Summer School in Public Health Policy, Economics and Management

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Economics and Management

From 25 to 30 August 2014 – Lugano (Ticino, Switzerland)

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Once again, Lugano is welcoming the SSPH+ Summer School in Public Health Policy, Economics and Management, jointly organized by SSPH+, the Institute of Economics (IdEP) of the University of Lugano and the Swiss Tropical and Public Health Institute (Swiss TPH) in Basel. The Summer School is again expected to bring a highly interna-tional and interdisciplinary audience, interested not only in learning but in the profes-sional exchange and the sharing of expertise, questions, and challenges. Building on last year’s success, the 2014 program provides the opportunity to choose 6-day and 3-day courses. The daily plenaries will cover topics of broad relevance and interest to public health researchers and professionals.

More than 2’000 students have taken course in our summer school since it was offered

for the first time in 1992. Whereas the first year students came mostly from Switzerland, the courses have seen a steady increase in students from Eastern, Central, and Western Europe thanks to generous scholarships of the Swiss Agency for Development and Cooperation (SDC). It will now be the fifth year where SSPH+ will welcome students from Africa and Asia too, thus, enriching discussions and exchanges with the expertise from regions with very different public health situations, challenges and opportunities. This can be exemplified in relation to a theme of a plenary session this year, namely the issue of “big” data. In contrast to most European countries, many regions in Africa and Asia have a long-standing experience in the collection of very big population based data. Through its approximately 50 health and demographic surveillance systems (HDSS) in Africa, Asia and Oceania, the INDEPTH network is capable of producing and analyzing very big and extremely dense longitudinal data.

Every year, in each of some 50 sites across 20 countries and 3 continents, standard information of high public health relevance is collected from tens of thousands of people, who are visited up to four times per year.. Data are not only used to describe the lives of people in those low- and middle-income countries, but for research on the impact of development policies and programs on those lives. Some surveys have been on going for more than three decades providing rich data from poor populations. In contrast, Switzerland has rich people but poor data. Big population based data remain first of all the vision of a circle of public health experts who have taken up the mission to fight for Swiss funds and infrastructures that will provide the platform to health scientists and policy makers to monitor health and its determinants. Rich data are a fundamental basis on which to inform the development of scientific innovation and to apply it in policies and action, which in turn needs evaluation of its impact on public health and economy.

May the Summer School again strengthen our visions and expertise to contribute to public health!

Prof. Nino Künzli, MD PhD,

Deputy Director of the Swiss Tropical and Public Health Institute Basel (Swiss TPH) and Professor of Social and Preventive Medicine of University Basel, Basel Switzerland

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The Foundation Swiss School of Public Healthplus (SSPH+), the Institute of Economics (IdEP) of the Università della Svizzera italiana and the Swiss Tropical and Public Health Institute (Swiss TPH) organize the Summer School in Public Health Policy, Economics and Management.

Courses cater to professionals and managers of health administrations, hospitals and other services worldwide, health sector facilities, policy-makers and any student registered for one of the continuous education programs coordinated and supported by the SSPH+.

The Summer School is an opportunity to meet new colleagues and peers, exchange knowledge, build networks, and share insights. The emphasis will be on participative approaches, complemented by formal teaching.

This year’s edition offers 5 courses distributed over 6 days and 6 short courses (3 days). Hence, each participant can attend 1 course of 6 days or 2 courses of 3 days.

Summer School courses are recognized in the ECTS framework and count toward SSPH+ degree programmes. Each 6-day course is assigned a credit value of 2 ECTS and each 3-day course is assigned 1 ECTS.

Those who actively participate and pass the final assessment are awarded a certificate of success. A certificate of attendance will be issued to any registered student who has regularly attended lectures and seminars.

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6-day Courses (25-30 August 2014)

COURSE N° PAGE COURSE

Course 1. page 9 Public Mental Health: Evaluations of Programmes and Policies

Teachers:

Prof. Emiliano Albanese, Prof. Martin Knapp

Course 2. page 12 Governance and Management of Comprehensive Health Networks Based on a Population Approach

Teachers:

Prof. Denis Roy, Prof. Fred Paccaud, Prof. Merita Berisha

Course 3. page 15 mHealth: Mobile Communication for Public Health

Teacher:

Prof. Suzanne Suggs

Course 4. page 18 Methodology and Practical Application of Economic Evaluation and HTA in Health Care

Teachers:

Dr. Urs Brügger, Prof. Mike Drummond, Marco Barbieri

Course 5. page 22 Leadership and Communication

Teacher:

Prof. François Lagarde 3-day Short Courses (25-27 August 2014)

Course 6. page 25 Health Financing Policies, Health System Performance and Obstacles to Universal Health Coverage

Teachers:

David B. Evans, Fabrizio Tediosi

Course 7a. page 28 Incentives for Better Health

Teachers:

Prof. Iris Bohnet, Prof. Prof. Nikola Biller-Andorno, Dr. Divya Srivastava

Course 8a. page 30 Rationales in Public Health Decisions

How to Handle Research Information to Improve Decision-making

Teachers:

Dr. André Prost, Dr. Roberto Grilli 3-day Short Courses (28-30 August 2014)

Course 7b. page 33 Conflicts of Interest and Corruption from a Health Systems Perspective

Teachers:

Prof. Marc Rodwin, Prof. Olivier Guillod, Prof. David Klemperer, Prof. Nikola Biller-Andorno and Dr. Judith Richter

Course 8b. page 35 Bridging the Gap between Evidence and Policy Making

Teacher:

Prof. Andrew Street

Course 9. page 35 Non-communicable Disease Control: Public Health and Health Care Approaches

Teacher:

Dr. Kaspar Wyss, Prof. Pascal Bovet

Courses 7a and 7b are funded by the Swiss University Conference. They are autonomous and complementary. We encourage participants interested in the topic to register for both courses.

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From 25 to 30 agosto 2014 DATE TIME

25.8.2014 9.00-10.30 Big Data in Public Health Research: Will it Kill Epidemiology? Thick Data in Public Health Research: Epidemiology remains alive

Chair: Charlotte Braun-Fahrländer (Director SSPH+ and Professor, Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute)

Discussants: Antoine Flahault (Director of the Institute of Global Health, University of Geneva) and Nino Künzli (Deputy Director Swiss Tropical and Public Health Institute)

26.8.2014 9.00-10.30 Global Health Issues

Chair: Axel Hoffmann (Head of Teaching and Training Unit, Swiss Tropical and Public Health Institute)

Discussants: André Prost (Former Director, Department of Relations

with Governments, WHO, Geneva, CH) and Marcel Tanner (Director, Swiss Tropical and Public Health

27.8.2014 9.00-10.30 Public Health Consequences of Economic Crises and Austerity Policies

Chair: Fabrizio Tediosi (Research Group Leader, Health Systems Research and Dynamical Modelling Unit, Swiss Tropical and Public Health Institute, Basel, CH)

Discussants: David Evans (Director, Health Systems Governance and Financing Depart-ment, World Health Organization, Geneva, CH) and Fabrizio Mazzonna (Assistant Professor, Università della Svizzera Italiana)

28.8.2014 9.00-10.30 Conflicts of Interests and Corruption

Chair: Olivier Guillod (Director of the Institute of Health Law, University of Neuchâtel) Discussants: Marc Rodwin (Professor of Law at Suffolk University Law School, Boston and Edmond J. Safra Center, Harvard University, USA) and Marco Bobbio (former chief of cardiology, Santa Croce hospital of Cuneo, Italy)

29.8.2014 9.00-10.30 Too fast, too furious? Controversies of the global health movement

Chair: Luca Crivelli (Summer School Scientific Director, Vice-director SSPH+ and Professor, Università della Svizzera italiana)

Discussants: Emiliano Albanese (Professor of Public Mental Health – University of Geneva, and HUG, CH), Martin Knapp (Professor of Social Policy, London School of Economics and Professor of Health Economics, King’s College London, UK) and

Meichun Mohler-Kuo (Head of the Mental Health Sector, Institute of Social and Preventive Medicine, University of Zuerich)

The plenary sessions are free of charge and open to the general public. For updates on this program please visit the Summer School website.

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VENUE

All lectures and seminars are held at the campus of the Università della Svizzera italiana in Lugano (Switzerland).

Address:

Università della Svizzera italiana Via G. Buffi 13

CH-6900 Lugano (Switzerland) Phone +41 91 666.47.83 Fax +41 91 666.47.33 website www.unisi.ch

The Lugano region is well known for the beauty of its land-scape, lake, mountains and Mediterranean vegetation.

For further information please visit www.lugano-tourism.ch

and www.lagolugano.ticino.ch. ACCOMMODATION

Participants are expected to book their own hotel rooms.

Lugano offers a wide selection of hotels and other residential accommodation (for details please visit

www.lugano-tourism.ch and www.lagolugano.ticino.ch). LANGUAGES

Courses are taught in English. An excellent knowledge of the language is required. No translation is provided.

Università della Svizzera italiana Facoltà di scienze economiche Center for Economic and Political Research on Aging CEPRA website: www.usi.ch website: www.ssphplus.ch website: www.swisstph.ch

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Courses are intended for professionals and managers operating in health administration, hospitals and other services and facilities within the health sector; they are also open to students registered for one of the continuous education programmes coordinated and supported by SSPH+. The program runs from 25 to 30 August 2014. The number of participants is limited to a maximum of 25 students per course.

ECTS, CERTIFICATE OF SUCCESS

Each 6-day course is assigned a credit value of 2 ECTS. Each short course of 3 days is assigned a credit value of 1 ECTS. Those who participate actively and pass the final assessment are awarded a certificate of success. A cer-tificate of attendance will be issued to any registered student who has regularly attended lectures and seminars. The Summer School’s ECTS have so far been recognised by the following SSPH+ programmes:

– MAS Arbeit + Gesundheit / Santé au Travail (ETH Zurich, Universities of Lausanne and Zurich) – MAS en santé publique (University of Geneva)

– MAS en économie sciences et organization de la santé (Mas-Santé, University of Lausanne) – Master of Public Health (Universities of Basel, Bern and Zurich)

– MAS in Versicherungsmedizin (University of Basel)

– Net-MEGS, MAS in economia e gestione sanitaria e sociosanitaria (University of Lugano) – MAS en droit de la santé (University of Neuchâtel)

– Master of Business Administration in International Health Management (Swiss TPH) – Master in International Health (Swiss TPH)

COURSE FEES

Fees cover tuition, all teaching materials, lunches and coffee breaks at the university restaurant (from Monday to Saturday). Travel, accommodation and dinners are not included.

6-day courses:

– Regular participants 1’500 CHF

– Students enrolled in SSPH+ programs 1’200 CHF 3-day courses:

– Regular participants 800 CHF

– Students enrolled in SSPH+ programs 650 CHF

Participants who choose to register for 2 of the 3-day courses will benefit from a discount of 100 CHF.

The courses of the Summer School are acknowledged by the SIWF (Schweizerisches Institut für ärztliche Weiter- und Fortbildung) and are awarded 7 credits by the FMH (Swiss Medical Association) per day, up to of 25 FMH credits for the full week curriculum.

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Please complete the online registration form, which can be downloaded at: www.ssphplus.ch/summerschool. The closing date for registration is 15 July 2014. The number of participants is limited and priority will be given to those who register first.

Participants will receive a confirmation of admission. Registration is valid upon receipt of the registration form and payment of the full registration fees. The balance must be settled by 15 July 2014 at the latest. Participants will receive the necessary preparatory documentation a few weeks before the beginning of the course.

MEANS OF PAYMENT & CANCELLATION – By bank transfer to:

UBS SA

CH-6900 Lugano

Account no.: 247-587031.01Y Code SWIFT/BIC: UBSWCHZH69A IBAN Code: CH460024724758703101Y

Reference: “Summer School in Public Health Policy, Economics and Management” and your name. – By postal transfer to:

La Posta

CH-6900 Lugano

Current postal account number: 80-2-2 In favour of the account: 247-587031.01Y

Reference: “Summer School in Public Health Policy, Economics and Management” and your name. Bank costs are chargeable to the participants.

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Public Mental Health: Evaluations of Programmes and Policies

Prof. Emiliano Albanese

Prof. Martin Knapp CONTENT OF THE COURSE

The first part of the course will identify the main policy issues in the mental health field, and discuss their im-plications for evaluation. The course will then set out the aims of and broad approaches to the evaluation of mental health programs, focusing specifically on economic approaches to evaluation and mental health policy and practice.

Areas to be covered in the second part of the course include research methods in mental health and psychiatric epidemiology, fundamentals in public mental health (concepts; impact and interventions), the design of mental health policy, plans and programs as well as the organization of mental health systems.

OBJECTIVES Prof. Albanese:

– To provide an introduction to population-based research methods on mental health and psychiatric disorders – To provide an overview on public mental health concepts and principles in the context of global mental health – To enable participants to critically evaluate the existing evidence relevant to public mental health policy, plans

and programs and systems. Prof. Knapp:

– To describe the most important themes in national and local policies aimed at addressing mental health needs – To introduce evaluation in the context of mental health policies and programmes, and economic evaluation

in particular

– To describe how economic evaluations might be conducted in mental health contexts, with illustrations from across a range of areas

– To enable participants on the course to understand the core principles, strengths and weaknesses of eco-nomic evaluations in mental health contexts

PREREQUISITES

No prerequisite, but the course will mostly benefit individuals working in the public health sector, health econo-mists, health professionals, policy makers, environmental professionals and others community leaders.

PEDAGOGICAL METHOD

Lectures, team work, practical sessions and group discussion inherent the Course main subjects and participants’ own areas and topics of interest.

ASSESSMENT PROCEDURE

Written examination on Saturday August 30th. Optional

Transfer of Knowledge Activity

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COURSE CONTENT AND STRUCTURE

Morning Content Method Afternoon Content Method Monday

11am – 1pm Psychiatric Epidemiol-ogy I – Basic concepts in Epidemiology, and Measurements in Psychi-atric epidemiology Lecture / group discussion Practical / group work Monday

2pm – 5pm Psychiatric Epidemiol-ogy II – Scientific principles; Study Designs; Critical Appraisal and Interpre-tation of Findings Lecture/ group discussion Practical/ group work Tuesday 11am – 1pm

Public Mental Health

Definitions and Concepts Key Points

Issues in Public Mental Health Burden of Mental Disorders Lecture / group discussion Practical / group work Tuesday

2pm – 5pm Mental Health Policy, Plans & Programs – Concepts Development and Implementation Steps Lecture / group discussion Practical / group work Wednesday 11am – 1pm Organization of Mental Health Services – Mental health systems: History; mhGAP; guiding principles to reform health systems

Lecture / group discus-sion Group work Wednesday 2pm – 5pm

Recap, Q&A and Practical Activities / Discussion

Thursday

11am – 1pm

Mental health policy and evaluation: intro-duction

Mental health needs, treatment, outcomes. Conceptual framework for analysing policy and framing evaluation.

Lecture Group discus-sion

Thursday

2pm – 5pm Mental health policyDominant themes in policy internationally. How mental health policies are shaped: key influences.

Introduction to the role of evaluation. Lecture Group discussion Practical / group work Friday 11am – 1pm Evaluation of policy and programmes Approaches to evalua-tion of programmes and policies.

Evaluation challenges in the mental health field. Introduction to economic evaluation in policy contexts Lecture Group discus-sion Friday 2pm – 5pm Economic evaluation I

Why is economic evalu-ation needed?

The core principles of economic evaluation Lecture Group discussion Saturday 11am – 1pm Economic evaluation II Examples of economic evaluation and their influences on mental health policies and practices Lecture Group discussion Practical / group work Saturday 2pm – 5pm

Economic evaluation III

Further examples of economic evaluation and their influences. Written examination (covering the whole course)

Lecture Group discussion

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CURRICULUM VITAE Prof. Emiliano Albanese

Emiliano Albanese is a public health physician and epidemiologist. He is SSPH+ assistant professor of public men-tal health at the University of Geneva, and head of the new-born division of Public Menmen-tal Health of the Institute of Global Mental Health, Geneva School of Medicine.

He is actively involved in numerous population-based studies, and he is particularly interested in the life course determinants of aging, cognitive decline and dementia.

Emiliano has a joint appointment as clinical senior lecturer at the Institute of Psychiatry, King’s College London; he is a study coordinator of the 10/66 research network on mental health, aging and dementia in low and middle-income countries, and is a member of the Global Observatory for Ageing and Dementia Care at King’s, and of the Centre for Global Mental Health, and Gulbenkian Global Mental Health Platform (Université NOVA de Lisbonne).

His teaching activities include master programs in Switzerland (Master en Sante Publique, Geneva), and the UK (MSc in Global Mental Health, LSHTM and KCL), and certificate of advanced studies (CAS) in Santé’ Publique (Lausanne) and Sante Mentale Publique (Geneva).

In 2007 he co-authored, with Prof. Martin Knapp, the UK dementia report; in 2009 the World Alzheimer Report, and in 2014 the Nutrition and Dementia report.

He is responsible of the area of Dementia of the WHO Collaborating center of the Department of Psychiatry of the Univesity of Geneva, and he collaborates with the Department of Mental Health and Substance Abuse of the World Health Organization for the revision and update of the WHO Mental Health Gap Action Plan (mhGAP) clinical guidelines for dementia care by non-specialists in LMIC.

Prof. Martin Knapp

Martin Knapp is a researcher in the areas of health and social care policy and practice. He has been Professor of Social Policy and Director of the Personal Social Services Research Unit at the London School of Economics and Political Science (LSE) since 1996. Since 2009, Martin has also been Director of the School for Social Care Research funded by the National Institute of Health Research. Until early 2014 he was also Professor of Health Economics at the Institute of Psychiatry, King’s College London, having established the Centre for the Economics of Mental Health there in 1993. Martin’s research emphases in recent years have primarily been child and adult mental health, dementia, autism and long-term social care, with much of his work having and economic focus. He has published his research widely, including in more than 450 peer-review articles and 15 books. His work has fed through to have many impacts on policy and practice discussions in the mental health and long-term care areas, both in the UK and elsewhere. Martin was recently appointed to the World Dementia Council.

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Governance and Management of Comprehensive Health Networks Based

on a Population Approach

Prof. Denis Roy Prof. Fred Paccaud Prof. Merita Berisha CONTENT OF THE COURSE Health systems: goals and context Complexity and networks in health Health network management

– Mandate, vision of the health network, population-based accountability and the triple aim – Population oriented continuums of intervention

– Performance, knowledge and action within the health network – Microsystems, mesosystems, macrosystem

Health system governance

– Apparatus and functions, centralization and decentralization, – supporting the local level

– using health policies to orient the system

– accountability, equity and respect of social values

Towards health systems comprised of population-accountable networks – an comprehensive model for effective health systems

– the health network’s integrator role – the potentiator role of system governance Conclusions

OBJECTIVES

By the end of this course, participants will be able to:

– understand how demographic, epidemiological and health transitions create the challenges currently facing complex health systems;

– describe why and how health networks may contribute to successfully addressing these challenges in a con-text of complexity;

– identify key management strategies useful in managing high performance health organisations and networks; – understand how to may be mobilize and adapt governance levers in order to guide and support performance

improvement;

– acquire a comprehensive view of the dynamics of complex health systems and of the strategies pertinent for their management and governance.

PREREQUISITES

Formal training in health or management disciplines; research and field experience may help participants to fully benefit from the course.

Lectures, workshop discussions of examples and topical cases. Personal readings.

Sharing of experiences among participants. ASSESSMENT PROCEDURE

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DETAILED COURSE CONTENT AND STRUCTURE

Day Content Other teaching methods

1 Introduction and presentations

Health systems: context and goals (1) – demographic, epidemiological and health

transitions

– objectives and components of the health system

– the challenge of adapting health systems The emergence of networks and complexity in health systems (2.1)

The dynamics of health networks (2.5.3) The mandate of population-accountable health networks (3.1)

Individual reflection

– The challenges of achieving the triple aim of health networks with respect to a population familiar to the participant

Plenary discussion and feedback

2 The health network in action: meeting the

needs of a population (3.2) Designing health networks (2.5.4)

The value of information in health networks (3.6)

Health network performance (3.3)

Small group workshop

– Assessing the needs of a population and setting priorities

– Determining key interventions of service contin-uums required to address priorities and identifying the actors involved.

Plenary discussion

3 Health as a complex adaptive system (2.2)

Knowledge in action within the health net-work (3.4)

Microsystems - Part 1 (3.5)

Small group workshop

– Analysing health system topics within a complex-ity framework

Personal reflection and short essay

– Identifying simple, complicated and complex microsystems that are necessary to respond to a priority health issue in your professional context

4 Managing health networks (3.5)

– Microsystems - part 2 – Mesosystems – The macrosystem

Individual reflection and plenary discussion – Defining improvement projects in one’s

profes-sional context

Discussion of the Quebec health network model Group discussion and analysis

– Mesosystem management, the integrator role and macrosystem management in different health systems.

5 Health system governance (4)

– the governance apparatus – governance functions

Large group workshop

– Governance functions in health systems Fostering innovation: a case study and discussion

6 A health system comprised of

population-accountable networks (5) Synthesis and conclusion

Group discussion

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CURRICULUM VITAE

Denis A. Roy (MD, MPH, MSc, FRCPC) is currently Vice-president, Scientific Affairs at the Institut national de santé publique du Québec. Dr. Roy holds an MD from Laval University. In addition, he earned a Master of Public Health at the University of California, Berkeley, and a Master of Science at McGill University. A fellow of the Royal College of Physicians, he has been honored with numerous awards, including the Commonwealth Fund Hark-ness Associate Award and an Excellence Award by the Quebec Association of Community Health Physicians. Fur-thermore, he is the only Canadian to have twice received the Canadian Foundation for Health Services Research Award, which he obtained due to his outstanding work in Montreal and Monteregie. Dr. Roy is an international member of Conseil Scientifique III de l’Institut National de Prévention et d’éducation pour la Santé and president of Bureau de Direction de L’Initiative Sur le Partage des Connaissances et le Développement des Competences, a broad-based capacity building initiative aimed at health system improvement in Quebec.

Dr. Roy is associate professor at the Social and Preventive Medicine Department, University of Montreal, and a research associate at Charles-LeMoyne Hospital Research centre, affiliated with the Community Health Depart-ment, University of Sherbrooke. He is involved in post-graduate training programmes in community medicine and allied public health disciplines.

Merita Berisha is graduate of Medical Faculty Prishtina University (MFPU). She holds Master degree in Public Health & Epidemiology. She was selected teaching assistant at the MFPU and Specialized in Social Medicine/Pub-lic Health at the National Institute of PubMedicine/Pub-lic Health of Kosova. After completing the doctoral program at MFPU in 2001 she was appointed Prof.Ass and later Prof.Associate for Social Medicine and Health Statistics within under-graduate and postunder-graduate medical studies.

In 2006 she was host professor for course Health Promotion and Education in International Prishtina Summer University. After that during the Master program for Health Managment, Tempus program, jointly with Medical University of Vienna, she led courses Health Care Strategies and Health Care Systems, and Biostatistics.

She provides technical assistance to the Kosovo Government and international agencies in the area of health strategy, health information systems, health promotion, teaching methodologies and is involved in coordination of studies and researches.

Besides Medical Faculty, she works at the National Institute of Public Helth of Kosova, Department of Social Medi-cine as a Chief of Observatory for mother, child and youth health.

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mHealth: Mobile Communication for Public Health

Prof. Suzanne Suggs

CONTENT OF THE COURSE

The purpose of this course is to explore, analyze and examine mobile health (m-health) technologies and strate-gies used for public health communication purposes. Specifically, the course focuses on the use of m-health in promoting, facilitating, changing and maintaining health behaviors. m-health will be discussed and examined in Emphasis is placed on the planning and development process in terms of when and why to use m-health, how to develop m-health applications, and evaluation of m-health projects. This is not a technical course for program-mers, but is a course for public workers and researchers.

OBJECTIVES

By the end of the course, the student will:

– understand the theoretical and practical relevance of m-health

– be familiar with the concepts, methods and applications of m-health technologies for public health purposes; – understand research and planning steps needed when designing m-health applications;

– be able to design an m-health project;

– be able to identify and discuss important m-health programs, funding sources, alliances, and outcomes as-sociated with m-health.

PREREQUISITES None.

The course will consist of interactive lessons, lectures and experiential learning activities. ASSESSMENT PROCEDURE

Over the course of the six-day intensive class, students will demonstrate obtainment of learning objectives through class discussions and the final session. The final session will culminate in a presentation that demon-strates lessons learned.

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11am – 1pm What is m-Health: Uses, commu-nication, policy, economics

Lecture and

discussion Monday 2pm – 5pm m-health Case Studies Lecture and discussion

Tuesday

11am – 1pm Getting to know the problem and potential solutions

Lecture and discussion

Tuesday

2pm – 5pm Health behavior Lecture, discussion, and group work Wednesday 11am – 1pm Designing m-health projects Lecture, discussion, and group work Wednesday 2pm – 5pm Persuasive communication Lecture, discussion, and group work Thursday 11am – 1pm Management and policy implications of m-health communication Lecture, discussion, and group work Thursday 2pm – 5pm Group work on projects Group work Friday

11am – 1pm Implementing m-health projects Lecture, discussion, and group work

Friday

2pm – 5pm Implementing m-health projects Group work

Saturday

11am – 1pm M-health discus-sion. Lessons Learned and implications for the future

Discussion Saturday

2pm – 5pm M-health discussion. Lessons Learned and implications for the future

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L. Suzanne Suggs, PhD, MS, BBA, CHES is a Senior Assistant Professor of Social Marketing and Director of the BeCHANGE Research Group, Institute for Public Communication, Faculty of Communication Sciences at Uni-versità della Svizzera italiana (USI). Her principal research examines the use of social marketing, communication technologies, and messaging strategies to facilitate health behavior change, and to improve health outcomes. Prior to joining the faculty in Lugano (August 2007), she was an Assistant Professor in the Graduate Program in Health Communication, Department of Marketing Communication at Emerson College and Adjunct Assistant Clinical Professor in the Department of Public Health and Family Medicine at Tufts University School of Medicine in Boston, Massachusetts. She has held positions as Research Assistant and Project Coordinator at the Oregon Center for Applied Science (Eugene, Oregon) and as Associate Director of Research at HealthMedia (Ann Arbor, Michigan) where she worked with industry and health organizations to develop and evaluate e-health communi-cation projects. She earned her PhD in Health Studies from Texas Woman’s University and a post-doctoral fellow-ship in the Department of Clinical Epidemiology and Biostatistics, Evidence-Based Practice Centre, at McMaster University in Ontario Canada. Prof. Suggs is a co-founder of the European Social Marketing Association (ESMA) She is the Editor-in-Chief of the Journal of Communication Technology and Human Behaviors and is on the Edito-rial Board for the Journal of Health Communication: International Perspectives.

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Methodology and Practical Application of Economic Evaluation and HTA

in Health Care

Prof. Bernard Burnand, Prof. Finn Børlum Kristensen, Prof. Mike Drummond, Marco Barbieri CONTENT OF THE COURSE

Part 1 (Dr. Urs Brügger)

The course is designed as a comprehensive introduction to the concepts, methods, and application of health technology assessment.

Specific topics covered include:

1) Concepts: What is HTA? The multidisciplinary nature of HTA. HTA as a tool for decision making in health care. 2) Methods: An overview over HTA methods that are used to generate evidence on safety, effectiveness,

cost-effectiveness and other domains. How to deal with uncertainty.

3) Application: Using HTA in different contexts and jurisdictions for decision making, institutional settings (pro-cesses and structures) The link between policy and HTA.

Examples and case studies are used to illustrate the main points Part 2 (Prof. Drummond, Marco Barbieri)

The course is designed as an introduction to the concepts, methods, and application of economic evaluation in health care. Specific topics that will be covered include: an overview of economic evaluation methods, cost and benefit estimation, economic evaluation using patient-level data, economic evaluation using decision-analytic modelling, and using economic evaluation in healthcare decision-making. Numerous examples and case studies are used to illustrate the main points and considerable emphasis is placed on learning through group work and exercises. There will be ample opportunity for students to discuss any issues or problems they have already encountered in the field of econo-mic evaluation. The course will be of particular benefit to those working in the health care sector who have a need to present a case for funding or reimbursement of particular health care treatments or programs.

OBJECTIVES Part 1

By end of this course participants will be able to understand HTA, its methodology and its embeddedness in an institutional context (processes and organizational structures).

Part 2

At the end of the course, the student will:

– be familiar with the concepts, methods and applications of economic evaluation in healthcare;

– understand costing methodology and the different approaches to valuing the benefits of health treatments; – be able to undertake a critical appraisal of published studies;

– understand the limitations of clinical trials as a vehicle for economic evaluation;

– be familiar with decision-analytic modelling approaches, including the construction of decision trees and Markov models;

– appreciate the main issues in the use of economic evaluation in health care resource allocation decisions, including the reimbursement of health technologies;

– have an appreciation of future developments in the theory and application of economic evaluation in health care. PREREQUISITES

The course is intended for graduate students who have a background in public management, economics, or the health disciplines. No previous knowledge of HTA is assumed.

The course is intended for graduate students (or equivalent) who have a background in economics, or the health disciplines. Some previous knowledge of economic evaluation is desirable, although this can be acquired through the pre-reading that is offered with this course. Some work experience in the health care sector is desirable, but not essential.

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Lectures, interactive exercises, group discussions. ASSESSMENT PROCEDURE

Part 2: Written examination

11am – 1pm Introduction to HTA Lecture, group discussion Monday 2pm – 5pm (Scientific) evidence and decision making Case studies I

Tuesday

11am – 1pm HTA in different contexts (Standard processes and Managed entry schemes) Lecture, group discussions Tuesday 2pm – 5pm Case studies II Wednesday

11am – 1pm Integrating eco-nomic evaluation into health technol-ogy assessment Introduction to eco-nomic evaluation Key principles of using HTA in resource allocation decisions Lectures plus discussion Wednesday

2pm – 5pm Costing, including costing exercise Discounting in economic evaluation Lectures, discussion and group work Thursday

11am – 1pm Measuring benefits in economic evaluation Utility estimation exercise Economic evaluation and social values Lectures, discussion and group work Thursday

2pm – 5pm Economic evalua-tion alongside clinical studies

Handling uncertainty Feedback on the utility exercise Lectures, discussion and group work Friday 11am – 1pm Decision- analytic modelling Modelling exercise Lectures, discussion and group work Friday 2pm – 5pm Modelling exercise (continued) Transferring economic evaluations from one

Lectures, discussion and group work

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Urs Brügger is a health economist and the director of the Winterthur Institute of Health Economics (WIG) at the Zurich University of Applied Sciences in Winterthur (ZHAW), Switzerland. His fields of interest in research and teaching are Health Technology Assessmen (HTA), Patient Classification Systems (PCS) and Managed Care. He is a board member of the Swiss Network for Health Technology Assessment and since July 2013 of the Swiss Academy of Medical Sciences (SAMS).

He studied at the University of St. Gallen (HSG) economics and sociology (1990). He has a PhD in Economics from the University of St. Gallen (1999). In the year 2009 he received a MSc in HTA (Ulysses program).

Dr. Mike Drummond is Professor of Health Economics and former Director of the Centre for Health Economics at the University of York. His particular field of interest is in the economic evaluation of health care treatments and programmes. He has undertaken evaluations in a wide range of medical fields including care of the elderly, neonatal intensive care, immunization programmes, services for people with AIDS, eye health care and pharma-ceuticals. He is the author of two major textbooks and more than 600 scientific papers, has acted as a consultant to the World Health Organization and was Project Leader of a European Union Project on the Methodology of Economic Appraisal of Health Technology. He has been President of the International Society of Technology As-sessment in Health Care, and the International Society for Pharmacoeconomics and Outcomes Research. He was previously a member of the Guidelines Review Panels of the National Institute for Health and Clinical Excellence (NICE) in the UK, and is a Principal Consultant for OptumInsight. His most important publications are:

– Drummond, M.F., Sculpher, M.J., Torrance, G.W., O’Brien, B.J., Stoddart, G.L. (2005), Methods for the eco-nomic evaluation of health care programmes: third edition. Oxford, Oxford Medical Publications.

– Drummond, M.F., Barbieri, M., Wong, J.B. (2005), Analytic choices in economic models of treatments for rheumatoid arthritis: what makes a difference? Medical Decision Making; 25(5): 520-533.

– Drummond, M.F.,Schwartz, J.S., Jönsson, B., Luce, B.R., Neumann, P.J. (2008) Key principles for the im-proved conduct of health technology assessments for resource allocation decisions. International Journal of Technology Assessment in Health Care; 24(3): 244-258.

Marco Barbieri, M.Sc. is an Honorary Research Fellow at the Centre for Health Economics, University of York (UK) and a Associate Researcher of CRES (Economics and Health Research Centre), University Pompeu Fabra, Barcelona (Spain). He holds a B.Sc. in Economics from the University of Bologna (Italy) and an M.Sc. in Health Economics from the University of York (UK). He spent two years working as a Research Fellow at the Centre for Health Economics, University of York, where he has undertaken a wide range of research including cost-effective-ness modelling in rheumatoid arthritis and cardiovascular disease, study of patient preference measurement and the application of evidence to decision making in health care. He has been involved in several health technology assessments, including systematic reviews of economic evaluations of treatments for bipolar disorder and for second-line advanced ovarian cancer. His particular field of interest is associated with issues of transferability of data among jurisdictions.

– Barbieri M, Drummond M, Rutten F et al. “What do international guidelines say about economic data trans-ferability”, Value in Health 2010, 13 (8): 1028-37

– Barbieri M, Hawkins N, Sculpher M et al. “Who Does the Numbers? The Role of Independent Technology Assessment to Inform Health Systems’ Decision Making about the Funding of Health Technologies”, Value in Health 2009; 12(2): 193-201

– Barbieri M, Drummond MF, Willke R, Chancellor J, Jolain B, Towse A. “Variability of Cost-Effectiveness Esti-mates for Pharmaceuticals in Western Europe: Lessons for Inferring Generalizability”, Value in Health 2005, Vol 8 (1), 10-23.

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Prof. François Lagarde CONTENT OF THE COURSE – Leadership

– Communication – Health Communication

– Key health communication principles – Risk communication

– Planning, delivering and evaluating health communication initiatives: overall objectives, audience analysis, context, outcome objectives, framing/positioning, channels and activities, message development, messengers, partnerships, implementation, evaluation

– Communicating to inform and influence individual decisions and behaviours – Communicating with staff and colleagues (internal communications) – Communicating with professionals and stakeholders (knowledge transfer) – Communicating with policy makers (advocacy)

– Communicating with the media OBJECTIVES

By the end of this course, participants will:

– Have acquired a broad understanding of health communication principles, methods, and practices to achieve a range of health management and public health objectives

– Know best practices in health communication

Be able to apply best practices to a range of initiatives aimed at individuals, staff, professionals, stakeholders, policy makers and the media.

Lectures, reading, discussions, case studies, small group work, group presentations. ASSESSMENT PROCEDURE

Participants are expected to attend each session (30%)

Group presentation of a case study (15 min, including a PowerPoint presentation) and discussion (15-20 min) on last day (70%).

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Morning Content Method Afternoon Content Method Monday 11am – 1pm Introduction Definitions and principles Lecture Discussions Monday 2pm – 5pm Risk communication

Planning and evaluating health communication initiatives

Channels and message development

Lecture Discussions

Tuesday

11am – 1pm Communicating to change individual behaviours

Lecture Discussions

Tuesday

2pm – 5pm Social marketing; links between communica-tion and comprehensive approaches

Case study and application Lecture Small group work Wednesday 11am – 1pm Short group presentations on key elements of a strategy to influ-ence individual behaviours Group presen-tations Discussions Wednesday 2pm – 5pm Communicating with staff and colleagues Case study and application

Lecture Small group work

Thursday

11am – 1pm Communicating with professionals and stakeholders (knowledge transfer)

Lecture Thursday

2pm – 5pm Case study and application Small group work

Friday

11am – 1pm

Communicating with policy makers (advocacy) Case study and application Lecture Small group work Friday 2pm – 5pm Multimedia and communicating with the media Lecture Discussions Saturday

11am – 1pm Preparation for a group presentation on a communication strategy

Small group

work Saturday2pm – 5pm Group presentations of a strategy Group presentations and discussions

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CURRICULUM VITAE Prof. François Lagarde

François Lagarde, M.A., has held the position of Vice-President, Communications at the Lucie and André Chag-non Foundation since June 2012. He is responsible for orienting, managing and ensuring the synergy of all com-munication strategies used by the Foundation in connection with its philanthropic investments. He also advises the President and other members of the Executive on public affairs and other strategic issues. Since serving as Vice-President of ParticipACTION (a national health promotion agency) in the 1980s, he has acted as a consult-ant in social marketing and communications for more than 170 health, community, public and philconsult-anthropic or-ganizations at every level. Through his work, he has contributed to the design, implementation and evaluation of many social and behavioural change initiatives. François Lagarde is also an adjunct professor at the University of Montreal, where he teaches social marketing in the health administration and public health programs. He received the University of Montreal Award for Excellence in Teaching. He has built up a solid reputation both nationally and internationally. As a sought-after speaker and trainer, he has taught in all the Canadian provinces as well as in 12 other countries. Mr. Lagarde is an Associate Editor of Social Marketing Quarterly.

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Health Financing Policies, Health System Performance and Obstacles to

Universal Health Coverage

Dr. David B Evans Dr. Fabrizio Tediosi

The course provides students with an overview of the patterns and key issues of health systems financing poli-cies, with an emphasis on critical assessment of current and future policy options and issues. The course analyses methods and tools to assess health financing policies and it reviews effective policy instruments to improve health system performance through better health financing policy. It is structured around the following topics:

– Objectives of health financing system; – Raising revenues – thinking outside the box;

– Pooling revenues – insurance, taxes and the costs of fragmentation;

– Purchasing – getting more health for the money including questions of benefits packages; – Health system development that complements health financing reforms;

– Coordinating reform – aligning policy instruments with policy objectives.

The course offers examples and practical experiences from low, middle, and high income countries. The key prin-ciples and challenges of attaining and maintaining universal coverage, as well as the tools analysed, are relevant to low, middle and high income countries.

OBJECTIVES

At the end of the course participants will be:

– Familiar with the key issues in health systems financing for ensuring access to needed services with financial risk protection;

– Able to assess alternative methods of: raising revenue to funding health services; pooling funds to spread finan-cial risks and reduce finanfinan-cial barriers to access; and purchasing or providing services efficiently and effectively; – Able to appreciate the challenges of health systems and financing policies that can benefit the poor;

– Able to identify some of the other types of health system strategies that are needed to support changes in health financing policies;

Able to adopt a systematic approach to assess and design health financing policies PREREQUISITES

No specific prerequisite. The course will mostly benefit policy-makers and practitioners at all level of seniority in the health sector, managers of service-provider organizations and individuals involved in health system reforms. It will benefit also individuals interested in how health systems can address existing inequalities in access to health services, in how the global health community can support national health systems to develop and implement financing policies.

Introductory lectures, case studies, facilitated group work and discussion. ASSESSMENT PROCEDURE

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11.00am – 1pm Challenges of health financing systems to attain and maintain Universal Health Coverage Lecture and group discussion Monday

2pm – 5pm Health financing poli-cies in low, middle, and high income countries

Facilitated group work and discussion

Tuesday

11.00am – 1pm

Policy instruments to improve health system performance through better health financing policy Lecture and group discussion Tuesday 2pm – 5pm Health systems strategies supporting health financing policies Facilitated group work and discussion

Wednesday

11.00am – 1pm

Methodologies to assess health financing policies Lecture and group discussion Wednesday 2pm – 4.30pm Group work presentations of case studies assigned by facilitators Group presentations and discussion

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David B. Evans is Director of the Department of Health Systems Governance and Financing in the Cluster on Health Systems and Services at the World Health Organization. He has a PhD in economics and worked as an academic in Australia and Singapore before joining WHO. His work has covered social and economic aspects of tropical disease control, the assessment of health system performance and the generation, analysis and ap-plication of evidence for health policy. His current focus is on supporting countries to develop effective, efficient and equitable health financing systems, and to strengthen leadership and governance within health systems. Activities range from technical support to countries, generation and use of evidence on best practices, sharing of country experiences, capacity strengthening and partnership with other development agencies and initia-tives. He was the lead author for the World Health Report 2010 entitled “Health systems financing: the path to universal coverage” and has over 200 publications.

Fabrizio Tediosi is Group Leader for Health Policy in the Health Systems Research and Dynamic Modeling Unit of the Swiss Tropical and Public Health Institute, University of Basel. Since 2007 he is also associate researcherat the Centre for Research on Health and Social Care Management of Bocconi University in Milan. He holds a de-gree in economics and management from the University of Pavia, an MSc in Health Economics from the Univer-sity of York, and a PhD in Public Health and Epidemiology from UniverUniver-sity of Basel.

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Prof. Iris Bohnet

Prof. Nikola Biller-Andorno Dr. Divya Srivastava CONTENT OF THE COURSE

The course is designed as a comprehensive introduction to the role of incentives in redesigning care for better quality at lower cost. The course will engage participants in specific issues including conceptual issues, the ef-fectiveness of different forms of incentive schemes, such as pay for performance as well as ethical and policy issues. The course is intended for graduate students, post-docs or practitioners with background in health care, public health, management, economics or ethics. Some previous knowledge of incentives as a management tool is desirable, although this can be acquired through the pre-reading that is offered with this course.

OBJECTIVES

At the end of the module students will:

• Have an understanding of incentives grounded in the recent literature in behavioural economics, ethics, and other relevant fields

• Appreciate the role of incentives in health behaviour, as well as health care design, management and delivery • Be able to analyze pitfalls of incentive designs and to critically reflect on incentives as a potential source of

institutional corruption

• Be familiar with framework conditions for an ethically responsible use of incentives

Be able to identify indicators needed to manage incentives and performance evaluation as a learning systems PREREQUISITES

The course is intended for doctoral students and professionals who have a background in health care manage-ment, public health, ethics, economics, or the health disciplines. Some previous knowledge of incentives as a management tool is desirable, although this can be acquired through the pre-reading that is offered with this course. Some work experience in the health care sector is desirable, but not essential.

The course will be held using lectures, interactive exercises, facilitated group discussions, and breakout sessions. ASSESSMENT PROCEDURE

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11.00am – 1pm Introduction to the use of incentives from the behavioural economics perspective Lecture by Prof. Iris Bohnet (Harvard) Monday

2pm – 5pm Examining the use of incentives and their implications from the behavioural econom-ics perspective

Group discussions and activities led by Iris Bohnet

Tuesday

11.00am – 1pm

Practical examination of the current uses of incen-tives in health care

Lecture by Divya Srivastava (OECD) Tuesday 2pm – 5pm

Exploring and com-paring the use of incentives in health care Group discussions and activities led by Divya Srivastava Wednesday 11.00am – 1pm

Examination of the ethical considerations of using in-centives to improve health system performance Lecture by Prof. Nikola Biller-Andorno (University of Zurich) Wednesday 2pm – 5pm

Applying ethical con-siderations to policies that use incentives to improve health system performance

Group discussions and activities led by Prof. Nikola Biller-Andorno

Iris Bohnet, Professor of Public Policy, is the Academic Dean of the Harvard Kennedy School. A behavioral economist, she is also the director of the Women and Public Policy Program, an associate director of the Har-vard Decision Science Laboratory, and the faculty chair of the executive program “Global Leadership and Public Policy for the 21st Century” for the World Economic Forum’s Young Global Leaders. She serves on the boards of directors of Credit Suisse and University of Lucerne, as well as the Advisory Board of the Vienna University of Economics and Business, and numerous academic journals. She is a member of the Global Agenda Council on Women’s Empowerment of the World Economic Forum. Professor Bohnet teaches decision-making, nego-tiation and gender in public policy and leadership in degree and executive programs, and has been engaged in the teaching, training and consulting of private and public sector leaders in the United States, Europe, India and the Middle East.

Prof. Dr. med. Dr. phil. Nikola Biller-Andorno directs the Institute of Biomedical Ethics of the University of Zurich, Switzerland (www.ethik.uzh.ch/ibme), a WHO Collaborating Centre for Bioethics, as well as the PhD program “Biomedical Ethics and Law” (medical track) (www.bmel.uzh.ch/med). She has acted as deputy edi-tor of the Journal of Medical Ethics from 2004 to 2011, and is Past-President of the International Association of Bioethics. She is a member of the Central Ethics Committee of the Swiss Academy of Medical Sciences, Vice-President of the Clinical Ethics Committee of the University Hospital Zurich, and a member of the Re-search Ethics Committee of the Federal Institute of Technology Zurich. In 2012-13, she was a Commonwealth Fund Harkness Fellow and Visiting Professor of Biomedical Ethics at Harvard University.

Dr. Divya Srivastava is a health economist at the Organisation for Economic Cooperation and Development (OECD) in Paris. She is involved in projects relating to value for money which include investigating medical practice variations and payment systems across OECD countries. She is also a visiting fellow at the London School of Economics and Political Science (LSE) and an associate editor of the journal Globalization and Health, an open access online journal.

Divya has also worked for the World Health Organization European Observatory on Health Systems and Poli-cies, the UK Government, the Canadian government and as a consultant to the UK government and Australian government.

She holds a B.Sc in Statistics from the University of Manitoba (Canada), a M.A. in Economics from McMaster University (Canada), MSc. in International Health Policy from the LSE and a PhD from the LSE. Research inter-ests include comparative health policy, health economics and pharmaceutical policy.

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to Improve Decision-making

Dr. André Prost

Dr. Roberto Grilli

Participants will know the factors to be considered to become critical users of research information, and the steps to be undertaken to move from a public health problem/issue to a decision, through a careful appraisal of alternative options and implications relying on research information.

OBJECTIVES

To make participants familiar with the potentials as well as with the limitations and problems of relying on infor-mation drawn from health research in the decision making process on public health issues. In particular partici-pants will learn how to interpret and critically appraise systematic reviews, practice guidelines, health technology assessment reports and other forms of research synthesis exercises. In addition, they will have the opportunity to explore how to draw researchable questions from health policy issues.

The module will be based on traditional frontal lessons and more interactive sessions in which “case studies” will be examined, applying to “real life” examples theories, concepts and methods introduced in the lectures. ASSESSMENT PROCEDURE

A practical exercise will be conducted at the end of the module, in which participants will be asked to apply concepts and methods learned to an health policy issue/problem.

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11am – 1pm How can/should research influence policy-making (part I: methodological aspects and role of indica-tors) André Prost How can/ should research influence policy-making (part I: meth-odological aspects and role of indica-tors) André Prost Monday

2pm – 5pm From problems to solutions through research information - Case Study I: the Management of wait-ing list Roberto Grilli Interactive group working Tuesday 10am – 1pm

How can/should research influence policy-making (part II: the value and limitations of research synthesis exercises) Roberto Grilli How can/ should research influence policy-making (part II: the value and limitations of research synthesis exercises) Roberto Grilli Tuesday

2pm – 5pm From problems to solutions through research information - Case study II: The Relationship between volumes and out-comes Roberto Grilli Interactive group working Wednesday 11 am – 1pm

The other way round: how policy can influence research Roberto Grilli The other way round: how policy can influence research Roberto Grilli Wednesday 2pm – 5pm From problems to solutions through research information - Case study III: Breast cancer screening – André Prost

Interactive group working

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CURRICULUM VITAE André Prost

Former Director at the WHO, Geneva, in charge of Relationships with Governments and the Private Sector, Dr André Prost was between 2007 and 2013 a member of the Board of Governors of the GAVI Fund Affiliate which finances part of the operations of the Global Alliance for Vaccines and Immunization in the 73 least developed countries. Dr Prost, MD, is a specialist in parasitology with a degree in epidemiology from Institut Pasteur, Paris. During twelve years, 1969 to 1981, he worked in West Africa, first as a district medical officer in Upper Volta (present Burkina Faso), then as responsible for the epidemiological evaluation of the Onchocerciasis Control Programme in West Africa.

Within WHO, he held the following positions: epidemiologist, Division of the Environment (1985-1989); assistant to the Deputy Director-General (1989-1992); Representative to the European Union and its Member States in Brussels (1992-1998); Director non-communicable diseases (1998-1999); Director, Relationships with Govern-ments and the Private sector (1999-2004). Within the World Bank in Washington (1981-1985), Dr Prost worked as a Public Health officer in the Population, Health and Nutrition department, responsible for projects in China, Thailand and Ghana. The early stages of his career were totally field oriented as a resident in hospitals in Morocco (1965-1967), as a district medical officer in rural areas of Upper Volta (1969-1975) and as team leader for the epidemiological evaluation of the Onchocerciasis Control Programme in the Volta River basin, West Africa. Teaching functions have included a collaboration with the Master of Epidemiology of Paris VI University (1990-2003), with the master of Advanced Studies in Public Health of Geneva University (2005-2013), with the interna-tional course on Public Health Ophthalmology in Rabat, Morocco (2004-2007), to quote only the most important ones. He was a member of the scientific committee of the Universita della Pace Giorgio La Pira, Torino (1989-1990). Dr Prost was also a member of the National Committee for the Coordination of Resarch for Development at the French Ministry of Resarch (1995), and a Member of the Steering Committee for the qualitative health planning of the Canton of Geneva (1996-2002)

Dr Prost is the main author or the co-author of over one hundred scientific papers.

Dr Prost is President of the Scientific advisory Board of the Press Agency “Destination Santé”. Entomologist, he is the current Secretary of the International Association of Neuropterology.

Roberto Grilli, epidemiologist and health services researcher, since 2006 is the Director of the Regional Agency for Health and Social Care of Emilia-Romagna, the organization supporting the Regional Health Authority of Emilia-Romagna (a 4,5-million resident Italian region) in the development, adoption, and evaluation of clinical, organizational and technological innovations in the regional health and social care system. From December 2000 to June 2006 he was head the Department of Clinical Governance (Area di Programma Governo Clinico) at the same institution.

Previously Dr Grilli was, from 1986 to 1998, at the Mario Negri Institute in Milan, Italy, where he held the position of Head of the Unit of Clinical Policy Analysis, within the Laboratory of Health Services Research. From August 1991 to September 1992 he was visiting assistant professor at the Centre for Health Economics and Policy Analy-sis (McMaster University, Hamilton, Ontario). From January 1999 to October 2000 he has been senior executive at the National Agency for Regional Health Services (Agenzia per i Servizi Sanitari Regionali), where he was re-sponsible for the organization of the Italian National Program for Guidelines Development and Implementation (Programma Nazionale per le Linee-Guida).

He has been working extensively in the area of health technology assessment, quality assessment of the scientific literature, quality of care evaluation, development and implementation of practice guidelines, governance in healthcare organizations. He has been involved in several national and international projects, being also (from 1994 up to 2006) among the members of the editorial team of the Cochrane Effective Practice and Organiza-tion of Care (EPOC) Review Group.

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Conflicts of Interest and Corruption from a Health Systems Perspective

Prof. Marc Rodwin, Prof. David Klemperer, Prof. Olivier Guillod, Prof. Nikola Biller-Andorno, Lida Lhotska and Dr. Judith Richter

Presentation of theories on conflict of interest in medicine, different national responses and global initiatives with discussion of case studies

OBJECTIVES

To enable health professionals and policy makers to better identify financial conflicts of interest and to participate in the development of ways to address them at the individual and societal level.

PREREQUISITES

The course is intended for doctoral students and professionals who have a background in health care manage-ment, public health, ethics, economics, or the health disciplines. Some work experience in the health care sector is desirable, but not required.

The course will use lectures, interactive exercises, facilitated group discussions, and student presentations. ASSESSMENT PROCEDURE

Student presentations (15 min) and discussion (15-20 min) DETAILED COURSE CONTENT AND STRUCTURE

Morning Content Method Afternoon Content Method Thursday

11am – 1pm Exploring conflicts of interest and institu-tional corruption of medical systems from a legal perspective. Lecture by Prof. Marc Rodwin (Suf-folk University/ Harvard) Thursday

2pm – 5pm Exploring conflicts of interest and institutional corruption in health care building on the find-ings from a comparative study on conflict of in-terest in the US, French and Japanese health care system.

Group discussions and activities led Marc Rodwin

Friday

11am – 1pm

Investigating conflicts of interests in health care settings and the role health profession-als can play to address the problems Lecture by Prof. David Klemperer (Hochschule Regensburg) Friday

2pm – 5pm Joint exploration of ways to address conflicts of interests and brib-ing in the participants’ health care settings.

Group discussions and activities led David Klemperer

Saturday

11am – 1pm Conflicts of interest in the global health arena and the role of interna-tional organizations Lecture by Dr. Judith Richter with case study by Dr. Lhotska Saturday

2pm – 5pm Discussion of conflicts of interest in the global health arena: how to ensure that health policy making is in the public interest?

Group discussions and activities led by Judith Richter, Lida Lhotska nad Nikola Biller-Andorno

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Marc A. Rodwin is Professor of Law at Suffolk University Law School and a Lab Fellow at the Edmond J. Safra Center for Ethics at Harvard University. He is the author of Conflicts of Interest and the Future of Medicine: The United States, France and Japan (Oxford, 2011); and Medicine, Money & Morals: Physicians’ Conflicts of Interest (Oxford, 1993). He has written on ownership of data, physicians’ conflicts of interests, competition law, and man-aged care, the pharmaceutical industry, medical malpractice, health economics, and patient rights.

Rodwin has testified before Congress and state legislatures and served on government commissions and advisory boards. He has participated in meetings of the National Academy of Sciences, Institute of Medicine. Rodwin has assisted consumer groups including the Consumer Federation of America, the National Partnership for Women and Families, and Consumer Coalition for Quality Health Care.

Rodwin has been a recipient of several fellowships and grants including: Fulbright Fellowship, German Marshal Fund, Social Science Research Council/Abe Fellowship; Robert Wood Johnson Foundation Investigator Award, and the Pew Health Policy Doctoral Fellowship.

Prof. Dr. med. Dr. phil. Nikola Biller-Andorno directs the Institute of Biomedical Ethics of the University of Zurich, Switzerland (www.ethik.uzh.ch/ibme), a WHO Collaborating Centre for Bioethics, as well as the PhD pro-gram “Biomedical Ethics and Law” (medical track) (www.bmel.uzh.ch/med). She has acted as deputy editor of the Journal of Medical Ethics from 2004 to 2011, and is Past-President of the International Association of Bioeth-ics. She is a member of the Central Ethics Committee of the Swiss Academy of Medical Sciences, Vice-President of the Clinical Ethics Committee of the University Hospital Zurich, and a member of the Research Ethics Commit-tee of the Federal Institute of Technology Zurich. In 2012-13, she was a Commonwealth Fund Harkness Fellow and Visiting Professor of Biomedical Ethics at Harvard University.

Born on April 20, 1956 in Neuchâtel (Switzerland), Olivier Guillod studied law at the Universities of Neuchâ-tel and Harvard (USA) and practiced as a barrister in the eighties. He taught private law and health law at the Universities of Geneva and Webster and then at the University of Neuchâtel, where he founded the Institute of Health Law in 1993 and served as Dean of the Law School. He has been invited to teach in several Swiss (Fribourg, Lausanne, Genève), French (Paris V, Aix-Marseille) and New Zealand (Otago) Universities. He was a member of the Swiss National Advisory Committee for Biomedical Ethics (2001-2013) and chaired the Cantonal Committee on Addictions (Neuchâtel). He is Dr. Hon. causa of the University of Franche-Comté and has been an individual member of the Swiss Academy of Medical Sciences since 2005.

Olivier Guillod has given numerous talks in Switzerland and abroad, has served as a member of the editorial board of several scientific Journals, especially the Swiss Review of Health Law, and has written extensively on health law topics. He is presently director of the Institute of Health law and professor of private law and health law at the University of Neuchâtel

David Klemperer, MD, is Professor of Social Medicine and Public Health at the Faculty of Social and Health Sciences, Ostbayerische Technische Hochschule Regensburg. His research and teaching focus on evidence-based professional practice and conflicts of interest. He is co-author of a the recommendations oft the Association of the Scientific Medical Societies (AWMF) on regulating conflicts of interest in medical speciaist societies (http://tinyurl.com/nleb6la) and co-editor of a German textbook “Interessenkonflikte in der Medizin”. He is past president of the German Network for Evidence-based Medicine (www.ebm-netzwerk.de/english). Website: www.davidklemperer.de.