PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

PHW200E: Health Policy and Management

Course Syllabus (Summer 2018) Table of Contents Course Description 2

Course Goals 2

Instructor Information 4

Course Format 7

Course Schedule 7

Course Grading 8

Course Requirements 9

Required Course Materials 9

Completion of Course Modules 9

Participation in Group Activities 9

Debates 9

Paper 10

Midterm Exam 10

Final Group Project 10

Course Communication 10

Announcements 10

Course mail 10

Office hours 10

Policies 10

Due Dates 10

Late Assignments 11

Course Evaluations 11

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Course Description

Welcome to the Health Policy and Management course! We are excited to be teaching this course at

such an interesting moment in history: The Affordable Care Act (ACA) passed in 2010, the U.S. Supreme

Court upheld the key tenets of the ACA in 2012 and 2015, and the federal and state health insurance

marketplaces (exchanges) are operating. However, concerns persist on whether the United States will

be able to afford its healthcare in the future given its historical spending increases and forecasted

pharmaceutical spending. Add to that the uncertainty of the Trump Administration’s policy preferences

and the future of our healthcare system remains unclear. In addition, given that health outcomes in the

United States rank poorly in comparison to most all economically developed countries despite how

much the country spends, there must be a greater focus on improving health by addressing the social

determinants of health. This 6-week course is an introduction to key topics in health policy and

management. Each week will focus on a different aspect of the field incorporating economics,

organizational behavior, political science, and policymaking perspectives.

● Week 1: Intro to U.S. Healthcare + Private Insurance ● Week 2: Public Insurance Programs + The Uninsured ● Week 3: Quality of Care + Stakeholders ● Week 4: Health Care Reform Policy + Politics ● Week 5: Current Topics in Health Care Delivery ● Week 6 (On-Campus): Current Topics in Health Care Delivery (cont.) and an Introduction to the

School of Public Health

Course Goals

This breadth course is designed to provide MPH students a basic set of competencies in the domains

central to the field. At the end of this course, students will be able to demonstrate the following core

competencies in health policy and management:

● Analyze the policymaking process and the respective roles of federal and state government, markets, and stakeholders

● Explain the principle functions of health insurance, the structure of public and private health insurance plans, and trends in enrollment and expenditures

● Identify and discuss the main components and issues in the organization and payment methods for health care and public health services delivery

● Analyze institutional, cultural, economic, and political foundations of the health of populations and communities

● Discuss disparities in access to health insurance and health care and the impact of various efforts to reform U.S. healthcare including the Affordable Care Act

● Identify the drivers and consequences of innovation in biomedical, pharmaceutical, and health information technologies

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

The learning objectives and competencies will be addressed in multiple lectures as indicated in the

matrix below.

Matrix of Competencies

Lecture Policy Process

Insurance Financing

Organization of Care and

Payment Methods

Population Health

Performance Measurement

and Quality Improvement

Disparities in Access

Technology Innovation

1.1 Healthcare in the US

X X X X X X X

1.2 Private Insurance

X X X X

1.3 Econ of Insurance

X X

2.1 Medicare X X X X X 2.2 Medicaid X X X X X 2.3 Uninsured X X X 3.1 Quality X X 3.2 Stakeholders X X X X 4.1 “P” in HPM X 4.2 Healthcare Reform Options

X X X X X X X

4.3 ACA Politics and Policy

X X X X X X

4.4 ACA Passage to Trump

X X X X X X

5.1 Mental Health

X X X

5.2 Hospitals X X X X X X 5.3 Clinics X X X X X 5.4 Healthcare Workforce

X

6.1 Reform Today

X X X X

6.2 ACOs X X X X X 6.3 “M” in HPM X X X 6.4 Advocacy X X X X 6.5 PhRMA and Tech

X X X

6.6 21st Century Primary Care

X X X X X X

6.7 “H” in HPM: Health Disparities and Social Determinants of Health

X X X

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Instructor Information

Robin Flagg, PhD MPH rflagg@berkeley.edu

Office hours:

Introduction: Dr. Robin Flagg has over 25 years of experience in health policy development and advocacy. She has worked with numerous organizations including the California Association of Public Hospitals, the Centers for Medicare and Medicaid Services (CMS) in the US Department of Health and Human Services, and Kaiser Permanente. Additionally Dr. Flagg was the Director of Health Policy at the California Medical Association. Dr. Flagg’s research interests include state policymaking, health care politics, and senior health care services. Dr. Flagg serves on the Board of On Lok, Inc (a PACE plan) and as the Chair of the Advisory Board for Piedmont Gardens, a Continuous Care residential community. She received both her PhD in Health Services and Policy Analysis and her MPH in Health Policy and Administration from UC Berkeley. Her BA was in Art History from Williams College. Following her BA, she worked for 3 years with US Peace Corps in Nepal.

Erika Brown erika.brown@berkeley.edu

Office hours:

Introduction: Erika Brown is a second-year epidemiology PhD student. Her research interests are two-fold: assessing how childhood experiences of malnutrition influence health throughout the life course and the optimization of safety net programs. Prior to graduate school, she spent two years working with academic hospitals and community health centers to alleviate disparities in the provision of rheumatic disease care and outcomes. She completed her MPH in epidemiology/biostatistics with a certificate in Public Health Nutrition at UC Berkeley and her BA in Community Health and American Studies at Tufts University. She's excited to facilitate this course for the second time and looking forward to getting to know you all!

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Preet Hayer drkaur@berkeley.edu

Office hours:

Introduction: Welcome 200E students! Preet is currently a first year medical student at the UCSF - UC Berkeley Joint Medical Program. As part of the joint MD-MS program, she is conducting masters' research on how community-based participatory research (CBPR) and machine learning can be used in equitable city planning. She holds a Bachelors of Arts in Human Biology from Stanford University where she concentrated in medical humanities, public health, and health systems and policy. Further, during her undergraduate career, she interned at the U.S. Office of Minority Health in DC and completed a public health fellowship on the Rosebud Reservation in South Dakota. Preet's professional interests in public health and healthy policy are linked to personal experiences as a low-income patient, caregiver to her bed-bound grandfather, and with the Indian Health Service. She looks forward to GSI’ing her first OOMPH course and is excited to get to know you all!

Chris Miller-Rosales cmiller@berkeley.edu

Office hours

Introduction: Chris Miller-Rosales is a first-year PhD student in health policy at UC Berkeley, concentrating in organizations and management. His work centers on the application of organization theory to implementation science to make certain that health care practices and innovations are translated to diverse patient populations. Prior to his doctoral education, Chris completed his undergraduate training in economics at UC Berkeley, earned an MSPH in health policy at Johns Hopkins, and worked as a research analyst at the Kaiser Permanente Division of Research. He looks forward to contributing his professional and academic experiences to the topics in 200E and getting to know all the students!

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Taiji Wang taiji_wang@berkeley.edu

Office hours:

Introduction: Hi 200E students! I am excited to get to know you all in the coming few weeks. I recently graduated from Cal with a MPH, concentrating in Maternal and Child Health. I also hold a Bachelor of Science in Neuroscience from McGill University. I'm a long-time GSI across various departments at Cal but this will be my first time facilitating an OOMPH course. My professional interests in public health are linked to maternal stress research and how clinical and economic evidence of value can be leveraged for launch strategies of pharmaceuticals.

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Course Format

Students will watch up to 4 hours of lecture and complete 1-2 assignments per week. The course incorporates a mix of group assignments and individual work. We encourage students to tie in current events and lessons from their own ongoing work at all stages. Student competencies will be assessed through weekly assignments and activities, a midterm, one 5-page paper, a group debate, and a group final project.

Course Schedule

Week 1: US Healthcare and Private Insurance

Topic Activities Assignment Introduction

None

Introduction video Assignment 1: Key concepts chart (group) Assignment 2: Case study (individual)

HealthCare in the US Private Access to Health Care/Insurance Coverage The Economics of Insurance

Week 2: Public Insurance and the Uninsured

Topic Activities Assignment Public Programs: Medicare

None

Assignment 3: Key concepts chart (group) Assignment 4: Case study (individual)

Public Programs: Medicaid

The Uninsured

Week 3: Quality of Care and Stakeholders

Topic Activities Assignment Quality of Care

None Midterm (individual) Group Participation Survey

Stakeholders Putting the “P” in HPM

Week 4: Health Care Reform Policy + Politics

Topic Activities Assignment Health Care Reform: The Options

Article Presentations Assignment 5: Policy worksheet (individual) ACA: Policy and Politics

ACA: Passage to Trump

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Week 5: Current Topics in Health Care Delivery

Topic Activities Assignment Mental Health

Article Presentations Paper due (individual) Hospitals Clinics Health Care Workforce

Week 6: Current Topics in Health Care Delivery (cont.) and Intro to School of Public Health

(On-Campus)

Topic Activities Assignment Trumpcare/What’s Happening Now

Debates (group) Final Project (group)

ACOs in Action: A Case Study Issue for the 21st Century Primary Care Advocacy Putting the “M” in HPM California’s Healthcare Policy: What’s Possible? Putting the “H” in HPM

Course Grading

Grading is based on the following: ● Midterm 20%

● Paper 20%

● Policy/Org Proposal Final Project 20%

● Debate 10%

● Article Presentation 10%

● Assignments 15%

o Assignment 1: Key Concepts Chart (Private)

o Assignment 2: Case Study

o Assignment 3: Key Concepts Chart (Public)

o Assignment 4: Case Study

o Assignment 5: Policy worksheet

● Participation 5%

o Introduction video

o Assignment group participation

o Debate group participation

o Final project group participation

o On-site attendance

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Course Requirements

Required Course Materials

1. Microphone/headset for your computer

2. Optional book: Barr, Donald. 2011. Introduction to U.S. Health Policy, The Organization, Financing and Delivery of Health Care in America. The Johns Hopkins University Press.

Note: Both the 3rd or 4th editions of Barr are fine. The appropriate chapter for each edition is designated within the reading list. Barr is a great source and will be a big help for you in understanding/clarifying material. However, the textbook is not set up as Professor Flagg runs the class. The textbook is used pre-midterm, which will not include any material on the ACA (we start covering the ACA in week 4). When reading Barr, please skip any part that discusses the ACA. Note that sometimes the chapter summary is before the ACA section and sometimes it is after the ACA section. While you will find the chapter summary helpful, you are not responsible for knowing the ACA material until after the midterm. In fact, it is recommended that you not read the ACA material unless you have a STRONG understanding of all the material covered at the time.

Videos and other resources are found on weekly course pages. A weekly course reader in pdf format

which includes video transcripts and course readings will also be available on the course site for you to

download.

During this course, you will be provided with links to PDF files of articles and other materials from the

UC Berkeley Library Collection. Please make sure you understand and follow the University of California

Library Conditions of Use.

Completion of Course Modules

Students are expected to complete all modules, including viewing all lectures; completing all required

readings and individual activities; and fully participating in class activities.

Participation in Group Activities

This course uses group work as a way for students to learn from each other’s real-world experiences and

expertise. As such, active group participation is critical to the course. Students will have an

opportunity to provide feedback on group member’s contribution, which will be incorporated into a

final participation grade.

Debates

This assignment will ask you to draw upon what you have learned about the US health care system, as

well as hone your advocacy skills. During the on-campus week you will be divided into debate teams

and will be assigned a topic. Debate teams will present their arguments in a clear and concise manner

incorporating supporting facts and evidence. You will also be asked to assess your classmate’s

debating skills and arguments.

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Paper

This assignment asks students to examine one health policy issue in the context of a post-ACA world.

Students will be assigned a “character” and will be asked to write a 5-page analysis from the

perspective of their assigned stakeholder. This assignment requires students to formulate a

sophisticated written analysis of current health policy issues.

Midterm Exam

The midterm exam will occur during week 3 and is due by June 4 at 11:59 P.M PST. It is a closed book

proctored exam (no notes allowed during exam) and will last no more than 3 hours. The midterm will

include a mix of multiple-choice questions, fill in the blank, and short response questions. Further

details will be posted on the course site.

Final Group Project

The final assignment of the class will be a group project in which your group will provide the larger class

with an analysis of either a policy or organizational issue. This analysis will draw upon the policy and

political concepts learned in class and will be an opportunity for groups to dive into a topic of interest.

More details will be provided.

Course Communication

As we move through the course materials, we want to hear how the course is going for you, your

questions as well as how your personal and professional experiences add to our conversation. You can

learn a lot from discussing the material in this course with each other and we encourage you to take

advantage of the interactive components of the course to learn from each other.

Announcements

Announcements will be posted on the home page of the course site. Please check regularly for updates.

Course mail

Course announcements will also be sent out through Canvas’ notification system. The default is to

receive announcements via the Course Mail system, so make sure to check your Course Mailbox for

message or wherever you receive notifications.

Office hours

Instructions for making an office hours appointment are posted on the course site.

Policies

Due Dates

Please check the online course calendar for assignments and dates due. Assignments are usually due

Mondays at 11:59 P.M. PST.

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PHW200E, Summer 2018 Course Syllabus Robin Flagg, Ph.D.

Late Assignments

All weekly assignments must be completed by the following Monday at 11:59 P.M. PST in order for

students to obtain full grades. If you are unable to make a particular deadline, please communicate

with your facilitator using Canvas course mail ahead of the deadline.

Course Evaluations

Course evaluations will be posted on the course site on Friday of Week 6 of the course and be available

until the start of the final exam period. You will receive notification when evaluations are available.

While participation in course evaluations is not graded, it is an important service to the instructor,

program and the university. Your responses are anonymous and will not be available to the instructor

until after final grades have been submitted. Your feedback is essential for understanding how

courses offered by OOMPH can be improved and I thank you in advance for you participation and

feedback

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