HC 466 Plan & Org Comm Hlth Services
F2T 2010 DL
Ph.D. Business AdministrationM.Ed. Mental Health Counseling PsychologyB.A Psychology
Mon - Fri: 9 am - 4 pm Pacific
Publisher: JOHN WILEY AND SONS
Price - See Bookstore
Academic Level : Scholarly/Graduate
Author : Marcia Bayne Smith, Yvonne J. Graham, Sally Guttmacher, Marcia Bayne-Smith
Binding : Paperback
BISAC Subject : MEDICAL / Public Health
Book Type : NON-FICTION
Dewey : 362.1/068
Language : English
LCCN : 2004022993
Library Subject : Community health services,
organization & administration, Public health, United States,
Voluntary health agencies, Vulnerable Populations
Pages : 362, xix, 362 p. ;
Place of Publication : United States
Publication Date : 01/21/2005
Textual Format : Textbooks, Lower level
Health Organizations presents the basic principles and practical design
and management elements that are needed to create an effective
community-based health organization. Once in place, these institutions
provide a viable health delivery alternative to traditional, mainstream
health care organizations.
important resource includes a historical and theoretical overview of
the development of community- based health care organizations and offers
guidance for developing the structure and capacity of CBHOs to
effectively meet the health needs within their communities.
Textbooks can be purchased through the MBS bookstore
Textbooks can be purchased through the Parkville Bookstore
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· Learning Objectives
· Assigned Readings
· Instructor Lecture
· Interactive Learning Activity
· Mastery of Objectives Assessment
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Unit 1: Historical and Organizational Frameworks of Community-based Health Organizations (CBHOs)
· To be announced.
the historical, organizational, and theoretical context of
community-based health organizations (CBHOs) and their role in
advocating for health care in a way different from traditional sources
most often thought of by patients. Examine the efforts to develop
organized approaches to address the health needs (and gaps) within local
communities. Emphasize the role of advocacy for securing comprehensive,
coordinated, and sustainable health care delivery and related services
amid changing social, political, cultural, and economic trends.
· Introduction to key terms and definitions.
· The role of government and the changing influence on CBHOs.
economic, political, cultural, legal and linguistic forces influence
the shape and delivery of health services in general and the development
of CBHOs in particular in a given community.
receptive political climate, strong social capital, social cohesion, a
civil society, and a well-organized advocacy network are essential for
community health services to advance.
· Textbook: Chapter 1. Historical and Organizational Frameworks of Community-Based Health Organizations in the United States.
· Webliography: (URLs) www.naccho.org and www.cdc.gov
· Concepts in community organizing and building of a strong civil society and the community empowerment that follows.
· Concepts in the quality of life and the quality of health outcomes using CBHOs.
to the questions, “what is unique about CBHOs delivery of health care
and health-related services?”, “how are they different or similar to the
health care delivery models you have access to and attend?”
· Unit 1 - Diagram 1.1 and Unit 1 - Diagram 1.2 (Doc Sharing)
Interactive Learning Activity
· Discussion questions (see Interactive Learning Activity bullet under Unit 1).
Mastery of Objectives Assessment
· Quiz (see Mastery of Objectives Assessment bullet under Unit 1).
Unit 2: CBHOs: Improving Health Through Community Development
the critical functions of forming partnerships to advocate for and
deliver comprehensive, coordinated, and sustainable health care services
amid changing social, political, cultural, and economic trends.
the theories used by CBHOs organizations to achieve their goals and the
issues associated from both within and outside affected communities.
in community health outcomes requires that CBHOs develop the capacity
[technological] to plan, advocate, deliver, monitor, and evaluate
culturally acceptable preventive and primary care services.
some communities, CBHOs have multiple functions: they help organize
residents in building the community's social capital and level of social
cohesion, which contributes to community empowerment and development
and ultimately to improved health outcomes.
· Achieving and sustaining good-quality health outcomes requires access to culturally appropriate health services.
· Textbook: Chapter 2. Improving Health Through Community Development
· Webliography: (URLs) http://quickfacts.census.gov/qfd/index.html
three (3) theoretical explanations or perspectives (political economy,
symbolic interaction, and social ecology) as frameworks for
understanding the economic and political changes on community health.
the need to address unity in diversity in community using CBHOs as
vehicles for empowering community and their role of advocate for
improved health outcomes with customized programs and services.
and contrast hospitals, minute clinics, schools and universities, and
other types of health care delivery models you may have used, or
assisted others in using, like the elderly in home health settings.
· Answer the question, “what may be some of the causes as to why differences exist?”
· Unit 2 - Diagram 2.1 (Doc Sharing)
· Discussion questions (see Interactive Learning Activity bullet under Unit 2)
· Quiz (see Mastery of Objectives Assessment bullet under Unit 2).
into the theoretical paradigms presented earlier to help explain in
more detail the role of CBHOs in community change and improving
CBHOs seek client participation and input to shape service delivery,
community education, and advocacy to create changes that will improve
· Answer the question, “what are the differences and similarities among the many CBHOs, if any?”
CBHOs share many similarities, there are large differences among them
in terms of structure, mission, and internal and external operations.
· CBHOs must have a mission statement that provides a guide for all of the organizations activities and programs.
board of directors of an organization commonly sets the organization's
policy and is the public face of the organizations. It gives the
organization greater legitimacy in the eyes of the outside world.
organizational structure of a CBHO should be laid out in its important
documents, which include the table of organization, constitution and
by-laws, strategic plan, and fund development plan.
· Textbook: Chapter 3. CBHOs: A Research Report
· Webliography: (URLs) www.Healthcare4KC.Org/about/aspx
the research is a collection of data from non-profit entities including
federally funded 330 community health centers (CHCs) established by or
in partnership with community-based groups to deliver health (medical),
mental health, or health-related social and support services.
of the internal and external operations of CBHOs with the aim of
gaining a better understanding of them. This will aid in differentiating
them from more traditional care delivery models such as hospitals,
clinics, home health, and also aid in understanding what CBHOs must
undertake to assess their current operations, engage in strategic
planning, and carefully prepare for changes to come.
of interest include how they emerged, their missions, how they
currently function, and how they manage their relationships to multiple
levels of stakeholders in the community they serve in a changing
political and economic climate. Furthermore, it addresses how the CBHO
maintains organizational stability while adapting to change.
· Unit 3 – Annual Report; Unit 3 – HRSA Health Center Program Report; Unit 3 – CAHs Data Summary Report (Doc Sharing)
· Discussion questions (see Interactive Learning Activity bullet under Unit 3).
· Individual Work (see Mastery of Objectives Assessment bullet under Unit 3).
· To be announced.
Caribbean Women's Health Association, Inc. (CWHA), a community-based
organization, was established as a result of the failure of mainstream
service delivery systems and institutions (hospitals, clinics, etc.) to
provide appropriate services for the large Caribbean immigrant
population in New York City.
· Examine "The Health Keepers Model" in depth that is capable significant community penetration, involvement, and development.
new approaches CBHOs may wish to consider to strengthen their capacity
to adjust to the broader forces of politics, economics, cultural trends,
immigration, and community needs.
beliefs and practices of a particular population is a key element in
assessing contributing factors for disparities and in planning
interventions to increase the ability of a population to gain access and
to use a health care system.
health is defined from a community perspective, approaches to care go
beyond the limits of traditional biomedical model of disease, the
patient, etiology, and treatment, to include the underlying causes of
diseases, perceptions of health and illness, and delivery and use of
health care within a community's cultural, social, economic, and
to ethnic and immigration populations are more effective when they are
neighborhood-based; when community members are included in the
assessment of needs and the design, development, implementation, and
evaluation of programs; and when services are integrated and
comprehensive in scope.
poor health is closely associated with low socioeconomic status, any
attempt to address the health care needs of a population must provide
families with economic opportunities, social networks, and services that
help them find and remain in decent and affordable housing, keep their
children in school and help them succeed, obtain jobs that pay a living
wage, provide a career path, secure health and social services, build
assets and create wealth, and contribute to the revitalization of their
in government funding, such as lack of support for organizational
infrastructure and contracting delays, limit the ability of CBHOs to
provide needed services.
· Textbook: Chapter 4. Case Study: The Health Keepers Model of Service Delivery
· Doc Sharing: Unit 4 - Blooms Taxonomy
Unit is a case study of a New York City community-based health
organization (CBHO), the Caribbean Women's Health Association, Inc., and
its method of service delivery, "The Health Keepers Model". Together,
Unit 4 - Diagram 4.1 and Unit 4 - Diagram 4.2 provide CWHO's framework
for service delivery and relationship and capacity building
(characteristics for effective service delivery).
4 - Diagram 4.1 illustrates the concept and structure for agency
startup and implementation of the CWHO programs using domain ideas. (Doc
4 - Diagram 4.2 illustrates CWHO's training curriculum used to launch
CWHO's new cultural competencies to be adopted by its workers. (Doc
4 - Diagram 4.3 illustrates CWHO's formalized maturity in service
delivery referred to as, The Health Keeper's Model". (Doc Sharing)
· Unit 4 - Diagram 4.4 illustrates CWHO's network of services from partners. (Doc Sharing)
· Discussion questions (see Interactive Learning Activity bullet under Unit 4).
· Individual Work (see Mastery of Objectives Assessment bullet under Unit 4).
have learned CBHOs can contribute to organizing and building the social
capital and cohesion of poor communities, thereby empowering them to
advocate for a more equitable political distribution of economic
resources such as health care.
more about the organizing and advocating and policy influence functions
carried out by CBHOs respond to the environmental trends and political,
economic, legal, and cultural influences the CBHO's must confront in
their strategic resource initiatives.
legislatures determine how much power city governments have and the
services they must provide for citizens. To survive, nonprofits have had
to develop a mix of skills that equip them to negotiate for their share
of city resources.
has become an indispensable skill to CBHO survival. Political advocacy
can extract the necessary goods and services from the system and
contribute to long-term community sustainability.
· Textbook: Chapter 5: The Political and Economic Management of CBHOs
· Webliography: (URLs) www.RAConline.Org/States
are being called upon to increase their skill level so as not only to
provide services but also to engage in advocating for resources and
of "devolution" theory has, in its first phase, transferred to the
states responsibilities for providing social services to citizens. In
the second phase, state and city governments transferred their
responsibility to the nonprofit sector and provided even fewer
has resulted in weakening CBHOs structurally and programmatically until
federal and state governments saw non-profit CBHOs as a good
contracting resource capable of penetrating their communities at much
deeper levels to provide social services and developing more culturally
and linguistically appropriate health promotion messages the resonates
in their communities.
· Unit 5 – MO Demographic and Economic Profiles; Unit 5 – MO Rural Spotlight Fall 09 (Doc Sharing)
· Discussion questions (see Interactive Learning Activity bullet under Unit 5).
· Quiz (see Mastery of Objectives Assessment bullet under Unit 5).
a framework that serves to guide the growth and development of
organizational capacity building, without which long-term sustainability
of CBHOs is difficult to achieve.
on the importance of planning strategically as a tool for strengthening
the capacity of CBHOs to effectively deliver services to their
· Report on the lessons learned, the pitfalls, and best practices of surviving CBHOs a necessary framework.
· Introduction of key terms and definitions.
rely heavily on government funding for support, a more restrictive
health care financial environment, and face market competition that
threatens long-term survival.
must increase their chances of survival by engaging in strategic
capacity-building initiatives to ensure growth and sustainability.
must evaluate their programs and services in order to amass the kinds
of data that will provide evidence of what strategies are effective, how
they were implemented, and what makes the CBHO approach a successful
format for improving health outcomes..
· Textbook: Chapter 6. Planning for Sustainability
· Webliography: (URLs) www.naccho.org/topics/infrastructure/MAPP/index.cfm
· Doc Sharing: Unit 6 – Underserved HIT Issues and Opportunities
are seeking essential partners in health service planning and delivery
because of their capacity not only to reach out, but also to penetrate
· CBHOs are becoming a force for primary prevention; collectively they have huge sustainability challenges.
· Address those challenges and how to build capacity and position for growth and competition with market forces.
should not only be conducting rigorous program planning, but more
rigorous assessment, evaluation, documentation, and dissemination of the
work they do (e.g. evidence-based medicine, or measurable outcomes).
· Unit 6 - Diagram 6.1 (Doc Sharing)
· Discussion questions (see Interactive Learning Activity bullet under Unit 6).
· Quiz (see Mastery of Objectives Assessment bullet under Unit 6).
future of community-based health organizations (CBHOs) and their role
in improving health outcomes. Indication that CBHOs will continue to
evolve and survive.
most significant domestic challenge for government and health care
systems in the U.S. is delivering primary care services to everyone in
the nation in an efficient, cost-effective, culturally and
linguistically appropriate manner that will serve to eliminate health
research methods are being developed that are more inclusive of the
community, not only as research subjects but also as more active
participants in the collection and analysis of data and the
interpretation of results.
· CBHOs are centrally positioned to transform health delivery by empowering communities and improving health outcomes.
different, the various models of CBHOs share a few common concepts,
such as organizing for the purpose of rebuilding social capital and
social cohesion and strengthening civil society, organizing for
community health education based on the principles of participation, and
organizing as a process of community empowerment and leadership
development that ultimately leads to community change.
· New methods of treatment that have emerged in the past thirty years are now part of thinking about health care delivery.
· Textbook: Chapter 7. The Future of CBHOs: Improving Health Outcomes for Everyone
some of the current health challenges in the United States, to forecast
some of the expected changes and trends that are projected to occur in
health care delivery, and to share a vision for the future of CBHOs as a
critical component of changes envisioned in U.S. health care.
ideas from the international arena as well as ideas about community
empowerment without which real partnerships, between multiple levels of a
community, aimed at improving community health, cannot occur.
how one may redefine health-related research and health outcomes and
provide recommendations for the future of CBHOs that can contribute to
the elimination of health disparities and to improved health for
· Discussion questions (see Interactive Learning Activity bullet under Unit 7).
· Quiz (see Mastery of Objectives Assessment bullet under Unit 7).
vision for the future of health care in the U.S. is being replicated
around the world, and it includes greater emphasis on prevention,
education, and wellness; greater attention to nonmedical contributing
factors to premature morbidity; and a more comprehensive focus on the
stand out as the most viable component of the health care system for
delivery of preventive, wellness, and advocacy services for racial and
ethnic minorities, immigrants, and women of all ages and are uniquely
positioned to be the trusted stewards of information regarding client or
patient use of culturally sanctioned healers and age-old health
practices, which is information that is not likely to be shared with
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