Summer School in Public Health Policy, Economics and Management

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Economics and Management

From 24 to 29 August 2015 – Lugano (Ticino, Switzerland)

Facoltà di scienze economiche Istituto di Economia Politica

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Hello and welcome to Lugano! Once again, the Università della Svizzera italiana (USI) will host the SSPH+ Summer School in Public Health Policy, Economics and Management. The Summer School is jointly organized by SSPH+, the Institute of Economics (IdEP) at USI and the Swiss Tropical and Public Health Institute (Swiss TPH) in Basel. The clear interdisciplinary context represents the greatest strength of the school since it allows public health professionals and researchers from various health related disciplines to exchange their expertise and experience in a stimulat-ing and excitstimulat-ing environment. In this context, the support of the Swiss Agency for Development and Cooperation (SDC) is key, enabling professionals from Eastern Europe and other emerging and transition economies to participate and share their knowledge and skills required to manage health systems and health service.

As usual, the participants will choose their course of interest among a large offer of 6-day and 3-day courses, held by internationally renowned professors, to ﬂ exibly address the training demands. The program will address both well-established issues, as well as emerging problems and topics yet to be sufﬁ ciently explored. Besides the courses, each day will begin with a plenary session, which throughout the week will cover different hot topics of broad relevance and interest to public health policy, economics and management.

One of the main goals of our Summer School is to create a platform of exchange between the faculty and all participants. This should provide the opportunity to reduce and prevent the gap between public health theory and practice by placing disease and health systems thinking under one common framework of coherent con-cepts and practical implications.

I wish all participants a pleasant and insightful experience in Lugano during the Summer School 2015!

Prof. Fabrizio Mazzonna Summer School Director

Economics and Management

PREAMBLE

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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 2 courses distributed over 6 days and 9 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 fi nal assessment are awarded a certifi cate of success. A certifi cate of attendance will be issued to any registered student who has regularly attended lectures and seminars.

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6-day Courses (24-29 August 2015)

COURSE N° PAGE COURSE

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

Emiliano Albanese, Martin Knapp

Course 2. page 12 Methodology and Practical Application of Economic Evaluation and HTA in Health Care Teachers:

Urs Brügger, Mike Drummond, Marco Barbieri

3-day Short Courses from 24 to 26 August

Course 3. page 15 Systems Approaches for Health Systems Performance Teacher:

Don de Savigny

Course 4. page 17 Leadership via Communication Teachers:

François Lagarde

Course 5. page 19 Bridging the Gap between Evidence and Policy Making Teacher:

Andrew Street

Course 6. page 21 Non-communicable Disease Control: Public Health and Health Care Approaches Teachers:

Kaspar Wyss, Pascal Bovet

3-day Short Courses from 27 to 29 August

Course 7 page 23 Economics and Management of “One Health” Teachers:

Jakob Zinsstag, Esther Schelling

Course 8 page 25 eHealth Teachers:

Martin Raab, Antoine Geissbuhler, Gonçalo Castro, Sang-Il Kim

Course 9 page 28 Health Financing Policies, Health System Performance and Obstacles to Universal Health Coverage

Teachers:

David B Evans, Fabrizio Tediosi, Pavlo Kovtoniuk

Course 10 page 30 Customized Care, yes but how? Teacher:

Mathias Waelli

Course 9. page 33 National Dementia Plans and Policies – from Design and Implementation to Monitoring and Evaluation

Teacher:

Emiliano Albanese

COURSES OF THE MAIN PROGRAMME

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From 24 to 29 August 2015

DATE TIME

24.08.2015 9.00-10.30 Corporate Social Responsibility in National and Global Healthcare

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

Discussants: Anna Erat (Institute for Foundations of Business Administration and Theories of the Firm, University of Zurich, CH) and Marcel Tanner (Director, Swiss Tropical and Public Health Institute, CH)

25.08.2015 9.00-10.30 Gender and Health Inequity

Chair: Fabrizio Mazzonna (Summer School Scientifi ca Director and Professor, Università della Svizzera italiana, CH)

Discussants: Sonia Bhalotra (Department of Economics & Institute of Social and Economic Research University of Essex, UK) and Elisabeth Zemp (Unit leader Society, Gender and Health, Swiss Tropical and Public Health Institute, CH)

26.08.2015 9.00-10.30 Innovation in Payment System

Chair: Luca Crivelli (Director of the Department of Business Economics, Health and Social Care at SUPSI, Deputy Director of the Swiss School of Public Health+, CH)

Discussants: Representative from OECD (Organisation for Economic Cooperation and Development, Paris) and Andrew Street (Centre for Health Economics, University of York, UK)

27.08.2015 9.00-10.30 Relevance of Global Policy for Local Action - the Example of Sexual Reproductive Health and Rights

Chair: Nino Künzli (Director of the Swiss School of Public Health+, Deputy Director Swiss Tropical and Public Health Institute, CH)

Discussants: Susanne Amsler (Programme Offi cer – Health Advisor Regional Cooperation - East and Southern Africa, Swiss Agency for Development and Cooperation, HQ, CH) and a representative from IPPF (International Planned Parenthood Federation, UK)

28.08.2015 9.00-10.30 Chronic Care Management

Chair: Emiliano Albanese (Professor of Public Mental Health – University of Geneva, and HUG, CH)

Sabine De Geest (Institute of Nursing Science, University of Basel), Mathias Waelly (EHESP - French School of Public Health, Paris, F)

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.usi.ch

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

For further information please visit www.lugano-tourism.ch and www.lagolugano.ticino.ch.

PRACTICAL INFORMATION

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.

6 Economics and Management 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 24 to 29 August 2015. 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 fi nal assessment are awarded a certifi cate of success. A cer-tifi cate of attendance will be issued to any registered student who has regularly attended lectures and seminars. Plenary sessions are compulsory to obtain ECTS.

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 beneﬁ t from a discount of 100 CHF.

The courses of the Summer School are acknowledged by the Swiss Medical Society of Public Health (Schweizer-ische Gesellschaft der Fachärztinnen und Fachärzte für Prävention und Gesundheitswesen) and are awarded 7 credits per day, up to a maximum of 25 credits for a full week curriculum.”

MEALS

The University restaurant serves excellent lunches (international cuisine) from Monday to Saturday. The Summer School does not arrange evening meals. Good restaurants can be found locally.

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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 2015. The number of participants is limited and priority will be given to those who register ﬁ rst.

Participants will receive a conﬁ rmation of admission. Registration is valid upon receipt of the registration form and payment of the full registration fees. The balance must be settled by 20 July 2015 at the latest. Participants will receive the necessary preparatory documentation a few weeks before the beginning of the course.

CANCELLATION

Full refund is guaranteed for cancellations received by 15 July 2015. Fees will not be reimbursed after this date.

REGISTRATION

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Public Mental Health: Evaluations of Programmes and Policies

Emiliano Albanese, Martin Knapp

CONTENT OF THE COURSE First half (Emiliano Albanese)

Basic psychiatric epidemiology, measurement, study design and risk assessment Fundamentals in public mental health: concepts; impact and interventions Mental health policy, plans & programs; and mental health systems Second half (Martin Knapp)

Mental health policy

Evaluation of mental health policies and programmes Economic evaluation in the mental health ﬁ eld

OBJECTIVES

Emiliano Albanese:

– To provide an introduction to population-based research methods on mental health and psychiatric disorders using 2 cases studies on dementia, in the year of the G7 legacy events.

– To provide an overview on concepts and principles of global mental health and mental health plans and programs. – To enable participants to critically evaluate the existing barriers and possible solutions for the integration of

mental health into existing health and social care services and plans. Martin Knapp:

– To describe the key 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 is 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 beneﬁ t 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 29th Optional

Transfer of Knowledge Activity

An optional assessment will be offered to interested participants only, with the goal of favouring transfer of knowledge of the Course contents to “real life” needs and situations.

Detailed instructions will be provided on how to complete an essay on a topic of choice in public mental health, closely related to participants’ own areas of study or work.

Essays will be due by the end of September 2015, and will be marked and returned with speciﬁ c feedback and comments by the end of 2015.

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COURSE CONTENT AND STRUCTURE

Morning Content Method Afternoon Content Method

Monday 11am – 1pm Psychiatric Epidemiology I – Basics and Measurements Case study:

Prevalence and impact of dementia, based on the UK Dementia Report 2014 Lecture / group discussion Practical / group work Monday 2pm – 5pm Psychiatric Epidemiology II – Study Design, Risk Assessment Case study II: Risk and protective factors of Dementia, based on the ADI World Alzheimer Report 2014 Lecture / group discussion Practical / group work Tuesday 11am – 1pm

Public Mental Health

- Deﬁ nitions and Concepts - Burden Mental-Physical health interactions Lecture/ group discus-sion Practical/ group work Tuesday 2pm – 5pm

Mental Health Policy, Plans & Programs –

Concepts and Imple-mentation Steps Design your mental health plan! Lecture / group discussion Practical / group work Wednesday 11am – 1pm Organization of Men-tal Health Services –

Barriers in mental health services implementation Lecture/ group discus-sion Group work Wednesday 2pm – 5pm Human rights violations and legislation (Prof. Emmanuel Kabengele Mpinga) RECAP of ﬁ rst 3 days Thursday 11am – 1pm

Mental health policy and evaluation: intro-duction

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

Thursday

2pm – 5pm

Mental health policy

Dominant themes in policy internationally; inﬂ uences on how mental health policies are shaped; introduction to the role of evaluation. Friday 11am – 1pm Evaluation of policy and programmes Approaches to evalu-ation of programmes and policies; evaluation challenges in mental health ﬁ eld; introduction to economic evaluation for policy Friday 2pm – 5pm Economic evaluation I Why is economic evaluation needed? The core principles of economic evaluation

Saturday

9am – 1pm

Economic evaluation II

Examples of economic evaluation and their inﬂ uences on mental health policies and practices Saturday 2pm – 3pm Summary Examination

COURSE 1

(6 days)

10 Economics and Management

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CURRICULUM VITAE

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 certiﬁ cate 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.

Martin Knapp

Martin Knapp is a researcher in the areas of health and social care policy and practice, with particular emphasis on economic topics and methods. He has been Professor of Social Policy and Director of the Personal Social Ser-vices Research Unit at the London School of Economics and Political Science (LSE) since 1996. Since 2009, Martin has also been Director of the NIHR School for Social Care Research funded by the National Institute of Health Research in England.

Until early 2014, Martin 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, schizophrenia and psychosis, public mental health, dementia, autism, and long-term (social) care. He has published his research widely, including in almost 500 peer-review articles and 15 books. His

His research ﬁ ndings have been translated into have many impacts on national policy discussion and develop-ment, and on professional (including clinical) practice discussions – particularly in the areas mental health care, long-term care and dementia, both in the UK and elsewhere. Martin is a member of the World Dementia Council, established by the G8 nations, and currently a member of a number of national policy forums in England.

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Methodology and Practical Application of Economic Evaluation and HTA

in Health Care

Urs Brügger Mike Drummond Marco Barbieri

CONTENT OF THE COURSE Part 1 (Urs Brügger)

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

Speciﬁ c 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 (Drummond, Marco Barbieri)

The course is designed as an introduction to the concepts, methods, and application of economic evaluation in health care. Specifi c topics that will be covered include: an overview of economic evaluation methods, cost and benefi t estimation, economic evaluation using patient-level data, economic evaluation using decision-analytic mod-elling, 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 fi eld of economic evaluation. The course will be of particular benefi t 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

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

– understand HTA, its methodology and its embeddedness in an institutional context (processes and organiza-tional structures).

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

– understand costing methodology and the different approaches to valuing the beneﬁ ts 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

PREREQUISITES

Part 1: 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.

Part 2: 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 desir-able, but not essential.

Lectures, interactive exercices, group discussions

Short essay on a relevant, student- identiﬁ ed, topical area

COURSE 2

(6 days)

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Monday

11am – 1pm

Introduction to HTA Lecture / group discussion

Monday

2pm – 5pm

(Scientiﬁ c) evidence and decision making Case studies I

Tuesday

11am – 1pm

HTA in different contexts (Standard processes and Managed entry schemes) Lecture / group discussion Practical/ group work Tuesday 2pm – 5pm Case studies II Wednesday 11am – 1pm Integrating economic evaluation into health technology assessment Introduction to economic evaluation Key principles of using HTA in resource allocation decisions Lecture / group discussion Wednesday 2pm – 5pm Costing, including costing exercise Discounting in economic evaluation Lectures, discussion and group work Thursday 11am – 1pm Measuring beneﬁ ts in economic evaluation Utility estimation exercise Economic evaluation and social values

Lecture / group discussion / group work Thursday 2pm – 5pm Economic evaluation alongside clinical studies Handling uncertainty Feedback on the utility exercise Lectures, discussion and group work Friday 11am – 1pm Decision- analytic modelling Modelling exercise Lecture / group discussion / group work Friday 2pm – 5pm Modelling exercise (continued) Transferring economic evaluations from one country to another Lectures, discussion and group work Saturday 9am – 1pm Critical appraisal of economic evaluations Exercise on critiquing a published study Lecture / group discussion / group work Saturday 2pm – 3pm Using economic evaluations in making resource allocation decisions Course assessment Lecture Written examination

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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).

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

rheu-matoid 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 improved

conduct of health technology assessments for resource allocation decisions. International Journal of

Technol-ogy 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

transfer-ability”, 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

COURSE 2

(6 days)

and ManagementEconomics

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Systems Approaches for Health Systems Performance

Suzanne Suggs

CONTENT OF THE COURSE

In recent years there has been a rapid increase in the use of systems thinking in the health sector. This course provides introductory perspectives on contemporary frameworks for health systems and a primer on why systems thinking matters for both designing and evaluating health system interventions and reforms. It then goes on to provide a review of practical examples of how systems thinking is currently being applied, and what methods can be most useful for health systems practitioners. We will then work through some of the most useful tools in hands on sessions, and then apply what has been learned in practical case studies undertaken by individual and/ or group work.

OBJECTIVES

To provide an introductory grounding in the theory and hands-on applied use of systems thinking for complex adaptive systems appropriate for improving performance of health systems in low and middle income countries.

PREREQUISITES

The course is intended for both health system policy makers and managers, and for implementation researchers.

Lectures, videos, demonstrations, case studies and small group work practicals.

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DETAILED COURSE CONTENT AND STRUCTURE

Monday 11am – 1pm Introductory per-spectives on health systems; • Overview of learning objec-tives; • Contemporary health systems frameworks; • Introduction and discussion of importance of health systems design, strength-ening, and performance monitoring. Lecture and discussion Monday 2pm – 5pm • Introduction to systems thinking for health systems • Systems thinking

ap-plications in health and disease; • How health systems

are complex adaptive systems • Systems thinking applications in health systems; • Health system failures; • Evaluating system level interventions Lecture and discussion Tuesday 11am – 1pm Introduction to selected systems thinking methods and tools: e.g. • Causal loop mapping; • Outcome mapping; • Social network analysis; • Scenario techniques Introduction to case studies for small group work. Lectures / demos / Hands on experience Tuesday 2pm – 5pm • Applying systems thinking to design-ing and evaluatdesign-ing health systems interventions. • Individual & group

work on case stud-ies selecting from among others... e.g. • Designing pay-for-performance incen-tives • Integrating mHealth in health systems; • Community owner-ship; • Understanding “Ebola” phenomena Lectures / case examples Facilitated small group work Wednesday 11am – 1pm Systems thinking methods and tools continued. Facilitated case study group work

Wednesday

2pm – 5pm

• Plenary small group work reporting

Group presentations

Professor de Savigny is an epidemiologist and public health specialist and currently Head of the Health Sys-tems Research Unit at the Swiss Tropical and Public Health Institute, University of Basel. He has an MSc from the University of Guelph and a PhD from the London School of Hygiene and Tropical Medicine and has extensive experience in conducting and facilitating health research in developing countries and has lived and worked for many years in Africa. He chairs or is a member of a number of WHO, UNICEF and Global Fund advisory commit-tees. His current research focuses on interventions to strengthen health systems in developing countries, and on the health system effects of Global Health Initiatives.

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Leadership via Communication

François Lagarde

– Leadership

– Communication

– Health Communication

– Key health communication, social marketing and advocacy principles

– Planning and evaluating health communication initiatives

– Audience and context analysis

– Message development and channels

– Communicating effectively to inform and influence individual decisions and behaviours, staff (internal commu-nications), professionals (knowledge transfer), and policy-makers (advocacy)

OBJECTIVES

By the end of this course, participants will:

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

Be able to relate best practices to a range of initiatives aimed at individuals, staff, professionals, and policy makers

PREREQUISITES None

Reading, lectures, discussions, videos, case studies

Participants are expected to attend each session (30%)

Short paper and presentation on applications of principles, methods and practices to participants’ initiatives (70%)

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Monday

11am – 1pm

Introduction Deﬁ nitions and principles Lecture Discussions Monday 2pm – 5pm Planning communica-tion initiatives

Audience and context analysis Lecture Discussions Case studies Tuesday 11am – 1pm Audience and context analysis (application) Message develop-ment and channels

Small group work Lecture Discussions Tuesday 2pm – 5pm

Behaviour change, in-ternal communication, knowledge transfer and advocacy Case study and ap-plication Evaluation of health communication initia-tives Lecture Case studies Discussions Wednesday 11am – 1pm Application of prin-ciples, methods and practices to par-ticipants’ initiatives – writing of a paper and/or PowerPoint presentation Individual work Presentations and discussions Wednesday 2pm – 5pm Group presentations of a strategy Presentations and discussions CURRICULUM VITAE

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 organizations 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.

COURSE 4

(6 days)

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Bridging the Gap between Evidence and Policy Making

Andrew Street

Setting priorities: Who should have priority for treatment? What treatments should have priority? Introduces concepts of: Priority setting; Efficiency-equity trade-offs

Evaluating hospital performance. Is there a trade-off between costs and quality?

Introduces concepts of: QALYs, Patient reported outcomes, EQ5D; Econometric models; Risk adjustment; Evalua-tion of hospital performance across multiple dimensions

Can primary care physicians reduce the use of hospital care?

Introduces concepts of: Gatekeeping, primary-secondary interface; Fundholding and budget-holding; Team wor-king; Evaluation over time and space: difference-in-difference analysis

Productivity measurement: What is the impact of policy on health system productivity?

Introduces concepts of: National accounts; Measurement of health care output, input and productivity an natio-nal level; Productivity growth over time; Relationship between expenditure, prices and inputs; Sub-nationatio-nal pro-ductivity analysis: by geographical area or hospital

Comparing health system performance: Who has the best health system?

Introduces concepts of: International comparisons;WHO measurement of health performance; Commonwealth Fund evaluation of performance; Econometric, panel data and stochastic frontier analysis; FIFA’s league table of national football teams

OBJECTIVES

This course is designed to provide insight into:

(i) the nature of policy challenges, including trade-offs and the need for priorisation; (ii) to how evidence can inform policy design;

(iii) the challenges involved in evaluating policy implementation and analytical approaches to meeting these challenges;

(iv) examples of policy evaluations and performance measurement drawn from primary care and hospital care, and of national and international comparisons

PREREQUISITES

Basic understanding of economics and statistics would be helpful but not essential.

Mixture of lectures, discussion, individual and group paper exercises. Computer based exercises conditional on available facilities

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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Monday

11am – 1pm

Setting priorities: Who should have priority for ment? What treat-ments should have priority? Lecture and ice-breaker exercises, allowing individual and group work Monday 2pm – 5pm Lecture: Evaluating hospital performance. Is there a trade-off between costs and quality? Group work Lecture and group work Tuesday 11am – 1pm

Lecture: can primary care physicians reduce the use of hospital care?

Lecture and discussion

Tuesday

2pm – 5pm

Group work Group work

Wednesday

11am – 1pm

Lecture: productiv-ity measurement: What is the impact of policy on health system productivity? Lecture and discussion Wednesday 2pm – 5pm Group work Lecture: Comparing health system perfor-mance: Who has the best health system?

Group work and lecture

Andrew Street is a Professor of Health Economics, Director of the Health Policy team in the Centre for Health Economics and Director of the Economics of Social and Health Care Research Unit, a joint collaboration be-tween the Universities of York, Kent and London School of Economics.

He is an editor of the Journal of Health Economics, an external affiliate to the Department of Business and Economics at the University of Southern Denmark and currently serves as a board member on the NIHR Health Services and Delivery Research programme Commissioning Board (since 2009) and the Norwegian HSR Board (since 2011), and as chair of the Welsh Health Economics Support Service Advisory Group. Andrew’s research covers measurement of health system productivity, evaluation of activity based funding mechanisms, analysis of organisational efficiency, and critical appraisal of health policy.

He has a MSc in Health Economics (1990), a MA in Public Administration and Public Policy (2000) and a PhD in Economics (2002), all awarded by the University of York. After completing his MSc, Andrew spent three years in Australia working at the National Centre for Health Program Evaluation, Monash University and the Victorian Department of Health and Community Services. This was followed by a five-year spell with the York Health Economics Consortium. He joined the Centre for Health Economics in April 1999. From 1999-2003 he held a special training fellowship awarded by the Medical Research Council and Northern and Yorkshire Region. In 2005 he worked part time in the Delivery Analytical Team in the English Department of Health.

COURSE 5

(3 days)

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Non-communicable Disease Control: Public Health and Health Care

Ap-proaches

Kaspar Wyss Pascal Bovet

The course addresses public health strategies to curb non-communicable diseases (NCD), and changes needed in the health care system, particularly with regards to those most effective, affordable and scalable (“best buys”) interventions. The respective contributions of the priority multisectoral public health approaches versus the main changes needed within the health care system are identified and discussed. The focus is on discussing, exposing and contrasting the respective contributions of a “public health” (relying on non-health actors, targeting the healthy population) and a “health care system” (health care actors, patients) approaches to NCD prevention and control.

OBJECTIVES

The participants should at the end of the course to:

– Know effective, efficient, equitable and sustainable approaches for NCD prevention and control in middle- and low-income countries

– Be aware of the most cost-effective and affordable public health interventions and key (“best buys”) for the prevention and control of NCDs and relate them to health systems strengthening

– Be aware of the most critical elements needed to strengthen health care services for the delivery of cost ef-fective management of non-communicable diseases

Identify the rationale, benefits and resources needed for implementing, respectively, the “public health” ap-proach versus the “health services” apap-proach for the prevention and control of NCDs

PREREQUISITES

Basic knowledge and experience in a medical or public health field. Interest for prevention and control in NCD in low and middle income countries. The course can also be of interest to persons involved in development pro-grams in low and middle income countries that have a health component.

– Introductory lectures on the NCD burden and impact

– Introductory lectures on the main approaches for prevention and control of NCDs

– Presentation of health policy options for NCD prevention and control from both the public health and health systems perspectives

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Monday 11am – 1pm NCD burden and impact Introductory lecture (Pascal Bovet) Monday 2pm – 5pm

Public Health per-spective to NCD pre-vention and control

Public Health perspective to NCD prevention and control Tuesday 11am – 1pm

Public Health perspec-tive to NCD prevention and control (continua-tion of Monday) Introduc-tory lecture (Pascal Bovet) followed by group work Tuesday 2pm – 5pm

Health systems per-spective to NCD pre-vention and control

Health systems perspective to NCD prevention and control Wednesday 11am – 1pm Health systems perspective to NCD prevention and control (continuation of Tues-day) Introductory lecture (Kaspar Wyss) followed by group work Wednesday 2pm – 4.30pm Non-communicable disease control: Con-trasting Public Health and Health Service Approaches Non-commu-nicable disease control: Con-trasting Public Health and Health Service Approaches CURRICULUM VITAE

Pascal Bovet, MD, MPH, is board certified (FMH) in both internal medicine and in public health. He is an as-sociate professor in cardiovascular disease epidemiology at the Institute of Social and Preventive Medicine at the University Hospital of Lausanne. He has led a collaborative cardiovascular research and prevention program with the Ministry of Health of the Republic of Seychelles since 1988, including the development of comprehensive tobacco control legislation. He has been PI of several cardiovascular studies in Seychelles, Tanzania and Switzer-land. He often participates as a technical adviser for the World Health Organization in relation to surveillance, tobacco control, CVD prevention, and the evaluation of national programs of prevention of non-communicable diseases. He serves as a faculty in several international courses on cardiovascular epidemiology and prevention. Kaspar Wyss, PhD, is a Public Health Specialist, Professor and Deputy Head of Department at the Swiss Centre for International Health, Swiss Tropical and Public Health Institute. Kaspar Wyss has strong management and leadership experience and is in charge of a team of 15 staff focusing on health systems development primarily in low- and middle income countries. Activities relate to both research and health system monitoring and per-formance assessment. He directs a number of research and implementation projects in Africa, Eastern Europe, and Asia and has extensive consultancy experiences for a broad range of clients. For the University of Basel (MSc and medical students) and for other courses including the Swiss Inter-University Master of Public Health Program he teaches on health systems. Kaspar Wyss acts further as supervisor for several PhD and MSc students

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Economics and Management of “One Health”

Jakob Zinsstag

One health is aiming at the synergy and added value of a closer cooperation of human and animal health. Hu-man and animal health systems are most often separated and don’t communicate well (Enserink 2010). However many contemporary health problems are highly interlinked and require cross-sector assessments, economics and management to be solved. This three day course briefly re-calls the theoretic foundations of One Health and introduces with practical exercise into methods of integrated surveillance and cross-sector human and animal health economic assessments as a basis for integrated health management. With its main focus on economics and management, and its extended methodological content, this course is clearly distinct from the “One Health” course offered in the MPH program of SSPH+. The latter may provide an excellent basis though it is not a prereq-uisite of this more advanced course.

OBJECTIVES

– Understanding the inextricable linkage of human and animal health

– Learning about the added value of closer cooperation of human and animal health

– Imagining own work on how medical and veterinary sectors and other disciplines could work better together

PREREQUISITES

Medical, public health, veterinary or biological sciences background

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Thursday

11am – 1pm

• Introduction to One health theory and validation

• One health methods for disease surveillance • Group work:

Develop-ment of a One health surveillance system Frontal class Frontal class Group work Thursday 2pm – 5pm • Presentation of One health surveillance systems • Introduction to One health interventions • Practical on One Health interventions Plenary Frontal class Plenary discussion of case examples: Ebola, Brucellosis, Campylobacter, Salmonellosis Friday 11am – 1pm • Animal-human disease transmission • Practical on animal-hu-man disease transmis-sion

• Presentation and discus-sion of practical work

Frontal class Small group work (no math-ematics required) Presentations and discussion Friday 2pm – 5pm • Introduction to One health economics • Methods of One health economics • One health

eco-nomics cont. Frontal class Frontal class Group excercise Saturday 9am – 1pm

• Methods of One Health in non-communicable disease

• Practical on One health economics and inter-vention planning • Cont. Practical Frontal teaching Small group work Small group work Saturday 2pm – 3pm • Presentation of One Health economics exercise • Cont. Presentation • Wrap up and discussion of open questions and the potential of gener-alization. Plenary discussion Plenary discussion Plenary discussion CURRICULUM VITAE

Jakob Zinsstag graduated with a doctorate in veterinary medicine (Dr. med. vet.) on Salmonella diagnosis at the Veterinary Faculty of the University of Berne in 1986. After his studies he worked in rural practice and as post doctoral fellow on trypanosomiasis research at the Swiss Tropical Institute. From 1990 to end of 1993 he led a livestock helminthosis project for the University of Berne at the International Trypanotolerance Centre in The Gambia. From 1994 to 1998 he directed the Centre Suisse de Recherches Scientifiques in Abidjan, Côte d’Ivoire. Since 1998 he leads a research group at the Swiss Tropical and Public Health Institute (Swiss TPH) in Basel on the interface of human and animal health with a focus on health of nomadic people and control of zoonoses in developing countries under the paradigm of “one health”. He holds a PhD in Tropical Animal Pro-duction from the Prince Leopold Institute of Tropical Medicine of Antwerp, Belgium. Since 2010 he is Professor of Epidemiology at the University of Basel and since 2011 deputy head of department of Epidemiology and Public Health at the Swiss TPH . He is a diplomate of the European College of Veterinary Public Health (ECVPH) and member of the scientific advisory board of the Prince Leopold Institute of Tropical Medicine of Antwerp, Belgium. He is a member of the transdisciplinarity board of the Swiss Academies of Sciences (www.transdisci-plinarity.ch) and president of the International Association of Ecology and Health (www.ecohealth.net)

The research group is currently part several larger international networks. The EU FP7 funded network on Integrated Control of Zoonoses in Africa (ICONZ www.iconzafrica.org ) and the Wellcome Trust funded Africa Capacity Building network (AfriqueOne www.afriqueone.net). The group’s projects are located in Chad, Mali, Mauritania, Côte d’Ivoire, Ethiopia, Tanzania, Viet Nam, Kyrgyzstan and Mongolia and the group is networking with research institutes and veterinary authorities in these countries and England, France, Belgium, Canada and the USA. Short CV in text format

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eHealth

Martin Raab

Antoine Geissbuhler Gonçalo Castro Sang-Il Kim

– Basic eHealth concepts and definitions

– Key thematics in eHealth (eLearning, Telemedicine, Health Information Systems, Electronic Medical Records and Electronic Health Records) and how they can support healthcare delivery and management

– International trends, barriers and success factors

– Expectations on benefits vs. evidence base, evaluation in eHealth

– eHealth Strategy and relevance of interoperability and information security in eHealth

OBJECTIVES

eHealth (the application of information and communication technology to health) plays a major role in health systems around the world nowadays, including in low and middle income countries. eHealth systems are increas-ingly applied to improve access and quality of health information, enhance healthcare processes, achieve better quality of care and improve patient outcomes.

Despite all the potential, the many implications of eHealth (from the clinical, legal, technological or social points of view, to name a few) often contribute to making initiatives in this domain complex and challenging endeavors. On the other hand, health systems are increasingly dependent on eHealth, despite the widely acknowledged gaps in the evidence-base behind it. That is why it is crucial nowadays that decision-makers in the health domain have a comprehensive understanding of eHealth – what it is, what are its implications, benefits or barriers, what are the best practices, how can it be evaluated – so that interventions in the field can make the best use of such technologies to improve the health status of populations.

The aim of the course is to enable students to:

– Understand the implications, constraints and opportunities in the application of eHealth in a health system

– Be able to influence and steer eHealth initiatives for maximal results

– Be aware of international best practices and success factors in eHealth

– Have basic knowledge rto take managerial and policy decisions related to eHealth

PREREQUISITES

Work experience in the healthcare sector desirable

Lectures, reading, discussions, case study, group work and presentation

ASSESSMENT PROCEDURE Group work presentation

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Thursday

11am – 1pm

Introduction to eHealth Lecture Thursday

2pm – 5pm

eHealth systems and their potential, barriers and risks Group exercise using eHealth software Friday 10am – 1pm

Evaluation and beneﬁ t realisation in eHealth

Lecture Friday

2pm – 5pm

Case study Case study

analysis and discussion

Saturday

9am – 1pm

eHealth Strategy-making and the role of interoper-ability and information security Lecture Saturday 2pm – 3pm Group work presentation Summary and conclusions; lessons learnt & success fac-tors in eHealth

IGroup presenta-tions and discus-sion

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Martin Raab, MEng, MPH, is the Head of the Health Technology and Telemedicine Unit (HTTU) of the Swiss Centre for International Health at the Swiss Tropical and Public Health Institute. He has 20 years of international working experience in health systems development and capacity building in the Middle East and in various Eastern European countries. Currently he is the managing director of two large scale health programmes in the Ukraine and in Egypt. In both projects, he steers the implementation of information and communication tech-nologies in the countries’ health systems. Beside his managerial and consultancy activities he regularly lectures at various university programmes on health technology.

Antoine Geissbuhler, MD, PhD, is Professor of Medicine, Chairman of the Department of Radiology and Medi-cal Informatics at Geneva University and Director of the Division of eHealth and Telemedicine at Geneva Uni-versity Hospitals. Author of more than 120 original scientific publications, his current research focuses on the development of innovative, knowledge-enabled information systems and computer-based tools for improving the quality, safety and efficiency of care processes.

Sang-Il Kim, MD, MSc, PhD is Project Manager and Deputy Director at eHealth Switzerland, the coordination body for eHealth of the confederation. Dr Kim has long-standing expertise in the field of eHealth interoperabil-ity, having developed multiple specifications for the integration of health information system and having been involved in the preparation of several recommendations of the Swiss eHealth Architecture and in developing the strategy for the introduction of national electronic health records in Switzerland.

Gonçalo Castro, MEng, is Health Informatics Specialist at the Swiss Centre for International Health of the Swiss Tropical and Public Health Institute. He works as consultant in the field of eHealth, managing projects and pro-viding advisory services on appropriate technologies for healthcare systems and health IT strategy, typically in resource-constrained settings in Europe and Africa/Middle East.

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Health Financing Policies, Health System Performance and Obstacles to

Universal Health Coverage

David B Evans Fabrizio Tediosi Pavlo Kovtoniuk

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 financial risks and reduce financial barriers to access; and purchasing or providing services efficiently and ef-fectively;

– 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

Health Policy and Systems Research; Health Policy Health economics; Public health

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

Group work presentation underlined by a short synthesis text (2 pages).

COURSE 9

(3 days)

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Morning Content Method Afternoon Content Method Thursday

11am – 1pm

Challenges of health ﬁ nancing systems to attain and maintain Universal Health Coverage Lecture and group discus-sion Thursday 2pm – 5pm

Health ﬁ nancing policies in low, middle, and high income countries

Facilitated group work and discussion

Friday

11am – 1pm

Policy instruments to improve health system performance through better health ﬁ nancing policy Lecture and group discus-sion Friday 2pm – 5pm

Health systems strate-gies supporting health ﬁ nancing policies

Facilitated group work and discussion

Saturday

9am – 1pm

Methodologies to assess health ﬁ nancing policies Lecture and group discus-sion Saturday 2pm – 3pm

Group work presenta-tions of case studies assigned by facilitators

Group presentations and discussion

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 initiatives. 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 researcher at the Centre for Research on Health and Social Care Management of Bocconi University in Milan. He holds a degree in economics and management from the University of Pavia, an MSc in Health Economics from the Uni-versity of York, and a PhD in Public Health and Epidemiology from UniUni-versity of Basel.

Pavlo Kovtoniuk is consultant and project leader in the field of health care management. Recent professional experience:

“PRO Healthcare Management” journal, founder and editor-in-chief: he developed business concept and launched the first professional media on healthcare management in Ukraine. The journal’s target audience are hospital managers and health care policy makers.

He is also senior lecturer at the School of Public Health of National University ‘Kyiv-Mohyla Academy’: courses on “Public Administration in Health Care”, “Health Care Management: Basics” within a master’s program on health care management.

He was a secretariat member in the Strategic Advisory Group on health system reform under Ministry of Health of Ukraine.

He is also co-founder and member of organizational committee of the Summer School ‘Health Systems Transfor-mation: Eastern Europe’

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Customized Care, yes but how? The HRM Challenges for Personalization

of Service in Healthcare

Mathias Waelli

In a context of growing concern for patient safety, service quality and efficiency, this three days seminar aims at better understanding some important issues concerning the implementation of a more personalized service in healthcare.

After a general presentation of the customization process in healthcare organizations, we will identify and dis-cuss key factors for its implementation in terms of HRM policies:

– Development of new skills (retooling existing workforce and creating new occupations).

– Re-thinking work organization in order to support activity (governance, tools and protocols).

– Accompany the changes (specific role of clinical leaders)…

Step. 1. A literature review exercise in class will lead the students to discover the theoretical framework of per-sonalization in healthcare systems. We will especially assess the contributions of “personalized medicine” and “patient centered care” approaches to the knowledge of care customization issues (clinical, ethic…). The exercise will highlight some lack of knowledge concerning managerial issues in healthcare, which encourage us to make comparisons with other service sectors.

Step 2. By comparisons of case studies in healthcare and in other activity sectors like hotel industry, the students will identify key factors for care customization implementation.

Step 3. Adopting a practice based approach, we will discuss the impact of these factors on work, work organiza-tion and workload.

OBJECTIVES

By the end of the course, the participants will be aware of the different organizational/managerial aspects which have to be taken into account in order to implement a more “patient centered care”. They will also be encour-aged to draw on research conducted in other service sectors, where the question of mass customization has been studied for longer.

PREREQUISITES

Open to PhD students of SSPH+ public health program; other students and external participants are welcome to apply for limited spaces (20 participants).

Team based learning, lectures, up to date readings, comparative case studies.

ASSESSMENT PROCEDURE Written test

COURSE 10

(3 days)

30 Economics and Management

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Thursday

11am – 1pm

Introduction

1. General presenta-tion of the course and the objectives. 2. Theoretical

back-ground

• The mass custom-ization process in the service sector. • Personalization in healthcare: person-alized medicine, the predictive med-icine, and patient centered care. • Build a speciﬁ c

theoretical frame-work for care customization. Lecture Lecture Work in small groups (critical analysis of articles) Discussion Thursday 2pm – 5pm Implementing care customization Exercise. Inspired by inter sectorial comparisons, the students will design new projects adapted for healthcare speciﬁ c constraints Lecture Work in small groups Presentations and debate Friday 11am – 1pm Emerging HRM challenges (1) 1. Developing new skills: • Coordination skills • Alertness skills • Service skills => Creating new occupations (navigators, case managers…) 2. Rethinking organi-zation in order to support this emerg-ing activity Lecture Compara-tive examples from different healthcare systems Lecture and Debate Friday 2pm – 5pm

Case study: “work-ing in a customized healthcare system”

Presentation of the case

Exercise: data collec-tion, data analysis and preparation of a presentation Lecture, video Work in small groups Saturday 9am – 1pm Emerging HRM chal-lenges (2) How customization process will change the role and the activity of managers on the ground?

Comparison with other activity sectors were mass customization has been implemented for longer Lecture Critical Analy-sis of articles Saturday 2pm – 3pm Case study: “Working in a customized heathcare system” Results Conclusion Presentations by the students Discussion Lecture

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CURRICULUM VITAE Mathias Waelli

Prof. Waelli is Associate Professor in Healthcare Management at EHESP-French school of public Health (Paris). Since 2010 Prof. Waelli’s work has focused primarily on healthcare services and workforce issues. He is currently running two research programs: the first on the evolution of nursing work and the other on care customization. He teaches courses on the sociology of service work, healthcare management and policy, as well as contributes to the programs offered at the EHESP preparing future policy makers, hospital directors and chief nurses.

COURSE 10

(3 days)

and ManagementEconomics

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National Dementia Plans and Policies - from Design and Implementation

to Monitoring and Evaluation

– Understanding dementia: clinic, epidemiology and impact, and public health implications from a global health perspective

– The key role of public health to respond to the dementia global impact

– Dementia national plans and policy: from theory to practice

OBJECTIVES

– To provide a solid background on dementia from a clinical, epidemiologic and public health perspective

– To explain the basic principles and the key content features, and give a comparative overview of national dementia plans and strategies

– To practically illustrate how to implement, evaluate and monitor a dementia plan at a national and local level

PREREQUISITES None

Lectures, team work, practical sessions and critical readings

An optional assessment will be offered to interested participants only, with the goal of favouring transfer of knowledge of the course contents and acquired skills.