MIDDLESEX COLLEGE ON-LINE
A Vermont Non-Profit College

 

The Ian Wulff Economic Plan by Ian Wulff This economic crisis could end with less than two percent of what has been committed, proven with simple math and irrefutable logic. To begin, it should be obvious that NONE of the financial disturbance from mortgages would have occurred, had virtually all of those payments been kept current, and the housing market would not have so collapsed had there been no foreclosures. That could be realized, but at what cost? .read more... Middlesex College is located on 25 acres. The town of Middlesex offers life on a human scale. The size and traditions of Vermont enable every citizen to participate in community life, and in political life. We are a town of 1,900 residents. Many of our citizens are able to work at home; others work in nearby cities. Ours is not a tourist town. Middlesex borders our state capital, Montpelier. Middlesex College offers you a certificate program: • Health System Design
In brief, our Health System Design course: * Health Delivery System design logic * Create and document design for a system Our coure does not rquire the skills of a Primary Physician * Does require student to come with hands-on familiarity with the operation of a Primary Physician Office, and ability to communicate with a Primary Physician. * Background in health * Registured nurse * Physician * Public Health worker/ administrator   This course is defined by a comprehensive statement of target learning outcomes. Upon successful completion of the class, you will receive a certificate of completion and a statement of what you have accomplished. This should enable you to be credited with completion of the course at an undergraduate, or graduate, school. Middlesex College will actively support your request for credit, if necessary.	A HEALTH DELIVERY SYSTEM: a brief outline of coverage • Health services are client-centered • Basics of system building • Specification of the top system parameter: delivered health • The core system components needed to deliver health • The second system parameter: cost • The third parameter: financial risk management • The Public Health component • Individualized health services: the role of a primary physician • The shelf of service providers • An association of primary physicians • Cost and cost-effectiveness • The funding pathway • The system support component • Overall system design • A specification and audit component • An action plan for system development The so called "health care" we employ today in the U.S. is the most costly among the health systems offered by developed countries. It is also one of the least successful in delivery of health. We are well aware of this; we read and hear complaints about our health care just about every day. This focus on cost is unfortunate. When we direct our attention to cost, we direct it away from the primary target outcome of health delivery; that is individual health. Our focus on cost is a consequence of our tendency to think of our present health care as belonging in the same category as business systems. It does not! In system technology, the top defining feature of a system is specification of what outcome is to be deliver with identification of the user of that outcome. For example, the target outcome of a business system is profit for its owners. In contrast, the target outcome of a health delivery system is superior present and future health of each individual the system is obligated to serve. In the case of health delivery for an individual, cost is in second place: it is a consequence of efforts to deliver the targeted health outcome for that individual. A health delivery system belongs in a significantly different catgory than a business system. A health delivery system is a client-centered system. It belongs in this category along with schooling and elder care, for other examples. To design and operate a client-centered system, one needs to have a set of special skills -- as does an engineer in the automotive industry. The skills that are needed in health delivery include, but go beyond, the skills of a physician.	A HEALTH DELIVERY SYSTEM A book by J. Jepson Wulff, Ph.D.   This text book presents a design for a complete health delivery system at the level of a state. This design is not a new set of patches on what we have. The text book is a complete health system that is driven at the top by three target system outcomes: • Superior health for all individual citizens • Cost contained as the secondary measure of individual care • Financial risk coverage for all citizens of the state You will find that we can achieve these outcomes at a cost that is far less than the amount we spend today. The system described is complete: it fits together both Public Health and services for individual patients. You will develop understanding of the dynamics of a complete Health Delivery System. The presentation is a “teaching” format.

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Middlesex College
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Middlesex, VT 05602

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	PATRICIA NEELY WASHINGTON is the founder of the new Middlesex College. Neely’s college education began with an A.A. degree from Marjorie Webster Junior College for Women. She earned a Bachelor of Science degree from Northeastern University, followed by a Master of Arts Degree from Goddard College. For 20 years she has edited and published The Middlesex Newspaper, a community newspaper for Middlesex, VT.
JEPSON WULFF developed the course listed above. Dr. Wulff is a psychologist (PhD, Yale). His arena of work has been the design, development, and operation of client-centered systems such as health delivery, schooling, and human services. He is the author of the text; A Health Delivery System. He is the co-founder of a national program for the rehabilitation of persons with severe head injuries.

Nondiscrimination Policy

Middlesex College, Inc. admits students of any race, color, national origin, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national origin, or ethnic origin in administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school-administered programs.

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