JSGS 830AA MASTER OF HEALTH ADMINISTRATION RESIDENCY I

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1 The Jhnsn Shyama Graduate Schl f Public Plicy, with campuses at the University f Regina and the University f Saskatchewan, is an interdisciplinary centre fr public plicy research, teaching, utreach and training. JSGS 830AA MASTER OF HEALTH ADMINISTRATION RESIDENCY I UNIVERSITY OF REGINA CAMPUS INSTRUCTOR: Amy Zarzeczny PHONE: E MAIL: amy.zarzeczny@uregina.ca OFFICE HOURS: Available by bth phne and OFFICE LOCATION: Research Drive TERM: Fall 2015 ROOM: Please see belw Friday, September 25 th, 2: p.m. Saturday, September 26 th, 9:00 a.m. 6:30 p.m. DATE AND TIME: Sunday, September 27 th, 8:30 a.m. 3:30 p.m. CALENDAR DESCRIPTION Each in persn residency will be an intensive weekend sessin fcusing largely n grup exercises including case studies, management simulatins, breakuts and presentatins. Each residency will have different guiding themes including strategic planning, caching and cmmunicatin skills and managing and evaluating quality imprvement initiatives. COURSE CONTENT AND APPROACH This in persn residency will prvide students with the pprtunity t cnnect with faculty and fellw students while engaging in highly interactive experiential and applied learning activities. Thrughut the weekend, students will learn frm faculty members as well as current health sectr leaders. Students will have the chance t apply and practice key skills using interactive, prblem based learning in a challenging but supprtive envirnment. Mdules will typically include an intrductin t the tpic by the instructr(s) as well as grup discussin and breakut exercises (e.g., case studies, simulatins, rle plays, presentatins). Active participatin is an essential aspect f the residency. Students can anticipate the residency t be rigrus and engaging and shuld expect t devte the designated weekend t participatin and preparatin. The residency will als prvide valuable bnding and netwrking pprtunities, and students are encuraged t use it as an pprtunity t cnnect with bth fellw classmates and faculty. ** PLEASE NOTE: Althugh nt mandatry, if pssible students are asked t bring a laptp r tablet t each day f the residency. Students may be required t d quick research and put tgether grup presentatins ver fairly shrt perids f time, and it may be useful fr students t have access t a cmputer during these sessins.

2 The Jhnsn Shyama Graduate Schl f Public Plicy, with campuses at the University f Regina and the University f Saskatchewan, is an interdisciplinary centre fr public plicy research, teaching, utreach and training. REQUIRED READINGS Required readings must be cmpleted befre the start f the residency and shuld be cnsidered essential backgrund material. Students will be expected t integrate the readings int their analyses. All required materials are available nline thrugh the University f Regina Library, are publicly accessible n the internet and/r available fr purchase thrugh the University f Regina bkstre. Where supplementary readings are included, they are intended t present additinal backgrund and depth n particular tpics and t act as a resurce fr further wrk in these areas. It is nt essential t review all supplementary readings prir t the residency. COURSE OUTLINE Friday, September 25 th The intrductry sessin will be an pprtunity fr students and faculty t get t knw ne anther. The framewrk fr the residency will be established and expectatins reviewed. It will include a scial netwrking event and a keynte presentatin. Lcatin: ED 623 (6 th flr, Educatin Building) 2:00 3:45 P.M. WELCOME, INTRODUCTIONS & OVERVIEW 3:45 4:00 P.M. BREAK 4:00 5:00 P.M. KEYNOTE PRESENTATION 5:15 6:30 P.M. NETWORKING RECEPTION Dr. Cry Neudrf, Chief Medical Health Officer, Saskatn Health Regin Lcatin: RIC Atrium Beverages and ht and cld appetizers will be served.

3 The Jhnsn Shyama Graduate Schl f Public Plicy, with campuses at the University f Regina and the University f Saskatchewan, is an interdisciplinary centre fr public plicy research, teaching, utreach and training. Saturday, September 26 th Lcatin: ED 623 (6 th flr, Educatin Building) 9:00 A.M. 12:15 P.M. MODULE 1: COLLABORATION & CONSULTATION IN HEALTH POLICY Health Break 10:30 10:45 Facilitated by: Amy Zarzeczny, MHA Prgram Directr & Assistant Prfessr, JSGS & Mark Wyatt, Assistant Deputy Minister, Saskatchewan Ministry f Health Descriptin: This mdule will fcus n the cncepts f cnsultatin and cllabrative plicy making in health plicy. Heath care sectr leaders tday are facing numerus cmplex plicy issues. The health care sectr itself is als increasingly cmplex and invlves multiple stakehlders with smetimes cmpeting pririties. Cncepts such as cllabrative gvernance, public participatin, cnsultatin and cnsensus driven dialgue will be explred in the cntext f health sectr leadership. Students will have the pprtunity t brainstrm abut current challenges and their implicatins fr the lng term well being and sustainability f health care in Canada. Required Readings: Health Canada, Health Canada Plicy Tlkit fr Public Invlvement in Decisin Making, 2000, pp: 1 26: sc.gc.ca/ahc asc/alt_frmats/pacrb dgapcr/pdf/public cnsult/2000decisineng.pdf Zarzeczny, A. Physician Assisted Dying in Canada: Where d we stand after the Supreme Curt s decisin in Carter v. Canada? (2015) JSGS Plicy Brief. Available at: plicybriefs Assisted Dying_WEB.pdf Jnes, M., Einsiedel, E. Institutinal plicy learning and public cnsultatin: The Canadian xentransplantatin experience (2011) Scial Science & Medicine 73: : Supplementary Readings: Rcan, C. Multi level cllabrative gvernance: the Canadian heart health initiative 2009 Optimum Online 39.4: &v=2.1&u=ureginalib&it=r&p=CPI&sw=w&asid=e12b26a0e ddd1b2eeaf4c314b Ansell, C., Gash, A. Cllabrative Gvernance in Thery Jurnal f Public Administratin Research and Thery 18: (nte: This is a lnger piece and is nt specifically fcused n the health plicy sectr. It prvides a gd theretical fundatin t cllabrative gvernance, its key cmpnents and peratin, and hw it is distinguished frm cnsultatin, and may be f interest t thse lking fr greater depth n this tpic.)

4 The Jhnsn Shyama Graduate Schl f Public Plicy, with campuses at the University f Regina and the University f Saskatchewan, is an interdisciplinary centre fr public plicy research, teaching, utreach and training. 12:30 P.M. 1:30 P.M. LUNCH BREAK Lunch will be prvided at the University Club, 215 Cllege West Building, 3737 Wascana Parkway. 1:45 P.M. 5:15 P.M. MODULE 2: LEADS IN A CARING ENVIRONMENT FRAMEWORK AND LEAN MANAGEMENT TOOLS AND APPROACHES TO BUILDING STRONG LEADERSHIP AND MANAGEMENT CAPACITY IN HEALTHCARE ORGANIZATIONS Health Break 3:15 3:30 Facilitated by: Betty Mutwiri, Saskatchewan Leadership Prgram Prject Lead, Directr, Organizatinal Learning and Leadership, Saskatn Health Regin Descriptin: The sessin will use case studies, discussin and lecturettes t demnstrate hw LEADs in a Caring Envirnment Framewrk can be used t develp leadership capabilities fr health care prfessinals. It will als illustrate the inherent synergy between LEADS and a Lean management system. Required Readings: Dicksn, G., Muttwiri, B., Blakley B The Symbitic Relatinship Between Lean and Leads; A discussin paper fr Canadian Health Leadership Netwrk Partners. Available at: cntent/uplads/lean and LEADS Cmparisn fr CHLNet May 2015.pdf Mutwiri, B. et al. Develpment and Implementatin f the Saskatchewan Leadership Prgram: Leading fr Healthcare Transfrmatin. PDF available n URCurses. Review the material n the fllwing website: 5:15 P.M. 5:30 P.M. BREAK 5:30 P.M. 6:30 P.M. FEATURED SPEAKER RESEARCH PRESENTATION Dr. J Ann Episkenew, Directr, Indigenus Peples' Health Research Centre, Prfessr, First Natins University f Canada

5 The Jhnsn Shyama Graduate Schl f Public Plicy, with campuses at the University f Regina and the University f Saskatchewan, is an interdisciplinary centre fr public plicy research, teaching, utreach and training. Sunday, September 27 th Lcatin: ED 623 (6 th flr, Educatin Building) 8:30 A.M. 11:45 A.M. MODULE 3: AN INTRODUCTION TO THE CRITICAL APPRAISAL OF RESEARCH EVIDENCE Facilitated by: Dr. Tarun Katapally, Assistant Prfessr, JSGS Descriptin: This mdule prvides an intrductry step by step prcess t appraise evidence in health research. The mdule intrduces a systematic apprach t assess evidence generated by studies that utilize varius designs and methds. The cncepts reviewed in this mdule will prvide a fundatin in critically appraising evidence that health and healthcare stakehlders encunter in their fields f practice. Learning Objectives: (1) Identify and understand the systematic steps invlved in critically appraising evidence; (2)Demnstrate an understanding f different study designs and methds used in research, and be able t identify the advantages/disadvantages assciated with each type; (3) Apply the knwledge gained t critically appraise a study. Required Readings: Overview f study designs: 5.pdf Critical Appraisal f the Evidence: Part I: 11_01_13_DFGD_5161_SDC516.pdf Critical Appraisal f the Evidence: Part II: 11_01_13_DFGJDOF_4646_SDC161.pdf Critical Appraisal f the Evidence: Part III: 11_01_13_FDGKAP_14651_SDC615.pdf Supplementary Readings: Types f Study in Medical Research: Systematic Literature Reviews and Meta Analyses: Cnfidence Interval r P Value?:

6 The Jhnsn Shyama Graduate Schl f Public Plicy, with campuses at the University f Regina and the University f Saskatchewan, is an interdisciplinary centre fr public plicy research, teaching, utreach and training. 11:45 A.M. 12:15 P.M. LUNCH Bagged lunch will be prvided. 12:15 P.M. 3:15 P.M. MODULE 4: QUALITY EVALUATION & PROCESS DESIGN/REDESIGN Facilitated by: Dr. Marlene Smadu, Vice President Quality & Transfrmatin, Reqina Qu Appelle Health Regin, and Dr. Wallace Lckhart, Assciate Prfessr, Paul J. Hill Schl f Business, University f Regina Descriptin: This mdule will fcus n the knwledge and skills required t evaluate health system quality. The discussin will include defining and assessing impacts and utcmes f health system perfrmance. Specific appraches, such as strategies fr measuring patient experience, setting and evaluating specific targets, cnsidering quality f life, addressing wait times, imprving accessibility, etc., will be discussed and debated. The mdule will cnclude with cnsideratin f hw t engage in effective prcess imprvement i.e. effectively designing r redesigning systems t imprve identified targets with an emphasis n evidence infrmed decisin making. Required Readings: Dnabedian, A. Evaluating the Quality f Medical Care The Milbank Quarterly 83(4): Reprinted frm 1966 The Milbank Memrial Fund Quarterly 44(3.2): x Reinhardt, U. Measuring the Quality f Health Care. February 1, 2013 New Yrk Times, ecnmix.blgs.nytimes.cm thequality f health care/?_php=true&_type=blgs&_r=0 Required Activity (cmplete befre arrival): Cmpare and cntrast Dnabedian s and Reinhardt s perspectives. Dnabedian s paper written 48 years ag is still current fcusing n the health care rganizatin and its structures, prcesses and utcmes. Reinhardt, n the ther hand, takes a mre glbal perspective (similar t the Wrld Health Organizatin), where the health care system is nly part f a health system, and ne shuld take a brad perspective thinking abut the health f individuals and ppulatins. Cnsider: Can health plicy makers and managerial decisin makers take ne perspective r the ther? (Nte: yu d nt have t prepare any frmal written materials as part f this activity, but putting yur mind t the questin will help prepare yu t engage in the discussin). Baker, R. The Challenges f Making Care Safer: Leadership and System Transfrmatin Healthcare Quarterly 15(Special Issue):

7 The Jhnsn Shyama Graduate Schl f Public Plicy, with campuses at the University f Regina and the University f Saskatchewan, is an interdisciplinary centre fr public plicy research, teaching, utreach and training. Websites: Virginia Masn Hspital and Medical Centre, Seattle, Washingtn: Intermuntain Healthcare, Salt Lake City, Utah: Theda Care, Wiscnsin: we d/abut/ Kaiser Permanante, USA: Grup Health Cperative, Washingtn State, USA: Required Activity (cmplete befre arrival): View the abve websites f these high perfrming health systems. Cnsider what they d differently frm yur wn health regin, with a view t identifying interesting and ptentially useful innvatins that culd help infrm lcal health system imprvement. (Nte: n frmal written wrk is required fr this activity.) Supplementary Readings Mays, N., C. Ppe, J. Ppay. Systematically reviewing qualitative and quantitative evidence t infrm management and plicy making in the health field Jurnal f Health Services Research & Plicy 10(Suppl 1): e&db=mnh&an= &site=ehst live Vgel. L.: Patient charters: the prvincial experience, CMAJ (13): &v=2.1&u=ureginalib&it=r&p=ITOF&sw=w&asid=a798ab60d6a5c75d0ac1cc8cfd4f5027 3:15 P.M. 3:30 P.M. WRAP UP, STUDENT FEEDBACK & FAREWELL EVALUATION The Residency is graded n a Pass/Fail basis. Students will be required t attend all prtins f the Residency. Students will als be required t cmplete all assigned wrk and participate with energy and enthusiasm in grup discussins and in all assigned exercises. Failure t d s may result in a Fail. Pst Residency Assignment Due: Wednesday, Octber 14 th, by 8:00 a.m. SK time Details n this assignment will be made available at the Residency and psted n the URCurses site. The assignment must be submitted using the nline assignment submissin tl embedded within the Residency URCurses site.

8 The Jhnsn Shyama Graduate Schl f Public Plicy, with campuses at the University f Regina and the University f Saskatchewan, is an interdisciplinary centre fr public plicy research, teaching, utreach and training. LATE ASSIGNMENTS Late assignments will nt be accepted, absent exceptinal circumstances. Given the shrt timeframe f the residency, all wrk must be cmpleted as assigned. Failure t cmply may result in a Fail. Exceptins may be made in extrardinary and unavidable circumstances. Shuld such a situatin arise, please ntify the instructr as sn as pssible. STUDENTS WITH SPECIAL NEEDS Students in this curse wh, because f a disability, may have a need fr accmmdatins are encuraged t discuss this need with the instructr and t cntact the Crdinatr f Special Needs Services at ACADEMIC INTEGRITY AND CONDUCT Ensuring that yu understand and fllw the principles f academic integrity and cnduct as laid ut in the University f Regina s Graduate Calendar is vital t yur success in graduate schl (available at calendar/plicy univ.html#cnduct). Ensuring that yur wrk is yur wn and reflects bth yur wn ideas and thse f thers incrprated in yur wrk is imprtant: ensuring that yu acknwledge the ideas, wrds, and phrases f thers that yu use is a vital part f the schlarly endeavur. If yu have any questins at all abut academic integrity in general r abut specific issues, cntact yur curse instructr and t discuss yur questins.