Title: Quality Management in International Health
Keywords: Quality (incl. accessibility)
Health systems
Health facilities (hospitals)
Country: Germany
Institution: Germany - Institute of Public Health, University of Heidelberg
Course coordinator: Sylvia Sax
Date start: 2019-06-10
Date end: 2019-06-21
About duration and dates: 2 weeks on-site 4 days preparation
Classification: advanced optional
Mode of delivery: Face to face
Course location:
Institute of Public Health
Im Neuenheimer Feld 365, Room 007
D-69120 Heidelberg, Germany
ECTS credit points: 4.5 ECTS credits
SIT:
135 SIT (50 hours self-study + 85 hours contact time)
Language: English
Description:
By the end of the module the participants should be able to:
• Appraise recent developments and challenges in assuring healthcare quality in low and middle income countries.
• Critically analyze international healthcare quality management and patient safety mechanisms and their global transferability.
• Differentiate roles of stakeholders in managing healthcare quality improvement initiatives and activities both locally and globally.
• Design a framework for strengthening healthcare quality in their country or region using key quality improvement principles and mechanisms.
• Apply personal and team skills to lead the use of quality management tools and mechanisms in their setting.
Assessment Procedures:
Participants’ achievement of the learning objectives will be assessed at the end of the course on:
• 65%: 2 hours closed book examination using multiple choice questions, short answer questions and one 2-page essay question
• 35%: 20 min group presentation on health facility evaluation exercise

If the student fails to reach the passing grade of 60% (average from both assessments), s/he will required to do an individual written assignment (2000 words essay on a healthcare quality management topic negotiated between the student and the coordinator) to be submitted not later than 2 weeks after receiving coordinator’s comments.
Content:
• Major steps and trends in the healthcare quality and patient safety movements
• Quality management and patient safety principles, mechanisms and tools and their contextual relevance
• Leadership and managing healthcare quality including ethical and cultural aspects
• Leading teams to use quality management tools
• Healthcare quality evaluation mechanisms in low and middle income contexts
• Quality management case study set in a middle-income country and assessment tool to critically evaluate quality
• Skills development in healthcare quality evaluation
• Guided exercise and field trip to critically analyze quality management mechanisms in German healthcare facilities
• Implementing healthcare quality management mechanisms and tools in low and middle income countries
• Designing and sustaining a healthcare quality management framework in a low or middle income country or regional context.
• Internet resources, publications and grey literature for healthcare quality management
Methods:
A total of 45 SIT hours individual self-study time need to be invested prior to the contact time in Heidelberg. All information and materials will be made available 3 weeks before course start. Pre-course work includes
• Individual exercise including readings and analysis of Nanda Devi Case Study and completion of quality assessment tool (32 hrs)
• pre-course completion of healthcare quality management history exercise based on key readings (13 hrs)

This course fosters a participatory learning environment combining interactive lectures (35%), case studies, facilitated individual and group work and presentations (45%), role play, debates and discussions (10%) and a field visit to a health-care facility (10%). Course participants are expected to attend teaching sessions full-time and participate actively in discussions and group assignments.
Prerequisites:
English TOEFL: Computer based >237; Paper based >580; Internet based >90; IELTS > 6.5. (Or as requested at respective English taught home institute = tropEd enrolment sufficient);
Attendance:
Maximum number of students (including tropEd students): 25
Selection:
first come, first serve
Fees: 1000 EUR (for tropEd students, others have to pay EUR 1.500)
Scholarships: None
Major changes since initial accreditation:
Changes to participatory mechanisms in Case Study and assessment tool with decrease in student group power-point presentations and more interactive discussions based on small group and individual soft-board presentations. Increased use of online instructional videos and other media. Minor adjustments to the objectives and overall contents based on recent changes in the quality management and safety scientific literature and recommendations of participants.
Student evaluation:
The course has again received excellent reviews, consistent throughout the past 15 years. Participants appreciate the participatory approach and training using real-life examples. Increased time for completing the case study prior to the course has proven successful, with students generally being well prepared before the course.
Lessons learned:
The case study is an excellent learning tool. Participants learn a lot through practical exercises but these require detailed design with close mentoring throughout. The field trip to the German hospitals is also an excellent learning tool and through it requires significant resources and time it deepens the learning and enables the participants to immediately apply what they have learned including lessons in cultural and ethical aspects of quality.
tropEd accreditation:
Accredited in Bordeaux, January 2002 with 4 ECTS credit points, previous accreditation in London 2000 with 3 ECTS credit points. Re-accredited in May 2008 , September 2012 and April 2018. This accreditation is valid until April 2023.
Email Address: grys@uni-heidelberg.de
Date Of Record Creation: 2012-01-09 20:44:56 (W3C-DTF)
Date Of Record Release: 2012-01-10 03:49:58 (W3C-DTF)
Date Record Checked: 2018-06-10 (W3C-DTF)
Date Last Modified: 2018-06-10 14:03:33 (W3C-DTF)

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