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.
The nonprofit sector is full of organizations, many of which are operating below peak performance. With unlimited ideas, low barriers to entry and decidedly limited funding, we have a sector with enormous volume and an overall lack of effectiveness. While the overall problem definition is accurate, well trod and unlikely to change, there are worthwhile remedies. The goal of the course is to study the solutions that work. We start by exploring all of the external and internal forces that cause weakness in nonprofit strategy and execution. Then we determine what factors can lead to high performance. Well review case studies and other real world examples to learn how the best nonprofits surmount significant barriers to produce great results.The course is six sessions. The first three sessions focus on the nonprofit operating environment and the central strategic issues facing nonprofits today. The next two sessions deal with finances - the over-emphasized keys to smart revenue generation and the under-emphasized importance of effective spending. The last session rivets on talent - both at the board level as well as senior staff - and how you should think about crafting a path with high impact both during and after your business education. As a newly minted MBA, your skill set will be in high demand in the sector. That said, the direct application of for profit strategies to nonprofit work has limits. Well look at where and how to take the best of private thinking, adjust it and apply it to nonprofit performance. Well question many commonly held assumptions on the sector. The course will touch on theory, but will be grounded in current practice.Whether you have past experience, current involvement or future aspirations, you should take this course if youre interested in pushing changes as an: 1.) institutional or individual donor; 2.) board member; 3.) executive director or senior leader; or 4.) management consultant. The goal is to give you the knowledge and skills to work from either inside or outside to drive nonprofits to achieve.
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.
Global philanthropy has become a significant force in recent years, including both funding from developed countries to create change in the developing world as well as the growth of philanthropy in the developing world. The funds available for global philanthropy, forecasts for its future, media attention, levels of involvement, innovative approaches, expectations, and potential - all have grown and changed tremendously in recent years. Importantly, a global culture of philanthropy has begun emerging. Thus, its important for any business school student to understand how innovations in philanthropy around the world are having an impact on social, economic and environmental developments.With this growth has come a set of important questions and challenges that this course will explore: * Given its small size compared with the for-profit and public sectors, can private philanthropy make a difference? * What gives private philanthropy its "license to operate," and should it be seeking to change government policy? * How can success in tackling complex challenges and systems be defined and measured? * Do traditional models of giving actually work? Have newer models proved themselves? * What is the best path for philanthropy in developing/emerging markets?Using research, case studies and expert guests, this class will review current issues and approaches to important issues in global philanthropy, including education, livelihoods, public health and human rights. This class is intended to give MBA students the tools they need to assess opportunities and solutions as well as to become thoughtful, effective philanthropists. Specifically, students will learn to: 1. Analyze complex challenges in the developing world; 2. Evaluate the effectiveness of current programs to address these challenges; 3. Develop strategic options; and 4. Create a plan for funding and assessing results.
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.
Business will be a primary contributor to solving the big social problems of the 21st century. While business strategy analyzes competition and markets, firms also pursue non-market strategies to influence politicians, and politicians seek to benefit from firms. Governments pursue not only political goals, but often pro-market strategies. This course takes a realistic variation on these themes to ask: when do firms, markets, and politics work to resolve the big social challenges of this century. These challenges are the consequences of inequality, corruption, climate change, immigration, and inclusion. The course is organized around these major challenges, ranging from income equality to immigration to the quality of work life. Our approach is to set out the argument why firms should be engaged in contributing to social and political solutions and more importantly to identifying what can be done.
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.
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 three decades, the United States has faced one of the most devastating — and preventable — public health crises in its history. Opioid addiction has fueled record high overdose deaths, increased heroin and fentanyl use, and reshaped communities across the country.
This course dives deeply into how we got here — and what it will take to change course. We’ll examine the historical roots and structural drivers of the epidemic, including how medical practice, industry influence, regulation, stigma, and health systems all intersected to create a perfect storm.
Together, we will explore:
Earlier opioid addiction epidemics — and what we failed to learn
How Purdue Pharma and other opioid manufacturers reshaped opioid prescribing practices
Trends in opioid-related overdose deaths and what they reveal about the crisis
The increasing use of kratom and implications for policy and practice
What effective treatment for opioid use disorder looks like — including the expanding role of harm reduction strategies — and why access remains limited
Students will critically analyze public health responses — asking not only what happened, but what should have happened and what still can be done.
You’ll also step into the role of a state health official responding to the crisis. You will design a targeted intervention, explain it to your governor in a policy memo, and communicate it to the public through an Op-Ed. Along the way, we’ll use the framework of primary, secondary, and tertiary prevention to evaluate impact, feasibility, and ethics.
By the end of the course, students will leave with a sharper understanding of opioid use disorder as a public health issue — and practical tools to design policy and program responses grounded in science, compassion, and equity.
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 will learn to design an evidence-based and culturally appropriate public health program in US and global contexts. Students will work in a small group throughout the semester to design a public health program on a topic of their choice. Specifically, students will gain competence in analyzing local needs and resources; developing an evidence-based, technically and programmatically sound causal pathway; articulating program objectives; designing relevant technical components; and designing the program’s monitoring and evaluation plan, implementation plan and budget.
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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, policy and advocacy. The course includes an introduction to the principles, provisions and underlying assumptions of law, policy and rights related to public health. Students then have the opportunity to use human rights tools and principles in documentation of health-related human rights violations and formulation of programmatic and advocacy responses to violations. A wide range of issues – HIV, health problems of criminalized populations, autonomy of people living with mental disorders, racial discrimination in health services and related policy, and rights-unfriendly practices of for-profit companies – are used to illustrate the importance of 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. Simultaneously, a government’s failure to adequately respond to an emergency may also represent a violation of their obligations. Private actors, philanthropic, commercial or otherwise, can also have a substantial impact on health and responses to public health emergency. The COVID-19 pandemic illustrates these relationships and provides a basis to understand the tensions that arise. The relationship between public health and human rights is a complex and evolving one. From quarantining and mandated isolation in the 14th century to modern lockdown measures and the HIV epidemic, there have been tensions with human rights and in some instances, public health measures have been associated with a range of human rights abuses. In the COVID-19 crisis, many countries drew from this armamentarium of non-pharmaceutical interventions, implementing mass lockdowns and contact tracing that heavily implicated individual rights of freedom of movement and privacy and where the manner of implementation sometimes fell short of human rights standards, leading some places to inappropriate use of criminal law and elevated risk of interpersonal violence. In addition, there remain debates about the use of coercive measures such as vaccine mandates. Global inequity has also shaped governments’ abilities to respond and determined access to life-saving medical interventions and supplies. Price-gouging and other practices of pharmaceutical and medical equipment companies may undermine the public’s right to health while the concentration on vaccine manufacturing capacity limited access to vaccines in the poorest countries. The right to scientifically sound health information, crucial in infectious disease emergencies, is often denied or at least becomes difficult to manage in the context of uncertainty and shifting evidence bases. We are now also coming to terms with the unintended impact public health responses had on the basic rights of persons who lost their livelihoods due to the disease, disruptions to food systems and compromising access to routine healthcare services. In the aftermath of the pandemic, significant international reforms are being undertaken including a revision of the international health regulations and the negotiation of the pandemic treaty. This course will examine this evolution in human rights through the lens of different public health emergencies
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.
This course examines how public health defines and measures the health of adolescents, youth, and young people; how individual, social, environmental, and structural determinants shape their health behaviors and outcomes; where reliable data on young people’s health come from and their limitations; and why investing in this population is critical. Adolescents and young adults represent a large and growing share of the global population, about 1.8 billion people aged 10–24 (nearly 90 percent of whom live in low- and middle-income countries), and investments in their health yield a “triple dividend” for individuals, across the life course, and for future generations. Adolescence and young adulthood are pivotal developmental periods marked by rapid biological, cognitive, emotional, and social change that unfold within shifting social, economic, and cultural contexts. While most young people are considered “healthy” by traditional indicators, slower improvements in adolescent health compared with childhood, persistent engagement in health-compromising behaviors, school dropout, and underuse of health services signal substantial unmet need. Social determinants including poverty, policy environments, education, and access to youth-friendly services, along with family, peer, school, and community support, play a central role in shaping young people’s health and underscore the essential role of public health in improving outcomes during this critical life stage. The first half of the course will focus on fundamentals of adolescent health such as definitions, conceptual models, and adolescent development. The second half will focus on key issues in adolescent health, including site visits to understand several innovative, “youth-friendly” models for adolescent health promotion. Issues such as the HIV among youth, fertility, and marginalization of LGBTQ and justice-involved youth will be framed as public health issues. Key theoretical approaches will be emphasized throughout the course. Young people will be viewed as potentially powerful change agents who are resources to be developed not problems to be fixed. The participation of public health practitioners in developing, implementing, monitoring, evaluating, and advocating for "youth friendly" services grounded in evidence, theory, and human rights will be illustrated and discussed throughout the course. Students will increase their knowledge of adolescent and young adult health through assigned readings, class discussions, group activities, written assi
Public health research, particularly service-based research, is a challenging enterprise. Its execution requires grounding in scientifically based, standardized approaches to research design and implementation, as well as flexibility and skill in adapting those techniques to the unique needs of any program, organization, setting, or population. Many of us have had experience with studies that did not adequately collect data needed to initiate, evaluate, and/or improve whatever health problem or issue it was supposed to. This course provides students with the requisite skills for conducting successful service-based research, including fundamental concepts and components of research design, the development of theory-guided research questions and hypotheses, and decision-making strategies for study designs and data collection protocols and materials. In this course, students will also actively engage in qualitative and quantitative data collection, becoming familiar with field considerations, pre-testing, interviewing techniques, and the design, preparation, and use of topic guides for in-depth interviews and structured questionnaires for surveys. By the conclusion of the course, students will have a complete, self-designed questionnaire ready to field on Qualtrics, and will be able to plan and execute a sound research study.
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 and essential pre-analysis tasks often overlooked in the research training process. These include: identifying and resolving dirty data including logical inconsistencies, and conducting simple and complex data transformations. 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 STATA in each class session. Reflecting the focus on skill building, this course includes weekly homework using STATA.
Required breakout for P8617 Research Design and Data Collection. Applies concepts learned in P8617 through small group interactions. All sections cover the same content.
Required breakout for P8617 Research Design and Data Collection. Applies concepts learned in P8617 through small group interactions. All sections cover the same content.
Required breakout for P8617 Research Design and Data Collection. Applies concepts learned in P8617 through small group interactions. All sections cover the same content.
Required breakout for P8617 Research Design and Data Collection. Applies concepts learned in P8617 through small group interactions. All sections cover the same content.
This course is designed to provide students with an overview of key child health problems and programmatic solutions based on the evidence. By studying examples of significant child health problems and solutions in a range of populations in the United States and internationally, students will learn how to define and assess a child health problem and become familiar with public health intervention strategies and their potential impact. In addition, students will gain an understanding of how social and environmental conditions contribute to morbidity and mortality, as well as individual risk within a population and health disparities across populations. The format combines lectures and discussion with team-based learning. Assignments include readings (available on Canvas) to provide background for each session, and team-based exercises and presentations.
The American Physical Therapy (PT) Association’s Vision states that the role of the PT profession is “transforming society by optimizing movement to enhance the human experience.” This vision statement suggests that DPT graduates will have the knowledge and skills for general physical therapist practice with patients of various ages from birth to late adulthood. This 16-week clinical course in pediatrics during the fifth term of the DPT curriculum focuses on motor development, childhood disabilities, chronic health conditions and the physical therapy management from birth to young adulthood. PT services in the transition from pediatric to adult health care will be introduced to highlight the rehabilitation needs of patients who have childhood origins of diseases of adulthood.
The course introduces students to typical and atypical motor development and uses the International Classification of Functioning, Disability, and Health (ICF) to identify body functions and structure impairments (pathophysiology); activity limitations (systems) and participation restrictions (environmental factors) that influence or determine PT goals specific to acquisition of motor skills, functional mobility and locomotion during infancy, childhood, adolescence and young adulthood. The Elements of Patient Management defined by the APTA Guide to Physical Therapist Practice (version 3.0) is used to frame approaches in pediatric PT management. These elements include examination, evaluation, diagnosis, prognosis (including plan of care), intervention and outcomes. Students administer and interpret norm- and criterion referenced measures specific to pediatrics to identify impairments, activity limitations and participation restrictions. Patient management is considered using the “Traffic Light” framework to consider yellow and red flags in making plans of care or referrals for pediatric patients. The plan of care is considered in a broad context including direct interventions, coordination, communication, and consultation and considers personal (child’s culture, family, personality, and age) and contextual factors (impact of legislation, practice setting, team collaboration, service delivery models and child’s home and community supports). A problem-based format with complex patient cases serves as the basis for developing an evidence-based plan of care.
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This is the second of a pair of courses on orthotics and prosthetics in physical therapy. This 8-week course during the 5th term of the DPT curriculum emphasizes knowledge of prosthetic components and principles of biomechanics in the application, analysis, evaluation, and prescription of prosthetics in the context of comprehensive care of those with upper- and lower-extremity amputation.
Students in this course will expand their knowledge of prostheses used in physical therapy for those with upper- and lower-extremity amputation. Emphasis will be placed on biomechanical principles, the available evidence base, and clinical evaluation and management considerations underlying the clinical decision making of prosthetic prescription and clinical care for the individual patient/client. Particular attention will be paid to developing gait assessment skills to allow evaluation of gait abnormalities that can be affected with prostheses including the determination of a comprehensive plan of care to address gait dysfunction. This course requires independent clinical problem-solving to determine orthotic solutions and a comprehensive plan of care for unique cases.
The collection of qualitative data is widespread and growing in public health research, however the credibility and quality of qualitative research rests upon utilizing systemic rigor in collecting, recording, organizing, categorizing, and interpreting qualitative findings. Focusing in particular on focus group data (though individual interview data can also be used), this course introduces a variety of approaches to qualitative data analysis, with a focus on applying thematic or framework analysis, and facilitates their application and manuscript development through hands-on group work and work outside of class.
This is the final seminar in the sequence for the DNP student. This seminar will continue to foster the student’s clinical decision-making process while incorporating evidence-based practice for the provision of primary care to pediatric patients across settings. Utilizing the clinical encounter format and CUSON DNP Competencies in Comprehensive Care as a framework, the student will analyze clinical decisions, appraise and apply evidence for best practice.
Increasing demand for transparency and accountability, particularly with respect to donor-funded humanitarian programs, has heightened the need for skilled evaluators. To this end, students in this course will become familiar with various forms of evaluation and acquire the technical skills necessary for their development, design and execution through lectures and discussion, exercises, guest presentations and real-world examples. Specifically, students will discover evidence-based methods for identifying stakeholders, crafting evaluation questions, designing instruments, sampling and data gathering to achieve good response rates, analysis and synthesis of information for report-writing and case studies.
In the collaborative world of theatre, the director is at the helm. We, as stage managers, support the director’s creative process from rehearsals through opening night. What happens when the director leaves and turns over the maintenance of the production to the stage manager? This course will help give you the tools to meet that challenge. Beginning with rehearsals, how do we best observe directors so that we can understand and preserve their vision? In preparation for working with the cast, we will discuss the various acting methods. How do we prepare our script to direct cast replacements, incorporating script analysis and acting beats. We will also review the basics of directing and identify the most influential directors now, and in recent history.
This course will provide an overview of the regulatory and legal aspects that govern and shape global health, including both hard and soft law instruments. Many reforms and innovations in global health law have occurred in response to crisis and advocacy (such as the Doha Declaration, the Framework Convention on Tobacco Control and the PIP Framework). Yet, not all instruments have been equally effective in achieving their goals. The course will examine how these legal instruments shape global health and responses to disease as well as the context in which these reforms arose and will critically consider these instruments in their political context to understand how different interests have shaped the effectiveness and impact of law on global health. Topics covered would include: human rights, justice and global health, pandemic response (the international health regulations and the pandemic influenza preparedness framework), corporate power, trade law and global health (including the TRIPS Agreement and tobacco control), non-communicable diseases and law (including the framework convention on tobacco control and the international code on breastmilk substitutes), equity and the ongoing pandemic accord negotiations, and using global health law to address rising threats such as antimicrobial resistance and climate change. Through lectures, case studies, and critical discussions, students will gain foundational knowledge, assess the impact and limitations of global health laws, and develop skills for identifying areas for reform and advocacy. This course aims to give students 1) an overview and foundational understanding of key global health law instruments and how they operate 2) a critical understanding of the shortcomings and strengths of the instruments and 3) the ability to identify areas for reform and advocacy efforts to improve global health outcomes. Readings for this course will consist of interdisciplinary global health law scholarship, legal scholarship and public health policy research.
Public health research, particularly service-based research, is a challenging enterprise. Its execution requires grounding in scientifically-based, standardized approaches to research design and implementation, as well as flexibility and skill in adapting those techniques to the unique needs of any program, organization, setting, or population. Many of us have had experience with "studies" that did not adequately collect data needed to initiate, evaluate, and/or improve whatever health problem or issue it was supposed to. This course provides students with the requisite skills for conducting successful service-based research, including fundamental concepts and components of research design, the development of research questions and hypotheses, and decision-making strategies for study data collection protocols and materials. In this course, students will also actively engage in qualitative and quantitative data collection, becoming familiar with field considerations, pre-testing, interviewing techniques, and the design, preparation, and use of topic guides for in-depth interviews/focus groups, and structured questionnaires for in-person, self-administered, and on-line surveys. By the conclusion of the course, students will have a complete, self-designed questionnaire, and will be able to plan and execute a sound research study.
Migration is a complex social phenomenon which deeply affects human life. Immigrants face difficulties adjusting to destination environments and are potentially exposed to adverse policies and experiences such as discriminations and stigma, affecting their well-being, regardless of reasons for migration. Understanding migration and its impact on health is important for disease prevention, preserving the health and rights of migrants and assuring the well-being of the communities of which they are a part of. This course will identify and analyze the economic, institutional, socio-political and cultural factors affecting the health and well-being of immigrants in the US. It will assess past and existing policies and programs to ascertain the extent to which they respond(ed) to the needs of the populations. This course will look at existing health disparities among immigrant populations. Students will explore structural factors affecting the health of immigrants and the existing health disparities. Students think critically about programs and policies that address important health disparities in the context of immigration issues.