College of Health and Human Services

COLLEGE OF HEALTH AND HUMAN SERVICES

California State University, Long Beach

Health Care Administration Department

HCA 470 - Latino Health Status & Health Care Access

Fall 2013

Instructor: Ana Carricchi, MPP
Email:
Office: HHS-03
Office Hours: Tuesday, 5:45pm-6:45pm, and by appointment
Office Phones: 562 985-5312
Cell Phone 310 809 4104 / HCA 470 Sec 01 Class Number 5675
Class Meets: August 27 to December 10th
Tuesday, 7:00pm- 9:45pm in room: VEC-110
Additional Contact Information:
HCA Dept. Administrative Coordinator:
Deby McGill,
Tel. 562/985-5694; fax 562/985-5886

Catalog Description

This course is an interdisciplinary exploration of policies, epidemiologic, and cultural factors influencing disease within Latino subpopulations in the United States and ,their impact upon efficient and equitable health service delivery. Letter grade only (A-F). Same course as CHLS 470. Not open for credit to students who have taken CHLS 470. (Lecture)

Course Learning Objectives:

1. Assess the importance of multicultural analysis of health care issues in the United States and establish an understanding of the ways in which this analysis can be used to improve the delivery of health care services.

2. Recognize demographic patterns and the social determinants of health of the Latino population and the importance of subpopulation specific analysis.

3. Identify health care outcomes and risk factors of the U.S. based Latino subpopulations.

4. Define the core health care policies and access issues that enhance or impede appropriate delivery and availability of services.

5. Define the need to re-conceptualize the Latino Health Agenda for diverse ethnicities as well as by nativity.

6. Appreciate border health issues and identify prominent chronic diseases affecting Latino subpopulations in the United States.

7. Recognize the impact of alcohol, drugs and mental health issues among Latino subpopulations.

8. Identify factors that affect Latino health throughout the various life cycles.

9. Gain an understanding and apply practical knowledge of cultural and linguistic considerations regarding Latinos and health care access.

10. Gain an understanding of how national policies in non-health identified areas directly and indirectly impact the health outcomes of Latinos in the United States.

Learning Objectives, Domain and Competency Table

The Health Care Administration Department has adopted a competency based curriculum, based on the American College of Health Care Executives (ACHC) Competencies Assessment Tool and the Healthcare Leadership Alliance (HLA) Competency Directory. The Access to Latino Health class is a core course within the department that follows the assigned guidelines represented under the Knowledge of healthcare environment domain, which is defined in the HLA directory as the understanding of the health care system and the environment in which health care managers and providers function. This domain clusters focus on 1) understanding the professional roles, responsibilities, and values of the range of health care professionals in order to foster effective relationships and promote an optimal care environment, and 2) understanding the patient experience, demonstrate a commitment to patients’ rights and responsibilities, and ensure that the organization provides a safe environment for patients and their families . The table below aligns the class objectives with a corresponding competency and class activity.

Learning Objective / Domain / Competency / Activity (A1), Assignment (A2) or Assessment (A3) /
1,3,4,6,7,8 / Knowledge of the Health Care Environment / Health Care Knowledge / (A1) Lecture & class
A2 & A3. Research Paper, Presentation, in-class journal and Exams
2,3,6,8 / Knowledge of the Health Care Environment / Organizational Climate and Culture / A1) Lecture & class
A2 & A3. Research Paper, Presentation, in-class journal and Exams
8,9 / Knowledge of the Health Care Environment / Workforce issues / A1) Lecture & class
A2 & A3. Research Paper, Presentation, in-class journal and Exams
5,9,10 / Legislative and Advocacy / A1) Lecture & class
A2 & A3. Research Paper, Presentation, in-class journal and Exams

Text(s) and other course materials

Course reading materials and lecture notes will be posted on BeachBoard. Each course lecture is accompanied by reading materials that are posted on Beachboard either through a link or actual article. Course lecture will include additional information from instructor’s experience and current events. Students can access materials through the BeachBoard online courseware system: see https://beachboard.csulb.edu/webapps/login.

The CSULB Technology Help Desk is available to help student with a wide range of computer issues. Contact the Help Desk by dialing (562)985-4959. Students can also visit the web site at www.helpdesk.csulb.edu or seek assistance in person at the Horn Center.

Also, the course will provide an opportunity for students to visit various website sites with relevant information, including the US Census, Pew Hispanic Center, The California Endowment, The Commonwealth Fund, UCLA Health Policy Research Center, National Council of La Raza to mention a few.

Recommended:

Aguirre-Molina, M., Molina, C.W., & Zambrana, R. E. (Eds.), (2001). Health Issues in the Latino Community. San Francisco, CA: Jossey Bass Publications

American Psychological Association, (2010). Publication Manual of the American Psychological Association. Fifth Edition. Washington, DC.

Course Assignments and Grading

All papers and annotated work should be typed, double spaced, with one inch margins around the page. All pages should be numbered. The font size should be Times Roman, 11 to 12 point.

Class assignments will be due at the beginning of class. Students are responsible for notifying the instructor at least 24 hours ahead of time if they are unable to hand in an assignment on time. Student must also notify the instructor if they will be late to class on a day when an assignment is due. Prior notification will prevent you from receiving any penalization on your grade. However, if the assignment is not handed in at the beginning of class and no late notification was received, student will receive a 10% grade penalization.

1.  Reading and participation. Students are expected to maximize their class experience by attending all classes and participating on a regular basis. All course materials should be thoroughly read prior to coming to class. Sporadically, at the beginning of class, students will be asked to write a short reflective paragraph on a specific subject. Throughout the semester there will be four occasions for students to write impromptu in class journals. Theses journal entries will count towards your class participation. This component is worth 10% of your total grade.

2.  Midterm examinations. Two midterm examinations will be given in which the student will be expected to respond to both essay and multiple choice questions based on readings, films, guest speakers, and lectures. A study guide will be given to the students one week prior to the midterms. Each midterm is worth 20% of your grade.

3.  Article annotations. Students are expected to submit three annotations of journal articles they have read that pertain to the research paper topic. Students will be expected to write the purpose of the study, methods, findings, strengths, weaknesses, and ideas of the article they chose. Please only use articles that are dated 2003 and beyond. You are required to submit a copy of the journal article along with each annotated bibliography. Submit you journal annotations and articles as one item using Beach Board dropbox. This component is worth 15% of your grade.

4.  Research paper. No fewer than ten peer reviewed journal articles should be included in this assignment. Each journal article should be cited parenthetically throughout the paper and have a full APA-style citation included on a reference page following the paper narrative. In the paper the student must address the problem at hand, by developing a research question or questions and using statistics and reputable peer-reviewed journal article sources. White papers and reports can be used for supplemental information. The paper should be 10 pages in length and must address the problem, relevant research, approaches to alleviating the problem, promising strategies for prevention, and provide recommendations for future research. Do not submit any journal articles along with you research paper. You need to submit your research paper via Dropbox on Beachboad. This component is worth 20% of your grade.

5.  Class Presentation: You will be asked to share the findings of your research paper in class so that we can all share our work and be abreast of recent issues in Latino health research. To complete this assignment you will be asked to conduct a 10-minute presentation abbreviating your work. This presentation should include your research questions, the major findings, limitations and recommendations that you make regarding your topic at hand. Please note you will have 10-minutes to present and 5-minutes for Q &A. Due to the fact that an increasing number of employers are requesting formal presentation skills, this presentation must include overheads or slides formatted on PowerPoint software (available in PC and Macintosh formats). An LCD projector will be made available. This component is worth 15% of your grade.

6.  There is no final exam in this class.

7.  Extra Credit: Students are able to receive a maximum of 5-points extra credit. Extra credit assignments are posted on BeachBoard. You are only required to complete one of the options for extra credit. Extra credit assignments are due on December 10, 2013 at the beginning of class. No electronic copies of the extra credit will be accepted. You must hand in your extra credit in class for you to receive credit.

8.  Late Assignment Policy: Unexcused late assignments (without medical or other documented reasons) will be penalized 2% per day and a total of 10% per week. University excused conditions (such as proof from a physician requiring medical leave) will grant a student the opportunity to make up an exam within 1-week of the original administration time. In case of a work conflict, exams must be made up within 48-hours of the original exam time.

9.  Calculating your Grade: You can receive a total of 100 points in this class plus 5 points extra credit. Below is a chart to help calculate your grade and the final grade scale for this class.

Assignment / Due Date / Possible points / Percentage of grade
1st Midterm / 9/25/12 / 20 * / 20%
2nd Midterm / 11/6/12 / 20* / 20%
Annotated Bibliography / 10/09/12 / 15 / 15%
Research Paper / Due same day as presentation date / 20 / 20%
Class Presentation / Varies / 15 / 15%
Class Participation/ In Class Journal / Varies / 10 / 10%

* Each Midterm is graded according to the standard grade scale. To calculate the number of points earned, you will need to multiply the grade received on the midterm by 20%. For example, if you received an 80 on your midterm, you would multiple 80X20% = to receive a total of 16 points on this midterm.

Final grade computation: 100-90=A; 89-80= B; 79-70 =C; 69-50=D; <50=F

Sequence of Assignments

Date / Topic / Readings/ Assignments
8/27 / Review Syllabus & Questions Regarding Class
Assign Presentation Dates
Latinos in the United States and California
Class Framework/ Film: Unnatural Causes / Syllabus & Class Presentation Dates
_Latino Terminology: Dr. Hayes Bautista
_Social Environment to Health
_ Why Place Matters? Read pages 13-48 of this report.
9/3 / Overview of Latinos in the United States
Latino Maternal/Prenatal Health / In class journal
_ The Hispanic Population: 2010
– Census Brief (pages 1-16)
_ Unauthorized Immigrant Population - Pew Hispanic Center
_ Disparities in Health Indicators for Latinas in California
9/10 / The Health of Children & Youth CHIP, Medicare and Medicaid
Class Discussion Time for Research Paper / _ The Health of Latino Children-JAMA
_ Kaiser Family Foundation readings on Medicare, Medicaid & CHIP
_ Latino Health Insurance Program _MA Intervention Pilot
9/17 / Health Issues of the Latino Elderly Culture, Class and Competency Catch-up and Review for Midterm / In class journal
MIDTERM I STUDY SHEET DISTRIBUTED
_ Culturally and linguistically appropriate healthcare for racial or ethnic minorities: analysis of the US Office of Minority Health’s recommended standards
_ A review of curanderismo and healing practices among Mexicans and Mexican Americans
_ Life-Course Socioeconomic Position and Incidence of Dementia and Cognitive Impairment without Dementia in Older Mexican Americans: Results From the Sacramento Area Latino Study on Aging
_ Language Spoken and Differences in Health Status,
Access to Care, and Receipt of Preventive Services
Among US Hispanics
9/24 / 1st MIDTERM / Exam Day – 1st Midterm
10/1 / Addressing the Obesity Epidemic Latinos and Cardiovascular Disease Latinos and Diabetes / _ Predictors of Obesity in Latino Children: Acculturation as a Moderator of the Relationship between Food Insecurity and Body Mass Index
_Results of a Multi-level Intervention to Prevent and Control Childhood Obesity among Latino Children: The Aventuras Para Ninos Study
_CDC – WiseWoman _ California Project
_ Acculturation and Healthy Lifestyle Among Latinos With Diabetes
10/8 / Latinos and Cancer
Possible American Cancer Society Guest Speaker
Latinos and Mental Health Issues / Article Annotations Due
In-class journal
_ Annual report to the nation on the status of cancer, 1975–2003, featuring cancer among U.S. Hispanic/Latino populations
_ Assessing the Awareness of and Willingness to Participate
in Cancer Clinical Trials Among Immigrant Latino
_ Pathways and Correlates Connecting Latinos’ Mental
Health With Exposure to the United States
10/15 / Public Safety as a health concern Latinos and Chemical Dependency Latinos and HIV/STDs / _ Special Issue: Summary of Comments and Recommendations from the CDC Consultation on the HIV/AIDS Epidemic and Prevention in the Hispanic/Latino Community.
_ Substance Use and HIV-Risk Behaviors Among Young Men Involved in the Criminal Justice System
_ Addressing the Need for Access to Culturally and Linguistically Appropriate HIV/AIDS Prevention for Latinos
_ Epidemiology of Substance Abuse Among Latinos
10/22 / Migrant Health Status & Border Health Issues
(La Cosecha) The Harvest (Documentary) / _ Listening to Rural Hispanic Immigrants in the Midwest
_In Class Discussion on Migrant Worker
_ Border Health Status Report to the California Legislature, 2011
_ Children of Immigrants-Economic Well-Being
_Field of Peril(optional/background)
10/29 / Occupational Health Status
Lecturer Human Trafficking
Review for 2nd Midterm
MIDTERM II STUDY SHEET DISTRIBUTED / In class journal
_ Trends in the Disproportionate Burden of Work-Related Traumatic Injuries Sustained by Latinos
_ A Comparison of Nonfatal Occupational Injuries in the United States Hispanic vs. Non-Hispanic
_Characteristics of Human Trafficking Victims 2008-2010 (optional)
11/5 / 2nd Midterm / Exam Day- 2nd Midterm
11/12 / NO CLASS / NO CLASS
11/19 / Presentations / Research Paper Presentations and Paper Due
11/26 / Presentations / Research Paper Presentations and Paper Due
12/3 / Presentations / Research Paper Presentations and Paper Due
12/10 / Presentations / Research Paper Presentations and Paper Due

NOTE – YOUR RESEARCH PAPER IS DUE ON THE DAY YOU MAKE YOUR PRESENTATION.