The Healthcare Executive Training and Certification Programs in Taiwan

Transcription

1 The Healthcare Executive Training and Certification Programs in Taiwan Director-general, Bureau of Medical Affairs, Department of Health, R.O.C (Taiwan) Dr. Wui-Chiang Lee, MD, PhD 1

2 Outlines Context of Taiwan s Healthcare System Training and certification: the status quo Major challenges Perspectives Action plans 李 偉 強

3 Where Taiwan Is?

4 Context of Taiwan s Healthcare System Population: 23 million Government-run, mandatory, universal health insurance, single payer 6.7% of GDP Lift expectancy (mean) 79.3 y/o Hospital: 500; Primary care clinics: 20,000 High volume services, high quality, high accessibility, affordable cost Highly competitive and managed healthcare organizations 4

5 The Status Quo School-based training programs For general students For healthcare workers For healthcare mangers For international students/managers Hospital-based training programs Certifications By Taiwan College of Healthcare Executive (TCHE) 5

6 Categories of University Providing Healthcare Executive Programs in Taiwan Medical University: Initiated HCM programs; through School of Public Health (under the Division of Higher Education) General University: Business/Management schools (relatively new programs as compared to traditional programs at medical university) College/University under TVE: usually 2-or 4-year programs, primary by private-owned colleges TVE (Technological and Vocational Education)

7 26 Schools with Healthcare Executive Programs in Taiwan 26 (13.83%) 162 (86.17%) 醫 with 務 HCM 管 理 program 學 校 其 他 學 校 w/o HCM program

8 1.National Taiwan U 2.National Yang-Ming U 3.Taipei Medical U 4.National Taipei U of Nursing and Health Science 5.Oriental Institute of Technology Yuanpei U 1.Chang Gung University 2.Ming Chuan University 3.Kainan University 1.Chung Shan Medical U 2.China Medical U 3.Asia U 4.Hung Kuang U 5.Central Taiwan U of Science Technology National Chung Cheng University Tzu Chi college of Technology 1.Chang Jung Christian University 2.Kang Ning University 3.Chung Hwa University of Medical Technology 4.Chia -Nan University of Pharmacy & Science 1.Kaohsiung Medical University 2.I-Shou University 3.National Sun Yat-sen University 4.Fooyin University 李 偉 強 1.Meiho University 2.Tajen University

9 Higher Education (HE) vs. Technological and Vocational Education (TVE) 100 % 80 % 60 % 40 % 20 % 0 % HE TVE Schools with HCM program 15 (17%) 11 (10.8%) Schools w/o HCM program 71 91

10 Ex. China Medical University Program The first university started HCM master program in Taiwan The program was initiated and leaded by pioneers of healthcare executives The department provides comprehensive programs: Undergraduate Master (MHA and EMHA) Doctoral program Eight university hospitals providing excellent internship and job opportunity Strong alumni relationship and many of them are holding key positions in healthcare industry

11 Ex. China Medical University Programs 11

12 Kaohsiung Medical University Graduate Programs year

13 Around 9,000 Students on Training 2011 HE TVE Total Program Public Private Public Private Number of schools Number of students Doctoral Master (MHA) Executive MHA Undergraduate ,004 2-year program year Part time year Part time ,031

14 Summary of Healthcare Executive Programs in Taiwan Mainly provided by private universities or colleges Very few schools have doctoral program (3/26) Numbers of E-MHA program has been rapidly increased for the past 5 years TVE colleges and universities has high numbers of undergraduate classes (both full time and part time)

15 Challenges Over-supply: Healthcare industry is confined due to global budget payment system and reduce the demand for master-level healthcare managers Too many programs and students at undergraduate level First-line health-related position is not necessary open for undergraduates in healthcare Few international cooperation Thesis requirement is a big burden for both faculty and students (mandated by Ministry of education), especially for EMHA students

16 PROFESSIONAL CERTIFICATION OF HEALTHCARE EXECUTIVES IN TAIWAN

17 Goals of Certification Programs Meet the challenge of healthcare competitive environment Meet the regulation and public expectation The minimum standards of hospital operation Hospital Accreditation measures/indicators Meet the concept certification (licensure) leading better quality of care

18 Taiwan College of Healthcare Executive TCHE Found in 1998 Board of directors include healthcare leaders, academic professors and policy makers Members (year 2012): Organization members: 75 Individual member: 3282 persons TCHE official scientific journal Journal Healthcare Management (quarterly published, started in 1998)

19 Types of certifications Healthcare executive: Since June 1, 1991 Higher level of healthcare executives: Since September 1, 1991 Pre-certification qualification test: Since June 1, 1998

20 Eligibility applying for Certification Degree Field of program Healthcare working experience Continue education credit hour Graduate degree Physician Healthcare administration One year 15 credit hours Graduate degree Degree other than HC administration 2 years 20 credit hours Bachelor degree 3-year college or community college Healthcare administration 3 years 30 credit hours Degree other than HC administration 4 years 40 credit hours Healthcare administration 5 years 50 credit hours Degree other than HC 6 years 60 credit hours All applicants must be member of Taiwan Society of Healthcare Management 李 偉 強

21 Methods of Certification Two stage Tests: Written test Face-to-face interview (after passed the written tests) Time for application: January, annual Time of written test: March, annual Certificate is valid for 3-year Continue education are required for renew

22 Examination subjects by type of certification Higher level healthcare executive Subjects Healthcare policy and law/regulation Strategic management Advance in healthcare general management Healthcare executive Subjects Medical law and regulation: General management General healthcare management 李 偉 強

23 Passed Rates Year Healthcare executive High level executive % of passed rates % of passed rates % 31.80% % 50.00% % 48.90% % 40.00% % 66.70% % 53.80% % 55.00% % 42.90% % 27.60% % 31.03% % 47.37% % 29.41% 李 偉 強

24 Pre-certification Qualification Test To encourage current MHA or undergraduate students or non-healthcare graduated students to obtain precertification status, pre-eligibility status will be awarded. Three types of candidates Junior and senior students MHA student before graduation One year after got MHA and 3-year after graduated from BS in healthcare program but are in healthcare industry

25 Examination subjects General healthcare management Medical records Medical informatics Health policy Medical law and regulation

26 Around 30% pass rates of pre-status qualification tests Year % of passed rates % % % % % 李 偉 強

27 Linkage between School and Professional Society Universities or colleges have encouraged current students to have pre-certification status to increase program reputation and competitive Reimburse registration fee once students pass the exam Students have advantage in job offer

28 Challenges Certificate of Healthcare Executive has not been officially recognized by healthcare authorities Healthcare organizations Other healthcare workers Health insurance payer Content of tests Lack of core measures and universal standards Validity and reliability How to test Leadership?

29 Major Challenges Incoherence and disconnection among education/training, examinations, and market need Over-supply and under-training Lack of core competency framework The professionalism and value of healthcare executive training and certification has not been widely recognized 29

30 Perspectives The core competencies framework drafted by IHF/ACHE/PAHO fits Taiwan well Lobby for officially recognized certification Efforts to link education/training programs and healthcare market needs/promotion Increasing demand from China and other developing countries in Asia and Pacific Islands 30

31 Action Plans A large-scale survey measuring healthcare leaders and students self-evaluated core competencies will be conducted late this year The core competencies for both school- and hospital-based education/training programs will be drafted and discussed before 2014 The TCHE will adopt the core competencies into its certification programs The Asian Society for Quality in Healthcare (ASQua) will call a meeting in

32 Oriental Concept Professional management skills Leadership 32

33 Thank You & Welcome Your Comments 33