Innovative Healthcare Administration Curriculum Integration at UNC-Chapel Hill
Explore the cutting-edge curriculum integration for the Master of Healthcare Administration program at UNC-Chapel Hill. This initiative, supported by a Lenovo Grant, aims to enhance leadership, strategic planning, healthcare policy, and more for future healthcare leaders. Meet the dedicated project team steering this educational advancement and discover the diverse population of Monroe County, State of Franklin.
- Healthcare Administration
- Curriculum Integration
- UNC-Chapel Hill
- Leadership Development
- Lenovo Grant
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HPM EMP End of Term Simulation Lenovo Instructional Innovation Grant Center for Faculty Excellence, UNC-Chapel Hill
Curriculum Integration Master of Healthcare Administration (MHA) BaseCamp I BaseCamp II Year 1 Year 2 The Healthcare Context: Macro Level 4 (Hobbs) HPM 754 Strategic Planning and Marketing 3 (Thomas) HPM 725 L e a d e r s h i p P r a c t i c u m L e a d e r s h i p P r a c t i c u m Applied Leadership Integrative Module Applied Leadership Integrative Module F A L L Healthcare Policy and Economics of Healthcare Insurance 3 (Vernon/Reiter) HPM748 Healthcare Statistics 3 (Porto) HPM470 Advanced Analytics 4 (Wheeler/Hassmiller Lich) HPM777 S P R I N G Financial and Managerial Accounting 5 (Zelman) HPM746 Applied Leadership Integrative Module Applied Leadership Integrative Module H I & Quality Tools HPM758 2 (Mandelkehr) H I & Quality Apps HPM 763 2 (Mandelkehr) Leadership and Workforce Man 4 (Paul/Fried) HPM728 S U M M E R Health Law 3 (Harris) HPM 710 Finance and Economic Analytics 4 (Vernon) HPM 747 Applied Leadership Integrative Module Business Plan Capstone Public Health Concepts 3 (Porto/Biddle/Wells) HPM 611 4 (Sloate/Levy) HPM 736 Program Foundation (On-Campus Workshops & Seminars) Distance Learning Coursework On-Campus Integrated Exercise Leadership Practicum & Journaling
Project Team Steering Committee Jim Porto (EMP Program Director/Faculty) Roger Ackers (Sheps/Lineberger) Libby Evans (ITS) Bob Henshaw (CFE) Sue Hobbs (HPM Faculty) Steve Sloate (HPM Faculty) Scott Williams (ITS) Development Jay Levy (Project Manager) Larry Mandelkehr Jason Morningstar Initial project funding provided by a Lenovo Grant awarded by the Center for Faculty Excellence (CFE)
Diverse Population Population Distribution Filmore - Super rich 1% Unincorporated County 4% Filmore - Upper middle class 7% Dover 6% Lake Monroe 6% Filmore - Middle class 26% Apple Grove 4% Filmore 60% Beverly 4% Filmore -Almost middle class 13% Elm Park 6% Filmore - Working poor 8% Easttowne 10% Filmore - Destitute 5%
Governance Environment Monroe County Board of Commissioners McPherson Hospital Board of Directors Board of Education Board of Public Health Clerk of the Courts Board of Assessment Sheriff
Decision Variables (Inputs) County Property Tax Rate per $100 Assessed Value Poverty Level Household Income Cutoff Established that State has exemption to self-fund Medicaid above federal Poverty Level Income Cutoff County Public Health Budget Allocation (% of property tax collections) County Public Hospital Budget Allocation (% of property tax collections)
Outcome Variables (Outputs) Variable Number of Uninsured Number of ED Visits STD Cases Public Hospital Operating Margin System Hospital Operating Margin Public Health Clinics Operating Margin Public Support Index ** Objective Minimize Minimize Minimize Maximize Maximize Maximize Maximize ** Public Support Index serves as a proxy for public opinion based on political affiliation and changes in variables
Linkage Matrix FranklinStateSim FranklinStateSim Version 1.0 Fall 2011 Linkage Matrix Linkage Matrix Input Variables Input Variables Allocation to Public Health (Clinics & Allocation to Public Health (Clinics & Education) Education) Outputs Outputs Tax Rate Tax Rate Household Income Poverty Level Household Income Poverty Level Allocation to McPherson Hospital Allocation to McPherson Hospital Direct Impact Number of Uninsured Number of Uninsured Indirect Impact Direct Impact Number of ED Visits Number of ED Visits Indirect Impact Direct Impact WFHS Operating Margin WFHS Operating Margin Indirect Impact Direct Impact McPherson Hospital McPherson Hospital Operating Margin Operating Margin Indirect Impact Direct Impact STD Cases STD Cases Indirect Impact Direct Impact PH Clinic Operating Margin PH Clinic Operating Margin Indirect Impact Direct Impact Public Support Index Public Support Index Indirect Impact
Simulator Rounds Round 1 Single Decision Variable Input Tax Rate Round 2 Multiple Decision Variables Input Tax Rate Poverty Level Round 3 All Decision Variables Input Round 4 All Decision Variables Input Introduce Shock Round 5 All Decision Variables Input after integration of shock
Input Document Round 1 Team Input Sheet Team01 Team01 1 Team: Round: Input Input Variable Variable Initial Values Initial Values Anticipated Results Anticipated Results County Property Tax Rate (per $100 Value) $ 1.2500 Input Variables Poverty Level Household Income $ 22,350 County Public Health Budget Allocation(% of tax collections) McPherson Hospital Budget Allocation (% of tax collections) 19.00% 6.41% Objective Objective Variable Variable Initial Values Initial Values Anticipated Results Anticipated Results Number of Uninsured Persons in Monroe County Number of ED Visits at McPherson Hospital & WFHS 99,771 Minimize 113,978 Minimize Outcome Variables WFHS Operating Income (Margin) $ 22,263,005 Maximize McPherson Hospital Operating Income (Margin) Reported cases of Sexually Transmitted Disease Public Health Clinics Operating Income (Margin) $ (8,797,000) Maximize 3,630 Minimize $ (3,501,903) Maximize Fillmore Examiner Public Health Support Index 51.35 Maximize
Decision and Output Variables Business Rules New Tax Collections Number of Direct Pay Change due to Tax Rate (Offset in Uninsured) New Percent Below Poverty Level Change to Poverty Population Change to Medicaid Covered (Offset by Uninsured) Change in West Franklin Hospital System ED Visits from Change in Uninsured Change in McPherson Hospital ED Visits from Change in Uninsured Change in West Franklin Hospital System ED Visits from Change to Allocations Change in McPherson Hospital ED Visits from Change to Allocations Change in West Franklin Hospital System Charity Write-off Amount from Change in Uninsured Change in McPherson Hospital Charity Write-off Amount from Change in Uninsured New Tax Burden on West Franklin Hospital System Change to West Franklin Hospital System ED Costs Change to McPherson Hospital ED Costs Change to McPherson Hospital Allocation Change to PH Clinic Costs based on Uninsured Change to PH Allocation Change in STD cases from Change in Uninsured Change in STD cases from Change in PH Allocation
Public Support Business Rules Approximate Change in Favorable Support Conservative Liberal -50% 5% Independent 0% Tax Rate Increase -10% 20% 10% Poverty Level Cutoff Increase (Increase in Medicaid Eligible Population) 0% 15% 10% Allocation to Public Health Increase -8% 8% 0% Allocation to County Clinics Increase 15% 3% 5% West Franklin Healthcare System Operating Margin Increase 10% 10% 5% McPherson Hospital Operating Margin Increase -30% 30% 8% Number of Uninsured Increase -10% -50% -25% STD Increase -30% -15% -5% ED Visit Increase -15% 0% -5% to Independent -5% Public Health Clinic Losses Increase -10% to Conservative Movement of affiliation for greater than 15% Tax Increase -10% to Liberal Movement of affiliation for greater than 15% increase to Poverty Level -10% to Independent -5% to Conservative Movement of affiliation for greater than 20% increase in PH Allocation
Round Results with Introduction of Shock
Recap Results Team 01 Results PH Clinic Operating Income (3,863,631) $ Public Support Index 48.13 WFHS Operating Income MCP Operating Income Uninsured ED Visits STD Cases Round 1 99,192 115,326 21,708,738 $ (9,103,623) $ 4,018 Round 2 Round 3 Round 4 Round 5 111,386 111,386 117,694 120,519 121,092 121,092 138,011 136,759 38,393,477 $ 38,393,477 $ 39,673,551 $ 43,742,505 $ (713,527) (713,527) 5,911,275 10,302,724 $ $ $ $ 3,259 3,259 4,006 3,276 $ $ (5,651,300) $ $ - - 62.68 63.14 72.69 96.65 - Rank PH Clinic Operating Income Public Support Index WFHS Operating Income MCP Operating Income Uninsured ED Visits STD Cases Aggregate Rank Round 1 Round 2 Round 3 Round 4 Round 5 1 7 7 9 9 6 9 10 10 10 10 10 57 43 48 57 49 10 4 3 5 3 4 8 4 8 9 9 1 1 9 7 10 10 10 10 10 10 10 10 9 9 9 1 9
Preliminary Survey Results Because of this two day integrated exercise, I am better prepared and able to apply the concepts from my courses this fall semester 91% agreed or strongly agreed The Franklin State Simulation is an effective way to visualize the complexity of public health issues in the real world 94% agreed or strongly agreed Overall, the Franklin State Simulation is an effective way to bring together all the topics covered this semester 94% agreed or strongly agreed Evaluation performed by the Center for Faculty Excellence n=53
Three pronged approach Work with Spring Semester Faculty Paul / Fried Zelman Develop next scenario Analyze options for continued operation of distressed inner- city hospital Integrate across HPM EMP curriculum Operations Analysis (HPM) Integrate with HPM Residential MPH/MHA School of Education College of Arts and Sciences Explore inter- disciplinary uses Multiple gaming modes More robust back-end Additional population attributes 750,000 individual records Refresh from real data sources ICISS GUI module integration Port to web- based platform
