‘Managing Change’

A Lasting Partnership for the Betterment of Health Systems in CEE

Krakow 2007March 2

1. Introduction of HOPE,

2. History of partnership

3. Management development programs in CEE

4. L2L program -goals

5. Target audience

6. Curriculum

7. Teaching /learning strategy

8. Outputs -outcomes- impact

6. Measures of success

The mission of HOPE

Project HOPE - Health Opportunities for People Everywhere - a global organisation working towards sustainable improvement of health care in the world via

health education programs

health policy research

humanitarian assistance in areas of need

88 programs in 37 countries on 5 continents

History

Health professional education

Baby- friendly hospital in Hungary

Health care management

Over 3,500 managers trained in 8 countries

Pioneering multiprofessional training

Building networks

Improving decision making and cost effectivenes,

Changing attitudes and behavior

Improving health care

A Partnership for Excellence in Health Care: J&J and Project HOPE in CE Europe

Investment:

• In people, teams, local institutions, communities

• Joint program development from brainstorming through conception to implementation

• Sharing information re vision and strategy in the region, follow up on implementation and results

• Harmonizing communication/information campaign, joint marketing, publication of results

• Joint involvement in health care leadership initiatives

Partnership strategy

Satisfaction loyalty participation

Programs

Top management training from 1992-1996 in Poland, Czech Republic, Slovak Republic, Hungary

Managing change- middle management training in• Czech Republic 2000-2008• Hungary 2000-2005• Estonia 2002-2004• Latvia 2002-2004• Lithuania 2003-2008

‘Leaders to leaders’ ( L2L) - Hungary 2006-2008

‘HIV/AIDS Education in Lithuania Program’ (HELP)- Lithuania 2006-2008

Goal is to train milddle health care managers in current concepts and practice of management in Hungary, Czech Republic, Slovak Republic, Latvia, Lithuania, Estonia, Macedonia

I. Target group: multidisciplinary teams consisting of a department head doctor, nurse and administrator

II. Approach :4 modules training -Strategy; Operations and Quality; Human resources ; Finance and Budgeting

• Didactic training combined with interactive group sessions, simulation, case studies and practical project work

III. Outputs60 managers /country /year trained overall number :1220 managers in 5 countries

IV. Outcomes• Team projects developed and implemented to improve quality, cut

costs,improve employee and client satisfaction. Quality of managerial decisions improve, behavior and attitude of managers improve

Programs I.

Managing Change- The Changing Role of Middle Health Care Managers

Leaders to leaders

Goal

To develop a core of well trained top leaders who work together towards a better health for the people in CEE regardless of their background political and cultural differences

Leaders to leaders

Participants’ profile:• High level MoH officials• Health Insurance Fund leaders• Top managers of major national or regional

health /education institutions’• Health politicians

Leaders to leaders

Curriculum

10 modules of 2,5 days intensive program over 2 years

The operating environment

Strategy Implementation

Leaders to leaders

Teaching/learning philosophy

• “Learning set” approach

• Self directed, flexible curriculum

• Built as we go

• Continuous feedback

• Highly participative

Leaders to leaders

Expected results

Knowledge-already very high on inception

Skills-advanced level

Attitude-significant changes

Practice-improved decision making

People and systems‘

impact

• Improved processes and systems• Faster adoption of technological and policy changes• Improved and more cost -effective management of operations and resources

in the institutions• Improved quality of decisions• Adoption of a culture of innovation and learning in Health care• Improved health of the community

Measures of success