Albania Healthcare Modernization Program: Hospital Management Training Project

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Nigel Wheeler
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1 Albania Healthcare Modernization Program: Hospital Management Training Project Frank Phillips, JD Director, International Projects Dept. of Health Systems Management

2 Albania Hospital Management 42 public hospitals in country with population of 3.2 million Hospital directors are quasi-political appointees, most physicians No training of any kind in management for directors or other employees Modernization program includes introduction of insurance-based payments

3 Rush Training Model I. Managing People, Finances, and Operations II. Teacher- Practitioner Model Rush Model for Healthcare Management Education IV. Continuous Evaluation and Assessment III. Active Learning

4 Albania Manager Training Fundamentals of health systems management 12 Trainers Middle and senior level officials Development of curriculum Intensive training in-country and in Chicago Use of distance learning technologies 150 Trainees Hospital managers 54 hour curriculum plus team project Certificate in Fundamentals of Health Systems Management Framework for continuing education In cooperation with Albanian institutions Advanced training building on fundamentals curriculum Objective is to be sustainable and complementary to future academic programs

5 Principles of Albania Project Management competencies consists of three spheres of responsibilities Managing people Managing operations Managing finances Academic principles applied to practical issues facing Albania s healthcare institutions Curriculum should provide basis for advanced training Training must be owned of Albanians

6 Project Phases Assessment of needs (2 months) Curriculum development (3 months) Selection and training of trainers (4 months) Intensive orientation in Chicago (1 week) Development of module content (3 months) Training of 150 managers (12 months) 54 hour curriculum (staged over 12 months) Capstone project (2 months following course completion) Framework for continuing education (6 months)

7 Final Curriculum Modules Core Competency Module Contact Hours INTRODUCTION Introduction/Overview of Course and Capstone Project 1 A. Managing People B. Managing Operations C. Managing Finances 1. Management Theory and Professional Responsibility 3 2. Health Care Organization 2 3. Four Functions of Management 3 4. Workforce Development (Building a Strong Team) 6 5. Project Management 3 1. Creating an Efficient Work Environment 6 2. Management of Information 6 3. Clinical Management 3 4. Infrastructure Management 3 1. Basics of Patient Accounting and Finance 6 2. Planning and Budgeting 5 3. Contracting and Procurement 3 4. Developing a Business Plan 3 SUMMARY Course Conclusion 2

8 Chicago Training Program Training at Rush Observation of management processes Observation of classes and development of presentation skills Presentations about core curriculum content Mentoring and development of module content Completion of module content via Internet-based distance learning

9 Albania Training 8 cohorts of students for 54 hours over 3 weeks Capstone project teams of 4-5 students Capstone presentations 2 months after coursework completion Participants included finance, medical, operations staff as well as hospital directors and deputy directors

10 Results Approximately 200 enrolled 190 completed all course requirements 3 did not complete capstone Approximately 7 did not complete coursework/exam Discussions underway with Health Insurance Institute and Ministry of Health for continuation and expansion to outlying regions

11 Evaluation Resources are still not available for sustained continuing education in the healthcare sector Continuous learning culture does not exist in healthcare sector Healthcare reform has impacted by wider political disputes

12 Project Team Rush University Medical Center Tricia Johnson, PhD, RUMC Economist Frank Phillips, JD, Project Director 15 faculty and managers across curriculum Navigant Consulting Chris Newman, Project Lead Next-Source Consulting Mayur Patel, MS, Curriculum Development American Medical Association Dan Winship, MD, Medical Liaison

13 Acknowledgments World Bank Albania Ministry of Health Saimir Kadiu, Director of Finance, MoH The Trainees and Trainers from Albania s Healthcare Institutions

Interprofessional Education:

Interprofessional Education: One Example: Rosalind Franklin University of Medicine & Science MAKING IT WORK Cathy J. Lazarus, MD, FACP Senior Associate Dean Student Affairs and Medical Education, The Chicago