M A S T E R O F P U B L I C H E A LT H P R O G R A M

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1 M A S T E R O F P U B L I C H E A LT H P R O G R A M California State University, Fresno Accreditation Self-Study 2012 Fresno State Preliminary CEPH Self-Study 2012 Page i

2 S ELF- S T U D Y T E A M Vickie D. Krenz, Ph.D., M.S.P.H. Professor of Public Health and Director, Master of Public Health Program Miguel A. Pérez, Ph.D., MCHES Chair, Department of Public Health Helda Pinzon-Pérez, Ph.D., RN, NP, MCHES Professor of Public Health Kara Zografos, DrPH, MPH Assistant Professor of Public Health Diana Valdovinos Master of Public Health Student (Cohort 17) Brittany Chambers Master of Public Health Student (Cohort 17) Edward Boyle Master of Public Health Student (Cohort 18) 2012 Fresno State Preliminary CEPH Self-Study 2012 Page ii

3 TABLE OF CONTENTS Abbreviations v Figures vi Tables vii Introduction 1 Criterion 1.0 The Public Health Program 2 Criterion 1.1 Mission 3 Criterion 1.2 Evaluation and Planning 11 Criterion 1.3 Institutional Environment 21 Criterion 1.4 Organization and Administration 30 Criterion 1.5 Governance 34 Criterion 1.6 Fiscal Resources 45 Criterion 1.7 Faculty and Other Resources 50 Criterion 1.8 Diversity 67 Criterion 2.0 Instructional Programs 77 Criterion 2.1 Degree Offerings 78 Criterion 2.2 Program Length 80 Criterion 2.3 Public Health Core Knowledge 83 Criterion 2.4 Practical Skills 86 Criterion 2.5 Culminating Experience 92 Criterion 2.6 Required Competencies 97 Criterion 2.7 Assessment Procedures 109 Criterion 2.8 Bachelors Degrees in Public Health 118 Criterion 2.9 Academic Degrees 120 Criterion 2.10 Doctoral Degrees 121 Criterion 2.11 Joint Degrees 122 Criterion 2.12 Distance Education or Executive Degree Programs 123 Criterion 3.0 Creation, Application and Advancement of Knowledge 125 Criterion 3.1 Research 126 Criterion 3.2 Service 135 Criterion 3.3 Workforce Development 142 Criterion 4.0 Faculty, Staff and Students 147 Criterion 4.1 Faculty Qualifications 148 Criterion 4.2 Faculty Policies and Procedures 155 Criterion 4.3 Student Recruitment and Admissions 160 Criterion 4.4 Advising and Career Counseling 165 Fresno State Preliminary CEPH Self-Study 2012 Page iii

4 Appendices: Appendix A: MPH Student Orientation Handbook Appendix B: PH 285F Fieldwork in Public Health Student Manual Appendix C: Exit Survey and Results Appendix D: MPH Alumni Survey and Results Appendix E: Graduate Writing Requirement and Rubric Appendix F: Fresno State Accreditations Appendix G: MPH Advisory Board Appendix H: Recruitment Plan Appendix I: Executive Order 883 Appendix J: Probationary Plan Appendix K: Policies and Procedures for Appointment of Tenure Track Faculty Appendix L: PH 285F Fieldwork Contract Appendix M: PH 298 Project Guidelines Appendix N: MPH Student Database Appendix O: Extension Course Proposal Form Appendix P: Academic Vacancy Announcement Appendix Q: Teaching Evaluation Forms Appendix R: Advising Forms Fresno State Preliminary CEPH Self-Study 2012 Page iv

5 Abbreviations APM...Academic Policy Manual CCCHHS...Central California Center for Health and Human Services CEPH...Council on Public Health Education CFED...Committee for Faculty Equity and Diversity CHHS...College of Health and Human Services CSU...California State University CSUF...California State University, Fresno CVHPI...Central Valley Health Policy Institute DGS...Division of Graduate Studies EEO...Equal Employment Opportunity FACEL...The Facilities and Campus Environment Liaison Committee FERP...Faculty Early Retirement Program GPA...Grade Point Average GRE...Graduate Record Examinations MCL...McLane Hall MPH...Master of Public Health SOAP...Student Outcome Assessment Plan SPHA...Student Public Health Association UC...University of California WTU...Weighted Teaching Unit Fresno State Preliminary CEPH Self-Study 2012 Page v

6 Figures 1.3.b.1 Organizational Chart of Fresno State b.2 Organizational Chart of College of Health and Human Services a Organizational Chart of Department of Public Health 30 Fresno State Preliminary CEPH Self-Study 2012 Page vi

7 List of Tables Table Table Table Table MPH Program Objectives with Data Systems and Responsible Parties. Evaluation Activity by Year Outcome Measures for Criterion 1.2 (Measurable Outcomes) Faculty Participation in University Activities Table Sources of Funds and Expenditures by Major Category, 2008 to 2013 Table Table Outcome Measures for the Last Three Years Headcount of Primary Faculty Table Faculty, Students and Student/Faculty Ratios by Department or Specialty Area Table Outcomes Measures for the Last Three Years, to Table Racial/Ethnic Distribution of MPH Program s Service Area Table Summary Data for Faculty, Students and/or Staff, to Table Table Table Table Table Table Instructional Matrix Degrees & Specializations Number of Professional Public Health Masters Degrees Awarded For Fewer Than 42 Semester Credit Units from AY to AY Required Courses Addressing Public Health Core Knowledge Areas for MPH Degree Required Courses Addressing Health Promotion Knowledge Areas for the MPH Degree Identification of Agencies and Preceptors Used for Practice Experiences for Students, by Specialty Area, for the Last Two Academic Years. Student Core Competencies and Examples of Corresponding Learning Experiences Fresno State Preliminary CEPH Self-Study 2012 Page vii

8 Table Courses and Other Learning Experiences By Which the Competencies Are Met. Table Outcome Measures for Student Assessment Between and Table a Table b Table c Table Students in MPH-Health Health Promotion Degree, By Cohorts Entering Between and Students in MPH-Health Policy and Management Degree, By Cohorts Entering Between and Destination of Graduates by Employment Type Between Fall 2009 and Spring 2012 Certification of Professional Competence Table Research Activity from 2009 to 2012 Table Outcome Measures for Faculty Research Activities Table Service Activity of Faculty for the Last 3 Years (2009 to 2012) Table Table Outcome Measures for Faculty Service Evaluation Objectives Fieldwork Experience by Semester Table List of Continuing Education Programs by MPH Program Table Funded Training/Continuing Education Activity from 2009 to 2012 Table Table Table Table Current Primary Faculty Supporting Degree Offerings of School or Program by Department/Specialty Area Other Current (AY ) Faculty Used to Support Teaching Program (Adjunct, Part-Time, Secondary Appointments, etc.) Funding to MPH Program Faculty from Dean s Office Faculty Service Evaluation Objectives Table Quantitative Information on Applicants, Acceptances, and Enrollments, 2010 to 2012 Table Student Enrollment Data from 2010 to 2012 Table Program Admissions in Comparison to Outcome Measures for Academic Years and Fresno State Preliminary CEPH Self-Study 2012 Page viii

9 Fresno State Preliminary CEPH Self-Study 2012 Page ix

10 Introduction The Master of Public Health program (MPH) at Fresno State was established in 1993 with the purpose of serving the educational needs of working professionals in the Central California Region. Today, the program is comprised of working professionals and students. This geographic region, in the center of the Golden State, is characterized by its rural focus, its classification as a medically underserved area, and by its rich diversity. The MPH program is a part-time academic program housed in the Department of Public Health at Fresno State. This structure is not unique to our program as it is common of MPH programs in the California State University system. The symbiotic relationship between the MPH and the Department of Public Health is mutually beneficial and presents opportunities for growth. As a Hispanic-serving institution, the program targets a unique population with many first generation students who face competing demands on their time from their work, families, and educational pursuits. The distinctiveness of the MPH program is also denoted by the symbiotic relationship that exists between its academic program and the Central Valley Health Policy Institute (CVHPI). The institute is one of many research institutes and centers in the College of Health and Human Services at Fresno State and a leading voice in addressing the health care needs of the Central California Region. The CVHPI provides opportunities to our students and faculty to advance research projects and to serve the needs of the region. Another exceptional characteristic of the MPH is its student population. The students represent a combination of working professionals and non-working students. Economic conditions have increased the number of students who continue their graduate education directly from undergraduate studies. The majority of students are from the local region and are unable to attend traditional programs due to economic and family issues. Furthermore, these students possess a strong desire to remain in the region to address the growing needs of the medically underserved populations. This self-study document presents information germane to the MPH. It represents an honest assessment of the MPH program academic offerings, vision for the future, and an identification of areas targeted for growth. Where appropriate, information about the Department of Public Health will be provided. Fresno State Preliminary CEPH Self-Study 2012 Page 1

11 Criterion 1.0 The Public Health Program Fresno State Preliminary CEPH Self-Study 2012 Page 2

12 Criterion 1.1 Mission The program shall have a clearly formulated and publicly stated mission with supporting goals and objectives. The program shall foster the development of professional public health values, concepts and ethical practice. 1.1.a. A clear and concise mission statement for the program as a whole. The mission of the Public Health Department is to promote, preserve, and restore health. This is accomplished by educating graduate students to be effective leaders and practitioners at the local, national, and international levels. The mission of the MPH program is based on Fresno State s mission which states that the university offers a high-quality educational opportunity to qualified students at the bachelor s, and master s levels, as well as in joint doctoral programs in selected professional areas. 1 To carry out this mission, the university provides a General Education program and other opportunities, to expand students intellectual horizons, foster lifelong learning, prepare them for future professional study and instill within them an appreciation of cultures other than their own. 2 In addition, the mission of the MPH program is based on Fresno State s strategic plan to power the New California through learning, scholarship, and engagement: 3 Make student success our first priority; Embrace a culture of diversity, internationalization, and inclusion; Advance our established distinction in liberal arts and sciences, professional programs, and community engagement; Produce transformative scholarly research and creative works that target regional issues with global significance; Exemplify the ethical stewardship of capital and human resources; Develop institutional, community and intellectual leaders. Fresno State Preliminary CEPH Self-Study 2012 Page 3

13 The MPH program s goals were developed to prepare graduate students to be effective leaders and practitioners through learning, scholarship, and engagement. 1.1.b. A statement of values that guides the program. The mission of the MPH program is to promote, preserve, and restore health. To this end the program s faculty and staff adhere to the broad mission of public health defined by the Council on Education for Public Health. The following concepts and values play an intrinsic role in the operations of the Master of Public Health program. a. Health is viewed in its broadest meaning as a state of complete physical, mental, intellectual, and social well-being and not merely the absence of disease and infirmity. b. Community is viewed as a rich tapestry of cultural, ethnic, sexual orientation diversity within which there exist significant social interactions and shared values and institutions. c. Community health seeks to promote, protect, and preserve the health of all persons within that community utilizing public health principles and practices which ultimately target the health of each individual in the community. The MPH program espouses the following values in regard to its educational mission: a. Academic freedom: Encouraging its faculty and students to search for and explore established and innovative concepts. b. Professional behavior: Encouraging ethical behavior in its faculty, staff, and students. c. The merit of teacher-student relationships: Encouraging their development in the classroom, in advisement and mentoring and in other formal and informal interactions. d. Lifelong learning: Encouraging its faculty and students to adopt learning as a way of life. e. Diversity: Actively recruiting faculty and students from diverse cultural and ethnic backgrounds. f. Community representation: Recruiting into the program health professionals from the community both as advisors, instructors, and students. Fresno State Preliminary CEPH Self-Study 2012 Page 4

14 g. Community participation: Encouraging input from community representatives to ascertain the public health education needs of the community. The MPH program espouses the following values in regard to its service mission: a. Community responsibility: Encouraging its faculty, staff, and students to view and accept the health problems of the community as their own. b. Community service: Encouraging its faculty, staff and students to perceive such service as an integral part of the academic process. The MPH program espouses the following values in regard to its scholarly activity mission: a. Research: Encouraging its faculty and students to develop, implement, and evaluate research activities and projects. b. Integrity and ethical behavior: Encouraging honesty in all research activities. c. Relevance: encouraging a commitment to research objectives that are relevant and meaningful to the needs of the field and the community. Each of the aforementioned values have been discussed, agreed upon, and practiced by each of the faculty members involved in the MPH program. The values listed above have been embodied in the seven values listed below which are distributed to faculty, staff, students, and the community the MPH program serves. Community: To enable communities to address their unique public health problems, lower barriers to action, and act as a resource for progress. Knowledge: To engage in the pursuit, development, and dissemination of knowledge that will lead to the improvement of the public's health. Professionalism: To perform the duties and responsibilities of public health professionals with integrity and collegiality in learning, teaching, and public service. Professional Ethics: Adhering to the duties and responsibilities in the established codes of conduct for the fields of Public Health (The Moral Clause). Advocacy: To ensure equitable access to quality public health, health resources, and public policies. Diversity: To recognize and respect the cultural and other contributions of all members of the community in the access to public health resources. Fresno State Preliminary CEPH Self-Study 2012 Page 5

15 Scholarship: To teach students methods to understanding the scope of current public health knowledge and by contributing to future public health knowledge through research. 1.1.c. One or more goal statements for each major function through which the program intends to attain its mission, including a minimum, instruction, research, and service. The mission of the Master of Public Health program is centered on a rigorous academic program, the quest for scholarly activity, and service to the community. To fulfill this mission, the MPH program s goals were developed to prepare graduate students to be effective leaders and practitioners through learning, scholarship, and engagement. The objectives are based on the MPH program s goal of promoting, preserving, and restoring the health of the Central California residents. A. Instructional Goals: 1. To utilize a competency-based curriculum planning and evaluation system in order to be able to effectively evaluate the public health knowledge, skills, and attitudes of students. 2. Ensure all MPH students are prepared to assume leadership roles in a public health and health education settings. Rationale: The MPH program s mission is to prepare students to be effective leaders and practitioners in the Central California region. The instructional goals were developed to ensure that students would be able to demonstrate competencies (as published by the Association of Schools of Public Health) in the knowledge, skills, and attitudes reflective of the MPH level professional. In consultation with local and regional constituents, the instructional goals of the program were structured to meet the need for workforce development in the Central California region. B. Scholarly Activity Goals 1. To promote and foster an interactive environment conducive to student and faculty search for and exploration of established and innovative concepts related to public health. 2. To stimulate the design of research and projects that have a practical application to the reality of the community we serve. Rationale: The MPH program s mission is to promote, preserve, and restore health. Scholarly activity goals were developed to reflect the university s strategic plan for Fresno State Preliminary CEPH Self-Study 2012 Page 6

16 transformative scholarly research and creative works that target regional issues with global significance. The MPH program focuses on applied research and scholarly activities that address public health issues. As a result, the MPH program s scholarly activity goals were developed to ensure that students and faculty are engaged in research and projects that address the public health issues of the Central California region. C. Service Goals 1. Promote active involvement in serving the Fresno State campus, communities, and Central California region. 2. Strengthen relationships between Fresno State and public or private community organizations in order to provide opportunities for faculty, students, and graduates to help meet the health needs of the Central California region. Rationale: The MPH program s mission is to prepare students to be effective leaders and practitioners. A rigorous practicum experience provides students with opportunities to demonstrate knowledge and skills acquired in the instructional curriculum. In addition, the services goals were developed to reflect the MPH program s commitment to service. Consistent with the university s strategic plan, engagement in service provides students with to meet the public health needs of the Central California region. 1.1.d. A set of measurable objectives with quantifiable indicators related to each goal statement as provided in Criterion 1.1.c. As noted in Criterion 1.1.c, the Master of Public Health s academic goals are to prepare students and practicing health professionals to meet the ever-changing health needs of the valley's diverse residents. To accomplish the program s goals, the following objectives, which were reviewed by the faculty at the department faculty retreat (March 7-8, 2011) have been developed, implemented, and evaluated. Instructional Goals and Objectives Goal 1: To utilize a competency-based curriculum planning and evaluation system in order to be able to effectively evaluate the public health knowledge, skills, and attitudes of students. Objective 1.1. The MPH faculty will review course offerings and document which competencies are addressed in each course at a minimum of once every three years. (See Tables and for competencies address in the MPH program.) Fresno State Preliminary CEPH Self-Study 2012 Page 7

17 Objective 1.2. At least 80% of students will demonstrate through mastery of competencies required in the public health field. Objective 1.3. At least 80% of the MPH core and elective courses will incorporate written communication. Objective 1.4. At least 80% of the MPH core and elective courses will incorporate oral commuication. Objective 1.5. Conduct an exit survey of MPH students at the time of their graduation. Objective 1.6. Conduct a survey of MPH alumni every three years. Objective 1.7. Convene and sustain a MPH Advisory Board made up of program constituencies to review and recommend changes needed in all aspects of the MPH Program. Goal 2: Ensure all MPH students are prepared to assume leadership roles in a public health and health education settings. Objective 2.1. All MPH students will complete a 180 hour internship at a pre-approved field training site, to demonstrate the application of knowledge, skill, and attitude competencies. Objective 2.2. All MPH students will complete a field training course to better understand leadership in public health and health education. Scholarly Activity Goals and Objectives Goal 3: Promote and foster an interactive environment conducive to student and faculty search for and exploration of established and innovative concepts related to public health. Objective 3.1. At least 75% of graduate faculty will participate in research activities either directly for or in consultation with local, regional, state, national, and/or organizations in the investigation of public health-related issues and problems. Objective 3.2. At least 75% of the graduate faculty will publish one paper in a peer-reviewed journal during a three-year period. Objective 3.3. At least 75% of the graduate faculty will presents his or her scholarly endeavors during a three-year period. Goal 4: Stimulate the design of research and projects that have a practical application to the reality of the MPH program service communities. Objective 4.1. All MPH program students will report having some experience in research and projects. Objective 4.2. At least 80% of MPH students will obtain a B or better in PH 202 (Advanced Biostatistics), PH 209 (Advanced Epidemiological Concepts), and PH 280 (Research Methods). Fresno State Preliminary CEPH Self-Study 2012 Page 8

18 Service Goals and Objectives. Goal 5: Promote active involvement in serving the Fresno State campus, communities, and Central California region. Objective 5.1: All full-time MPH program faculty will be involved in at least one community service activity per academic year. Objective 5.2: All MPH students will report in participating in a community service project through coursework, community organization, or regional initiative. Goal 6: Strengthen relationships between Fresno State and public or private community organizations in order to provide opportunities for faculty, students, and graduates to help meet the health needs of the Central California region. Objective 6.1. At least 80% of the full-time graduate faculty will provide consultation and other service related to their area of expertise through participation in governing boards, advisory boards, task forces and the like, for groups, organizations, and agencies at the local community, regional or national/international levels. Objective 6.2. The MPH program and its constituencies will plan, implement, and evaluate at least one educational program (i.e., training, professional development, etc.) for public health professionals in the Fresno State service area. 1.1.e. A description of the manner in which mission, goals, and objectives are developed, including a description of how various specific stakeholder groups were involved in their development. The MPH program mission, goals, and objectives were developed by the primary program faculty with student input. The draft mission, goals, and objectives were reviewed by graduate faculty to insure that these objectives were comprehensive and measurable. The entire faculty in the Department of Public Health voted to adopt the revised mission, goals, objectives, and values. A process was also developed to allow for their review approximately every five years in a process that would include students, faculty, and advisory board members. The MPH program mission, goals, and objectives are distributed to the students, university, and community in a variety of formats including on the department s website (see In addition, the MPH Advisory Board reviewed the program mission, goals, and objectives. Advisory board members represent community constituents and alumni. Board members feedback was incorporated into the final mission, program goals, and objectives. A written version of the mission, goals, objectives, and values statement are included in the MPH Student Orientation Handbook (Appendix A, Resource File 2.1.B), the 285F Fieldwork in Public Health Student Manual (Appendix B, Resource File 2.4), posted in the MPH office, and Fresno State Preliminary CEPH Self-Study 2012 Page 9

19 are available in the MPH Blackboard site. As indicated in section 1.1.c. above, the objectives are scheduled to be reviewed again during academic year f. A description of how the mission, values, goals and objectives were made available to the program's constituent groups, including the general public, and how they are routinely reviewed and revised to ensure relevance. The MPH mission, values, goals, and objectives were made available for review and revision to the public health community in the Central California region via the Master of Public Health Advisory Board for review and revision which meets bi-annually (Fall and Spring semesters). As indicated above, the advisory board consists of community members, alumni, and MPH graduate students. This allows for a broad range of input on the program mission, values, goals, and objectives. As noted above, the MPH program mission, goals, and objectives are available through a range of venues to the students, university, and community including on the department s website (see A written version of the current mission, goals, objectives, and values statement are included in promotional materials (see Resource File 4.4.C), the 285F Fieldwork in Public Health Student Manual (Appendix B, Resource File 2.4), student orientation materials (Resource File 2.4.A), posted in the MPH office, and available in the MPH Blackboard site. The mission, values, goals, and objectives are reviewed on an annual basis and revised as needed to meet the needs of the Central California region. In addition, the MPH program mission, values, goals, and objectives are reviewed during the department s strategic planning meetings. 1.1.g. Assessment of the extent to which this criterion is met. The MPH program faculty believe that this criterion is fully met and commits itself to its continuing efforts to revise the mission, goals, objectives, and values. The mission, vision, goals, objectives, and values statements for the MPH program at Fresno State have been developed using a comprehensive and inclusive process. The MPH program is committed to constantly updating these living documents to insure they reflect the realities of the curriculum, the students, and the community we serve. They are distributed in a wide variety of formats, including printed and electronic versions. Fresno State Preliminary CEPH Self-Study 2012 Page 10

20 Criterion 1.2 Evaluation The program shall have an explicit process for monitoring and evaluating its overall efforts against its mission, goals and objectives; for assessing the program s effectiveness in serving its various constituencies; and for using evaluation results in ongoing planning and decision making to achieve its mission. As part of the evaluation process, the program must conduct an analytical self-study that analyzes performance against the accreditation criteria. 1.2.a. A description of the evaluation processes used to monitor progress against objectives defined in Criterion 1.1.d, including identification of the data systems and responsible parties associated with each objective and with the evaluation process as a whole. If these are common across all objectives, they need be described only once. If systems and responsible parties vary by objective or topic area, sufficient information must be provided to identify the systems and responsible party of each. Measurable outcome objectives have been developed to assess the program's effectiveness against the program mission, goals, and objectives. As defined in Criterion 1.1.d, the MPH program has three objectives that are evaluated to monitor progress, including instructional, service, and research objectives. Table displays the data systems and responsible parties associated with each objective. Fresno State Preliminary CEPH Self-Study 2012 Page 11

21 Table MPH Program Objectives with Data Systems and Responsible Parties. Objective Data Source Responsible Parties 1. Goal 1: To utilize a competency-based curriculum planning and evaluation system in order to be able to effectively evaluate the public health knowledge, skills, and attitudes of students. Instructional Objectives 1.1. The MPH faculty will review course offerings and document which competencies are addressed in each course at a minimum of once every three years At least 80% of students will demonstrate through mastery of competencies required in the public health field At least 80% of the MPH core and elective courses will incorporate written communication At least 80% of the MPH core and elective courses will incorporate oral commuication At least 90% of MPH students will complete the exit survey at the time of their graduation. Annual Program Review Fieldwork Evaluations MPH Course Syllabi MPH Course Syllabi MPH Exit Survey Department Chair, MPH graduate faculty Department Chair, MPH Director, Fieldwork Coordinator Department Chair, MPH Director, and MPH graduate faculty Department Chair, MPH Director, and MPH graduate faculty MPH Program Coordinator, MPH Faculty Fresno State Preliminary CEPH Self-Study 2012 Page 12

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