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CPPH Curriculum Framework: Component 4

 Component 4: Health Systems and Health Policy

 1.     Organization of Clinical and Public Health Systems

Topic Areas                                                                               Illustrative Examples

A. Clinical health services

Continuum of care – ambulatory, home, hospital, long‐term care; components—pharmaceutical and device industry, healthcare institutions, healthcare providers, biomedical researchers

B. Public health system responsibilities

Core functions of public health, essential services of public health

C. Structure of public health systems

Federal, state, county, and local agencies; boards of health; community-based organizations

D. Collaboration between clinical practice and public health

Reportable diseases and conditions; death certificate completion; emergency response; health education, advocacy

2.     Health Services Financing

Topic Areas                                                                               Examples

A. Insurance coverage and reimbursement for clinical services

Variations in service coverage; deductibles; co-pays; provider networks; provider and institutional charges; Medicaid, Medicare

B. Health care for the uninsured or underinsured

Safety net providers including Federally Qualified Health Centers; emergency room use

C. Financing of healthcare institutions

Capital vs. operational budgets, fixed vs. variable costs, sources of financing

D. Financing of public health services

Federal, state, and local taxes; public health budgets

E. Impact on health of different health services financing mechanisms

International comparisons

F. Ethical principles associated with healthcare financing

Distributive justice models, concepts of efficiency and equity; financing objectives and their impact on health and healthcare services (access, primary vs. specialty services, diagnostic and treatment technologies)


3.     Clinical and Public Health Workforce

Topic Areas                                                                               Examples

A. Regulating health professionals and healthcare institutions

Certification, licensure, institutional accreditation

B. Discipline‐specific history, philosophy, roles and responsibilities

Diversity in workforce composition to include underrepresented or disadvantaged groups

C. Interprofessional team approach

Joint clinical and public health education and practice

D. Legal and ethical responsibilities of health professionals

Patient privacy/HIPAA, privileged communications, duty to report

4.     Health Policy Process

Topic Areas                                                                               Examples

A. Process of health policy making at local, state, and federal levels

Public hearings and comment periods, authorizations vs. appropriations

B. Participation in the policy process

Advisory roles, policy analysis and advocacy

C. Role and impact of policies on health and health care

Impact on the general population, on vulnerable populations, and on health disparities

D. Ethical frameworks for public health decision‐making

Weighing individual needs and community needs; community input and consent; respect for diverse values and beliefs  


Component 1: Foundations of Population Health
Component 2: Clinical Preventive Services and Health Promotion  
Component 3: Clinical Practice and Population Health





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