Global Health Leadership Forum

An International Program to Rethink
Health Policy and Health Systems Change

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CURRICULUM

For Barcelona 2009 Curriculum, Click Here

For Berkeley 2010 Curriculum, see below:

GLOBAL HEALTH LEADERSHIP FORUM

BERKELEY VENUE

January 10-15, 2010

SUNDAY, JANUARY 10 – Claremont Resort Hotel

41 Tunnel Road, Berkeley, California

6:00 – 8:00 pm

Reception and welcome: Claremont Resort Hotel

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MONDAY, JANUARY 11 - Claremont Resort Hotel

8:30-9:00 am Breakfast at meeting site

9:00 - 10:45 Introduction Session

Welcome and introductions

-Steve Shortell PhD, MPH, Dean, School of Public Health, University of California, Berkeley and Blue Cross of California Distinguished Professor of Health Policy and Management: Goals and objectives of the Global Health Leadership Forum (5 minutes)

-Meg A. Kellogg MS, Program Director of Global Health Leadership Forum, and Richard Scheffler, PhD, Distinguished Professor of Health Economics & Public Policy, School of Public Health and Goldman School of Public Policy, University of California, Berkeley and Director, Petris Center on Healthcare Markets and Consumer Welfare: Presentation of the San Francisco session agenda and logistics (15 minutes)

-Guillem Lopez-Casasnovas PhD, Professor of Applied Economics, Universitat Pompeu Fabra: a briefing on Part II in Barcelona July 18-23, 2010 (5 minutes)

Participant self-introductions: position, challenges faced,
expectations for California session.

10:45 – 11:00    Break

I. HEALTH SYSTEMS: ELEMENTS, CHALLENGES, AND EFFECTIVE REFORM
11:00 - 12:00 pm
Peter Berman, Lead Health Economist, Health, Nutrition and Population, The World Bank and Adjunct Professor of Population and International Health, Harvard University: Part I: The global context for reform, key elements of health care systems and design tradeoffs
12:00 - 1:15      Lunch
Includes 20 minute briefing on the US health care system, Richard Scheffler

1:30 - 2:30
Peter Berman: Part II - Trends in health systems' strengthening

2:30 - 3:15         Small group discussions
Peter Berman and Saumya Sutaria, McKinsey Global Health Practice: Discussion groups: What is the most successful example you have seen of a health care system innovation? Faculty Participants: Peter Berman, Saumya Sutaria, Richard Scheffler, Steve Shortell, and Guillem Lopez-Casasnovas, and Meg Kellogg

3:15 - 3:30 Break

3:30-4:15 Peter Berman and Saumya Sutaria: Report back from small groups
4:15-5:00 Saumya Sutaria: Improving health systems: Specific before and after examples from around the world

5:00 - 5:15
Participant learnings from the day...............kicks off with two learnings
7:15
Pre-dinner Session and Festive Welcome Dinner

7:15 – 7:45
Reception with drinks and hors d’oeuvres Group photo

7:45 - 8:30
Mark Smith ,MD MBA President, California Health Care Foundation: The scourge of rising health care costs: is technology the problem or the answer?

8:30 - 9:30
Dinner

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TUESDAY, JANUARY 12 - CLAREMONT RESORT HOTEL

8:30 - 9:00am   Breakfast (at meeting site)
HEALTH SYSTEMS CHALLENGES, continued

9:00 - 10:30
Poverty, Maternal and Infant Mortality, Human Rights: Empowering Women with Options for Change
Panel: Malcolm Potts, MB, BCHIR.PhD, FRCOG, Bixby Professor of Population and Family Planning, UC Berkeley, Simone Buitendijk MD, MPH, PhD, (GHLF Alumna); Head, Division of Child Health, TNO Institute of Applied Science; Professor of Maternal and Child Health, Leiden University Medical Center, The Netherlands
Simone Buitendijk: Introduction with emphasis on high maternal and infant mortality rates in low income countries. 10 minutes

Malcolm Potts : Population: a controversial topic that won’t go away
30 minutes

Simone Buitendijk: Promising solutions from Western countries. 10 minutes

Discussion questions for the group and panelists:

What are participants’ lower, middle and high income countries doing re: high mortality rates, rapid population growth and women’s reproductive rights?

In your opinion, what are the appropriate and inappropriate roles for the government in relation to slowing population growth and individual decisions about reproductive health?

What factors influence the number of children women have? Under what circumstances do women have fewer children?

10:30 – 11:00         Break

II. WHAT ARE THE BEST AND INNOVATIVE APPROACHES FOR ACHIEVING QUALITY, INTEGRATION AND COST-EFFECTIVENESS?

Panel members: Steve Shortell, Hal Luft, Arnie Milstein

11:00 – 12:00 pm Steve Shortell: Introduction to the panel and the flow of topics

Steve Shortell: Improving the quality and integration of care
-Increase awareness and knowledge of healthcare quality problems around the world
-Identify strategies and solutions for improvement
-Examine the evidence-base for what works for quality and integration
-Learn about better practices and lessons for more rapid dissemination and implementation

12:00 - 1:00 Lunch discussion rountables:

Malcolm Potts and Simone Buitendijk, The Netherlands: Maternal and child health challenges and innovations

Peter Berman: Specific applications to developing countries

McKinsey: Decreasing costs while maintaining productivity

Steve Shortell Guillem Lopez-Casasnovas: Chronic care, multiple diagnoses and long term care experimentation

Arnie Milstein and Hal Luft: general discussion, as desired by participants.

1:00 - 1:15 Break

1:15 – 2:00

Arnie Milstein, MD, MPH, Medical Director California Business Group on Health and Health Care Thought Leader, Mercer Benefits: US care innovations to lower the cost of high quality care for chronic illness.

2:00 - 2:30 Participant project: Paula Franklin: Chronic Care Management

2:30 - 3:15

Hal Luft PhD, Director, Palo Alto Medical Foundation Research Institute and Professor Emeritus of Health Policy and Health Economics, Institute for Health Policy Studies, UCSF: Improving Incentives and Information for Quality and Efficiency

Instructions for small group case study

3:15 - 3:30 Break

3:30 - 4:30

Small group case study. Faculty who will be part of groups: Arnie Milstein, Hal Luft, Steve Shortell, McKinsey, Guillem Lopez-Casasnovas, and Meg Kellogg

4:30 - 5:15 Full group discussion and wrap up

EVENING FREE

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WEDNESDAY, JANUARY 13 - KAISER PERMANENTE AND UNIVERSITY OF CALIFORNIA, BERKELEY

8:00 am Bus leaves in front of Claremont Resort Hotel. Breakfast will be served at Kaiser Permanente

III. FIELD TRIP TO KAISER PERMANENTE

Kaiser Permanente, Large Multipurpose Room, 22nd Floor, One Kaiser Plaza, Oakland

8:30 - 9:00 Breakfast

9:00 - 10:00

Molly Porter, Director of Training, Kaiser Permanente International: Kaiser Permanente overview: An integrated health care system

10:00 - 11:00

Andy Wiesenthal, MD, Associate Executive Director, The Permanente Federation: Heath information technology at Kaiser Permanente and trends around the world

11:00 - 12:00 pm

Paul Wallace, MD, Care Management Innovations at Kaiser Permanente

12:00 - 1:00

Luncheon discussion with George Halvorson, Chairman and Chief Executive Officer, Kaiser Foundation Health Plan/Hospitals: Reforming health care delivery

1:15 Board bus to UC Berkeley campus

1:30 - 2:30 UC Berkeley Campus Stroll and souvenir shopping or free time

2:30 - 5:45 Men’s Faculty Club, UC Berkeley

IV. WORKSHOP ON EVIDENCE-BASED MANAGEMENT OF HEALTH POLICIES & PROGRAMS

Tom Rundall and Teh-Wei Hu

2:30 - 3:15

Tom Rundall PhD, Henry J. Kaiser Professor of Organized Health Systems, School of Public Health, University of California, Berkeley: Evidence-based management: concepts, steps and examples

3:15 – 4:00

Teh-Wei Hu PhD, Professor Emeritus, School of Public Health, University of California, Berkeley: Evidence-based decisions on copayments in Hong Kong

4:00 - 4:15 Break

4:15 – 4:45 Recent evidence-based reforms in mainland China

4:45 – 5:30

Group discussion re: evidence-based changes in participants' organizations/countries. Discussion with participants led by Tei Weh and Tom

5:45 – 6:15 Reception in the Howard Room, Men’s Faculty Club

6:15 Dinner in the Howard Room

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THURSDAY, JANUARY 14 - CLAREMONT RESORT HOTEL

8:30 - 9:00 am Breakfast

V. LEADERSHIP WORKSHOP

9:00 - 10:30 & 10:45 - 12:30 PM

Jenny Chatman PhD, Paul J. Cortese Distinguished Professor of Management, Haas School of Business

12:30 - 1:30
Lunch discussion roundtables:

Jenny Chatman: Leadership issues
Xochitl Castaneda, Director, Health Initiatives of the Americas, School of Public Health, UC Berkeley and GHLF alumnus Gil Ojeda: Issues in immigration health
Don Kemper, CEO of Healthwise: Taking advantage of consumerism trends
Scheffler and Spetz: human resources in health
Alex Preker: Applications of learnings to date in developing countries

VI. THE DELIVERY PEOPLE: CONSUMERS AND PROVIDERS

1:45 - 2:45
CONSUMERS

Donald Kemper,Chairman and CEO, Healthwise, (ghlf alumnus): The Ix Solution: prescribing decision tools and self-management information to patients.

2:45 - 3:00 Break

3:00 - 5:00
THE SUPPLY SIDE: WORK FORCE SHORTAGES AND STRATEGIES

Panelists: Richard Scheffler, Joanne Spetz, Associate Adjunct Professor, Community Health Systems, University of California, San Francisco and moderator, Alex Preker, World Bank.

3:00 - 3:10

Alex Preker: Moderator introduction

3:10 - 3:40

Richard Scheffler: How to interpret your market’s signals & predict tomorrow’s supply of doctors

3:40 - 4:10

Joanne Spetz: Mixing it up: How much do non-physician health & professionals meet health care needs?

4:10 - 5:00

Panel and Group Discussion questions

1. What factors are impacting the adequacy of the supply of health professionals in your country or company’s delivery system? Is your country producing enough and what are the migration patterns? What solutions would you suggest?

2. What substitutions, role modifications, licensing changes are working in your situation?

3. Technical suggestions for extending into rural areas (Julia Walsh kicks off-5 minutes). What are your suggestions and how are they working?

5:00- 5:15 Participant learnings. ……………kicks off with 2 learnings

EVENING FREE

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FRIDAY, JANUARY 15 - CLAREMONT RESORT HOTEL

8:30 - 9:00 am Breakfast

VII. PUBLIC, PRIVATE AND THE ROAD AHEAD

9:00 - 11:45
THE ROLES OF PUBLIC AND PRIVATE SECTORS IN HEALTH CARE

Richard Scheffler: Moderator

INSURANCE

9:00-10:00

Neelam Sekhri Feachem MHA, Chief Executive Officer, The Healthcare Redesign Group: The latest on roles of public and private health insurance in developed and developing countries

10:00-10:45 Alex Preker, The World Bank: Lessons from Obamacare and more

10:45-11:45 Discussion with Panel and Participants:

1. Pros, cons and perils of public roles in insurance

2. Pros and cons and perils of private roles for given purposes.

3. What successful examples do you have to share: how were they structured and what were the keys to success?

12:00 - 1:30 pm Lunch Participant project discussion tables

1:30- 2: 30
PUBLIC PRIVATE PARTNERSHIPS: CURRENT PUBLIC-PRIVATE INNOVATIONS BEYOND INSURANCE

Neelam Sekhri, Alex Preker and Sir Richard Feachem, UCSF and Founding Executive Director, the Global Fund on AIDS, Malaria and Tuberculosis:

Examples and group discussion

2:30-2:45 Break

FUTURE CHALLENGES

2:45- 4:00

Sir Richard Feachem, KBE, CBE, BSc, PhD, DSc (Med), FREng., HonFFPHM, HonDEng Professor of International Health, UCSF, Founding Executive Director of the Institute for Global Health, UCSF and UCB, and First Executive Director, Global Fund to Fight AIDS, Tuberculosis and Malaria: Global Health: Big Issues in the 21st Century

VIII. IMPLEMENTATION

4:00-5:00

Jim Rice PhD, Senior Vice-President, Integrated Healthcare Strategies: Maximizing success from the GHLF: selecting applicable lessons and strategies for implementation

IX. FEEDBACK

5:00- 5:30

Feedback session including suggested topics for Barcelona

7:00

Bus leaves from the Claremont to go to Dinner

7:15-9:30

Reception and Gala Dinner (Bus will leave & transport participants back to the Claremont at the conclusion of dinner) Note: Earned certificates will be awarded tonight for those completing both their second part of GHLF