Running head: MANAGERIAL REPORT FOR SUPERVISING MANAGER 1 MANAGERIAL REPORT FOR SUPERVISING MANAGER 7 Managerial Report HMGT 300 6380 Introduction to the U.S Health Care Sector 2205 Taneshia Davis UMGC Professor: Todd Price May 31, 2020 Manager's Name and Role: Name: The patient experience-supervising manager is Mr. Aleo Brandford Roles: The supervising manager ensures that all patients are fully engaged in inpatient experience activities under the supervision of highly experienced healthcare professionals. The manager also ensures that all healthcare professionals are compliant with policies, rules, and regulations that govern patients, healthcare practice, healthcare organizations, government, and the corporate world. Moreover, the supervisor conducts monitoring and evaluation of the healthcare providers to ensure they are delivering high-quality services within the set time. The manager also monitors and evaluates the healthcare systems in the organization to ensure that they are affirmative to rules, policies, and standards set for healthcare service facilities and providers as a to deliver satisfactory high-quality services. The manager, together with respective departments and personnel, initiates, improves, and implements patient experience programs that equip personnel with relevant patient experience skills, knowledge, and competencies necessary for satisfactory healthcare service provision. One other key role of the manager is the contact point for all inquiries, explanations, experiences, and feedbacks associated with patients and the healthcare facility. Healthcare Setting: The Minnesota Healthcare Facility is a county facility that offers preventive and curative healthcare services for in- and out-patients. It serves the entire region with all healthcare needs. It has both children and adults wings with fully functional departments and equipment. It is the only healthcare facility in rural with a population capacity of 200 per day. It is well equipped with childbirth and immunization facilities and serves the general public healthcare needs. Managerial Issue: Determining MeaslesSpread Rate The manager needs to task-relevant departments to collect patient and exposed children information from children's care centers, schools, attendance lists, and health facilities. The information will help determine the rate of immunization, the number of patients, and approximate exposed children and other adults. The number of children vaccinated against measles, 21 days before its eruption should be identified from the Immunization Information System of Minnesota, and facility children's care center information System. The challenge will be on the follow up of the exposed children and administering necessary interventions. This is necessary for checking further spread of the disease in the community (Hall et al., 2017). Impact & Details: Restrict Public Gathering To restrict the mingling of children in healthcare faciliti.

1. Running head: MANAGERIAL REPORT FOR SUPERVISING
MANAGER
1
MANAGERIAL REPORT FOR SUPERVISING MANAGER
7
Managerial Report
HMGT 300 6380 Introduction to the U.S Health Care Sector
2205
Taneshia Davis
UMGC
Professor: Todd Price
May 31, 2020
Manager's Name and Role:
Name: The patient experience-supervising manager is Mr. Aleo
Brandford
Roles:
The supervising manager ensures that all patients are fully
engaged in inpatient experience activities under the supervision
of highly experienced healthcare professionals. The manager
also ensures that all healthcare professionals are compliant with
policies, rules, and regulations that govern patients, healthcare
practice, healthcare organizations, government, and the
corporate world. Moreover, the supervisor conducts monitoring
and evaluation of the healthcare providers to ensure they are
delivering high-quality services within the set time. The
manager also monitors and evaluates the healthcare systems in
the organization to ensure that they are affirmative to rules,

2. policies, and standards set for healthcare service facilities and
providers as a to deliver satisfactory high-quality services. The
manager, together with respective departments and personnel,
initiates, improves, and implements patient experience programs
that equip personnel with relevant patient experience skills,
knowledge, and competencies necessary for satisfactory
healthcare service provision. One other key role of the manager
is the contact point for all inquiries, explanations, experiences,
and feedbacks associated with patients and the healthcare
facility.
Healthcare Setting:
The Minnesota Healthcare Facility is a county facility that
offers preventive and curative healthcare services for in- and
out-patients. It serves the entire region with all healthcare
needs. It has both children and adults wings with fully
functional departments and equipment. It is the only healthcare
facility in rural with a population capacity of 200 per day. It is
well equipped with childbirth and immunization facilities and
serves the general public healthcare needs.
Managerial Issue:
Determining MeaslesSpread Rate
The manager needs to task-relevant departments to collect
patient and exposed children information from children's care
centers, schools, attendance lists, and health facilities. The
information will help determine the rate of immunization, the
number of patients, and approximate exposed children and other
adults. The number of children vaccinated against measles, 21
days before its eruption should be identified from the
Immunization Information System of Minnesota, and facility
children's care center information System. The challenge will
be on the follow up of the exposed children and administering
necessary interventions. This is necessary for checking further
spread of the disease in the community (Hall et al., 2017).
Impact & Details: Restrict Public Gathering

3. To restrict the mingling of children in healthcare facilities,
schools, and homes, due to the erupted measles disease in the
community. Children should be restricted from accessing
schools and other social areas in the community unless they
have received an immunization. Children accessing healthcare
facilities should be immunized immediately before any other
medical procedures. The patient ward shall be restricted from
any other person unless coming in with a new patient (Hall et
al., 2017).
Severity& Details: Many Cases in the Entire Area
The situation is so severe that the entire region is affected. This
includes Crow Wing, LeSueur, Hennepin, and Ramsey counties.
The cases median age is 21 months and ranges from 3 months to
49 years. Cases have been reported in over five schools, three
healthcare facilities, 12 children, care centers, and many
households. About 8,250 persons were vulnerable to the disease.
About 95% of the cases reported were individuals with
unvaccinated history, of which 77% were children 12 months
and above. Somali Americans account for 85% of the cases,
with 31% hospitalization within one month. No death is
reported (Hall et al., 2017).
Scope & Details: Reduced Normal Operations and Healthcare
Promotion Altered
Healthcare services to the population have been retarded. Since
the onset of measles, much effort has been refocused on
controlling and managing the cases of the patient such that
other healthcare services have been affected. The incidence has
affected 30% of the normal immunization program and other
preventive healthcare measures to focus on widespread measles
cases. Funding other healthcare promotional activities have
altered the program to focus on measles.
Two Healthcare Setting Issues:
1. Low Immunization Rates
Immunization against measles in the region is low. The rate of
unvaccinated children in the region reduced from 97% to below

4. 60%. This was due to the misconception of the correlation
between the vaccine and autism among the Somali-American
community. This increased the rate of susceptibility to measles
and other diseases related to the measles-mumps-rubella (MMR)
vaccine (Hall et al., 2017).
2. MMR vaccine misconception
According to research, the Somali-America community
perceived that the MMR vaccine led to increased cases of
autism among her children. However, this was termed a
misconception by the Minnesota Department of Health (MDH).
The health promotion program was launched to check the
misconception, but coverage had not been adequate. Again, the
community was reluctant to embrace the immunization program
because of the misconception. Some even lied to evade the
immunization. Research shows that there is no correlation
between autism and the MMR vaccine (Hviid et al., 2019).
Managerial Role Perspective Details:
There is a need for a community outreach program to support
MMR vaccination. Again, evidence-based research on the
prevalence of autism diseases among Somali-American children
should commence. The health promotion program on the
importance of MMR vaccination and community participation is
important in this region too. This will together increase
vaccination rates, eliminate MMR misconceptions, and identify
the causative for autism in the Somali-American community in
the region.
Two Policies, Laws, or Regulations with Responsible Parties
Information:
1. Policy to immunize all children born in Minnesota after two
months from birth
1a.: The regulatory body for the implementation of this policy is
the Minnesota Department of Health (MDH). The bodies should
ensure the structures and interventions necessary to identify and
vaccinate unvaccinated children.

5. 2. Enrolling in schools, childcare centers, and any other school-
based programs for early childhood education must produce a
medical certificate for certain immunizable diseases or provide
a medical exemption reports. This will reduce the chances of an
outbreak of the immunizable diseases in the state.
2a.: The regulatory bodies for the implementation of this policy
are the Minnesota Department of Health (MDH) and the
Department of education. The bodies should ensure the
structures and interventions necessary to identify and vaccinate
unvaccinated children.
Situation Management- Two Specific Tasks or Steps to Address
the Issues:
1. To implement and follow-up on the child immunization
activities in healthcare facilities, community childcare centers,
and schools. I will ensure all facilities dealing with children's
welfare embrace the immunization program, access
immunization facilities, and conduct children immunization
procedurally.
2. Educate the community on the importance of immunization.
In will create a community outreach health promotion
campaigns to address immunizable diseases, benefits of
immunization, and misconception on existing vaccines to
increase community participation and rates of vaccination in the
state.
Two Stakeholders Defined with Details:
1. Minnesota Community
The community will consume health promotion information,
embrace it, and assist in identifying and presenting
unvaccinated children for vaccination. Minnesota is an
important stakeholder in the vaccination program because it is
the powerhouse of all the children covered under this healthcare
services provision.
2. School-based early childhood education centers
These institutions will support the health promotion program,
help identify unvaccinated children, and resent them for

6. vaccination. It is important in reinforcing zero-tolerance policy
against immunizable diseases.
References
Hall, V., Banerjee, E., Kenyon, C., Strain, A., Griffith, J.,
Como-Sabetti, K., ... & Johnson, D. (2017). Measles outbreak—
Minnesota April–May 2017. MMWR. Morbidity and mortality
weekly report, 66 (27), 713.
Hviid, A., Hansen, J. V., Frisch, M., & Melbye, M. (2019).
Measles, mumps, rubella vaccination, and autism. Annals of
internal medicine, 171(5), 388.
Morbidity and Mortality Weekly Report
Weekly / Vol. 66 / No. 27 July 14, 2017
INSIDE
718 Mortality from Amyotrophic Lateral Sclerosis and
Parkinson’s Disease Among Different Occupation
Groups — United States, 1985–2011
723 Racial and Geographic Differences in Breastfeeding —
United States, 2011–2015
728 Pneumococcal Vaccination Among Medicare
Beneficiaries Occurring After the Advisory
Committee on Immunization Practices
Recommendation for Routine Use Of 13-Valent
Pneumococcal Conjugate Vaccine and 23-Valent
Pneumococcal Polysaccharide Vaccine for Adults
Aged ≥65 Years
734 High Risk for Invasive Meningococcal Disease
Among Patients Receiving Eculizumab (Soliris)

7. Despite Receipt of Meningococcal Vaccine
738 Announcement
739 QuickStats
Continuing Education examination available at
https://www.cdc.gov/mmwr/cme/conted_info.html#weekly.
U.S. Department of Health and Human Services
Centers for Disease Control and Prevention
Measles Outbreak — Minnesota April–May 2017
Victoria Hall, DVM1,2; Emily Banerjee, MPH2; Cynthia
Kenyon, MPH2; Anna Strain, PhD2; Jayne Griffith, MPH2;
Kathryn Como-Sabetti, MPH2;
Jennifer Heath, DNP2; Lynn Bahta2; Karen Martin, MPH2;
Melissa McMahon, MPH2; Dave Johnson, MPH3; Margaret
Roddy, MPH2;
Denise Dunn, MPH2; Kristen Ehresmann, MPH2
On April 10, 2017, the Minnesota Department of Health
(MDH) was notified about a suspected measles case. The patient
was a hospitalized child aged 25 months who was evaluated for
fever
and rash, with onset on April 8. The child had no history of
receipt
of measles-mumps-rubella (MMR) vaccine and no travel history
or
known exposure to measles. On April 11, MDH received a
report
of a second hospitalized, unvaccinated child, aged 34 months,
with
an acute febrile rash illness with onset on April 10. The second
patient’s sibling, aged 19 months, who had also not received
MMR

8. vaccine, had similar symptoms, with rash onset on March 30.
Real-
time reverse transcription–polymerase chain reaction (rRT-
PCR)
testing of nasopharyngeal swab or throat specimens performed
at
MDH confirmed measles in the first two patients on April 11,
and
in the third patient on April 13; subsequent genotyping
identified
genotype B3 virus in all three patients, who attended the same
child
care center. MDH instituted outbreak investigation and response
activities in collaboration with local health departments, health
care facilities, child care facilities, and schools in affected
settings.
Because the outbreak occurred in a community with low MMR
vaccination coverage, measles spread rapidly, resulting in
thousands
of exposures in child care centers, schools, and health care
facilities.
By May 31, 2017, a total of 65 confirmed measles cases had
been
reported to MDH (Figure 1); transmission is ongoing.
Investigation and Results
After receiving notification of the first case on April 10, MDH
and the Hennepin County Human Services and Public Health
Department began an investigation. The Council of State and
Territorial Epidemiologists and CDC case definition* was used
* An acute illness in a Minnesota resident during January 1,
2017–May 12, 2017,
characterized by generalized, maculopapular rash lasting ≥3
days with a temperature

9. ≥101°F (≥38.3°C) and cough, coryza, or conjunctivitis. A
confirmed case is an acute
febrile rash illness with isolation of measles virus from a
clinical specimen; or
detection of measles-virus specific nucleic acid from a clinical
specimen using
polymerase chain reaction; or immunoglobulin G
seroconversion or a significant
rise in measles immunoglobulin G antibody using an evaluated
and validated
method; or a positive serologic test for measles immunoglobulin
M antibody; or
direct epidemiologic linkage to a case confirmed by one of
these methods.
to identify confirmed cases of measles in Minnesota (1). A
health
alert was issued April 12, which notified health care providers
of the two measles cases in Hennepin County and provided
recommendations concerning laboratory testing for measles
and strategies to minimize transmission in health care settings.
Emphasis was placed on recommendations for all children
aged ≥12 months to receive a first dose of MMR. Providers
identified patients with suspected measles based on clinical
findings and reported suspected cases to MDH. Testing with
rRT-PCR was performed at MDH on nasopharyngeal or throat
swabs and urine specimens. Among persons testing positive by
rRT-PCR who had received vaccine ≤21 days before the test,
genotyping was performed to distinguish wild-type measles
virus
https://www.cdc.gov/mmwr/cme/conted_info.html#weekly
Morbidity and Mortality Weekly Report

10. 714 MMWR / July 14, 2017 / Vol. 66 / No. 27 US Department
of Health and Human Services/Centers for Disease Control and
Prevention
The MMWR series of publications is published by the Center
for Surveillance, Epidemiology, and Laboratory Services,
Centers for Disease Control and Prevention (CDC),
U.S. Department of Health and Human Services, Atlanta, GA
30329-4027.
Suggested citation: [Author names; first three, then et al., if
more than six.] [Report title]. MMWR Morb Mortal Wkly Rep
2017;66:[inclusive page numbers].
Centers for Disease Control and Prevention
Brenda Fitzgerald, MD, Director
William R. Mac Kenzie, MD, Acting Associate Director for
Science
Joanne Cono, MD, ScM, Director, Office of Science Quality
Chesley L. Richards, MD, MPH, Deputy Director for Public
Health Scientific Services
Michael F. Iademarco, MD, MPH, Director, Center for
Surveillance, Epidemiology, and Laboratory Services
MMWR Editorial and Production Staff (Weekly)
Sonja A. Rasmussen, MD, MS, Editor-in-Chief
Charlotte K. Kent, PhD, MPH, Executive Editor
Jacqueline Gindler, MD, Editor
Teresa F. Rutledge, Managing Editor
Douglas W. Weatherwax, Lead Technical Writer-Editor
Soumya Dunworth, PhD, Kristy Gerdes, MPH, Teresa M. Hood,
MS,

11. Technical Writer-Editors
Martha F. Boyd, Lead Visual Information Specialist
Maureen A. Leahy, Julia C. Martinroe,
Stephen R. Spriggs, Tong Yang,
Visual Information Specialists
Quang M. Doan, MBA, Phyllis H. King,
Paul D. Maitland, Terraye M. Starr, Moua Yang,
Information Technology Specialists
MMWR Editorial Board
Timothy F. Jones, MD, Chairman
Matthew L. Boulton, MD, MPH
Virginia A. Caine, MD
Katherine Lyon Daniel, PhD
Jonathan E. Fielding, MD, MPH, MBA
David W. Fleming, MD
William E. Halperin, MD, DrPH, MPH
King K. Holmes, MD, PhD
Robin Ikeda, MD, MPH
Rima F. Khabbaz, MD
Phyllis Meadows, PhD, MSN, RN
Jewel Mullen, MD, MPH, MPA
Jeff Niederdeppe, PhD
Patricia Quinlisk, MD, MPH
Patrick L. Remington, MD, MPH

12. Carlos Roig, MS, MA
William L. Roper, MD, MPH
William Schaffner, MD
FIGURE 1. Number of measles cases (N = 65) by date of rash
onset — Minnesota, March 30–May 27, 2017
0
1
2
3
4
5
6
N
o.
o
f c
as
es
Date of rash onset
30 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 1 3 5 7 9 11 13 15
17 19 21 23 25 26
Mar Apr May

13. (genotype B3 virus) from the vaccine virus (genotype A virus).
Patients (or their parents or guardians) with confirmed measles
were interviewed by local public health officials to confirm
symp-
toms, onset date, and exposure history for the 21 days before
rash onset and identify contacts during their infectious period
(4 days before through 4 days after rash onset). Contacts were
defined as persons who had any contact with patients during
their infectious period.
Among the 65 confirmed cases, the median patient age was
21 months (range = 3 months–49 years). Patients were residents
of Hennepin, Ramsey, LeSueur, and Crow Wing counties.
During April 10–May 31, confirmed measles patients were iden-
tified in five schools, 12 child care centers, three health care
facili-
ties, and numerous households; an estimated 8,250 persons were
potentially exposed to measles in these settings. Rash onset
dates
ranged from March 30–May 27, 2017. Sixty-two (95%) cases
were identified in unvaccinated persons, including 50 (77%) in
children aged ≥12 months (i.e., age-eligible for MMR vaccina-
tion). U.S.-born children of Somali descent (Somali children)
accounted for 55 (85%) of the cases. Among the three patients
Morbidity and Mortality Weekly Report
MMWR / July 14, 2017 / Vol. 66 / No. 27 715US Department of
Health and Human Services/Centers for Disease Control and
Prevention
with a history of measles vaccination, all had received 2 MMR

14. doses before illness onset. As of May 31, 20 (31%) patients had
been hospitalized, primarily for treatment of dehydration or
pneumonia; no deaths had been reported.
Public Health Response
Rosters and attendance records were obtained from child
care centers and schools where persons might have been
exposed to measles, and the vaccination status of each
attendee was verified through the Minnesota Immunization
Information Connection, a system that stores electronic
immunization records (http://www.health.state.mn.us/
miic). Health care facilities similarly identified contacts
who were exposed to measles patients and followed up with
susceptible (i.e., unvaccinated, pregnant, or immunocom-
promised) exposed persons. In accordance with the Advisory
Committee on Immunization Practices 2013 guidelines (2),
postexposure prophylaxis (PEP) with MMR or immune
globulin was recommended for susceptible, exposed persons.
Persons who received PEP with MMR within 72 hours of
exposure or with immune globulin within 6 days of exposure
were placed on a 21-day self-monitoring symptom watch for
development of fever or rash, but could continue attending
child care and school. Susceptible exposed persons who
did not receive PEP according to recommendations were
excluded from child care centers or school, and MDH rec-
ommended that they avoid public gatherings for 21 days,
including having visitors who were susceptible to measles
virus. By May 31, at least 154 persons had received PEP
(26 MMR doses and 128 courses of immune globulin),
and 586 susceptible exposed persons who did not receive
recommended PEP were excluded from child care centers or
school and advised to receive MMR vaccination to protect
against future measles illness.
On April 18, as the outbreak continued, MDH recom-

15. mended an accelerated MMR schedule; to provide additional
protection, a second dose of MMR vaccine was recommended
for children who had received a first dose >28 days previ-
ously.† These recommendations were initially for all children
living in Hennepin County and for all Minnesota Somali
children regardless of county of residence, because MMR
coverage rates among Somali children in Hennepin County
have declined since 2007. In 2014, coverage with the first
dose of MMR among Somali children in Hennepin County
was 35.6% (Figure 2). In response to the rapid increase in the
† The Advisory Committee on Immunization Practices (ACIP)
recommends
MMR vaccine for prevention of measles, mumps, and rubella
for persons aged
≥12 months. ACIP recommends 2 doses of MMR vaccine
routinely for children,
with the first dose administered at age 12 through 15 months
and the second
dose administered at age 4 through 6 years before school entry.
https://www.
cdc.gov/mmwr/preview/mmwrhtml/rr6204a1.htm.
number of reported cases, on May 4, 2017, MDH recom-
mended an accelerated vaccination schedule for all children
aged ≥12 months residing in all counties where a measles case
had been reported during the previous 42 days; MDH further
recommended that health care providers throughout the state
consider using an accelerated schedule.
Previously established culturally appropriate community out-
reach approaches (e.g., working with community and spiritual
leaders, interpreters, health care providers, and community
members) (3) were intensified during the outbreak. Using exist-
ing partnerships, state and local public health officials worked
with MDH Somali public health advisors, Somali medical pro-

16. fessionals, faith leaders, elected officials, and other community
leaders to disseminate educational materials, attend community
events, and create opportunities for open dialogue and educa-
tion about measles and concerns about MMR vaccine. Child
care centers and schools were provided talking points and
informational sheets on measles and MMR vaccine, and posters
with key messages were distributed in mosques and shopping
malls popular with the Somali community. Community out-
reach focused on oral communication, which is preferred by
this community, including radio and television messaging and
telephone call-in lines that permit approximately 500 persons
at a time to listen to a health professional.
Outreach to encourage vaccination was increased during the
out-
break. By the second week of May, the average number of MMR
vaccine doses administered per week in Minnesota had
increased
from 2,700 doses before the outbreak to 9,964, as reported by
the
Minnesota Immunization Information Connection.
Discussion
Minnesota law requires that children aged ≥2 months be
vaccinated against certain diseases or file a medical or consci-
entious exemption to enroll in school, child care, or school-
based early childhood programs. Before 2008, first-dose MMR
vaccination coverage among Minnesota-born Somali children
aged 2 years in Hennepin County exceeded 90%. However,
MMR vaccination coverage rates declined among Minnesota’s
Somali-American community members starting with the 2008
birth-year cohort. The decline in vaccination coverage was in
response to concerns about autism, the perceived increased
rates of autism in the Somali-American community, and the
misunderstanding that autism was related to MMR vaccine

17. (3,4). Studies have consistently documented that there is not
a relationship between vaccines and autism (5,6). The low
vaccination rate resulted in a community highly susceptible to
measles. Parental concerns were addressed by building trust
with
the community and identifying effective, culturally appropriate
ways to address questions, concerns, and misinformation about
MMR vaccine. In 2011, a smaller measles outbreak began in
http://www.health.state.mn.us/miic
http://www.health.state.mn.us/miic
https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6204a1.htm
https://www.cdc.gov/mmwr/preview/mmwrhtml/rr6204a1.htm
Morbidity and Mortality Weekly Report
716 MMWR / July 14, 2017 / Vol. 66 / No. 27 US Department
of Health and Human Services/Centers for Disease Control and
Prevention
FIGURE 2. Percentage of children receiving measles-mumps-
rubella vaccine at age 24 months among children of Somali and
non-Somali
descent, by birth year — Hennepin County, Minnesota, 2004–
2014
0
10
20
30
40

18. 50
60
70
80
90
100
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Pe
rc
en
ta
ge
v
ac
ci
na
te
d
Birth year
Somali

19. Non-Somali
Source: Minnesota Immunization Information Connection,
Minnesota Department of Health.
Summary
What is already known about this topic?
Measles was declared eliminated from the United States in 2000
but continues to circulate in many regions of the world and can
be imported into the United States by travelers. Measles vaccine
is highly effective, with 1 dose being 93% effective and 2 doses
being 97% effective at preventing measles.
What is added by this report?
In a community with previously high vaccination coverage,
concerns about autism, the perceived increased rates of autism
in the Somali-American community, and the misunderstanding
that autism was related to the measles-mumps-rubella (MMR)
vaccine resulted in a decline in MMR vaccination coverage to a
level low enough to sustain widespread measles transmission in
the Somali-American community following introduction of the
virus. Studies have consistently documented that there is not a
relationship between vaccines and autism.
What are the implications for public health practice?
This outbreak demonstrates the challenge of combating
misinformation about MMR vaccine and the importance of
creating long-term, trusted relationships with communities to
disseminate scientific information in a culturally appropriate
and effective manner.
the Somali community in Hennepin County and resulted in 21
cases, including eight cases in persons of Somali descent (4,7).

20. At that time, the 1-dose MMR vaccination coverage rate among
Somali children aged 2 years in Hennepin County was 54%. The
source of the 2011 outbreak was a Somali child aged 30 months
who acquired measles while visiting Kenya (7). However, the
source of the current outbreak is unknown, which suggests that
additional cases have likely occurred that did not come to the
attention of health care providers or public health departments.
Although indigenous measles transmission has been elimi-
nated in the United States, the virus continues to circulate
widely in many regions of the world, including Africa,
Europe, and parts of Asia, and is often introduced into the
United States by international travelers (8). High measles
vaccination coverage rates across subpopulations within com-
munities are necessary to prevent the spread of measles. The
current Minnesota measles outbreak, with 31% (20 of 65) of
cases requiring hospitalization, demonstrates the importance
of addressing low vaccination coverage rates to ensure that
children are adequately protected from a potentially serious
vaccine-preventable disease (3).
Acknowledgments
Andrew Murray, Carol Hooker, Erica Bagstad, Hennepin County
Human Services and Public Health Department; Ruth Lynfield,
Malini DeSilva, Richard Danila, Danushka Wanduragala, Kirk
Smith, Ben Christianson, Ellen Laine, Hannah Friedlander, Sean
Buuck, Austin Bell, Carmen Bernu, Erica Bye, Corinne
Holtzman,
Katherine Schleiss, Victor Cruz, Megan Sukalski, Dave Boxrud,
Brian Nefzger, Victoria Lappi, Katie Harry, Net Bekele, Jacob
Garfin,
Gongping Liu, Ruth Rutledge, Lisa Levoir, Barbara Miller,
Fatuma
Sharif-Mohamed, Asli Ashkir, Hinda Omar, Minnesota

21. Department
of Health; Kris Bisgard, Stacy Holzbauer, Raj Mody, Paul
Gastañaduy,
Paul Rota, Rebecca McNall, Adam Wharton, CDC.
Morbidity and Mortality Weekly Report
MMWR / July 14, 2017 / Vol. 66 / No. 27 717US Department of
Health and Human Services/Centers for Disease Control and
Prevention
Conflict of Interest
No conflicts of interest were reported.
1Epidemic Intelligence Service, CDC; 2Minnesota Department
of Health;
3Hennepin County Human Services and Public Health
Department,
Minneapolis, Minnesota.
Corresponding author: Victoria Hall, [email protected], 651-
201-5193.
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siblings with and without autism. JAMA 2015;313:1534–40.
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6. Madsen KM, Hviid A, Vestergaard M, et al. A population-
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of measles, mumps, and rubella vaccination and autism. N Engl
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County,
Minnesota, February–March 2011. MMWR Morb Mortal Wkly
Rep

23. 2011;60:421.
8. Orenstein WA, Papania MJ, Wharton ME. Measles
elimination in
the United States. J Infect Dis 2004;189(Suppl 1):S1–3.
https://doi.
org/10.1086/377693
mailto:[email protected]
http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/ps/12-
id-07final.pdf
http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/ps/12-
id-07final.pdf
https://doi.org/10.1542/peds.2013-4260
https://doi.org/10.1542/peds.2013-4260
https://doi.org/10.1001/jama.2015.3077
https://doi.org/10.1001/jama.2015.3077
https://doi.org/10.1056/NEJMoa021134
https://doi.org/10.1086/377693
https://doi.org/10.1086/377693Measles Outbreak — Minnesota
April–May 2017
Targets:
Assess the roles of various health care stakeholders to ensure
that health care programs meet the needs of the recipients and
comply with regulatory and payor requirements.
Analyze the benefits of integration within the health care
system
All assignments must target the content application while using
two variables: the job choice and the case assigned by the faulty
Your Supervising Manager called a meeting
early Monday morning to discuss the tasks you will need to
accomplish in this week. They were very complimentary about
the efficiency of your performance and the quality of the
submitted Memo. However, further investigation is necessary to

24. make sure all areas of the managerial situation were covered
accordingly.
You are asked to conduct research and to compile the
information about the HC-specific stakeholders related to this
situation using the table provided (see below). Make sure to
choose the stakeholders that will be involved in your area of
expertise (as per your job description).
For example,
-the Clinical coordinator may choose the CDC (Center for the
Disease Control) as a stakeholder due to the mandatory
reporting and follow up on the guidelines.
-CDC affiliated stakeholder would be a local health department
that reacts to the situation based on CDC provided preparatory
guidance. At the same time, the local health department would
be a direct stakeholder for the Clinical Coordinator because its
representatives will be directly involved in guiding potential
public health issues at the site.
**All information should be presented in a table format. You
can use bullet points, subcategories, and other white space
organizational components.
The briefing statement from week 2 and the stakeholder analysis
from week 4 are the base for your week 5 group assignment- the
linkage map.
Make sure to provide a minimum of four credible sources from
the UMGC library, the stakeholder home website, and the
information pertaining to two discussed stakeholders (one
chosen direct and one affiliated to the direct stakeholder). APA
format is required for the citation and references. Post the table
in the Group Forum and submit in the dropbox for grading.
Sheet1Assignment week 4 HMGT 300Stakeholder organization
name, mission and website link (can be copied):*How is this
stakeholder related to your managerial duties associated with
the job role in this specific case-no more than 50-100
words:Stakeholder brief: *2 HC managerial issues (as

25. per your role) the stakeholder is affecting? *Who
(population/group/industry etc. is represented by this
stakeholder? *What the constituents gain achieving the
stakeholder's mission goals?Identify and explain the stakeholder
organization perspective from the position of interest and power
on at least one of the following:
• Payer (insurers, government payers, and employers) (for
example, how CDC is affecting HC payers-insurance companies
and the government)
• Provider (entities and individuals providing services in the
healthcare system) (for example, how CDC affects physicians,
ambulance responders etc.?)
• Patient (consumers/risk population);
• Producer (a product developer).
Identify an organization (an affiliated stakeholder) that each
stakeholder partners with OR an organization that opposes the
stakeholder (name, website) and describe their perspective on
the same issue (payer, provider, patient, producer) as the direct
stakeholder in no more than 100 words
Is the direct stakeholder active at the time of the incident? If
not, when and how will it be involved in the management efforts
of the emergency. List points of linkage and directional
communication between the response team, victims, the
primary/direct stakeholder and the affiliated stakeholder.