1. Introduction to Health Policy FPMU120: HEALTH POLICY FOR HEALTHY LIFESTYLES YUYAN SHI, PHD DEPARTMENT OF FAMILY MEDICINE AND PUBLIC HEALTH UNIVERSITY OF CALIFORNIA, SAN DIEGO SPRING 2016

2. Lecture Outline Syllabus  Class Logistics  Academic Integrity Health Policy  Definition  Current Health Policy Issues  Policy Making Process & Analysis Acknowledgement: part of this presentation is derived from a presentation made originally by Dr. McMenamin in FPMU 120, Spring 2015. These slides are used with Dr. McMenamin’s permission.

3. Course Syllabus  Course website  Contact Information  Communication Policy  Student Learning Outcomes  Course Logistics  Assessment and Grading  Accommodations  Expectations and Class Rules  Academic Integrity

4. Course Website www.ucsdfpmu120.org

5. Contact Information Dr. Shi Contact Information ◦Office: Stein Clinical Research Building, Room 353 ◦Phone: 858-534-4273 ◦E-mail: yus001@ucsd.eduyus001@ucsd.edu ◦Office Hours: Thursday 2-3pm or by appointment TA: Jennifer Sanchez-Flack Office address: BSPH student center, University Center 202 Email: jcs015 at ucsd.edu Office hour: Tuesday 11am-12pm or by appointment TA: Liangdao Li Office address: BSPH student center, University Center 202 Email: lil041 at ucsd.edu Office hour: Tuesday 11am-12pm or by appointment

6. Course Learning Objectives 1.Describe the basic components of the health policy process and to analyze each component using a current health policy topic. 2.Describe the components of the Bardach 8-fold path policy analysis framework and to apply the framework to a current health policy problem. 3.Identify the different legal, economic, regulatory, and, marketing, and financing policy approaches available to influence and improve public health. 4.Identify the major U.S. health behavior policies related to diet, physical activity, tobacco, alcohol, and other major health behaviors. 5.Describe the impact of health policy on health behavior using examples from policies targeting diet, physical activity, tobacco, and alcohol.

7. Course Learning Objectives (cont.) 6.Evaluate the selection criteria used when considering health behavior policies such as legality, liberty, efficiency, security, equity, and ethical issues. 7.Apply relevant health policy evaluation techniques to evaluate the effectiveness and impact of health behavior policies. 8.Use excel spreadsheet to calculate cost-effectiveness and cost-benefit problems. 9.Identify sources of information and data regarding health policy and related analysis. 10.Demonstrate high standards of personal and organizational integrity, compassion, honesty and respect for all people. 11.Demonstrate effective written and oral skills for communicating with different audiences about public health policy including written policy briefs, written policy analyses, and oral presentations.

8. Course Layout Policy Making Process Policy Process and analysis Problem definition and agenda setting Interest group Policy Strategies Mass media tools Economic tools Legal tools Regulatory tools Healthcare financing Policy Evaluation Pre-post and RCT Quasi-experimental design Cost-effectiveness Cost-benefit

9. Assessments AssessmentDetailsPoints 1. In-class quizzesIn class quiz with multiple choice, and true/false questions 75 (5 points each lecture: 2 points for attendance, 3 points for right answers. Best of 15 out of 18) 2. Take-home assignments Small projects, short essays, and calculation problem sets. 120 (40 points each) 3. Short individual oral presentation Prepare a 1-2 minute oral summary of a current health policy topic. Sign up at www.SignUpGenius.com/go/30E054BA8AB2AA3FD0- individual www.SignUpGenius.com/go/30E054BA8AB2AA3FD0- individual 10 4. Group presentation In-class oral presentation with 2-3 students in a group. Sign up at www.SignUpGenius.com/go/30E054BA8AB2AA3FD0- group www.SignUpGenius.com/go/30E054BA8AB2AA3FD0- group 50 5. Final examIn class with calculations, multiple choice, true/false, short answer questions, and short policy analysis 145 TOTAL:400

10. Grading Policies  In-Class Quizzes o No make-up quizzes, can drop three lowest scores. Register your i-clicker at TED asap.  Home-work assignments o Must be on time for FULL points (NO EXCEPTIONS) o May submit within 24 hours of deadline for HALF points  Individual Presentation o Relevant to health policy topic on a health behavior o No make-up opportunity, but you can switch date with your classmate  Group Presentation o Points partially based on classmate assessment  Final Exam o If you have to miss, need to provide valid documentation 1 week prior to exam

11. Academic Integrity  Use your own i-clicker  No plagiarism  Turnitin.com will be used for homework assignments  Cite properly  Any misconduct will be given “zero” for grading and reported to Office of Academic Integrity.

12. Individual Short Presentation  Sign up at www.SignUpGenius.com/go/30E054BA8AB2AA3FD0- individual before 4/5/2016. www.SignUpGenius.com/go/30E054BA8AB2AA3FD0- individual  1-2 min brief presentation on a hot health policy topic that addresses a health behavior problem. o Health behavior is not health condition.  Source of topic and material: o Course website o Newspaper, journal article, twitter, facebook, and more o If copy from a public source, acknowledge the source before presentation

13. Individual Short Presentation (cont.)  Include the following elements: o Where o When o What o Who o How o Impact? Attitudes?  An example: https://www.youtube.com/watch?v=rawZveqrMhA

14. Learning Objectives for Rest of the Lecture  Understand how this course fits into your BSPH studies  To introduce the current health policy agenda in the United States  To introduce you to current health policy issues  To identify which health policy issues are important to YOU

15. 5 Core Public Health Disciplines  Biostatistics (FPMU 101B)  Epidemiology (FPMU 101A)  Environmental Health Sciences (FPMU 130)  Health Behavior and Social Sciences (FPMU 110)  Health Policy (FPMU 120, USP 143)

16. Health Policy  Policy: as a law, regulation, procedure, administrative action, incentive, or voluntary practice of governments and other institutions. (CDC)  Public Policy: Policies implemented by public organizations “Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society.” (WHO)  Health policy can (WHO): ◦Define vision for the future ◦Establish short and medium term goals ◦Outline priorities for different sub-groups ◦Build consensus and inform people

17. Social Determinants of Health

18. Where We Left Off in FPMU 110: Policy Phase 5-Translate Research into Practice ◦Institutionalization—policies adopted and maintained ◦Laws and regulations but has other components including education and incentive programs that set up the right environment Source: FPMU 110 Lecture

19. Health Policy Ideals  Developed with an understanding of the major determinants of health.  Designed to help people take control over the decisions that affect their health.  Designed to treat people equitably and fairly and reduce health disparities.  Developed with respect for individual liberty and interfere only when the health benefits outweigh the restrictions on individual choice. Source: Schauffler HH, et al. 1994. Health Promotion and Disease Prevention in Health Care Reform. American Journal of Preventive Medicine. 10 (5): S1-31

20. Current Health Policy Issues  BSPH Students current interests  Dr. Shi’s policy interests  In Presidential Campaigns  In the Media  In the CA State Legislature

21. Anonymous Clicker Question You are Taking this Class Because… A.To fulfill major requirement B.I am interested in the subject, but not necessarily interested in pursuing outside of this class C.To learn more about health policy to see if I want to pursue future work/studies with health policy implications D.I follow health policy issues closely and definitely will pursue future work/studies with health policy implications

22. Current Health Policy Issues Brain Break: o Take a moment to think about a health policy issue that is important or interesting to you o Write down 1-2 of your top interests on an index card o Take 2 minutes to share your interest with your neighbor o Pass index cards up to the front of the room

23. Dr. Shi’s Health Policy Interests  Substance use and abuse: tobacco, alcohol, and marijuana  Policy evaluation: o Tax and price o Regulation on ads and promotion o Media campaigns o Regulation on density and zoning of outlets o Legalization and commercialization o Access to substance abuse treatment o Built environment o And more…..

24. Presidential Candidates Health Policy Agendas  Hilary Clinton  Bernie Sanders https://www.youtube.com/watch?v=oA2vDGpYMk8  Donald Trump https://www.youtube.com/watch?v=Nz7PcuWkZpU

25. Current Health Policy Issues in the Media  Cost of prescription drugs  Zika Virus  Reproductive Rights  Recreational Marijuana Legalization  Opioid Addiction  Gun Control

26. California State Health-Related Legislation http://senate.ca.gov/ (Click on Find Legislation)

28. CA Legislation from the 2015-2016 Session: An Update 1.SB 203: Warning labels on Soda Containers http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml ?bill_id=201520160SB203&search_keywords=soda 2.AB 40: Prohibits the golden gate bridge from collecting fees for pedestrians or bicyclists to encourage physical activity 3.SB 192: Require adult bike riders to wear helmets, the first state mandate in the country for helmets for those 18 and older 4.SB 151: Change legal smoking age from 18 to 21

29. Public Policy Making Process Source: Texas Politics Policy Website: https://texaspolitics.utexas.edu/archive/html/bur/features/0303_01/policy.html

30. Bardach Eightfold Path for Policy Analysis 1 Define the problem 2 Assemble evidence 3 Construct the alternatives 4 Select the criteria 5 Project the outcomes 6 Confront the trade-offs 7 Decide 8 Tell your story

31. Next lecture Policy Making Process Policy Process and analysis Problem definition and agenda setting Interest group Policy Strategies Mass media tools Economic tools Legal tools Regulatory tools Healthcare financing Policy Evaluation Pre-post and RCT Quasi-experimental design Cost-effectiveness Cost-benefit

32. Required Readings for Next Class  Collins, T. "Health policy analysis: a simple tool for policy makers." Public Health 119.3 (2005): 192-196. http://www.sciencedirect.com/science/article/pii/S00333506040 0099X  Learning Objectives: o To describe the basic steps in the policy analysis process o To differentiate between analysis of policy process and policy content