Master of Public Health in the Field of Community Oriented Primary Care

Program Director F. Spielberg

Practicum Director K. Pomerantz

Mission Statement

The Community Oriented Primary Care (COPC) program at the Milken Institute School of Public Health offers master of public health (M.P.H.) and graduate certificate programs designed to train health professionals and public health practitioners to implement and evaluate evidence-based interventions to improve community health, clinical care outcomes, and patient experience, while lowering health care costs and decreasing health disparities. 

COPC

The COPC program trains future health care innovators in the methods of COPC which provide skills to conceptualize, implement, evaluate, and disseminate interventions that bridge public health and clinical medicine. COPC begins by teaching practitioners methods to fully understand the needs of communities, health care providers and policy makers. Concurrently, skills are developed to read and interpret literature to inform future intervention design. With this in-depth understanding, COPC practitioners learn to work with stakeholders to prioritize interventions that will have a high likelihood of improving health outcomes and patient experience while lowering health care costs and decreasing health disparities. COPC practitioners learn to conduct in-depth assessments, which help to shape intervention design and serve as baseline data to evaluate intervention impact. Acquired Intervention skills include implementation of social marketing campaigns, advocacy campaigns, mobile health interventions, individual brief behavioral interventions, peer interventions, quality improvement projects using data from electronic health records, structural interventions to impact health behaviors, and health system innovations to improve the ability of community based organizations to educate, test, and link to care patients with preventable and chronic health conditions. Evaluation skills are acquired that include analysis of qualitative, quantitative, and cost data. Dissemination skills are acquired to take best practices to scale. Through experiential learning COPC practitioners will develop the skills necessary to lead health improvement projects in community, health department, academic, and clinical settings. 

Goals

The following are goals of this educational program:

  • Provide the knowledge and skills necessary to implement a COPC program.
  • Provide an analytical framework for evaluating community-based interventions using the principles and methods of COPC as a reference.
  • Provide opportunities for COPC practice, especially within vulnerable communities.
  • Create health and public health practitioners with skills necessary to excel in the following positions:
    • Clinic Quality Improvement Specialist (clinic setting)
    • Patient Centered Medical Home team leader (clinic setting)
    • Supervisor of patient care coordination (clinic or MCO setting)
    • Community health specialist (community, clinic or public health setting)
    • Health promotion specialist (community or clinic setting)
    • Supervisor of Community Health Worker program  (community or clinic setting)
    • Community Health Research coordinator (academic, clinic or community setting)
    • Director of community clinic or community health organization  (With dual health and MPH degree)

Background

COPC provides the bridge between clinical medicine and public health, in which the community is the focal point in the delivery of health care. It provides a conceptual and methodological framework to rationalize, organize, and adapt available resources to the delivery of health services. The methods are essential to the organized delivery of health care in community based practices, organizations engaged in managed care, and responsive governmental health systems.

The basic concepts of COPC were initially implemented in South Africa during the early 1940's by Sidney and Emily Kark with the creation of community health centers. These centers promoted a reorientation of health services at the community level through a unique linkage between individual clinical care and public health. They served as a laboratory for teaching and training health professionals.

Since that time, COPC has been taught and practiced in a number of settings around the world. Significantly, it has been an important element in the Community Health Center movement, the Indian Health Service, and a number of urban health departments in the United States as well as a variety of public health and primary care systems around the world. Developments in computer-based information management, mobile health, geographic information systems, and qualitative information gathering techniques have proved important assets to COPC practice.

The Concept of COPC

The essence of COPC is the planning and delivery of health care to a defined community in response to the defined needs of that community. To do this successfully requires the planned integration of the classical public health roles of health promotion and disease prevention at population levels with the delivery of primary health care, which focuses on the clinical treatment of disease and its sequelae. COPC recognizes that, in line with the World Health Organization definition of health as being far more than the absence of disease, a clinical practice should be responsive to the broad health needs of the community and should be flexible enough to respond to changes in those needs. COPC can be defined as a continuous process by which primary care is provided to a defined community on the basis of its assessed health needs through the planned integration of public health with clinical practice The COPC program curriculum will teach a six-step process as follows:

  1. Community definition
  2. Community characterization
  3. Problem prioritization
  4. Detailed assessment
  5. Intervention
  6. Evaluation

The overall curriculum is designed to give the learner the necessary public health tools to apply the principles of COPC in the context of community health practice and to be well educated in the disciplines of applied public health.

All MPH students in the Prevention and Community Health Department should possess the following functional competencies:

  • Identify the causes of social and behavioral factors that affect health of individuals and populations.
    PUBH 6500Planning and Implementing Health Promotion Programs
    PUBH 6501Program Evaluation
  • Apply appropriate theories toward the development, implementation, and evaluation of health promoting programs, interventions, and policies.
    PUBH 6500Planning and Implementing Health Promotion Programs
    PUBH 6501Program Evaluation
  • Develop interventions, programs, and policies to affect change at the individual, interpersonal, community, and population level. 
    PUBH 6500Planning and Implementing Health Promotion Programs
    PUBH 6501Program Evaluation
  • In collaboration with others, prioritize individual, organizational, and community concerns and resources for public health programs. 
    PUBH 6500Planning and Implementing Health Promotion Programs
    PUBH 6501Program Evaluation
  • Apply theory and strategy-based communication principles across different settings and audiences.  
    PUBH 6500Planning and Implementing Health Promotion Programs
    PUBH 6501Program Evaluation
  • Apply ethical principles to public health program planning, implementation, evaluation, communication, and dissemination.
    PUBH 6500Planning and Implementing Health Promotion Programs
    PUBH 6501Program Evaluation

Upon completion of the MPH in Community Oriented Primary Care students should possess the following functional competencies:

  • Communicate and discuss the principles and methods of COPC.
    Students should have the knowledge and understanding to be able to discuss the principles of COPC and describe the 6 steps which are:
  1. defining the community,
  2. characterizing the community,
  3. prioritizing community health issues and problems,
  4. conducting a detailed assessment of the priority health issue,
  5. planning and implementing COPC interventions, and
  6. evaluating the interventions. 
    Overarching principles include community participation and partnership.  Students should be capable of communicating these to audiences with different educational levels and cultural backgrounds.
PUBH 6510COPC Principles and Practice
PUBH 6512Comm-OrientedPrimryCarePol&Iss
PUBH 6513Community Health Management
PUBH 6514Preventing Health Disparities
PUBH 6516Community Health InfoResources
  • Define, characterize communities and identify its health needs which will be the focus of a COPC practice.
    Relevant Courses
    PUBH 6504Social and Behavioral Science Research Methods
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
    PUBH 6530Qualitative Methods in Health Promotion
  • Prioritize community health issues using the principles of COPC.
    Relevant Courses
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
    PUBH 6513Community Health Management
    PUBH 6514Preventing Health Disparities
  • Gather best-practices models for community-based interventions and the necessary quantitative and qualitative information for implementation in the focus community.
    Relevant Courses
    PUBH 6504Social and Behavioral Science Research Methods
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
    PUBH 6514Preventing Health Disparities
    PUBH 6516Community Health InfoResources
  • Implement individual behavior change interventions in clinical settings
    Relevant Courses
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
  • Develop skills to manage community health organizations
    Relevant Courses
    PUBH 6513Community Health Management
  • Develop and implement interventions using COPC principles including community participation and partnership

    Relevant Courses
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
    PUBH 6513Community Health Management
  • Evaluate and analyze community-based interventions and COPC programs
    Relevant Courses
    PUBH 6504Social and Behavioral Science Research Methods
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
  • Identify, analyze, and discuss the role of COPC in underserved within vulnerable communities.
    Relevant Courses
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
    PUBH 6513Community Health Management
    PUBH 6514Preventing Health Disparities
  • Develop and Implement a COPC process in clinical health services and community-based organizations and settings.
    Relevant Courses
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
    PUBH 6513Community Health Management
  • Analyze policies, issues, and programs that impact COPC practice.
    Relevant Courses
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
    PUBH 6513Community Health Management
  • Develop skills to implement, evaluate and publish the results of a COPC intervention in a peer reviewed journal.
    Relevant Courses
    PUBH 6510COPC Principles and Practice
    PUBH 6512Comm-OrientedPrimryCarePol&Iss
    PUBH 6516Community Health InfoResources
    PUBH 6504Social and Behavioral Science Research Methods

The following requirements must be fulfilled: 45 credits, including 15 credits in core courses, 6 credits in courses in the department, 14 credits in courses in the field, 6 credits in elective courses, and 4 credits in practicum and culminating experience courses.

Program Requirements 

Required core courses:
PUBH 6001Biological Concepts in Public Health
or PUBH 6591 P.A./M.P.H. Clinal Leadership Seminar
PUBH 6002Biostatistical Applications for Public Health
PUBH 6003Principles and Practices of Epidemiology
PUBH 6004Environmental and Occupational Health in a Sustainable World
PUBH 6006Management and Policy Approaches to Public Health
PUBH 6007Social and Behavioral Approaches to Public Health
Courses in the department:
PUBH 6500Planning and Implementing Health Promotion Programs
PUBH 6501Program Evaluation
Courses in the field:
PUBH 6504Social and Behavioral Science Research Methods
PUBH 6510COPC Principles and Practice
PUBH 6512Comm-OrientedPrimryCarePol&Iss
PUBH 6514Preventing Health Disparities
PUBH 6513Community Health Management
PUBH 6516Community Health InfoResources
Elective course recommendations:
PUBH 6503Introduction to Public Health Communication and Marketing
PUBH 6534Comm-Based Participatory Res
PUBH 6249StatPackages/DataMgt&DataAnlys
PUBH 6531HlthPromotion/HlthCareSettings
PUBH 6262Intro-Geog Information Systems
PUBH 6530Qualitative Methods in Health Promotion
PUBH 6532Commnty Org,Devlpmnt&Advocacy
HSML 6204Quality&PerformanceImprovement
Other required courses:
PUBH 6014Practicum
PUBH 6015Culminating Experience

Graduation Requirements

  1. Graduate credit requirement: 45 graduate credits
  2. Course requirements: Successful completion of core and program-specific courses
  3. Grade point requirement: 3.0 (B average) overall grade point average
  4. Time limit requirement: The degree must be completed within four years.
  5. Transfer credit policy: Up to 12 graduate credits that have not been applied to a previous graduate degree may be transferred to the Master of Public Health program. Up to 18 credits may be transferred to the Master of Public Health from the SPH graduate certificate. Credits must have been earned from an accredited institution in the last 3 years with a grade point of 3.0 or better.