AEMH 12-063 Document : 8 th Annual World Health Care Congress - PDF document

ASSOCIATION EUROPÉENNE DES MÉDECINS DES H Ô PITAUX EUROPEAN ASSOCIATION OF SENIOR HOSPITAL PHYSICIANS EUROPÄISCHE VEREINIGUNG DER LEITENDEN KRANKENHAUSÄRZTE EUROPESE VERENIGING VAN STAFARTSEN DEN EUROPÆISKE OVERLÆGEFORENING ΕΥΡΩΠΑЇΚΟΣ ΣΥΛΛΟΓΟΣ NΟΣΟΚΟΜΕΙΑΚΩΝ IΔTPΩN ΔIΕΥΘΥΝΤΩΝ ASSOCIAZIONE EUROPEA DEI MEDICI OSPEDALIERI DEN EUROPEISKE OVERLEGEFORENING ASSOCIAÇAO EUROPEIA DOS MÉDICOS HOSPITALARES ASOCIACIÓN EUROPEA DE MÉDICOS DE HOSPITALES EUROPEISKA ÖVERLÄKARFÖRENINGEN EVROPSKO ZDRŽENJE BOLNIŠNIČNIH ZDRAVINIKOV EUROPSKA ASOCIACIA NEMOCNICNÝCH LEKAROV EUROPSKA UDRUGA BOLNIČKIH LIJEČNIKA ЕВРОПЕЙСКА АСОЦИАЦИЯ НА СТАРШИТЕ БОЛНИЧНИ ЛЕКАРИ ASOCIATIA EUROPEANA A MEDICILOR DIN SPITALE AEMH 12-063 Document : 8 th Annual World Health Care Congress Europe, Title: Amsterdam 23-24 May 2012 – Presentation by AEMH-President Dr João de Deus Author : Information Purpose : AEMH Member Delegations Distribution : 20 June 2011 Date : AEMH (AISBL N° 8510.776.04)-European Liaison Office – Rue Guimard 15 – B-1040 Brussels Tel. +32 2 736 60 66, Fax +32 2 732 99 72 e-mail : secretariat@aemh.org, http://www.aemh.org

29/06/2012 CLINICAL INVOLVEMENT IN HEALTH MANAGEMENT Dr João de Deus President EUROPEANASSOCIATION OF SENIOR HOSPITAL PHYSICIANS WorldHealth Care CongressEurope2012 EUROPE TODAY Principles to run health units GENERAL SPECIFIC Different Privatization of countries hospitals • 1. Do not damage  2. Improve Patients Different health High technology systems  3. Patients in the centre of safety and processes quality of Different hospital Expensive  4. Professionals in the centre of models care i treatments changing Hospitals always Different good target for problems cost saving measures WorldHealth Care Congress WorldHealth Care CongressEurope2012 WorldHealth Care CongressEurope2012 Europe 2012 Leadership is essential Can Physicians run Hospitals?  1. must have infectious optimism; The stereotyped image of a physician in a hospital  2. determination to pe in the (as seen by administrators): face of difficultie  - asking for impossible demands;  - every time wanting more space, more staff more money;  3. and radiat ofidence even when he himself is not too certain of the  - Blackmailing the administrators; outcome  - Seeming to be insatiable WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care CongressEurope2012 Europe 2012 Europe 2012 1

29/06/2012 Can physicians run a hospital? Can physicians run a hospital? Can physicians run a hospital? Can Physicians run Hospitals? Genesis of the impossible demands by physicians: Genesis of the impossible demands by physicians: • But, if they assume themselves the mission to address the needs of the • Physician’s function is to treat community in terms of illness ... or if patients! Someone should set the society charges physicians with this stage for them to do their work! mandate, then they should assume this mission on behalf of citizen!... WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress Europe 2012 Europe 2012 Europe 2012 Europe 2012 Can physicians run a hospital? Can physicians run a hospital? Can physicians run a hospital? Yes!... A physician is already a professional with rigorous training and can be A physician can be taught: taught on:  - leadership skills  - to see the big picture,  - strategic planning;  - the needs of a hospital as a whole,  - setting goals for a hospital;  - the budgetary constraints  - consider different organizational models as the best way to deliver programs; WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress Europe 2012 Europe 2012 Europe 2012 How can Doctors reach this Can physicians run a hospital? Yes!... skills? A physician is already a professional with rigorous training and can be taught on: • - team building and communication; • - management personel (hiring, union agreements, disciplining, performance evaluation, how to budget) WorldHealth Care Congress WorldHealth Care Congress Europe 2012 Europe 2012 2

29/06/2012 How can Doctors reach this How can Doctors reach this How can Doctors reach this How can Doctors reach this skills? skills? skills? skills? The course aims to provide participants with training in:  Classical functional management areas • Doctor’s Post-Graduation in – Accounting, Marketing, Human Management of Health Care Units Resources,etc.  More specific areas that are a cross (Catholic University – Economy between medicine and management – Department in cooperation with PMA) Epidemiology, Clinic Based Management, etc. WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress Europe 2012 Europe 2012 Europe 2012 Europe 2012 How can Doctors reach this Struture of the Programme 1 st Semester skills? Health Systems and Policies T h e c o u r s e a i m s t o p r o v i d e Introduction to Managing Health Units participants with training in: Team Leadership Basic Notions od Statistics • Integrated framework and strategic Health Economics areas – Health Systems, Strategic Logistical and HospitalInformation Systems Management, etc. Medical IT a n d Clinical Information Systems Management Skills I MedicalEthics and D e o n t o l o g y Seminar:Communication in M e d c i n i e WorldHealth Care Congress Europe 2012 Struture of the Programme Struture of the Programme 2 nd Semester 3 rd Semester Accountingand Budgetary Marketing Management HumanResourceManagement HealthQuality Management Accounting and Financial Management Strategy Health Law Clinic Based Management Epidemiology Management Skills III Medical Ethics and Deontology Seminar:Knowledge Management Skills II Management World Healh Care Congress WorldHealhCareCongress World Healh Care Congress 3

29/06/2012 Have physicians advantages compared Have physicians advantages compared How can Doctors reach this with lay administrators, when running a with lay administrators, when running a skills? hospital? Yes! hospital? Yes!  1. They share interests with other physicians;  2. They have the insight of physicians motivations;  3. They have a high level of trust;  4. They can contribute to racionalizing services by defining appropriate care; WorldHealth Care Congress World Healh Care Congress WorldHealth Care Congress WorldHealth Care Congress Have physicians advantages compared Have physicians advantages compared Have physicians advantages compared with lay administrators, when running a with lay administrators, when running a with lay administrators, when running a hospital? Yes! hospital? Yes! hospital? Yes!  5. They can interact with other physicians in practice-related areas as improving the quality of care • 7. They can accomodate the and provider-consumer relationship with technology assessment; the need of rigour and the  6. They can cooperate with other complexity of health administration. physicians to standardize methods of care by assessing outcomes and mortality rates; WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress Doctors in management – better Principles Principles results?  Quality and safety will be the goal of • “In Good Hands” every clinical and administrative initiative. • (Transforming Clinical Governance in  The most effective use of resources New Zealand) occurs when clinical leadership is embedded at every level of the system.  Clinical decisions at the closest point of contact will be encouraged. WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress 4

29/06/2012 Physician-Leaders and Hospital Principles Principles Performance: Is There an Association? • Clinical review of administrative decisions will be enabled. • The Institute for the Study of Labor  Clinical governance will build on (IZA) in Bonn successful initiatives.  Clinical governance will embed a transformative new partnership  Amanda H. Goodall which will be an enabler for better outcomes for patients.  July 2011 WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress Physician-Leaders and Hospital Physician-Leaders and Hospital Physician-Leaders and Hospital Performance: Is There an Association? Performance: Is There an Association? Performance: Is There an Association? • Index of Hospital Quality (IHQ) • top-100 U.S. hospitals in 2009  widely-used media-generated ranking of quality – structure,  The personal histories of the 300 chief – process and executive officers of these hospitals are – outcomes then traced  The CEOs are classified into physicians and non-physician managers WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress Physician-Leaders and Hospital Physician-Leaders and Hospital Physician-Leaders and Hospital Performance: Is There an Association? Performance: Is There an Association? Performance: Is There an Association? • Index of Hospital Quality (IHQ) • Each chief executive officer was classified into one of two categories -- – structure, physician-leaders, and leaders who are – process and non-physician managers – outcomes WorldHealth Care Congress WorldHealth Care Congress WorldHealth Care Congress 5