Emergency Health Services (EHS)

Department of Emergency Health Services

RICHARD A. BISSELL, Graduate Program Director

This program is based at UMBC and housed within the College of Arts, Humanities and Social Sciences, Department of Emergency Health Services. However, many students may take a significant portion of their courses in the Department of Preventive Medicine and Epidemiology at University of Maryland, Baltimore (UMB) or in UMBCís Department of Education. Since the fall semester of 1998, students have been able to obtain their M.S. degree in EHS entirely via distance education. Course requirements and options vary by track.

WALZ, BRUCE J., Ph.D., University of Maryland, College Park; EMS education, volunteer organizations
BISSELL, RICHARD A., Ph.D., University of Denver; Disaster public health, international EMS, emergency management

Clinical Professor
MITCHELL, JEFFREY T., Ph.D., University of Maryland, College Park; Traumatic stress, crisis intervention

Senior Lecturer
POLK, DWIGHT, M.S.W., University of Maryland, Baltimore

Adjunct Faculty
DEAN, STEPHEN, Ph.D., M.H.A., University of Maryland, Baltimore County; EMS systems design, systems efficiency
KIRKWOOD, SKIP, J.D., M.S., Rutgers University School of Law; legal and policy aspects of EMS and healthcare, EMS system design and management
LELAND, GLENN, M.B.A., Northwestern University; healthcare management, strategic planning, business development
MAGUIRE, BRIAN J., Dr. PH., M.S.A., EMT-P, George Washington University; EMS management, EMS occupational risks
TAIGMAN, MIKE, MA. Saybrook University; Organizational systems, quality improvement, human relations in EMS, Six Sigma design and implementation, healthcare improvement

Degrees Offered

M.S. (thesis and non-thesis)
Graduate Certificate in Emergency Management

Program Description

The Department of Emergency Health Services at UMBC offers a graduate program leading to a Master of Science degree. This degree is also a core component of the UMB-UMBC post-residency fellowship in emergency medical services and incorporates offerings from several university departments at both UMBC and UMB. The program offers three tracks: (1) administration, planning and policy; (2) preventive medicine and epidemiology; and (3) education. The department also offers a graduate certificate program in emergency management. Primarily an online program (with some on-campus courses offered), the EHS degree sequence is designed to fit the needs of part-time and full-time students.

Degree Requirements

Each program option is centered on a common core of coursework offered through the emergency health services department; the options then diverge into the described specialty. In special cases, option requirements are combined to meet an individualís need for such program design. Students must take a minimum of 30 credit hours of course and seminar work. Students in the preventive medicine track must complete a satisfactory research project either in seminar work or, in a more formal manner, through the thesis option. Non-thesis students must complete written comprehensive exams or a capstone project. With continuous full-time enrollment each semester, students may expect to complete the degree in about two years, depending upon the option chosen and course availability. A three-year time frame will be typical for many distance-education students.

Program Admission

General admission requirements are those of the Graduate School. All original application documents must be sent directly to the Graduate School, not the graduate program. Both UMB and UMBC require a bachelorís degree with a minimum 3.0 average and three letters of recommendation. Scores on the aptitude sections of the Graduate Record Examination are required if a studentís undergraduate GPA is below 3.2. An undergraduate background in emergency health is not required, although those applying with strongly divergent backgrounds may be asked to take the undergraduate course Concepts in Emergency Health Services. Applicants with any identified background deficiencies may be admitted provided they remove such deficiencies promptly.

Programs of Study

The following core courses are required for tracks I and II:

Core Courses (six credits required) [Credits]
EHS 640: Introduction to High-Performance EHS [3]
EHS 641: EHS Law and Policy [3]

Each track includes a methods series of courses that totals six to nine credit hours followed by a selection of electives.

Track IĖAdministration, Planning and Policy (offered via distance education)
Track Core (six credits required) [Credits]
EHS 676: EHS Management of Reimbursement [3]
EHS 691: Business Development [3]
Methods Requirement (nine credits required)
EHS 630: Issues Analysis and Proposal Writing [3]
EHS 642: Event-Driven Resource Deployment [3]
EHS 650: System Design and Contracting [3]
A graduate-level statistics course from an accredited university [3]
Electives (nine credits required) [Credits]
EHS 609: Guided Introduction to EMS Research [3]
EHS 632: Disaster Health Services [3]
EHS 633: Refugee Health Services [3]
EHS 634: Disaster Mitigation [3]
EHS 636: Disaster Response [3]
EHS 637: Disaster Recovery [3]
EHS 638: Disaster Preparedness [3]
EHS 652: Human Resource Development [3]
EHS 658: Materials and Fleet Management [3]
EHS 690: Information Systems in EHS Leadership [3]
EHS 699: Independent Study [1-3]
EHS 700: Systems Practicum [3]
EHS 720: Emergency Health Services Quality Management [3]
Total Required Credits [30]
Track IIĖPreventive Medicine and Epidemiology (some on-campus courses required*)
Methods Requirements (10 credits required) [Credits]
EHS 630: Issues Analysis and Proposal Writing [3]
PREV 600: Principles of Epidemiology [3]
PREV 620: Principles of Biostatistics [3]
PREV 619: Biostatistical Computing or equivalent from another university.

Electives within option
(15 credits required; choose at least one course from each group.)

(Students following a thesis program may select 12 elective credits of course work supplemented by six credit hours of thesis.)

Group I [Credits]
PH/PREV 610: Foundations of Public Health [3]
PH/PREV 648: Introduction to the Health System and Healthcare Management [2-3]
PREV 643: Healthcare Economics [3]
PH/PREV 668: Environmental Health and Occupational Medicine [3]
PREV 720: Statistical Methods in Epidemiology [3]
Group II [Credits]
EHS 609: Guided Introduction to EHS Research [3]
EHS 609: Guided Introduction to EHS Research [3]
EHS 633: Refugee Health Services [2]
EHS 634: Disaster Mitigation [3]
EHS 636: Disaster Response [3]
EHS 637: Disaster Recovery [3]
EHS 638: Disaster Preparedness [3]
EHS 720: EHS Quality Assessment [3]
POSI 601: Political and Social Context of Policy [3]
POSI 603: Planning Theory and Policy Formulation [3]
POSI 652: Politics of Health [3]
SOCY 620: Social Epidemiology [3]
SOCY 653: Health Organizations and Health [3]
SOCY 655: Disability and Rehabilitation [3]

Other elective graduate-level courses may be selected as per agreement with the studentís advisor.

Special Studies
Non-Thesis Program (three credits required) [Credits]
EHS 790: Research Project (topical) [3]
Thesis Program (six credits required)
EHS 799: Masterís Thesis Research [6]
Total Required Credits 30

(*PREV and POSI courses tend to be offered only on-campus; all EHS courses are offered online.)

Track III Ė Education (offered via distance education)
Track Core (9 credits required) [Credits]
EHS 661: Educational Issues in EHS [3]
EHS 630: Issues Analysis and Proposal Writing [3]
EHS 662: EHS Educational Program Management [3]
Methods Requirements (12 credits required) [Credits]
Completion of a Post-Baccalaureate Graduate Certificate in the UMBC ISD Program (Any one of the three options) [12]
Instructional Systems Development
Distance Education
Computer-based/Web-based Training
Non-Thesis Option (6 credits required) [Credits]
EDUC 771: Research Design in Education (or approved online equivalent course) [3]
EHS 790: Research Project [3]
Thesis Option (9 credits required) [Credits]
EDUC 771: Research Design in Education (or approved online equivalent course) [3]
EHS 799: Master's Thesis Research [6]
Electives (3 credits required for non-thesis students) [Credits]
EDUC 601: Human Learning and Cognition I [3]
EDUC 605: The Adult Learner [3]
EDUC 622: Theory and Practice of Standardized Testing [3]
EDUC 649: Best Practices in Training and Development [3]
EDUC 796: Human Performance Technology [3]
EHS 690: Information Systems for EHS Leadership [3]
EHS 720: EHS Quality Assessment [3]
Total Credits Required: 30
Graduate Certificate in Emergency Management

Students must complete, at a minimum, the following courses:

EHS 634: Disaster Mitigation [3]
EHS 636: Disaster Response [3]
EHS 637: Disaster Recovery [3]
EHS 638: Disaster Preparedness [5]

In addition, students are strongly encouraged to complete:

EHS 632: Disaster Health Services [3]
EHS 633: Refugee Health Services [2]
Course Listing

EHS 609
Guided Introduction to EMS Research [1-3]

(Depends on option chosen by student and preceptor.) This course is designed to provide graduate students with a guided hands-on research experience in the methodologically difficult area of emergency medical services and injury epidemiology. Students will work on a publishable study under the guidance of a core EHS graduate faculty member and the faculty at the UMB Medical Schoolís National Study Center for Trauma and EMS (and its affiliated research sites) after completing core readings on the application of research methods to EMS. Prerequisite: Students must have completed a graduate-level course in statistics or biostatistics.

EHS 630
Issues Analysis and Proposal Writing [3]

This course provides students with the opportunity to do an in-depth analysis of a current issue of the studentís choice in emergency healthcare and present a project proposal based on this issue. The semester will begin with issues discussion, and proceed rapidly into the methods, mechanics and style considerations required for the construction of a viable/fundable proposal.

EHS 632
Disaster Health Services [3]

This course examines health needs and techniques for providing healthcare to populations displaced or affected by disasters or war. The goal of the course is to prepare students to manage disaster health response preparedness and planning and to organize and manage disaster and refugee healthcare provision. The focus is on both domestic and international cases. Recommended: PREV 600 or SOCY 620.

EHS 633
Refugee Health Services [2]

This course builds upon the foundation set in EHS 632, but with a focus on meeting the emergency health needs of refugee populations. The course emphasizes multi-level health needs analysis and long-term health recovery strategies. Prerequisite: EHS 632.

EHS 634
Disaster Mitigation [3]

Mitigation is the process by which society limits the negative effects of events it cannot totally prevent. This course provides the theory and legal underpinnings of mitigation as a primary component of emergency management and examines various methodologies for initiating and implementing successful mitigation programs in a rapidly changing world.

EHS 636
Disaster Response [3]

The most visible of the emergency management phases, disaster response is a complicated multi-institutional operation requiring sophisticated planning, logistics and communications. This course covers the new National Incident Management System, response-related research and implementation methods.

EHS 637
Disaster Recovery [3]

Federal, state, local and private nonprofit disaster recovery methods and policies are the core of this course, with examples of international disaster recovery dynamics.

EHS 638
Disaster Preparedness [3]

As the core of effective and efficient response, preparedness consists of a complication array of policies, methods and programs, each with its own political and economic context. This course addresses these issues within the context of the current fears of terrorism and potential mega-events.

EHS 639
Catastrophe Preparation and Response [3]

Catastrophes are defined as a disaster of such magnitude and complexity that the resources of the entire nation are not sufficient to mount an effective response and recovery. As such the assumptions embedded in the plans for disaster response for a given jurisdiction or nation are rendered futile, necessitating a different approach to responding to the needs of the affected population in a scenario of long-term deprivation and inadequate resources. Recent examples of catastrophes are the 2010 earthquake in Haiti, the 2004 Indonesian tsunami and, perhaps, the 2011 Great East Japan earthquake/tsunami/nuclear plant meltdown. This course addresses new ways of planning for events that require more resources than the nation can provide in a timely and effective manner. It requires rethinking the relationship between those affected by the event and the drive to minimize suffering and losses, and does so within a multidisciplinary examination of policies, legal structures, financial organization, social cohesion, public health means and methods, different collaboration/logistics modalities, and methods of effectively incorporating outside resources. It also proposes new emphases on local self-reliance

EHS 640
Introduction to High-Performance EHS [3]

An examination of the methods and models of EHS organizations that achieve the highest cost efficiency while maintaining and improving the quality of services produced. Students will examine the organizational characteristics and structures of high-performance EHS services.

EHS 641
EHS Law and Policy [3]

A survey of the major federal, state and local regulatory programs that affect EHS systems.

EHS 642 Event-Driven Resource Deployment [3]
A methodological course in which students learn how to determine the demand for service and the best mechanisms to deploy unit-hour production. Students will become familiar with the use of software that facilitates demand analysis and deployment configuration.

EHS 650
EHS System Design and Contracting [3]

This course views an EHS system design from the purchaser perspective. Students will examine community needs for medical transport and mobile healthcare services. Methods for developing sound requests for proposals are covered. Students will develop, review and critique requests for proposals for community-based EHS services.

EHS 652
Human Resources Deployment [3]

A survey course of the policies necessary to ensure that properly prepared and motivated personnel are available to carry out the mission and daily operations of an EHS organization.

EHS 658
Materials and Fleet Management [3]

A survey course of the industrial practices of resource/supply management in high-performance EMS systems to maximize efficiency of fleet deployment. The course will examine policies and procedures necessary to ensure that transportation equipment in an EHS organization is capable of meeting the demands of patients for reliable and safe transportation service. The primary focus will be on implementing of quality-based practices such as just-in-time customer-supplier relations to improve productivity and operations efficiency.

EHS 661
Educational Issues in Emergency Health Services [3]

This course provides a framework for the student to evaluate current issues, approaches, controversies, and proposals in the field of EHS education. The educational framework contained in the EMS Education Agenda for the Future: A systems approach, will be combined with a SWOT analysis as the basis for analysis. Students will examine issues from an educational, operational, economic, system, regulatory, and political perspective.

EHS 662
EHS Educational Program Management [3]

This course prepares students to serve as an emergency health serviceís educational program director. The various functions and responsibilities of the emergency health services educational program director as specified by the Standards and Guidelines for the Accreditation of Educational Programs in the Emergency Medical Services Professions, will be presented via case-studies. Students will work individually and in small groups to complete tasks and solve problems and issues relevant to the role of program director.

EHS 676
EHS Management of Reimbursement [3]

A methods course where students learn common accounting practices used in high-performance EHS organizations. Emphasis is on management of receivables from both individual and third-party payers.

EHS 690
Information Systems for EHS Leadership [3]

Analysis of management information systems design relating to EHS leadership. The course includes elements of systems planning, implementation and control factors practiced by middle- and upper-level administrators.

EHS 691
Business Development and Strategic Planning [3]

This course will examine environmental factors affecting the healthcare system and delivery of emergency care. Local, national and international influences are considered in relation to political and technological advances. Aspects of service reimbursement, medical protocols, administrative response and quality-care evaluation requirements are considered.

EHS 699
Independent Study [1-3]

Students complete an individual project in a specific emergency health services area under the supervision of EHS faculty. Prerequisite: Consent of instructor.

EHS 700
Systems Practicum [3]

Field experience providing learning through observation and participation in administrative activities. Placements arranged in an existing system to support role development consistent with the studentís career goal, work experience or setting.

EHS 720
Emergency Health Services Quality Assessment [3]

The goal of this course is to provide participants with the knowledge and skills needed to initiate or expand an EHS organizationís quality management operations. The course focuses on the NHTSA Baldridge Award approach to quality improvement.

EHS 790
Research or Capstone Project [1-3]

Development of a carefully researched scholarly project at the advanced-degree level of proficiency. Note: Often taken concurrently with EHS 700.

EHS 799
Masterís Thesis Research [2-9]

The thesis provides the student with the best opportunity for extensive guided research that will result in publishable quality work. Note: Six credit hours are required for the masterís program.