The 45-credit curriculum provides students with the management and policy skills needed to be an effective health care leader. The curriculum is comprised of four components:
Overview of The Political, Legal And Economic Framework
• Issues and Approaches in Health Policy and Management
• Health Policy and the Political System
• Introduction to Health Economics
• Legal Aspects of Health Services Administration
Overview of The Public Health System
• Epidemiology (Required for MPH Degree)
• Environmental Health Sciences (Required for MPH Degree)
• Social and Behavioral Science in Public Health (Required for MPH Degree)
• Public Health Concepts (Required for MHA Degree)
Health Care Management
• Accounting and Budgeting for Health Administration
• Health Care Financial Management
• Health Care Quality Management
• Health Information Management
• Hospital Management
• Human Resources Management in Health Care Institutions
• Managerial and Organizational Behavior
• Strategic Management
• Healthcare Marketing Strategy
• MHA Track Management Coursework (3 Credits)
• Leading/Managing/Directing/Working in Public Health Programs
• Promises, Purposes and Limits of International Comparison of Health Policy Experience
• Management of Prevention
• Global Health Policy
• Private Health Insurance & Public Policy: Strategic & Management Challenges
• Management of a Health Plan in Crisis
• The Pharmaceutical Industry: Politics, Economics, and Policy
• Wall Street and Health Care: The Intersection of Cash and Care
• United for All: How UnitedHealth Group is Fundamentally, Absolutely and Permanently Fixing our Broken Health Care Payment and Delivery System (A Case Study)
• Evolution of Healthcare Financing and the Vertical Integration of Financing & Delivery: Will the Hospital Become a Health Plan?
Overview of The Political, Legal And Economic Framework
Issues and Approaches in Health Policy and Management
Satisfies the Health Policy and Management core requirements for the M.P.H. degree. Lectures, team projects, and readings on administrative problems and interventions that affect, and are affected by, all public health practitioners, as they seek to improve health care delivery, health care, and the health status of populations.
Health Policy and the Political System
Analysis of the role of major institutions-the central government, the federal system, the private sector, interest groups-in formulating and implementing health policy in the United States. Discussion of underlying normative issues, cross-national perspectives, and the ups and downs of health care reform.
Introduction to Health Economics
Economic analysis offers an analytic approach to problem solving that is particularly useful in thinking about the financing and delivery of health services. The course covers relevant aspects of microeconomic theory and their application to health care issues.
Legal Aspects of Health Services Administration
Legal responsibilities and liabilities in relation to consumers and providers of health services. Topics include licensure, malpractice, negligence and death.
Overview of The Public Health System
Satisfies the core requirement for the M.P.H. degree. This course covers the language of Biostatistics, the standard techniques of data collection and analysis, the content of vital statistics and mass data of the health fields. The inferential topics include the normal distribution, measures of central tendency and dispersion, hypothesis testing, confidence intervals, regressions and correlation.
Epidemiology (Required for MPH Degree)
Satisfies the Epidemiology core requirement for the M.P.H. degree. The concepts, principles, and uses of epidemiology. Epidemiologic analysis of the determinants of health and disease. Study of particular diseases to illustrate the descriptions of their distributions and courses, the analysis of their causes, and approaches to prevention and control. Teaching is in lecture format and autonomous small-group seminars.
Environmental Health Sciences (Required for MPH Degree)
Satisfies the Environmental Health Sciences core requirement for the M.P.H. degree. An introduction to preventative health practices with an emphasis on environmental factors. Review of basic public health concepts as they relate to disease causation and prevention. Toxicology, especially carcinogenesis, is stressed. In cooperation with Population and Family Health, infectious diseases and the implications of population growth are discussed. Available techniques of preventative practices, such as controlling the quality of air, water, and consumer products, are described for both the workplace and the general environment.
Social and Behavioral Science in Public Health (Required for MPH Degree)
This course offers a broad overview of the theoretical foundations and empirically informed intervention strategies aimed at promoting the health of individuals, their families, workplaces and communities by taking a multi-level approach to the design of public health interventions. Using social and behavioral science theories, students in this course will examine how to address a range of health and social issues and develop basic health promotion initiatives for populations across the age spectrum (from children to elderly) in diverse settings globally. The overall goal of this course is for students to learn the conceptual tools and skills of prevention research and of multilevel health intervention design.
Public Health Concepts (Required for MHA Degree)
This course integrates foundational coursework in Epidemiology, Environmental Health Sciences and Social and Behavioral Sciences. Topics include an analysis of the determinants of health and disease, an introduction to preventative health practices and a broad overview of theoretical foundations and empirically informed public health intervention strategies aimed at families, workplaces and communities.
Health Care Management
Accounting and Budgeting for Health Administration
Financial statements enable us to evaluate the performance of an enterprise, analyze its cash flow, and assess its financial position. Budgets, based on forecasts, take the form of projected statements and serve as an important managerial tool for planning and control purposes. The course examines the generally accepted accounting principles (GAAP) underlying the statements and their implementation in practice. It also notes the limitations of the financial reports and their evolution in response to changing business conditions.
Health Care Financial Management
This class conveys an understanding and appreciation of health care strategic financial planning and management. It is intended to look at key financial issues such as physician/hospital integration analysis, reimbursement methodologies, cost allocation strategies, capitation and risk sharing.
Health Care Quality Management
Health care quality management involves both the evaluation of quality and its improvement. The course will begin with the study of various methodologies for evaluating quality, including techniques that measure aspects of the structure, process and outcome of care, as well as levels of satisfaction. Then we will look at systems that take the results of these measurement techniques and apply them in strategies to improve quality. Once we have covered methods for both measuring and improving quality, we will examine how they are applied in two of the most common settings: hospitals and managed care organizations.
Health Information Management
This course will teach the fundamentals of understanding how health information technology and the Internet will dramatically change healthcare research, development, and operations around the world. The readings, discussions, and course work will result in a healthcare leader adept in properly responding to the challenges in information technology management across a variety of healthcare organizations.
This is an advanced course for students of health system and health care facility management. The focus includes several in-depth case studies of hospitals that focus on organizational relationships, capital finance, development of operating capacity, management of operations, financial management, human resource management, collective bargaining, community relations, new service development and physician relations. At the end of the course, the students should be able to understand each of the major issues confronting management and governance in a modern American inpatient health facility and have absorbed principles and information pertinent to hospitals and health care facilities in other countries as well.
Human Resource Management in Health Care Institutions
Major components of labor law, collective bargaining and labor relations. The course demonstrates the need to plan and direct the relationship of labor and management in order to develop and utilize an effective work setting; provides the student with an understanding of the dynamics of labor relations and the environment in which the legal structure operates; identifies the problems resulting from governmental efforts to define the rights, duties and obligations of labor relations and collective bargaining; and explores the evolution and current problems of collective bargaining.
Managerial and Organizational Behavior
This course has two overall goals. The first is to increase your effectiveness in understanding and managing individuals and teams in health care organizations. The course’s second goal is to prepare you to effectively design organizations. Effective managers not only must lead individuals and teams: they also must ensure that their organizations are well-designed to deliver the results that their strategies promise. This entails developing knowledge and skills to analyze key issues in organizational structure, power and politics, culture, and change.
The introduction and application of analytical frameworks used in formulating and implementing strategies at the general manager/senior executive level and the integration of leadership and managerial skills in the strategically managed organization. The concepts of mission, values, and vision are presented as the central elements of strategic thinking and are applied in the development of comprehensive strategies across a wide variety of institutional settings and situations in the health care sector.
As part of the Executive MPH curriculum, each cohort of students participates in the Master Class.
This class covers selective subject areas in health policy and management that were not covered in depth in the rest of the EMPH curriculum. It is designed to provide an integrative experience building on completed course work. Master Classes
offer an intensive learning environment for students to utilize knowledge and apply frameworks from a range of public health management and policy courses. Topics may vary from year to year, but the Master Class
serves as one of the culminating experiences in the EMPH Program. A variety of recent topics and course descriptions are listed below.
Leading/Managing/Directing/Working in Public Health Programs
Directing a community based public health organization requires knowledge of specific programmatic content as well as organizational skills. These sessions will focus on leadership, facilitating change, people resources, grant writing/fundraising and assessing program effectiveness that public health professionals working as managers encounter on a daily basis. The focus will be on the types of daily issues/ activities that you might face on a regular basis regardless of whether you work in a domestic or international program. Students will have the opportunity to think about how they might respond to these situations and participate in a classroom experience that will directly translate to working in a public health organization.
Promises, Purposes and Limits of International Comparison of Health Policy Experience
This master class module will discuss the promises and perils of international comparison of health policy experiences across industrial nationals. The first hour focuses on the very topic of comparison: why do we look at other countries; how do we select countries that may provide useful lessons for national policy-making in the medical domain? During the second and third hours, we will discuss the main components of the health care systems of the United States, Canada, Germany, the United Kingdom and The Netherlands (with some reference to the countries, too). Next, we will shift to selected policy issues in those countries: primary care, pharmaceutical policy, competition and health care, and long term care. In the final hour, we will discuss the current health reform debate of the U.S. to illustrate many of the general issues above.
The course is based on the book Comparative Studies & the Politics of Modern Medical Care,
T.R.Marmor. R.Freeman and K.G.H.Okma (eds). Yale UP, 2009.
Management of Prevention
This master class is about corporate health care management and its critical importance for a company's survival. Students will be hear about what corporations continue to learn about the importance of healthy employees for sustainable business success, and how they are changing their approach from treating disease towards promoting health. Using case studies and current company scenarios the class will get an introduction to the various concepts, strategies, tools and requirements for implementation. Successful business precedence is a potential interface for broader public policy implications.
Global Health Policy
This class critically examines approaches to public health policy in the developing context. This master class will explore the major determinants of morbidity and mortality across nations including: basic public health infrastructure, education policy, health system quality, appropriate technology use, gender issues, and freedoms. The class will analyze these issues both on a macro level and on a personal level, recognizing that policy exists for people and communities rather than for economic growth per se.
Private Health Insurance & Public Policy: Strategic & Management Challenges
The first goal of this master class is to provide students with a detailed introduction to the current functioning of for-profit and not-for-profit private voluntary health insurance markets in the United States. The second goal is to provide students with an understanding of the key principles involved in successful leadership for a major health care organization during a period of market change and strategic renewal.
Management of a Health Plan in Crisis
This master class provides an in-depth study of the causes for and the rescuing of a health plan in crisis. A multi-dimensional review is conducted of how various constituencies, e.g. physicians, employers, members, shareholders regulators and governmental agencies, hospitals, health plan employees, etc., react and interact to and with a health plan in normal times and in crisis. The resuscitation of a health plan is analyzed by its multiple functional components, e.g. financial, operational, sales, legal, human resources, and public and media relations.
The Pharmaceutical Industry: Politics, Economics, and Policy
Pharmaceuticals are an important source of health improvements. Accordingly, understanding the forces shaping new drug development and access to medicines is an important concern of public health. This master class provides an introduction to the pharmaceutical industry. We begin with an overview of the history of the industry, its evolution, and its unique economics. We then critically examine a range of policy issues related to pharmaceuticals and public health.
Wall Street and Health Care: The Intersection of Cash and Care
In this course, we will look at health care delivery and payment systems from a Wall Street perspective. To do that, we will need to develop a basic understanding of equity and credit markets, recent history (the "credit crisis") and its implications for the current state of health of the health care marketplace. We will synthesize finance, accounting, valuation, policy analysis, industry structure and competitive dynamics, payment and reimbursement issues and look at how Wall Street influences Main Street behavior. Finally, we will set the stage for a detailed discussion of the elements of health reform given the current state of health care, focusing especially on how Wall Street likely reacts to each of these policies.
United for All: How UnitedHealth Group is Fundamentally, Absolutely and Permanently Fixing our Broken Health Care Payment and Delivery System (A Case Study)
In this Master Class, we will explore the transformation of UnitedHealth Group, one of the nation’s largest and most diversified ‘health and well-being’ companies. Starting with the pre-awakening company, i.e., prior to 2010 and moving through the present time, we will describe and analyze the steps taken internally and externally, the processes instituted (including ‘practical innovation), the organizational and structural challenges present in a company this large and diversified and the core OptumInspired transformational strategies.
Evolution of Healthcare Financing and the Vertical Integration of Financing & Delivery: Will the Hospital Become a Health Plan?
The traditional role of providers is rapidly shifting and creating dramatic changes in the healthcare market as healthcare financing changes with public policy. Numerous factors, including narrow networks, community rating and wellness benefits as part of PPACA as well as population health management, hospital patient mix, and cost and reimbursement pressure associated with healthcare reform, are incentivizing an increasing number of healthcare providers to assume financial risk and become payers. This master class will delve into the evolution and challenges of healthcare financing including the fundamentals of cost control and the renewed trend towards integrating healthcare finance and delivery in provider settings. It will examine how leadership and a deep understanding of the insurance business, including pricing, can determine the success or failure of a plan in both government and commercial markets. The course will also discuss the rationale and execution challenges as well as strategies to determine whether provider-created health plans, acquisitions or partnerships can be successful for a particular hospital. Finally, to explore various market implications for the future, HMOs (as well as PPOs and managed indemnity plans) will be compared and contrasted with public exchanges and other healthcare financing models.