resulted in interventions that are proven to prevent and cure disease and prolong individuals’ quality of life. While this presents a unique opportunity to achieve large-scale improvements in population health, meeting this moment implies the need for appropriate, scalable strategies to ensure that achievements in scientific discovery reach populations in a manner that is widespread, equitable, high quality and sustainable. This quest remains elusive. Indeed, it has been estimated that it takes, on average, 17 years to translate 14% of evidence-based interventions (EBI) that arose from original research into programs that reach large populations through routine health care delivery systems. How, then, do we take what we ‘know’ and do it better when we introduce, implement, and spread EBI in health systems? Implementation science draws upon diverse disciplinary traditions and provides conceptual and methodological approaches for systematically and scientifically framing and answering such questions. In doing so, implementation science helps health systems bridge the “know-do gap” and creates opportunities for achieving universal health coverage and other global health goals. The purpose of this course is to introduce students to the field of implementation science and prepare them as practitioners and researchers on how to apply its principles, frameworks, and methods in ‘real world’ settings. Through a combination of lecture, readings, discussion and assignments, students will learn how to examine the evidence base of effective interventions; understand and contextualize “evidence-to-practice” gap(s); select, adapt, and apply implementation strategies to address those gaps; and critique and design research studies for the purpose of understanding whether these strategies succeed, or not, and why. Throughout the 14 modules of the course, a balanced emphasis will be placed on theory and methods and their application in case studies taking place both in the United States and in low- and middle-income countries. In addition, through case studies, students will learn how salient public health priorities are advanced through the application of implementation science theories and methods (e.g., health equity and disparities reduction, building resilient health systems and communities, sustainability and sustainment).
This 16-week course is the second in a two-part series, which applies the Patient Management Model to neuromuscular conditions. While the first course emphasized Stroke, this course deals with all the other neuromuscular conditions that are commonly seen by physical therapy.
This course is divided into 2 sections: Part A deals with spinal cord injury and Part B emphasizes demyelinating diagnoses, peripheral neuropathies, movement disorders, amyotrophic lateral sclerosis (ALS), Post-Polio syndrome (PPS), Myasthenia Gravis (MG), inflammatory myopathies, Central Nervous System tumors and vestibular disorders. Examination, intervention, progression and outcome assessment for individuals with these neuromuscular disorders are linked to the anatomical, physiological and pathological considerations. Emphasis is placed on clinical decision-making, critiquing impaired movement patterns and evidenced-based practice in individuals with spinal cord injury and neuromuscular disorders.
In this course you will learn to develop and implement a quantitative data analysis plan and to interpret the results of quantitative analyses using datasets from actual evaluation studies. The early phase of the course will focus on necessary but essential pre-analysis tasks often overlooked in the research training process. These include: Data entry, data cleaning, and data transformation. The second half of the course focuses on conducting bivariate and multivariable statistical tests. This is an applied course, emphasizing skill building through hands-on work using SPSS in each class session. Reflecting the focus on skill building, this course includes weekly homeworks using SPSS.
Applies concepts learned in Survey Design and Data Collection through small group interactions