SUMMER INSTITUTE HEALTH POLICY AND MANAGEMENT

JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH FIFTEENTH ANNUAL SUMMER INSTITUTE HEALTH POLICY AND MANAGEMENT 8 GRADUATE SUMMER INSTITUTE JUNE OF EPIDEMIOLOGY 06 24, AND BIOSTATISTICS 2011 WWW.JHSPH.EDU/HPM

The Summer Institute in Health Policy and at the Johns Hopkins Bloomberg School of Public Health provides short-term, intensive, educational opportunities for public health practitioners and other professionals. The Institute serves as a convenient venue for health professionals to begin or enhance their education in a variety of public health disciplines, with course work focusing on key policy and management issues. Participants learn about policies as well as management and leadership approaches that work, along with strategies for effective implementation. Courses offered by the Institute are comparable to regular academic year courses and may be taken for academic credit or non-credit/continuing education. GENERAL INFORMATION The Summer Institute in Health Policy and is dedicated to training health professionals and public health practitioners by strengthening their public health knowledge and skills. Our courses are taught by distinguished faculty engaged in innovative public health research who collaborate with public health leaders locally, nationally and internationally. The Summer Institute provides the same academically rigorous courses offered during the regular academic year, compressed into a shorter time frame. To maximize learning opportunities, Summer Institute participants receive and read materials prior to the course session, allowing for intensive inclass discussion and the application of concepts to real-world examples. The 15th Annual Health Policy and Summer Institute will be held June 6-24, 2011. CURRICULUM The flexibility of the Institute s curriculum allows participants to choose courses across a broad array of offerings. Students should select courses that best meet their educational and professional goals. To aid in the selection of offerings, several course sequences have been identified, with some courses housed in one or more course sequences. The sequences identified include: public health leadership; public health practice; health care management; public health economics and health policy. Sequences are noted in the course descriptions and are designed to minimize course overlap within that sequence. Course Credit Summer Institute participants may earn graduate-level academic credit from the. Courses taken for academic credit can be taken for a letter grade (A, B, C) or Pass/Fail. Both of these options require the student to complete the final paper or assignment, and students will receive a record of their academic performance on an official School transcript. It is recommended that students taking courses for academic credit not register for more than 4 credits per week for a total of 12 credits over the duration of the Institute. Courses may also be taken on a non-credit basis. Courses taken in this fashion do not require the student to complete a paper or assignment, and a School transcript is not available. Students are expected to complete the assigned readings, attend all class sessions and participate in class discussion. Students will receive a Certificate of Participation from the Institute verifying their attendance in the course. Students must select credit or non-credit status at registration, and may not change their status after the first two hours of a course. Course Sequences The course schedule for the HPM Summer Institute was designed so that students will be able to fit several courses into a one or two week schedule. You can find out which sequence(s) your course falls under by reading the notes at the bottom of the course description. If you have any questions regarding the courses or the sequences please contact the HPM Institute Office. Certificate Programs The (HPM) offers certificate programs for Johns Hopkins degree-seeking students and non-degree-seeking students. Courses offered in the HPM Summer Institute may be applied to one or more of these certificate programs. For detailed information on the certificates available through the, visit www.jhsph.edu/hpm/continuing_ed/certificates. A notation in the course descriptions identifies courses that may be applied towards the certificates. REGISTRATION Registrations are strongly encouraged to be submitted prior to May 13, 2011 for the HPM Summer Institute. All registrants are required to complete their Institute registration via the ISIS registration system. If you are a degree seeking student, please register through ISIS as you normally would for regular term. If you are not a degree seeking student, please use the following link: www.jhsph.edu/studentaccts/nondegree/application.html Please note - if you did not register for a School of Public Health Institute course in 2011, and therefore have never received an ISIS (registration) ID, you will be required to complete an additional step to get an ISIS ID before you can register. More information on this process can be found using the link above. If you do not remember your ISIS ID, please send a message to cess@jhsph.edu. Full payment is expected at the time of registration. If you are using a 3rd party sponsor or tuition remission, please contact the Continuing Education and Student Services office at cess@jhsph.edu to submit the paperwork. Incomplete applications or those received without payment or payment voucher will not be processed. Due to enrollment limits, participants who register after June 6th (the start of the institute) will be accepted only on a space-available basis, and will be subject to a late registration fee.

TUITION AND FEES Tuition charges for the HPM Summer Institute courses offered for graduate academic credit are as follows: 1-credit, $892; 2-credits, $1784; 3-credits, $2676; 4-credits, $3568. The registration fees for those registering for the HPM Summer Institute courses for non-credit are as follows: 1-credit, $624; 2- credits, $1248; 3-credits, $1872; 4-credits, $2496. Financial (tuition) assistance is not available for the 2011 Institute. Payment Options Payment options include cash, check, or credit card (American Express, MasterCard, Visa, or Discover). Online payment by credit card or electronic check is also available. Employees of the University may be eligible to use JHU tuition remission. Sponsored students may pay with a third-party contract. Check Payments Checks should be made payable to Johns Hopkins University and mailed to: The Summer Institute Office 615 N. Wolfe Street, Suite W1101 Baltimore, MD 21205 Credit Card Payments The University accepts American Express, MasterCard, Visa, and Discover. A student who submits a credit card payment that is declined will be placed on financial hold and may be removed from courses for which he or she is currently registered. JHU Tuition Remission Students who are eligible to participate in the JHU Tuition Remission Plan must provide the Tuition Remission Benefit Application in lieu of payment for tuition. Fees are not covered under the Tuition Remission Plan. If the remission does not cover the entire cost of tuition, a student is required to pay the remaining balance. Original remission forms and any additional payment due from the student must be submitted by the payment due date. It is the student s responsibility to understand and abide by the terms of the Tuition Remission Plan. To access the tuition remission form please visit the following website: http://www.benefits.jhu.edu/tuition/remission.cfm. After the forms are completed, please print them and send to the business office along with a copy of your registration form. 3rd Party Contract A student must submit a purchase order or contract from his/her employer permitting the school to bill the company for tuition and any associated fees. If the contract does not cover the entire cost of tuition and fees, a student is required to pay the remaining balance by the payment due date. Students who receive payments directly from their employer are required to pay their tuition in full then seek reimbursement from the employer. Financial (tuition) assistance is not available for the 2011 Institute. Refunds For information on the school s refund policy, please visit the following link: www.jhsph.edu/studentaccts/pmt_and_refund_pol.html. If you have questions, please contact the Office of Student Accounts directly. BOOKS AND COURSE MATERIALS To facilitate the unique learning opportunities of a compressed course, participants must be adequately prepared prior to the first class session. For each course, instructors have identified a book or have prepared a packet of reading materials that all students are expected to read prior to the start of class. At the time of registration confirmation, students registered for courses that require a book will be provided with the book title, author and ISBN number. Students can then purchase the book from any bookstore. For courses requiring a course packet, confirmed students will receive instructions for accessing the Web-based syllabus containing a link to the required articles or PDF versions of the articles. Course packets will be available on the website beginning May 16, 2011. Students are encouraged to register early so they have adequate time to obtain course materials and complete assigned readings before class begins. CANCELLATION POLICIES The HPM Summer Institute will make decisions regarding course cancellations due to insufficient enrollment based on registrations received by the Institute as of May 13, 2011. Notification regarding canceled classes will be emailed to all registered students on May 16, 2011, and will be posted on the institute website. All courses must meet the minimum enrollment level in order to be offered; some courses have maximum limits as well. Registered and confirmed students enrolled in a course that is subsequently canceled will have the opportunity to transfer their registration to another course or receive a 100 percent refund. HOUSING ACCOMMODATIONS Students are responsible for their own housing. A variety of housing options are available in the Baltimore metropolitan area. A full listing of hotels may be found on the Institute s website. DIRECTIONS The occupies two buildings on the medical campus in East Baltimore: the Wolfe Street Building and the Hampton House Building. Courses offered in the Health Policy and Summer Institute are taught in the Hampton House Building, located at 624 N. Broadway. All students should report to Room 461 before 9 a.m. on the morning of their first course; directions to the building can be found on our website. IMPORTANT MESSAGE FOR INDIVIDUALS WHO WILL REQUIRE A VISA TO ENTER THE U.S. Participants who are not U.S. citizens or U.S. permanent residents must be admitted to the U.S. in the appropriate visa status. In the past, the Office of International Services (OIS) advised Institute participants who were not being funded from a U.S. source to apply for a B1/B2 visa for entry to the U.S. as a tourist. On August 19th, 2011, USCIS published guidance on its website that indicates that enrolling in a course is a violation of B1/B2 status. Since BSPH Institute participants do not meet Institutional standards for F-1 student visa sponsorship, the OIS, in cooperation with the BSPH Summer Institutes, will sponsor participants for J-1 Exchange Visitor status. Based on this updated guidance from the United States Citizenship & Immigration Service [USCIS], participants are now strongly encouraged to follow the appropriate steps to secure a J-1 Exchange Visitor Visa for participation in a BSPH Institute. [Note: Internet MPH students who are participating in the Institutes must 2 SUMMER INSTITUTE OF HEALTH POLICY AND MANAGEMENT 2011

apply for F-1 student visas since they are pursuing a degree program. Exceptions are made only on a case-by-case basis.] It can take several months to secure the appropriate visa stamp to enter the United States, so please plan accordingly. Specifically, individuals who will require F1 or J1 visas must submit all required documentation to the Bloomberg School 90 days in advance of the Institute in which they will participate. Institute participants who do not heed this advice risk being denied entry to the U.S. at the U.S. port of entry by USCIS. If you have any questions about visa sponsorship please contact J1- scholars@jhmi.edu. EQUAL OPPORTUNITY STATEMENT Johns Hopkins University is an equal opportunity/affirmative action employer committed to recruiting, supporting, and fostering a diverse community of outstanding faculty, staff, and students. All applicants who share this goal are encouraged to apply. DISABILITY ACCESS STATEMENT The University provides appropriate, necessary and reasonable accommodation to qualified students, faculty and staff who are disabled. Visit www.jhsph.edu/student_affairs/disability for complete information on the School s Disability Support Services or contact the director of disability support at 410-955-3034 or dss@jhsph.edu. For disability access information or listening devices, please contact the Office of Support Services at 410-955-1197 or on the Web at www.jhsph.edu/supportservices. QUESTIONS? For information related to specific courses offered in the HPM Summer Institute (specific course offerings, content, instructors, readings and institute check-in) please contact Ms. Pamela Davis HPM Summer Institute 624 N. Broadway, 4th Floor Baltimore, MD 21205 Email: pdavis@jhsph.edu Telephone: 410-614-1580 Fax: 410-614-9152 www.jhsph.edu/hpm For questions related to Registration, Billing and Payment, please direct queries to the following email: sslimited@jhsph.edu UPCOMING HPM INSTITUTES Fall Institute, Barcelona Spain, November 7-25, 2011 Winter Institute, Washington, D.C., January, 9-13, 2012 Summer Institute, Baltimore, MD., June 4-22, 2012 For more information on the upcoming institutes, visit our website at www.jhsph.edu/dept/hpm/continuing_ed PROGRAM DIRECTORS Ellen MacKenzie, PhD Fred and Julie Soper Professor and Chair Laura Morlock, PhD Professor and Deputy Chair SUMMER INSTITUTE ADMINISTRATION Judith L. Holzer, MBA Institute Director Pamela Davis, BS Institute Coordinator ADVISORY COMMITTEE* AND INSTITUTE FACULTY Sara Bleich, PhD Assistant Professor of Health Policy and John J. Burke, JD President, Strategic Communications, Inc. Associate, Pamela Davis, BS* Director for Non-traditional/Professional Programs Claude Desjardins, PhD Associate, Kevin Frick, PhD Professor, Ann-Michele Gundlach, EdD Adjunct Assistant Professor Bradley Herring, PhD Assistant Professor, Judith L. Holzer, MBA* Instructor and Director of Academic Affairs C. Alan Lyles, ScD, MPH, Rph Adjunct Associate Professor Ellen MacKenzie, PhD* Fred and Julie Soper Professor and Chair Rudy Miller, MS Vice President Marketing and Community Relations Lifebridge Health Associates, Laura Morlock, PhD* Professor, Pamela Paulk, MSW, MBA Vice President of Human Resources Johns Hopkins Hospital and Johns Hopkins Health Systems Associate, SUMMER INSTITUTE OF HEALTH POLICY AND MANAGEMENT 2011 3

DEPARTMENT OF HEALTH POLICY AND MANAGEMENT SUMMER INSTITUTE JUNE 2011 COURSE OFFERINGS ADVISORY COMMITTEE* AND INSTITUTE FACULTY Beth Resnick, MPH, CPH Assistant Scientist Director, Office of Public Health Practice and Training Director, MSPH Program in Health Policy Jodi Segal, MD, MPH Associate Professor of Medicine Johns Hopkins University School of Medicine Associate Professor Stephen Teret, JD, MPH Professor and Director Center for Law and the Public's Health Jon Vernick, JD, MPH Associate Professor Co-Director, the Johns Hopkins Center for Gun Policy and Research Deputy Director, Johns Hopkins Center for Injury Research and Policy William Ward, Jr., MBA Associate Professor and Director, MHA Program Sommer Scholars Program Faculty Director Albert Wu, MD, MPH Professor, WEEK ONE Fundamentals of Budgeting and Financial 551.603.11 June 6-8, 2011 (9:00 a.m. 5:00 p.m.) Instructor: William J. Ward, Jr., MBA The objective of this course is to provide students with an understanding of the role of budgeting as a key component of the administrative process. Students will learn how to develop a budget, as well as how to evaluate the financial status of a department or operating unit and determine what, if any, corrective actions need to be taken. Skills will be taught regarding a variety of analytical methods that support sound management decision making, including benefit/cost ratio analysis, variance analysis and break-even analysis. The course will also include approaches to benchmarking, productivity improvement techniques and methods for building cost standards. Students taking this course for graduate academic credit will be evaluated based on a final exam. This exam will be due within one month of the conclusion of the course, on a date identified by the instructor. No assignment will be accepted after August 5, 2011. Marketing in Health Care Organizations 312.660.11 June 9-11, 2011 (9:00 a.m. 5:00 p.m.) Instructor: Rudy Miller, MS Introduces students to marketing concepts in health care through readings, guest speakers, small group exercises and individual study. Students learn how to conduct a situational analysis, understanding the market and consumer behavior as well as assessing the capabilities of the organization. Explores primary and secondary market research techniques. Discusses marketing strategy, including positioning and branding, program/service development, pricing, distribution, and promotion. Evaluation and measurement methods are explained. Students taking this course for graduate academic credit will be evaluated based on class participation and a paper that will be due within one month of the course, on a date identified by the instructor. No assignments will be accepted after August 5, 2011 4 SUMMER INSTITUTE OF HEALTH POLICY AND MANAGEMENT 2011

WEEK TWO SS/R: of Healthcare Workforce 300.862.11 June 6, 8, 10, 13, 15, 17, 2011 (1:00 5:00 p.m.) Instructor: Claude Desjardins, PhD Health care is a labor-intensive enterprise where labor costs consume about 70% of the US health care budget. This course provides students with an overview of the economic principles that underpin the management of the labor force engaged in health care. Attention is focused on the role of consumers, labor markets, estimating the need, demand, and supply of health care workers, and the impact of workforce disparities on health care. Students are prompted to think like managers and exploit the analytical tools needed to respond to real-world issues such as recruitment, productivity, compensation, team performance, and employee satisfaction. Lectures rely on developing concepts and assessing case studies of health care labor issues in all economies. The course is intended for HPM students who have or anticipate exercising responsibility for the allocation and/or performance of human resources among public or private health care organizations. Students taking this course for graduate academic credit will be evaluated based on class participation and a paper. No assignment will be accepted after August 5, 2011. NOTE: This course is offered Monday, Wednesday, and Friday over a two week period, in the afternoons only. Human Resources in Health Organizations 312.635.11 2 academic credits (1:00 5:00 p.m.) June 7, 9, 14, 16, 2011 Non-academic credit tuition: $1248 Instructor: Pamela Paulk, MSW, MBA Develops a basic understanding of human resources trends and issues in health care organizations. Emphasizes ways to build and motivate an engaged workforce. Examines the legal principles for many human resources processes. Other topics include labor supply and demand theory; sourcing, recruitment, selection and orientation; compensation; benefits; diversity; and performance management. Students taking this course for graduate academic credit will be evaluated based on an individual written assignment, class participation, and small group exercise participation. No assignment will be accepted after August 5, 2011. NOTE: This course is offered Tuesdays and Thursdays over a two week period, in the afternoons only. Foundations of Leadership: A Leadership Survey Course 551.610.11 June 13-15, 2011, (9:00 a.m. 5:00 p.m.) Instructor: Ann-Michele Gundlach, EdD In this course, students develop an understanding of the role of the organizational leader and the essential knowledge and skills the role requires. The course is designed to provide a framework for understanding the process of working effectively with and leading others. Drawing from a variety of disciplines, it places emphasis on the role of the leader in relation to organizational effectiveness, developing a vision for the future, leading change and building adaptive organizational cultures. Students taking this course for graduate academic credit will be evaluated based on class participation and a final paper. The paper will be due on a date identified by the instructor. No assignment will be accepted after August 5, 2011. This course is limited to 25 students. Causes and Consequences of Obesity 313.686.11 June 13-15, 2011 (9:00 a.m. 5:00 p.m.) Academic credit: $2676 Non-academic credit: $1872 Instructor: Sara Bleich, PhD Provides students with an in-depth understanding of the global obesity epidemic and the major challenges to reducing the prevalence of excess body weight. Lectures will be inter-disciplinary and focus specifically on the global prevalence of obesity (including variation among sub-populations), the direct and indirect consequences of obesity, the primary and distal causes of obesity, methodological issues related to the study of obesity, and promising interventions/policies to address the problem of obesity. Encourages students to think creatively about the nature of the global obesity epidemic and possible ways to reduce population prevalence. Students taking this course for graduate academic credit will be evaluated based on class participation and in-class assignments (including one quiz). Each of the in-class assignments will emphasize a core theme from the course. Obesity sequence SUMMER INSTITUTE OF HEALTH POLICY AND MANAGEMENT 2011 5

WEEK TWO (CONT D) Obesity Economics 313.687.11 1 academic credit June 16, 2011 (9:00 a.m. 5:00 p.m.) Academic credit tuition: $892 Non-academic credit tuition: $624 Instructor: Kevin Frick, PhD Introduces students to the economics of evaluating obesity. Focuses on attributable health care expenditures, quality adjusted life years, productivity changes, consumer sovereignty, and the incentives and regulations that can be used to change individual adult, parent, and child behavior. Students taking this course for graduate academic credit will be evaluated based a final paper. The paper will be due within a month of the conclusion of the course, on a date identified by the instructor. No assignment will be accepted after August 5, 2011. *May be used toward the Certificate in Public Health Economics Obesity sequence SS/R: Obesity, Business & Public Policy 300.860.11 2 academic credits June 17-18, 2011 (9:00 a.m. 5:00 p.m.) Instructor: C. Alan Lyles, ScD, MPH, Rph Discusses the roles of the public and private sectors, and their interactions, in the sustained rise in the proportion of Americans who are overweight or obese. Supply and demand, mediated by public policies and cultural preferences, contribute to a complex web of influences on this development. This infrastructure of obesity (Acs and Lyles, 2007) is resilient to simple fixes and students explore the framework of public, private and individual roles in influencing obesity and health weight. Students taking this course for graduate academic credit will be evaluated based on a short paper. No assignment will be accepted after August 5, 2011. Obesity sequence SS/R: Patient Centered Outcomes Research 300.863.11 2 academic credits June 14-15, 2011 (9:00 a.m. 5:00 p.m.) Non-academic credit tuition: $1248 Instructors: Jodi Segal, MD, MPH and Albert Wu, MD, MPH Patient-centered outcomes research is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat and monitor a clinical condition, or to improve the delivery of care. The purpose of this research is to assist consumers, clinicians, purchasers, and policy makers to make informed decisions that will improve health care at both the individual and population levels. This course introduces students to the motivation and methods of patient-centered outcomes research (including comparative effectiveness research). Reviews the problems faced by decision makers across the US health care system. Describes key historical developments in this field including recent health care legislation; explains the role of stakeholders; and key methods used in comparative effectiveness research. At the conclusion of this course, students will be able to: describe the role of comparative effectiveness research and patient-centered outcomes research in improving health; including the place of patient-centered outcomes research in the U.S. research portfolio, the identity and agendas of stakeholders, and the policy implications of this research. They will illustrate the difference between efficacy and effectiveness research, and choose appropriate study designs depending on the question. Students taking this course for graduate academic credit will be evaluated based on a take home examination with a selection of 3 of 6 questions to answer in depth. This examination will be due within a month of the conclusion of the course, on a date identified by the instructor. No assignment will be accepted after August 5, 2011. WEEK THREE Introduction to the U.S. Health Care System 300.651.11 4 academic credits June 20-23, 2011 (9:00 a.m. 5:00 p.m.) Academic credit tuition: $3562 Non-academic credit tuition: $2496 Instructor: Bradley Herring, PhD This course examines the organization, financing, and delivery of health care in the U.S. It contrasts the private and public sectors and examines the effects of market competition and government regulation. It examines the ways that medical providers are paid, and explores the major issues currently facing physicians, hospitals, and the pharmaceutical industry. Finally, it examines several potential small and large scale reforms to the U.S. health care system and evaluates their likely effects on health care spending, quality of care, and access to care. Students taking this course for graduate academic credit will be graded on an in-class exam and a take-home exam due within three days of the conclusion of the course. *May be used toward the Certificate in Public Health Preparedness ; public health leadership sequences, public health practice sequence SS/R: Effective Writing for Public Health Change 308.845.11 June 20-22, 2011 (9:00 a.m. 5:00 p.m.) Instructor: Beth Resnick, MPH, CPH Students will sharpen their persuasive writing skills for public health change. The course will focus on the key elements of successful writing, including detailed analyses of the decision-making audience and the political/policy environment; the development of the evidence base for a particular program or policy; and an understanding of effective argumentation structure using a variety of formats, such as electronic correspondence, opinion-editorials, white papers and policy briefs. Participants will review and analyze examples of written documents, participate in short in-class writing exercises, and workshop their own writing. Students taking this course for graduate 6 SUMMER INSTITUTE OF HEALTH POLICY AND MANAGEMENT 2011

academic credit will be evaluated based on class participation and a final writing assignment which will be due within one month of the conclusion of the course, on a date identified by the instructor. No assignments will be accepted after August 5, 2011. ; public health leadership sequences, public health practice sequence Making Effective Public Presentations 301.772.11 2 academic credits June 23-24, 2011 (9:00 a.m. 5:00 p.m.) Non-academic credit tuition: $1248 Instructor: John Burke, JD This course enhances skills to construct and deliver oral presentations with clarity and impact. Provides a template for audience-centered presentation construction with examples, tools and exercises. Provides individual assessment and feedback for each participant through videotaped exercises and a short formal presentation constructed during the course.. Students taking this course for graduate academic credit will be evaluated based on a class presentation and self-critique evaluation submitted at the conclusion of the course. No assignment will be accepted after August 5, 2011.This course is limited to 15 students. ; public health leadership sequences, public health practice sequence Patient Safety in Developing Countries 309.781.11 2 academic credits June 23-24, 2011 (9:00 a.m. 5:00 p.m.) Non-academic credit tuition: $1248 Instructor: Albert Wu, MD, MPH, This course provides an introduction to the rapidly evolving field of patient safety in developing countries, with a focus on health systems improvement. It explains the role of global organizations, national governments, institutions, local communities, and individuals in improving patient safety in developing countries. The course reviews key global patient safety resources that can be utilized to enhance patient safety in developing country health systems. Students learn how to utilize a problem solving paradigm to patient safety, conduct a patient safety situational analysis, and develop an action plan for patient safety at the institutional level. The use of patient safety partnerships between hospitals is explored as a model for inter-continental collaboration. Students taking this course for graduate academic credit will be evaluated based on class participation and a short paper on patient safety action planning. This short paper will be due within a month of the conclusion of the course, on a date identified by the instructor. No assignments will be accepted after August 5, 2011. Public Health and the Law 306.650.11 June 20-22, 2011 (9:00 a.m. 5:00 p.m.) Instructor: Stephen Teret, JD and Jon Vernick, JD This course introduces non-lawyers to the important role played by the law in determining the public's health. Students analyze judicial opinions, statutes and regulations in classroom discussions. The course covers substantive legal topics, including the balance between individual rights and public health initiatives, privacy, medical malpractice and informed consent. Students taking this course for graduate academic credit will be evaluated based on class participation and a final paper. The paper will be due within one month after the conclusion of the course on a date identified by the instructor. No assignment will be accepted after August 5, 2011. SUMMER INSTITUTE OF HEALTH POLICY AND MANAGEMENT 2011 7