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1. Managerial epidemiology is integrated through general
management functions. Explain each of the management functions in
terms of the managerial epidemiology, i.e., what are the: a.
Planning functions, example(s)? b. Directing functions, example(s)?
c. Controlling functions, example(s)? d. Organizing functions,
example(s)? e. Financing function, example(s)? 2. Describe the
“natural history of disease” and disease progression from its
inception to its resolution. 3. What are some of the many
epidemiologic contributions to quality assurance in healthcare and
public health? 4. Case Study #1 . Food poisoning outbreak at
Bluegrass Hospital An outbreak of food poisoning occurred among the
400 staff and patients at Bluegrass Hospital a few hours after
eating dinner. Among the 60 people who became ill, the Symptoms
were mainly nausea, vomiting and diarrhea. The infection control
nurse investigated the outbreak and reported results in Table 2.5
Below ____________________ Questions: 5 pts each 1. How many times
more likely are people who consumed specific food items to get sick
compared to those who did not consume each item? 2.. Which food
item is the most likely cause of this “common source” outbreak? 3..
What are the incubation period and most likely cause of the
outbreak? 5. Case Study #2: Osteoporosis Marketing Plan You are the
Director of Community Relations, reporting to the Chief Operating
Officer (COO) at Allright Memorial Hospital, Anywhere, USA. You
have been asked by your COO to spearhead a community council with
local public health officials, who will be focused on women over 50
for the prevention of osteoporosis. Your committee’s strategic plan
SWOT analyses revealed the following information. _________
Background: The purpose of this project is to create an
intervention prevention program that minimizes osteoporosis in
women over 50 and with the health risks associated with the
condition for Anywhere, USA. Per the Centers for Medicare and
Medicaid (CMS), abstracted from medical claims data, “an estimated
10 million Americans have osteoporosis and 34 million Americans
have low bone mass, placing them at an increased risk for
osteoporosis. An analysis, using the Anywhere, USA state hospital
database shows a slightly higher rate of risk than the national
average. The report shows that osteoporosis is responsible for more
than 1.5 million fractures annually, including 300,000 hip
fractures, 700,000 vertebral fractures, 250,000 wrist fractures,
and more than 300,000 fractures of other sites. Osteoporosis can be
prevented. Early diagnosis and treatment can reduce or prevent
fractures from occurring”. (CMS 2007) The Committee Objectives: 1.
To research and identify best community partners and interventions
for prevention of high risk osteoporosis residents in Anywhere,
USA. 2. To use create a health promotion marketing plan for early
bone density screening targeted throughout the Anywhere, USA
communities. Targets: At Risk Population for Osteoporosis Age:
Postmenopausal woman over ˃＝ 50 years of age Race: Caucasian,
Asian, African-American and Hispanic women History: Women who have
a family or personal history of fractures after age 50 Health
Conditions: Women who have menopause before the age of 45 due to a
medical condition or unknown cause. Healh Behaviors: Women who have
premature menopause due to anorexia, bulimia, tabacco and alcohol
use, or excessive exercise. Nutrient Deficiencies: Calcium and/or
vitamin D deficiency Lifestyle: Sedentary, inactive lifestyle
Medical Treatements: Steroid (corticosteroids), radiation and/or
chemotherapy treatments Source: NIH 2010, Chart: Meyer 2010
________________ Case Questions: 1. Using reliable primary
resources do research and determine who the best community
partners, and the most effective interventions for prevention
promotion for high risk osteoporosis residents in Anywhere, USA.
Your own hospital is one community partner, and it radiology
services (bone density machines) are a resource. What other and
resources within the community would be appropriate? 2. Create a
health promotion marketing plan for early bone density screening
targeted throughout the Anywhere, USA communities using the 4-Ps.
Your marketing plan also needs a mission statement, a statement of
purpose, objectives and timelines of how you will implement the
program.
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