COURSE INFORMATION
Health Policy and Management

EHH 500a. Risk Assessment (Department of Environmental Health and the Department of Health Policy and Management)
Dr. J. Evans, Dr. J. Hammitt
2.5 credits
Lectures. Two 2-hour sessions each week.

Introduces the framework of risk assessment, considers its relationship with cost-benefit, decision analysis and other tools for improving environmental decisions. The scientific foundations for risk assessment - epidemiology, toxicology, and exposure assessment are discussed. The mathematical sciences involved in developing models of dose-response, fate and transport, and the statistical aspects of parameter estimation and uncertainty analysis are introduced. Case studies are used to illustrate various issues in risk assessment and decision making.
Course Activities: Lectures, discussions, computer workshops, case studies.
Course Note: Calculus and chemistry courses required; course required for all Environmental Science and Engineering Program students; minimum enrollment of five students required; enrollment limited to 30 students; signature of instructor required indicating suitable background.

EHH 501c. Regulatory Toxicology (Department of Environmental Health and the Department of Health Policy and Management)
Dr. G. Gray
2.5 credits
Lectures. Two 2-hour sessions each week.

Covers basic principles of toxicology and how animal and human studies are used to further the understanding of dose-response relationships. The toxicological evidence for regulating chemicals in the general environment, the workplace and food supply is covered. Quantitative pharmacokinetic and dose-response models used in risk assessment are presented.
Course Activities: Lectures, discussions, case studies.
Course Note: Calculus and chemistry or biology courses required; EH 205ab required; course required for all Environmental Science and Engineering Program students; signature of instructor required if student has not completed prerequisite.

[EHH 503ab.] Environmental Science and Risk Management Practicum (Department of Environmental Health and the Department of Health Policy and Management)
Dr. J. Evans, Department Members
5 credits
Not to be given 2001-2002; offered alternate years.
Seminars. Two 2-hour sessions each week.

The practicum is designed to allow ESRM students to integrate what they have learned about risk and decision sciences and to apply this knowledge in the evaluation of a problem (of importance) in environmental management or policy. Each student must design and conduct an independent analysis of an environmental policy problem. Student projects must demonstrate analytical sophistication and critical interpretation of relevant science in support of decision making. Each student must prepare a written report and make an oral presentation of results to the ESRM faculty. The practicum is a requirement for and is restricted to all students in the ESRM masters and doctoral program.

HCM 701. Organizational Behavior
Dr. D. Javitch (P), Dr. N. Kane (S)
2.5 credits
Lectures, case studies. 13 face-to-face sessions, field project.Summer 1 and Academic Year 1.

This course focuses on the challenges of managing complex health care systems. We will explore the leadership and motivational skills relevant to performing as an effective manager, and discuss the different roles associated with managing the individual, the unit, the organization, and the larger system.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Ordinal grading option only.

HCM 702. Marketing
Ms. D. Soodalter-Toman (P), Dr. N. Kane (S)
2.5 credits
Lectures, case studies. Weekend sessions. Academic Year 1.

Marketing Plans are born from an organization's mission and are integral to the development and implementation of a successful strategic plan. Most organizations require both an internal marketing plan (for staff and board - "stakeholders"), and an external marketing plan (for customers). This course will focus on the components of internal and external marketing, with particular attention to the marketing of different health care organizations and services. Participants will develop a marketing plan from conception through an analysis of return of investment (ROI). Several marketing techniques will be covered, including marketing to multicultural populations and women.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Ordinal grading option only.

HCM 703. Perspectives in Public Health
Dr. M. Roberts
2.5 credits
Lectures, case studies. Eight 2-hour monthly sessions. Academic Year 1.

This partiallyteleconference-based course will use case studies focusing on important health care issues - such as workplace injuries, environmentally induced asthma, and indoor air pollution - to provide students with a perspective on the environmental, social, and behavioral complexities affecting the health of populations. Students will present solutions to cases and modify them as they take on a variety of public health perspectives. In addition, students will complete a field project or research paper on a public health issue.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Ordinal grading option only.

HCM 705. The Statistical & Epidemiological Basis for Managing Health Care Quality
Dr. M. Pagano
2.5 credits
Lectures, case studies. Weekend sessions. Academic year 2.

This course covers the fundamentals of biostatistics and epidemiology and addresses their application to the management of health care quality. The first part of the course reviews basic biostatistical and epidemiological concepts, using IT-assisted learning techniques. The second part of the course is even more interactive discussion requiring student participation, especially drawing on their experiences to incorporate biostatistics and epidemiology to more effectively manage the processes and outcomes of health delivery from the standpoint of quality.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Ordinal grading option only.

HCM 719. Financial Transactions and Analysis
Mr. H. Rivenson
2.5 credits
Lectures, case studies. Weekend sessions. Academic Year 1.

This intensive course introduces concepts of financial accounting to the non-accountant user of financial information. Basic accounting transactions, statement preparation and concepts of accrual versus cash accounting are presented in the first half of the course. The remainder of the course focuses on financial analysis of a variety of health care organizations.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Similar to HPM 219a - adapted for the non-residential program. Ordinal grading option only.

HCM 720. Cost Accounting and Control Systems
Mr. R. Siegrist
2.5 credits
Lectures, case studies. Weekend sessions. Academic Year 1.

This course is designed to introduce students to cost accounting and management control concepts and uses for health service organizations. The first part of the course develops a basic knowledge of cost accounting, including full and differential costing techniques. The remainder of the course focuses on management control structure and process and addresses topics such as responsibility accounting, budgeting, reporting and variance analysis.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Similar to HPM 220 - adapted for the non-residential program. Ordinal grading option only.

HCM 731. Competitive Strategy Determination
Dr. N. Kane
2.5 credits
Lectures, case studies. Weekend sessions. Academic Year 2.

This course focuses on the conceptual framework needed to plan for the long-term viability of health care organizations. Using selected readings and case studies of both health care and non-health care organizations, students will learn to appreciate the concepts of competitive strategy and competitive advantage primarily through practice in analysis. The objective is to provide students with the conceptual tools and the practical skills to enable them to formulate and evaluate organizational strategy.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Ordinal grading option only.

HCM 732s. Operations Management in Service Delivery Organizations
Dr. J. Pliskin
2.5 credits
Lectures, case studies. Five 2-hour sessions each week. Summer 1.

Operations management is concerned with evaluating the performance of operating units, understanding why they perform as they do, designing new or improved operating procedures and systems for competitive advantage, making short-run and long-run decisions that affect operations, and managing the work force. To understand the role of operations in any organization, a manager must understand process analysis, capacity analysis, types of processes, productivity analysis, development and use of quality standards, and the role of operating strategy in corporate strategy.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Similar to HPM 232 - adapted for the non-residential program. Ordinal grading option only.

HCM 755. Payment Systems and Financial Management of Health Care Organizations
Ms. N. Turnbull, Ms. D. Puhy.
2.5 credits
Lectures, seminars, case studies. Weekend sessions. Academic Year 2.

This course begins with an overview of payment systems, including payment of private sector (managed care) and public sector insurers. Payment incentives for cost containment and quality improvement will be explored, as well as the implications of payment systems for organizational strategy. The remainder of this course covers introductory/intermediate-level financial management of working capital and investments decision models, long-term capital structure, and valuation of health care organizations. Materials will primarily involve cases about a range of health care organizations (hospitals, insurers/managed care plans, neighborhood health centers, physician groups, home health agencies), supplemented by background readings.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Ordinal grading option only.

HCM 778. Health Care Negotiation and Conflict Resolution
Dr. L. Marcus, Dr. B. Dorn
2.5 credits
Lectures, case studies. 10 face-to-face sessions, field project.Summer 1 and Academic Year 1.

This course will offer students the skills and knowledge of negotiation, multi-dimensional problem solving, facilitation, conflict analysis, intervention and resolution. Through our review of the literature, in-class simulation exercises and lecture discussion, we will examine the field and explore its application to complex, multi-professional health care settings and issues.
Course Note: Enrollment in the part-time, non-residential Masters in Health Care Management program required. Similar to HPM 278d - but more extensive than traditional course. Ordinal grading option only.

HPB 280b. Decision Analysis for Health and Medical Practices (Department of Health Policy and Management and the Department of Biostatistics)
Dr. S. Goldie
2.5 credits
Lectures. Two 2-hour sessions each week.

This course is designed to introduce the student to the methods and growing range of applications of decision analysis, cost-effectiveness analysis, and benefit-cost analysis in health care technology assessment, medical decision making, and health resource allocation. The objectives of the course are: (1) to provide a technical understanding of the methods used, (2) to give the student an appreciation of the practical problems in applying these methods to the evaluation of medical procedures and public health policies, and (3) to give the student an appreciation of the uses and limitations of these methods in decision making at the levels of national policy, health care organizations including hospitals and health maintenance organizations, and individual patient care.
Course Note: Introductory course in probability and statistics required; BIO 200ab, BIO 201ab, or BIH 203b may be taken concurrently; introductory economics is recommended but not required.

HPB 281c. Methods for Decision Analysis in Public Health and Medicine (Department of Health Policy and Management and the Department of Biostatistics)
Dr. K. Kuntz, Dr. M. Weinstein
2.5 credits
Lectures, seminars. Two 2-hour sessions each week.

An intermediate-level course on methods and health applications of decision analysis and other modeling techniques. Topics include Markov models, life expectancy modeling, deterministic and probabilistic sensitivity analysis, simulation models, ROC analysis and diagnostic technology assessment, quality of life valuation, multi-attribute utility, and behavioral decision theory.
Course Note: HPB 280b, HPM 286s, or equivalent introductory course on decision analysis required; signature of instructor required; familiarity with matrix algebra and elementary calculus may be helpful but not required.

HPB 282d. Cost-Effectiveness and Cost-Benefit Analysis in Public Health and Medicine (Department of Health Policy and Management and the Department of Biostatistics)
Dr. J. Hammitt
2.5 credits
Lectures, seminars. Two 2-hour sessions each week.

Topics include: methods and applications of cost-effectiveness and cost-benefit analysis for health program evaluation, medical technology assessment, and environmental risk analysis; theoretical foundations; "shadow" pricing; economic valuation of life saving; choice of discount rates; cost accounting applied to economic evaluation in institutional settings; methods for assessing costs of environmental controls; economic evaluation of biomedical research; health status indices; ethical issues; and modern critiques.
Course Note: HPB 280b, HPM 286s, HPM 205ab and HPM 206ab, or signature of instructor required.

HPC 226e. Urban Violence in America (Department of Health Policy and Management and the Department of Maternal and Child Health)
Dr. D. Prothrow-Stith, Dr. H. Spivak, and Dr. A. Browne
1.25 credits
Lectures, case studies. Five 3-hour sessions.

This course will take an interdisciplinary approach to the causes and possible remedies for the epidemic of violence in the US. There is a specific emphasis on the public health approach to violence prevention.
Course Activities: Seminar discussions with course professors and invited violence prevention practitioners.
Course Note: Interest in injury prevention and public policy recommended; enrollment limited to 30 students from the School of Public Health. Pass/Fail only.

HPC 242c. Politics and Strategies for Change in Health Policy (Department of Health Policy and Management and the Department of Maternal and Child Health)
Dr. R. Blendon
2.5 credits
Lectures. Two 2-hour sessions each week.

This is a course for public health professionals who want their work to have a real impact on health policy decision-making. You will learn how to develop political strategies for influencing health care policy, and how political analysis can improve health policy research and its implementation at the national, state and local levels. Topics include political strategy; lobbying and special interest groups; the media and public opinion; campaigns, elections, and health policy; building coalitions; and grass roots advocacy.

HPC 506a. The Practice of Public Health in the United States (Department of Health Policy and Management and the Department of Maternal and Child Health)
Dr. D. Prothrow-Stith, Dr. I. Aitken, Ms. J. Kurland, Dr. L. Marcus
1.25 credits
Lectures, case studies. One 2-hour session each week.

This course will introduce students to the legal, political, and structural systems established for the delivery of public health in the United States. Students will be introduced to how responsibility for public health, and the core functions of assessment, assurance, and policy development, are divided among the three branches of government and the private sector. The role of medicine, community and civic associations, and academia in supporting the core functions of public health will also be reviewed. The course will provide students with the capacity to understand the full range of professional and academic endeavors contributing to the public health infrastructure of the United States.
Course note: This course is a prerequisite for ID 264cd: Practice of Family and Community Health.

HPE 284ab. Decision Theory (Department of Health Policy and Management and the Department of Environmental Health)(Cross-listed at KSG as API-311)
Dr. J. Hammitt
5 credits
Lectures. Two 2-hour sessions each week.

Introduces the standard model of decision-making under uncertainty, its conceptual foundations, challenges, alternatives, and methodological issues arising from the application of these techniques to health issues. Topics include von Neumann-Morgenstern and multi-attribute utility theory, Bayesian statistical decision theory, stochastic dominance, the value of information, judgment under uncertainty and alternative models of probability (Dempster-Shafer theory, generalized probability), and decision making (regret theory, prospect theory, generalized expected utility). Applications are to preferences for health and aggregation of preferences over time and across individuals.
Course Note: Prior course work in decision analysis required.

HPE 285d. Environmental Health Risk: Concept and Cases (Department of Health Policy and Management and the Department of Environmental Health)
Dr. K. Thompson
2.5 credits
Seminars. Two 2-hour sessions each week.

Challenges students to evaluate the risk analysis framework as an approach to managing environmental health and safety, and other hazards. Addresses contemporary issues in risk assessment, evaluation, management, and communications using a case-method approach.

HPM 201b. Pharmacoeconomics
Dr. P. Neumann
2.5 credits
Lectures. Two 2-hour sessions each week.

Examines key issues in the use of economic information in the evaluation of pharmaceuticals (and other medical technologies). Emphasizes applications of analytic techniques in a variety of disease areas, and includes discussions of the FDA's role, and the use of pharmacoeconomic information in coverage and reimbursement decisions by managed care plans.
Course Note: HPM280b and HPM282d required or with instructor's signature

HPM 205ab. Economic Analysis for Public Health
Dr. M. Roberts
5 credits
Lectures. Two 2-hour sessions each week.

Provides an introduction to the basic principles of economics and economic analysis, particularly as they apply in the public health field. A systematic introduction to microeconomic theory including the determinants of supply and demand, the theory of markets, and the concept of economic efficiency. Specific topics in health care economics include the demand for health care, insurance, and the market for physician services.
Course Note: May not be taken for credit by students who previously have taken HPM 206ab.

HPM 206ab. Economic Analysis
Dr. D. Hemenway
5 credits
Lectures. Three 2-hour sessions each week.

Designed to bring students to an intermediate-level understanding of microeconomic theory. Emphasizes the uses and limitations of the economic approach, with applications to health and medical care.
Course Note: Students who have taken HPM 205ab must obtain the signature of instructor.

HPM 209t. The Economics of Health Policy
Dr. Y. Liu
2.5 credits
Lectures, seminars. Five 2-hour sessions each week.

Students will learn how to analyze important health policy issues through the application of basic economic principles. No previous economics training is required; concepts will be learned as they are needed to understand the policy analyses. Among the topics we will discuss are health insurance; the role of taxation and regulation in promoting public health; hospital mergers; an overview of cost-effectiveness analysis; implications of the growth in for-profit health care providers; and health care reform.

HPM 210d. Medical Malpractice and Risk Management
Dr. B. Moulton
2.5 credits
Lectures. Two 2-hour sessions each week.

Focuses upon the development, implementation, and evaluation of risk management programs and legislative reforms in patient compensation plans. Attention is given to medical and hospital malpractice experience, key legal decisions in the area, and legislative reform movements setting up arbitration, screening panels, tort-law changes, no-fault mechanisms, etc. Emphasizes the interrelationship of quality of care standards and quality assurance to malpractice vulnerability and risk management programs.

HPM 211abcd. New Developments in Health Law
Dr. T. Brennan, Ms. M. Chirba-Martin, Ms. A. Noble
1.25 credits
Seminars. One 1.5-hour session each month.

The course will track recent developments in health law and legal issues pertaining to public health. Discussion will focus on topical decisions, bills being debated in Congress, newly enacted statutes, issues related to medical ethics, and developments in corporate and antitrust law.
Course Activities: Students select and submit items for discussion, which may be drawn from sources such as the BNA's Health Law Reporter, Lexis HOTTOPICS, and current affairs generally. Students are required to submit at least one new development summary of 1 to 2 pages for each session and present it to the seminar. Students will be expected to expand upon one of their contributions in an 8-10 page final paper
Course Note: Enrollment is limited to students in the Law and Public Health concentration of the MPH Program; signature of instructor required; cannot be taken for ordinal credit.

HPM 212ab. Program Evaluation in Health Policy
Dr. J. Needleman
5 credits
Lectures, case studies. Two 2-hour sessions each week.

Examines issues in the design and conduct of evaluations of health programs, with attention to the problems of assuring the accuracy, relevance and credibility of findings. Topics include establishing the scope for an evaluation, evaluation design, data and measurement issues, issues in inference (appropriate controls, statistical power, changing program design and unique local circumstances), and presenting and applying findings. Both quantitative and qualitative methods are discussed.
Course Note: No formal prerequisites. Familiarity with statistical inference and regression is needed for some topics addressed by the course.

HPM 213b. Introduction to Law and Public Health
Ms. A. Noble, Ms. M. Chirba-Martin, Dr. T. Brennan (S)
2.5 credits
Seminars. Two 2-hour sessions each week

Designed for both non-lawyers and lawyers, this course examines how law can both promote and impede the public health. The interplay of law, public health policy, and the rights of the individual will be discussed. Classes cover a variety of topics, such as patient confidentiality, discrimination, informed consent, medical malpractice, and place them within the context of such public health problems as the HIV and tuberculosis epidemics, tobacco regulation, maternal and child health issues, and end of life decisions. An overview of international law is presented, and legal regimes in some developing countries will be contrasted with that of the United States. The viability of a "right to health" in the U.S. and internationally will also be addressed.
Course Note: The issues and concepts covered in this course are complemented by those covered in HPM 214cd, but HPM 213b is not a prerequisite for enrollment in HPM 214cd.

HPM 217cd. Advanced Topics in Health Law and Policy (Cross-listed at HLS as Lecture: Health Care Institution)
Dr. T. Brennan
2.5 credits
Lecture. Two 1.5-hour sessions each week.

Thise course introduces the law of health care institutions, including hospitals, insurers, government buyers, and health maintenance organizations. We will review new payment methods and insurance forms, antitrust litigation, challenges to not-for-profit status, the influence of ERISA on medical care, rationing mechanisms, and the role of integrated delivery systems in the future of medical care. The course emphasizes the structural aspects of medical care, drawing upon diverse materials from health economics and policy literature, as well as case law and commentary. In-class examination. No paper option.

HPM 219a. Financial Transactions and Analysis
Dr. N. Kane
2.5 credits
Lectures, case studies. Three 2-hour sessions each week.

This intensive course introduces concepts of financial accounting for the non-accountant user of financial information. Basic accounting transactions, statement preparation, concepts of accrual vs. cash accounting, and nonprofit healthcare accounting are presented in the first half of the course. The second half focuses on statement analysis in a variety of health care organizations.
Course Note: Completion of Anthony's Essentials of Accounting before class begins required. Working ability with spreadsheets is also required; no auditors.

HPM 220b. Financial Management and Control
Mr. R. Siegrist
2.5 credits
Lectures, case studies. Three 2-hour sessions each week.

The course is designed to introduce students to cost accounting and management control concepts and uses for health service organizations. The first part of the course develops a basic knowledge of cost accounting, including full and differential costing techniques. The remainder of the course focuses on management control structure and process and addresses topics such as responsibility accounting, budgeting, reporting and variance analysis.
Course Note: HPM 219a is recommended but not required.

HPM 221ab. Management in Public Health in Industrialized Countries
Dr. M. Roberts, Dr. C. Koeck
5 credits
Lectures, seminars, case studies. Two 2-hour sessions each week.

Introduces the management of health delivery organizations in industrialized countries. Topics include: organizational issues, financial management, cost accounting, management control systems, and institutional strategy. Combines cases, lectures, and speaker presentations, supplemented by topical readings, as a vehicle for analyzing management problems and evaluating alternative solutions. Introduces relevant managerial concepts and theories.

HPM 222d. Financial Management of Health Care Organizations
Ms. D. Puhy, Ms. A. Harbaugh
2.5 credits
Lectures, seminars, case studies. Two 2-hour sessions each week.

Topics include financial management of working capital and investment decision models, long term capital structure and mergers and acquisitions of health care organizations. Materials will primarily involve cases about a range of health care organizations (hospitals, insurers/managed care plans, neighborhood health centers, physician groups, home health agencies, etc.).
Course Note: This course will be taught at an introductory/intermediate-level and is designed to be complementary to HPM 219a and HPM 220b. HPM 219a and HPM 220b required.

HPM 223b. Public Speaking for Managers
Dr. M. Campbell (P), Dr. N. Kane (S)
1.25 credits
Seminars. One 2-hour session each week.

This course gives the student the opportunity to develop skills in oral communication. Emphasis is placed on the techniques most useful to managers. Students will give and critique their own presentations in a supportive classroom environment.
Course Note: Pass/Fail option only; enrollment limited to 20 students; instructor's signature required.

HPM 225d. Legal and Ethical Issues in the AIDS Epidemic
Ms. Z. Lazzarini
1.25 credits
Lectures. One 2-hour session each week.

This course will consider some of the legal and ethical issues raised by the HIV/AIDS epidemic; how social issues, such as discrimination, have influenced the epidemic; the relative roles of voluntarism and coercion in public health strategies; the shift in epidemiology as HIV/AIDS affects increasing numbers of women, children and minorities; the design of prevention programs in a imperfect world; and questions of autonomy, beneficence and justice in ongoing research for effective treatments and vaccines. The course primarily concerns United States' policies, but international policies and issues will be covered in some sections, including those on discrimination and international research.
Course Note: This course will complement the health law materials and discussions in HPM 213b and scientific information in IMI 222d, but these courses are not prerequisites for enrollment.

HPM 227cd. The Economics of Health Policy (Cross-listed at KSG as HCP-272)
Dr. J. Newhouse
5 credits
Seminars. Two 1.5 hour sessions each week.

Policy issues related to the following topics are considered in the course: demand for medical care services, especially as a function of insurance; demand for insurance and issues of selection; reimbursement policies of Medicare toward both hospitals and physicians; effects of health maintenance organizations and their reimbursement by Medicare; quality of care and malpractice. The perspective will generally be that of federal policy, although state and local perspectives will receive some attention.

HPM 228cd. Introduction to the New American Health Care System: Law, Policy and Management
Mr. G. Moseley
2.5 credits
Lectures. One 2-hour session each week.

The course examines the new organizations, structures, and relationships that are developing as the U.S. health care system reforms itself. We look in detail at the alphabet soup of delivery entities (HMOs, PPOs, MSOs, IPAs, PHOs, IDSs, MCOs, and the very-popular GPWWs) and their purposes, advantages, and disadvantages. These are placed in the context of evolutionary strategies which are being followed by key health care players - doctors, hospitals, insurers, employers, and MCOs themselves. We will explore the personal interests that motivate those players. The influence of federal and state government agencies on the new delivery and financing system will be a topic of study. There is a strong emphasis on the legal issues confronting health care executives (antitrust, fraud and abuse, and taxation) presented in a way accessible to non-lawyers. We will learn about the market, fiscal, and public policy forces that are pushing the system to develop in various ways. And we will study the opportunities and challenges facing the managers of the emerging health care organizations in this country.

HPM 230cd. Managing People in Health Care Organizations
Mr. G. Moseley
5 credits
Seminars. One 3-hour session each week.

Explains the basic systems and strategies for managing human resources in health care delivery organizations. Studies the basic principles of recruiting ancillary and professional staff (particularly nurses and physicians), managing and supervising their job performance, correcting the problems they present (absenteeism, substance abuse), and when necessary, firing them. Stresses the role of labor unions in hospital operations, the management of medical staff relations, and the downsizing of hospital work forces.

HPM 231c. Competitive Strategy Determination
Mr. D. Moriarty
2.5 credits
Case studies. Two 2-hour sessions each week.

Focuses on the conceptual framework needed to plan for the long-term viability of health care (and other) organizations. Using selected readings and case studies of both health care and non-health care organizations, students will learn to appreciate the concepts of competitive strategy and competitive advantage primarily through practice in analysis. The objective is to provide students with the conceptual tools and the practical skills to enable them to formulate and evaluate organizational strategy.

HPM 232c. Operations Management in Service Delivery Organizations and Strategies for Managing Variable Patient Demand in Health Care Settings
Dr. E. Litvak (S), Dr. M. C. Long (P)

2.5 credits
Lectures, case studies. Two 2-hour sessions each week.

Operations management is concerned with evaluating the performance of operating units, understanding why they perform as they do, designing new or improved operating procedures and systems for competitive advantage, making short-run and long-run decisions that affect operations, and managing the work force. To understand the role of operations in any organization, a manager must understand: process analysis, capacity analysis, types of processes, productivity analysis, and the role of operating strategy in corporate strategy. Case studies will be used to introduce students to a wide range of practical operational issues in healthcare delivery. Students will also be introduced to a new variability based methodology and to the quantitative techniques to reduce cost while maintaining or even improving quality of care. Problem oriented software will be used for some of these scenarios

HPM 233d. Strategic Marketing Management in Health Systems
Mr. G. Wasek
2.5 credits
Seminars, case studies, lectures. One 3-hour session each week.

Examines marketing within a strategic framework across the public and private sectors, domestic and international health systems, and social marketing contexts. Marketing management, research, and strategy techniques are discussed and applied to program design, business planning, and implementation issues. Course emphasizes analytic skills development in marketing.

HPM 235b. Managed Care Policy Issues
Ms. N. Turnbull
2.5 credits
Lectures, seminars, case studies. Two 2-hour sessions each week.

Managed care programs have grown rapidly in the past decade in the United States and have become the major type of health coverage for most insured people. Managed care techniques are also being incorporated in the health care systems of many other countries. This course will review the fundamentals of managed care, with an emphasis on the major public health policy issues that have arisen with the growth of managed care. Students will be encouraged to develop their own critical assessment of the performance of managed care and of the prospects of using managed care to control national health spending and to improve access and quality of care.

HPM 238c. Strategic Use of Information Systems in Health Care Delivery
Dr. J. Nobel
2.5 credits
Lectures. Two 2-hour sessions each week.

This course will explore information systems from the perspectives of providers, payers, and consumers within the health care environment. Leading edge technology, systems theory, health care software applications and health care strategic planning will be described and placed in context by guest discussants. Topics include computerized patient records, repository databases, clinical decision support systems, and interactive multimedia communications.

HPM 239b. Applied Financial Analysis of Health Care Organizations I
Dr. N. Kane
1.25 credits
Lectures. One 2-hour session each week.

In this applied skill-building course, students are assigned a set of current healthcare organization financial statements to analyze as a group; then break into smaller groups to pursue student - defined financial research questions. Research questions vary in response to outside agencies' requests, major public health issues, or special interests of students. Course provides the opportunity to apply skills introduced in HPM 219a and to participate in a group research project.
Course Note: HPM 219a required; enrollment limited to 15 students; signature of instructor required; pass/fail only.

HPM 239b,cd. Applied Financial Analysis of Health Care Organizations
Dr. Kane
1.25 credits for "b" period; 2.5 credits for "cd" period
Lectures. One 2-hour session each week.

In this applied skill-building course, students are assigned a set of current healthcare organization financial statements to analyze as a group; then break into smaller groups to pursue student - defined financial research questions. Research questions vary in response to outside agencies' requests, major public health issues, or special interests of students. Course provides the opportunity to apply skills introduced in HPM 219a and to participate in a group research project.
Course Note: HPM 219a required; HPM 239b is a prerequisite for HPM 239cd; student must register in appropriate semester for each course; grade will be given at the end of "b" period and at the end of "cd" period; enrollment limited to 15 students; signature of instructor required; pass/fail only.

HPM 241ab. Health Care in the U.S.: System, Policy, and Comparative Perspectives (Cross-listed at KSG as HCP-100)
Dr. S. Burke, Dr. J. Akula
5 credits
Lectures. Two 1.5-hour sessions each week.

An introduction to (1) how the health care system in the U.S. is organized, including the major private-sector and public-sector institutions involved in the delivery, management, regulation and financing of care; (2) the current policy debate about federal, state, and private reforms aimed at controlling costs, expanding access, and protecting quality; and (3) the ways in which the health care systems of other nations in the industrialized world provide insights into the U.S. experience.
Course Activities: The instructor will provide an overview. Guest lecturers from different disciplines, including medicine, economics, public health, and the social sciences, will introduce a variety of analytic approaches. Sheila Burke, previously an instructor in this course, will be a frequent gues lecturer on the politics of health care and public sector programs.

HPM 243c. Health Economics: Economic Analysis of the Health Care System
Dr. W. Hsiao
2.5 credits
Lectures. Two 2-hour sessions each week.

Introduces health economics, using economic analysis to examine major health care financing and delivery issues, and the development of policies and programs designed to address them. Topics include: health care financing, health care access and utilization, control of cost inflation, market structure, competition, and national health plans.
Course Note: HPM 205ab or HPM 206ab or signature of instructor required.

HPM 244d. Pharmaceutical and Biotechnology Industries: Public Policy and Regulatory Issues
Mr. J. Norris
1.25 credits
Seminars, case studies. One 2-hour session each week.

This course analyzes public policy and legal issues in the important health care industries of pharmaceutical and biotechnology in the U.S. and worldwide. Research and development of new biomedical products is stressed. Regulatory programs for new product development, the ethics of clinical investigation, and the ethics of conflict of interest are also examined.

HPM 245f. Public Health Leadership Skills
Dr. D. Prothrow-Stith, Dr. L. Marcus
2.5 credits
Lectures, laboratories. Five 7-hour sessions.

This course responds to recent criticism by the Institute of Medicine that public health schools are failing to train professionals to work in health agencies. It provides students with concrete skills needed to fill leadership positions in health. Topics include: public speaking, articulation of goals, negotiation, budget justification, and constituency building.
Course Note: Recommended to follow ID 250a and HPM 242c; students should demonstrate an interest in careers in public leadership.

HPM 246abcd. Seminar in Health Policy (Cross-listed at KSG as HCP-597ab and HCP-598cd and at FAS as HP-2000)
Dr. J. Newhouse, Dr. R. Frank
10 credits, given at end of last semester
Seminars. Two 2-hour sessions each week.

This course is restricted to doctoral students. Topics covered will include the financing and organization of health care, medical manpower, medical malpractice, technology assessment, prevention, mental health, long-term care, and quality of care.
Course Note: Requirement for doctoral students in the HPM department; signature of instructor required for those who are not doctoral candidates in the HPM department; the course meets at the John F. Kennedy School of Government

HPM 247cd. Political Analysis and Strategy for U.S. Health Policy (Cross-listed at KSG as HCP-175)
Dr. R. Blendon
5 credits
Lectures, case studies. Two 1.5-hour sessions each week.

This course offers political and analytical insights into understanding U.S. health policymaking and into developing strategies that influence health policy outcomes. The course provides both the theoretical basis and strategic skills for influencing the health policy process within U.S. political institutions. In addition, this course addresses the politics of agenda-setting and health care; the press, politics, and health policy; pollsters and political institutions; White House politics; health politics and the states; and health politics abroad.

HPM 253t. Quality Improvement in Health Care
Dr. M. Bisognano, Dr. D. Berwick
2.5 credits
Lectures, seminars. Sixteen 1.75-hour sessions.

This course is designed for practicing physicians and those with an interest in health care management. It will explore both the theory and practical methods being employed to make improvement in health systems. Clinical cases, organizational lessons and interactive learning modules will guide the learners to an understanding of the necessary elements for improvement and how to identify and eliminate barriers to change. Local site visits to health care settings will be scheduled to demonstrate important lessons.

HPM 255d. Payment Systems in Healthcare
Dr. N. Turnbull
2.5 credits
Lectures, seminars and case studies. Two 2-hour sessions each week.

This course examines issues related to third-party payment of health care institutions and individual providers. The major objectives of the course are to provide students with an understanding about the different methods used to pay different types of providers; an understanding of the impact of payment methods on the behavior of providers, payers, purchasers, and patients; the ability to identify the basic features of a capitation payment system and understand the associated business and ethical opportunities and risks; and the ability to assess and assign risk and accountability in payment arrangements between health plans and provider organizations. Extensive use will be made of case studies from a range of different health care organizations.

HPM 271e. Overview of Intimate Partner Violence
Dr. D. Prothrow-Stith, Dr. A. Browne
1.25 credits
Lectures, Seminars. Five 3.5-hour sessions.

This course is intended as an introduction to the topic of domestic violence for students interested in doing an independent study or practica later in the academic year. Lectures and seminars will cover the epidemiology of domestic violence; dynamics of abusive relationships; responses of the criminal justice and health care sectors; the role of the shelter and advocacy communities; relationships between domestic violence and other forms of violence; and strategies for primary prevention. Guest lecturers from prevention and intervention programs will provide personal insights and will describe potential practica at their agencies.
Course Note: Enrollment limited to 20 students; pass/fail only.

HPM 274abcd. Oral Health Policy Research Seminar (Cross-listed at HDS as OHPE-222)
Dr. Douglass
5 credits, given at end of last semester
Lectures, seminars. One 2-hour session each week.

The fall term concentrates on the research methods of current national studies of the need, supply, demand, and cost of dental care. Policy research documents of the ADA, IOM, FDA, CDC, New England Research Institute, RAND Corp., and the NCHS are studied. Research designs and data collection methods are reviewed. The spring term emphasizes the research work of faculty and students on relevant dental care policy subjects. Grade is based upon participation and the defense of a current health policy protocol .
Course Note: Upon completion of HPM 274ab, 0 credits and grade of "SIP" (Still in Progress) will be assigned; upon successful completion of both HPM 274ab AND HPM 274cd, students will receive 5 credits and a final grade.

HPM 275a. Health Policy Issues: Access to Dental Services
Dr. C. Douglass
2.5 credits
Lectures, seminars. Two 2-hour sessions each week.

This course uses examples and issues in dentistry and dental public health as a strategy for understanding health policy and public health program development and management at the local, state, and national levels. The objectives are: to understand the process of health policy development; to apply the health policy process and community health program planning methods to dental services program development; and to identify possible linkages between the public health system and the (dental) health services delivery system.

HPM 276t. A Survey of Methods and Applications In Health Services Research
Dr. A. Epstein
2.5 credits
Not offered summer 2000.
Lectures, seminars, case studies. Five 1.75-hour sessions each week.

This course introduces students to health services research. The course includes sessions on both methodologic techniques and applications. Individual sessions will be devoted to research design, analyses of large databases, cost effectiveness analyses, survey methodology, assessment of health status, assessment of quality, measurement of access to care, risk adjustment, and statistical techniques pertinent to health services research. There will also be sessions reviewing managerial applications such as case management, use of hospital information systems, and targeting for high risk patients.
Course Activities: Students will be asked to critically review several papers during some of the sessions. In the final part of the course, students will work in small groups to critique a "grant proposal: designed to study an important problem in health services or health policy research.

HPM 277s. Current Issues in Health Policy
Dr. Epstein, Dr. Komaroff
2.5 credits
Lectures, seminars, case studies. Five 1.75-hour sessions each week.

This course introduces students to the major health policy issues facing the United States today. The course focuses on the roles of hospitals, doctors, private and government insurance, and different systems for organizing and financing care (such as tra ditional fee-for-service, HMOs, and other forms of Òmanaged careÓ). Individual sessions in the course will be devoted to topics such as medical malpractice, policy issues related to pharmacological therapy, physician payment, academic health centers, work force, physician profiling, managed care, Medicare, Medicaid, AIDS health policy and ethical issues.
Course Note: Taken with HPM 276s, the course sessions are designed to provide both a general background of the health care system and knowledge of many of the cutting-edge issues that are on the forefront of the nationÕs health policy agenda.

HPM 278d. Skills and Methods of Health Care Negotiation and Conflict Resolution
Dr. L. Marcus
1.25 credits
Lectures, seminars. One 2-hour session each week.

This course introduces students to the theory and practice of negotiation and conflict resolution. Particular emphasis is placed on integrating analytic skills, negotiation techniques and conflict resolution methods into the practice of public health. Much of the class is devoted to simulation exercise in which general concepts and methods are demonstrated and practiced. These exercises model disputes typical of health care settings and public health problems. The debriefing which follows each exercise offers individual feedback, as well as the opportunity to examine applied issues of organizational communication, system design, and conflict. By the end of the course, students will have knowledge of the overt and covert causes of conflict, concepts for analyzing disputes and a variety of methods useful for preventing, resolving and when necessary, initiating a conflict.
Course Note: Minimum enrollment of 12 students required.

HPM 278e. Skills and Methods of Health Care Negotiation and Conflict
Resolution
Dr. L. Marcus
1.25 credits
Lectures, seminars. Two eight-hour session and one 2-hour exam.

This course introduces students to the theory and practice of
negotiation and conflict resolution. Particular emphasis is placed on
integrating analytic skills, negotiation techniques and conflict
resolution methods into the practice of public health. Much of the
class is devoted to simulation exercise in which general concepts and
methods are demonstrated and practiced. These exercises model disputes
typical of health care settings and public health problems. The
debriefing which follows each exercise offers individual feedback, as
well as the opportunity to examine applied issues of organizational
communication, system design, and conflict. By the end of the course,
students will have knowledge of the overt and covert causes of
conflict, concepts for analyzing disputes and a variety of methods
useful for preventing, resolving and when necessary, initiating a
conflict.

Course Note: Minimum enrollment of 12 students required.

HPM 286s. Decision Analysis in Clinical Research
Dr. M. Weinstein
2.5 credits
Lectures. Five 1.75-hour sessions each week for 3.5 weeks.

Introduces the following topics: decision analysis methods relevant to clinical decision making and clinical research; the use of probability to express uncertainty; Bayes theorem and evaluation of diagnostic test strategies; sensitivity analysis; utility theory and its use to express patient preferences for health outcomes; cost-effectiveness analysis in clinical research and health policy; and uses and limits of decisions analysis and cost-effectiveness in clinical decision making and research design.
Course Note: Limited enrollment; priority will be given to participants in the Summer Program in Clinical Effectiveness.

HPM 287abcd. Research Seminar on Risk and Decision Analysis
Dr. J. Hammitt
2.5 credits
Seminars. One 1.5-hour session every two weeks.

This doctoral level seminar introduces students to state-of-the-art scholarship in risk analysis and decision theory. Biweekly guest speakers from within and outside the university will present their current research projects. The seminar will aim for balance between theoretical and applied projects. While specific topics will change from year to year, relevant fields will include: theory and techniques of risk analysis; choice under uncertainty; health policy models; cost-effectiveness analysis; statistical decision theory; subjective probability and utility assessment.
Course Note: For doctoral candidates or for advanced master's degree students; signature of instructor required.

HPM 288c. Management Science
Dr. E. Litvak
2.5 credits
Lectures. Two 2-hour sessions each week.

Management science (frequently referred to as Operations Research) will introduce the students to various quantitative tools and methods useful in optimizing the use and allocation of scarce resources. Topics include: linear programming, transportation, assignment, network flows, dynamic programming, queuing and simulation.

HPM 290ab. Applied Research and Practice in Health Policy and Management
Ms. N. Turnbull
5 credits, given at end of each semester.
Field work and one 2-hour session each month. Fieldwork takes place for 8-10 hours each week.

Allows students to apply analytic and management methods to concrete problems. Students carry out a research project, perform a policy analysis or conduct a management study on behalf of an individual or institutional sponsor. Students work with sponsors to develop individual projects. Students meet monthly to discuss progress and hear guest speakers from a range of health care organizations. At the conclusion of the course, students prepare oral and written reports summarizing their project results.
Course Note: Open only to students in the second year of the two-year Master of Science in Health Policy and Management.

HPM 290cd. Applied Research and Practice in Health Policy and Management
Ms. N. Turnbull
5 credits, given at end of each semester.
Field work and one 2-hour session each month. Fieldwork takes place for 8-10 hours each week.

Allows student to apply analytic and management skills to concrete problems. Students carry out a research project, perform a policy analysis, or conduct a management study on behalf of an individual or institutional sponsor. Students work with sponsors to develop individual projects. Students meet monthly to discuss progress and hear guest speakers from a range of health care organizations. At the conclusion of the course, students prepare oral and written reports summarizing their project results.
Course Note: Open only to students in the second year of the two-year Master of Science Program in Health Policy and Management.

HPM 291cd. Applied Research in the Law of Health Policy and Management
Dr. T. Brennan
5 credits
Field studies.

Allows students in the Law and Public Health Concentration of the MPH degree program to apply analytic skills to a practical problem. Students carry out a research project, perform a policy analysis or conduct a managerial study on behalf of an individual or institutional sponsor.
Course Note: Signature of instructor required.

HPM 292d. Research Ethics
Dr. T. Brennan
1.25 credits
Lectures. One 1-hour session each week.

This course is required for all students engaged in studies supported by the National Institutes of Health, and is open to everyone. The course reviews a series of ethical issues that arise in the conduct of research. Topics will include informed consent, disclosure of conflicts of interest, multiple authorship issues, issues in mentoring, including gender and race-based discrimination, and the federal oversight process.
Course Activities: Multiple lecturers will conduct interactive sessions.
Course Note: Pass/Fail only.

HPM 296cd. Doctoral Seminar in Health Economics (Cross-listed at KSG as HCP-581 and at FAS as EC 2460)
Dr. J. Newhouse, Dr. D. Cutler, Dr. R. Ellis
2.5 credits
Seminars. One 2-hour session each week.

Explores frontier work in the field of health economics. Focuses on learning advanced theories and economic models useful for policy analysis, and on helping students develop dissertation and/or research topics. Students enrolled for credit are expected to present original research at the end of the semester.
Course Note: For doctoral candidates or very advanced master's degree students; a graduate-level microeconomics course is required; signature of instructor required indicating suitable background. Course meets for 4 weeks at Boston University, five weeks at HSPH, and 4 weeks at the Kennedy School of Government.

HPM 297cd. Public Opinion, Polling, and Public Policy (Cross-listed at KSG as API-214)
Dr. R. Blendon
5 credits
Lectures, seminars. Two 2-hour sessions each week.

Public opinion polling has become an essential tool in public policy decision making and media reporting. This course focuses on helping students interested in these areas learn the basic skills required to design, use, and critically interpret surveys measuring public opinion. The lectures in this course will be given by Harvard faculty and guest speakers who are involved currently in national polling activities. Guest speakers will include experts in newspaper and television polling, political campaign strategy, and election exit polling. In addition, class participants will get "hands on experience" analyzing and critically evaluating existing opinion surveys, designing polling questions and interpreting results.

HPM 300a,b,c,d,s. Independent Study
Department Members
Time and credit to be arranged.

An opportunity for independent study is offered for interested and qualified students or small groups of students. Arrangements must be made with individual faculty members and are limited by the amount of faculty time available. These programs are open to all students who wish to go beyond the content of the regular courses.
Course Note: Completed independent study contract is required at the time of registration; maximum of 5 credits per independent study topic; pass/fail only; signature of instructor required.

HPM 301a,b,c,d,s. Independent Study
Department Members
Time and credit to be arranged.

Course Note: Completed tutorial contract is required at the time of registration; maximum of 5 credits per topic; pass/fail only; signature of instructor required.

HPM 350a,b,c,d,s. Research
Department Members
Time and credit to be arranged.

For doctoral candidates who have passed their school-wide Oral Qualifying Examination and who are undertaking advanced work along the lines of fundamental or applied research in the department.
Course Note: Pass/Fail only; maximum of 20 credits; signature of instructor required.

HPM 400 a,b,c,d,s. Research
Department Members
Time and credit to be arranged.

For doctoral candidates who have passed their school-wide Oral Qualifying Examination and who are undertaking advanced work along the lines of fundamental or applied research in the department.
Course Note: Pass/Fail only; maximum of 20 credits; signature of instructor required.

HPM 507a. Mental Health, Policy and Economics in the United States
Dr. M. Rosenthal
2.5 credits
Lectures, seminars. Two 2-hour sessions each week.

Mental health policy has gained visibility on the public agenda in the U.S. over the past several years, culminating with this year's release of the first ever Surgeon General's report on mental health. This course introduces students to the U.S. system of financing and delivering mental health services and covers a range of policy issues related to mental illness. After a brief overview of the epidemiology of mental illness and the U.S. public and private mental health care system, the majority of the course will be devoted to discussion and anaylsis of the major issues and initiatives in mental health policy of the past several decades including the current debate over parity legislation. Though not to the exclusion of other viewpoints, the course will emphasize economic principles in framing issues and evaluating possible solutions

HPM 508c. Legal and Regulatory Issues in Managed Care
Dr. A. Noble, Dr. M. Chirba-Martin, Dr. T. Brennan (S)
2.5 credits
Lectures, seminars. Two 2-hour sessions each week.

This course explores how law affects health care delivery and finance with a primary focus on managed care. The latter half of this decade has seen a dramatic increase in the regulation of managed care, particularly in the US. Meanwhile the federal government, particularly through the Employee Retirement and Income Security Act (ERISA), exerts its regulatory influence, and is now considering a number of bills that could expand the federal presence in this area. This course will examine these recent developments in the regulation of managed care. Issues of federalism and state police power will be explored, with emphasis on the ERISA. Managed care organization and/or provider liability in tort, anti-trust, fraud and abuse, as well as avoiding liability will be studied. The course will also look at how regulations affect the relationships among key stakeholders: the health plan, the provider and the patient. Provider contracting, gag clauses, consumer rights, incentive structures, etc. will be included. Other issues include the implications of tax status, and nonprofit conversions; the sometimes competing ethical and legal obligations of provider and organization to the patient. By the end of the course, students will be challenged to make predictions concerning the future of US health care delivery and regulation, given their exposure to these issues.

HPM 510s. Introduction to Management of Health Care Organizations
Dr. M. Roberts
2.5 credits
Lectures, case studies. Five 2-hour sessions each week.

This course provides an introduction to two of the major tasks confronting managers of health care organizations. Building on an introduction to organizational theory, the course focuses on the main problems of organizational strategy and the management of human resources. This course makes extensive use of case based classroom discussions, as well as selected conceptual readings.

HPM 512t. Medical Informatics
Dr. D. Bates, Dr. G. Kuperman
2.5 credits
Lectures, seminars. Five 2-hour sessions each week.

Medical informatics will address using data from clinical information systems in performing clinical effectiveness research, including the strengths and limitations of these data. Major topics will include an overview of medical informatics; discussion of the nature of computer-based data including medical vocabularies and obtaining information from clinical systems; and clinical systems with a focus on clinical decision support and how to evaluate their impact. Special topics will also be covered including large databases, the Web, confidentiality-related issues, information retrieval, and patient computing.
Course Activities: Students will have to write a paper about a proposed analysis using data from a clinical information system.
Course Notes: Ordinal grading only.

HPM 514s. Developing Questionnaires to Measure the Outcomes of Health Care
Dr. T. Lieu, Dr. E. Cook, Dr. M. Connelly, Dr. L. Nekhlyudov
2.5 credits
Lectures, case studies. Five 1.75-hour sessions each week.

This course emphasizes concepts, methods, and practical procedures for developing questionnaires for assessing patients' health status and the outcomes of care. The course reviews qualitative and quantitative approaches to developing measures. Statistical methods needed to construct and use scales and indices successfully are also presented and discussed. On the basis of their experience in this course, students will be able to locate available research-quality instruments for measuring health care outcomes, make intelligent choices among existing instruments, interpret the results of questionnaire-based data from their own and others’ research, and participate in the development of original outcomes measurement tools.
Course Activities: A group project is required in which students collaborate to construct an instrument, conduct a pilot test, administer a final form to colleagues, and analyze and present data on instrument performance.
Course Note: Introductory courses in epidemiology and biostatistics required; enrollment limited; signature of instructor required.

HPM 515c. Quality Measurement in Health Care
Dr. R. Palmer, Dr. S. Greenfield, Dr. S. Kaplan
2.5 credits
Lectures, workshop. Two 2-hour sessions each week.

The course provides a strong grounding in methods and strategies for quality measurement for use in quality improvement and accountability programs. Topics covered include measurements of clinical quality using process or outcome data, including the impact of severity of illness on outcome. Several sessions also cover measurement of patient experience/ satisfaction using patient survey data. Through lectures, classroom exercises and homework, students learn the terminology, concepts and strategies for quality measurement.
Course Note: Experience with some aspect of delivery of personal health services is desirable, as well as an understanding of basic principles of biostatistics and epidemiology.

HPM 516d. Quality Improvement in Health Care
Dr. L. Leape, Dr. E. Schneider
2.5 credits
Seminar. Two 2-hour sessions each week.

This course examines the nature and causes of variations in the quality of health care and asks what can be done about them. It explores the theories and methods of quality improvements with a focus on strategies for changing the practices of physicians and organizations. Topics include geographic and other variations in overuse, underuse and misuse of health care services, traditional quality improvement techniques such as regulation, credentialing, education, and new techniques including continuous quality improvement, organizational learning, systems design, managed care, practice guidelines, information systems, performance reports, and mediation.
Course Note: The instructors will emphasize and expect active participation in class discussions.

HPM517d. Ending Violence Against Women and Girls: International Perspectives on Strategies for Change
K. Leiter (P), D. Prothrow-Stith (S)
2.5 credits
Seminars. One 2-hour session each week

The topic of this seminar is violence against women and girls; our primary focus will be relationship violence. Our perspective will be an interdisciplinary one, drawing on the interrelated discourses of public health practice, social justice and popular/ grassroots movements. It will also be an international one, incorporating programmatic experiences and women's and men's voices from around the world. We will consider the evolution and current status of knowledge, public policy and activism. This course is intended to develop students' analytical and critical skills, and to serve as a forum for your ideas and proposals for practical strategies of investigating and delegitimizing gender-based violence.
Course Note: Enrollment limited to 8 students. Students are expected to have an introductory knowledge of the dynamics, cause and consequences of family violence.

HPM 520b. Organizing Consumer and Community Interests in the Health System
S. Sherry, Dr. B. Gibbs, Dr. D. Prothrow-Stith
2.5 credits
Seminar. One 4-hour session each week

This course focuses on organizing consumer and community interests in the health system with particular emphasis on effective interventions by and for the traditionally disenfranchised. Using the framework of community organizing, the course examines the elements of building and sustaining constituency involvement in health care. Analysis of health policy and politics is used to identify strategic opportunities and challenges for consumer intervention. The course emphasizes the practical applications of organizing and policy analysis to influence health policy particularly at the institutional, local and state levels. Extensive use of recent case examples ground the class in the current issues faced by community groups and other health interests in a rapidly changing health system.
Course note: Enrollment limited to 20 students.

HPM521t. Information Systems in Healthcare
Dr. D. Bialek
2.5 credits
Lectures, case studies. Five 2-hour sessions each week.

This course will expose students to the concepts and knowledge involved in making strategic use of information and information technology in healthcare organizations. Particular emphasis will be placed on the provider perspective and the use of information in decision-making. The majority of the course focuses on the management aspects of IT in healthcare, though some time will be spent examining certain technical aspects such relational databases and the internet. This course combines cases, lectures, and speaker presentations.

HPP 207ab. Econometrics for Health Policy (Department of Health Policy and Management and the Department of Population and International Health)
Dr. C. Yip
5 credits
Lectures. Two 2-hour sessions each week.

This course provides students with an understanding of basic econometric concepts and methods commonly used in health policy research. Special attention is given to modeling and model specification issues. Articles from the health policy literature and computer data exercises provide a context for discussion of the methods. Prepares students for a fuller understanding of the material covered in HPM 208cd.
Course Note: Some prior course work in statistics necessary; signature of instructor required indicating suitable background.

HPP 268c. Financing Health Care in Developing Countries (Departments of Health Policy and Management and Population and International Health)
Dr. W. Hsiao, Dr. P. Berman
2.5 credits
Lectures. Two 2-hour sessions each week.

This course provides students with a wide-ranging introduction to public and private financing of health care in developing countries. Financing methods covered include community financing, social insurance, user's fees, privatization, and efficiency improvement. Analyzes economic considerations in alternative approaches to financing, including equity, efficiency, and stability. Reviews formal perspective of economic theory. Assesses link between stages of national development and health care financing.
Course Note: HPM 205ab or HPM 206ab required; signature of instructor required.

ID 240c. Principles of Injury Control (Department of Health Policy and Management)
Dr. D. Hemenway
2.5 credits
Seminar. One 3-hour sessions each week.

This course provides an introduction to a serious public health problem - intentional and unintentional injury - and provides a framework for examining control options. Specific categories of injuries, such as motor vehicle crashes and violence, and specific risk factors for serious injury such as alcohol and firearms, are examined in detail.

ID 250a. Ethical Basis of the Practice of Public Health (Department of Health Policy and Management)
Dr. M. Roberts
2.5 credits
Lectures, case studies. Two 2-hour sessions each week.

Provides students with a broad overview of some of the main philosophical and moral ideas that are used as a basis for resolving debates of public health policy. Helps students develop their own capacities to analyze, criticize, evaluate, and construct policy-oriented arguments.
Course Note: Acceptance into the MPH Program or the Department of Health Policy and Management; students must register for appropriate section.

ID 250b. Ethical Basis of the Practice of Public Health (Department of Health Policy and Management and the Department of Population and International Health)
Dr. M. Reich
2.5 credits
Lectures, case studies. Two 2-hour sessions each week.

Provides students with a broad overview of some of the main philosophical and moral ideas that are used as a basis for resolving debates of public health policy. Helps students develop their own capacities to analyze, criticize, evaluate, and construct policy-oriented arguments.
Course Note: Acceptance into the MPH Program or the Department of Health Policy and Management; students must register for appropriate section.

ID 251s. Ethical Basis of the Practice of Public Health: Health Care Delivery(Department of Health Policy and Management)
Dr. T. Brennan
2.5 credits
Lectures, case studies. Five 2-hour sessions each week.

This course emphasizes American health care policy and modern medical ethics in its exploration of the political theory of medical care and is intended to provide physicians and public health professionals with an understanding of the manner in which political economy and ethics interact in health care policy decisions.

ID 251t. Ethical Basis of the Practice of Public Health: Health Care Delivery (Department of Health Policy and Management)
Dr. T. Brennan
2.5 credits
Lectures, case studies. Five 2-hour sessions each week.

This course emphasizes American health care policy and modern medical ethics in its exploration of the political theory of medical care. It is intended to provide physicians and public health professionals with an understanding of the manner in which political economy and ethics interact in health care policy decisions.

ID 261cd. Practice of Health Care Management (Department of Health Policy and Management)
Section 01- Dr. J. Kasten
Section 02- Dr. J. McDonough
5 credits
Seminars, field studies. One 2-hour session each week and four hours of field work each week.

One section explores the managerial skills required of public health professionals in any setting - leadership negotiations, interdisciplinary teams, and communication. The alternative section focuses on the policy process from a political perspective, identifying key shareholders, political processes, government structure, and the role of conflict resolution in the formation of health policy. Fieldwork provides practical experience in health care management or health policy development.
Course Note: Acceptance into the MPH concentration in Health Care Management or signature of instructor required.

[MCM 215cd]. Methods of Planning and Evaluating Public Health Programs (Department of Maternal and Child Health and the Department of Health Policy and Management)
Dr. S. Buka, Dr. M. McCormick
2.5 credits
Not to be given 2001-2002; offered alternate years.
Lectures, seminars, case studies. One 2-hour session each week.

Presents concepts and methods for developing and evaluating programs and services for health and human service programs in developing or industrialized countries. Focuses on the development of knowledge and skills in needs assessment, program development, implementation and evaluation of public health programs.
Course Activities: Class discussion, development of a complete written program proposal, oral presentation of proposal for critical review.
Course Note: Enrollment limited to 30 students; signature of instructor required.

PIP 240d. Political Economy of International Health Policy (Department of Population and International Health and the Department of Health Policy and Management)
Dr. M. Reich
2.5 credits
Lectures, seminars, case studies. Two 2-hour sessions each week.

Examines issues of health and development in the context of international politics and economics. Explores how relations between developed and developing countries affect the formulation and implementation of health policy and the impact of development policy on health. Students are introduced to two contrasting perspectives on health and development: modernization theory and dependency theory, with attention to the roles of states, markets, non-governmental organizations and international institutions.
Course Activities: Case studies are used to illustrate constraints and opportunities for influencing health and development policies.

Last modified:·03/30/2001 14:57:43

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