Introduction (health management 2013)

Fakulteit Geneeskunde en Gesondheidswetenskappe Faculty of Medicine and Health Sciences

LEIERSKAP EN BESTUUR IN GESONDHEIDSORG

LEADERSHIP AND MANAGEMENT IN HEALTHCARE

2 0 1 3

Needed: Agents of change

Is it possible to develop a health care environment where

improving patient outcomes

and staff competence and empathy,

are consistently encouraged?

The aims of this module

• To enable you to better understand your potential role as a change agent so that patient outcomes are improved and health systems strengthened.

• To explore the seven roles you need to take on to be an effective change agent in the21st century, focusing on the roles of manager, leader, collaborator, communicator and professional.

• To enable you to develop better insight about how the health system works, how to tackle a problem and when to wait for the right opportunity.

Overview of the module

• Change agent for the 21st century

Theme 1

• Change agent putting patients and communities first

Theme

2

• Working as change agent in the health system

Theme

3

Tema 1 / Theme 1

Agent van verandering in 'n onsekere toekomsChange agent in an uncertain future

Agent van verandering as kommunikeerder, medewerker en beroepspersoonChange agent as communicator, collaborator and professional

1AGENT VAN

VERANDERING VIR DIE 21STE EEU

Change agent for the 21st

century

Agent van verandering as leier en bestuurderChange agent as leader and manager

Tema 1 / Theme 1

2STEL PASIËNTE EN GEMEENSKAPPE

VOOROP AS AGENT VAN VERANDERING

Change agent putting patients and

communities first

Tema 3 / Theme 3

Werk as agent van verandering in die globale en Suid-Afrikaanse gesondheidsistemeWorking as change agent in the global and South African health systems

3WERK AS

AGENT VAN VERANDERIN

G IN DIE GESONDHEID

-SISTEEM

Working as change agent in the health

system Voorkom en bestuur risiko as agent van veranderingPreventing and managing risk as change agent

Werk as agent van verandering in privaatpraktykWorking as change agent in private practice

Werk as agent van verandering deur die gemeenskap te betrekWorking as change agent by engaging the community

Werk as agent van verandering in 'n distrikhospitaalWorking as change agent in a district hospital

Developing competencies needed to successfully complete this module.

• Reflection on and discussion of ideas and concepts in the readings and the lectures with fellow students are key.

• Just to work for the class mark will not assist you to develop the competencies needed to successfully complete this module.

• To fully benefit you’ll need to be intuitive, to think out of the box, wrestle with new ideas, and be creative and bold. This may well result in discomfort or even confusion.

Venues

• All lectures will be in Main Lecture Hall of the Teaching Block.

• Group presentations will be in four different locations, which will be announced during the first week of the module.

Assessment

The class mark will be based on

• Group assignment: 45%

• Group test/exam question and memorandum: 5%

• Test (18 Jan @9h00 in TSS): 50%

Learning Management System

This module is on new Blackboard Learning Management System NOT on the old Webstudies

http://webstudies2.sun.ac.za Make sure you are loaded today.

Attendance

Both the lectures and the group presentations are compulsory. Failure to request permission of absence beforehand (from [email protected]) will lead to an unsatisfactory outcome.

Reaching Learning Outcomes

• Lectures (basic concepts, framework and overview)

• Readings (notes and blackboard)

• Group Assignments (By Wednesday16 January)

• Group Presentations (Thursday 17 January )

• Film: The Doctor (Wednesday 16 January @9h00)

• Setting exam question as group (Tuesday 15 January @9h00)

• Writing test (18 January @9h00 – 11h00 in TSS)

• Writing exam (6 May)

Group assignments 1

Class divide in 4 for presentations4-5 students per group

A B C D

Assignment 1

Assignment 2

Assignment 3

Assignment 4

Assignment 5

Assignment 6

Assignment 7

Assignment 8

Assignment 9

Assignment 10

Group assignments 2

• Follow the specific instructions assigned to your group. Take in consideration the learning outcomes related to your topic. If there are any other issues or experiences which you regard as important to facilitate deep learning, it should also be mentioned

• Each assignment has an allocated coach. Groups can contact their couch to clarify any uncertainties.

• Most of the assignments require groups to interview people. In most cases appointments with these people are already made. The persons should be followed up immediately and the appointment confirmed.

Group assignments 3

• Questionnaires and surveys: Information on how to draw up a questionnaire is available on Blackboard.

• Before the interviews students should have mastered the theory, having studied and reading more about the specific topic. Interviews should be meticulously planned and executed.

Groups and Task Teams

GROUP 1 A B C D

Ms Michelle May Anderson Coetzee Van Der Merwe Africa Dhoodhat

Dr Jan Kunene De Kock Muller Africa Mahlangu Theron

Dr Riëtte du Toit Ferreira Neethling Ameen Van Wyk Omar

Ms Marlie Enright Groenewald Van Der Walt

Van Der Merwe Roux Stober

Group assignments 4

• When a task team returns to the campus, an email of appreciation should be sent to the interviewee. Dr Snyman ([email protected]) should be copied on this email.

• When a task team returns to the campus, the members return to their original groups, where they will share the information gathered by their respective task teams.

• The group will then combine their findings and analyse it in relation to the theory and the learning outcomes.

Written Group Report 1

• Each group will compile a written report of not more than 7 pages, excluding the front page, the references and addenda (questionnaire and other material you are of opinion peers/examiners should know).

• The report should focus to integrate theory (evidence-based literature searches) with the practical data obtained from the interviews and in the process provide a clear summary in your own words of what a final year medical student should know about the topic.

• Harvard Referencing System

Written Group Report 1

• The report should be uploaded to Blackboard by 7h30 on Thursday 17 January 2013.

• Failure to do so will lead to a 5% penalty per hour. Additional resources for fellow students to study may also be uploaded to Blackboard.

• A hard copy of the report should be given to the lecturers before your presentation.

• [Please note – the portfolio is not there to impress the examiners, but to help fellow students to learn, and will thus be assessed taking that in consideration!]

Presentations 1

• Each group will present their findings to the other groups with the same letter (e.g. Group 1A will present to all the other group A’s, i.e. 2A, 3A, 4A, . . . 10A.) on Thursday 17 January.

• Each group has 30 minutes on stage.

• The group will have a maximum of 15 minutes to do their presentation. The presentations should focus on what a final year medical student should know about the topic, reflecting on the experiences and data gathered during interviews and the knowledge gained from reading.

Presentations 2

• The presentations should NOT be a lecture by PowerPoint only and all group members should participate. It should be scholarly and practical, but not theory overload which can be read.

• After the 15 minute presentation each team member should reflect for 1 minute on the core competencies he/she developed during the past two weeks and what competencies are still lacking. How do you plan to gain the required competence?

Presentations 3

• This will be followed by 10 minutes of discussion involving the larger group, which should be facilitated by a member of the group involved. These students will make sure that key points or areas of difficulty are raised. (It is not necessary to try to answer all the questions or resolve all the issues.

• Attending the all 10 presentations is compulsory.

Test / Exam questions

• Each group will submit a carefully constructed test/exam question of 10 marks, as well as a memorandum, serving as tool for other class members to assess themselves.

• The questions should be uploaded to the Discussion Board on Blackboard by Tuesday morning 15 January at 9h00.

• Failure to do so will lead to a 5% penalty per hour.

Anonymous peer evaluation of participation

• Anonymous peer evaluation form of participation (see Addendum A in study guide) for each member of your group and task team.

• This should be handed in before your group starts it presentation on Thursday 17 January.

• The average mark given to you by your other team members will determine your personal mark for the group assignment (e.g. if the lecturers give your group 70% for your portfolio; and if your group is of the opinion that you contributed 60% of your weight; then your mark for the group assignment will be 60% of 70%, i.e. 42%.

Travel claim

• Travel claim forms can be downloaded from Blackboard. Only one claim per group will be remunerated, i.e. five students should share one car.

• Claims should be submitted before 18 January to Dr Snyman (Room 6051).

Group Portfolio

• Before a group start to do their presentation a hard copy of the group portfolio should be handed in, containing:

• Cover page

• The group report

• The presentation (if a printout is not possible, then a recording on CD/DVD/online reference)

• The group’s test/exam question and memorandum

• Each group member’s completed anonymous peer evaluation forms sealed in an envelope

• The questionnaire or survey or interview framework used

• Any other resources that may be of value (optional)

If everything else fails

• Read the study guide and other instructions

• Read it again

• Discuss it with a peer

• Discuss it with your couch / Dr Snyman

USE YOUR COMMON SENSE

THINK!

Tema 1 / Theme 1

Agent van verandering in 'n onsekere toekomsChange agent in an uncertain future

Agent van verandering as kommunikeerder, medewerker en beroepspersoonChange agent as communicator, collaborator and professional

1AGENT VAN

VERANDERING VIR DIE 21STE EEU

Change agent for the 21st

century

Agent van verandering as leier en bestuurderChange agent as leader and manager