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Touro University California-Public Health Internship Placement and Preceptorship Opportunities_A-23-171.pdf
COU��� Y Count of Fresno Hall of Records, Room301 2281 Tulare Street Fresno,California Board of Supervisors 93721-2198 �� i85G Q Telephone:(559)600-3529 Minute Order Toll Free: 1-800-742-1011 www.co.fresno.ca.us April 11, 2023 Present: 5- Supervisor Steve Brandau,Vice Chairman Nathan Magsig, Supervisor Buddy Mendes, Supervisor Brian Pacheco, and Chairman Sal Quintero Agenda No. 39. Public Health File ID:23-0177 Re: Approve and authorize the Chairman to execute an Agreement with Touro University California to provide public health internship placement and preceptorship opportunities through the Department of Public Health's various County facilities for Touro's student clients,effective April 11, 2023, not to exceed five consecutive years,which includes a three-year base contract and two optional one-year extensions ($0) APPROVED AS RECOMMENDED Ayes: 5- Brandau, Magsig, Mendes, Pacheco, and Quintero Agreement No. 23-171 County of Fresno Page 43 t Board Agenda Item 39 ,,ti � co z1 c O 1856 O FRE`'11 DATE: April 11, 2023 TO: Board of Supervisors SUBMITTED BY: David Luchini, RN, PHN, Director, Department of Public Health SUBJECT: Agreement with Touro University California RECOMMENDED ACTION(S): Approve and authorize the Chairman to execute an Agreement with Touro University California to provide public health internship placement and preceptorship opportunities through the Department of Public Health's various County facilities for Touro's student clients, effective April 11, 2023, not to exceed five consecutive years,which includes a three-year base contract and two optional one-year extensions ($0). There is no Net County Cost associated with the recommended action. This agreement will provide Touro students with educational and training experience in public health practices and education fields, evidence-based approaches to public health and public health care systems as well as observational opportunities with the County of Fresno. The item is countywide. ALTERNATIVE ACTION(S): There are no alternative actions. Should the recommended action not be approved, Touro University California students will have no educational or training experiences and observational opportunities at Fresno County facilities. FISCAL IMPACT: There is no increase in Net County Cost or monetary compensation associated with the recommended action. Touro students will be under direct supervision of County Staff. Sufficient appropriations for supervision are included in the Department of Public Health's ORG FY 2022-23 Adopted Budget and will be included in future budget requests. DISCUSSION: The County has maintained a contractual relationship since February 25, 2020, with Touro University California to provide public health internship placement and clinical and field experience at various County facilities. The County's current agreement with Touro University California expired on February 28, 2023. Therefore, the recommended agreement is necessary to continue providing internship opportunities to Touro's students. Touro University California operates the College of Education and Health Sciences (CEHS), the College of Osteopathic Medicine (COM), and the College of Pharmacy(COP) in Vallejo, California. Touro University California desires that its students obtain practical education and training experiences and observational opportunities at the facilities through participation in an affiliation program. County of Fresno Page 1 File Number.23-0177 File Number.-23-0177 The Department of Public Health's core purpose is to promote, preserve, and protect the community's well-being and to ensure the optimal health of the public.The Department accomplishes this by identifying community health needs, assuring the availability of quality health services, and providing effective leadership in developing public health policies. In addition, the County has benefited from the placement of Touro students by providing training and observational opportunities with the potential of hiring them as future qualified County healthcare employees after graduation. Typically, Touro student(s) may participate in the following activities: • Injections • Blood Draws • Assessments of patients • Obtaining verification or signoffs on clinical skills • Home Visits • Research to get a good understanding of community resources and provider referrals • Providing Health Education • Providing emergency response to clinical reaction to medication and vaccines The recommended agreement requires Touro students to complete applicable County training for Health Insurance Portability and Accountability Act(HIPAA) and to meet all HIPAA requirements to access and use Private Health Information (PHI). Upon approval of your Board, the recommended agreement will be effective April 11, 2023, through April 10, 2026, with two optional one-year renewal terms based on Touro University California's satisfactory performance. The recommended agreement allows County to terminate the agreement without cause upon giving at least thirty(30)days advance written notice. REFERENCE MATERIAL: BAI #49, February 25, 2020 ATTACHMENTS INCLUDED AND/OR ON FILE: On file with Clerk-Agreement with Touro University CAO ANALYST: Ron Alexander County of Fresno page 2 File Number:23-0177 Agreement ivo. zo-i i.i 1 SERVICE AGREEMENT 2 This Service Agreement ("Agreement") is dated April 11, 2023 and is between 3 Touro University ("TUC"), a California nonprofit public corporation, whose address is 1310 Club 4 Drive, Vallejo, CA 94592 ("Contractor"), and the County of Fresno, a political subdivision of the 5 State of California, whose address is 1221 Fulton Street, Fresno, CA 93721 ("County"). 6 Recitals 7 A. The County has an agreement with TUC to provide public health internship placement 8 and preceptorship opportunities to TUC's students, effective as of February 25, 2020 The 9 current three (3) year Agreement with the Contractor, A-20-080 expired on February 24, 10 2023.The County, through its Department of Public Health, operates public health programs at 11 various locations, primarily at the Brix-Mercer building: located at 1221 Fulton Street, Fresno, 12 CA, 93721, hereinafter referred to as "Facility or Facilities". 13 B. TUC operates the College of Education and Health Science (CEHS), the College of 14 Osteopathic Medicine (COM), and the College of Pharmacy (COP) in Vallejo, California and 15 operates a branch campus in Henderson, Nevada with Colleges of Osteopathic Medicine and 16 Health and Human Services. CEHS is comprised of three programs: The Graduate School of 17 Education (accredited by the California Commission on Teacher Credentialing and the Western 18 Association of Schools and Colleges), the Joint Master of Science in Physician Assistant 19 Studies Program (accredited by the Accreditation Review Commission on Education for the 20 Physician Assistant, Inc.), and the Public Health Program (accredited by the Council on 21 Education for Public Health). Contractor desires that its students (Master of Public Health 22 students, Master of Science in Physician Assistant Studies/Master of Public Health students, 23 Doctor of Osteopathic Medicine/Master of Public Health students, and Doctor of 24 Pharmacy/Master of Public Health students, obtain practical public health experience at the 25 County's Public Health Facilities through participation in the Contractor's public health field 26 preceptorship program ("Program"). 27 28 1 1 C. County deems it beneficial to participate in the Contractor's Program for the purpose of 2 providing practical public health experience at its Public Health Facilities for TUC students 3 pursuant to the terms and conditions of this Agreement. 4 5 Article 1 6 Contractor's Services 7 1.1 Scope of Services. The Contractor shall perform all of the services provided in 8 Exhibit A to this Agreement, titled "Preceptor Handbook 2022-23" 9 1.2 Representation. The Contractor represents that it is qualified, ready, willing, and 10 able to perform all of the services provided in this Agreement. 11 1.3 Compliance with Laws. The Contractor shall, at its own cost, comply with all 12 applicable federal, state, and local laws and regulations in the performance of its obligations 13 under this Agreement, including but not limited to workers compensation, labor, and 14 confidentiality laws and regulations. 15 1.4 Student Contact Information. TUC shall complete and send to County contact 16 information for each student enrolled in the Program which shall include the student's name, 17 address and telephone number prior to the beginning date of the planned educational and 18 training experience and observational opportunity. County shall only use the student contact 19 information to fulfil its obligations under this Agreement and agrees not to release any 20 information in the student profile to any third party. 21 1.5 Schedule of Assignments. TUC shall notify the "County Designee" (as defined in 22 Section 2.2), designated by the County from time to time, of TUC's planned schedule of student 23 assignment, including the name of each student, and the student's level of academic 24 preparation and length and dates of the educational and training experience and observational 25 opportunity. 26 1.6 TUC Program Coordinator. TUC shall designate a faculty member as TUC 27 Program Coordinator who shall coordinate with County Designee in planning the Program. 28 2 1 1.7 Records. TUC shall maintain all personnel and academic records of TUC students 2 participating in the Program. 3 1.8 Rules and Regulations. TUC shall enforce rules and regulations governing the 4 students that are mutually agreed upon by TUC and County. TUC shall instruct its students on 5 the general requirements of The Joint Commission on Accreditation of Healthcare Organizations 6 ("JCAHO"), Centers for Medicare and Medicaid Services ("CMS") and the Health Insurance 7 Portability and Accountability Act (HIPAA"). TUC shall require that its students comply with all 8 applicable Health Care and Office Facility policies and Federal and State regulatory 9 requirements including, but not limited to JCAHO, CMS, and HIPAA. 10 1.9 Students Responsibilities. TUC shall notify the students who participate in the 11 Program at the County Facilities that they are responsible for the following: 12 a) Following the clinical and administrative policies, procedures, rules and 13 regulations of County. 14 b) Arranging for their transportation and living arrangements when not 15 provided by TUC. 16 c) Arranging for and assuming the cost of their health insurance. 17 d) Meeting all applicable health standards established by TUC and any 18 applicable governmental authority and implemented by County for each 19 County's Public Health Facility. County shall have the right to terminate 20 from the Program any student when the health status of such student is 21 detrimental to the health and/or safety of County patients or staff as 22 determined by County. 23 e) Assuming responsibility for treatment of any illness or injury the student 24 may have while participating in the Program, obtaining necessary 25 immunizations and a tuberculin test, and having an annual health 26 examination. 27 f) As required by a specific Program, maintaining current certification of 28 proof of immunization or immunity against rubella and measles, and PPD 3 1 test or chest x-ray showing no active tuberculosis. Maintain proof of 2 immunization or immunity against Hepatitis B, or proof of declination of 3 the Hepatitis B vaccination in conformity with Occupational Safety and 4 Health Administration (OSHA) standards. As per CDC guidelines, 5 maintain proof of immunity or immunization against tetanus and pertussis. 6 g) Keeping all patient information confidential. No student shall have access 7 to or have the right to receive any medical record, except, when 8 necessary, in the regular course of the practical experience. The 9 discussion, transmission or narration in any form by students of any 10 patient information of a personal nature, medical or otherwise, obtained in 11 the regular course of the Program is forbidden except as a necessary part 12 of the practical experience. 13 h) Following the dress code of the County's Facilities and wearing name 14 badges identifying themselves as students. 15 i) Attending an orientation of the County's Facilities. 16 j) Complying with the rules and regulations that have been developed by 17 TUC to govern student activities during assignment to a training at County 18 Facilities, which are included in Exhibit A— Preceptor Handbook 2021-22. 19 1.10 Payroll Taxes and Withholdings. TUC shall be solely responsible for any payroll 20 taxes, withholdings, workers' compensation and any other insurance or benefits of any kind for 21 employees and agents of TUC providing services under this Agreement. TUC shall defend, 22 indemnify and hold County harmless against all claims against County by employees or agents 23 of TUC with respect to payroll taxes, withholdings, workers' compensation and other insurance 24 benefits. 25 1.11 Students Insurance. TUC shall provide County with a certificate of insurance or 26 other written confirmation that each student participating in the Program carries health 27 insurance. 28 4 1 Article 2 2 County's Responsibilities 3 2.1 Educational and training experience and observational opportunity. The County 4 shall accept from TUC the mutually agreed upon number of students enrolled in the Program 5 and shall provide said students with supervised practical experience. 6 2.2 Access to Facilities. County shall permit students enrolled in the Program access to 7 County Facilities as appropriate and necessary for the Program, provided that the presence of 8 the students shall not interfere with the activities of County. 9 2.3 County Rules & Regulations. County shall instruct the students on County rules 10 and regulations, as well as the application of JCAHO, CMS and HIPAA requirements specific to 11 the County. County hereby accepts Exhibit A, which incorporates by reference the applicable 12 rules and regulations of the County, as the rules and regulations that shall govern TUC students 13 during their training assignment at the County. 14 2.4 Withdrawal of Students. County may request TUC to withdraw from the Program 15 any student determines is not performing satisfactorily, or who refuses to follow County's 16 administrative policies, procedures, rules, and regulations. Such request must be in writing and 17 must include a statement as to the reason or reasons why County desires to have the student 18 withdrawn TUC shell comply with such request within five (5) days of receipt of the written 19 request by TUC. 20 2.5 Emergency Health Care First Aid. County shall, on any day when students are 21 receiving training at the Facilities, provide the students necessary emergency health care or first 22 aid for accidents occurring in the Facilities. Except for such emergency assistance, County shall 23 have no obligation to furnish medical or surgical care to any student. 24 2.6 Maintenance of Patient Services. County shall be responsible for developing, 25 maintaining and providing services to all its patients and County will at all times provide an 26 adequate, competent staff to be responsible for the development, maintenance and provision od 27 these services to County patients. 28 5 1 2.7 Evaluation. Company shall evaluate the performance of the students on a regular 2 basis using the evaluation form supplied by TUC. The completed final evaluation shall be 3 forwarded to TUC within then (10) business days following the conclusion of the student's 4 educational and training experience and observational opportunity. 5 Article 3 6 Compensation, Invoices, and Payments 7 3.1 Execution of the agreement shall not be construed to guarantee, set guidelines for, 8 or govern any agreement between the Parties regarding compensation to Contractor, including 9 compensation intended to reimburse Contractor for the cost it incurs in connection with 10 student's salaries, benefits, and/or other administrative expenses. TUC Student Program is 11 conducted pursuant to the terms and conditions of this agreement and shall be performed 12 without the payment of any monetary consideration between Contractor and County, from one 13 party to the other. 14 Article 4 15 Term of Agreement 16 4.1 Term. This Agreement is effective on April 11, 2023 and terminates on April 10, 17 2026, except as provided in section 4.2, "Extension," or Article 6, "Termination and Suspension," 18 below. 19 4.2 Extension. The term of this Agreement may be extended for no more than two, one- 20 year periods only upon written approval of both parties at least 30 days before the first day of 21 the next one-year extension period. The County Director of Public Health or his or her designee 22 is authorized to sign the written approval on behalf of the County based on the Contractor's 23 satisfactory performance. The extension of this Agreement by the County is not a waiver or 24 compromise of any default or breach of this Agreement by the Contractor existing at the time of 25 the extension whether or not known to the County. 26 27 28 6 1 Article 5 2 Notices 3 5.1 Contact Information. The persons and their addresses having authority to give and 4 receive notices provided for or permitted under this Agreement include the following: 5 For the County: 6 Director, County of Fresno Department of Public Health 7 P. O. Box 11867 Fresno, CA 93775 8 For the Contractor: 9 Touro University California Public Health Program 10 College of Education and Health Sciences 1310 Club Drive 11 Vallejo, California 94952 Attention: Dr. Lisa Norton, Dean 12 5.2 Change of Contact Information. Either party may change the information in section 13 5.1 by giving notice as provided in section 5.3. 14 5.3 Method of Delivery. Each notice between the County and the Contractor provided 15 for or permitted under this Agreement must be in writing, state that it is a notice provided under 16 this Agreement, and be delivered either by personal service, by first-class United States mail, by 17 an overnight commercial courier service, by telephonic facsimile transmission, or by Portable 18 Document Format (PDF) document attached to an email. 19 (A) A notice delivered by personal service is effective upon service to the recipient. 20 (B) A notice delivered by first-class United States mail is effective three County 21 business days after deposit in the United States mail, postage prepaid, addressed to the 22 recipient. 23 (C)A notice delivered by an overnight commercial courier service is effective one 24 County business day after deposit with the overnight commercial courier service, 25 delivery fees prepaid, with delivery instructions given for next day delivery, addressed to 26 the recipient. 27 5.4 Claims Presentation. For all claims arising from or related to this Agreement, 28 nothing in this Agreement establishes, waives, or modifies any claims presentation 7 1 requirements or procedures provided by law, including the Government Claims Act (Division 3.6 2 of Title 1 of the Government Code, beginning with section 810). 3 Article 6 4 Termination and Suspension 5 6.1 Termination for Non-Allocation of Funds. The terms of this Agreement are 6 contingent on the approval of funds by the appropriating government agency. If sufficient funds 7 are not allocated, then the County, upon at least 30 days' advance written notice to the 8 Contractor, may: 9 (A) Modify the services provided by the Contractor under this Agreement; or 10 (B) Terminate this Agreement. 11 6.2 Termination for Breach. 12 (A) Upon determining that a breach (as defined in paragraph (C) below) has 13 occurred, the County may give written notice of the breach to the Contractor. The written 14 notice may suspend performance under this Agreement and must provide at least 30 15 days for the Contractor to cure the breach. 16 (B) If the Contractor fails to cure the breach to the County's satisfaction within the 17 time stated in the written notice, the County may terminate this Agreement immediately. 18 (C) For purposes of this section, a breach occurs when, in the determination of the 19 County, the Contractor has: 20 (1) Obtained or used funds illegally or improperly; 21 (2) Failed to comply with any part of this Agreement; 22 (3) Submitted a substantially incorrect or incomplete report to the County; or 23 (4) Improperly performed any of its obligations under this Agreement. 24 6.3 Termination without Cause. In circumstances other than those set forth above, the 25 County may terminate this Agreement by giving at least 30 days advance written notice to the 26 Contractor. 27 6.4 No Penalty or Further Obligation. Any termination of this Agreement by the County 28 under this Article 6 is without penalty to or further obligation of the County. 8 1 6.5 County's Rights upon Termination. Upon termination for breach under this Article 2 6, the County may demand repayment by the Contractor of any monies disbursed to the 3 Contractor under this Agreement that, in the County's sole judgment, were not expended in 4 compliance with this Agreement. The Contractor shall promptly refund all such monies upon 5 demand. This section survives the termination of this Agreement. 6 Article 7 7 7.1 Property of County. Contractor agrees to take reasonable and prudent steps to 8 ensure the security of any and all said hardware and software provided to it by County under 9 this Agreement, to maintain replacement-value insurance coverages on said hardware and 10 software of like kind and quality approved by County. 11 All purchases over Five Thousand Dollars ($5,000) made during the life of this Agreement 12 that will outlive the life of this Agreement shall be identified as fixed assets with an assigned 13 Fresno County Department of Public Health (DPH) Accounting Inventory Number. These fixed 14 assets shall be retained by County, as County property, in the event this Agreement is 15 terminated or upon expiration of this Agreement. Contractor agrees to participate in an annual 16 inventory of all County fixed assets and shall be physically present when fixed assets are 17 returned to County possession at the termination or expiration of this Agreement. Contractor is 18 responsible for returning to County all County owned fixed assets upon the expiration or 19 termination of this Agreement. 20 7.2 Prohibition on Publicity. None of the funds, materials, property or services 21 provided directly or indirectly under this Agreement shall be used for Contractor's advertising, 22 fundraising, or publicity (i.e., purchasing of tickets/tables, silent auction donations, etc.)for the 23 purpose of self-promotion. Notwithstanding the above, publicity of the services described in 24 Paragraph One (1) of this Agreement shall be allowed as necessary to raise public awareness 25 about the availability of such specific services when approved in advance by the County's DPH 26 Director or designee for such items as written/printed materials, the use of media (i.e., radio, 27 television, newspapers) and any other related expense(s). 28 9 1 7.3 Conflict of Interest. No officer, employee or agent of the County who exercises any 2 function or responsibility for planning and carrying out of the services provided under this 3 Agreement shall have any direct or indirect personal financial interest in this Agreement. In 4 addition, no employee of the County shall be employed by the Contractor under this Agreement 5 to fulfill any contractual obligations with the County. Contractor shall comply with all Federal, 6 State of California and local conflict of interest laws, statutes and regulations, which shall be 7 applicable to all parties and beneficiaries under this Agreement and any officer, employee or 8 agent of the County. 9 7.4 Change of Leadership/Management. In the event of any change in the status of 10 Contractor's leadership or management, Contractor shall provide written notice to County within 11 thirty (30) days from the date of change. Such notification shall include any new leader or 12 manager's name, address and qualifications. "Leadership or management" shall include any 13 employee, member, or owner of Contractor who either a) directs individuals providing services 14 pursuant to this Agreement, b) exercises control over the manner in which services are 15 provided, or c) has authority over Contractor's finances. 16 7.5 Lobbying Activity. None of the funds provided under this Agreement shall be used 17 for publicity, lobbying or propaganda purposes designed to support or defeat legislation pending 18 in the Congress of the United States of America or the Legislature of the State of California. 19 7.6 State Energy Conservation. Contractor must comply with the mandatory standards 20 and policies relating to energy efficiency, which are contained in the State Energy Conservation 21 Plan issued in compliance with 42 United States (US) Code sections 6321, et. seq. 22 7.7 Clean Air and Water. In the event the funding under this Agreement exceeds One 23 Hundred Fifty Thousand and No/100 Dollars ($150,000), Contractor shall comply with all 24 applicable standards, orders or requirements issued under the Clean Air Act contained in 42 25 U.S. Code 7601 et seq; the Clean Water Act contained in U.S. Code 1368 et seq.; and any 26 standards, laws and regulations, promulgated thereunder. Under these laws and regulations, 27 CONTRACTOR shall assure: 28 10 1 (A) No facility shall be utilized in the performance of the Agreement that has been 2 listed on the Environmental Protection Agency (EPA) list of Violating Facilities; 3 (B) County shall be notified prior to execution of this Agreement of the receipt of any 4 communication from the Director, Office of Federal Activities, U.S. EPA indicating that a 5 facility to be utilized in the performance of this Agreement is under consideration to be 6 listed on the EPA list of Violating Facilities; 7 (C) County and U.S. EPA shall be notified about any known violation of the above 8 laws and regulations; and, 9 (D)This assurance shall be included in every nonexempt subgrant, contract, or 10 subcontract. 11 7.8 Audits and Inspections. The Contractor shall at any time during business hours, 12 and as often as the County may deem necessary, make available to the County for examination 13 all of its records and data with respect to the matters covered by this Agreement. The 14 Contractor shall, upon request by the County, permit the County to audit and inspect all of such 15 records and data necessary to ensure Contractor's compliance with the terms of this 16 Agreement. 17 If this Agreement exceeds ten thousand dollars ($10,000.00), Contractor shall be subject to 18 the examination and audit of the California State Auditor for a period of three (3) years after final 19 payment under contract (Government Code Section 8546.7). 20 In addition, Contractor shall cooperate and participate with County's fiscal review process 21 and comply with all final determinations rendered by the County's fiscal review process. If 22 County reaches an adverse decision regarding Contractor's services to consumers, it may result 23 in the disallowance of payment for services rendered; or in additional controls to the delivery of 24 services, or in the termination of this Agreement, at the discretion of County's DPH Director or 25 designee. If as a result of County's fiscal review process a disallowance is discovered due to 26 Contractor's deficiency, Contractor shall be financially liable for the amount previously paid by 27 County to Contractor and this disallowance will be adjusted from Contractor's future payments, 28 11 1 at the discretion of County's DPH Director or designee. In addition, County shall have the sole 2 discretion in the determination of fiscal review outcomes, decisions and actions. 3 7.9 Single Audit Clause. 4 (A) If Contractor expends Seven Hundred Fifty Thousand Dollars ($750,000) or more 5 Federal and Federal flow-through monies, Contractor agrees to conduct an annual audit 6 in accordance with the requirements of the Single Audit Standards as set forth in Office 7 of Management and Budget (OMB) Title 2 of the Code of Federal Regulations, Chapter 8 ll, Part 200. Contractor shall submit said audit and management letter to County. The 9 audit must include a statement of findings or a statement that there were no findings. If 10 there were negative findings, Contractor must include a corrective action plan signed by 11 an authorized individual. Contractor agrees to take action to correct any material non- 12 compliance or weakness found as a result of such audit. Such audit shall be delivered 13 to County's DPH Administration for review within nine (9) months of the end of any fiscal 14 year in which funds were expended and/or received for the program. Failure to perform 15 the requisite audit functions as required by this Agreement may result in County 16 performing the necessary audit tasks, or at the County's option, contracting with a public 17 accountant to perform said audit, or may result in the inability of County to enter into 18 future agreements with the Contractor. 19 (B) A single audit report is not applicable if all Contractor's Federal contracts do not 20 exceed the Seven Hundred Fifty Thousand Dollars ($750,000) requirement or 21 Contractor's federal funding is through Drug Medi-Cal. 22 Article 8 23 Confidentiality 24 8.1 Confidentiality. All services performed by the Contractor under this Agreement 25 shall be in strict conformance with all applicable Federal, State of California and/or local laws 26 and regulations relating to confidentiality. 27 8.2 Health Insurance Portability and Accountability Act 28 A. The parties to this Agreement shall be in strict conformance with all 12 1 applicable Federal and State of California laws and regulations, including but not limited to 2 Sections 5328, 10850, and 14100.2 et seq. of the Welfare and Institutions Code, Sections 2.1 and 3 431.300 et seq. of Title 42, Code of Federal Regulations (CFR), Section 56 et seq. of the California 4 Civil Code and the Health Insurance Portability and Accountability Act (HIPAA), including but not 5 limited to Section 1320 D et seq. of Title 42, United States Code (USC) and its implementing 6 regulations, including, but not limited to Title 45, CFR, Sections 142, 160, 162, and 164, The Health 7 Information Technology for Economic and Clinical Health Act(HITECH) regarding the 8 confidentiality and security of patient information, and the Genetic Information Nondiscrimination 9 Act(GINA)of 2008 regarding the confidentiality of genetic information. 10 Except as otherwise provided in this Agreement, Contractor, as a Business 11 Associate of County, may use or disclose Protected Health Information (PHI)to perform functions, 12 activities or services for or on behalf of County, as specified in this Agreement, provided that such 13 use or disclosure shall not violate the Health Insurance Portability and Accountability Act(HIPAA), 14 USC 1320d et seq. The uses and disclosures of PHI may not be more expansive than those 15 applicable to COUNTY, as the "Covered Entity" under the HIPAA Privacy Rule (45 CFR 164.500 16 et seq.), except as authorized for management, administrative or legal responsibilities of the 17 Business Associate. 18 B. Contractor, including its subcontractors and employees, shall protect, from 19 unauthorized access, use, or disclosure of names and other identifying information, including 20 genetic information, concerning persons receiving services pursuant to this Agreement, except 21 where permitted in order to carry out data aggregation purposes for health care operations [45 22 CFR Sections 164.504 (e)(2)(i), 164.504 (3)(2)(ii)(A), and 164.504 (e)(4)(i)] This pertains to any 23 and all persons receiving services pursuant to a COUNTY funded program. This requirement 24 applies to electronic PHI. Contractor shall not use such identifying information or genetic 25 information for any purpose other than carrying out CONTRACTOR'S obligations under this 26 Agreement. 27 C. Contractor, including its subcontractors and employees, shall not disclose 28 any such identifying information or genetic information to any person or entity, except as otherwise 13 1 specifically permitted by this Agreement, authorized by Subpart E of 45 CFR Part 164 or other law, 2 required by the Secretary, or authorized by the client/patient in writing. In using or disclosing PHI 3 that is permitted by this Agreement or authorized by law, Contractor shall make reasonable efforts 4 to limit PHI to the minimum necessary to accomplish intended purpose of use, disclosure or 5 request. 6 D. For purposes of the above sections, identifying information shall include, but 7 not be limited to name, identifying number, symbol, or other identifying particular assigned to the 8 individual, such as finger or voice print, or photograph. 9 E. For purposes of the above sections, genetic information shall include 10 genetic tests of family members of an individual or individual, manifestation of disease or disorder 11 of family members of an individual, or any request for or receipt of, genetic services by individual or 12 family members. Family member means a dependent or any person who is first, second, third, or 13 fourth degree relative. 14 F. Contractor shall provide access, at the request of County, and in the time 15 and manner designated by County, to PHI in a designated record set (as defined in 45 CFR 16 Section 164.501), to an individual or to County in order to meet the requirements of 45 CFR 17 Section 164.524 regarding access by individuals to their PHI. With respect to individual 18 requests, access shall be provided within thirty (30) days from request. Access may be 19 extended if Contractor cannot provide access and provides individual with the reasons for the 20 delay and the date when access may be granted. PHI shall be provided in the form and format 21 requested by the individual or County. 22 Contractor shall make any amendment(s) to PHI in a designated record 23 set at the request of County or individual, and in the time and manner designated by County in 24 accordance with 45 CFR Section 164.526. 25 Contractor shall provide to County or to an individual, in a time and 26 manner designated by County, information collected in accordance with 45 CFR Section 27 164.528, to permit County to respond to a request by the individual for an accounting of 28 disclosures of PHI in accordance with 45 CFR Section 164.528. 14 1 G. Contractor shall report to County, in writing, any knowledge or reasonable 2 belief that there has been unauthorized access, viewing, use, disclosure, security incident, or 3 breach of unsecured PHI not permitted by this Agreement of which it becomes aware, immediately 4 and without reasonable delay and in no case later than two (2) business days of discovery. 5 Immediate notification shall be made to COUNTY's Information Security Officer and Privacy Officer 6 and County's DPH HIPAA Representative, within two (2) business days of discovery. The 7 notification shall include, to the extent possible, the identification of each individual whose 8 unsecured PHI has been, or is reasonably believed to have been, accessed, acquired, used, 9 disclosed, or breached. Contractor shall take prompt corrective action to cure any deficiencies and 10 any action pertaining to such unauthorized disclosure required by applicable Federal and State 11 Laws and regulations. Contractor shall investigate such breach and is responsible for all 12 notifications required by law and regulation or deemed necessary by County and shall provide a 13 written report of the investigation and reporting required to County's Information Security Officer 14 and Privacy Officer and County's DPH HIPAA Representative. This written investigation and 15 description of any reporting necessary shall be postmarked within the thirty(30)working days of 16 the discovery of the breach to the addresses below: 17 18 County of Fresno County of Fresno County of Fresno Dept. of Public Health Dept. of Public Health Information Technology Services 19 HIPAA Representative Privacy Officer Information Security Officer (559) 600-6439 559) 600-6405 (559) 600-5800 20 P.O. Box 11867 P.O. Box 11867 333 W. Pontiac Way Fresno, CA 93775 Fresno, CA 93775 Clovis, CA 93612 21 22 H. Contractor shall make its internal practices, books, and records relating to 23 the use and disclosure of PHI received from County or created or received by the Contractor on 24 behalf of County, in compliance with HIPAA's Privacy Rule, including, but not limited to the 25 requirements set forth in Title 45, CFR, Sections 160 and 164. Contractor shall make its internal 26 practices, books, and records relating to the use and disclosure of PHI received from County or 27 created or received by the Contractor on behalf of County, available to the United States 28 Department of Health and Human Services (Secretary) upon demand. 15 1 Contractor shall cooperate with the compliance and investigation reviews 2 conducted by the Secretary. PHI access to the Secretary must be provided during the 3 Contractor's normal business hours, however, upon exigent circumstances access at any time 4 must be granted. Upon the Secretary's compliance or investigation review, if PHI is unavailable to 5 Contractor and in possession of a Subcontractor, it must certify efforts to obtain the information to 6 the Secretary. 7 I. Safeguards 8 Contractor shall implement administrative, physical, and technical 9 safeguards as required by the HIPAA Security Rule, Subpart C of 45 CFR 164, that reasonably 10 and appropriately protect the confidentiality, integrity, and availability of PHI, including electronic 11 PHI, that it creates, receives, maintains or transmits on behalf of County and to prevent 12 unauthorized access, viewing, use, disclosure, or breach of PHI other than as provided for by this 13 Agreement. Contractor shall conduct an accurate and thorough assessment of the potential risks 14 and vulnerabilities to the confidential, integrity and availability of electronic PHI. Contractor shall 15 develop and maintain a written information privacy and security program that includes 16 administrative, technical and physical safeguards appropriate to the size and complexity of 17 Contractor's operations and the nature and scope of its activities. Upon County's request, 18 Contractor shall provide County with information concerning such safeguards. 19 Contractor shall implement strong access controls and other security 20 safeguards and precautions in order to restrict logical and physical access to confidential, 21 personal (e.g., PHI)or sensitive data to authorized users only. Said safeguards and precautions 22 shall include the following administrative and technical password controls for all systems used to 23 process or store confidential, personal, or sensitive data: 24 1. Passwords must not be: 25 a. Shared or written down where they are accessible or 26 recognizable by anyone else; such as taped to computer screens, stored under keyboards, or 27 visible in a work area; 28 b. A dictionary word; or 16 1 C. Stored in clear text 2 2. Passwords must be: 3 a. Eight (8) characters or more in length; 4 b. Changed every ninety (90) days; 5 C. Changed immediately if revealed or compromised; and 6 d. Composed of characters from at least three (3) of the 7 following four (4) groups from the standard keyboard: 8 1) Upper case letters (A-Z); 9 2) Lowercase letters (a-z); 10 3) Arabic numerals (0 through 9); and 11 4) Non-alphanumeric characters (punctuation 12 symbols). 13 Contractor shall implement the following security controls on each 14 workstation or portable computing device (e.g., laptop computer) containing confidential, 15 personal, or sensitive data: 16 1. Network-based firewall and/or personal firewall; 17 2. Continuously updated anti-virus software; and 18 3. Patch management process including installation of all operating 19 system/software vendor security patches. 20 Contractor shall utilize a commercial encryption solution that has received 21 FIPS 140-2 validation to encrypt all confidential, personal, or sensitive data stored on portable 22 electronic media (including, but not limited to, compact disks and thumb drives) and on 23 portable computing devices (including, but not limited to, laptop and notebook computers). P p 9 (� 9, p p P )• 24 Contractor shall not transmit confidential, personal, or sensitive data via 25 e-mail or other internet transport protocol unless the data is encrypted by a solution that has 26 been validated by the National Institute of Standards and Technology (NIST) as conforming to 27 the Advanced Encryption Standard (AES)Algorithm. Contractor must apply appropriate 28 sanctions against its employees who fail to comply with these safeguards. Contractor must 17 1 adopt procedures for terminating access to PHI when employment of employee ends. 2 J. Mitigation of Harmful Effects 3 Contractor shall mitigate, to the extent practicable, any harmful effect that 4 is suspected or known to Contractor of an unauthorized access, viewing, use, disclosure, or 5 breach of PHI by Contractor or its subcontractors in violation of the requirements of these 6 provisions. Contractor must document suspected or known harmful effects and the outcome. 7 K. Contractor's Subcontractors 8 Contractor shall ensure that any of its contractors, including 9 subcontractors, if applicable, to whom Contractor provides PHI received from or created or 10 received by Contractor on behalf of County, agree to the same restrictions, safeguards, and 11 conditions that apply to Contractor with respect to such PHI and to incorporate, when 12 applicable, the relevant provisions of these provisions into each subcontract or sub-award to 13 such agents or subcontractors. 14 L. Employee Traininq and Discipline 15 Contractor shall train and use reasonable measures to ensure 16 compliance with the requirements of these provisions by employees who assist in the 17 performance of functions or activities on behalf of County under this Agreement and use or 18 disclose PHI and discipline such employees who intentionally violate any provisions of these 19 provisions, including termination of employment. 20 M. Termination for Cause 21 Upon County's knowledge of a material breach of these provisions by 22 Contractor, County shall either: 23 1. Provide an opportunity for Contractor to cure the breach or end 24 the violation and terminate this Agreement if Contractor does not cure the breach or end the 25 violation within the time specified by County; or 26 2. Immediately terminate this Agreement if Contractor has breached 27 a material term of these provisions and cure is not possible. 28 3. If neither cure nor termination is feasible, the County's Privacy 18 1 Officer shall report the violation to the Secretary of the U.S. Department of Health and Human 2 Services. 3 N. Judicial or Administrative Proceedings 4 County may terminate this Agreement in accordance with the terms and 5 conditions of this Agreement as written hereinabove, if: (1) Contractor is found guilty in a 6 criminal proceeding for a violation of the HIPAA Privacy or Security Laws or the HITECH Act; 7 or (2) a finding or stipulation that the Contractor has violated a privacy or security standard or 8 requirement of the HITECH Act, HIPAA or other security or privacy laws in an administrative or 9 civil proceeding in which the Contractor is a party. 10 O. Effect of Termination 11 Upon termination or expiration of this Agreement for any reason, 12 Contractor shall return or destroy all PHI received from County (or created or received by 13 Contractor on behalf of County)that Contractor still maintains in any form and shall retain no 14 copies of such PHI. If return or destruction of PHI is not feasible, it shall continue to extend the 15 protections of these provisions to such information, and limit further use of such PHI to those 16 purposes that make the return or destruction of such PHI infeasible. This provision shall apply 17 to PHI that is in the possession of subcontractors or agents, if applicable, of Contractor. If 18 Contractor destroys the PHI data, a certification of date and time of destruction shall be 19 provided to the County by Contractor. 20 P. Disclaimer 21 County makes no warranty or representation that compliance by 22 Contractor with these provisions, the HITECH Act, HIPAA or the HIPAA regulations will be 23 adequate or satisfactory for Contractor's own purposes or that any information in Contractor's 24 possession or control, or transmitted or received by Contractor, is or will be secure from 25 unauthorized access, viewing, use, disclosure, or breach. Contractor is solely responsible for 26 all decisions made by Contractor regarding the safeguarding of PHI. 27 Q. Amendment 28 The parties acknowledge that Federal and State laws relating to 19 1 electronic data security and privacy are rapidly evolving and that amendment of these 2 provisions may be required to provide for procedures to ensure compliance with such 3 developments. The parties specifically agree to take such action as is necessary to amend this 4 agreement in order to implement the standards and requirements of HIPAA, the HIPAA 5 regulations, the HITECH Act and other applicable laws relating to the security or privacy of 6 PHI. County may terminate this Agreement upon thirty (30) days written notice in the event 7 that Contractor does not enter into an amendment providing assurances regarding the 8 safeguarding of PHI that County in its sole discretion, deems sufficient to satisfy the standards 9 and requirements of HIPAA, the HIPAA regulations and the HITECH Act. 10 R. No Third-Party Beneficiaries 11 Nothing express or implied in the terms and conditions of these provisions 12 is intended to confer, nor shall anything herein confer, upon any person other than County or 13 Contractor and their respective successors or assignees, any rights, remedies, obligations or 14 liabilities whatsoever. 15 S. Interpretation 16 The terms and conditions in these provisions shall be interpreted as 17 broadly as necessary to implement and comply with HIPAA, the HIPAA regulations and 18 applicable State laws. The parties agree that any ambiguity in the terms and conditions of 19 these provisions shall be resolved in favor of a meaning that complies and is consistent with 20 HIPAA and the HIPAA regulations. 21 T. Regulatory References 22 A reference in the terms and conditions of these provisions to a section in 23 the HIPAA regulations means the section as in effect or as amended. 24 U. Survival 25 The respective rights and obligations of Contractor as stated in this 26 Section shall survive the termination or expiration of this Agreement. 27 V. No Waiver of Obligations 28 No change, waiver or discharge of any liability or obligation hereunder on 20 1 any one or more occasions shall be deemed a waiver of performance of any continuing or 2 other obligation or shall prohibit enforcement of any obligation on any other occasion. 3 Article 9 4 Data Security. For the purpose of preventing the potential loss, misappropriation or 5 inadvertent access, viewing, use or disclosure of County data including sensitive or personal 6 client information; abuse of County resources; and/or disruption to County operations, 7 individuals and/or agencies that enter into a contractual relationship with the County for the 8 purpose of providing services under this Agreement must employ adequate data security 9 measures to protect the confidential information provided to TUC by the County, including but 10 not limited to the following: 11 9.1 TUC-Owned Mobile, Wireless, or Handheld Devices. TUC may not connect to 12 County networks via personally owned mobile, wireless or handheld devices, unless the 13 following conditions are met: 14 a) TUC has received authorization by County for telecommuting purposes; 15 b) Current virus protection software is in place; 16 c) Mobile device has the remote wipe feature enabled; and 17 d) A secure connection is used. 18 9.2 TUC-Owned Computers or Computer Peripherals. TUC may not bring TUC- 19 owned computers or computer peripherals into the County for use without prior authorization 20 from the County's Chief Information Officer, and/or designee(s), including but not limited to 21 mobile storage devices. If data is approved to be transferred, data must be stored on a secure 22 server approved by the County and transferred be means of a Virtual Private Network (VPN) 23 connection, or another type of secure connection. Said data must be encrypted. 24 9.3 County-Owned Computer Equipment. TUC or anyone having an employment 25 relationship with the County, may not use County computers or computer peripherals on non- 26 County premises without prior authorization from the County's Chief Information Officer, and/or 27 designee(s). 28 21 1 9.4 TUC may not store County's private, confidential or sensitive data on any hard-disk 2 drive, portable storage device, or remote storage installation unless encrypted. 3 9.5 TUC shall be responsible to employ strict controls to ensure the integrity and security 4 of County's confidential information and to prevent unauthorized access, viewing, use or 5 disclosure of data maintained in computer files, program documentation, data processing 6 systems, data files ana data processing equipment which stores or processes County data 7 internally and externally. 8 9.6 Confidential client information transmitted to one party by the other by means of 9 electronic transmissions must be encrypted according to Advanced Encryption Standards (AES) 10 of 128 BIT or higher. Additionally, a password or pass phrase must be utilized. 11 9.7 TUC is responsible to immediately notify County of any violations, breaches or 12 potential breaches of security related to County's confidential information, data maintained in 13 computer files, program documentation, data processing systems, data files and data 14 processing equipment which stores or processes County data internally or externally. 15 9.8 County shall provide oversight to TUC's response to all incidents arising from a 16 possible breach of security related to County's confidential client information provided to TUC. 17 TUC will be responsible to issue any notification to affected individuals as required by law or as 18 deemed necessary by County in its sole discretion. TUC will be responsible for all costs incurred 19 as a result of providing the required notification. 20 Article 10 21 Independent Contractor 22 10.1 Status. In performing under this Agreement, the Contractor, including its officers, 23 agents, employees, and volunteers, is at all times acting and performing as an independent 24 contractor, in an independent capacity, and not as an officer, agent, servant, employee,joint 25 venturer, partner, or associate of the County. 26 10.2 Verifying Performance. The County has no right to control, supervise, or direct the 27 manner or method of the Contractor's performance under this Agreement, but the County may 28 verify that the Contractor is performing according to the terms of this Agreement. 22 1 10.3 Benefits. Because of its status as an independent contractor, the Contractor has no 2 right to employment rights or benefits available to County employees. The Contractor is solely 3 responsible for providing to its own employees all employee benefits required by law. The 4 Contractor shall save the County harmless from all matters relating to the payment of 5 Contractor's employees, including compliance with Social Security withholding and all related 6 regulations. 7 10.4 Services to Others. The parties acknowledge that, during the term of this 8 Agreement, the Contractor may provide services to others unrelated to the County. 9 Article 11 10 Indemnity and Defense 11 11.1 Indemnity. The Contractor shall indemnify and hold harmless and defend the 12 County (including its officers, agents, employees, and volunteers) against all claims, demands, 13 injuries, damages, costs, expenses (including attorney fees and costs), fines, penalties, and 14 liabilities of any kind to the County, the Contractor, or any third party that arise from or relate to 15 the performance or failure to perform by the Contractor (or any of its officers, agents, 16 subcontractors, or employees) under this Agreement. The County may conduct or participate in 17 its own defense without affecting the Contractor's obligation to indemnify and hold harmless or 18 defend the County. 19 11.2 Survival. This Article 8 survives the termination of this Agreement. 20 Article 12 21 Insurance 22 12.1 The Contractor shall comply with all the insurance requirements in Exhibit C to this 23 Agreement. 24 Article 13 25 Inspections and Public Records 26 13.1 Inspection of Documents. The Contractor shall make available to the County, and 27 the County may examine at any time during business hours and as often as the County deems 28 necessary, all of the Contractor's records and data with respect to the matters covered by this 23 1 Agreement, excluding attorney-client privileged communications. The Contractor shall, upon 2 request by the County, permit the County to audit and inspect all of such records and data to 3 ensure the Contractor's compliance with the terms of this Agreement. 4 13.2 Public Records. The County is not limited in any manner with respect to its public 5 disclosure of this Agreement or any record or data that the Contractor may provide to the 6 County. The County's public disclosure of this Agreement or any record or data that the 7 Contractor may provide to the County may include but is not limited to the following: 8 (A) The County may voluntarily, or upon request by any member of the public or 9 governmental agency, disclose this Agreement to the public or such governmental 10 agency. 11 (B) The County may voluntarily, or upon request by any member of the public or 12 governmental agency, disclose to the public or such governmental agency any record or 13 data that the Contractor may provide to the County, unless such disclosure is prohibited 14 by court order. 15 (C)This Agreement, and any record or data that the Contractor may provide to the 16 County, is subject to public disclosure under the Ralph M. Brown Act (California 17 Government Code, Title 5, Division 2, Part 1, Chapter 9, beginning with section 54950). 18 (D)This Agreement, and any record or data that the Contractor may provide to the 19 County, is subject to public disclosure as a public record under the California Public 20 Records Act (California Government Code, Title 1, Division 7, Chapter 3.5, beginning 21 with section 6250) ("CPRA"). 22 (E) This Agreement, and any record or data that the Contractor may provide to the 23 County, is subject to public disclosure as information concerning the conduct of the 24 people's business of the State of California under California Constitution, Article 1, 25 section 3, subdivision (b). 26 (F) Any marking of confidentiality or restricted access upon or otherwise made with 27 respect to any record or data that the Contractor may provide to the County shall be 28 24 1 disregarded and have no effect on the County's right or duty to disclose to the public or 2 governmental agency any such record or data. 3 13.3 Public Records Act Requests. If the County receives a written or oral request 4 under the CPRA to publicly disclose any record that is in the Contractor's possession or control, 5 and which the County has a right, under any provision of this Agreement or applicable law, to 6 possess or control, then the County may demand, in writing, that the Contractor deliver to the 7 County, for purposes of public disclosure, the requested records that may be in the possession 8 or control of the Contractor. Within five business days after the County's demand, the 9 Contractor shall (a) deliver to the County all of the requested records that are in the Contractor's 10 possession or control, together with a written statement that the Contractor, after conducting a 11 diligent search, has produced all requested records that are in the Contractor's possession or 12 control, or (b) provide to the County a written statement that the Contractor, after conducting a 13 diligent search, does not possess or control any of the requested records. The Contractor shall 14 cooperate with the County with respect to any County demand for such records. If the 15 Contractor wishes to assert that any specific record or data is exempt from disclosure under the 16 CPRA or other applicable law, it must deliver the record or data to the County and assert the 17 exemption by citation to specific legal authority within the written statement that it provides to 18 the County under this section. The Contractor's assertion of any exemption from disclosure is 19 not binding on the County, but the County will give at least 10 days' advance written notice to 20 the Contractor before disclosing any record subject to the Contractor's assertion of exemption 21 from disclosure. The Contractor shall indemnify the County for any court-ordered award of costs 22 or attorney's fees under the CPRA that results from the Contractor's delay, claim of exemption, 23 failure to produce any such records, or failure to cooperate with the County with respect to any 24 County demand for any such records. 25 Article 14 26 Disclosure of Self-Dealing Transactions 27 14.1 Applicability. This Article 14 applies if the Contractor is operating as a corporation 28 or changes its status to operate as a corporation. 25 1 14.2 Duty to Disclose. If any member of the Contractor's board of directors is party to a 2 self-dealing transaction, he or she shall disclose the transaction by completing and signing a 3 "Self-Dealing Transaction Disclosure Form" (Exhibit B to this Agreement) and submitting it to the 4 County before commencing the transaction or immediately after. 5 14.3 Definition. "Self-dealing transaction" means a transaction to which the Contractor is 6 a party and in which one or more of its directors, as an individual, has a material financial 7 interest. 8 Article 15 9 General Terms 10 15.1 Modification. Except as provided in Article 6, "Termination and Suspension," this 11 Agreement may not be modified, and no waiver is effective, except by written agreement signed 12 by both parties. The Contractor acknowledges that County employees have no authority to 13 modify this Agreement except as expressly provided in this Agreement. 14 15.2 Non-Assignment. Neither party may assign its rights or delegate its obligations 15 under this Agreement without the prior written consent of the other party. 16 15.3 Governing Law. The laws of the State of California govern all matters arising from 17 or related to this Agreement. 18 15.4 Jurisdiction and Venue. This Agreement is signed and performed in Fresno 19 County, California. Contractor consents to California jurisdiction for actions arising from or 20 related to this Agreement, and, subject to the Government Claims Act, all such actions must be 21 brought and maintained in Fresno County. 22 15.5 Construction. The final form of this Agreement is the result of the parties' combined 23 efforts. If anything in this Agreement is found by a court of competent jurisdiction to be 24 ambiguous, that ambiguity shall not be resolved by construing the terms of this Agreement 25 against either party. 26 15.6 Days. Unless otherwise specified, "days" means calendar days. 27 15.7 Headings. The headings and section titles in this Agreement are for convenience 28 only and are not part of this Agreement. 26 1 15.8 Severability. If anything in this Agreement is found by a court of competent 2 jurisdiction to be unlawful or otherwise unenforceable, the balance of this Agreement remains in 3 effect, and the parties shall make best efforts to replace the unlawful or unenforceable part of 4 this Agreement with lawful and enforceable terms intended to accomplish the parties' original 5 intent. 6 15.9 Nondiscrimination. During the performance of this Agreement, the Contractor shall 7 not unlawfully discriminate against any employee or applicant for employment, or recipient of 8 services, because of race, religious creed, color, national origin, ancestry, physical disability, 9 mental disability, medical condition, genetic information, marital status, sex, gender, gender 10 identity, gender expression, age, sexual orientation, military status or veteran status pursuant to 11 all applicable State of California and federal statutes and regulation. 12 15.10 No Waiver. Payment, waiver, or discharge by the County of any liability or obligation 13 of the Contractor under this Agreement on any one or more occasions is not a waiver of 14 performance of any continuing or other obligation of the Contractor and does not prohibit 15 enforcement by the County of any obligation on any other occasion. 16 15.11 Entire Agreement. This Agreement, including its exhibits, is the entire agreement 17 between the Contractor and the County with respect to the subject matter of this Agreement, 18 and it supersedes all previous negotiations, proposals, commitments, writings, advertisements, 19 publications, and understandings of any nature unless those things are expressly included in 20 this Agreement. If there is any inconsistency between the terms of this Agreement without its 21 exhibits and the terms of the exhibits, then the inconsistency will be resolved by giving 22 precedence first to the terms of this Agreement without its exhibits, and then to the terms of the 23 exhibits. 24 15.12 No Third-Party Beneficiaries. This Agreement does not and is not intended to 25 create any rights or obligations for any person or entity except for the parties. 26 15.13 Authorized Signature. The Contractor represents and warrants to the County that: 27 (A) The Contractor is duly authorized and empowered to sign and perform its 28 obligations under this Agreement. 27 1 (B) The individual signing this Agreement on behalf of the Contractor is duly 2 authorized to do so and his or her signature on this Agreement legally binds the 3 Contractor to the terms of this Agreement. 4 15.14 Electronic Signatures. The parties agree that this Agreement may be executed by 5 electronic signature as provided in this section. 6 (A) An "electronic signature" means any symbol or process intended by an individual 7 signing this Agreement to represent their signature, including but not limited to (1) a 8 digital signature; (2) a faxed version of an original handwritten signature; or (3) an 9 electronically scanned and transmitted (for example by PDF document) version of an 10 original handwritten signature. 11 (B) Each electronic signature affixed or attached to this Agreement (1) is deemed 12 equivalent to a valid original handwritten signature of the person signing this Agreement 13 for all purposes, including but not limited to evidentiary proof in any administrative or 14 judicial proceeding, and (2) has the same force and effect as the valid original 15 handwritten signature of that person. 16 (C)The provisions of this section satisfy the requirements of Civil Code section 17 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, 18 Part 2, Title 2.5, beginning with section 1633.1). 19 (D) Each party using a digital signature represents that it has undertaken and 20 satisfied the requirements of Government Code section 16.5, subdivision (a), 21 paragraphs (1)through (5), and agrees that each other party may rely upon that 22 representation. 23 (E) This Agreement is not conditioned upon the parties conducting the transactions 24 under it by electronic means and either party may sign this Agreement with an original 25 handwritten signature. 26 15.15 Counterparts. This Agreement may be signed in counterparts, each of which is an 27 original, and all of which together constitute this Agreement. 28 [SIGNATURE PAGE FOLLOWS] 28 1 The parties are signing this Agreement on the date stated in the introductory clause. 2 TOURO UNIVERSITY, a California nonprofit COUNTY OF FRESNO 3 public benefit corporation 4 5 ��" salAuktey6, Ch irman of the Board of Lisa Norton, Ed.D. Su o County of Fresno 6 1310 Club Drive Attest: 7 Vallejo, California 94592 Bernice E. Seidel Clerk of the Board of Supervisors 8 County of Fresno, State of California 9 By: AUX(I�\rie- 0i4r0. 10 Deputy 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 T MP y CD A PRE TO ME TICS. R GP M / Y - KA ' 1 o a PERMANENTS 4 TEAM r COMMUNITY HEALTH & HEALTH EQUITY AND CRIMINAL JUSTICE w FIELD STUDY x PRECEPTOR HANDBOOK u Now - � r m • CL TABLE OF CONTENTS • Course Overview........................................................................................................3 • The Role of Community Partnerships......................................................................................4 • Course Learning Objectives....................................................... • Public Health Field Study Competencies.................................................................................5 • MPH Concentrations...............................................................................................................6 • PHFS Placement Sites..............................................................................................................6 • Course Prerequisites...............................................................................................................7 • Student Cohorts......................................................................................................................7 • Student Placement Blocks.......................................................................................................7 • Course Formats.......................................................................................................................8 • 2022-23 PHFS Placement Planning Timeline......................................................................... 10 • PHFS Standards and Learning Expectations ..........................................................................13 • PHFS Preceptor Checklists..................................................................................................... 14 • PHFS Matching Process.........................................................................................................20 • Placement Policies ................................................................................................................21 • Student Onboarding Requirements......................................................................................22 • PHFS Exceptions&Waivers...................................................................................................22 • Means for Evaluating Student Performance.........................................................................26 • PHFS Grading.........................................................................................................................31 APPENDIX 32 2 Course Title: Public Health Field Study (PHFS) Course Number: PBHC 600-4 (4 Units) PBHC 600-6 (6 Units) PBHC 60OA: (Continuation—0 Units) Faculty: Nemesia Kelly, MPH Associate Professor& Field Study Coordinator Chair, Health Equity & Criminal Justice Concentration Office Phone: 707-638-5827 Cell Phone: 707-731-7436 Fax: 707-638-5871 Office: Wilderman Hall 403 Email: nkelly@touro.edu Zoom: htt s: /zoom.us/j/4593745278?pwd=ZmJKM1c5ZWZsNGR4c3dzRFgxZkpJZzO9 COURSE OVERVIEW The Public health Field Study (PHFS) is the Applied Practice Experience (APE) required for all Master of Public Health (MPH) students enrolled in the Touro University California (TUC) Public Health Program. As part of the MPH Culminating Experience, the PHFS is a structured practice experience in a professional public health setting which allows students to apply and integrate the knowledge and skills acquired during the didactic period into public health practice. The PHFS is a course in which students apply and integrate the knowledge acquired during the didactic period into public health practice. In this course, students gain exposure to a wide range of public health skills and functions, such as needs assessment, data collection/analysis, program planning, program evaluation, policy development, educational campaigns, and any aspects of applied research. The PHFS allows students the opportunity to exhibit proficiency in at least one of these public health areas, including program implementation or policy analysis. Literature reviews, research and review of best practices, participation in grant writing, and presentations of findings are some examples of standard field study activities and tasks for our students. This can also include surveys, needs assessments, presentations, reports, papers, or posters for peer-review, grant writing, website development, social media health campaigns focused on public health messaging. Clinical experience involving individual patient care or health facility administration is not considered to be relevant public health experience. Like internships,field study placements provide students opportunities to apply and integrate academically acquired skills and knowledge to practice in a professional setting designed to develop skills and competencies and to increase the level of proficiency.Thus, students who conduct field studies at affiliated placement sites are often referred to as interns. The students' work in the field study projects should be valued by the organization and contribute to meeting the organization's goals or mission. Field study projects must also address a public health issue and student participation should contribute to strategic solutions. The practical skills and the knowledge gained through the Field Study are essential to students' academic and professional growth, preparing them for careers in population and public health. In this course, 3 students are provided opportunities to cultivate core public health skills, explore career options, and develop professional goals and networking skills by building and maintaining valuable connections with professionals in the public health field. Students are encouraged to maximize and take full advantage of the field study experience as it can help place them on the path to obtaining jobs and building careers in the field of public health. As our program trains many students from diverse backgrounds and academic abilities, we expect them to make significant contributions to the organizations of our community partners. Our students have professional, interpersonal, leadership, and teamwork skills that enable them to take initiative and provide valuable support to your public health goals and objectives. THE ROLE OF COMMUNITY PARTNERSHIPS The TUC Public Health Program is committed to the ongoing development and continuation of successful partnerships with local and international public health organizations to provide high quality applied practice experiences for our students. It is through this vital collaboration, that our partners play an essential role as preceptors and mentors in Public Health Field Study (PHFS) course to support the culminating public health education and training of our students. For nearly two decades, our students have continued to acquire and develop core public health skills in the field to satisfy PHFS course requirements under the guidance of experienced public health and interdisciplinary professionals. Under the direct supervision of preceptors, our students have engaged in public health practice through various opportunities to apply and integrate their academic knowledge and transfer their skills to "real world" situations addressing public health issues while making meaningful contributions to our partners on the ground. In the PHFS, students are encouraged to develop interpersonal skills, team-working skills, professionalism, and project management experience. In addition, they improve their communication, gain confidence, and develop access to professional networks. The TUC Public Health Program is proud to work with partnering organizations at the local, state, and international level. We are indebted to our dedicated partners and preceptors for the work they do to meet todays and tomorrow's public health challenges. To guarantee a return on their investment in our students, we endeavor to continue building and expanding upon these important and long-standing relationships. This investment remains vital to the growth of field study opportunities and to the expansion of the public health workforce. COURSE LEARNING OBJECTIVES Through the PHFS, students MPH students will be able to: 1. Integrate public health theory, knowledge, and skills in a practice setting. 2. Complete a defined project(s) in an area of public health practice including core public health functions such as a needs assessment, program plan, program evaluation, policy development, educational campaign, applied research project. 3. Exhibit proficiency in at least one of the following areas: program planning, needs assessment and data gathering, program implementation, applied research, program evaluation, policy analysis, or 4 data analysis under the guidance of an experienced preceptor. 4. Demonstrate understanding of the role of the social determinants of health and social justice as it relates to their individual field study experience. 5. Demonstrate competence in a public health practice setting. 6. Demonstrate leadership, teamwork, communication skills, and creativity in the development of a public health practice activity. The PHFS will involve: a) Participation in "project-oriented" work in a public health setting. Examples of appropriate tasks may include the following, but are not limited to involvement in: ➢ Developing, implementing and or evaluating health promotion programs for specific population(s). ➢ Conducting research on a public health issue of interest (e.g., study and assessment instrument design, data collection, data entry, analysis, and assessment of findings. ➢ Conducting policy analysis or advocacy related to a public health issue. ➢ Conducting a community needs assessment. ➢ Coalition building and coordination of resources. ➢ Developing, pre-testing and evaluation of curriculum and or health education materials. ➢ Contributing to the development of grant proposals. ➢ Communicating health education needs and information to policy makers and the public. b) Development of a Scope of Work to implement the selected project. c) Presentation of project findings in afield study report that addresses a health issue of the community and contributes to resolving practical health problems. PUBLIC HEALTH COMPETENCIES Through a collaborative process with the Preceptor, the Student is required to identify the following Public Health Program Competencies for their field study project, which must be addressed by the Scope of Work. Competencies are presented in an Inventory format as a required course deliverable. • (One (1) competency from at least two out of the five following Council on Education for Public Health (CEPH) 2016 competency categories: o Evidence-based Approaches to Public Health o Public Health & Health Care Systems o Planning& Management to Promote Health o Policy in Public Health o Leadership • One (1) competency from each of the following CEPH 2O16 competency categories: 5 o Communication o Interprofessional Practice o Systems Thinking • One (1) cross-cutting competency • Three (3) concentration competencies (Community Action for Health, Global Health, Health Equity and Criminal Justice). MPH CONCENTRATIONS As a working partnership between the Program and the public health practice organization, this course provides a public health fieldwork experience for all MPH students, which can be conducted either locally or abroad. The TUC MPH Program prepares students to master the basic core competencies by covering the core areas of public health that are integrated with competencies specific to globally relevant public health practice,focused on underserved communities locally or on issues at the intersection of criminal justice and public health. Students have the option of enrolling in one of three concentrations: Community Health, Global Health, and Health Equity and Criminal Justice. Depending upon the concentration area of study, students will engage in period of public health practice under the direct supervision of a preceptor.The combination of the knowledge acquired in classroom and the skill mastered in the field study provides competencies that enable the graduate to address public health challenges in local or global settings. The Community Action for Health (CAH) Concentration provides students with a broad-based foundation in the fundamentals of public health and prepares students to work with communities to achieve health equity through the promotion of social justice policies and practices. The CAH Concentration is designed for those who are most interested in working for state and local health departments and other public health focused organizations. Touro University California's MPH Program is the first graduate program, accredited by the Council on Education for Public Health (CEPH) to offer an MPH concentration in Health Equity and Criminal Justice (HECJ). Framed within core public health concepts, the HEC1 Concentration encompasses Community Health and focuses on the intersection of health and the U.S.justice system and addresses the public health impacts of criminal justice involvement and mass incarceration on individuals, families, and communities. Students are provided with a specialized curriculum centered on the criminal justice system, strategies for prevention and reduction of justice involvement, correctional health systems, reentry and recidivism, and social and community impacts of incarceration. PHFS PLACEMENT SITES TUC has developed a network of placement sites with partnering organizations that provide our students a variety of placement sites from which to gain valuable field experience. Students are matched and placed in sites that provide a quality learning experience based on their public health interests, skills, experience, and expectations. Students conduct their field studies under the guidance of site preceptors and course coordinators at affiliated public health organizations, including but not limited to local health departments, state and federal health agencies, non-profit community-based public health organizations, hospitals, 6 clinics, managed care organizations, academic institutions, California correctional facilities, philanthropic and voluntary health agencies, and non-governmental organizations. To view the TUC Network of Community Health & HECJ Field Study Placement Sites, please refer to the Appendix. COURSE PREQUISITES To be eligible to begin the PHFS, students must have completed all MPH core and concentration-required courses. In addition, all new students are required to complete the following online course prerequisites: ■ Online Training Course on Professionalism for MPH Students provided by TRAIN.org ■ Cultural Diversity, Health Disparities, and PH Online Training provided by TRAIN.org STUDENT COHORTS The TUC Public Health Program is well-represented by a diverse student population consisting of: ➢ Independent MPH (IMPH) students enrolled in the MPH Degree Program. ➢ MPH Dual Degree students (Doctor of Osteopathic Medicine (DO)/MPH and Doctor of Pharmacy (PharmD)/MPH Dual Degree) who are concurrently enrolled in the colleges of Osteopathic Medicine (COM) and Pharmacy (COP). ➢ Joint Master of Science in Physician Assistants Studies (MSPAS)/MPH Students. Fact sheets for each degree program are available in the Appendix. STUDENT PLACEMENT BLOCKS IMPH Students: IMPH students who seek full-time PHFS placements are expected to complete 30-40 field study hours per week over a 12-week block (equivalent to 400+ hours) from mid-May to the last week of July during the summer academic session of Year 2. IMPH students may also complete the PHFS during the fall semesters from August to December or the spring semesters from January to April. Part-time Field Study Option:This option is available to IMPH students enrolled who need to maintain employment while enrolled in the Field Study course, and who are unable to complete a more than 20 field study hours per week. Part-time field study student interns may extend a field study to be completed over the course of two (2) consecutive field study terms (semesters or academic sessions) (20-24 weeks - equivalent to 400+ hours), in which they are expected to complete a minimum of 20 field study hours per week. After initial enrollment in the PHFS and partially their completing field study hours, part-time MPH student interns will receive a grade of INC (Incomplete) and will be required to register for the 0-Unit PBHC 600A Field Study Continuation course in the following semester to indicate "active MPH student status" and continue the PHFS. Once the student's field study has been successfully completed, the student's grade of INC will be changed to P (Pass). 7 Joint MSPAS/MPH Students: Joint MSPAS/MPH students are required to complete 30-40 field study hours per week over a 6-week block during the spring semester of Year 3 in the PA Program, which occurs between fixed dates (e.g., February 13 - March 24, 2023). Occasionally, these students may be allowed to complete the PHFS earlier beginning in the summer or fall terms of their final year. Note: Due to COVID-19, the Public Health Program facilitated early PHFS placements for the Joint MSPAS/MPH Class of 2023 beginning in Spring 2022. All CAH and HECJ students enrolled in this cohort have been matched with PHFS placement sites for the 2022-2023 academic year. The regular PHFS placement schedule for Joint MSPAs/MPH occurring in the spring of Year 3 will resume for the next cohort(the Class of 2024). MPH Dual Degree Students: MPH Dual Degree (DO/MPH & PharmD/MPH) students are expected to complete 30-40 field study hours per week over a 6-week block during the summer,fall, or spring terms of Years 3 or 4. Placement start/end dates for these students are not fixed and will vary. DO/MPH Dual Degree students:These students have a unique opportunity to utilize the field experience to satisfy two different courses in the two colleges in which they are concurrently enrolled: TUC CEHS PHFS and the College of Osteopathic Medicine (COM) DO Program Non-Clinical Clerkship or Research Elective Rotation. Students who pursue this opportunity are required to submit an Elective Rotation Application/Proposal, including the resume of their assigned PHFS preceptor, as supporting documentation to the COM Clinical Education Department. Upon obtaining acceptance for field study placements, DO/MPH students routinely request resumes from their assigned field study preceptors. Note: If you agree to mentor a dual degree student as a field study intern, please provide them your CV and/or resume as supporting documentation for their Elective Rotation Application/Proposal. Part-time Field Study Option: MPH Dual degree students may extend a field study to be completed over the course of two (2) consecutive field study terms (semesters or academic sessions—12 weeks), in which they are expected to complete a minimum of 20 hours per week. After initial enrollment in the PHFS and partially their completing field study hours, students will receive a grade of INC (Incomplete) and are required to register for the PBHC 600A Field Study Continuation 0-Unit course in the following semester to continue the PHFS. COURSE FORMATS Depending upon the needs of the placement site, students may complete fully in-person, blended/hybrid, or fully virtual placements. In-person (on-site) Format: All field study work must be conducted on-site under the supervision of the field study preceptor. All affiliated field study placement sites typically operate during normal business hours between Monday through Friday (8 a.m. to 5 p.m.); however, on occasion, students are requested by their preceptors to participate in special weekend (Saturdays and Sundays) events (e.g., meetings, or trainings sponsored by/affiliated with the placement site) as part of their field study projects. Students 8 must receive approval from their preceptors to complete field work hours on weekends at such events. Moreover, students are not permitted to complete field study hours on weekends by telecommuting or conducting field work from home. Specific work schedules are negotiated between the Preceptor and the Student. Virtual Format:All field study work must be conducted under remote supervision by the field study preceptor(s) and/or site supervisory team members. Students will be permitted to telecommute or work from home remotely during the Field Study while social distancing measures are in place.Specific work schedules are negotiated between the Preceptor and the Student. Blended/Hybrid Format: Students will need to arrange their schedules with their preceptors/sites to determine when they will be required to be on-site and working virtually. Student Daily Field Work Schedule:Typically, students are allowed to work up to a maximum of 8 hours per day in their PHFS placements. With lunch breaks additional break times, daily PHFS hours usually total to 7 to 7.5 hours. However, if a PHFS placement site utilizes a 10/40 work schedule, students may work up to a maximum of three 10-hour days per week during their PHFS placements. 9 V o V) c *� a (, L o v to O .L _ m ° � a a ru +, N I r+ L L > o � Y ) I p N 00 L s QJ Q) m .L T N aJ L N T N a (U Q) 0 i _0 >, � in aJ L — -0 -0a 5 L aJ -0 bDj Q O 41 O 4 cn Y lh j O CL rro Q O O 41 O O o p -a p v co > O bD 3 =5 E LF- 00 O lD N O N m E a L v L } ' CL ai Vl Q ro Q aJ � aJ 3 0 N N aJ �►- ro 3 0) +J o a, °� -co p E Lo 3 Ln a `o n }' 0 Z N E a E � � -� _0 N �I �I — E C ai L U N aJ A �- m > a) E a u > — 0 ro ra ro tw •E -p +, v i ro m v o a c o ca LL rt . 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C a —Oc Z a a LL a O $ 0 @ / E \ ¥ M � E § k ro 0 § 0 t o o 2 ® t u O 0 0_ +1 2 / o 0 tn® � \ � c 3 >- cu \ @ \ T 41 V, 4 LA § o E 7 / m o / o $ § $ 2 ~ � 3 I., in A7-�uucJ3 ® ƒ 41 q -0 $ t � a / ¥ ± § > ° § § E4.1 o o & o \ 0 k cu E 0 0 E 7 r o / 0 § § $ $ U R % O � � _ « k t! ° X & / U f 0 V 0 o J % § c o t c o ■ - 4D o 4- CU w G u in U § m o a. a E tA EL Ch iA e G LL 2 m § ■ 2 a.: 0 PHFS STANDARDS AND LEARNING EXPECTATIONS Standards for PHFS Sites: To qualify as a placement site, organizations must be registered with the Public Health Program using our online registration at https://tuc.col.qualtrics.com/ife/form/SV diOpZ2MWSSspZZz. In addition, all placement organizations must provide public health related planning, research and/or services and agree to: ➢ Provide access to staff and services necessary for educational training. ➢ Have one or more staff on-site with a graduate credential in public health or equivalent professional experience and education who will serve as a designated preceptor for student interns to direct and regular supervision throughout the placement (see Appendix for preceptor criteria). ➢ Offer opportunities for students to be exposed to a variety of organizational departments and individuals, functions and or tasks. ➢ Offer responsibilities to students that are relevant and appropriate to their individual field study learning goals and professional development. ➢ Provide students with a variety of experiences that are appropriate for full-time fieldwork that can be completed over 30-40 hours per week spanning 12 weeks for IMPH students and 6 weeks for MPH dual and joint degree students. ➢ Provide necessary access to data and program materials for students to complete their projects. ➢ Provide adequate organizational support and workspace for the students to the extent feasible and appropriate to the student's responsibilities allowing them to successfully complete field study activities during the period of placement. PHFS Preceptor Responsibilities: Our preceptors play a vital role in helping our students apply and integrate their academic knowledge to "real world" situations, projects or tasks while making meaningful contributions to a public health organization. Preceptors help to enrich the education of future practitioners in the public health field. Overall, preceptors are expected to provide supervision for the student and to ensure that assigned tasks meet not only the agency's needs, but to provide opportunities for the student's personal and professional growth. Preceptors should also serve as a liaison between field study site supervisors, project team members or staff, and the Field Study Coordinator. Preceptors are strongly encouraged to contact the Field Study Coordinator at any time if they have questions, and especially if any issues or problems should arise concerning the student's field study placement. Specific duties related to the student fieldwork learning objectives include: 12 a) A mutual agreement on a public health project and field study objectives for the student to pursue. b) Assisting the student in developing the scope of work and identification of competencies. c) Development of a work schedule based on mutually agreed upon objectives for the field experience. d) Ensuring that a project in which the student can carve out ownership of the process and outcome is provided. i. Review of policies and procedures with which the student is expected to comply. ii. Completion/signing of the Field Study Contract iii. Maintain accessibility to the student through a commitment to meeting with the student on a regular basis to discuss and critique the student's work and progress (at least once per week). iv. Encourage student to work independently while providing opportunities for data gathering and sharing information. v. Become involved with and foster the student's learning experience. vi. Evaluate the student's performance during and after the field experience via a scheduled site visit with the Field Study Coordinator or another Public Health Program faculty member and by completing the performance evaluation. Once a student has been matched for a field study placement, the preceptor will be requested provide information regarding the agency's clearance/onboarding requirements to the Public Health Program's Field Study Coordinator and student. PHFS Preceptor Checklists Below are checklists of responsibilities for preceptors: TUC PHFS Preceptor Checklist(In-Person Onsite Format) Before the Field Study Placement ❑ If possible, provide the Field Study Coordinator a description of the PHFS opportunity and the site's expectations and requirements for the intern position. ❑ Provide the Field Study Coordinator information regarding the organization's student intern onboarding requirements. ❑ Correspond or coordinate correspondence with the student to arrange a field study/internship interview. ❑ Meet with/interview the student. ❑ If possible, provide additional information that can help prepare the intern between the field study/internship acceptance date and Day 1 of their field study placement. 13 ❑ If possible, provide any guidance to facilitate the process of developing an affiliation agreement/MOU contract to support the partnership between agency and TUC. ❑ Sign/date and TUC Public Health Program Field Study Letter of Agreement (Short-Term Affiliation Agreement) in support of the student's placement (if applicable). During the Field Study Placement ❑ Assist in the orientation of the student to the agency's policies and procedures to help students obtain a sense of organizational culture. ❑Assist in the development of the student's learning objectives. During the first week of the field study placement,the student is required to work with the preceptor(s) collaboratively to complete: 0 A Scope of Work: Provides a work plan for field study projects focusing on core public health functions (e.g., disease surveillance, needs assessment, program planning, program evaluation, policy development, educational campaign, applied research) allowing them the opportunity to exhibit proficiency in areas such as program implementation, policy analysis, data collection, or data analysis 0 Competency Inventory:A set of competencies that will be addressed in the Scope of work 0 Field Study Contract between Student and Preceptor 0 Selected Dates for the Field Study Site Visit: This is a mid-point assessment conducted remotely or in-person. ❑ Meet with the student at least once a week to discuss their progress and provide feedback, updates, and directions for tasks or activities. ❑ Contact the Field Study Coordinator with any questions, issues, or concerns. ❑ Participate in a mid-point assessment via a Field Study Site Visit remotely or in-person. (Examples, templates, and guidelines for all the above can be made available upon request.) 14 At the End of the Field Study Placement ❑ Assist in the evaluation of students' learning and performance by completing the Online Preceptor Evaluation of the Student. TUC PHFS Preceptor Checklist(Distance-Based Virtual/Remote Format) Overview: • Provides a virtual public health internship that provides flexible and distance-based real world public health field experience. • Students can intern from wherever they are with a broadband or Internet connection and a phone. • Requires remote communication with preceptors, supervisors, and teams via video conferencing, email, phone calls, text messaging, and synchronized collaborative files (e.g., Google docs.) • Allows students to serve a community while contributing to important projects that call for additional resources, time, and support Before the Field Study Placement ❑ If possible, provide the Field Study Coordinator a description of the field study opportunity and the site's expectations and requirements for the intern position. ❑ Provide the Field Study Coordinator information regarding the organization's student intern onboarding requirements. ❑ Correspond or coordinate correspondence with the student to arrange a field study/internship interview. ❑ Conduct a field study/internship interview with the student. ❑ If possible, provide additional information that can help prepare the intern between the field study/internship acceptance date and Day 1 of their field study placement. ❑ If possible, provide any guidance to facilitate the process of developing an affiliation agreement/MOU contract to support the partnership between agency and TUC. ❑ Sign/date and TUC Public Health Program Field Study Letter of Agreement(Short-Term Affiliation Agreement) in support of the student's placement (if applicable). During the Field Study Placement ❑ Orientate student to host site remotely. 15 ❑ Assist in the orientation of the student to the agency's policies and procedures to help students obtain a sense of organizational culture. During the first week of the field study placement, the student is required to work with the preceptor(s) collaboratively to complete (please see attached zip file for examples): 0 A Scope of Work: Provides a work plan for field study projects focusing on core public health functions (e.g., disease surveillance, needs assessment, program planning, program evaluation, policy development, educational campaign, applied research) allowing them the opportunity to exhibit proficiency in areas such as program implementation, policy analysis, data collection, or data analysis 0 Competency Inventory:A set of competencies that will be addressed in the Scope of work (please refer to the competencies contained in the attached zip file) 0 Field Study Contract between Student and Preceptor (see attached zip file) 0 Selected Dates for the Field Study Site Visit:This is a mid-point assessment conducted remotely via phone or videoconference (see attached zip file). ❑ Communicate with the student via video conferencing, email, phone calls, text messaging, and synchronized collaborative files (e.g., Google docs). ❑ Meet remotely with the student at least once a week to discuss their progress and provide feedback, updates, and directions for tasks or activities. ❑ Contact the Field Study Coordinator with any questions, issues, or concerns. ❑ Participate in a mid-point assessment via a Field Study Site Visit via phone or video conference. 16 At the End of the Field Study Placement ❑ Assist in the evaluation of students' learning and performance by completing the Online Preceptor Evaluation of the Student. Student Responsibilities: It is the student's responsibility to complete all deliverables and meet all deadlines outlined in the syllabus and course calendar. Students are responsible for the course competencies presented. Students are also responsible for checking Canvas regularly for changes to the schedule and syllabus and other announcements. Students are responsible for understanding and following class policies. In return for the commitment of the organization, the student has a responsibility to the organization. The PH Program expects students to behave professionally and develop a commitment to the organization and to their life- long professional development. Students must agree to: • Adhere to TUC's Student Code of Conduct Policy and maintain an acceptable standard of professionalism at all times during the Field Study (see Appendix for Professional Code of Conduct for MPH Students). • Communicate directly with the Field Study Coordinator immediately should any changes, issues, or problems arise that may delay or interrupt their field study placement. • Participate setting goals for their own learning. • Develop the scope of work and completes a competency inventory with assistance from the preceptor and feedback from the Field Study Coordinator. • Return completed forms (Scope of Work, Competency Inventory and Field Study Contract, Selected Site Visit Dates Form). • Perform assignments and activities identified in scope of work, seeking assistance from the preceptor, other agency staff or the faculty advisor when needed. • Maintain contact with the advisor during placement. • Assess the extent to which the field experience has met their needs by preparing a written Field Study Report and completing other assignments required by the field experience. • Complete an evaluation of Field Study via an online survey within one week of the final field study end date. • Depend on the student's degree program,fulfilling the requirement of 6 or 10 to 12-week field study placement (30-40 field study hours per week). • Complete academic work and assigned papers relating to their internship. • Behave in an ethically and morally professional manner. • Perform professional quality work; and • Conduct themselves consistent with the values of the organization. Public Health Program Responsibilities 1. Preparation and Professionalism: The Program will adequately prepare the student for the public health field experience both academically and administratively. In addition, the Program will ensure that all students sign a professional code of conduct. Professional attributes are considered to be part of the academic performance of MPH students, which include honesty and integrity, 17 leadership, excellence and continuous improvement, ethical practice and public accountability, life- long learning and competency, respect for diverse individuals and organizations, the ability to work effectively with others in a team environment, follow through on commitments, take and give constructive feedback, follow directions, accept responsibility for own actions. Students are expected to demonstrate the legal, moral, and ethical standards required of a public health professional and display behavior that is consistent with these qualities. Among the characteristics included in this context are the knowledge, competence, demeanor, attitude, appearance, mannerisms, integrity, and morals displayed by the students to faculty, staff, preceptors, peers, members of the public, colleagues in public health and other settings. The Program expects nothing short of respect and professional demeanor at all times. The Program will also provide all students guidelines on resume/curriculum vitae and interviewing with field study preceptors. 2. Course Prerequisites:The Program will require all new students to complete an Online Training Course on Professionalism for MPH Students provided by TRAIN.org, the premier learning resource for professionals who protect the public's health. A free service of the Public Health Foundation, www.train.org is part of the newly expanded TrainingFinder Real-time Affiliate Integrated Network (TRAIN). More information on the course is available through the Public Health Training Centers/US Department of Health and Human Services, Health Resources and Services Administration. The course is sponsored by the Wisconsin Center for Public Health Education and Training (WiCPHET). 3. Assignment: The Program will be responsible for assigning students to sites that will provide a quality learning experience. 4. Objectives: The Program will provide field study learning objectives. Students and preceptors will be required to evaluate compliance with these learning objectives. 5. Affiliation Agreements: The Program will develop affiliation agreements with public health practice sites (see Appendix for templates of these agreements). 6. Insurance: The Program will assure that all students have current liability Insurance as defined below: TUC shall procure and maintain in force during the term of this Agreement, at its sole cost and expense, insurance in amounts that are reasonably necessary to protect TUC and Institution from and against liability arising from or incident to the use of the Facilities by TUC students participating in the Program. Coverage under such insurance shall not be less than One Million Dollars ($1,000,000) for each occurrence and Three Million Dollars ($3,000,000) in the aggregate each for professional liability insurance and comprehensive general liability insurance. TUC shall provide Institution with a certificate of insurance evidencing the insurance coverage required under this Article VII. TUC shall further ensure that not less than thirty (30) days notice shall be provided to Institution of the cancellation of such insurance. TUC shall promptly notify Institution of any 18 cancellation, reduction, or other material change in the amount or scope of any coverage required hereunder. The Program will also assure that all students have current health insurance. 7. Student/Intern Onboarding Requirements:The Program will ensure that students take the necessary steps to satisfy all required onboarding requirements (e.g., completion of forms/paperwork, health and immunization documentation, security scans/background checks, and drug testing/toxicology screenings) well before their field study start dates. 8. Grading: The Program will be responsible for assigning a final grade to each student. 9. Issues or problems: The Program will interact with preceptors and be available to address any issues, problems, or concerns of the student or the preceptor. Should any problems arise at the placement site and there are indications of breaches of professionalism by the student, the Field Study Coordinator will immediately intervene to facilitate a resolution. If the student has demonstrated unprofessionalism in their field study and a resolution is not possible allowing the student to continue their placement, they may be placed on academic probation and sent to the Academic Probation Committee. The Program retains the right to remove a student from a rotation. THE PHFS MATCHING PROCESS Step 1.The Field Study Coordinator will work to facilitate the placement process by matching the student's skills, qualifications, public health interests, and geographic location preference (within the TUC Network) with the requirements of existing affiliated placement sites.The Coordinator will provide preceptors student cover letters and resumes for review and consideration for an interview. Step 2. A match is made and confirmed once a preceptor has confirmed that they would like to proceed with interviewing the student who has been informally recommended. At that point, an official PHFS placement match recommendation letter is emailed to the student and preceptor.The official placement recommendation letter and email communication to the student will clearly state that it is the responsibility of the student to contact the site preceptor or coordinator to confirm, secure, and finalize their placement. It is important to note that a match recommendation from the Field Study Coordinator does not necessarily guarantee a placement. In most cases, students are required to interview with the site preceptor or coordinator to secure their field study placements and preceptors make final decisions to accept a student for a placement post interview. In addition, the email correspondence will emphasize that the placement site may require agency clearance or student onboarding requirements, such as security scans or drug testing and direct students to ensure that all preliminary requirements are satisfied one to two months prior to the field study start date. Placement match recommendation letters provide details on the course and fieldwork format and includes information and instructions for completing the field study deliverables, as well as a placement confirmation form to be completed and submitted by the student. 19 Step 3. Once the student field study placement has been confirmed by the preceptor/site, a contractual agreement or memorandum of understanding (MOU) or a short-term affiliation Letter of Agreement (LOA) with TUC will be prepared by the Field Study Coordinator to be signed by the two parties:The program/university and the placement site agency/organization. In some cases, a third-party signature is required of the student as part of the PHFS agreement.To develop field study placement partnerships with public health practice agencies and organizations, the Public Health Program utilizes both informal and formal institutional agreements. Informal institutional agreements are completed through short affiliation LOAs allowing placements for one student at a time during specific time periods throughout a semester (summer/fall/spring). An LOA must be generated for each student individually. Formal affiliation agreements or MOUs allow placements for multiple student placements during the length of the agreement, renewable after 5 years, affirming that parties will both benefit by making an experiential learning experience available to TUC students at the Agency or Organization. (Templates for both types of agreements are available upon request.) Step 4.The Community Health Field Study Emergency Protocol has been designed to prepare for and facilitate rapid response to emergencies which may arise during the Field Study. Although no single plan or protocol can address all contingencies, Touro University California (TUC) recognizes the importance of establishing, in advance, policies and procedures to safeguard the welfare of students during their field study placements at affiliated community health field study sites. Preceptors will be required to sign the Emergency Protocol Statement of Understanding prior to the start of a student's placement.These forms will only need to be signed once by a preceptor and will be maintained in our office records. Please see Appendix for the Emergency Protocol and Incident Report Form. PLACEMENT POLICIES 1) Students are required to notify the Field Study Coordinator immediately if they become aware of any changes, issues, or problems that may delay or interrupt their field study placement. If for some reason a student is not accepted for a recommended field study placement or is unable to begin a recommended placement or continue a confirmed placement due to events or circumstances beyond their control, the Field Study Coordinator will assist the student in finding an alternative placement based on site availability, the student's experience/qualifications, and location preference. 2) If a student declines to accept a recommended field study placement well before the placement start date due to changes in their public health interests or preference in placement site or geographical location, the Field Study Coordinator will assist the student in securing up to a maximum of one (1) additional field study placement. 3) If a student fails to follow up on a second recommended placement, they will be responsible for independently securing their own field study placement at another site by completing the application process detailed in the EXECEPTIONS section of this handbook. Further, if there is any indication that the student has committed a breach of professionalism resulting in a failed placement, the student may be placed on academic probation and sent to the Academic Probation Committee. 20 4) Cancellation requests for any confirmed field study placement initiated either by the Field Study Coordinator or the Student must be submitted to the Field Study Coordinator no later than 5 weeks prior to the student's intended field study start date.There is no guarantee that requests to cancel confirmed placements received after the 5-week cutoff will be approved.Students must be aware that cancellations can be extremely disruptive to the field study placement process and to the existing partnerships between the Public Health Program and field study placement sites and preceptors. Failure to comply with designated deadlines may result in a delay in a student's graduation. Again, if there is any indication that the student has committed a breach of professionalism resulting in a failed placement, the student may be placed on academic probation and sent to the Academic Probation Committee. 5) If a student chooses not to begin their confirmed field study placement that has been initiated either by the Field Study Coordinator or the Student, or ceases conducting their field study after beginning a placement that has been initiated either by the Field Study Coordinator or the Student, and their actions constitute a breach of professionalism,the student may not be eligible for a second placement recommendation from the Field Study Coordinator during that same semester or in subsequent semesters. Further, in such cases, students will be sent to the Academic Probation Committee.This policy applies to placements that have been initiated and confirmed either by the Field Study Coordinator or the Student. 6) With the exception of faculty with dual appointments with at Solano County (e.g., Drug Safe Solano (DSS) and TUC Diabetes Research, Education, and Management Team-includes MOBEC,Vallejo/Solano County, CA(DREAM Team), and special boards,TUC faculty cannot serve as field study preceptors. STUDENT INTERN ONBOARDING REQUIREMENTS The Program ensures that all student interns fulfill certain agency clearance or onboarding requirements prior to beginning their field study placements, which may include completion of forms/paperwork, health and immunization documentation/screening, security scans/background checks, and drug testing/toxicology screenings. TUC processes background checks for its students. In addition, all dual and joint students are required to satisfy requirements (health and immunization documentation/screening, security scans/background checks, and drug testing/toxicology screenings) routinely prior to beginning rotations for their clinical programs. PHFS EXCEPTIONS & WAIVERS Application for Placements at Unaffiliated Community Health & HECJ Field Study Sites:This application is required for students who wish to independently develop their own field study placements at unaffiliated sites (alternative public health agencies or organizations outside the existing TUC Network). Requests for such exceptions must undergo a vetting process requiring the Student's application to be evaluated by the Program Director and Field Study Coordinator. 21 Approval Criteria:The prospective site must meet the Program's criteria to be approved as a PHFS placement site. Further, TUC and the Public Health Program must also meet the criteria of the proposed site required for affiliation, partnership, and/or collaboration per the PHFS Site Eligibility provided on page 14. Student Requirements: 1. Students who identify potential public health practice entities as prospective Community Health & HECJ field study sites are advised to review the following sections in course syllabus at https://docs.google.com/document/d/leLVt9N 5bdZPK- S2crRhzlWugpZcfuUZHtRhlhCOxM/edit?usp=sharing a. Course Overview b. Course Learning Objectives c. PHFS Competencies 2. Students are required to provide the PHFS Preceptor Handbook to their prospective preceptor/sites to share the following information which includes: a. Public Health Program Info Sheets and the Invitation to Prospective Sites to Develop PHFS Preceptorship Partnerships with TUC b. Course Overview, Learning Objectives, PHFS Competencies,the Role of Community Partnerships c. Guidelines for PHFS Sites & Preceptors, PHFS Standards and Learning Expectations for sites, students, and the Public Health Program, Preceptor Responsibilities, and Preceptor Checklists d. PHFS Placement Timelines, Policies and Matching Process e. The web link for Online Registration for New PHFS Placement Sites for proposed sites and preceptors so that they may post their site/preceptor information, proposed PHFS projects, available learning objectives, research opportunities, onboarding requirements, etc. 3. Students are required to review the Approval Criteria for Placement at Unaffiliated Community Health & HECJ Field Study Sites and submit an Application for Placement at Unaffiliated Community Health & HECJ Field Study Sites by specified deadlines. 4. Students who plan to independently seek and establish their own field study placements at sites outside the TUC Network of Community Health Field Study Placement Sites must also complete the Online PHFS Planning Form, submit a resume to the Field Study Coordinator, and complete the course prerequisites. 22 Formal Requests to Apply Current Professional Public Health Employment to the Community Health/HECJ Field Study: Independent MPH students who are currently employed at local public health practice agencies and organizations (for less than three continuous years) while enrolled in the Public Health Program may be permitted to apply their current professional public health employment towards the PHFS. The agency/organization must be approved by the Public Health Program as an appropriate field study site and the projects to which the student employee is assigned must provide a Scope of Work that meets the criteria of the Public Health Program. Students are required to submit a formal request to the Field Study Coordinator for approval to apply their current professional public health employment towards the PHFS. All requests are subject to review by committee and must be approved by the Program Director and Field Study Coordinator. Unaffiliated Paid Internships:The Public Health Program does not manage paid internships. The majority our affiliated placements sites currently offer non-paid internships. Occasionally, a small number of affiliated sites may have available funding to provide stipends for student interns. Students who are interested in paid internships are strongly encouraged to seek out paid internships at public health practice agencies/organizations independently. Seeking paid internships is a process similar to job search for positions at public health organizations. Students who wish to apply a paid internship to the PHFS for academic credit, must have completed all core and Concentration-required courses prior to beginning their paid internship. Requests for paid internships to satisfy the Field Study must be approved by the Program. In addition, paid internships selected for the field study course must permit MPH students to complete 30-40 field study hours per week over a minimum of 10-12 weeks and MPH dual or joint students to complete 30-40 field study hours per week over a 6-week period. Students are motivated to apply a paid internship at unaffiliated sites to the PHFS for academic credit must submit a formal request to the Field Study Coordinator at least one month prior to the planned field study/internship start date. The Field Study Waiver(Criterion I): MPH students who can verify previous public health employment of three years of continuous, paid, public health employment prior to enrollment in the MPH program may be eligible for a waiver that would allow them to complete 30-40 field study hours per week over the course of 6 weeks reduced from 12 weeks. (Clinical experience involving individual patient care or health facility administration is not considered relevant public health experience.) 23 Relevant public health experience must include involvement in at least one of the following activities: ➢ Assessing, monitoring, or conducting surveillance of health conditions or delivery of services in a population. ➢ Establishing public health objectives and priorities. ➢ Conducting basic or applied research on population-based health problems including the behavioral, biological, or environmental risk factors; or ➢ Designing, implementing and/or evaluating policies and/or intervention strategies/programs. To apply for this waiver, students are required to submit a separate a 2 to 3-page (single-spaced) narrative describing relevant public health work experience, including: • Description of specific duties performed. • Discussion of the impact or relevance of the experience to public health, highlighting knowledge, theories and concepts covered in MPH coursework • List of skills/competencies gained in the experience (see MPH general and Concentration specific competencies specified in the MPH Learning Outcome Inventory; and • Reference/contact person (preferably someone who supervised you) so that employment/involvement with the agency can be verified. In addition, students are required to submit the Application for the Field Study Waiver(Criterion 1)to Field Study Coordinator, Nemesia Kelly, via email to nkelly@touro.edu. Applications are due at least 4 weeks prior to registration in the PHFS. Applications are subject to review by committee and all waivers must be approved by the Program Director and Field Study Coordinator. Students will be contacted by the Field Study Coordinator within two to three weeks with a decision. Decisions of the Committee are final. Upon approval of this waiver, students will register for the Field Study for 4 or 6 units. If students who receive this waiver elect to complete a longer field study placement between 7-12 weeks,they are expected to dedicate a minimum of 20 hours per week over the course of one semester or academic session. The Field Study Waiver(Criterion II): Independent MPH students who have completed all MPH core and Concentration-required courses and who can verify enrollment or intent to enroll in any non-TUC (outside of TUC) accredited four-year medical or pharmacy school, or Master of Science in Physician Assistant Studies program, may be eligible for a field study waiver that would allow them to complete 30-40 field study hours per week over a minimum of 6 consecutive weeks. To apply for this waiver, students shall provide transcripts,verification of admission and intent to enroll, or any other supporting documentation transcripts confirming enrollment or matriculation in a non-TUC accredited four-year medical or pharmacy school, or Master of Science in Physician Assistant Studies 24 program to the Public Health Program. Student who are eligible for this waiver will be required to transfer two units from their clinical program. In addition, students are required to submit the Application for the Field Study Waiver(Criterion II). Applications are due at least 4 weeks prior to registration in the PHFS. All applications are subject to review by committee. All waivers must be approved by the Program Director and Field Study Coordinator. Students will be contacted by the Field Study Coordinator within two to three weeks with a decision. Decisions of the review committee are final. Upon approval of this waiver, students will register for the PBHC 600-4 (4 units). If students who receive this waiver elect to complete a longer field study placement between 7-12 weeks, they are expected to dedicate a minimum of 20 hours per week over the course of one semester or academic session. MEANS FOR EVALUATING STUDENT PERFORMANCE PHFS Course Deliverables: All documents, forms, and instructions required for completing all field study deliverables listed below, including the MPH Student Field Study Handbook, are available in the Appendix or on the Canvas course site. Students are expected to complete the following required course deliverables. IMPORTANT. Group work will not be accepted.Although, two or more students can be placed simultaneously at the same site and with the same preceptor; each student is ultimately responsible for completing and submitting their own work. 1. Scope of Work:The scope of work provides the framework for the field study, by ensuring that the student and preceptor have a clear understanding of this planned experience. Students must work with their preceptors to generate a Scope of Work that describes a set of measurable objectives, activities, a timeline, outcome indicators for each objective, and work products: a. For the template and instructions for completing the Scope of Work, see Appendix. b. Although, this is a collaborative process between student and preceptor, it is the ultimately the responsibility of the student to compose the Scope of Work. c. The Scope of Work is due one week after the placement start date via Canvas. 2. Competency Inventory Form:This form ensures the integration of didactic coursework with public health practice. a. For the form and instructions, see Appendix. b. Although, this is a collaborative process between student and preceptor, it is the ultimately the responsibility of the student to compose the Competency Inventory. b. Students will be evaluated to determine their level of mastery of the selected competencies upon the completion of the PHFS. c. The Competency Inventory Form is due one week after the placement start date via Canvas. 3. PHFS Contract:This contract must be signed by the preceptor and the student acknowledging an agreement for the student to work and complete agreed upon objectives as negotiated between the student and preceptor. 25 a. See Appendix for this form. b. The PHFS Contract is due one week after the placement start date via Canvas. 4. PHFS Site Visit:The site visit is a mid-point assessment which provides the faculty advisor, the preceptor, and the student an opportunity approximately halfway through the PHFS placement to discuss and evaluate the student's progress and to gather instructive feedback to the faculty advisor. a. See Appendix for this form. b. During the first week of the field study placement once the preceptor has signed the Field Study Contract, the student is responsible for working with their preceptor to select 3-4 possible dates/times that occur midway through their field study placement on which to schedule the site visit. c. A minimum of 30 minutes should be allocated for each site visit(15-minute separate meetings are required with the student and the preceptor). d. Site visits may be held in-person, by phone, or video conference. e. Students are required to provide possible site visit dates/times using the Selected Dates for Field Study Site Visit form which must be signed by both student and preceptor. d. This form is due one week after the placement start date via Canvas. S. PHFS Reflections. Students will be required to summarize what they learn each week, what went well, any challenges or highlights, and any areas in which they plan to improve. This assignment is also designed to help students begin gradually writing the final report required for the course over several stages. a. Students must submit weekly reflections via Canvas every two (2) weeks. 6. PHFS Report: The purpose of this assignment is for the student to: a. demonstrate application and integration of the skills and knowledge acquired through the didactic and practical components of the MPH Program to public health practice. b. demonstrate proficiency in and ability to integrate the core public health principles and material learned in MPH program. c. demonstrate proficiency core and concentrations competencies and in areas relating to the Program's MPH concentrations. d. determine aptitude for applying this knowledge to issues the student may confront as a future public health professional ■ PHFS Report- Part I: Part I is a comprised of the Field Study ePortfolio, which is a summary of the student's field experience utilizing digitized collections (e.g.,text-based, graphics, archived multimedia elements, such as photos, PPT slides, audio or voice recordings, websites, web links, and other electronic media to provide a virtual representation of the student's public health field work). To see examples of past PHFS ePortfolios, click the links below: 26 ■ PHFS ePortfolio Example#1 ■ PHFS ePortfolio Example#2 ■ PHFS ePortfolio Example#3 ■ PHFS ePortfolio Example#4 ■ PHFS ePortfolio Example#5 ■ PHFS ePortfolio Example#6 ■ PHFS ePortfolio Example#7 a. The Program requires students to whenever possible obtain permission from their site, preceptors, and supervisors using the TUC media release forms (see Appendix) to document their field work experiences. This documentation can include digital photographs of public health in action at placement sites such as, daily project activities, agency-sponsored events or meetings, administrative supervisory team members, agency staff, or the general appearance of the site location (e.g., landscape, scenery, surroundings). We encourage students whenever possible to provide photos of themselves in the professional practice setting, their preceptors, team members, or agency staff. b. Part I is due at the end of the placement (exact due dates will vary). PHFS Report- Part II: This deliverable is required for all students who: d. HAVE NOT elected to conduct, write, and present an MPH capstone project that has been approved. e. HAVE passed or plan to take the Certified in Public Health (CPH) Exam to satisfy the MPH Culminating Experience in lieu of the MPH Capstone Project. PHFS Report- Part II Description • This deliverable is required for all students who: HAVE NOT elected to conduct,write, and present an approved MPH capstone project; and HAVE passed or plan to take the Certified in Public Health (CPH) Exam to satisfy the MPH Culminating Experience in lieu of the MPH Capstone Project. As a practice-based project, Part II of the PHFS Report is designed to provide students the opportunity to demonstrate a sophisticated and thorough grasp of public health concepts, appropriate public health interventions, program evaluation techniques that are relevant to their field study placement site's strategies to promote and protect the health of their communities. To satisfy Part II, students must produce a high-quality written product that is appropriate for their educational and professional objectives. Ideally, the written product is developed and delivered in a manner that is useful to external stakeholders. Part II ensures that the experience addresses the 27 selected foundational and concentration-specific competencies. Examples of this high-quality written products completed as an activity of the field study experience are listed below: Traditional High-Quality Written Product:A Proposed Program Evaluation Plan (Actual or Mock/Model) Historically, this course has required students to complete a proposed program evaluation plan (actual or mock/model) to satisfy Part II. The program evaluation plan proposal is most frequently selected as the top choice by most students to satisfy Part II. The program evaluation plan addresses the main public health problem or issue identified and addressed in one discrete component or project of focus in the field study experience. Students may be requested to produce a program evaluation plan as part of their field study activities or tasks, which can satisfy Part II. Moreover, a variety of public health programs, projects, or interventions are provided by many of the PHFS sites which offer students many options from which to pick and choose to write a proposed program evaluation plan. Thus, this option is often the most readily available and convenient way for students to fulfill this course requirement. IMPORTANT: The proposed program evaluation plan is the exact same assignment that all students complete during the didactic phase in the Program Evaluation and Needs Assessment course(PBHC 647). Actual and Mock/Model Proposed Program Evaluation Plans Defined: 1. An Actual Program Evaluation Plan Proposal: If the student's field study project requires them to complete an evaluation plan as part of the student's field experience,they may utilize that actual plan to satisfy requirements for Part II of the Field Study Report. IMPORTANT: The evaluation must include Sections 1-14 (see below). 2. A Mock or Model Program Evaluation Plan Proposal: If the field study project does not require the student to complete an evaluation plan, identify a project in process to offer a program or intervention currently in operation at the placement site for a mock proposed evaluation plan. IMPORTANT: These are plans that students are proposing. It is not a requirement that they be engaged in actual data collection or analysis for the site's programs or interventions to write a proposed program evaluation plan. If the site does not run any programs or interventions focused on the main public health issue addressed in the PHFS placement, they must propose a program or intervention that is designed to address that issue and develop a mock or model evaluation plan. See the following example: ■ Public Health Issue Addressed in the Field Study:Injuries among older adults in assisted living facilities due to falls ■ Potential Program or Intervention Proposal. Classes or workshops providing a curriculum with the goal of improving and/or maintaining mobility and independence, learning, and using health information focused on falls reduction and other health-related behaviors among older adults ■ Model Evaluation Plan:Evaluation Plan for Falls Prevention Education Curriculum Delivered by the (Name of Site/Organization). ■ Note: This is the same process all students follow to complete the evaluation plan assignment in the Program Evaluation and Needs Assessment course (PBHC 647). 28 2.Alternative High-Quality Written Products The alternative high-quality written products featured below may be approved to satisfy Part II of the PHFS Report in lieu of a proposed program evaluation plan. These products are considered to be useful to external stakeholders as well as to the PHFS sites where students have completed their field experiences. Students who choose this option are required to notify Prof. Kelly no later than midway through their PHFS placements (see Canvas course site) using the Qualtrics survey at: https://tuc.col.qualtrics.com/ife/form/SV bigTH4nPrp6HZNs Please note: Rubrics are not available for the following types of alternative high-quality written products. Approval will be determined by the course instructor and the MPH Concentration Chairs. ■ Draft article for journal publication, which includes a systematic or scoping literature review, research analysis, and analytic essays (please visit https://aiph.aphapublications.org/authorinstructions/formats to review manuscript formats) ■ Policy statement(see American Public Health Association (APHA) guidelines at https://apha.org/- /media/files/pdf/policy/author guidelines.ashx?la=en&hash=630F325DF031F1309D4E4AA79D9F97 0069AFBD88 and a policy statement example at https://www.astho.org/About/Policy-and-Position- Statements/Adverse-Childhood-Experiences-Policy-Statement/ ■ Legislative testimony with accompanying supporting research, etc. Part II is due at the end of the placement via Canvas (exact due dates will vary). 7. Preceptor Evaluation: Student performance during the field study will be evaluated by the site preceptors to document students' demonstration of public health competence in a public health setting. a. This information is collected via an online survey. b. Students are responsible for meeting with their preceptors to ensure that this evaluation is completed. c. Students are required to email nkelly@touro.edu one week prior to their placement end date to request this survey. d. Preceptors will receive this survey link via email directly from the Field Study Coordinator. e. This survey must be completed by the end of the student's placement (exact due dates will va ry). 8. Student PHFS Site Evaluation: Students are required to evaluate their PHFS placement preceptor/site and the PHFS course/instructor. a. The link to this survey is available on Canvas. b. This survey must be completed by the end of the student's placement (exact due dates will va ry). 9. MPH Student Exit Survey: Students are required to complete an online exit survey: a. Students are required to email nkelly@touro.edu one week prior to their placement end date to request this survey. 29 b. This survey must be completed by the end of the student's placement (exact due dates will vary). PHFS GRADING The PHFS is a Pass/Fail course. Grades are based on the following measures: PHFS GRADING SCALE Deliverable Percentage of Grade Scope of Work&Competency Inventory/ PHFS Contract/Selected Dates for Site Visit/PHFS Student 10% Surveys PHFS Reflections 10% Preceptor Evaluation 30% PHFS Report 50% Generally, final grades are submitted via TouroOne within 10 business days after the last day of classes of each semester or academic session. 30 APPENDIX TABLE OF CONTENTS • Placement Planning Timeline................................................................................................ 33 • IMPH Program Fact Sheet..................................................................................................... 35 • Joint MSPAS/MPH Program Fact Sheet.................................................................................38 • DO/MPH Dual Degree Program Fact Sheet...........................................................................40 • PharmD/MPH Dual Degree Program Fact Sheet...................................................................42 • Invitation to Develop a Field Study Partnership with TUC.....................................................44 • Guidelines for Field Study Sites&Preceptors.......................................................................46 • Preceptor Checklists..............................................................................................................48 • PHFS Preceptor Criteria......................................................................................................... 51 • Application for Placements at Unaffiliated Sites........................................................................52 • Formal Requests to Apply Current Professional Public Health Employment to the Community Health/HECJ Field Study..................................................................................................................55 • Formal Request To Apply Paid Internships To The Public Health Field Study......................... 57 • PHFS Waiver(Criterion 1)Application...................................................................................60 • PHFS Waiver(Criterion 1)Approval Criteria .........................................................................62 • PHFS Waiver(Criterion 11) ....................................................................................................63 • Template for Affiliation Agreement......................................................................................65 • Template for Short-Term Affiliation Field Study Letter of Agreement..................................72 • Professional Code of Conduct for MPH Students..................................................................76 • Community Health Field Study Emergency Protocol.............................................................78 • Community Health Field Study Emergency Protocol Statement of Understanding..............83 • Field Study Incident Report form..........................................................................................84 DOCUMENTS, FORMS,AND TEMPLATES FOR PHFS DELIVERABLES 87 1. PHFS Calendar.........................................................................................................................88 2. Instructions for Completing the Scope of Work......................................................................89 3. Scope of Work Template.........................................................................................................91 4. Competency Inventory Form..................................................................................................102 5. Competency Examples ...........................................................................................................104 6. PHFS Contract Form............................................................................................................... 111 7. Selected Dates for Field Study Site Visit Form....................................................................... 112 8. 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We are dedicated to reducing health disparities in local and global communities with an unwavering focus on social justice. The mission of the Public Health The Master of Public Health The MPH Degree program requires Program at Touro University California (MPH)Degree at TUC trains 42 units of study: Core Public Health Courses(19 units) (fUC)is to promote the health and Students to become leaders in .Environmental Health Sciences well-being of local and global addressing the current and -Social and Behavioral Sciences *Health Policy and Management communities through education, emerging public health .Biostatistics service,and research with challenges of populations locally -Epidemiology •Program Evaluation a focus on underserved populations. and globally. *Research Methods This mission is achieved by employing a Concentration Courses(e units) multidimensional program of study We are accredited by the Council Culminating Experience Courses(7 units) that combines a broad public health on Education for Public Health •Field Study -Capstone Project or Certified in base with training in three specialty (CEPH),which indicates program Public Health Exam Preparation concentrations: quality. Certain professional (Exam odministered by Notland Bornd of Public He lth Fxcrnlw ) -Community Action for Health positions and fellowships are only Breadth Courses(10 units) There are variations in requirements for -Global Health open to those with degrees from students In the TUC Joint Degree MPH/ MS PhSnician Assistant Studies program and students -Health Equity&Criminal Justice CEPH-accredited programs. in the Dual Degree MPHiDoctorofOsteopathic Medicine or Doctor of PharmaW programs. TUC PUBLIC HEALTH PROGRAM IS ACTIVE! Center for Global Health Research:Interdisciplinary global health research to inform evidence-based global health practice. Center for Community-based Research:Collaborations with local organizations to promote community health and well-being. Center for Workforce Development:Support the professional development of the public health woriaforce. Wilderman Hall 1 1310 Club Drive I Vallejo,CA 94592 35 Master Health 111 `Y Public Health Program 707.638.5838 1 publichealth@tu.edu I http-.Ilcehs.tu.edu/publichea(th/ TOURO UNIVERSITY C A L I F 0 / 4TbT 7 cK.E 3TZ C t " IN COLLABORATION WITH L _ Govt.or Nopol,Ministry of Hoalth I, _ Rotary International Nepal concer Rellef 50clely Our Student Body is diverse: The COMMUNITY ACTION FOR HEALTH concentration prepares 54%of MPH students belong to racial/ students to respond to the health needs of communities,especially those ethnic minority groups and 30%are the first in their families to graduate from college. communities that face unique vulnerabilities.Through course worfz and field study students are prepared to address factors that negatively Field Study Sites: influence health and promote those that are health-enhancing. Over 60 domestic sites including: *Public Health Departments of Specialized courses for students in this concentration include Social Solano and Contra Costa Counties Inequities in Public Health and Community Health Promotion. *Planned Parenthood •San Quentin State Prison •Kaiser Permanente The GLOBAL HEALTH concentration prepares students to be global Sites in Bolivia,Cambodia,Ethiopia, health professionals and agents of change. The curriculum reflects the Nepal&Uganda include: realities of health around the world and the linlgs between countries at +African Community Center for Social Sustainability different stages of economic development.Students gain an +Center for Molecular Dynamics +Khana HIV Prevention understanding of the challenges and the complexity of solutions through +University Mayor de San Andres field study and specialized courses Essentials of Global Health and Breadth Course Options Include: Emerging Health Threats. *Public Health Law *Public Health in Times of Conflict HEALTH EQUITY&CRIMINAL JUSTICE is a new emphasis in the Public •Maternal&Child Health *Geographical Information Systems Health Program designed to address the impact of criminal justice •Qualitative Research Methods involvement and incarceration on the health of individuals,families and Admissions Requirements communities.Students gain an understanding of the needs of these For more detail see TUC Admissions page: populations through field study and specialized courses including http://odmissions.tu.edu/mph/Admit[MPH.html Criminal Justice and Public Health. ✓ 250 minimum GPA Apply to the TUC Public Health Program through ✓ 3 letters of recommendation ✓ No GRE required Schools of Public Health Application Service ✓ 2018-19 Tuition:$880/unit (SOPHAS): www.sophas.org Change your communitiy....change your world! 36 © JOINT MASTER OF SCIENCE IN PHYSICIAN ASSISTANT STUDIES / TOURO UNIVERSITY MASTER OF PUBLIC HEALTH C A L I P O R N I A PREPARE FOR YOUR PA CAREER AT TOURO! The Physician Assistant Profession Physician Assistant and Public Health- Physician Assistants(PAs)are health care professionals licensed Complementary Professions to practice medicine with physician supervision.PAs work in The Joint Programprovides training in clinical,preventative,and primary care,specialty and sub-specialty practice and in both health prvmotionfoundations and is committed to fostering the outpatient and inpatient settings.As part of their comprehensive students'critical thinking and clinical reasoning necessary to be a responsibilities,PAs conduct physical exams,diagnose and treat competent clinician These elements will prepare a future health illnesses,order and interpret tests,counsel on preventive health workforce to tunderstand that the wellness of one individual is care,assist in surgery,and write prescriptions. linked to the wellness of their communities. Within the physician-PA relationship,PAs exercise autonomy in Mission medical decision making and provide a broad range of diagnostic Through the integration of the Physician Assistant and Public and therapeutic services.A PXs practice may also include educa- Health disciplines,the mission of the Joint MSPAS/MPH tion and teaching,research,and administrative services. Program is to: 1)train quality PAs to work with underserved populations, 2)recruit applicants from these communities or individuals with a demonstrated interest in serving these communities,and 3)increase access to care for underserved populations Curriculum The Joint MSPAS/MPH Curriculum is an integrated,graduate- level curriculum that consists of instruction and clinical experiences in both the medical and public health disciplines.The program is 33 months in length(8 academic semesters)in which the first four semesters are didactic(pre-clinical and public health).The clinical phase spans 60 weeks,including the six-week public health field study.Students return to campus for the last eight weeks to complete their MPH Capstone and MSPAS The Public Health Profession Summative courses. The public health system is a complex network of organizations Graduates of the program receive a Master of Science in Physician that coordinates efforts to protect promote,and improve the Assistant Studies and a Master of Public Health Graduates are health of the population as a whole.While governmental public eligible for licensure to practice in all 50 states and Washington, health agencies(ie.,Federal,State and local)play a pivotal role in 1C upon passing the PANCE.The Master of Public Health degree the planning and delivery of public health services,many other prepares the graduate by developing public health knowledge organizations comprise the public health system,including health and principles including disease prevention,health promotion, care providers and associations,faith-based organizations, epidemiology,biostatistics,health care administration,and businesses,and schools. research study and design.The combined curriculum prepares The core functions of public healthprofessionals have been graduates to better understand the link between an individuars defined as assessment(community diagnosis);policy develop- health and their environment ment and leadership and assurance of access to environmental, educational,and personal health services. Core public health services provided to communities include cornmu nicable disease control,community assessment communi- ty outreach and education,environmental health services, epidemiology and surveillance,food safety,health education, restaurant inspections,tuberculosis testing and most recently c' emergency preparedness and bio-terrorism response. El 37 JOINT MASTER OF SCIENCE IN PHYSICIAN ASSISTANT STUDIES / TOURO UNIVERSITY MASTER OF PUBLIC HEALTH C A L I F O R N I A PA Didactic Courses Required Minimum Prerequisites for the 2015-2016 Principles of Basic Science Admission Cycle(Class of 2019) Anatomy w/Lab Prerequisites:Applicationis throughCASPA Allprerequisites must Laboratory Medicine be completed prior to submission of the C.ASPA application.A bacca- Clinical MedicineI,II,III(series of three courses) laureate degree from a regionally accredited institution received with Pharmacology I,II,III(series of three courses) minimum Cumulative and Science GPAs of 2.75 is required to apply Ethics for Healthlirofessionals to this program. Clinical Applications I,II,III,IV(series of four courses) Competitive candidates,however,will typically have CPAs of 3.0 or Geriatrics better.Applicants from all academic disciplines are welcome.Prereq- Pediatrics 1,II,and III uisite courses must be completed with a C or better;C-will not be Orientation to the Clinical Year accepted. 500 hours of direct patient care experience are required, Behavioral Medicine paid or volunteer;preference will be given to candidates with over Emergency Medicine 1000 hours. Surgical&Clinical Sldlls w/Lab MSPASSummativeCourse 8 semester/12 quarter units(including labs)in each the following: •Biological Sciences(general biology,genetics,immunology,eir.) PA Clinical Rotations •Chemistry(inorganic,organic,biochemistry) Primary Care I,II,III,IV(mries of four rotations) 4 semestey5 quarter units(including labs)of each of the following: Emergency Medicine •Microbiology Surgery •Human Anatomy Elective 1,II(two rotationsj;may hurry by student) •Human Physiology Public Health Courses Human Anatomy and Physiology must be completed within 5bears of the Biostatisties expected year of matriculation,and may be taken as a combir ed course. Behavioral and Social Aspects of Public Health Other Environmental Health •Statistics(3 semester/5 quarter units;no lab) Epidemiology Meeting the prerequisites does not guarantee an interview.Prerequi- Health Policy&Management sites are sublect to change.For detailed,current information on admis- Research Methods lions requirements for the Joint Program,please visit our website at Public Health Field Experience httpVpaprogramtu edu. MPH Capstone Course or Comprehensive Exam Students can choose between the Community Track and the Global Success in Achieving Program Goals Health Track,each of which requires three additional counts The Program is pleased to report a first-time Physician Assistant Na- tional Certifying Exam(PALACE)pass rate of 100%by the Class of Program Accreditation 2014.Representing all previous graduating classes(2005-2014),343 The ARC-PA has granted Continued Accreditation to the PA out of 345(99.4%)graduates have passed the PALACE and are certi- Program sponsored by Touro University California.Conlin fled Physician Assistants. ued accreditation is an accreditation status granted when a Fifty percent of all graduates of the first nine classes(2005-2013)are currently acx reditated program is in compliance with the ARC worldng in sites that serve medically underserved populations and/ -PA Standards.Continued Accreditation remains in effect until or clinics located in medically undersemed areas.These include Fed- the program doses or withdraws from the accreditation erally Qualified Health Centers(FQHCs),Primary Care Health Pro- process or until accreditation is withdrawn for failure to fessional Shortage Areas(PC HPSAs)azid Medically Underserved comply with the Standards.The approximate date for the next Areas/Populations(MUA/Ps).FQHCs are corru rarity-based organi- comprehensive review of the program by the ARC-PA will be zations that provide comprehensive primary care and preventive care September,2018. to persons of all ages,regardless of their ability to pay.PC-I-IPSAs and MUA/Ps are either geographic areas in whidrresidents have a Contact Information shortage of pets onal health services,or groups of persons who face Email: tucpa@tu.edu economic,cultural or linguistic barriers to health care. httpV/paprogram.tu.edu • 707.638.5809 38 MASTER Public Health Progra TOURO UNIVERSITY • R N I A DOCTOROFOSTEOPATHIC The MPH degree requires 42 units of study. Dual degree students earn 30 units from the c� Public Health Program curriculum(generally over the course of 2 summers and during rotations)and 12 units from courses relevant to public health from the College of Medicine curriculum. y - Di�IitY Core Public Health Courses(19 units) Ti • Environmental Health Sciences • Social and Behavioral Sciences • Health Policy and Management • • • • • • • • Biostatistics • Epidemiology The mission of the Public Health Program at Touro University • Program Evaluation California is to promote the health and well-being of local and • Research Methods global communities through education,service,and research with a focus on underserved populations.This mission is achieved by Concentration Courses(6 units) employing a multidimensional program of study that combines a Culminating Experience Courses(5 units) broad public health base with didactic training and field study in • Field Study three specialty concentrations: • Capstone Projector Certified Public The COMMUNITY ACTION FOR HEALTH concentration Health Exam Preparation (Exam administered by National prepares students to respond to the health needs of communities, Board of Public Health Examiners) especially those communities that face unique vulnerabilities. Specialized courses for students in this concentration include Social Field Study Sites Over 60 domestic options including: Inequities in Public Health and Community Health Promotion. • Public Health Departments-Solano, + The GLOBAL HEALTH concentration's curriculum reflects the Alameda&Contra Costa Counties • Planned Parenthood realities of health around the world and the links between • San Quentin Prison countries at different stages of economic development,Students • Kaiser Permanente gain an understanding of the challenges and the complexity of solutions through specialized courses Essentials of Global Health International sites in: and Emerging Health Threats. • Bolivia • Cambodia ♦ HEALTH EQUITY&CRIMINAL JUSTICE is anew emphasis in the • Ethiopia Public Health Program designed to address the impact of criminal • Nepal justice involvement and incarceration on the health of individuals, • Uganda families,and communities.Students gain an understanding of the needs of these populations through specialized courses including Tuition:Current tuition for the 30 units of Criminal Justice and Public Health. MPH coursework is$26,400. 1 39 PublicCollege of Education and Health Sciences • • . �J TOURO e SiTY MASTEROFPUBLIC HEALTH/ DOCTOR OF Why a Dual Degree? Why a Dual Degree at TUC? "My experience as a DO/MPH student has broadened my In the rapidly changing field of The Master of Public Health(MPH)at perspective on the field of healthcare,be prepared for TUC trains students to become leaders medicine,such that when it leadership positions with national becomes time for me to and advocates in addressing the and international agencies,health practice I will be able to treat, departments,medical care providers current and emerging public health not only the person sitting and in academia; challenges of populations locally and before me,but the larger globally with an unwavering focus on community of which we are Develop and implement policy to social justice. all a part." promote health and disease Kyle Stephens, prevention; :• While the full MPH degree is 42 units, DOfMPH,Class of 2014 as a dual degree student you complete Participate in health outcornes 30 units within the Public Health research; Program.The remaining 12 units are Earn an MPH degree in Assess the effects of emerging transferred from the DO curriculumconcurrently obtaining 2 summers while health issues and policies on current and cover related cross-over content. your • degree. health care,and provide care and Complete • services to promote health and well- The TUC MPH I Program is accreditedHealth being. by the Council on Education for Public field study Health(CEPH)which indicates during rotations. program quality.Certain professional positions and fellowships are only MPH Didactic Courses open to those with degrees from Summer 1 r CEPH-accredited programs. com CClinical Year 1 -. i yr•'Y `Completing my Public Health field study has MPH Didactic Courses been one of the most enriching experiences of Summer 2 my Graduate school career.As a DO/MPH com student it was important to me to continue my public health education as a means to becoming abetter physician.The goal of the American com j t healthcare system should be primarily Rotations prevention,and there is no better way to achieve this than through understanding health policy, epidemiology,and being able to perform a needs assessment.I applied what 1 learned irr the classroom to actual issues of the populations of Yalo County." 7MPH Field Study/ Susan Lee,DO/MPH,Class of 2016 COM Rotations d-rmanHall + 131OClubDrive 4 VallejoCA94592 1 40 ■ Program (II ' ' , • • UNIVERSITY DOCTOR oF PHARMACY , • ■ HEALTH The MPH degree requires 42 units of study. Dual degree students earn 30 units from the M Public Health Program curriculum(generally ` over the course of 2 summers and a P3/P4 I t. Open Block)and 12 units from courses relevant to public health from the College of Pharmacy ' curriculum. Core Public Health Courses(19 units) • Environmental Health Sciences • Social and Behavioral Sciences • Health Policy and Management • Biostatistics • Epidemiology • Program Evaluation The mission of the Public Health Program at Touro University • Research Methods California is to promote the health and well-being of local and global communities through education,service,and research with Concentration Courses(6 units) a focus on underserved populations.This mission is achieved by employing a multidimensional program of study that combines a Culminating Experience Courses(5 units) broad public health base with didactic training and field study in • Field Study three specialty concentrations: • Capstone Projector Certified Public Health Exam Preparation(Exam ♦ The COMMUNITY ACTION FOR HEALTH concentration prepares administered by National Board of Public Health students to respond to the health needs of communities,especially those Examiners) communities that face unique vulnerabilities.Specialized courses for Field Study Sites students in this concentration include Social Inequities in Public Health Over 60 domestic options including: and Community Health Promotion, • Public Health Departments-Solano, Alameda&Contra Costa Counties ♦ The GLOBAL HEALTH concentration's curriculum reflects the • Planned Parenthood realities of health around the world and the links between countries at • San Quentin Prison different stages of economic development.Students gain an • Kaiser Permanents understanding of the challenges and the complexity of solutions through specialized courses Essentials of Global Health and Emerging Health Threats. International sites in; • Bolivia ♦ HEALTH EQUITY&CRIMINAL JUSTICE is anew emphasis in the • Cambodia Public Health Program designed to address the impact of criminal justice • Ethiopia involvement and incarceration on the health of individuals,families,and • Nepal communities.Students gain an understanding of the needs of these • Uganda populations through specialized courses including Criminal Justice and Public Health. Tuition:Current tuition for the 30 units of MPH coursework is$26,400. Change your communityyour • • 41 College of r r and Health SciencesPublic 1j Health Program DOCTOR / PHARMACY MASTEROF PUBLIC HEALTH V#- -- "TI-e MPH is the perfect cornplerrr nt to any tym th professioraldeeree.Mine 1-as given me a nopportunity to morkuuith disadtiantaged populatiore..cornpelled rre to a re lyae a rid d isse t r�—ea rch in a more r �+ nea nirgf ul may,a rd broadened my understandirgof the forces tlet impact hun-anl-oaalthard behavior, MV Pha rrr0 prow id=s me wit h t he t knowledam to optimize patent drljg therapy but rno MPH reminds me that 1 - need to tneat tl-e patient as a vghD le,riot i j est a set of signs a nd sy mpto ms. Hugh fgo,Pl-armD,MPH Class of 2013 My a Dual Degree? Why a Dual Degree at TUC? Earn an MPH degree in 2summers 0 Participate in health promotion,da eas a The Master cf.Public Health(MPH) while concurrently obtainingyour pre%,ention,and pharmamtherapy, at TUC trains students to become PharmD degree.Complete your leaders and.acivocates in addressing Public Health field study 0 Participate in dis eas e surveillance of during aP3JP4 open block. adti�ersedrug eve nts,patterrsofuse, thecurr �tar7demergingputdlC a nd dis ast er p re pa re d ness; health challengesofpopulations MPHDidacticCow=r-s localf/and 0obally with an Summer 1 4* Design and provide disease unv,,weringfocusonsocialjuskice. management and pharmacy • • _ bas ed immunization programs; + kNhile the fulIMPHdegeeis42units 0 Contribute to the development and of study, as a dual degree student MPH Didactic Courxs implementation ofpclicyto provide you complete30 units%Mthinthe Sumpter 2 safer medicatiors to patients; Public Health Program. The rcmaining12 units afetransfFrred COP DidartirCoumr-- 4+ Design benefit programs,reimbursement frorn the PharrnDcurrioalurnand systems,and prescription drug plans; cower related crass-over content. 6 participate in health outcomes research; CO -C* Th?TUC h9PH Program is accredited *�o Shape policy regarding indusions/ byr the Council an Education for Public MPH Field Study exclusions from drug formularies, Health(CEPH),which indicates Open Elock„COPYaa r3-4 0 Assess the effects of emerging health program quality. Certain professional issues and policies on current health positions andfell own hips are only CC care,and provide care and serMiees to apen to thas e .-ith dEgrees from Year 4 promote the health andwelkbeing. CEP H-accre d it ed programs. Wilderman Hall 'I 131OClubDrive # Valle.jo, CA94592 707.638.5838 i 42 TOURO UNIVERSITY INVITATIONTO DEVELOP • PUBLIC HEALTH FIELD STUDY ,' PUBLIC HEALTH PROGRAM PRECEPTORSHIP PARTNERSHIPS HELP SHAPE AND MENTOR THE NEXT GENERATION OF PUBLIC HEALTH PROFESSIONALS ! The Touro University California(TUC)Public Health Program is committed to the ongoing development of successful part- nerships with local government and community health agencies and organizations to support the education and public health training of our Master of Public Health(MPH)stu- dents through its Public Health Field Study course,Organi- Yvette Alcala zations like yours are vital in providing invaluable field ex- NI'l,wroffublirIfoallh — — �� p , p p p erience real-world, practical exposure,and mentorshi to our students.Through a field study placement partner- ship with TUC,students have the opportunity to gain Do nothing without intention. knowledge,skills,confidence,and access to relationships that enhance their academic training,professional devel- opment,and effectiveness.In turn,organizations benefit from investing in UNIVERSITY the training and • ,• mentorship of CN WORLD UR lr • • S student interns, 0. which results in valuable assistance and support to their programs.For the field of public health,the return on this investment is ultimately its expansion of its ' PUBLIC WEALTH workforce.Our program trains many students from diverse backgrounds with interpersonal,leadership,and teamwork skills that enable them to take initia- tive and operate as motivated self-starters.We expect our students to make significant contributions to the goals and missions of our community partners. — _ Our students are ready to engage Please consider how our in various core public health areas, students can make such as: - meaningful contributions to • Needs Assessment Data Collection/Analysis YOUR • Program Planning organizations public health Program Implementation Program Evaluation Policy Development • • Educational Campaigns Questions? Contact: Policy analysis Nemesia Kelly, MPH Associate Professor Touro University California Public Health Program nkelly@touro.edu (707) 731-7436 43 TO SERVE, TO LEAD, TO TEACHA TOURO UNIVERSITY PUBLIC HEALTH PROGRAM C A L I FORNIA GUIDELINES FOR PUBLIC HEALTH FIELD STUDY PRECEPTORS �. Overview AM. - The Public Health Program atTouro University California 7-1 r"t ' (TUC)is committed to the ongoing development of successful . partnerships with public health practice agencies and organi- zations in order to support the education and public health training of its MPH students.The Public Health Field Study (PHFS)is required of all TUC MPH students and provides them with practical experience in a public health setting.The PHFS provides invaluable real-world,practical exposure,experi- ence,and mentorship to our students.Students gain T knowledge,skills,confidence,and relationships that enhance '`•d•.j' ., their academic training,professional development,and effec- tiveness.Read more at https://tu.edu/programs/public- The students'work in the field study projects should be val- health/. ued by the organization and contribute to meeting the or- The TUC Public Health Program is well-represented by a stu- ganization's goals or mission. dent population with a diversity of experience currently en- Learning Objectives rolled in the Independent MPH Degree Program and concur- rently enrolled in the Joint Master of Science in Physician As- • Integrate public health theory,knowledge and skills in a sistants Studies/MPH,Doctor of Osteopathic Medicine(DO)/ practice setting. MPH Dual Degree and Doctor of Pharmacy(PharmD)/MPH Dual Degree programs. • Complete a defined project(s)in an area of public health practice including core public health functions such as a Course Description needs assessment,program planning,program evalua- tion,policy development,educational campaign,applied The PHFS course is required of all MPH students and is a research project. structured and practical supervised professional experience in an approved public health setting allowing for the application Exhibit proficiency in at least one of the following areas: and integration of the skills and knowledge acquired during program planning,needs assessment and data gathering, their graduate didactic coursework. program implementation,applied research,program evaluation,policy analysis,or data analysis under the As a working partnership between students and the public guidance of an experienced preceptor. health practice organization,this course provides a public health fieldwork experience for MPH students which can be . Demonstrate understanding of the role of the social de- conducted either locally or abroad. terminants of health and social justice as it relates to their individual field study experience. The practical skills and the knowledge gained in field work at public health practice agencies/organization are essential to . Demonstrate competence in a public health practice students'academic and professional growth, preparing them setting. for a professional career in the field of public health. Demonstrate leadership,teamwork,communication Field study projects must address a community health issue skills,and creativity in the development of a public and student participation should contribute to strategic solu- health practice activity. tions. 44 TO SERVE, TO LEAD, TO TEACH TOURO UNIVERSITY PUBLIC HEALTH PROGRAM CALIFORNIA GUIDELINES FOR PUBLIC HEALTH FIELD STUDY PRECEPTORS Overview ' Am .^. Iw.� /. •y The Public Health Program at Touro University California (TUC)is committed to the ongoing development of successful A� partnerships with public health practice agencies and organi- zations in order to supportthe education and public health training of its MPH students.The Public Health Field Study (PHFS)is required of all TUC MPH students and provides them with practical experience in a public health setting.The PHFS r 'a r. provides invaluable real-world,practical exposure,experi- ence,and mentorship to our students.Students gain ; t knowledge,skills,confidence,and relationships that enhance w _ their academic training,professional development,and effec- tiveness. Read more at https://tu.edu/programs/public- The students'work in the field study projects should be val- health/. ued by the organization and contribute to meeting the or- The TUC Public Health Program is well-represented by a stu- ganization's goals or mission. dent population with a diversity of experience currently en- Learning Objectives rolled in the Independent MPH Degree Program and concur- rently enrolled in the Joint Master of Science in Physician As- • Integrate public health theory, knowledge and skills in a sistants Studies/MPH,Doctor of Osteopathic Medicine(DO)/ practice setting. MPH Dual Degree and Doctor of Pharmacy(PharmD)/MPH Dual Degree programs. • Complete a defined project(s)in an area of public health practice including core public health functions such as a Course Description needs assessment,program planning,program evalua- tion,policy development,educational campaign,applied The PHFS course is required of all MPH students and is a research project. structured and practical supervised professional experience in an approved public health setting allowing for the application . Exhibit proficiency in at least one of the following areas: and integration of the skills and knowledge acquired during program planning, needs assessment and data gathering, their graduate didactic coursework. program implementation,applied research, program evaluation,policy analysis,or data analysis under the As a working partnership between students and the public guidance of an experienced preceptor. health practice organization,this course provides a public health fieldwork experience for MPH students which can be . Demonstrate understanding of the role of the social de- conducted either locally or abroad. terminants of health and social justice as it relates to their individual field study experience. The practical skills and the knowledge gained in field work at public health practice agencies/organization are essential to Demonstrate competence in a public health practice students'academic and professional growth,preparing them setting. for a professional career in the field of public health. Demonstrate leadership,teamwork,communication Field study projects must address a community health issue skills,and creativity in the development of a public and student participation should contribute to strategic solu- health practice activity. tions. 45 0 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM TUC PHFS Preceptor Checklist(In-Person Onsite Format) Before the Field Study Placement ❑ If possible, provide the Field Study Coordinator a description of the PHFS opportunity and the site's expectations and requirements for the intern position. ❑ Provide the Field Study Coordinator information regarding the organization's student intern onboarding requirements. ❑ Correspond or coordinate correspondence with the student to arrange a field study/internship interview. ❑ Meet with/interview the student. ❑ If possible, provide additional information that can help prepare the intern between the field study/internship acceptance date and Day 1 of their field study placement. ❑ If possible, provide any guidance to facilitate the process of developing an affiliation agreement/MOU contract to support the partnership between agency and TUC. ❑ Sign/date and TUC Public Health Program Field Study Letter of Agreement (Short-Term Affiliation Agreement) in support of the student's placement (if applicable). During the Field Study Placement ❑ Assist in the orientation of the student to the agency's policies and procedures to help students obtain a sense of organizational culture. 0 Assist in the development of the student's learning objectives. During the first week of the field study placement,the student is required to work with the preceptor(s) collaboratively to complete: 0 A Scope of Work: Provides a work plan for field study projects focusing on core public health functions (e.g., 46 disease surveillance, needs assessment, program planning, program evaluation, policy development, educational campaign, applied research) allowing them the opportunity to exhibit proficiency in areas such as program implementation, policy analysis, data collection, or data analysis. 0 Competency Inventory:A set of competencies that will be addressed in the Scope of work. 0 Field Study Contract between Student and Preceptor 0 Selected Dates for the Field Study Site Visit:This is a mid-point assessment conducted remotely or in-person. ❑ Meet with the student at least once a week to discuss their progress and provide feedback, updates, and directions for tasks or activities. ❑ Contact the Field Study Coordinator with any questions, issues, or concerns. ❑ Participate in a mid-point assessment via a Field Study Site Visit remotely or in-person. (Examples, templates, and guidelines for all of the above can be made available upon request.) At the End of the Field Study Placement ❑ Assist in the evaluation of students' learning and performance by completing the Online Preceptor Evaluation of the Student. 47 TO_ URO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM TUC PHFS Preceptor Checklist(Distance-Based Virtual/Remote Format) Overview: • Provides a virtual public health internship that provides flexible and distance-based real world public health field experience. • Students can intern from wherever they are with a broadband or Internet connection and a phone. • Requires remote communication with preceptors, supervisors, and teams via video conferencing, email, phone calls, text messaging, and synchronized collaborative files (e.g., Google docs.) • Allows students to serve a community while contributing to important projects that call for additional resources,time, and support Before the Field Study Placement ❑ If possible, provide the Field Study Coordinator a description of the field study opportunity and the site's expectations and requirements for the intern position. ❑ Provide the Field Study Coordinator information regarding the organization's student intern onboarding requirements. ❑ Correspond or coordinate correspondence with the student to arrange a field study/internship interview. ❑ Conduct a field study/internship interview with the student. ❑ If possible, provide additional information that can help prepare the intern between the field study/internship acceptance date and Day 1 of their field study placement. ❑ If possible, provide any guidance to facilitate the process of developing an affiliation agreement/MOU contract to support the partnership between agency and TUC. ❑ Sign/date and TUC Public Health Program Field Study Letter of Agreement(Short-Term Affiliation Agreement) in support of the student's placement (if applicable). During the Field Study Placement ❑ Orientate student to host site remotely. 48 ❑ Assist in the orientation of the student to the agency's policies and procedures to help students obtain a sense of organizational culture. During the first week of the field study placement, the student is required to work with the preceptor(s) collaboratively to complete (please see attached zip file for examples): 0 A Scope of Work: Provides a work plan for field study projects focusing on core public health functions (e.g., disease surveillance, needs assessment, program planning, program evaluation, policy development, educational campaign, applied research) allowing them the opportunity to exhibit proficiency in areas such as program implementation, policy analysis, data collection, or data analysis. 0 Competency Inventory:A set of competencies that will be addressed in the Scope of work (please refer to the competencies contained in the attached zip file) 0 Field Study Contract between Student and Preceptor(see attached zip file) 0 Selected Dates for the Field Study Site Visit:This is a mid-point assessment conducted remotely via phone or videoconference (see attached zip file). ❑ Communicate with the student via video conferencing, email, phone calls, text messaging, and synchronized collaborative files (e.g., Google docs). ❑ Meet remotely with the student at least once a week to discuss their progress and provide feedback, updates, and directions for tasks or activities. ❑ Contact the Field Study Coordinator with any questions, issues, or concerns. ❑ Participate in a mid-point assessment via a Field Study Site Visit via phone or video conference. 49 At the End of the Field Study Placement ❑ Assist in the evaluation of students' learning and performance by completing the Online Preceptor Evaluation of the Student. 50 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM PHFS PRECEPTOR CREDENTIAL CRITERIA Public health field study placement sites must have one or more staff on site with a graduate credential in public health or equivalent professional experience and education who will serve as a designated preceptor. Preceptors with B.A. or B.S. degrees must have equivalent professional experience working in public health organizations. Preceptors with B.A. or B.S. degrees may serve as a student intern's main supervising preceptor; however, the student's Scope of Work and Competency Inventory must also be approved by a co-preceptor who possesses graduate credentials in public health, thus ensuring that the student's field work meets specific public health competencies during the placement. Examples of graduate credentials in public Interdisciplinary professionals working at health are MA, MPH,MSPH, DrPH, PhD,or DrPH organizations who possess the following in various related concentrations that include, academic or professional degrees also meet our but are not limited to: criteria for preceptor credentials: • Biostatistics • DO • Community Health • JD (legal experts advocating for health • Community Health and Preventive justice and policies that support and Medicine affirm the lived experiences of the • Community Health Sciences formerly and currently incarcerated and • Environmental Health Sciences those at risk of incarceration. at the • Epidemiology intersection of criminal justice, criminal • Global Health justice policy reform and health, health • Health Disparities equity, public health) • Health Education • MBA • Health Policy and Management • MD • Health Promotion and Communication • MPP • Health Sciences • MPA • Maternal and Child Health Minority • MS(in related health or health sciences • Occupational Health and Industrial disciplines) Hygiene • MSN • Population Health • MSW • Public Health • PharmD • PhD • PHN 51 0 TOURO_U_ NI_V_ERSIT_Y_ C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM APPLICATION FOR PLACEMENT AT UNAFFILIATED COMMUNITY HEALTH & HECJ FIELD STUDY SITES Student Requirements: 1. Students who identify potential public health practice entities as prospective Community Health &HECJ field study sites are advised to review the following sections in course syllabus at https://docs.google.com/document/d/1eLVt9N_5bdZPK- S2crRhzl WugpZcfuUZHtRhlhCOxM/edit?usp=sharing_ • Course Overview • Course Learning Objectives • PHFS Competencies 2. Students are required to provide the PHFS Preceptor Handbook to their prospective preceptors/sites to share the following information which includes: a. Public Health Program Info Sheets and the Invitation to Prospective Sites to Develop PHFS Preceptorship Partnerships with TUC b. Course Overview, Learning Objectives, PHFS Competencies, the Role of Community Partnerships c. Guidelines for PHFS Sites &Preceptors and PHFS Standards and Learning Expectations for sites, students, and the Public Health Program, Preceptor Responsibilities, and Preceptor Checklists d. PHFS Placement Timelines, Policies and Matching Process e. The web link for Online Registration for New PHFS Placement Sites for proposed sites and preceptors so that they may post their site/ information, proposed PHFS projects, available learning objectives, research opportunities, onboarding requirements, etc. 52 Application: Step 1. Please complete the following. (This application must be typed as handwritten material is not acceptable.) Student Name: Proposed Agency or Organization/Community Health Field Study Site: Address of Proposed Agency or Organization/Community Health Field Study Site: Name of Proposed Preceptor: Proposed Preceptor Qualifications (e.g., their graduate credential in public health or equivalent professional experience and education): Preceptor Phone: Preceptor Fax Preceptor Email Address: Name of Director/Administrator of Proposed Agency or Organization/Community Health Field Study Site: Director/Administrator's degree information and qualifications: Director/Administrator's Phone: Director/Administrator's Fax: Director/Administrator's 53 Email Address: Step 2. The student shall include a separate a 250-word essay providing a rationale for selecting a community health field study site outside the current TUC Network of Placement Sites (singled-spaced, Times New Roman, size 12 font). This rationale must describe what the student's specific role will be on the proposed field study project, what public health skills they will use, and what they expect to achieve by the end of the field study. The essay must also include specific details about the proposed project(s) and activities that the student is expected complete during the field study and how the project(s) and activities satisfy requirements for the course learning objectives and how they address the Program's public health competencies. Step 3. The students shall submit this application by specified deadlines. Please remit to: Nemesia Kelly, MPH Associate Professor &Field Study Coordinator Chair, Health Equity and Criminal Justice Concentration Public Health Program College of Education and Health Sciences Touro University California E-mail: nkelly@touro.edu Wilderman 403 Decisions: All applications are subject to review by committee. Students will be contacted by the Field Study Coordinator within two to three weeks with a decision. Decisions of the Committee are final. 54 TOURO UNIVERSITY C A L I F O R N I A COLLEGE- OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM FORMAL REQUEST TO APPLY CURRENT PROFESSIONAL PUBLIC HEALTH EMPLOYMENT TO THE PUBLIC HEALTH FIELD STUDY Description: IMPH students who are employed at public health practice agencies and organizations while enrolled in the Public Health Program may be permitted to apply professional paid public health employment to the Public Health Field Study (PHFS). Eligibility Criteria: • The student must provide verification of current public health employment at an agency or organization while enrolled in the TUC Public Health Program (Clinical work involving individual patient care or health facility does not qualify.) Current public health employment must include active involvement in at least one of the following activities: ➢ Assessing, monitoring, or conducting surveillance of health conditions or delivery of services in a population. ➢ Establishing public health objectives and priorities. ➢ Conducting basic or applied research on population-based health problems including the behavioral, biological, or environmental risk factors. ➢ Designing, implementing and/or evaluating policies and/or intervention strategies/programs. • The agency/organization must be approved by the Public Health Program as a placement site. The student's proposed preceptor must meet the Program's preceptor requirements. In addition, the Program will review and determine whether the student's current job duties and responsibilities, projects, tasks, and activities meet the Program's criteria for the PHFS. (Refer to the PHFS Preceptor Handbook for our criteria.) 55 Application: Step 1.Please provide the following information. Student Name: Name of Current Employer: Current Position/Title: Name of Supervisor: Supervisor's Address: Supervisor's Phone: Supervisor's Email Address: Step 2. Please submit a separate 2-3 page (single-spaced) narrative describing current public health work experience,including: • Description of specific duties performed. • Discussion of the impact or relevance of the experience to public health, highlighting knowledge, theories and concepts covered in MPH coursework. • List of skills/competencies met in the work experience (see MPH competencies in the course syllabus). • Contact information of your supervisor who can verify your employment with the agency or organization. Step 3. Students must submit the formal request via email by specified deadlines to: Nemesia Kelly, MPH Associate Professor&Field Study Coordinator Chair,Health Equity and Criminal Justice Concentration Public Health Program College of Education and Health Sciences Touro University California E-mail: nkelly@touro.edu Decisions: All requests are subject to review by committee. Students will be contacted by the Field Study Coordinator within two to three weeks regarding a decision. Decisions of the Committee are final. 56 0 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM FORMAL REQUEST TO APPLY PAID INTERNSHIPS TO THE PUBLIC HEALTH FIELD STUDY Students who wish to apply a paid internship to the Public Health Field Study for academic credit,must have completed all core and track-required courses prior to beginning their paid internship. Requests for paid internships to satisfy the field study must be approved by the Program. In addition, paid internships selected for the field study course must permit MPH students to complete 30-40 field study hours per week over a minimum of 10-12 weeks for IMPH students and 6 weeks for MPH dual or joint degree students. Student Requirements: 3. Students are advised to review the following sections in course syllabus at https://docs.google.com/document/d/leLVt9N 5bdZPK- S2crRhzl WugpZcfuUZHtRhlhCOxM/edit?usp=sharing • Course Overview • Course Learning Objectives • PHFS Competencies 4. Students are required to provide the PHFS Preceptor Handbook to their prospective preceptors/sites to share the following information which includes: a. Public Health Program Info Sheets and the Invitation to Prospective Sites to Develop PHFS Preceptorship Partnerships with TUC b. Course Overview, Learning Objectives, PHFS Competencies, the Role of Community Partnerships c. Guidelines for PHFS Sites & Preceptors and PHFS Standards and Learning Expectations for sites, students, and the Public Health Program, Preceptor Responsibilities, and Preceptor Checklists d. PHFS Placement Timelines, Policies and Matching Process e. The web link for Online Registration for New PHFS Placement Sites for proposed sites and preceptors so that they may post their site/preceptor 57 information, proposed PHFS projects, available learning objectives,research opportunities, onboarding requirements, etc. Application: Step 1. Please complete the following. Student Name: Proposed Agency or Organization/Community Health Field Study Site: ' Address of Proposed Agency or Organization/Community Health Field Study Site: Name of Proposed Preceptor: Proposed Preceptor Qualifications (e.g., theirgraduate credential in public health or equivalent professional experience and education): Preceptor Phone: Preceptor Fax Preceptor Email Address: Name of Director/Administrator of Proposed Agency or Organization/Community Health Field Study Site: Director/Administrator's degree information and qualifications: Director/Administrator's Phone: Director/Administrator's Fax: 58 Director/Administrator's Email Address: Step 2. Students shall include a separate a 250-word essay providing a rationale for applying a paid internship to a field study placement (singled-spaced,Times New Roman, size 12 font). This rationale should also include specific details about the proposed project(s) and activities that the student is expected complete during the field study and how the project(s) and activities satisfy requirements for the course learning objectives and how they address the Program's public health competencies. Step 3. Students shall submit this application via email by specified field study planning deadline for the Field Study Term. Please remit to: Nemesia Kelly, MPH Assistant Professor &Field Study Coordinator Chair,Health Equity and Criminal Justice Public Health Program College of Education and Health Sciences Touro University California E-mail: nkelly@touro.edu Decisions:All applications are subject to review by the Program. Students will be contacted by the Field Study Coordinator within two to three weeks regarding a decision. 59 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM APPLICATION FOR THE FIELD STUDY WAIVER (CRITERION 1) Student Name: Name of Previous Public Health Agency/Organization: Title at Previous Public Health Agency/Organization: Name of Previous Supervisor: Previous Supervisor's Address: Previous Supervisor's Phone: Previous Supervisor's Email Address: Step 2. Please submit a separate 2-3 page (single-spaced) narrative describing current public health work experience, including: • Description of specific duties performed. • Discussion of the impact or relevance of the experience to public health, highlighting knowledge, theories and concepts covered in MPH coursework. • List of skills/competencies met in the work experience (see MPH competencies in the course syllabus). • Contact information of your supervisor who can verify your employment with the agency or organization. Step 3. Students must submit the formal request via email by specified deadlines to: Nemesia Kelly, MPH Associate Professor &Field Study Coordinator Chair,Health Equity and Criminal Justice Concentration 60 Public Health Program College of Education and Health Sciences Touro University California E-mail: nkelly@touro.edu Decisions: All requests are subject to review by committee. Students will be contacted by the Field Study Coordinator within two to three weeks regarding a decision. Decisions of the Committee are final. 61 0 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF• EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM APPROVAL CRITERIA FOR THE FIELD STUDY WAIVER (CRITERION 1) The Field Study Waiver (Criterion I): IMPH students who can verify previous public health employment of three years of continuous,paid,public health employment prior to enrollment in the MPH program may be eligible for a waiver that would allow them to complete 30-40 field study hours per week over a minimum of 6 consecutive weeks. (Clinical work involving individual patient care or health facility does not qualify.) Relevant public health experience must include involvement in at least one of the following activities: ➢ Assessing,monitoring, or conducting surveillance of health conditions or delivery of services in a population. Establishing public health objectives and priorities. Conducting basic or applied research on population-based health problems including the behavioral, biological, or environmental risk factors. Designing, implementing and/or evaluating policies and/or intervention strategies/programs. 62 0 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM APPROVAL CRITERIA & APPLICATION FOR THE FIELD STUDY WAIVER (CRITERION II) The Field Study Waiver(Criterion II): The Field Study Waiver allows for 200 field study hours to be waived for MPH students who can verify enrollment in any non-TUC (outside of TUC) accredited four-year medical school, Doctor of Pharmacy program, or Master of Science in Physician Assistant Studies program, after completing all core and track courses and all or the majority of course electives in the Public Health Program. Waiver Application for Criterion II. Please complete the following. Student Name: Name of TUC Faculty Advisor Track (circle one): Community Health Global Health Name of Medical/PA/Pharmacy School/University: Name of Medical/PA/Pharmacy Degree Program: Name of Medical/PA/Pharmacy Faculty Advisor: Medical/PA/Pharmacy Faculty Advisor's Address: Medical/PA/Pharmacy Faculty Advisor's Phone: Medical/PA/Pharmacy Faculty Advisor's Email Address: Students shall and submit an official copy of their transcripts along with this form verifying enrollment in a non- TUC accredited four-year medical school,Doctor of Pharmacy program, or Master of Science in Physician Assistant Studies program. 63 Submit your application at least 4 weeks prior to registration in PH 600. Please remit to: Nemesia Kelly,MPH Field Study Coordinator E-mail:nkelly@touro.edu Waiver Decisions: Once received, a review committee will assess the waiver. Students will be contacted by the Program Director within two to three weeks with a decision. Decisions of the panel are final. 64 MEMORAMDUM OF UNDERSTANDING AND TOURO UNIVERSITY CALIFORNIA PUBLIC HEALTH PROGRAM PRECEPTORSHIP AGREEMENT This Public Health Preceptorship Agreement("Agreement")is made on between the , an organization that , whose address is and Touro University, a California nonprofit public corporation("TUC"),whose address is 1310 Club Drive, Vallejo, CA 94592, who agree as follows: I. Recitals A. Agency/Organization owns and operates the following health care clinics and public health offices (Facility or Facilities): located at B. TUC operates the College of Education and Health Sciences(CEHS),the College of Osteopathic Medicine(COM), and the College of Pharmacy(COP) in Vallejo, California and operates a branch campus in Henderson,Nevada with Colleges of Osteopathic Medicine and Health and Human Services. TUC desires that its students obtain practical educational and training experiences and observational opportunities at the Facilities through participation in an affiliation program("Program"). C. Agency/Organization deems it beneficial to participate in the Program by providing educational and training experiences and observational opportunities at its Facilities for TUC students pursuant to the terms and conditions of this Agreement. In consideration of the foregoing objectives and in further consideration of the covenants and promises hereinafter set forth, the Parties agree as follows: I. PROGRAM PARAMETERS 1.01 The period of time for each student's educational and training experience and observational opportunity shall be agreed upon by the Parties before the student begins his or her Program training. 1.02 The maximum number of students to receive training shall be agreed upon by the Parties at least sixty(60) days prior to the beginning of Program training based on the availability of space and personnel at the school district and other considerations. 1.03 The TUC Program Coordinator and the Institution's Designee shall be responsible for arriving at an agreement on behalf of their respective Parties regarding the duration of the Program training and the number of TUC students to receive Program training at the Facilities. 1.04 The Program and the maintenance of the standards of instruction shall be the sole responsibility of TUC. TUC shall only refer for participation in the Program students who are in good academic standing and TUC shall at the request of Institution provide the Institution with verification of such good standing. 65 1.05 All students participating in the Program shall meet all applicable health standards established by TUC and any applicable governmental authority and implemented by Institution for each Health Care and Office Facility. Institution shall have the right to terminate from the Program any student when the health status of such student is detrimental to the health and/or safety of Institution patients or staff as determined by Institution. II. TUC'S RESPONSIBILITIES 2.01 Student Contact Information. TUC shall complete and send to Institution contact information for each student enrolled in the Program which shall include the student's name, address and telephone number prior to the beginning date of the planned educational and training experience and observational opportunity. Institution shall only use the student contact information to fulfill its obligations under this Agreement and agrees not to release any information in the student profile to any third party. 2.02 Schedule of Assignments. TUC shall notify the"Institution Designee" (as defined in Section 3.02), designated by the Institution from time to time, of TUC's planned schedule of student assignments, including the name of each student, and the student's level of academic preparation and length and dates of the educational and training experience and observational opportunity. 2.03 TUC Program Coordinator. TUC shall designate a faculty member as TUC Program Coordinator,who shall coordinate with Institution Designee in planning the Program. 2.04 Records. TUC shall maintain all personnel and academic records of TUC students participating in the Program. 2.05 Rules and Regulations. TUC shall enforce rules and regulations governing the students that are mutually agreed upon by TUC and Institution. TUC shall instruct its students on the general requirements of the Joint Commission on Accreditation of Healthcare Organizations ("JCAHO"), Centers for Medicare and Medicaid Services ("CMS") and the Health Insurance Portability and Accountability Act("HIPAA"). TUC shall require that its students comply with all applicable Health Care and Office Facility policies and Federal and State regulatory requirements including, but not limited to JCAHO, CMS and HIPAA. 2.06 Student Responsibilities. TUC shall notify the students who are to participate in the Program at the Institution that they are responsible for: (a) Following the clinical and administrative policies,procedures,rules and regulations of Institution. (b) Arranging for their transportation and living arrangements when not provided by TUC. (c) Arranging for and assuming the cost of their health insurance. (d) Assuming responsibility for treatment of any illness or injury the student may have while participating in the Program, obtaining necessary immunizations and a tuberculin test, and having an annual health examination. 66 (e) Keeping all patient information confidential. No student shall have access to or have the right to receive any medical record, except when necessary, in the regular course of the public health experience. The discussion, transmission or narration in any form by students of any patient information of a personal nature, medical or otherwise, obtained in the regular course of the Program is forbidden except as a necessary part of the practical experience. (f) Following the dress code of the Health Care and Office Facility and wearing name badges identifying themselves as students. (g) Attending an orientation of the Health Care and Office Facilities. (h) Complying with the rules and regulations that have been developed by TUC to govern student activities during assignment to a training institution, a copy of which is attached to this Agreement as Exhibit A. 2.07 Payroll Taxes and Withholdings. TUC shall be solely responsible for any payroll taxes, withholdings,workers' compensation and any other insurance or benefits of any kind for employees and agents of TUC providing services under this Agreement. TUC shall defend, indemnify and hold Institution harmless against all claims against Institution by employees or agents of TUC with respect to payroll taxes, withholdings,workers' compensation and other insurance benefits. 2.08 Student Insurance. TUC shall provide Institution with a certificate of insurance or other written confirmation that each student participating in the Program carries health insurance. III. INSTITUTION'S RESPONSIBLITIES 3.01 Educational and training experience and observational opportunity. Institution shall accept from TUC the mutually agreed upon number of students enrolled in the Program and shall provide said students with supervised public health experience. 3.02 Institution Designee. Institution shall designate a member of Institution's Program Coordinator to participate with the TUC Program Coordinator in planning,implementing and coordinating the Program. 3.03 Access to Facilities. Institution shall permit students enrolled in the Program access to the Health Care and/or Office Facilities as appropriate and necessary for the Program,provided that the presence of the students shall not interfere with the activities of Institution. 3.04 Institution Rules&Regulations. Institution shall instruct the students on Institution rules and regulations, as well as the application of JCAHO, CMS and HIPAA requirements specific to the Institution. Institution hereby accepts Exhibit A, which incorporates by reference the applicable rules and regulations of the Institution, as the rules and regulations that shall govern TUC students during their training assignment at the Institution. 3.05 Withdrawal of Students. Institution may request TUC to withdraw from the Program any student who Institution determines is not performing satisfactorily, or who refuses to follow Institution's administrative policies,procedures,rules and regulations. Such request must be in writing and must include a statement as to the reason or reasons why Institution desires to have 67 the student withdrawn TUC shall comply with such request within five(5)days of receipt of the written request by TUC. 3.06 Emergency Health Care First Aid. Institution shall, on any day when students are receiving training at the Facilities,provide the students necessary emergency health care or first aid for accidents occurring in the Facilities. Except for such emergency assistance, Institution shall have no obligation to furnish medical or surgical care to any student. 3.07 Maintenance of Patient Services. Institution shall be responsible for developing, maintaining and providing services to all its patients and Institution will at all times provide an adequate, competent staff to be responsible for the development,maintenance and provision of these services to Institution patients. 3.08 Evaluation. Company shall evaluate the performance of the student on a regular basis using the evaluation form supplied by TUC. The completed final evaluation shall be forwarded to TUC within ten(10)business days following the conclusion of the student's public health field experience. IV. NON-DISCRIMINATION The Parties agree that all students receiving an educational and training experience and observational opportunity pursuant to this Agreement shall be selected without discrimination on account of race,color, religion, national origin, ancestry,disability, marital status, gender, sexual orientation, age, or veteran status. V. STATUS OF TUC AND INSTITUTION 5.01 It is expressly agreed and understood by TUC and Institution that students participating in the Program are in attendance for educational purposes, and such students are not considered employees of Institution or TUC for any purpose, including but not limited to compensation for services,provision of employee welfare and pension benefits, or provision of workers' compensation insurance. 5.02 Institution assumes and maintains primary responsibility for services rendered to all of its patients and assumes and maintains complete control and supervision over all its employees and no Institution employees shall be deemed to be the employees or agents of TUC. TUC shall not be liable for any salaries, and employees of Institution shall not have the right or claim to any benefit or privilege as an employee or agent of TUC. Institution will assume sole and complete liability for all acts and omissions of its employees and shall indemnify and hold TUC harmless from any and all liability arising out of or connected with the acts or omissions of its employees. VI. INDEMNIFICATION 6.01 TUC agrees to indemnify, defend and hold harmless, Institution and its affiliates, its directors, trustees,officers, agents, and employees against all claims, demands, damages,costs, expenses of whatever nature, including court costs and attorney fees, arising out of or resulting from the negligence or willful misconduct of TUC or its students in the performance of this Agreement. 68 6.02 Institution agrees to indemnify, defend and hold harmless, TUC and its affiliates, its directors,trustees, officers, agents, and employees against any and all claims, demands, damages, costs, expenses of whatever nature, including court costs and attorney fees, arising out of or resulting from the negligence or willful misconduct of Institution in the performance of this Agreement. VII. INSURANCE TUC shall procure and maintain in force during the term of this Agreement, at its sole cost and expense, insurance in amounts that are reasonably necessary to protect TUC and Institution from and against liability arising from or incident to the use of the Facilities by TUC students participating in the Program. Coverage under such insurance shall not be less than One Million Dollars ($1,000,000) for each occurrence and Three Million Dollars ($3,000,000)in the aggregate each for professional liability insurance and comprehensive general liability insurance. TUC shall provide Institution with a certificate of insurance evidencing the insurance coverage required under this Article VII. TUC shall further ensure that not less than thirty(30)days notice shall be provided to Institution of the cancellation of such insurance. TUC shall promptly notify Institution of any cancellation,reduction, or other material change in the amount or scope of any coverage required hereunder. VIII. TERM AND TERMINATION 8.01 Term. This Agreement shall be effective as of the date specified above and shall remain in effect for an initial term of one year and will be automatically renewed thereafter for consecutive one-year terms (each a"Renewal Term")unless either Party elects not to renew this Agreement by giving the other written notice at least six(6)months prior to the expiration of the initial term or any renewal term of its intention not to renew this Agreement. 8.02 Termination. (a) Mutual Agreement. This Agreement maybe terminated at anytime upon the mutual written agreement of the Parties. (b) Without Cause. This Agreement may be terminated without cause upon 180 days prior written notice by either Party. Such termination shall not take effect,however,with regard to students already enrolled in the Program until such time as those students have completed their training for the TUC semester during which such termination notice is given. X. GENERAL PROVISIONS 9.01 Amendments. This Agreement may be amended at any time by mutual agreement of the Parties without additional consideration,provided that before any amendment shall become effective, it shall be reduced to writing and signed by the Parties. Notwithstanding the foregoing, should any provision of this Agreement be in conflict with the law of the State in which the Facilities are located or Federal law, it shall be deemed amended to eliminate the conflict. 9.02 Assignment. Neither Party shall assign or otherwise transfer this Agreement without the other Party's prior written consent. Any purported assignment in violation of this Section shall be null and void. 69 9.03 Captions. Any captions to or headings of the articles, sections,subsections,paragraphs,or subparagraphs of this Agreement are solely for the convenience of the Parties, are not a part of this Agreement, and shall not be used for interpretation or determination of validity of this Agreement or any of its provisions. 9.04 Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be deemed an original,but all such counterparts together shall constitute one and the same instrument. 9.05 Entire Agreement. This Agreement, together with all attachments, is the entire agreement between the Parties and no other agreements, oral or written, have been entered into with respect to its subject matter. 9.06 Force Majeure. Neither Party shall be liable nor deemed to be in default for any delay or failure in performance under this Agreement or other interruption of service or employment resulting, directly or indirectly,from acts of God, civil or military authority, acts of public enemy, war, accidents, fires, explosions, earthquakes, floods, failure of transportation, machinery or supplies,vandalism, strikes or other work interruptions beyond the reasonable control of either Party. 9.07 Governing Law. The validity, interpretation and performance of this Agreement shall be governed by and construed in accordance with the laws of the State of California. 9.08 Notices. Notices required under this Agreement shall be sent to the Parties by certified or registered mail,return receipt requested,postage prepaid, to the address for the Party set forth below: To TUC: Touro University California Public Health Program College of Education and Health Sciences 1310 Club Drive Vallejo, California 94592 Attention: Nemesia Kelly,MPH Field Study Coordinator To Institution: Agency/Organization 9.10 Remedies. The various rights, options, elections,powers, and remedies of the respective Parties hereto contained in,granted,or reserved by this Agreement,are in addition to any others that said Parties may be entitled to by law, shall be construed as cumulative, and no one of them is exclusive of any of the others, or of any right or priority allowed by law. 9.11 Severability. The provisions of this Agreement shall be deemed severable and if any portion shall be held invalid, illegal or unenforceable for any reason,the remainder of this Agreement shall be effective and binding upon the Parties. 9.12 Waiver. Any waiver of any terms and conditions hereof must be in writing and signed by the Parties hereto. A waiver of any term or condition hereof shall not be construed as a fixture waiver of the same or of any other term or condition hereof. 70 9.13 Non-Exclusive Agreement. This Agreement is not exclusive. Accordingly, either Party shall have the right to enter into one or more agreements relating to the same or similar matters as are covered by this Agreement. X. EXECUTION IN WITNESS WHEREOF,the Parties hereto have caused this Agreement to be executed by their duly authorized representatives. AGENCY/ORGANIZATION By: Date: Name&Title Agency/Organization Title: TOURO UNIVERSITY,a California nonprofit public benefit corporation By: Date: Lisa May Norton, EdD,Dean College of Education and Health Sciences APPROVED AS TO FORM: By: Date: Agency/Organization Counsel 71 4 TOURO UNIVERSITY 'C A l l F O R N I A LETTER OF AGREEMENT Between Tourd University California College of Education and Health Sciences(C HS) Public Health Program And Placement Site This.Letter of Agreement("Agreement")is made between the Touro University California,Public Health Program,located at 1310 Club Drive,Vallejo,CA 94592 ("ToUTO"or"MPH"),and Placement Site,located at 123 S.Street,State,City,Zip for a 6 week/]2 week field study experience for Student Name.Tourd University California and Placement Site shall jointly be referred to as the"Parties." This Letter of Agreement is effective beginning[Student's Field Study Start Date]. This Agreement sets forth important points, relating to public health education,_ concerning the training programs at TOUro and the Placement Site. 1. Responsible Persons Touro University California Gayle Cummings,PsyD, MPH College of Education and Health Sciences Public Health Program Director Entitv Placement Site As Public:Health Program Director and Assistant Dean of the CFHS,ProfcssoT Cummings is ultimately responsible.for the content and conduct of the educational activities as they pertain to the.MPH students,(Title,if available),Preceptor Name ("Preceptor")will be directly responsible for the supervision,training,assessment and evaluation of the MPH student,and Placement Site shall retain trltirnate responsibility for ensuring that health care services provided or activities perfonned pursuant to this: Agreement comply with all applicable provisions of federal,state and local laws,rulers and regulations. 2. Educational Goals and Objectives Please see attached MPH Field Study handbook that details the specific rotational educational goals and objectives, 1310 Cua UIWL: VALLLJO e.:V.IWANN 94592 T 707-638-52oo , w tu.edu 72 4 T_OURO UNIVERSITY C A L I F O R N I A 3. Assignment This Touro student is required to complete a minimum of 6/12 weeks of fieldwork experience.The purpose of the fieldwork experience is to apply the knowledge and skills acquired in the classroom,in a public health setting congruent to the MPH program's mission statement.Requirements for the fieldwork experience include: program director_approval of the fieldwork site as well as completion of the core courses prior to the field study placement. Students are required tm a) Conduct one of ihe.followithg:a needs assessment,program plan,program evaluation,policy plan/analysis,educational campaign,or applied research based upon the organization s needs;work,mission,and or data accass/availability; b) Develop a plan to.inhplernmt one of the above; c) Gather and analyze applicable data via: - primary data collection(gn(-stionnaire administration or interviews);or - secondary data/existing data set(s) d) Present project findings hi field study summary that addresses a health issue of the community and contributes in resolving practical health problems. In addition to data collection and analysis,the students'work-should be valued by the organization and make a contn`bution to meeting the organ_ation's goals or mission. 4. Finaticial Arrangements tents Placement Site is under no obligation for the MPH student's salary,housing,food,,or other benefits. d. Professional Li WI&Coverage The MPH Student's professional liability insurance documentation will be provided at. no cost to Placement Site.The pmfC.Wonal liability coverage is provided by TOUTO for the MPH student while performing his/her responsibilities as further defined below and in the Touro University California Public,Health Field Study Preceptor Handbook. "TUC shall procure and maintain in force during the terrn of this Agreement,at its sole cost and expense, insurance in amounts that are reasonably necessart/ to protect TUC and Institution from and against liability arising frcrin or incident to fire use of the Facilities by TUC students participating in the Program. Coverage under such insurance shall not be less than Otte Million Dollars (S ,000,000) for each occurrence and Three A-Lillian Dollars 1316 CLLo Ukin,VALL410 CAUHALMN 94592 T 707.638-ioo ; w medu 73 TOURO UNIVERSITY C A L I F O A N 1 A ($3,0 0,000) in the agVegate each.for professional liability in�znrtmrr and romprehensive general liabilihj insurance, TUC shall provide Institution wills a certilkate of insurance evidencing the inoranc-e-rmerage required under this Artirle Vil. TUC;shall further e is-ure that not less tlwn thirty(30)dicys notice shidt be provided to Institution of the cancellation.of such insurance. TUC,shall promptI:y noon/Institution of tan/cancellation,reduction,.or other nrateri(cl change in the amount or scvl�e.of anp coverage required hereunder." 6. Responsibility for Teaching:Supervision and Evaluation of the MPH Student While at Placement Site,the MI'H student wilt receive supervision and instruction from active members of the Placement Site. The.MPH student will be supervised in all of his/her activities commensurate with the complexity of the project and the MPH student's own abilities. The MPH student's evaluation will be both formal and informal. At the conclusion of the rotations,a formal student evaluation will be completed by the preceptor and submitted to Touro. The MPH student will in turn, complete a site evaluation form at the conclusion of the field study and submit this to Touro. 7. Policies and Procedures for Education While at Placement Site, the MPH student will take an active role in educational opportunities provided and directed by Placement Site. The responsibilities for teaching, supernision, and formal evaluation of the student's pe.rformance-, while at Placement Site are the duties of the assigned or designated Preceptor. 8. Miscellaneous Provisions b) Each party will indemnify, defend and hold the other party, its employees, officers, directors, associatm, agents, and representatives harmless,from and against any and all loss, damage, liability or claims (including, without limitation,reasonable costs and expense of litigation and reasonable attomeys' fees) arising from its negligent acts or omissions, or the negligent acts or omissions of its students,.employees,agents,and representatives in connection with this Agreement. Any acid all disputes arising out of or relatl<tg to this Agreement shall be settled through expedited bituiing arbitration before a single arbitrator (who shall be an attorney knowledgeable about matters relating to health care) and shall be conducted at and by the American Arbitration Association("AAA")or its successor in accordancj with its rules and procedures in the offices of Placement Site.The arbitrator shall be vested with determuning all matters Surrounding this Agreement. The costs of such arbitration shall be borne equally by the parties with each party bearing its own attorneys'fees and any costs associated with presenting its proof. Judgment upon the award shall be final and binding on the parties and may be entered in any court of competent jurisdiction. 1310 CLUB DWvL: VALLEJO CAUtUHNIA 94592 T 707-638-5�00+ w medu 74 4 TOURO UNIVERSITY C A L I F O R W I A c) This Agreement constitutes the entire understanding between the parties with regard to all matters referred to herein and supersedes all previous agreements, whether written or oral. If any provision of this Agreement is,for any reason, held to be invalid or unenforceable,the other provisions of this Agreement will remain enforceable and the invalid or unenforceable provision will be deemed modified so that it is valid and enforceable to the maximum extent permitted by law. The Parties acknowledge they have read this Agreement, understand the terrns and conditions,and agree to be bound by them. Touro Universlly California College of EducaVona used Health Sciences Public Health Prograue Gayle Cummings PsyD,MPH Date Program Director&Assistant Dean Placement Site Site Preceptor Date 13ui CLLB Ds1+'L: VALLh{O C.ALIlOWNIA 94592 T 707-638-5Z00 ; w tu.edu 75 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM PROFESSIONAL CODE OF CONDUCT FOR MASTER OF PUBLIC HEALTH (MPH) STUDENTS Touro University California (TUC) is obliged to offer all faculty, staff, and students a safe working and study environment. Part of this obligation requires that every enrolled in the Public Health Program maintain an acceptable professional standard of conduct as outlined and as required by the TUC College of Education and Health Sciences Public Health Program. This extends to an obligation to comply with all lawful directives of TUC. Any failure to do so, or any willful breach of Public Health Program policies or this Code of Conduct will be deemed non-academic misconduct in accordance with TUC policies. Penalties, including dismissal may also apply. Success in the public health field requires certain professional attributes in addition to content knowledge. Professionalism is a Cross-Cutting Competency developed by the Associated Schools and Programs of Public Health (ASPPH) as part of its MPH Core Competency Model.The ASPPH definition of Professionalism is "The ability to demonstrate ethical choices, values and professional practices implicit in public health decisions; to consider the effect of choices on community stewardship, equity, social justice and accountability; and to commit to personal and institutional development." Along with this definition, the ASPPH includes 11 different modules of knowledge, skills, and abilities that comprise the Professionalism Competency. Professional attributes are considered to be part of the academic performance of MPH students, which include honesty and integrity, leadership, excellence and continuous improvement, ethical practice and public accountability, life-long learning and competency, respect for diverse individuals and organizations,the ability to work effectively with others in a team environment, follow through on commitments, take and give constructive feedback, follow directions, accept responsibility for own actions. Professionalism is as important as and holds equal importance to academic progress. Students are expected to demonstrate the legal, moral, and ethical standards required of a public health professional and display behavior that is consistent with these qualities. Professionalism and professional ethics are terms that signify certain scholastic, interpersonal and behavioral expectations. Among the characteristics included in this context are the knowledge, competence, demeanor, attitude, appearance, mannerisms, integrity, and morals displayed by the students to faculty, staff, preceptors, peers, members of the public, colleagues in public health and other settings. The Program expects nothing short of respect 76 and professional demeanor at all times. GENERAL CONDUCT TUC expects every student to: • Respect the rights of other students, faculty and staff, and members or the public, and not engage in any conduct which may be perceived as harassment or interference with those rights. • To conduct themselves in a professional and productive manner being both diligent and proactive. • Apply basic principles of ethical analysis (e.g., the Public Health Code of Ethics, human rights framework, other moral theories) to issues of public health practice and policy. • Not behave in an unruly or disreputable manner to the discomfort of any other students, faculty and staff, or members or the public. • To exhibit the highest ethical and professional performance inside and outside of the classroom. • Not knowingly engage in academic dishonesty defined as intentional cheating,fabrication or plagiarism or facilitate another student's academic dishonesty, nor obstruct another student's academic progress. • Treat fellow students in an ethical manner, respecting the integrity of others and the right to pursue educational goals without interference. • Not exhibit misconduct, ethics violations, or violation of professional codes of behavior. • Treat others with respect and consideration regardless of their status or position. • Not physically or verbally abuse other students, faculty and staff, or members or the public. • Be courteous when dealing with the public while in the field. • Not tamper with, vandalize nor destroy private and public property. • Behave in a way which protects the reputation and good name of the University; and • Comply with all relevant laws nationally and internationally. By signing this Code of Conduct, I, (print name and Student ID Number), verify that I have read and understand my obligations to uphold and preserve the Professionalism Code of Conduct for MPH Students. I agree to be bound by and acknowledge my obligations under the Code of Conduct. I further understand that penalties may be imposed upon me should I willfully breach this Code of Conduct and that I may appeal against these penalties using the University's appeal mechanisms. Student Signature Date 77 TOURO UNIVERSITY C A L I F o R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM Community Health Field Study Emergency Protocol The Community Health Field Study Emergency Protocol has been designed to prepare for and facilitate rapid response to emergencies which may arise during the Field Study.Although no single plan or protocol can address all contingencies,Touro University California(TUC) recognizes the importance of establishing,in advance,policies and procedures to safeguard the welfare of students during-their field study placements at affiliated community health field study sites. The procedures set forth are to be followed by all students in community health field study placements sponsored by TUC. It is the responsibility of the Field Study Coordinator to follow these procedures and provide information on the protocol to all field study students, preceptors,and site coordinators or administrators. I.What should the TUC Field Study Coordinator do to prepare for emergencies? 1. The Field Study Coordinator will obtain from each student,prior to the start date a. emergency contact information for the Student; b. the Student Code of Conduct agreement; 2. At a minimum,the following information should be provided to all community health field study students during the placement preparation by the Field Study Coordinator. a. Emergency contact numbers for the Field Study Coordinator,Program Director, and Assistant Program Director,and Program Office Staff.This information will be included in the Field Study Handbook and will be given to the students at schedule field study overviews.This emergency contact information will contain the following names,numbers,and email addresses: i. Field Study Coordinator ii. Program Director iii. Assistant Program Director iv. Program Office Staff b. Procedures for a medical emergency: i. Students should be informed that they are required to notify the Preceptor about any medical emergency,and that the Preceptor in turn is required to contact the Field Study Coordinator. 1 78 H. This information will be treated with the strictest confidentiality,and will be shared by the Preceptor and the Field Study Coordinator on a"need to know"basis only. iii. If the crisis involvingthe Student is grave enough to seriously jeopardize his or her safety or well-being,the emergency contact he/she has provided at the time of registration will be informed. 3. Preceptors will be required to read the Field Study Preceptor Handbook,which will provide an incident reportingform. Preceptors and Students will be asked to sign a Statement of Understanding after the training session acknowledging that they a. have received,reviewed,and understand this protocol, b. have received and understand how and when to use the provided forms, C. fully understand their duties and responsibilities as preceptors. II.What is an emergency? An emergency is any circumstance that poses a serious risk to,or that has already disturbed the safety and/or wellbeing of field study students. Emergencies will include,though not be confined to,the followingtypes of events and incidents: Serious illness,physical or emotional trauma,injury or death Hospitalization for any reason • Disappearance or kidnapping of a student • Criminal assaults against program students • Sexual assault or rape • Arrest,incarceration,or deportation • Automobile accidents involving program students • Terrorist threat or attack Local political crisis disruptive of civil obedience • Natural disaster What to do in the case of an emergency:Precentor 1. In an emergency,the Preceptor's first responsibility is to safeguard the immediate wellbeing of field study students.The Preceptor should take appropriate steps to assure the immediate safety and wellbeing of the students,including,as appropriate,obtaining prompt and appropriate medical attention or protection by local law enforcement. 2. The Preceptor and,when possible,the student,should contact the Field Study Coordinator immediately when an emergency event occurs or is imminent and brief them in detail about the situation. 3. As necessary,the Field Study Coordinator should notify the Program and College administration and the Office of Student Services about the emergency,and follow whatever procedures they may suggest or require.If there is a continuing risk to the immediate safety or welfare of the Student,the Field Study Coordinator should ask the appropriate authorities to 2 79 advise him/her on a regular basis aboutthe evolution of the crisis,and about howthefield study program should respond. 4. When all has been done to assure the Student's immediate well-being,preceptors,with the aid of the Student when possible,should gather all critical information,usingthe incident reporting form as a guide.The incident report should be sent to the Field Study Coordinator who will share copies with the; a. Public Health Program Director and Assistant Director b. Director of the PA Program regarding PA students and the deans of the colleges of Osteopathic Medicine and Pharmacy regarding MPH dual degree students C. Associate Dean of Student Services d. Dean of the College an Education and Health Sciences 5. The Field Study Coordinator should be contacted first by phone,with communication by e-mail and fax used as a last resort. Emergency contact information for the Field Study Coordinator is available and should be obtained from the Public Health Program. If the Field Study Coordinator is not available,the Preceptor and the Student will send the incident report directlyto the Program Director who will then contactthe other concerned TUC parties.Should the Field Study Coordinator and PH Program Director not be available,the Preceptor and the Student are encouraged to follow the PH Program emergency contact chain of(see page 6.) 6. During an on-going crisis,the Preceptor should keep the Field Study Coordinator updated on a regular basis,While there may not be time to complete the incident reporting form initially,the Preceptor should use it as a guide and understand that it will need to be completed and submitted to the Field Study Coordinator when possible to facilitate management of the situation. 7. All field study students will be evacuated in the emergency scenarios outlined at the beginning of section II. Evacuation for other incidents that might warrant concern and reporting but that do not pose an immediate threat to student safety and/or wellbeing(such as robbery or minor assault)will be decided jointly bythe Field Study Coordinator and the Program Director. In the case of widespread conflict or natural disaster,Field Study Coordinator will reach outto local organizations to assist with ensuring the safety of the Student, a. In an emergency,preceptors should urge students to contact family members or other concerned parties as soon as possible to advise them of their personal situation.Wherever necessary,the Preceptor should attempt to facilitate such contact. Methods of communication may include email,phone calls,faxes,and posts to social networking websites. b. In a medical emergency,the Preceptor or appropriate designee should accompany the Student to an appropriate health care provider for medical attention.The Field Study Coordinator should be contacted and made aware of the situation.No details of a student's medical condition should be shared unless the Student grants permission. If a medical emergency is critical and a student's family or other emergency contact should be informed, the Preceptor should consult with the Field Study Coordinator to coordinate the contact with the Student's emergency contact. 3 80 Upon receiving a call from the Preceptor or Student involving a serious injury,death,or emergency,the manager will: 1. Start a log of all calls and activities. 2. Complete an Incident Report form,making sure to gather the following important information: a. Name of caller and of victim(s),if any b. Brief description of accident,injuries,and/or emergency,the steps that have been taken and the status. c. Location of caller-street,city d. Location of event,accident or emergency,proximity to student group e. Phone,cell phone,fax,or beeper number where caller is f. If any calls have been made to local law enforcement g. If any information has been released to the media h. If any specific plan of action is in place or anticipated If a national/regional emergency—real or perceived—occurred,ask for answers to these questions: 1. What impact,if any,did any emergency have on availability of food,water,and medical supplies? 2. What was the nature of the emergency? 3. What is the intensity of the emergency? 4. Is there local law enforcement,military or emergency personnel at the site of the emergency? 5. Is continuation of field study feasible? 6. What is the advice of the local law enforcement,military or emergency personnel? For personal emergencies: 1. Has injured party been in contact with his/her family? 2. Do we have his/her permission to contact family or other concerned parties? 3. Has the injured party been hospitalized or received medical attention? 4. What is the contact information of the facility where the injured party is being kept? S. Communicate with the necessary location personnel to develop a tailored response plan, Communication will be ongoing until the situation is resolved 6. Do not make any statement directly to the media. Refer inquiries to the Program Director or Associate Dean of Student Services and follow recommendations regarding a consistent communication plan. 4 81 PH Program Emergency Contact Information Reid Study Coordinator Address Phone Email Fax Nemesla Kelly,MPH Touro University California Ofc:707/638-5827 nkelly@touro.edu 707/G38-5871 Assistant Professor Public Health Program Cell:707/731-7436 Public Health Program 1310 Club Drive,Room 403 College of Education and Health Sciences Vallejo,CA 94592 Touro University California Program Director Address Phone Email Fax Gayle Cummings,MPH,PsyD Touro University California Ofc:707/633-5831 gcumming@touro.eclu 707/638-5871 Associate Professor Public Health Program Cell:510/390.4870 Public Health Program 1310 Club Drive,Room 404 College of Education and Health Sciences Vallejo,CA 94592 Touro University California Assistant Program Director Address Phone Emall Fax Carinne Brody,DrPH,MPH Touro University California 707/638-5830 cbrody@touro.edu 707/638-5871 Associate Professor&Assistant Director Public Health Program Public Health Program 1310 Club Drive,Room 307 College of Education and Health Sciences Vallejo,CA 94592 Touro University California PH Program Office Staff Address Phone Email Fax Sharon Chesney Touro University California 7071618.5823 schesney@touro.edu 707/638-5871 Program Analyst Public Health Program Public Health Program 1310 Club Drive,Room 402 College of Education and Health Sciences Vallejo,CA 94592 Touto University California Charleane Williams Touro University California 70-1/638-5838 cwilliam27@touro.edu 707/638-5971 Administrative Coordinator Public Health Program Public Health Program 1310 Club Drive,Room 402 College of Education and Health Sciences Vallejo,CA 94592 Touro University California 5 82 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM Community Health Field Study Emergency Protocol Statement of Understanding Please sign below to indicate that you agree with the following statement: "I certify that I have read and understood the above Community Health Field Study Emergency Protocol. I understand that the Protocol is designed to improve the management of emergency situations that arise during the Field Study and agree follow procedures as outlined within to the best of my ability." Signature: Date: Print Name: 83 0 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM Field Study Course Incident Report Form Preceptors and students should complete this report immediately after an incident either using this form or online at https://tuc.col.qualtrics.com/ife/form/SV eal6Qo9OVdReidT.All witnesses should submit separate reports. Today's Date: Name(s) of Student(s) Involved: Student ID #: Date and Time of Incident: Location of Incident: Name of Student Completing Report and Contact Information: Name of Preceptor Completing Report and Contact Information: Name of Field Study Placement Site: Names of Others Involved: COMPLETE THIS SECTION IF THERE WAS AN INJURY: Please check the appropriate box to indicate the nature of the incident: ❑ Alcohol/Drugs ❑ Theft ❑ Assault of Student 84 ❑ Injury/Illness ❑ Arrest of Student ❑ Other, please specify: Please describe the incident. Be as specific as possible, including all details. Use additional sheets if necessary. Action(s)taken if any: Emergency medical treatment given? Yes No To whom? By whom? Describe procedure(s): Individuals (s)taken to hospital? Yes No Name of individual(s)taken to hospital: Name and address of hospital: Were police called to the scene? Yes No 85 Name of officer and police department: COMPLETE THIS SECTION IF THERE WAS DAMAGE Property Damage (including damage to another's vehicle): Type of property: Location of property: Name of Property Owner: Street Address: City: County• Provence/State: Country: Postal/Zip Code: Phone Number: Email: Nature and circumstances of damage: Cost to repair: Witnesses' names and addresses: Signature of Reporting Preceptor/Student Date Fax or email a copy of this report within 72 hours of incident to the Field Study Coordinator and Program Director. Fax: (707)638-5871 Program Director Email:gcumming@touro.edu 86 DOCUMENTS, FORMS, AND TEMPLATES FOR PHFS DELIVERABLES 87 0 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM PHFS Calendar Deliverable Delivery Method Due Date PHFS Letter of Agreement & Signed and Submitted One week after the Emergency Protocol Statement by Preceptor via email/mail placement start date of Understanding(if applicable) Scope of Work & Competency In collaboration with Student; One week after the Inventory;Signed PHFS Contract, Submitted placement start date and Selected Dates for Field by Student via Canvas Study Site Visit PHFS Site Visit Attended by Preceptor, Midwaythrough Student,and Site Visitor in placement person/phone/video conference PHFS Preceptor Evaluation Submitted At the end of the by Preceptor-The Field Study placement Coordinator will email the link to this survey directly to the Preceptor. TUC College of Osteopathic Submitted TBD by the Student (COM) Medicine Clinical by Preceptor—The Student will Education Department email the link to this survey Preceptor Evaluation directly to the Preceptor. (for DO/MPH candidates who satisfy the COM Research Rotation Elective through the PHFS ONLY) 88 TOURO UNIVERSITY C A L I F O R N I A COLLEGE- OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM Instructions for Completing the Field Study Scope of Work Each student is required to complete a scope of work during the first week of their field study placement.The Scope of Work is essentially, a work plan and provides the framework for the field experience, by ensuring that: • The student and preceptor have a clear understanding of the field experience, specifically the role and responsibilities of the student regarding the objectives, activities,timeline, and outcomes for the field study project. • The experience is appropriate to satisfy academic credit towards the MPH degree. The Scope of Work consists of the following main parts: • A brief paragraph consisting of 4-5 sentences describing: o The placement site, its mission, and goals o Where the project fits in the organization (e.g., division, department, program, etc.) and its purpose o Details about the field study project and the student's role o A chart listing the objectives, activities,timeline, and indicators of outcomes for each objective for the student's work plan. o A list of all work products to be completed during the placement and corresponding competency areas. How to create the scope of work: 1. Students will meet with preceptor and or site coordinator to discuss and plan the field experience, project, and draft the Scope of Work during the first week of the field study placement. 2. Download the Scope of Work Template provided below and draft of scope of work based on the framework described above. Feel free to refer the Scope of Work Examples also provided below. 3. Students are required to submit a typed scope of work as handwritten material is not acceptable for this deliverable. 4. Clearly outline the proposed field work. 5. Create specific objectives. 89 6. Students must carefully consider which competency areas that will be addressed by their objectives. 7. Be very specific in activities associated with objectives. 8. Estimate time for each activity. 9. Remember that, should it become necessary, it is possible (and sometimes expected)to change the scope of work. 10. The Scope of Work should be as long as needed to adequately describe planned experience. 11. Students are required to determine how they will evaluate themselves.To do so,they may want to consider the following: o PHFS Reflections o Weekly meetings/student progress reports o Preceptor feedback o Preceptor's evaluation o Student's final report o How will the student and the preceptor know that they have completed an activity or objective? o How will the student and the preceptor know how well they completed the activity or objective? 12. List all work products and corresponding competency areas. Students are required to complete a minimum of two (2)work products during their PHFS placement. Examples of work products are deliverables assigned by the preceptor such as literature reviews, research and review of best practices,grant writing projects, reports or presentations of data or findings, poster presentations, health education/promotion curriculum design, program evaluations, surveys, policy analysis, data charts and analysis, pamphlets, brochures,websites, social media pages, research study recruitment materials, etc. In the table below, please list of all work products to be completed during the PHFS placement and corresponding competency areas. Scope of Work Template: Use the template provided in Canvas Due Date:The Scope of Work is due one (1)week after the field study placement start date. Submission: Please upload the scope of work as a Word doc/docx or PDF file. IMPORTANT:This course deliverable is assessed routinely to determine that course criteria are met successfully. While feedback on the Scope of Work may be provided, it will not be graded individually but will count cumulatively towards the final grade. 90 of sa CL V) 4w QJ QJ r � O ��O CL yo IM cy, c 0 kA 7t s W Zj If, o C. LA QJ Q6) co un co (1) oo \a/f QEea2 . .�� ¥3a 5 § ® ` ■ 2) EE7 /)/\} ) /� ) § \$$�Q (kf)§ \p 22taw re�22 � t § §7 / z # r §a ■ / ^ 5s m}g�3 5% \ § 3 §2 £% � m (te § 5a�2§ 2 _ G7% kk /f& ]moo ¥ 2$ | fk 3i\\ � / )/\\ , ƒ\\ �) auk ± \/)ƒ/ $ # z 2tEƒj � q §%R ) ti ■ ` ® _G = ]fkg ® ® K«§ §7 {] { KEG , §« . ƒ \\§ ( (\�� � Q ®2 » ) 2 (o= §� \ ■ \5k § § § 4 ( ■3 � 2§k#2 Q432 %\ ) C,4 LLJ v Z 025 u ) t L'I \) i» § �{ / 2r c D �'13 - to Q« 2 CS, %� � � & CL a > u � : � § @ ' tee ( q \ / § \ \ Afk (/ 2 0- w \ O Z } w 2 2 _ E \ k E F ■ � = A e . (7 3\ \ )ƒ � Q LLI \» /# § } \ % 4wy Q u \ B : « . Qj -ts % E ■ § ; tkr4 \ Ej\ \ ] ( 4 Q E w ! { 4- 4� > A « U � � � � U . 4 � O \7 Q o Qj � 0- \ \ o Q o -rz LLI Q c u \/ 0 Q - 4f !\/ $ \ } \ \\\/\ E w (t \ � v w /\ \\ (\\\ { o E 0 \§ �) \§ � O � 20 ~ �« o O ƒ§ £ o60 t3 u 3 \ \ ) Q tA L . .- % �r rn SECTION 3: PHFS Work Products Students are required to complete a minimum of two (2) work products during their PHFS placement. Examples of work products are deliverables assigned by the preceptor/site (e.g., literature reviews, research and review of best practices, grant writing projects, (see below), reports or presentations of data or findings, poster presentations, health education/promotion curriculum design, program evaluations, surveys, policy analysis, data charts and analysis, pamphlets, brochures, websites, social media pages, research study recruitment materials, etc.) In the table below, please list of all work products to be completed during your field study that demonstrate and allow assessment of competency attainment. PHFS WORK PRODUCTS COMPETENCY AREA: CATEGORY AND COMPETENCY Example:Literature review Example:Planning&Management to Promote Health: Assess population needs, assets and capacities that affect communities' health Example: Survey Example:Evidence-based Approaches to Public Health: Select quantitative and qualitative data collection methods appropriate fora given public health context Example:Develop phone script for telephone Example: Communication: survey in English and Vietnamese • Communicate audience-appropriate public health content, both in writing and through oral presentation • Describe the importance of cultural competence in communicating public health content 95 C L C � +1 Q ° C oCo _ O a) s u @ L N +� CD v o do LLn N -p O (6 L M - C v C U C E tw cn C ro n c) ate+ Ln Co > f0 C O a) � ,� a) C aNi v E +" an v ao +� LJ i ro > V 'O a) Ln fa LO C N m m N C - ,} aJ - L v O n a+ �, 1 3 a) t l0 � a1 � t L U v _ � 7 _0 Q N QJ a 1 � � �O M C l0 > � a-�+ E ° O � � N C �n 4- O u in in n co E `� C ° C o �0 4— cu _ ° t Ln `L° a"i L E to U t " a) aJ U O O cLo C 'O O v N U i � C ca a) C ON ao 'U a) +; Q a m O cu _ — f0 a) x 'v� Go -C Ln C +� U L E O _C U 0 U in O n L }1 V O C t6 O -C ra n to dA a) t U Ln Z ;�. � O +� E 0 C u C cno L .v _� _0 +' E o W N 4- U E Q m@ M U ro U C u O v O O v o - W7 j CD O E � 4-1 �' � � O n � C n a) � O G. 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"a O Q � rl N M C1 m U C O i O u +� O O U N Q 3 p C N 4--+ _ p _u VI at-+ C (0 •� C C u ai E N f0 E c t aJ Ln a) E to a) +-� +� to C f° 0 0 a, fB to a, CL E r0 aJ o ai u a O E o v V) C cC0 i C -I-- +a), E ++ 'O (0 CO W u a, m � .� a a, ui m Q L W N p 0- C O C — i aj o U p W a1 'L Y O ~' '+� (6 N 0- o O O C 0 'C +@' ai ca aU- u w3 o v QC 4- 4— r0 o a, 0 0 Oa a a >Z � m a av QLn p= 2 a 0 c 41 E n v u c4-1 � a 0 E -0 N u o C C U aono Yo o D a) >- C 0O C0 u Ln Q aJ in W U E O p > u +� C7 °' •� a O L " a) - E uE ' t a, m d=HJQ aL te 000 a+ a O E >an> � E u E C a o E E u � o o v O " C a- O v O a O N a. w Q .E m Q u cn U 3 a_ a Q LJ.1 O Ln lD I� 06 Ol O ri N ;N �i r-I r•i r-1 �i N N N U m v J 3 m LLJ D a u u m F- = a O bO V = _ - a) O O Y 4Fm w s E H `O EA 3 p to 'a a1 E Q• aJ E a) H a+ O Q In 6 1: 00 CEPH GUIDANCE ON • OF MPH FOUNDATIONAL COMPETENCIES MPH FOUNDATIONAL • COMPETENCY INTERPRETATION Evidence-based Approaches to Public Health Assessment must include the application of various epidemiological 1.Apply epidemiological methods to settings and situations in public study designs(e.g.,cohort study)and principles(e.g.,sample size, health practice incidence,prevalence,morbidity,etc.). A single setting/situation is insufficient. "Select"=choose among methods.Students must be exposed to 2.Select quantitative and qualitative data collection methods various methods so that they can distinguish between them.Must appropriate for a given public health context see that students can select among both quantitative and qualitative (e.g.,focus groups,key informant interviews)data collection methods. Assessment must address both parts of the competency statement:1) 3.Analyze quantitative and qualitative data using biostatistics, qualitative(i.e.,non-numerical)and 2)quantitative. Must see that informatics,computer-based programming and software,as students can analyze both types of data using the appropriate software. appropriate Appropriate software may be general(e.g.,Excel or Word)or specific (e.g.,NVivo or SPSS). Students should understand and applyfindings from data analysis for 4.Interpret results of data analysis for public health research,policy public health research,policy or practice.Students should have an or practice understanding of the data findings and be able to draw linkages to how the results may influence decisions. Public Health&Health Care Systems 5.Compare the organization,structure and function of health care, International health systems must be apparent forcomparison to be public health,and regulatory systems across national and possible. international settings Students should be able to discuss factors(including racism, 6.Discuss the means by which structural bias,social inequities and specifically)that impact health equity at multiple levels for a racism undermine health and create challenges to achieving health particular health problem.Students should be able to discuss health equity at organizational,community,and systemic levels disparities and differences among groups,as well as the ways in which organizations,systems,and structures operate that may have inequitable influences on certain groups. Planning&Management to Promote Health 7.Assess population needs,assets and capacities that affect Very concrete skill. Assess a specific community's strengths, communities'health challenges, and the desired outcomes that are necessary for community well-being. 98 Must see preparation of students in connecting concepts of 8.Apply awareness of cultural values and practices to the design, culture to the assignment (e.g., cultural adaptation/tailoring, implementation,or critique of public health policies or programs stakeholder involvement in planning,cultural humility). A standard program planning assignment in the traditional social& behavioral class is not sufficient without specific attention to cultural considerations. Assessment could be the critique of an existing policy/program rather than the actual design/implementation of something new. *Lack of evidence of instruction is a common reason for non-compliant finding 9.Design a population-based policy,program,project or intervention Very concrete skill.Product could be a research project,plan for a program,policy statement,etc. "Resource management"refers to stewardship(planning, 10.Explain basic principles and tools of budget and resource monitoring,etc.)of resources throughout a project,not simply management preparing a budget statement that projects what resources will be required. Writing a supplemental description to individual line items in a projected budget is often insufficient unless there are other parameters around the task or assignment related to managing budgets and resources(e.g.,staffing,space,multiple programs). The didactic preparation and assessment should address steps involved in managing budgets or other resources AFTER a project begins. *Lack of evidence of instruction is a common reason for non-compliant finding "Select"=choose among methods.Students should be able to 11.Select methods to evaluate public health programs consider a public health program and choose the appropriate evaluation method for the program.Types of evaluations may include formative evaluation(feasibility,appropriateness,acceptability), process/implementation evaluation(have activities been implemented as intended),outcome/effectiveness evaluation(effect in the target population),and impact evaluation(success in achieving ultimate program goals).Students do not have to actually evaluate,but must be able to identify the correct approach. Policy in Public Health Broader than analyzing a specific policy.Students must be able to 12.Discuss the policy-making process,including the roles of ethics explain the technical aspects of how policies(on a local,state,or and evidence national level)are created and adopted,including legislative and/or regulatory roles and processes. Didactic preparation and assessment should focus on how the policy may move from one legislative committee to another,the iterations a policy goes through,and incorporating feedback to garner enough legislative support forthe final version.Students should also consider how research or evaluation evidence and ethics influence the policy making process. Students should recognize the importance of community involvement 13.Propose strategies to identify stakeholders and build coalitions and buy-in as instrumental to promoting community change and and partnerships for influencing public health outcomes improvement and should think about how to bring relevant stakeholders together. *Lack of evidence of instruction is a common reason for non-compliant finding 99 Students must understand how to advocate for a particular issue and 14.Advocate for political,social or economic policies and programs have the ability to influence policy and/or decision making,such as that will improve health in diverse populations through stakeholder mobilization,educating policy makers,etc. Students must produce a product that would be part of an advocacy campaign or effort(e.g.,legislative briefing paper or fact sheet, advocacy strategy outline,etc.). *Lack of evidence of instruction is a common reason for non-compliant finding Assessment should focus on the evaluation of policies ratherthan the 15.Evaluate policies for their impact on public health and health development of policies.Students should consider how groups are equity affected by policies,including both intended and unintended consequences with a focus on the impacts on equity. Leadership Principles of leadership and management may include creating a 16.Apply leadership and/or management principles to address a vision,empowering others,fostering collaboration,and guiding relevant issue decision making.Students must apply these principles by developing their own strategies or approaches to a given scenario,such as responding to a case study or scenario.It is insufficient to simply describe principles in an essay or exam,observe these skills in others, or have students self-reflect on their leadership style. *Lack of evidence of instruction is a common reason for non-compliant finding Students need to know some ways to negotiate/mediate when 17.Apply negotiation and mediation skills to address organizational or another party has conflicting interests and/or different desired community challenges outcomes from their own and there is a need to come to a common conclusion.Such skills extend beyond the level of negotiating required in a successful intra-group process and assessment must involve more than persuasive communication. *Lack of evidence of instruction is a common reason for non-compliant finding Communication "Select"=determine how to communicate with different groups by considering the needs and usual practices of the target audience. 18.Select communication strategies for different audiences and Students should be able to discern between different media,consider sectors levels of health literacy,etc.This competency is often conflated with #19,but it is different. Students should communicate using words and images that are 19. Communicate audience-appropriate (i.e., non-academic, non- effective,accessible,and understandable for each audience. peer audience)public health content,both in writing and through Students should consider the venues or methods of delivery(e.g., oral presentation social media,press release,oral presentation,journal article)that best fit the circumstances. An audience of peers/fellow students or an academic audience is not sufficient. One assessment may be sufficient if it has written and oral components, or multiple assessments are needed. Different from#8—the focus is on communicating public health 20.Describe the importance of cultural competence in content and why cultural competence is an important consideration communicating public health content when crafting public health communications.Students should consider the importance of ensuring that different groups can easily relate to and apply public health information. 100 Interprofessional and/or Intersectoral Practice other sectors and/or professions may include physicians, nurses, 21.Integrate perspectives from other sectors and/or professions to pharmacists,and physical therapists,and can extend past the health promote and advance population health sciences into education,urban planning,public administration, engineering,housing authorities,the legal system,police departments,and beyond. Students must combine the external sector/profession's perspective and/or knowledge with their own public health training to complete a task,solve a problem,etc.Must actually interact with individuals in a profession or sector other than public health(in-person or online). Role-playing in which public health students assume the identity of an individual from another profession or sector to which they do not already belong is not an acceptable substitute. Not acceptable to solely assess in internship. *Lack of evidence of instruction is common reason for non-compliant finding Systems Thinking Evidence of competency demonstration must be non-narrative. 22.Apply a systems thinking tool to visually represent a public health Describing how systems thinking might apply is not sufficient; issue in a format other than a standard narrative students must show that they can actually apply systems thinking tools by constructing something like a causal loop diagram,systems archetypes,network analyses,and concept maps.Logic models and evidence tables are not sufficient to address this competency. 101 0 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM Public Health Field Study (PHFS) Competency Inventory Name: MPH Concentration: Through a collaborative process with the Preceptor, the Student is required to identify the following Public Health Program Competencies for their field study project, which must be addressed by the PHFS Scope of Work. Competencies are presented in an Inventory format as a required course deliverable. Students must identify at least 5 core zompetencies (adopted from the 2016 Council on Education for Public Health (CEPH) MPH Foundational Competency Categories), one (1) cross-cutting competency, and three (3) MPH Concentration competencies. Please follow the steps aelow: Step 1:To complete your inventory, please refer to the full list of MPH Competencies and Guidance on Competency Interpretation provided in Canvas. Step 2:Working with your preceptor,select the competencies that will be addressed by your scope of work. Step 3: Copy and paste the corresponding competencies into the designated spaces below. Step 4: Next, apply the selected competencies to the objectives and activities listed in your scope of work. Step 5:Write a brief description (one to two sentences) interpreting the competency as it applies to your PHFS project demonstrating that your objectives and activities appropriately address the competencies you have chosen. (Refer to ompetency Inventory Example in Canvas for competency application and interpretation examples.) Step 6:Type your competency inventory(handwritten material is not acceptable). COURSE COMPETENCIES Core Competencies: Identify one (1) competencyfrom at leasttwo (2) of the CEPH MPH Foundational Competency Zategories 1-5. 1. Evidence-based Approaches to Public Health 2. Public Health & Health Care Systems 3. Planning& Management to Promote Health 4. Policy in Public Health S. Leadership 102 2016 CEPH MPH COMPETENCY APPLICATION/INTERPRETATION FOUNDATIONAL COMPETENCY CATEGORIES • Select one (1) competency from each of the following 2016 CEPH MPH Foundational Competency Categories 6-8. 6. Communication 7. Interprofessional Practice B. Systems Thinking 2016 CEPH MPH FOUNDATIONAL COMPETENCY APPLICATION/INTERPRETATION COMPETENCY CATEGORIES • Cross-Cutting MPH Competency: Identify One (1) Cross-Cutting MPH Competency. CROSS-CUTTING COMPETENCY APPLICATION/INTERPRETATION • MPH Concentration Competencies:Select Three (3) Competencies from your Concentration (Community Action for Health, Global Health, Health Equity and Criminal Justice). 71 103 TOURO UNIVERSITY C A L I F 0 R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM PHFS Competency Inventory (EXAMPLE) Name: Jane Smith MPH Concentration: Community Action for Health Through a collaborative process with the Preceptor, the Student is required to identify the following Public Health Program Competencies for their field study project, which must be addressed by the PHFS Scope of Work. Competencies are presented in an Inventory format as a required course deliverable. Students must identify at least 5 core competencies (adopted from the 2016 Council on Education for Public Health (CEPH) MPH Foundational Competency Categories), one (1) cross-cutting competency, and three (3) MPH Concentration competencies. Please follow the steps below: Step 1:To complete your inventory, please refer to the full list of MPH Competencies and Guidance on Competency Interpretation provided in Canvas. Step 2: Working with your preceptor,select the competencies that will be addressed by your scope of work. Step 3: Copy and paste the corresponding competencies into the designated spaces below. Step 4: Next, apply the selected competencies to the objectives and activities listed in your scope of work. Step 5:Write a brief description (one to two sentences) interpreting the competency as it applies to your PHFS project demonstrating that your objectives and activities appropriately address the competencies you have chosen. (Refer to Competency Inventory Example in Canvas for competency application and interpretation examples.) Step 6:Type your competency inventory(handwritten material is not acceptable). COURSE COMPETENCIES Core Competencies: Identify one(1) competencyfrom at least two (2)of the CEPH MPH Foundational Competency Categories 1-5. 1. Evidence-based Approaches to Public Health 2. Public Health& Health Care Systems 3. Planning& Management to Promote Health 4. Policy in Public Health 5. Leadership 104 2016 CEPH COMPETENCY COMPETENCY PLICATION/INTERPRETATION CATEGORIES Planning and management to Discuss the basic principles of budgeting and Working on a grant proposal for promote health resource allocation for a project. Pharm2home initiative that aims to provide medication consults for chronic diseases beyond the walls of the clinic. The grant proposal will require drafting budget and resource allocation needs for the initiative. Leadership Applying leadership and management Organizing and leading an event principles to organize and implement called stay flossy which aims to community event. prevent cavities and or reduce cavities from the further progressing through the application of fluoride varnish. Policy in Public Health Building coalition and partnership with Partnered with MOBEC(Mobile relevant community organization to promote Diabetes Education Center)to health in the community. provide education on diabetes and hypertension. Evidence-based Approaches to Interpreting results of data analysis for public Analyzing data to generate accurate Public Health health research interpretation for pharm2home grant proposal. • Select one (1) competency from each of the following 2016 CEPH MPH Foundational Competency Categories 6-8. 6. Communication 7. Interprofessional Practice 8. Systems Thinking 16 CEPH COMPETENCY CATEGORIES COMPETENCY APPLICATION/INTERPRETATION Communication Describe the importance of Demonstrating cultural sensitivity while cultural competence in communicating vital information related communicating public health to health in both community outreach content events such as MOBEC and stay flossy. Interprofessional Practice Integrating perspectives from Working alongside MOBEC and other sectors and/or Pharm2home to implement quality professions to promote and community health outreach.The team advance population health includes public health practitioners, 105 medical doctors, Physician assistants,and dieticians. Systems Thinking Applying a system thinking tool Understand how poor oral health a result to visually represent a public of lack of recourses and dental services is. health issue in a format other than a standard narrative. • Cross-Cutting MPH Competency: Identify One (1) Cross-Cutting MPH Competency. CROSS-CUTTING COMPETENCY APPLICATION/INTERPRETATION Identify valid sources of public health information Case report for JAAPA: Gathered key literature for including peer-reviewed literature, identifying evaluation and management of Juvenile government records, and publicly available datasets polyposis syndrome. Stay flossy: Collected important data on oral health which includes demographics, condition of oral health, and effects of COVID-19 in accessing dental care. • MPH Concentration Competencies:Select Three(3) Competencies from your Concentration (Community Action for Health, Global Health, Health Equity and Criminal Justice). MPH CONCENTRATION COMPETENCY APPLICATION/INTERPRETATION Identify and analyze strategies aimed at reducing social MOBEC unit delivers high quality screening for diabetes inequities in health and hypertension as well as resources on how to manage these chronic conditions. MOBEC is a service intended to reduce social inequities in health by breaking barriers and meeting the community where they're at. Identify and adapt evidence-based programs and strategies Low-income community in solano county have reduced that are most appropriate for community- based needs and access to quality dental care due to lack of dental priorities insurance,transportation,and COVID-19. For this reason, here's high need of basic dental care that will reduce poor oral health.The Stay flossy program aims to reduce cavities from forming through the application of fluoride arnish. 106 Demonstrate competence using specific community health Program planning and execution requires understanding planning data sources to assist community collaborative the needs of the community to improve quality of care groups in program/action prioritization. and reduce health inequity. Effective program planning includes not only understanding the needs of the community through data collection and analysis but also partnering with relevant stakeholders to foster community engagement in the execution phase of the program planning. 106 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM PHFS Competency Inventory (EXAMPLE) Name: Jane Smith MPH Concentration: Health Equity and Criminal Justice Through a collaborative process with the Preceptor, the Student is required to identify the following Public Health Program Competencies for their field study project, which must be addressed by the PHFS Scope of Work. Competencies are presented in an Inventory format as a required course deliverable. Students must identify at least 5 core competencies (adopted from the 2016 Council on Education for Public Health (CEPH) MPH Foundational Competency Categories),one (1) cross-cutting competency, and three (3) MPH Concentration competencies. Please follow the steps below: Step 1:To complete your inventory, please refer to the full list of MPH Competencies and Guidance on Competency Interpretation provided in Canvas. Step 2:Working with your preceptor,select the competencies that will be addressed by your scope of work. Step 3: Copy and paste the corresponding competencies into the designated spaces below. Step 4: Next, apply the selected competencies to the objectives and activities listed in your scope of work. Step 5:Write a brief description (one to two sentences) interpreting the competency as it applies to your PHFS project demonstrating that your objectives and activities appropriately address the competencies you have chosen. (Refer to the highlighted examples below.) Step 6:Type your competency inventory(handwritten material is not acceptable). COURSE COMPETENCIES Core Competencies: Identify one(1) competencyfrom at leasttwo (2) of the CEPH MPH Foundational Competency Categories 1-5. 1. Evidence-based Approaches to Public Health 2. Public Health& Health Care Systems 107 3. Planning& Management to Promote Health 4. Policy in Public Health 5. Leadership 2016 CEPH MPH COMPETENCY APPLICATION/INTERPRETATION FOUNDATIONAL COMPETENCY CATEGORIES Evidence-based Approaches Interpret results of data analysis for Reviewing results of peer-reviewed data to to Public Health public health research, policy, or determine the link between self-harm and practice incarceration. Public Health&Health Care Discuss the means by which structural How does racism and social inequities Systems bias, social inequities and racism reduce mental health resources and undermine health and create increase the self-harm rate among challenges to achieving incarcerated and carceral citizens and their health equity at community and families? societal levels. Planning&Management to Assess population needs, assets and Assess the mental health needs of carceral Promote Health capacities that affect communities' citizens and their families and how the health organization can assist with meeting these needs Policy in Public Health Propose strategies to identify Propose initiatives and program options to stakeholders and build coalitions and BYA stakeholders to assist with the mental partnerships for influencing public health needs of the community and prevent health outcomes self-harm among incarcerated and carceral citizens and their families. • Select one (1) competency from each of the 2016 CEPH MPH Foundational Competency Categories 6-8. 6. Communication 7. Interprofessional Practice 8. Systems Thinking 016 CEPH MPH FOUNDATIONAL COMPETENCY APPLICATION/INTERPRETATION COMPETENCY CATEGORIES Communication Describe the importance of cultural Cultural competence is required for the competence in communicating public success of the Suicide Prevention Program health content) among the population of incarcerated, carceral citizens, and their families. 108 Interprofessional Practice Perform effectively on The current team consist of the interprofessional teams Associate Director, Policy Team Member, a formerly incarcerated stakeholder, and the Student Intern. Using our different areas of expertise,we can form an effective program that will greatly benefit the population. Systems Thinking Apply systems thinking tools to a Learn how incarceration mentally effects public health issue all stakeholders, Discover programs/strategies/tools to prevent self- harm among this population, Discuss how this prevention effects the individual,family, and community • Cross-Cutting MPH Competency: Identify One (1) Cross-Cutting MPH Competency. CROSS-CUTTING COMPETENCY APPLICATION/INTERPRETATION Identify valid sources of public health information Collect and analyze data via HHS Public Access, including peer-reviewed literature,government records, PrisonPolicy.org, and other peer-reviewed papers and and publicly available datasets studies • MPH Concentration Competencies: Select Three (3) Competencies from your Concentration (Community Action for Health,Global Health, Health Equity and Criminal Justice). MPH CONCENTRATiONWIVIPETENCY APPUCATION/NT£RfRSTATION Investigate how systemic oppression, racism, and Systemic oppression, racism, and discrimination has led discrimination fuels justice-involvement and its to mental health inequities within underserved impacts on public health. communities for decades, but this field study will focus on how these issues effect the incarcerated, carceral citizens, and their families at a substantially higher percentage and which resources are needed to help alleviate this crisis in the Berkeley area. Evaluate the collateral consequences of criminal Constant policing,violence,and allostatic load burdens justice policy at local,state,and federal levels and people who live in lower SES communities and this their impact on community health and well- causes mental anxiety and physical stress. Policies that being. criminalize people in this economic category leads to increased incarceration, depression, and other chronic mental health issues. Examine historical origins of the criminal justice The criminal justice system was created to maintain law system and analyze the development of legal and order among minorities and other disenfranchised systems and the impacts of mass incarceration in populations. Police were created to oversee communities the U.S. of color and ensure a constant flow of free workers for manual labor.Today, this practice continues and has become a billion-dollar business. However, the systemic effects it has had on disenfranchised communities 109 includes the inability to build wealth, reduced access to educational opportunities, and the lack of resources to support their mental and physical wellbeing. 110 0 TOURO UNIVERSITY C A L I F O R N I A COLLEGE OP EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM 1310 Club Drive • Vallejo • California • 94592 • 707-638-5838 (main ofc) Public Health Field Study Contract The purpose of this agreement is to structure the field experience through results-oriented objectives and a well-defined scope of work.This contract and related scope of work serves as the basis for the field study. Once the student and preceptor have signed the contract, any subsequent changes will require the approval of the preceptor and field study coordinator. The contract and scope of work must, be submitted via Canvas one week after the start of the field study. Student Name: Student Phone Number: Student Email address: Preceptor Name/Title Preceptor Credentials(MPH, PhD, MD) Preceptor Prefix(Mr.,Ms.(if not "Dr.'s)) Supervisor Name: Site Name: Preceptor Phone Number: Preceptor Email address: Site Address,City, Site State/Province, Postal Code/Zip Site Country Preceptor Fax Number: Field Study Placement Start Date: Placement Length: 10-12 Weeks 6 Weeks+ 12-24 Weeks(Part-time) I have read the scope of work attached to this document and by my signature approve the field study as outlined. Student Date Preceptor Date Nemesia Kelly, MPH Assistant Professor& Field Study Coordinator/Chair, Health Equity and Criminal Justice Concentration Touro University California Public Health Program nemesia.kelly@tu.edu • 707.638.5827 (Office) • 707.731.7436 (Cell) ill TOURO U_NIVERSIT_Y_ C A L I F O R N I A COLLEGE OF EDUCATION AND HEALTH SCIENCES PUBLIC HEALTH PROGRAM Selected Dates for the Field Study Site Visit The Field Study Site Visit is an assessment that occurs midway through the field study placement. Community Health Field Study site visits are conducted by either the Field Study Coordinator or designated Public Health Program faculty/staff. Global Health Field Study Coordinators/Site Country Coordinators conduct all Global Health Field Study site visits. During the first week of the field study placement and after the preceptor has signed the Field Study Contract,the student is responsible for working with their preceptor to select 3-4 possible dates/times on dates that occur midway through their field study placement on which to schedule the site visit.At least 30 minutes should be allocated for each site visit (15-minute separate meetings are required with the student and the preceptor). Students are required to submit this form via Canvas indicating selected dates/times for potential site visits.The site visitor will contact the student and preceptor to schedule a site visit based on those selected dates/times. Depending on the site location and availability of the site visitor,site visits may be held in person, by phone, or video conference.This form requires signatures of both the student and preceptor. Student Name: Name of Field Study Site: Name of Preceptor: Proposed Dates: Preceptor Signature Date Student Signature Date 112 0 TOURO UNIVERSITY C A L I F O R N I A TOURO COLLEGE GENERAL RELEASE FORM (INDIVIDUAL) I hereby grant the right and permission,without reservation, to Touro College, and those authorized by Touro College, to photograph and/or videotape me and further to display, use and/or otherwise utilize, in original or modified form,my face, likeness, name, information,voice, and appearance forever and throughout the world, in all media,whether now known or hereafter devised, throughout the universe in perpetuity(including,without limitation, in online webcasts,television,motion pictures, films, newspapers,publications or use by third parties) and in all forms including,without limitation, digitized images, whether for advertising,publicity,or promotional purposes, including,without limitation, for the promotion,public education, and/or fundraising activities of Touro College,without compensation, reservation or limitation. Touro College is,however,under no obligation to exercise any rights granted herein. I release Touro College, its officers,directors, agents, employees, independent contractors, licensees and assignees from all claims that I now have or in the future may have,relating to the above. I agree that Touro College,or its grantees or assignees,will be the sole owner of all tangible and intangible rights in the abovementioned photographs and recordings,with full power of disposition. Any controversy or claim arising out of or relating to this release or the breach, termination, or validity (including enforceability and scope of this arbitration clause) thereof, shall be exclusively settled by expedited binding arbitration in Touro College's offices administered by the American Arbitration Association("AAA") and conducted by a sole arbitrator(who shall be an attorney) in accordance with the AAA's Rules("Rules"). The costs of such arbitration shall be borne equally by the parties,with each party also bearing its own attorneys'fees and any costs associated with presenting its proof. Judgment upon the award rendered may be entered in any Court of competent jurisdiction. The undersigned hereby waives trial by jury which waiver is independent of the agreement to arbitrate disputes. I am over 18 years of age* Date Name(print) Date of Shoot/Session Signature Location Address Phone Program *(If a minor,the following should also be signed by the parent or guardian) I am the parent or guardian of the minor named above,and I have consent to the foregoing on behalf of the minor and myself. Date Address Name(print) Relationship 113 0 TOURO UNIVERSITY C A L I F O R N I A GENERAL PHOTO RELEASE I hereby grant the right and permission,without reservation,to Touro College,and those authorized by Touro College,to photograph and/or videotape me and further to display,use and/or otherwise utilize,in original or modified form,my face,likeness,name,information,voice,and appearance forever and throughout the world,in all media,whether now known or hereafter devised,throughout the universe in perpetuity(including,without limitation,in online webcasts,television,motion pictures,films,newspapers,publications or use by third parties)and in all forms including,without limitation,digitized images, whether for advertising,publicity,or promotional purposes,including,without limitation,for the promotion,public education,and/or fundraising activities of Touro College,without compensation,reservation or limitation. Touro College is,however,under no obligation to exercise any rights granted herein. I release Touro College,its officers,directors,agents,employees,independent contractors,licensees and assignees from all claims that I now have or in the future may have,relating to the above. I agree that Touro College,or its grantees or assignees,will be the sole owner of all tangible and intangible rights in the abovementioned photographs and recordings,with full power of disposition. Any controversy or claim arising out of or relating to this release or the breach,termination,or validity(including enforceability and scope of this arbitration clause)thereof,shall be exclusively settled by expedited binding arbitration in Touro College's offices administered by the American Arbitration Association ("AAA")and conducted by a sole arbitrator(who shall be an attorney)in accordance with the AAA's Rules("Rules"). The costs of such arbitration shall be borne equally by the parties,with each party also bearing its own attorneys'fees and any costs associated with presenting its proof. Judgment upon the award rendered may be entered in any Court of competent jurisdiction. The undersigned hereby waives trial by jury which waiver is independent of the agreement to arbitrate disputes. NOTES(if not a TU Student/Employee NAME(PRINT) SIGNATURE PROGRAM include Phone) Signature Phone 114 Exhibit B Self-Dealing Transaction Disclosure Form In order to conduct business with the County of Fresno ("County"), members of a contractor's board of directors ("County Contractor"), must disclose any self-dealing transactions that they are a party to while providing goods, performing services, or both for the County. A self-dealing transaction is defined below: "A self-dealing transaction means a transaction to which the corporation is a party and in which one or more of its directors has a material financial interest." The definition above will be used for purposes of completing this disclosure form. Instructions (1) Enter board member's name,job title (if applicable), and date this disclosure is being made. (2) Enter the board member's company/agency name and address. (3) Describe in detail the nature of the self-dealing transaction that is being disclosed to the County. At a minimum, include a description of the following: a. The name of the agency/company with which the corporation has the transaction; and b. The nature of the material financial interest in the Corporation's transaction that the board member has. (4) Describe in detail why the self-dealing transaction is appropriate based on applicable provisions of the Corporations Code. The form must be signed by the board member that is involved in the self-dealing transaction described in Sections (3) and (4). B-1 Exhibit B (1) Company Board Member Information: Name: Date: Job Title: (2) Company/Agency Name and Address: (3) Disclosure (Please describe the nature of the self-dealing transaction you are a party to) (4) Explain why this self-dealing transaction is consistent with the requirements of Corporations Code § 5233 (a) (5) Authorized Signature Signature: Date: B-2 Exhibit C Insurance Requirements 1. Required Policies TUC shall procure and maintain in force during the term of this agreement, at its sole cost and expense, insurance in amounts that are reasonably necessary to protect TUC and County from and against liability arising from or incident to the use of the Facilities by TUC students participating in the Program. TUC, at its sole expense, shall maintain in full force and effect, the following insurance policies or a program of self-insurance, including but not limited to, an insurance pooling arrangement or Joint Powers Agreement (JPA) though the term of the Agreement. Without limiting the County's right to obtain indemnification from the Contractor or any third parties, Contractor, at its sole expense, shall maintain in full force and effect the following insurance policies throughout the term of this Agreement. (A) Commercial General Liability. Commercial general liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence and an annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis. Coverage must include products, completed operations, property damage, bodily injury, personal injury, and advertising injury. The Contractor shall obtain an endorsement to this policy naming the County of Fresno, its officers, agents, employees, and volunteers, individually and collectively, as additional insureds, but only insofar as the operations under this Agreement are concerned. Such coverage for additional insureds will apply as primary insurance and any other insurance, or self-insurance, maintained by the County is excess only and not contributing with insurance provided under the Contractor's policy. (B) Automobile Liability. Automobile liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence for bodily injury and for property damages. Coverage must include any auto used in connection with this Agreement. (C)Workers Compensation. Workers compensation insurance as required by the laws of the State of California with statutory limits. (D) Employer's Liability. Employer's liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence for bodily injury and for disease. (E) Professional Liability. Professional liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence and an annual aggregate of Three Million Dollars ($3,000,000). If this is a claims-made policy, then (1)the retroactive date must be prior to the date on which services began under this Agreement; (2)the Contractor shall maintain the policy and provide to the County annual evidence of insurance for not less than five years after completion of services under this Agreement; and (3) if the policy is canceled or not renewed, and not replaced with another claims-made policy with a retroactive date prior to the date on which services begin under this Agreement, then the Contractor shall purchase extended reporting coverage on its claims-made policy for a minimum of five years after completion of services under this Agreement. C-1 Exhibit C (F) Molestation Liability. Sexual abuse/ molestation liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence, with an annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis. (G)Technology Professional Liability (Errors and Omissions). Technology professional liability (errors and omissions) insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence and in the aggregate. Coverage must encompass all of the Contractor's obligations under this Agreement, including but not limited to claims involving Cyber Risks. (H) Cyber Liability. Cyber liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence. Coverage must include claims involving Cyber Risks. The cyber liability policy must be endorsed to cover the full replacement value of damage to, alteration of, loss of, or destruction of intangible property (including but not limited to information or data)that is in the care, custody, or control of the Contractor. Definition of Cyber Risks. "Cyber Risks" include but are not limited to (i) Security Breach, which may include Disclosure of Personal Information to an Unauthorized Third Party; (ii) data breach; (iii) breach of any of the Contractor's obligations under [identify the Article, section, or exhibit containing data security obligations] of this Agreement; (iv) system failure; (v) data recovery; (vi)failure to timely disclose data breach or Security Breach; (vii) failure to comply with privacy policy; (viii) payment card liabilities and costs; (ix) infringement of intellectual property, including but not limited to infringement of copyright, trademark, and trade dress; (x) invasion of privacy, including release of private information; (xi) information theft; (xii) damage to or destruction or alteration of electronic information; (xiii) cyber extortion; (xiv) extortion related to the Contractor's obligations under this Agreement regarding electronic information, including Personal Information; (xv)fraudulent instruction; (xvi)funds transfer fraud; (xvii) telephone fraud; (xviii) network security; (xix) data breach response costs, including Security Breach response costs; (xx) regulatory fines and penalties related to the Contractor's obligations under this Agreement regarding electronic information, including Personal Information; and (xxi) credit monitoring expenses. 2. Additional Requirements (A) Verification of Coverage. Within 30 days after the Contractor signs this Agreement, and at any time during the term of this Agreement as requested by the County's Risk Manager or the County Administrative Office, the Contractor shall deliver, or cause its broker or producer to deliver, to the County of Fresno, Department of Public Health, P.O. Box 11867, Fresno, CA 93775, Attention: Contracts Section —611 Floor, or email, DPHContracts@fresnocountyca.gov, certificates of insurance and endorsements for all of the coverages required under this Agreement. (i) Each insurance certificate must state that: (1) the insurance coverage has been obtained and is in full force; (2)the County, its officers, agents, employees, and volunteers are not responsible for any premiums on the policy; and (3) the Contractor has waived its right to recover from the County, its officers, agents, employees, and volunteers any amounts paid under any insurance policy C-2 Exhibit C required by this Agreement and that waiver does not invalidate the insurance policy. (ii) The commercial general liability insurance certificate must also state, and include an endorsement, that the County of Fresno, its officers, agents, employees, and volunteers, individually and collectively, are additional insureds insofar as the operations under this Agreement are concerned. The commercial general liability insurance certificate must also state that the coverage shall apply as primary insurance and any other insurance, or self-insurance, maintained by the County shall be excess only and not contributing with insurance provided under the Contractor's policy. (iii) The automobile liability insurance certificate must state that the policy covers any auto used in connection with this Agreement. (iv) The professional liability insurance certificate, if it is a claims-made policy, must also state the retroactive date of the policy, which must be prior to the date on which services began under this Agreement. (v) The technology professional liability insurance certificate must also state that coverage encompasses all of the Contractor's obligations under this Agreement, including but not limited to claims involving Cyber Risks, as that term is defined in this Agreement. (vi) The cyber liability insurance certificate must also state that it is endorsed, and include an endorsement, to cover the full replacement value of damage to, alteration of, loss of, or destruction of intangible property (including but not limited to information or data)that is in the care, custody, or control of the Contractor. (B) Acceptability of Insurers. All insurance policies required under this Agreement must be issued by admitted insurers licensed to do business in the State of California and possessing at all times during the term of this Agreement an A.M. Best, Inc. rating of no less than A: VI I. (C) Notice of Cancellation or Change. For each insurance policy required under this Agreement, the Contractor shall provide to the County, or ensure that the policy requires the insurer to provide to the County, written notice of any cancellation or change in the policy as required in this paragraph. For cancellation of the policy for nonpayment of premium, the Contractor shall, or shall cause the insurer to, provide written notice to the County not less than 10 days in advance of cancellation. For cancellation of the policy for any other reason, and for any other change to the policy, the Contractor shall, or shall cause the insurer to, provide written notice to the County not less than 30 days in advance of cancellation or change. The County in its sole discretion may determine that the failure of the Contractor or its insurer to timely provide a written notice required by this paragraph is a breach of this Agreement. (D) County's Entitlement to Greater Coverage. If the Contractor has or obtains insurance with broader coverage, higher limits, or both, than what is required under this Agreement, then the County requires and is entitled to the broader coverage, higher limits, or both. To that end, the Contractor shall deliver, or cause its broker or producer C-3 Exhibit C to deliver, to the County's Risk Manager certificates of insurance and endorsements for all of the coverages that have such broader coverage, higher limits, or both, as required under this Agreement. (E) Waiver of Subrogation. The Contractor waives any right to recover from the County, its officers, agents, employees, and volunteers any amounts paid under the policy of worker's compensation insurance required by this Agreement. The Contractor is solely responsible to obtain any policy endorsement that may be necessary to accomplish that waiver, but the Contractor's waiver of subrogation under this paragraph is effective whether or not the Contractor obtains such an endorsement. (F) County's Remedy for Contractor's Failure to Maintain. If the Contractor fails to keep in effect at all times any insurance coverage required under this Agreement, the County may, in addition to any other remedies it may have, suspend or terminate this Agreement upon the occurrence of that failure, or purchase such insurance coverage, and charge the cost of that coverage to the Contractor. The County may offset such charges against any amounts owed by the County to the Contractor under this Agreement. (G)Subcontractors. The Contractor shall require and verify that all subcontractors used by the Contractor to provide services under this Agreement maintain insurance meeting all insurance requirements provided in this Agreement. This paragraph does not authorize the Contractor to provide services under this Agreement using subcontractors. C-4