USC Columbia, Lancaster, Salkehatchie, Sumter & Union campuses

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1 NEW COURSE PROPOSAL USC Columbia, Lancaster, Salkehatchie, Sumter & Union campuses NCP INSTRUCTIONS: This form is used to add a new course to the University course database. This form is available online at Date: 2/8/2012 Campus: Columbia College/School: Arnold School of Public Health Department (if applicable): Health Services Policy and Management Undergraduate Graduate PROPOSED COURSE INFORMATION Course Designation: HSPM letter Designator Prefix Course Number Suffix # Credit Hours: 3 Variable Fixed # Times Course Can Be Taken: 1 Course Title (24 character limit): Managerial Epidemiology and Statistics in Healthcare Cross-listed with which course? 4-letter Designator Prefix Course Number Suffix Course Description: (50-word limit) Principles and tools of epidemiology applied to decision-making in a health care environment. Knowledge and skills useful to health service managers related to statistics, population health management and assessment of medical care processes/outcomes are taught. Course Prerequisites/Corequisites: HSPM 716 Quantitative Methods Course Delivery Location: USC Campus Off-Campus site (If off-campus delivery is being requested, attach a completed Off-Campus Delivery (OCD) form.) Course Delivery Method: Traditional Delivery Distance Technology Delivery (streaming video, web-based, CD/DVD) (If distance technology delivery is being requested for the first time, attach a completed Distance Education Delivery (DED) form.) Proposed Effective Term - Change to database/bulletin effective no sooner than: Year: 2012 Fall Spring May Session Summer I Summer II Required Resources: Does this course require additional faculty, facilities, library resources or funding? Yes No (If yes, attach letters of commitment from appropriate official(s).) Grading System: Standard Pass/Fail Only Not Auditable Rationale for grading system other than standard: Enrollment Restrictions: Restricted to: Excluded: Special Permissions required? Department Instructor

2 IMPACT ON OTHER ACADEMIC UNITS & CAMPUSES Does the proposed course affect the curriculum, students or academic interest of any other unit at USC Columbia or on a USC Regional Campus? Identify which unit(s)/campus(es) Yes (If yes, please attach letters of concurrence from relevant units and/or the Office of System Affairs.) No NCP-Page 2 REQUIRED ATTACHMENTS (The following documents as appropriate must be attached to this form before submission) Course syllabus (see for syllabus component guidelines and template syllabus) Basic bibliography (list of required texts and readings) Justification Form (JUS) Letters of concurrence (if appropriate) Letter(s) committing resources (if appropriate) Related course forms (if appropriate) All forms are available at Distance Education Delivery (DED) Form (initial approval enabling course to be offered via distance technology) CONTACT INFORMATION Contact Person: Michael D. Byrd Clinical Assistant Professor Print name Title Address Phone Number Signature Date REQUIRED APPROVALS Department Chair: Mahmud Khan, PhD Print name Signature Address Phone Number Date Academic Dean: FacSenate Cours&Curric/ Dean of the Graduate School (as appropriate): Cheryl Addy, PhD Print name Signature Address Phone Number Print name Signature Address Phone Number Date Date Date of Faculty Governance Approval (if appropriate) Graduate Council Faculty Senate University of South Carolina / Provost Office / NCP Form Oct 2010 v4

3 JUSTIFICATION FORM USC Columbia, Lancaster, Salkehatchie, Sumter & Union campuses JUS INSTRUCTIONS: Please attach a statement explaining the justification for the proposed program or course action. This form is available online at Date: 2/8/2012 Campus: Columbia College/School: Arnold School of Public Health Department (if applicable): Health Services Policy and Management Degree Program (if applicable): Masters of Health Administration Undergraduate Graduate This is the justification for adding a 3 hour course (HSPM775) Management Epidemiology and Statistics in Healthcare as a required course for the HSPM MHA. This new required course is proposed in order to comply with the requirements of the Commission on Accreditation of Healthcare Management Education (CAHME) noted in the November, 2011 site visit for the HSPM MHA degree. Criterion III.B.1 states that the Program curriculum should address the following healthcare management content area: Population health and status assessment. The Program documents note that population health and status assessment are addressed. However, review indicated little specific content related to population health (such as epidemiology, community health, social determinants of health),and feedback from multiple stakeholders indicates that coverage of the full range of population health and status assessment content is limited. The criteria related concern is that the Program does not provide sufficient breadth and depth of content to address the full range of population health and status assessment knowledge. The program proposes to add a new course, Managerial Epidemiology which will apply the principles and tools of epidemiology to the decision-making in a health care environment. It is intended for MHA students, leaders, managers, and clinical nurse executives who need to understand the value of epidemiology and population-based health care to the process of rational decision-making. Knowledge and skills useful to health service managers related to population health management, and also managerial epidemiologic analyses and assessment of medical care processes/outcomes will be taught in this course. Epidemiology is defined and its pplications in health services management and health policy are discussed. Population based epidemiologic assessment methods are presented and utilized. Methods for assessing outcomes of health programs are discussed. University of South Carolina / Provost Office / Justification Form Oct 2010 v3

4 HSPM 775 Managerial Epidemiology and Statistics for Healthcare Course Description This course applies the principles and tools of epidemiology to the decision-making in a health care environment. It is intended for MHA students, leaders, managers, and clinical nurse executives who need to use population-based analytic techniques to facilitate rational decisionmaking for the deployment of health services. Knowledge and skills useful to health service managers related to population health management, and also managerial epidemiologic analyses and assessment of medical care processes/outcomes are taught in this course. The course begins with an introductory lecture on basic probability and statistics. Epidemiology is defined and its applications in health services management and health policy are discussed. Population based epidemiologic assessment methods are presented and utilized and methods for assessing outcomes of health programs are discussed. Credit: 3 semester hours Course Goals After completion of this course in Managerial Epidemiology and Statistics for Healthcare the student will be able to: 1. Summarize the basic principles of descriptive epidemiology with specific application to health care delivery settings 2. Critically evaluate the factors that influence the health status of populations served. 3. Demonstrate the application of epidemiologic concepts and theory to health care planning, quality assurance, quality management, infection control. 4. Discuss the central role of epidemiology in evidence-based medicine and clinical decision making 5. Discuss the application of epidemiologic principles to financial and economic decision-making, including cost-effectiveness analysis 6. Distinguish among study designs in terms of causal inference and sources of bias Relationship to College of Public Health Degree Program Goal(s) and Objectives This course relates directly to the accomplishment of the educational program goals for the M.H.A., M.P.H. and Dr.P.H. degrees. MHA Competencies This course has primary responsibility for supporting accomplishment of the following MHA competencies: 1

5 1. Analyze the key determinants of population health and health disparities and their relative impact on individuals, communities, and society. 2. Analyze the incidence and prevalence of injury and disease using epidemiological and statistical methods and applying these skills in healthcare management. 3. Assess the importance of issues in both the internal and external environment and the effect of these on management, planning, strategy development and decision-making. Learning outcomes: On completion of the course, the student will be able to: 1. Apply epidemiology in healthcare settings. 2. Explain the concept of populations and population health care management. 3. Explain the uses of descriptive information in population health situations. 4. Distill the critical elements of disease classification systems and apply them to health care settings. 5. Discuss the importance of rates for comparison of health and disease among sub-populations and adapt/apply to health facilities. 6. Determine disease patterns in communities and populations and apply to community assessment. 7. Describe, explain, and apply demographic techniques to determine the status of health in a community. 8. Explain and assess the impact of infectious epidemics focusing on the impact in health facilities, food protection, environmental sanitation, and infection control. 9. Explain the concept of surveillance. 10. Carry out the role of healthcare administration in designing health care for populations and targeted sub-populations. 11. Compare and contrast current issues in community health, explain some of the underlying causes related to community health problems, and plan a health system intervention using effective yet efficient health management approaches. Course Structure: The course will consist of seminar/discussion classes, lectures, case studies, web-based learning, and self-study. The course will be enhanced by an online component in Blackboard, which will provide resources for accessing class materials including assignments and readings. 2

6 Academic Integrity: You are expected to practice the highest possible standards of academic integrity. Any deviation from this expectation will result in a minimum academic penalty of your failing the assignment, and will result in additional disciplinary measures including referring you to the Office of Academic Integrity. Violations of the University's Honor Code include, but are not limited to, improper citation of sources, using another student s work, and any other form of academic misrepresentation. For more information, please see the Honor Code found on the USC website. Student Disabilities: Please contact me personally at the beginning of the semester if you have a condition or disability that may interfere with your performance in this course. We can discuss accommodations that may be necessary to allow you to participate fully and facilitate your learning opportunities in the class. Course Materials: Course material, including the syllabus, will be distributed through blackboard. All students who are officially enrolled in the course will have access to blackboard. Required Textbooks: 1. Fleming ST (2008). Managerial Epidemiology: Cases and Concepts. 2 nd Edition, Chicago: Health Administration Press Optional Textbooks: 1. Armenian, Haroutune K and Shapiro, Sam (1998). Epidemiology and Health Services. Oxford University Press. 2. Dever GEA (2005). Managerial Epidemiology: Practice, Methods, and Concepts. Jones and Bartlett Publishers. 3. Oleske, Denise M. (2001). Epidemiology and the Delivery of Health Care Services: Methods and Applications. Second Edition. Kluwer Academic / Plenum Publishers. 4. Petitti, Diana B. (1994). Meta-Analysis, Decision Analysis, and Cost Effectiveness Analysis: Methods for Quantitative Synthesis in Medicine. Oxford University Press. 5. Gordis L. (2004) Epidemiology. Third Edition. Elvisier Saunders. 3

7 Required Readings (other than text): Required readings from journal articles, manuscripts, and other documents are listed in the daily assignments. Almost all of the journal articles are available on-line as Full-Text E- journals at Thomas Cooper Library E-Journals Students are responsible for securing their own copies of the readings and reviewing the material prior to the class or discussions, which may be developed on Blackboard. Evaluation: Assignments and Projects Points Case Study 30 Class participation, discussion 15 Mid-term exam 25 Final examination 30 TOTAL 100 Letter grades for the course will be assigned on a percentage basis (as given below) for the student's total score as a percentage of the total number of points possible for the course. The results are expected to be approximately as follows: Grade % A B C F < 70 Case Study Assignments: The case study is due on the date indicated below, and involves applied problems related to the course. The assignment must be completed and submitted electronically to the instructor. You can send the assignment via blackboard or by as an attachment in MS Word format. The case study is worth 40 points and should contain 2-3 paragraphs or more of introductory material, perhaps including some data, followed by tables or graphs to interpret, followed by specific questions, followed by detailed answers. The case study is due on.the case study should be approximately 8 10 pages, double-spaced, 1 inch margins, 12 point Times-Roman font. Case Studies 2.5 or 7.1 in the text are examples of the case study. 4

8 It may, for example, involve obtaining outside data, as shown in Case Study 4.2. Ideally, the case study would include elements from the first half of the semester, for example descriptive epidemiology, or combining quality measurement with clinical decision-making, or planning with cost-effectiveness analysis. The case study could combine study designs with either costeffectiveness analysis or clinical decision-making within the context of a specific managerial activity, such as quality control or planning. Topic Outline by Week Below is a listing of the class topics by week. Please see the section in the syllabus with readings and case studies for the weekly assignments and case studies for each of the topics below. Week Topic 1 Introduction, basic probability and statistics, disease transmission, measuring morbidity and mortality 2 Prevalence and incidence of health disease states and continuation of basic probability and statistics 3 Management of infectious/communicable disease and outbreak investigations 4 Study designs 5 Descriptive and Analytical Epidemiology, use of statistical tools 6 Needs assessment, sensitivity and specificity 7 Implementing evidence-based medicine to improve quality 8 CMS IPPS rule and bundling 9 Mid-term exam (in-class) Epidemiology and Finance in Healthcare Management 10 Application of epidemiology in decision making and diseases Case-studies due Student Case-Study analysis and discussion 12 Student Case-Study analysis and discussion 13 Student Case-study analysis and discussion 14 Managerial Structure - Service Line Management; Doctoral student Case-Study presentations Final exam (take home) due Key Periodicals and Journals: Consulting these journals will be helpful when searching for articles. Public Health Reports, American Journal of Public Health, American Journal of Epidemiology, New England Journal of Medicine, Journal of the American Medical Association (JAMA), Morbidity and Mortality Weekly Reports (MMWR) For journals which focus particularly in the areas of health services, evaluation, prevention effectiveness, 5

9 and other topics in the course, consult: Journal of Public Health Policy, International Journal of Technology Assessment and Health Care, Medical Care, Medical Decisionmaking, Quality Assurance, Utilization Review, Health Care Management Science, Health Services Research WEEK BY WEEK TOPIC OUTLINE AND LISTING OF READINGS/ASSIGNMENTS Dates Topic Readings Introduction, disease CPH 614/NUR904 Syllabus transmission; Fleming, chapters 1; 2 (pp ); 3 (pp ) and 6 measuring morbidity & Week one mortality; basic Article: Thomas R. Frieden, MD, MPH: A Framework for probability and statistics Public Health Action: The Health Impact Pyramid; April 2010, Vol 100, No. 4 American Journal of Public Health Week two Week three Prevalence and incidence of health disease states Management of infectious/ communicable disease and outbreak investigations Review: Women and Cardiovascular Disease statistics (blackboard week 2 folder) Complete listed assignment in blackboard folder Article: Enhanced Hygiene Measures and Norovirus Transmission during an Outbreak (blackboard week 3 folder) Article: JEFFREY J, SACKS, MD, MPH. Utilization of Case Definitions and Laboratory Reporting in the Surveillance of Notifiable Communicable Diseases in the United States. AJPH December 1985, Vol, 75, No, 12 Week Four Week five Week six Study Designs Descriptive and Analytical Epidemiology, use of statistical tools Needs assessment, sensitivity and specificity Article: Brenda Marrow. An overview of case-control study designs and their advantages and disadvantages. International Journal of Therapy and Rehabilitation, November 2010, Vol 17, No 11 Article: Melissa D.A. Carlson, Ph.D. Study Design, Precision, and Validity in Observational Studies. JOURNAL OF PALLIATIVE MEDICINE Volume 12, Number 1, 2009 Article: Erik von Elm, MD, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies. October 16, 2007 Annals of Internal Medicine Vol 147 (No. 8) Fleming, chapter 2 ( pp ); chapter 7 Fleming, chapter 10, 11, 12, 13 Article: Korteweg et al. Rapid Health and Needs assessments after disasters: a systematic review. BMC Public Health 2010, 10:295 Article: Ronit Peled and Jerry Schenirer. Healthcare strategic planning.health Information Management Journal. 6

10 Week seven Week eight Week Nine Week ten Implementing evidence-based medicine to improve quality CMS IPPS rule and bundling Epidemiology and Finance in Healthcare Management Application of epidemiology in decision making and diseases Vol 38 No Article: Sibbald et al. Evaluating priority setting success in healthcare: a pilot study. BMC Health Services Research 2010, 10:131 Article: J. Collier & R. Huebscher. Diagnosing purple mange. Journal of the American Academy of Nurse Practitioners 22 (2010) Article: Karlijn J. van Stralen, et al. Diagnostic methods I: sensitivity, specificity, and other measures of accuracy. Kidney International (2009) 75, Article: Joan L. Censullo, et al. Quality Improvement Stroke Plan-Do-Study-Act for Primary Stroke Center Certification J Nurs Care Qual Vol. 22, No. 3, pp Article: Karlene Kerfoot. Patient Satisfaction and High- Reliability Organizations: What's the Connection? UROLOGIC NURSING / December 2007 /Volume 27 Number 6 Article: KAREN DAVIS and STUART GUTERMAN. Rewarding Excellence and Efficiency in Medicare Payments. The Milbank Quarterly, Vol. 85, No. 3, 2007 (pp ). Article: Louise E. Parker, et al. Balancing health care evidence and art to meet clinical needs: policymakers perspectives. Journal of Evaluation in Clinical Practice 15 (2009) Article: Susan Birk. The Evidence-Based Road: Available data can drive successful community benefit programs. Healthcare Executive. July/Aug 2010 Article: CMS releases inpatient payment rule for fiscal year Am J Health-Syst Pharm Vol 63 Sep 15, Article: Bundled Payment Systems: Can They be More Successful this Time. Health Services Research, 45:5, Part I (October 2010). Article: Gerben Dejong. Bundling Acute and Post-acute Payment: From a Culture of Compliance to a Culture of Innovation and Best Practice. Physical Therapy, May 2010 Volume 90 Number 5, pg Article: Coco AS. Cost-effectiveness analysis of treatment options for acute otitis media. Annals of Family Medicine, 2007, 5(1): Mid-term exam Fleming, chapter: 3 (52-65), 4, 5, 8, 9 Fleming, chapters 14, 15, 16, 17 Article: YANG ZHAO, et al. Disease Burden Profiles: An Emerging Tool for Managing Managed Care. Health Care Management Science 5, , Case-studies due April 5 th,

11 Week eleven Week twelve Week thirteen Week fourteen Student Case-Study analysis Student Case-Study analysis Student Case-Study analysis Managerial Structure - Service Line Management; Take-Home Exam due May 3 rd, 2011 Read and discuss student case studies on Blackboard, Folder CPH 614 week 11 Read and discuss student case studies on Blackboard, Folder CPH 614 week 12 Read and discuss student case studies on Blackboard, Folder CPH 614 week 13 Article: Turnipseed, William D., et al. Product Line Development: A Strategy for Clinical Success in Academic Centers. Annals of Surgery. Volume 246(4), October 2007, pp Doctorial student Case-Study presentations 8

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