HEALTH CARE MANAGEMENT

Instructional goals

After attending the lectures and completing assigned tasks, the student will be able to: (i) identify the main components of a health care system; (ii) compare and contrast private vs public financing and delivery models of health care services; (iii) describe the environmental, social, economic, and political influences on health organizations’ strategies; (iv) assess critically how to organize and manage complex health care services; (v) combat rapidly escalating health care shocks and crisis through appropriate managerial responses.

Prerequisites

None

Intended learning outcomes

Knowledge and understanding: The course will offer key conceptual tools to manage health organizations and systems. This course provides knowledge and analytical resources that will enable students to understand decisions to be implemented in public and private health systems. Applying knowledge and understanding: The students will be able to: - apply organization models in health organizations - assess quality of health care services - analyze how and why health organizations make decisions to face an evolving environment - apply foundations of health care management Making judgements: We expect students to be able to dissect complex public health and organizational issues, analyze them and propose solutions. They are expected to be able to discuss and evaluate key health care choices. Throughout the whole course, students will be invited to critically analyse when, how and why certain health choices are pursued. Communications Skills: This course will give the students the possibility to acquire and understand major terms and concepts in order to communicate their ideas, proposals, analysis and critical reasoning in the field of health care management. Learning skills: The case study discussion will increase experiential learning and critical thinking for all students involved in the course.

Course Contents

The course consists of several parts relating to the organization and management of global health: 1) The first part will provide a comprehensive examination of the structure of health care systems, paying specific attention to the historical evolution, organization and governance mechanisms of the Italian health care system; 2) The second part will introduce the major contemporary challenges faced by health care managers and administrators, along with models and practices to be adopted to effectively deliver health services; 3) The third part deals with how to tackle health care shocks and crisis through substantive learning, adaptation and change.

Reference Books

Burns L., Bradley E., Weiner B. 2020. Shortell & Kaluzny’s Health Care Management: Organization design and Behavior, Cengage Learning Johnson J.A., Stoskopf C.H. 2009. "Comparative Health Systems: A Global Perspective". Jones and Bartlett

Teaching Methods

During the course, the following teaching methods will be applied: • lectures • individual assignments • working groups and case studies • keynote speakers’ presentations on real life experiences • presentations and group assignments Teaching activities integrate face-to-face lectures with the analysis of business cases performed by both the instructor and the students. Students will be required to join practical training sessions and analyze or discuss, individually or within small groups, case studies.

Assessment Method

The final grade will be based on - course attendance and participation to class activities (70%) - a final written exam (30%), composed of two open questions. Duration of final written-exam: 30 minutes Students who will reject a grade that is equal to 24 or higher will have to sit again the exam and prepare the program for non-attendants. The program will require to study all readings mentioned in the syllabus, both the compulsory and the supplementary readings. In this case, the exam will include 4 open questions on the contents on those readings. This rule will apply also to students who reject votes of individual and group assignments.

Thesis assignment criteria

Master thesis assignment is based on a project presented by the student. The project (2/3 pages) must include: - Table of contents - Abstract - Main references

Week 1 Contenuto sessioni on line e on campus

GLOBAL HEALTH: SYSTEMS, POLICY, AND ECONOMICS Contents: • Presentation of the course • Overview of global health • Building blocks of health systems • Health care ecosystems • Current management challenges for global health Readings: • Johnson J.A., Stoskopf C.H. 2009. "Comparative Health Systems: A Global Perspective". Jones and Bartlett (Chapters 1,2 & 3)

Week 2 Contenuto sessioni on line e on campus

HEALTH CARE SYSTEMS: STRUCTURE, GOVERNANCE AND FUNDING Contents: • Overview and comparison of health care systems around the globe • Universalistic, mutualistic and pluralistic health systems: A comparison • Case study discussion Readings: • Daemmrich A.A., Cameron E. 2012. "US health care reform: International perspectives”. Harvard Business Publishing (Case Study)

Week 3 Contenuto sessioni on line e on campus

THE ITALIAN NATIONAL HEALTH SERVICE: ITS STRUCTURE AND GOVERNANCE MECHANISMS (PART 1) Contents: • Health funding, regulation and planning at national and regional level • The institutional profile of Italian health organizations Readings: • Health care systems in transitions. The Italian NHS. European Observatory of Health Systems and Policies. 2014.

Week 4 Contenuto sessioni on line e on campus

THE ITALIAN NATIONAL HEALTH SERVICE: ITS STRUCTURE AND GOVERNANCE MECHANISMS (PART 2) Contents: • Organizational models of regional health systems Readings: • Health care systems in transitions. The Italian NHS. European Observatory of Health Systems and Policies. 2014.

Week 5 Contenuto sessioni on line e on campus

GROUP PRESENTATION AND DISCUSSION (REGIONAL HEALTH PLANS)

Week 6 Contenuto sessioni on line e on campus

HEALTH CARE MARKETS AND COMPETITIVE STRATEGIES IN HEALTH CARE Contents: The analysis of health care markets • The management challenge of delivering value in health care • Alliances and other forms of cooperation in health Readings: • Porter M.E., Olmsted Teisberg E. 2004. "Redefining competition in health care". Harvard Business Review, June: 1-14. • Burns L., Bradley E., Weiner B. 2020. Shortell & Kaluzny’s Health Care Management: Organization design and Behavior, Cengage Learning. (Chapter 1)

Week 7 Contenuto sessioni on line e on campus

ORGANIZATIONAL MODELS FOR HEALTH CARE Contents: • Progressive care • Patient-centered models of care • Community-system approaches Readings: Burns L., Bradley E., Weiner B. 2020. Shortell & Kaluzny’s Health Care Management: Organization design and Behavior, Cengage Learning. (Chapters 3 & 5)

Week 8 Contenuto sessioni on line e on campus

CASE STUDY PRESENTATION AND DISCUSSION (ORGANIZATIONAL CHANGE IN A LARGE TEACHING HOSPITAL) Readings: Bohmer R.M.J., Beyersdorfer D., Ribera J. 2014. “Hospital Clinic de Barcelona”. Harvard Business Publishing.

Week 9 Contenuto sessioni on line e on campus

HEALTH CARE TECHNOLOGIES Contents: • Assessment and management of new technologies • Regulatory issues • The biopharmaceutical industry Readings: Burns L., Bradley E., Weiner B. 2020. Shortell & Kaluzny’s Health Care Management: Organization design and Behavior, Cengage Learning. (Chapter 8)

Week 10 Contenuto sessioni on line e on campus

IN-CLASS SIMULATION (FROM BENCH TO BEDSIDE: HOW TO BRING INNOVATIONS TO THE PATIENT)

Week 11 Contenuto sessioni on line e on campus

MANAGEMENT OF HEALTH EMERGENCIES Contents: • Disaster prevention and management • Assessing consequences of shocks • Response mechanisms • Technological support for behavioural control and change Readings: • Pisano G.P., Sadun R., Zanini M. 2020. “Lessons from Italy’s Response to Coronavirus”. Harvard Business Review, 27 March • Therrien M.C., Normandin J.M. Denis J.L. 2017. “Bridging complexity theory and resilience to develop surge capacity in health systems”. Journal of Health Organization and Management, 31(1): 96-109.

Week 12 Contenuto sessioni on line e on campus

Group presentations (IMMUNOVACCINE) and final discussion. Readings: Koretz-Smith E., Riaz S. 2011. “Immunovaccine: Preparing to cross the “valley of death””. Harvard Business Publishing, Richard Ivey School of Business Press.