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Environmental Health Management

Week 1 Discussion – The Importance of Social Determinants in Public Health

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• Introduce yourself to your peers by sharing something unique about your background. Explain how you expect this course will help you move forward in your current or future career.
• Why are social determinants of health important in public health? Provide an example of a public healthcare service where they were considered carefully or were largely ignored. How did this impact outcomes?
• Be sure to respond to at least TWO of your classmates’ posts.

Week 2 Discussion – Managerial Differences

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• Discuss a management activity that differs significantly in the private and public healthcare sectors. Is one superior to the other? Why or why not?
• Be sure to respond to at least TWO of your classmates’ posts.

Week 3 Discussion – How Do Federal Health Agencies Help?

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• Choose a federal healthcare agency (e.g., CDC, FDA, NIH) and discuss briefly how it promotes or contributes to public health.
• Then, picture yourself as a manager at the agency. What managerial function that you have been introduced to would you use to promote one of its missions? Why? Support your ideas with facts and details about the organization.
• Be sure to respond to at least TWO of your classmates’ posts.

• Week 3 Activity: Public Healthcare Agency Management

Overview

While many factors determine policy and decision-making in federal agencies, one that is significant and often shared among them, is how they are organized and managed. Next week’s assignment asks you to evaluate a federal healthcare agency’s initial response to the Covid 19 pandemic. In this activity, you build a foundation to make that evaluation by researching the management structure of a federal healthcare agency of your choosing.

Preparation

1. Choose a federal healthcare agency that has had direct involvement in the Covid-19 pandemic response such as the National Institutes of Health (NIH), Centers for Disease Control (CDC), Department of Health and Human Services (HHS), Food and Drug Administration, U.S. Public Health Service, et cetera. Research the organization’s pandemic-related responsibilities and management structure. During your research, you may want to explore early public messaging disseminated by the agency as you will be asked to evaluate it in next week’s assignment.
2. In this activity, you will draw an organization chart [Example of Health and Human Services Organization Chart

1. Links to an external site.] using MS Word, Visio, or another graphics program to create an infographic to paste into a Word document. If you are using Word:
   1. Open Microsoft Word.
   2. Click on the Insert tab located on the top-left side.
   3. Click on SmartArt and choose and modify a graphic of your choosing.

Scenario

Think back to January 2020 when the United States reported its first Covid-19 infection. Federal (as well as local) public healthcare agencies scrambled to understand the virus and its possible impact on the population. The government’s response and information releases were at best uneven during the ensuing months. Each agency needed to provide messaging to inform and direct the public. Many were frustrated by the uneven messaging among these agencies. An initial step to a better understanding of policies and decision-making is to understand the organization making them.

Instructions

Identify a federal healthcare agency that had a direct and significant role in the nation’s pandemic response and do the following:

1. Describe 3 roles that the organization played in the pandemic response that capture its main responsibilities or contributions (1 page). Examples include areas such as:
   • Information sharing or outreach.
   • Research.
   • Response efforts.
   • Medical assistance.
   • Vaccine distribution.
2. Draw a diagram that accurately depicts agency personnel/positions or departments that are directly related to pandemic policy and public outreach. Paste the diagram into your submission Word document with your answer from bullet point 1. Include a brief description of responsibilities for key areas or personnel in your chart.

Week 4 Discussion – Organizational Change

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• Describe a significant organizational change that you have witnessed or been a part of. Discuss its origins, impacts, and outcomes. Was it ultimately good for the organization? Were there winners and losers?
• Be sure to respond to at least TWO of your classmates’ posts.

Week 4 Assignment – Evaluating Covid-19 Messaging

Overview

In last week’s activity, you described an agency’s role in the Covid-19 pandemic response and the management structure designed to support it. Many management decisions need to be made in advance of official public information releases. We now have the benefit of time and hindsight to assess the agencies’ messaging. In this assignment, you evaluate a pandemic-related information release or message by a chosen agency.

Preparation

Identify and research the context behind the issuing/publishing of an initial statement by a federal healthcare agency that relates to one of the following:

• Virus Response.
• Official agency policy.
• Personal protective measures that should be taken by the public.
• Scientific understanding of medicine, pandemics, epidemiology, etc.
• Information regarding disease transmission/spread.

Also, consider the resources you read in the week’s studies on public health communications.

Instructions

Identify your chosen information release and provide a link to it. Do the following in 3-4 pages.

1. Briefly summarize the information release and describe the following as they relate to it:
   • Timing.
   • Target audience.
   • Medium (press release, press briefing, advisory, public service announcement, et cetera).
   • Support for the message (science-based, facts, evidence, et cetera).
2. Describe three effective guiding criteria to which a public health agency’s messaging should adhere. Cite support from a reliable professional or academic source.
3. Evaluate if the information release met the stated criteria and provide specific examples to illustrate.
4. Describe something specific that leadership could have done to improve the messaging. Consider, timing, audience, content, tone, et cetera. Include a typical example or alteration to the message.

Week 5 Discussion – Emergency Staffing

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• Imagine that you are writing a job description for an emergency preparedness coordinator at a healthcare agency. Discuss the most important characteristics that you would look for in a potential candidate. Support your response with at least 1 reference.
• Be sure to respond to at least TWO of your classmates’ posts.

Week 6 Discussion – Healthcare Outreach Activities

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• Discuss one of the public healthcare agencies or organizations in your community and their community outreach efforts. Consider questions such as: How do they reach people? Whom do they partner with? Who funds them? What programs do they provide and whom do they serve? Support your response with at least 1 reference.
• Be sure to respond to at least TWO of your classmates’ posts.

Week 6 Activity – Vaccination Outreach Networks

Overview

Public health emergencies require strategic preparedness and rapid response from public health organizations. In next week’s assignment, you will prioritize actions to respond to a Monkeypox outbreak. In this activity, you describe the role of a chosen public health agency or organization to combat such an outbreak as well as key organizations that will partner with them.

Preparation

• Choose and research a public health care agency/organization located in your state, county, or city that is involved in public vaccination efforts. As you examine your organization, consider the key partners and stakeholders that will aid in the efforts as well as the organization’s mission, personnel, and population served.
• Download the Week 6 Activity Template [DOCX]

• Download Week 6 Activity Template [DOCX] and use it to complete your work.

Instructions

Identify a public state, county, or city healthcare agency or organization and do the following using the Week 6 Activity Template:

Part 1: The Organization

• Describe the following aspects of your chosen organization/agency as they relate to immunization programs or efforts.
  • Mission.
  • Summary of services.
  • Population served.
  • Role (What contributions does the organization make to local vaccination efforts? How do they work with other organizations to provide this service?)
  • Key organizational leadership staff/positions.

Part 2: Partner Organizations

Describe three partner organizations that are essential to the vaccination drive and outline their respective functional roles and responsibilities associated with it. Some examples are churches, federal agencies, hospitals, Non-governmental organizations, other government agencies, et cetera.

Week 7 Discussion – Disaster Response

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• Pick a recent public health disaster in the news and discuss how a public healthcare organization or agency responded in the first hours or days. What were their priorities? What did they get right or wrong?
• Be sure to respond to at least TWO of your classmates’ posts.

Week 7 Assignment – Monkeypox Crisis Response

Overview

Creating a robust disaster response plan is a primary responsibility of leadership in most public health organizations. There are significant considerations and constraints in crafting such a plan. In last week’s activity, you described an organization or agency (and its partners) tasked with delivering vaccination services. In this assignment, you identify your priorities as the leader of that organization tasked with an initial response to a Monkeypox outbreak.

Preparation

Make sure to read and reflect upon the resources on this topic in this week’s studies and discussion.

Scenario

Part 1: Leadership Response to a Monkeypox Outbreak.
Imagine you are responsible for emergency preparedness and response for the organization that you identified in the previous activity. Several cases of Monkeypox have recently been reported in your area. You are concerned, very concerned, as this is a rare, virulent, and dangerous virus. In your role, you have been tasked with prioritizing actions that would inform an official initial response to the growing crisis.

Part 2 – Prioritizing Vaccine Distribution
It has become apparent that the demand for vaccines is outpacing supply by a significant margin. You need to ration the doses. There are important considerations when faced with this scarcity. Many are ethical, but others such as logistics, risk, distribution (and its timing), and adoption, are pragmatic. You need to weigh these considerations (and more) as well as specific characteristics of the disease to make decisions. A tall order indeed . . . and time is short. What decision will you make? You know that you will have to justify your choices.

Instructions

Part 1: Leadership Response to a Monkeypox Outbreak

Consider the mission of your organization and the scenario and do the following in 2-3 pages:

• List and justify the importance of your initial top 5 priorities to address the outbreak based upon information detailed in the scenario. Consider the mission, population, nature of the disease, access to medicine, et cetera. State any assumptions that you make (if any) that inform your decision.
• Justify your recommendation of 3 initial steps to effectively address ONE of your priorities (2-3 paragraphs). Cite supporting evidence to support your recommendation.

Part 2: Prioritizing Vaccine Distribution

Consider the scarcity of vaccines described in Part 2 of the scenario and other relevant factors to create a list that prioritizes who gets access to the vaccine. Do the following:

• Justify your choice of 5 vital vaccine distribution criteria (Two examples would be population exposure risk or ease of distribution – there are many. Choose your own.) that would be effective for identifying populations for vaccine distribution.
• Apply your vaccine distribution criteria to justify prioritizing populations or groups (rank them 1-5) to receive the vaccine.

Requirements

Part 1 submission: 2-3 pages, single-spaced, 12 pt. Arial font.

Part 2 submission: There is no length requirement.

Week 8 Discussion – Personal and Professional Codes of Ethics

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In this week’s study, you reviewed the APHA Code of Ethics

Links to an external site.. Consider it and how you approach ethical questions as you discuss the following:

• What are the key aspects of your ethical code (e.g., faith, integrity, principles)? Where does your ethical code originate from (e.g., parents, teachers, faith)?
• Oftentimes, our personal ethics do not fully prepare us to make complex healthcare-related decisions. Does yours prepare you? Pick an area in the APHA code of ethics that you feel would help guide you in a specific healthcare-related ethical dilemma.
• Be sure to respond to at least TWO of your classmates’ posts.

Week 8 Activity – Creating an Ethics-Centric Organization

Overview

Healthcare leaders face countless ethical issues. In this activity, you will describe ways that public health leaders can effectively promote an “ethics-focused” organizational culture.

Instructions

• Provide a 1-page description of 3 ways that public health managers can effectively promote an “ethics-focused” organizational culture. Make sure to reference an appropriate academic or professional resource to support your assertions.

Week 9 Discussion – Evaluating a Public Healthcare Leader’s Style

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• Pick a public leader that responded to the Covid-19 crisis and discuss what leadership style or characteristics they demonstrated. Was their behavior consistent with your expectations for a leader in that position? Why or why not?
• Be sure to respond to at least TWO of your classmates’ posts.

Week 9 Assignment – An Ethical Quandary

Overview

In last week’s activity, you described how public health managers can effectively promote an “ethics-focused” organizational culture. Even though an ethics-based culture may exist, applying ethics standards to scenarios presented in public health agencies is still necessary. Leaders need to have a framework for analyzing issues to arrive at ethically informed decisions. In this assignment, you will apply an analytical framework to justify a position on an ethics-related topic.

Preparation

• Identify an ethical issue related to public healthcare that interests you. Examples are nearly endless. Three examples are:
  • The ethics of providing individuals needles for drug use.
  • Releasing a vaccine in an emergency pandemic without completing the usual time-intensive testing and research.
  • Making vaccines mandatory in times of pandemic.
• Review EXHIBIT 11.3 Framework for Analysis of Ethical Issues in Public Health found in chapter 11 of your textbook. You will use this framework to analyze the issue and arrive at a position regarding it.

Instructions

Identify your chosen issue and analyze it using the framework for Analysis of Ethical Issues in Public Health found in your textbook. Do the following in 3-4 pages:

• Analyze the ethical issue by answering at least 4 of the probing questions found in the framework.
• Briefly evaluate the ethical dimensions of TWO distinct options for resolving the dilemma against the following:
  • Utility.
  • Justice.
  • Respect for individual interests.
  • Respect for legitimate public institutions.
• State and justify your chosen position on the issue by evaluating it against the following principles:
  • Effectiveness.
  • Proportionality.
  • Necessity.
  • Least infringement.

Week 10 Discussion – Budget Challenges

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• Discuss the most pressing challenges for leaders trying to budget in a time of either declining or expanding budgets. What roles do budget managers play in controlling costs?
• Be sure to respond to at least TWO of your classmates’ posts.

Week 11 Discussion – Future Recommendations for Leaders in the 21st Century

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• Reflect on an aspect(s) of this course that was or were of particular interest to you or might have implications for choices that you make for your career in healthcare.
• Be sure to respond to at least one of your classmates’ posts.