HC 466 Plan & Org Comm Hlth Services
F1T 2011 DL
Swihart, Kevin Patrick
Adjunct Faculty Member
Master of Healthcare Leadership (MHL), Hauptman School of Public Affairs, Park University, Kansas City, MO.Bachelor of Science, Computer Information Systems, College of Business Administration, Missouri State University, Springfield, MO.Bachelor of Science, Spanish, College of Business Administration, Missouri State University, Springfield, MO.
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Textbook: Community-based Health Organizations: Advocating For Improved Health - Marcia Bayne Smith, Marcia Bayne-Smith, Sally Guttmacher - Paperback - NON-FICTION - English - 9780787964863
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
Community-Based 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.
This 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.
Filled with illustrative examples and case studies, Community-Based Health Organizations is designed to be a practical resource. The authors show how to develop leadership and strategic plans, strengthen management, leverage and maximize resources, evaluate programs, and position a CBHO in a changing and competitive health care environment.
Textbooks can be purchased through the MBS bookstore
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Learning Outcomes: Core Learning Outcomes
Each week will consist of:
· New Announcements (when applicable)
· Learning Objectives
· Assigned Readings
· Instructor Lecture
· Interactive Learning Activity
Unit Grade Points and Percentage Weight
Mastery of Objectives
90 – 100
792 - 880
80 – 89
704 - 791
70 – 79
616 - 703
60 – 69
528 - 615
0 - 527
The course grade for students will be based on the overall average of homework and tests taken during the course in accordance with the weighting of the various requirements as stated in the syllabus.
All final exams in all School of Business courses will be comprehensive and will be closed book and closed notes. They will constitute 30% of the total course grade and will not be a take-home exam. They will be completed during the test week in the period designated by the registrar or by the Proctor in the case online courses. If calculators are allowed, they will not be multifunctional electronic devices that include features such as: phones, cameras, instant messaging, pagers, and so forth. Electronic Computers will not be allowed on final exams unless an exception is made by the Dean of the School of Business.
· You must participate in all topics and discussions. Conventions of "online etiquette," which include courtesy to all users, will be observed.
· You are expected to be proactive, however if you run into a computer-related problem which you cannot solve through your own resources, you may seek assistance through me after first checking with the IT Help Desk (herein).
· Assignment will be given each week, and discussion questions will be presented. You are expected to complete all assignments and actively participate in all weekly online discussions, quizzes, etc., provided you.
Note: Lack of participation in the course for a week MAY, AT MY DISCRETION,
[based on past performance], result in an academic withdrawal from this course.
Classroom Rules of Conduct:
Number and Frequency of Posts
You posted a minimum of three (3) comments for the week. This should include one (1) original posting for the Discussion question you have chosen and two (2) postings that respond to ideas already developed by your classmates. I’m looking for more than minimal comments like "good point" or "I agree". If you agree, or disagree with another student, briefly explain why or why not.
The posted comments were substantive and relevant. It is particularly helpful to use specific examples or experiences to illustrate your point.
Proper spelling, grammar, punctuation, word choice, and sentence construction. APA format. Proofread or spell-check as part of your posting process.
NOTE: Discussion questions calling for written papers to be deposited in Doc Sharing or Dropbox will be subject to the Individual Work Rubric below for format or style only, not grading.
Individual Work Rubric:
Proofread, proofread, and proofread!
Double-spaced, font size of twelve (12), Times New Roman.
Citations in proper APA Style.
Microsoft Word (.doc) or Microsoft Excel (.xls) or Adobe (.pdf) formats.
Use page margins of one-inch (1") on all four (4) sides.
Contain a proper MLA Style header and page header with numbered pages.
Length: 2 pages.
Include clarifying titles, subtitles, and section names as warranted for ease of reading.
Unit 1: Historical and Organizational Frameworks of Community-based Health Organizations (CBHOs)
· To be announced.
· Examine 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.
· Social, 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.
· A 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.
· Answers 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
· Examine 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.
· Observe the theories used by CBHOs organizations to achieve their goals and the issues associated from both within and outside affected communities.
· Improvement 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.
· In 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
· Examine 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.
· Examine 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.
· Compare 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)
Unit 3: CBHOs: A Research Report
· Research into the theoretical paradigms presented earlier to help explain in more detail the role of CBHOs in community change and improving community health.
· Observe CBHOs seek client participation and input to shape service delivery, community education, and advocacy to create changes that will improve community health.
· Answer the question, “what are the differences and similarities among the many CBHOs, if any?”
· Although 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.
· The 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.
· The 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
· Specifically, 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.
· Examination 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.
· Areas 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).
Unit 4: Case Study: The Health Keepers Model of Service Delivery
· The 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.
· Observe 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.
· Health 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.
· When 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 geopolitical aspects.
· Services 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.
· Because 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 neighborhoods.
· Pitfalls 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
· This 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).
· Unit 4 - Diagram 4.1 illustrates the concept and structure for agency startup and implementation of the CWHO programs using domain ideas. (Doc Sharing)
· Unit 4 - Diagram 4.2 illustrates CWHO's training curriculum used to launch CWHO's new cultural competencies to be adopted by its workers. (Doc Sharing)
· Unit 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).
Unit 5: The Political and Economic Management of CBHOs
· We 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.
· Understand 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.
· State 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.
· Advocacy 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
· CBHOs 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 policy changes.
· Practice 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 resources.
· Process 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).
Unit 6: Planning for Sustainability
· Provide 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.
· Focus on the importance of planning strategically as a tool for strengthening the capacity of CBHOs to effectively deliver services to their constituents.
· Report on the lessons learned, the pitfalls, and best practices of surviving CBHOs a necessary framework.
· Introduction of key terms and definitions.
· CBHOs rely heavily on government funding for support, a more restrictive health care financial environment, and face market competition that threatens long-term survival.
· CBHOs must increase their chances of survival by engaging in strategic capacity-building initiatives to ensure growth and sustainability.
· CBHOs 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
· CBHOs are seeking essential partners in health service planning and delivery because of their capacity not only to reach out, but also to penetrate underserved communities.
· 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.
· CBHOs 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).
Unit 7: The Future of CBHOs: Improving Health Outcomes for Everyone
· The future of community-based health organizations (CBHOs) and their role in improving health outcomes. Indication that CBHOs will continue to evolve and survive.
· The 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 disparities.
· Promising 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.
· Though 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
· Examine 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.
· Explore 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.
· See 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 everyone.
· Discussion questions (see Interactive Learning Activity bullet under Unit 7).
Unit 8: CBHOs: Putting It All Together
· The 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 whole person.
· CBHOs 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 mainstream providers.
· Data about the complex issues involved with health and health care for residents, including levels of poverty, violence, and other social and environmental dangers are factors that make CBHOs more attuned to the multiple issues (ecology) affecting the whole of people's lives.
· Textbook: All Chapters Review
· Webliography: http://findahealthcenter.hrsa.gov/
· Doc Sharing: All Documents Review
· No Discussion Questions.
· Individual Work (see Mastery of Objectives Assessment bullet under Unit 8)
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Last Updated:7/21/2011 12:03:48 PM