Quality & Patient Safety Track
The Quality and Patient Safety track addresses issues related to quality of healthcare, patient safety, patient center outcomes, and performance measurement and improvement.
The curriculum is designed for public health, clinical and management professionals who wish to develop the expertise to identify challenges in these areas, implement evidence based interventions and improve care delivery. The outcomes research related curriculum focuses on measurement, evaluation and comparative effectiveness research using rigorous methodology to compare available options for treatment or prevention. The curriculum includes a variety of specialized courses in quality, patent safety, patient centered outcomes, performance measurement, human factors and the evaluation of programs and interventions for improving the safety and quality of health care services. The track targets those who have master’s level training related to public health, healthcare management or clinical sciences.
The competencies for the track in Quality and Patient Safety are met through required and elective coursework, independent research, and the process of writing a dissertation. Upon successful completion, students will have mastered the school-wide, department and track competencies:
Foundational (School-wide) Program Competencies:
- Identify, synthesize and apply evidence based public health research and theory from a broad range of disciplines and health related data sources for problem solving and to advance programs, policies, and systems promoting population health.
- Identify and analyze ethical issues including balancing the claims of personal liberty with the responsibility to protect and improve the health of the population; and act on the ethical concepts of social justice and human rights in public health research and practice.
- Influence decision-making regarding policies and practices that advance public health using scientific knowledge, analysis, communication and consensus building.
- Assess and use communication strategies across diverse audiences to inform and influence individual, organization, community and policy actions in order to promote the health of the public.
- Enable organizations and communities to create, communicate and apply shared visions, missions and values; inspire trust and motivate others; build capacity; improve performance, enhance the quality of the working environment; and use evidence-based strategies to enhance public health.
- Design and evaluate system-level and programmatic initiatives in multidisciplinary teams so as promote public health outcomes and health equity.
Within the domain of Quality:
- Analyze frameworks and theories for assessing and improving the quality of medical care using a systems thinking and design approach while considering current policy and programmatic areas in quality of care
- Assess and use communication strategies across all stakeholders to inform practice and promote high quality care delivery to the public.
- Critique published quality assessment and improvement studies
Within the domain of Safety:
- Critique the role of various systems and factors in creating safety and risks for errors and adverse events
- Evaluate indicators for measuring and reporting safety
- Conduct an incident investigation and disclose an adverse event
- Evaluate the ethical, legal, and regulatory factors associated with patient safety and strategies for incorporating these into day to day practice
Within the domain of Patient Outcomes Research:
- Advocate for the importance and challenges of using patient and consumer reported measures in research, clinical practice, and program evaluation
- Compare the different types of instruments available to measure health related quality of life
- Critique commonly used patient reported outcomes in specific applications
- Develop survey methods and instruments that aim to collect valid and reliable data for quality and outcome measurement and improvement purposes
- Conduct patient-centered outcomes research to improve health, understanding its place in the U.S. research portfolio, the importance of stakeholders in the research process, and policy implications related to implementation
Required Non-credit Courses
- Introduction to Online Learning (required for all JHSPH students prior to enrolling in online courses)
- Title IX and Harassment Prevention Training (Students and Non-supervisors)
- Academic and Research Ethics
- HPM DrPH Graduate Seminar
- School-wide DrPH Online Seminar–Developing a Disstertation (optional)
Required Foundational Courses
- Problem-based Course 1 – The Opioid Crisis: Problem Solving Seminar, 3 credits
- Problem-based Course 2 – Protecting the Environment and Safeguarding Worker Health: A Problem-based Approach, 3 credits
- Problem-based Course 3 – Tackling the Intersectoral Challenge of Antimicrobial Resistance: Problem Solving Seminar, 3 credits
- Problem-based Course 4 – Vaccine Safety, 3 credits
- Foundations of Organizational Leadership, 3 credits
- Applied Leadership Development, 3 credits
- Making Effective Public Presentations, 2 credits
- Case Studies in Communicating with the Media, 1 credit
- Educational Leadership, 3 credits
- Dissertation work, 8 credits (minimum)
Required Data Analysis Courses
Choose at least 4 credits from the following:
- Professional Epidemiological Methods: Decision Making in Health Situation Analysis, 2 credits
- Statistical Methods in Public Health IV, 4 credits
- Multilevel Models, 2 credits
- Analysis of Longitudinal Data, 2 credits
- Introduction to Health Survey Research Methods, 2 credits
- Introduction to Qualitative Research Methods, 3 credits
- Introduction to Qualitative Data Analysis for Public Health, 2 credits
Required Health Policy & Management Concentration Prerequisites
- Managing Health Services Organizations, 4 credits OR Fundamentals of Management for Health Care Organizations, 3 credits
- Introduction to the U.S. Healthcare System, 4 credits
Required Quality and Patient Safety Track Courses
- Strategic Planning, 3 credits
- Health Management Information Systems, 3 credits OR Population Health Informatics, 3 credits
- Fundamentals of Budgeting and Financial Management, 3 credits
- Quality of Medical Care, 3 credits
- Performance Measurement in Health Care, 2 credits
- Evaluating Quality Improvement and Patient Safety Programs, 3 credits
- Patient Safety and Medical Errors, 3 credits
- Assessing Health Status and Patient Outcomes, 3 credits
- Introduction to Comparative Effectiveness and Outcomes Research, 3 credits
- At least 2 additional elective credits (The concentration provides a list of recommended elective courses, but students also may choose elective courses from HPM or other departments according to their academic and professional interests.)
Sample Dissertation Titles
Selected titles of dissertations from graduates of the HPM DrPH concentration are below.
- Comparing the Utility of Alternative Measures of Financial Performance for Predicting Conversion to Critical Access Hospitals and Closure in a National Sample of US Rural Hospitals
- Determining the Influence of Hospital Characteristics, Market Conditions, and Financial Performance on Clinical Quality in a Sample of US Rural Hospitals
- Reducing Registration-Associated Patient Identification Errors: A Review of Methods, Metrics, and Performance Improvement
- Dynamics of Acute Care Patient Flow
- Do I Stay or Do I Leave? Exploring the Factors of Employee Retention in Senior Care
- Measuring Clinician Satisfaction and Evaluating an Electronic Health Record at a "Pace" Geriatric Care Site