UK College of Public Health - Department of Health Services Management

Department of Health Services Management

Mission, Vision, and Values

As a component of the UK College of Public Health, the Department of Health Services Management’s mission is to improve the organization and delivery of personal and public health services in Kentucky and beyond. This mission is addressed through graduate education, health services research, and service by faculty and staff.

The Department provides foundational courses for all concentrations in the MPH and DrPH degrees. It offers the following three degree programs:

- The MPH concentration in health services management provides graduates with critical competencies required for entry-level management positions in the public health system and a solid foundation for leadership development in this sector.

- The MHA Program provides graduates with critical competencies required to succeed in post-graduate positions in hospitals, multi-unit health systems, and other complex health-related organizations, and a solid foundation for future leadership roles.

- The DrPH concentration in health services management provides graduates with critical competencies required for positions in academic institutions, organizations and agencies that focus on health policy, and future leadership roles in the public and private sectors.

The Department faculty conducts research on health services and systems in both the public and private sectors. Among the focus areas are health policy and economics, information systems, leadership and management, organization and delivery of services, and outcome measurement. The Department provides service to the healthcare field through disseminating new knowledge and providing consultative assistance to public and private organizations.

The Department’s vision is to achieve national recognition and respect by attracting highly qualified students with diverse backgrounds who perform in an exceptional fashion in their post-graduate roles and by building strong, mutually supportive research and public service programs.

In all that it does, the Department honors the UK College of Public Health’s core values: academic excellence, accountability, community engagement, democracy, educational opportunity, organizational cohesion, trans-disciplinary discovery, and integrity.

Core Faculty

Click on a faculty name to view bio and contact information.


Dr. Ty Borders	Dr. Julia Costich	Dr. Scott Hankins	Dr. James Holsinger, Jr.

Dr. Andrew O. Johnson	Dr. Glen Mays	Dr. William Pfeifle	Dr.Lawrence Prybil

Dr. Martha Riddell	Dr. Douglas Scutchfield	Dr. Sarah Wackerbarth

Extended Faculty

Click on a name to send an email.

For information about:

CPH241 Health/Medical Care Delivery Systems (3)

Undergraduate Course (not eligible for graduate credit)

CPH635 Public Health Finance and Accounting (3)

Introduces the use of management accounting techniques to decision making in health care organizations. Lectures, problems and cases will be used to provide an opportunity to focus on the various types of health care providers.

CPH650 Management of Public Health Organizations (3)

This course teaches the theories and practice of administration as they are applied in public health settings. It addresses knowledge and applications of the functions of public health management and their relationship to organizational effectiveness. Prereq: enrollment in MPH program or consent of an instructor.

CPH652 Finance Management for Health Care Delivery/Public Health Organization (3)

This course teaches the theories and practice of administration as they are applied in public health settings. It addresses knowledge and applications of the functions of public health management and their relationship to organizational effectiveness. Prereq: enrollment in MPH program or consent of an instructor.

CPH653 Public Health Law and Policy (3)

Introductory course for non-lawyers in selected aspects of the law relating to public health and policy. Prereq: Enrollment in a Public Health degree program or consent of instructor.

CPH662 Public Health Response to Terrorism, Disasters and Emergencies (3)

This course will focus on the public health concepts, history, methods, planning and response preparedness to weapons of mass destruction, terrorism, natural and human-made disasters, and other health emergencies. Prereq: enrollment in a Public Health degree program or consent of instructor.

CPH663 Public Health Practice and Administration (3)

This course is to be a practical application of the principles of health care organization to public health at the national, state and local levels. Prereq: enrollment in MPH program or consent of an instructor.

CPH758 Special Topics in Health Services Management: (Subtitle required)

This course will engage students in readings, projects, lectures, and/or discussions to address current topics of special interest or concerns. Prereq: enrollment in a Public Health degree program or consent of an instructor.

Quality Improvement in Healthcare (3): This course introduces the concepts and systems principles, thinking, and dynamic complexity in healthcare organizations.
International Public Health (3): Course material and visiting speakers present and analyze major issues in international health, identify and compare health systems in developed and developing countries, and explore emerging global health issues.
Strategic Planning and Evidence-Based decision making(3): Topics include basic strategic planning theory, the process of strategic plan development, specific methods of analysis including environmental and organizational analysis and appropriate analytical techniques, decision theory and analysis. Several health care trends such as restructuring, innovation in health care delivery and financing and performance measurements will be illustrated through case analysis in public health settings.
Leadership in Public Health (3): This course emphasizes the practical application of the theories and principles of leadership. I addition to focusing on one’s personal leadership development, it also includes the integration of the concepts of servant and shared leadership for promoting change in public forums and decision-making arenas. Case studies and interviews of public officials serve as a basis for working with today’s organizations and communities for the good of the public’s health.
Public Health Preparedness Planning(3): The Public Health Preparedness planning seminar will address issues of preparing for a variety of public health events, and how common planning activities can be used to prepare for a variety of unplanned events. The course will include major incidents such as bioterrorism and pandemics, but will emphasize the more common occurrences that confront health providers and the communities they serve. Specific tools such as contingency and multiple scenario planning, priority setting, surge capacity, interoperability, legal and ethical considerations, and emergency plans will be addressed, and field trips and tabletop exercises are anticipated.

CPH759 Independent Studies in Health Services Management: (Subtitle required) (1-3)

Designed for advance students with research or special study interest in Health Services Management. Students are under guidance and confer individually with faculty. May be repeated to a maximum of 6 semester hours. Prereq: Enrollment in a Public Health degree program or consent of an instructor.

CPH901 Public Health Doctoral Professional Colloquium (1)

The Public Health Doctoral Professional Colloquium is a one hour seminar course designed as the integrative introduction, consideration, and capstone for the Doctor of Public Health (Dr.P.H.) degree. The colloquium is designed to link theory and practice, in the five public health core disciplines (epidemiology, environmental health, biostatistics, health enhancement, and management and practice).

CPH950 Well-Managed Public Health Care Organizations (3)

Address effective senior management of public and private organizations focusing upon public health. Effective management processes will be addressed through lectures, readings and case studies applying the concepts to public health organizations.

CPH951 Professional Seminar in Public Health Management and Practice (3)

An advanced course in one of the five content areas of public health. All students enrolling will have completed the prerequisite introductory course at the master’s degree level, and the advance course at the doctoral level. The Professional Seminar in Public Health Management and Practice is designed as the opportunity to link academic work in public health management with application in public health practice, and to prepare the student for a leadership role in public health. This will be accomplished through readings, case studies and exercises, and individual research relevant to the discipline and the profession of public health.

CPH952 Professional Seminar in Advanced Leadership: Theory and Practice (3)

This course provides the opportunity to link academic work in public health leadership with application in public health practice and to prepare the learner for a leadership role in public health. This will be accomplished through readings, case studies, exercises, and individual research relevant to the disciplines of the profession of public health and leadership.

CPH953 Seminar in Ethical and Moral Decision Making (3)

This course provides the opportunity to link academic work in public health decision-making with its application to public health practice and to prepare the learner for the practice of public health decision-making based on ethical and moral principles. This will be accomplished through readings, case studies, exercises, and individual research relevant to the disciplines of the profession of public health decision-making. The period of Nazi Germany 1933-1945 will compose the underlying case study. The seminar will consider in depth the decisions made by Nazi political and military leaders, citizens, religious leaders, concentration camp commanders, guards, and prisoners, physicians, scientists and business leaders. Films will be used extensively in the seminar.

CPH954 Professional Seminar in Public Health: Economics and Finance (3)

This course provides the opportunity to link academic work in public health finance and economics with application in public health practice and to prepare the learner for key leadership roles in public health. This will be accomplished through readings, case studies, exercises, and individual research relevant to the disciplines of the profession of public health finance and economics.

2010 (through 6/30)

Bhandari MW, Scutchfield FD, Charnigo R, Riddell MC, Mays GP. New data, same story? Revisiting studies on the relationship of local public health systems characteristics to public health performance. J Public Health Manag Pract. 2010; 16(2): 1-8

Costich JF, Yu L. Who Pays for Agricultural Injury Care? J Agromed 2010; 15(1): 54-57.

Dearinger AT, Riddell MC, Scutchfield FD, Ingram R, Howard A, and Cooper S. Improving knowledge of public health accreditation through a group vetting session of a practice-based research network. J Pub Health Manag Pract. 2010, 16(2): 134-139.

Mays GP, Scutchfield FD, Bhandari MW, Smith SA. Understanding the organization of public health systems: An empirical typology. Milbank Q 2010; 88(1):81-111.

Prybil LD, Peterson R, Brezinski P, Zamba G, Roach W Jr, Filmore A. Board oversight of patient care quality in community health systems. Am J Med Qual. 2010; 24(1): 34-41

Runyan CW, Hargarten S, Hemenway D, Peek-Asa C, Costich JF, Cunningham RM, Gielen A. Sounding Board: An urgent call to action in support of injury Control Research Centers. Forthcoming, Am J Prev Med, July 2010; 39(1): 89-92.

Saman DM, Arevalo O, Johnson AO. The dental workforce in Kentucky: current status and future needs. J Public Health Dent. 2010; Mar 15 (e-pub before print)

Scutchfield FD. Public health administration and science: strange bedfellows?. J Pub Health Manag Pract. 2010; 16(2): 148-50

Van Wave TW, Scutchfield FD, Honoré PA. Recent advances in public health systems research in the United States. Ann Rev Public Health. 2010; 31: 283-95

Williams JC, Costich JF, Hacker WD, Davis JS. Lessons learned in a systems thinking approach for evaluation planning. J Pub Health Manag Pract. 2010; 16(2): 151-155

2009

Adogwa O, Costich JF, Hill RE, Slavova S, Does higher surgical volume predict better patient outcomes. Ky Med Assoc J. 2009; 107(1): 10-6

Anderson DM, Whitler ET, Johnson AO, Elam CL, Wilson EA, Asher LM. Increasing the medical school applicant pool: a key to training more rural physicians. J KY Med Assoc. 2009 Sep; 107(9):355-60

Costich JF, Honoré PA, Scutchfield FD. Public health financial management needs: Report of a national survey. J Public Health Manag Pract 2009; 15(4):307-310

Downey LH, Anyaegbunam C, Scutchfield FD. Dialogue to deliberation: expanding the empowerment education model. Am J Health Behav. 2009; 33(1):26-36.

Halpin, HA, Scutchfield FD. Broadening the role of the health economist to include public health Research. Am J Prev Med. 2009; 36: 276-277

Honoré PA, Costich JF. Public health financial management competencies. J Pub Health Manag Pract. 2009; 15(4):311-318.

Ireson CL, Slavova S, Steltenkamp CL, Scutchfield FD. Bridging the care continuum: patient information needs for specialist referrals. BMC Health Serv Res. 2009; 15(9): 163

Michener L, Scutchfield FD, Aguilar-Gaxiola S, Cook J, Srelnick AH, Ziegahn L, Deyo RA, Cottler LB,
McDonald MA. Clinical and translational science awards and community engagement: now is the time to mainstream prevention into the nation’s health research agenda. Am J Prev Med. 2009; 37(5): 464-7

Prybil LD. Engaging nurses in governing hospitals and health systems. J Nurs Care Qual. 2009; 24(1): 5-9

Scutchfield FD . Broadening the Role of the Health Economist to Include Public Health Research. Am J Prev Med. 2009; 36(3)

Scutchfield FD. The cooperative medical extension program: translation of medical best practices to practicing primary care providers. Am J Prev Med. 2009; 37(4): 374-6

Scutchfield FD. Current reflections on the state of the public health workforce. J Public Health Manag Pract. 2009; 15 (6 Suppl):S24-5.

Scutchfield FD. Dialogue to deliberation: expanding the empowerment education model. Am J Health Behav. 2009; 33(1):26-36

Scutchfield FD. Increasing the medical school application pool: A key to training more rural physicians. J Ky Med Assoc 2009; 107(11): 464.

Scutchfield FD . The necessity of accurate costs. Am J Prev Med. 2009; 37(3)

Scutchfield FD. To build on the discipline of health services research focused on the public health system. Health Serv Res. 2009; 44(5): 1773-4

Scutchfield FD, Bhandari MW, Lawhorn NA, Lamberth CD, Ingram RC. Public Health performance. Am J Prev Med 2009; 36(3):266-72.

Scutchfield FD, Lawhorn N, Ingram R, Pérez DJ. Public health systems and services research: dataset development, dissemination, and use. Public Health Rep 2009; 124(3):372-7.

Scutchfield FD, Mays GP, Lurie N. Applying health services research to public health practice: an emerging priority. Health Serv Res. 2009; 44(5): 1775-87

Williams JC, Clayton R, Scutchfield R, and Caldwell G. Rural public health workforce development and capacity to respond to emergencies: The role of the technical and support workgroup (Peer Reviewed), October 2009.

2008

Beckett A, Scutchfield D, Pfeifle WG, Hill R, Ingram R. The forgotten instrument: An analysis of the National Public Health Performance Standards Program Governance Instrument. J Pub Health Manag Pract. 2008; 14(4):E17-E22

Costich JF, Nicholson VJ, Bunn TL. Association of disparities in occupational injuries with worker compensation coverage status: An exploratory study. Am J Indus Med. 2008; 51:393-398. DOI:10, 1002/AJIM.20565

Dearinger AT, Wilson JF, Griffith CH, Scutchfield FD. The effect of physician continuity on diabetic outcomes in a resident continuity clinic. J Gen Int Med. 2008; 23(7): 937-41

Downey, LH, Ireson, CL, Scutchfield, FD, Cross A. Partnerships for Supporting Local Health Efforts: The Link Between Rural Journalism and Public Health in One Rural Community. Higher Ed Exchange 2008; 39-48.

Downey LH, Ireson CL, Slavova S, McKee G. Defining elements of success: a critical pathway of coalition development. Health Promot Pract. 2008 Apr; 9(2):130-9

Hall LM, Ireson CL, Scutchfield FD. (2008) The use of photovoice as a method of facilitating deliberation. Health Promot Pract. 2009 Jul; 10(3):419-27.

Henry BL, Scutchfield FD, Perez DJ. Tapping the potential: tackling health disparities through accreditation and public health services and systems research. J Public Health Manag Pract. 2008; 14 Suppl:S85-7

Ireson CL, Riddell MC, A Statewide assessment of e-HIT use by all healthcare providers. AMIA Ann Symp Proc. 2008; Nov 6:987

Ireson CL, Steltenkamp CL, Slavova S, Scutchfield FD. Bridging the care continuum-Patient’s experience in the referral process. BMC Health Serv Res. 2009 Sep 15; 9(1):163-75.

Johnson AO, Mink MD, Harun N, Moore CG, Martin AB, Bennett KJ. Violence and drug use in rural teens: national prevalence estimates from the 2003 Youth Risk Behavior Survey. J Sch Health. 2008 Oct; 78(10): 554-61

Lee C, Bernard A, Fryman L, Costich JF et al. Imaging may delay trauma transfer. J Trauma. 2008; 65(6):1359-1363.

Patrick K, Scutchfield FD, Woolf SH. External validity reporting in prevention research. Am J Prev Med 2008; 34(3): 260-2.

Prasad SR, Hill RE. A cost-benefit analysis of the HPV vaccine in Medicaid-enrolled females of the Appalachian region of Kentucky. Ky Med Assoc J. 2008;106(6): 271-6

Prybil L. What’s your board’s culture. Trustee 2008; 61(6): 16-8, 23-4

Scutchfield, FD. Preventive Medicine: An opportunity to combine public health and medicine. J Nat Assoc Advisors Health Prof. 2008; 28(1:) 5-7

Torres M, Parra-Medina D, Bellinger J, Johnson AO, Probst JC. Rural hospitals and Spanish-speaking patients with limited English proficiency. J Healthc Manag. 2008; 53(2): 107-19

Wackerbarth SB, Peters JC, Haist SA. Modeling the decision to undergo colorectal cancer screening: insights on patient preventive decision making. Med Care. 2008; 46(9suppl 1):S5-9.

Williams JC. State of emergency preparedness of Kentucky’s rural public health workforce: Assessing its ability to identify community health problems. Pub Health Rep. 2008; 123: 178-187

2007

Kenney G, Marton J, Costich JF, McFeeters J. Estimating the effect of SCHIP premiums on disenrollment patterns and state budgets: Findings from two states. Health Servs Res 2007; 42(6):2354-72. DOI: 10:1111/J.1475-6773.2007.000772x.

Killip SM, Ireson CL, Fleming S, Love M, Katirai W, Sandford K. Patient safety in after-hours telephone medicine. Fam Med 2007; 39 (6):404-9

Lee JM, Scutchfield FD, Hill R. The Kentucky plan revisited: Lessons learned from an innovative doctoral education program. J Health Admin Educ. 2007; 24(3): 269-281

Patton D. The Supreme Court and morality policy adoption in the American states: the impact of constitutional context. Political Res Q. 2007; 60:468-488

Probst JC, Laditka SB, Wang JY, Johnson AO. Effects of residence and race on burden of travel for care: cross sectional analysis of the 2001 US National Household Travel Survey. BMC Health Serv Res. 2007 Mar 9; 7: 40

Prybil L, Charlton M, Roberts P. The Wellmark and University of Iowa partnership: an innovative model for collaboration between Bleu Cross-Blue Shield plans and colleges. Inquiry. 2007; 43(4): 309-14

Prybil LD. Nursing involvement in hospital governance. J Nurs Care Qual. 2007; 22(1): 1-3

Scutchfield FD, Harris T, Tanner BT, Murray, D. Academic health centers and cooperative extension service: A model for a working partnership. J Extension. 2007; 45(1). Online at: tp://www.joe.org/joe/2007February/a5.shtml .

Scutchfield FD, Patrick K. Public health systems research: the new kid on the block. Am J Prev Med 2007; 32(2): 173-4.

Scutchfield FD, Marks JS, Pérez DJ, Mays GP. Public Health services and systems research. Am J Prev Med. 2007; 33(2):169-71.

Wackerbarth SB, Tarasenko YN, Curtis LA, Joyce J, Haist SA. Using decision tree models to depict primary care physicians CRC screening decision heuristics. J Gen Int Med. 2007; 22(10):1467-9.

Wackerbarth SB, Tarasenko YN, Joyce J, Haist SA. Physician colorectal cancer screening recommendations: An examination based on informed decision making. Patient Educ Counsel. 2007;66 (1):43-50

Zaba JN, Reynolds W, Mozlin R, Costich JF, Slavova SS, Steele GT. Comparing the effectiveness of vision screenings as part of the school entrance physical examination to comprehensive vision examinations in children ages 3 to 6: an exploratory study. Optometry 2007; 78(10): 514-22

2006

Bunn TL, Costich JF. Identification and characterization of Kentucky self-employed occupational injury fatalities using multiple sources, 1995-2004. Am J Indus Med. 2006; 49:1005-1012.

Costich JF. The Perruche case and the wrongful life controversy in France. Health Policy 2006; 78(1):8-16. http://dx.doi.org/10.1016/j.healthpol.2005.08.007

Fallat ME, Costich JF, Pollack SH. The impact of disparities in pediatric trauma on injury prevention initiatives. J Trauma 2006; 60(2):462-64

Kenney G, Allison RA, Costich JF, Marton J, McFeeters J. The effects of premium increases on enrollment in SCHIP programs: findings from three states. Inquiry 2006; 43(4):378-92.

Prybil LD. Size, composition and culture of high-performing hospital boards. Am J Med Qual. 2006; 21(4): 224-9

Prybil LD. Characteristics of effective boards. Trustee 2006; 59(3): 20-3

Scutchfield FD, Hall LM, Ireson CL. The public and public health organizations: Issues for community engagement in public health. Health Policy. 2006; 77(1): 76-85

Wackerbarth SB, Peters JC, Haist SA. Perceived barriers and benefits were factors in decision making about colorectal screening. Evid Based Nursing. 2006;9:31

Grants and Contracts:

2010-2012 Co-Investigator. Enhancing the Capacity of the Kentucky Appalachian Rural Rehabilitation Network. National Institutes of Health. $1,000,000.Costich
2010-2012 Co-Investigators. Kentucky Regional Extension Center. Office of the National Coordinator for Health Information Technology. $6,005,467 Ireson and Riddell
2010-2012 Tri-State Regional Extension Center. $1805586. Ireson and Riddell
2009-2012 Health Education through Extension Leadership, Cooperative State Research Education and Extension, $1,610,659.00 Scutchfield
2010-2011 Co-Investigator, Validation and Administration of Pediatric Emergency Department Capacity Survey. Health Resources and Services Administration with additional support from a gift to UK Children’s Hospital. $52,000. Costich
2009-2011 Co-Investigator, Public Health Systems and Services Research Data Integration. Robert Wood Johnson Foundation, $200000 per year. Riddell
2009-2010 Principal Investigator. Center of Excellence for Public Health Workforce Research & Policy. Public Health Foundation. $160000. Scutchfield
2009-2010 Principal Investigator. Buckeye Bluegrass Regional Leadership Academy. Ohio State University. $17552. Scutchfield
2009-2010 Academic Administrative Units in Primary Care. Health Resources and Services Administration. $855008. Scutchfield
2009-2010 Principal Investigator. Kentucky Public Health Leadership Institute. KY Cabinet for Health and Family Services. $142500. Scutchfield
2009-2010 Principal Investigator. Increasing the Availability & Promoting the use of Public Health Systems & Services Research Resources. National Library of Medicine. $12500. Scutchfield
2008-2010 Principal Investigator. Kentucky Commonwealth Common Health Conversations for Health Action. Kettering Foundation. $30000. Scutchfield
2008-present Kentucky Healthcare Infrastructure Authority. Cabinet for Health and Family Services. Costich, Ireson and Riddell
2007-2010 Principal Investigator. Core Injury Surveillance Program. Centers for Disease Control and Prevention, $120,000 per year. Costich
2007-2011 Principal Investigator, Center for Public Health Services Research, National Program Office, Robert Wood Johnson Foundation, $2,825,560.00 Scutchfield
2010 Principal Investigator, Medicaid Emergency Department Utilization Study, UK Center for Poverty Research. $10,000. Costich
2008-2010 Kentucky Public Health Research Network, KY Public Health Association, $80356 Scutchfield
2003-2010 Principal Investigator, State Injury Prevention Program. Cabinet for Health and Family Services, $311,688 annually. Costich
2008-2009 Increasing the Availability and Promoting the Use of the National Library of Medicine’s Datasets for Public Health Systems Research, Robert Wood Johnson Foundation, $100,000.00 Scutchfield
2008-2009 Center of Excellence, Public Health Workforce Research & Policy, $115,000.00 Scutchfield
2008-2009 Principal Investigator. Buckeye Bluegrass Regional Leadership Academy. Ohio State University. $17552. Scutchfield
2008-2009 Principal Investigator. Increasing the Availability and Promoting the Use of the National Library of Medicine’s Datasets for Public Health. $25000. Scutchfield
2008-2009 Academic Administrative Units in Primary Care: Serving the Community: Family Medicine Education and Research. Health Resources and Services Administration. $276536. Scutchfield
2007-2009 NPHPSP Data Mining, Center for Disease Control and Prevention, $109,998.00 Scutchfield
2005-2006 Deliberative Politics in Kentucky, Kettering Foundation, $40,000.00; $30,000 Scutchfield and Ireson.

Address:

Suite 105, 111 Washington Avenue
Lexington, KY 40536-0003
Phone: 859-218-2041
Fax: 859-257-2821

Chair:

Dr. Holsinger
Professor and Chair,
Department of Health Services Management
Phone: 859-257-2041

Associate Chair:

Julia Costich
Associate Professor and Associate Chair,
Department of Health Services Management

Support Staff:

Tonya McGuire
Phone: 859-218-2041

Becky Friend
Phone: 859-218-2058