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Karolinska Institutet is one of the world’s leading medical universities. Its mission is to
contribute to the improvement of human health through research and education.
Karolinska Institutet accounts for over 40 per cent of the medical academic research
conducted in Sweden and offers the country’s broadest range of education in medicine
and health sciences. Since 1901 the Nobel Assembly at Karolinska Institutet has selected
the Nobel laureates in Physiology or Medicine. Karolinska Institutet Executive and
Professional Education delivers competence development for municipalities, governments
and businesses and works for development in healthcare and a healthier society.
We are pleased to announce the Healthcare Executive and
Leadership Programme 2018. The programme consists of
three two-day courses. These three courses give senior
healthcare leaders the knowledge and skills to plan and
carry through changes and manage services and systems in
the political Swedish healthcare environment of the next five
years.
Programme content
Course 1: Using lessons from overseas to build evidence-based Swedish
healthcare, 26-27 April 2018
Course 2: Pay for performance and value based healthcare: evidence
and implications for your services, 30-31 August 2018
Course 3: Patient centered care and co-care: evidence and practical
steps with limited resources, 22-23 November 2018
The courses are based on proven methods that other leaders have found
effective for critically assessing the evidence and applying to managing
change in the local and political situation. They are distinctive in using top
international researchers and practitioners who select only the most
useful evidence that help address Swedish challenges and situations, and
concentrate on the leader’s role in enabling changes.
The evidence based pedagogic methods of each course include
• Preparation and pre-reading, using seleceted course materials
• 25-minute condensed summaries of key lessons for Sweden from
research and international experience with details in handouts
• Each summary is followed by a 25-minute group exercise with
colleauges to assess implementation in Sweden and to use the tools
provided
• Interactive questions and discussion with course leaders and your
colleagues taking part in the course, who are leading other Swedish
heath systems and clinical services
• Guidance for how to use the selected resources and references to
keep up to date with relevant developments in Sweden and overseas
PROGRAMME LEADERS
Professor John Øvretveit
John was appointed professor of health
management and policy at the
Nordic School of Public Health in 1994
and previously was director of
an applied research unit in the UK that
contributed to each of the UK
NHS reforms since 1979.
He has extensive research and consulting
experience in healthcare change and
reforms in USA, UK, Australia,
New Zealand and countries in Africa. He
has pioneered research which gives
leaders actionable science-based
solutions to practical management
problems as professor of improvement,
implementation and evaluation and
director of research at MMC.
Professor Mats Brommels
Mats is an affiliated researcher at the
Department of learning, informatics,
management and ethics (LIME) and has
lead or advised commissions on a number
of Swedish and Finnish healthcare
reforms since 1990.
He was appointed the director of Medical
Management Center (MMC) at Karolinska
Institutet in from 2002 – 2017 and has
over the last 15 years built an applied
research program that has partnered with
clinical services and leaders and Sweden
to address healthcare challenges.
Manage healthcare moreeffectively usingpracticebased research and evidence
Course 1: Using lessons from overseas to build evidence-based Swedish healthcare
Other health systems are introducing a variety of changes to make it possible to provide affordable healthcare that meets patients’ needs and expectations over the next five years.
This course gives participants an understanding of these changes and reforms and of their applicability to Swedish healthcare. Theywill be able to apply changes made in other health systems that can save money, improve quality and solve current problems, if suitably adapted to the local Swedish situation
Day 1 – April 26
• Health challenges for Sweden 2018-2025.
• List of Swedish reforms, and conclusions for the next 5 years.
• Overview of USA reforms 2012-2018 that are relevant to Sweden.
• Finland reforms and the politics of change.
Day 2 – April 27
• Overview of relevant UK reforms 2012-2017 and lessons for Sweden.
• Details about specific changes (new payment and performance information systems, USA accountable care organizations, patient centered medical homes, flexible workforce and substitution & team based care).
• Lessons from Stockholm decentralization and leaders competence development in primary healthcare.
• Reforms elsewhere and any details about changes, or discussions wanted by participants.
• Implementing change – local, county and national levels.
• Summary and next steps.
KURSLEDAR
Gunnar Akner
Professor i Geriatrik, Högskolan i
Örebro
Sigridur Björnsdottir
Specialistläkare i endokrinologi, med
dr, Karolinska Universitetssjukhuset
Solna
Kerstin Brismar
Professor em, Karolinska Institutet,
specialist i endokrinologi
Kristina Linder-Ekberg
Specialistläkare i endokrinologi, Med
dr, Karolinska Universitetssjukhuset
Solna
Mathias Loberg-Haarhaus
Specialistläkare i njurmedicin,
Karolinska Universitetssjukhuset
Solna
Sigrid Lundberg
Specialistläkare i Njurmedicin,
Karolinska Universitetssjukhuset
Solna
Hans Lundin
Specialist i allmänmedicin, CeFam
David Nathansson
Specialist i endokrinologi,
Medicinkliniken Södersjukhuset
Mats Palmer
Överläkare, docent, specialist i
endokrinologi, Karolinska
Universitetssjukhuset Huddinge
Medlem av Expertrådet i
endokrinologi och diabetes SLL
Eva Toft
Överläkare, docent, Mottagningen
för endokrinologi och diabetes, Ersta
sjukhus. Ordförande i
Specialistsakkunniga i endokrinologi
och diabetologi SLL
Inga-Lena Nilsson
Överläkare, docent, specialist i
endokrinkirugi, Karolinska
Universitetssjukhuset Solna
Sergiu Catrina
Överläkare, docent, specialist i
endokrinologi, Karolinska
Universitetssjukhuset Solna
Maria Sääf
Överläkare, med dr, Medicinkliniken,
Visby lasarett, Medlem av
Expertrådet i endokrinologi och
diabetes samt Specialistsakkunniga i
endokrinologi och diabetologi, SLL
OBJECTIVES
After the course participants will be better
able to
• Describe common initiatives being
undertaken overseas that are relevant
to Sweden for reducing the costs and
raising the quality of healthcare,
drawing on the best evidence
available.
• Assess whether other’s changes are
translatable to your service and health
system.
• Use selected resources to learn from
changes made elsewhere.
COURSE LEADERS
John Øvretveit (Course coordinator)
Mats Brommels (Professor)
Guest lecturer
Course 2: Pay for performance and value based healthcare: evidence and implications for your services
Sweden has experimented with changes to the way some services are paid so as to link payments to performance in the future. One result of this experiment is a system for leaders to compare the performance of their services to others. This meeting enables you to learn from the experiments and the evidence from research elsewhere into similar changes. Research shows that some funding schemes and performance information systems are not effective, or may not translate well to Sweden. This course gives leaders the knowledge they will need to prepare for and influence the changes.
Day 1 – August 30
• Lessons for Sweden from evidence of USA and UK Pay for Performance (P4P), Value Based Funding (VBF) and performance information schemes.
• Swedish funding schemes for P4P and VBF in operation and under testing.
• Details of benefits and limitations of new payment and information systems healthcare management - the evidence.
• Data and data systems needed for valid performance comparisons and changes in organization and practice that others have made.
Day 2 – August 31
• High performance healthcare delivery: findings from the Kaiser Permanente/Karolinska project.
• Case Example: Integrated Practice Unit for Value based healthcare.
• Costing systems for operations management and Activity Based Costing.
• Using data and information systems to improve performance: tools and lessons from the Sveus project and future changes.
• Implementing change – National, county and local levels.
• Summary, resources, tools and guidance for action.
KURSLEDAR
Gunnar Akner
Professor i Geriatrik, Högskolan i
Örebro
Sigridur Björnsdottir
Specialistläkare i endokrinologi, med
dr, Karolinska Universitetssjukhuset
Solna
Kerstin Brismar
Professor em, Karolinska Institutet,
specialist i endokrinologi
Kristina Linder-Ekberg
Specialistläkare i endokrinologi, Med
dr, Karolinska Universitetssjukhuset
Solna
Mathias Loberg-Haarhaus
Specialistläkare i njurmedicin,
Karolinska Universitetssjukhuset
Solna
Sigrid Lundberg
Specialistläkare i Njurmedicin,
Karolinska Universitetssjukhuset
Solna
Hans Lundin
Specialist i allmänmedicin, CeFam
David Nathansson
Specialist i endokrinologi,
Medicinkliniken Södersjukhuset
Mats Palmer
Överläkare, docent, specialist i
endokrinologi, Karolinska
Universitetssjukhuset Huddinge
Medlem av Expertrådet i
endokrinologi och diabetes SLL
Eva Toft
Överläkare, docent, Mottagningen
för endokrinologi och diabetes, Ersta
sjukhus. Ordförande i
Specialistsakkunniga i endokrinologi
och diabetologi SLL
Inga-Lena Nilsson
Överläkare, docent, specialist i
endokrinkirugi, Karolinska
Universitetssjukhuset Solna
Sergiu Catrina
Överläkare, docent, specialist i
endokrinologi, Karolinska
Universitetssjukhuset Solna
Maria Sääf
Överläkare, med dr, Medicinkliniken,
Visby lasarett, Medlem av
Expertrådet i endokrinologi och
diabetes samt Specialistsakkunniga i
endokrinologi och diabetologi, SLL
OBJECTIVES
After the course participants will be better
able to
• Describe the main types of payment
and information schemes and which
ones are in operation, or being tested
or considered by Swedish counties.
• Present evidence from Sweden as well
as relevant evidence from USA and
UK so show the strengths, limitations
and implications of the schemes for
different Swedish clinical services.
• Show what value based healthcare
means in practice, with examples from
different services.
• Plan and lead changes to organisation,
data systems and everyday practice
for the new information and funding
systems as well as contact other
colleagues in Sweden working on this
subject.
COURSE LEADERS
John Øvretveit (Course coordinator)
Mats Brommels (Professor)
Pamela Mazzocato (PhD in Medical
Management)
Carl Savage (PhD in Medical
Management)
George Keel (PhD student)
Johan Mesterton (Ivbar And Sveus)
Course 3: Patient centered care and co-care: evidence and practical steps with limited resources
Swedish policies require Swedish healthcare to be PCC (person-centered care), but clinicians and managers are often unclear how to achieve this in their services, especially within budget and staffing limits.
This course provides evidence of which changes can save time and money as well as make services more PCC. It considers how digital data and technologies now make possible more patient centered care at lower costs. It gives real examples of how to carry out the changes needed in different service situations.
Day 1 – November 22
• What patient centered care means to me as a patient in Sweden.
• Why we need to improve the person-centeredness of our services: the evidence and opportunities.
• PCC research and evidence.
• Why PCC, Co-care and PROMs (patient reported outcome measure) together help to address the challenges faced by Swedish healthcare.
Day 2 – November 23
• PROMs research and practical use.
• Co-care and supporting carers.
• Changes to education, practice and organization that are required.
• Implementing change and the leader’s role.
• Summary, resources and guidance for action.
KURSLEDAR
Gunnar Akner
Professor i Geriatrik, Högskolan i
Örebro
Sigridur Björnsdottir
Specialistläkare i endokrinologi, med
dr, Karolinska Universitetssjukhuset
Solna
Kerstin Brismar
Professor em, Karolinska Institutet,
specialist i endokrinologi
Kristina Linder-Ekberg
Specialistläkare i endokrinologi, Med
dr, Karolinska Universitetssjukhuset
Solna
Mathias Loberg-Haarhaus
Specialistläkare i njurmedicin,
Karolinska Universitetssjukhuset
Solna
Sigrid Lundberg
Specialistläkare i Njurmedicin,
Karolinska Universitetssjukhuset
Solna
Hans Lundin
Specialist i allmänmedicin, CeFam
David Nathansson
Specialist i endokrinologi,
Medicinkliniken Södersjukhuset
Mats Palmer
Överläkare, docent, specialist i
endokrinologi, Karolinska
Universitetssjukhuset Huddinge
Medlem av Expertrådet i
endokrinologi och diabetes SLL
Eva Toft
Överläkare, docent, Mottagningen
för endokrinologi och diabetes, Ersta
sjukhus. Ordförande i
Specialistsakkunniga i endokrinologi
och diabetologi SLL
Inga-Lena Nilsson
Överläkare, docent, specialist i
endokrinkirugi, Karolinska
Universitetssjukhuset Solna
Sergiu Catrina
Överläkare, docent, specialist i
endokrinologi, Karolinska
Universitetssjukhuset Solna
Maria Sääf
Överläkare, med dr, Medicinkliniken,
Visby lasarett, Medlem av
Expertrådet i endokrinologi och
diabetes samt Specialistsakkunniga i
endokrinologi och diabetologi, SLL
OBJECTIVES
After the course participants will be better
able to:
• Select practical changes that can
make care more person-centered as
well as save time and costs.
• Assess and choose PROMs that can
be used routinely at low cost in their
services for their patients.
• Plan and lead changes to organization
and everyday practice to enable staff
to make and assess the changes.
• Find and use resources and tools that
are relevant to their services and
critically assess and adapt the
changes so that they are effective for
specific services and patients and
close-carers.
• Contact colleagues in Sweden and
elsewhere working on similar problems
and changes.
COURSE LEADERS
John Øvretveit (Course coordinator)
Mats Brommels (Professor)
Sara Riggare (PhD student)
Christine Lind (Patient- and Stockholm
QRC Representative)
Helena Hvitfeldt Forsberg (Postdoctoral
researcher)
Carolina Wannheden (Postdoctoral
researcher)
Marie Dahlberg (MMC Co-care Project)
Benefits of the programme
• Show the evidence for the need for change and the evidence for and against the changes planned or in progress locally.
• Use tools and guidance to choose, plan and implement changes that are likely to be successful locally for improving the performance of healthcare.
• Know where to go and whom to contact to learn about details that are not published and to keep up to date with the most relevant research.
Target group
This programme is suitable for senior Swedish healthcare managers and leaders responsible for service delivery or policy at national, county, hospital and outside of hospital services.
Fee
12 900 SEK (excluding VAT) / course.
You can take one course on its own, or take all three for 10% reduction.
Please note that the discount is only vaild if you sign up for all three courses at once!
Application
Please use the online application form to register for the Healthcare Executive and Leadership Programme 2018:www.ki.se/utbildning/healthcare-leadership
If you have any questions regarding the application, please contact Ingela Näsström, [email protected]
Application deadline: 2018-03-26 (for course starting in april)2018-06-15 (for course starting in august)2018-10-21 (for course starting in november)
Early applications are given preference when participants are selected.
We encourage two or more colleagues from the same organization to take part on one or more courses because it helps after the course to plan and progress any changes with colleagues who have attended the same learning.
CONTACT INFORMATION
For information about the application
or administrative questions:
Ingela Näsström
Project coordinator
www.ki.se/epe
For questions on the course content:
Professor John Øvretveit
Programme and course coordinator
Professor Mats Brommels
MEDICAL MANAGEMENT CENTER
AT THE DEPARTMENT OF
LEARNING, INFORMATICS,
MANAGEMENT AND ETHICS
Medical Management Center (MMC)
offers academic education to health care
professionals and managers, and carry
out research to support a science based
management practice in health care. Our
vision is to address how resources in the
form of competence, knowledge, material
and other assets can best be used and
developed to improve human health
This program draws on the Medical
Management Centers research and
expertise in health service management
and organisation, our work with managers
on their practical problems, and our
extensive international collaborations in
this field.
PRACTICAL INFORMATION
Most presentations will be held in English,
but some presentations can be held in
Swedish if this is prefered by the
participants.
Sessions start at 10 AM on the first day
and end at 3 PM on the second day.
Venue:
Tomtebodavägen 18A, Karolinska
Institutet, Stockholm 17177, Sweden.
Accommodation is not included in the
course fee. Please contact us for more
information.
Executive and Professional Education at Karolinska
Institutet
Karolinska Institutet, 171 77 Stockholm
E-mail: [email protected]
www.ki.se/epe