MANAGING INTEGRATED HEALTHCARE SYSTEMS: WHAT CAN … · Ejecutivos de organizaciones prestadoras de...

V SEMINARIO PARA LIDERES LATINOAMERICANOS DE SALUD Reino Unido

MANAGING INTEGRATED HEALTHCARE SYSTEMS: WHAT CAN WE LEARN? Traducción al castellano Harris Manchester College University of Oxford 24-28 de Julio de 2019

Con mas de 70 años de existencia, el Servicio Nacional de Salud del Reino Unido (NHS) ha logrado una posición icónica para los ciudadanos y es reconocido por los académicos que comparan los sistemas de salud a nivel global. Desde lejos puede parecer que el servicio ha permanecido esencialmente sin cambios desde su nacimiento en 1948, pero esa idea esta lejos de la verdad. Lo que ha permanecido es la esencia del Sistema, que está financiado por impuestos nacionales y ofrece cobertura universal, que en la mayoria de los casos se brinda en el lugar de la atención sanitaria. Pero Gobiernos sucesivos han realizado cambios en la estructura, en los modelos de incentivos y en la regulación del Sistema, buscando mejores resultados.Ese proceso continúa dentro del NHS que enfrenta varios desafíos en 2019 y hacia el futuro. Estos desafíos pueden ser familiares para ustedes en sus propios países o servicios. El foco de este programa es brindar una oportunidad para discutir esos desafíos, escuchar a personas que trabajan en diferentes niveles del NHS contando como enfrentan esos problemas, y compartir expectativas para el futuro según el rol que cada uno desempeña y, siempre que sea posible, hacer un aporte positivo. Ejemplos de los desafíos que vamos a discutir incluyen,

• ¿Cómo gestionamos el aumento de los costos manteniendo, y mejorando en lo posible, la calidad de los servicios y la seguridad del paciente?

• ¿Cómo balanceamos nuestros esfuerzos entre la prevención y el tratamiento?

• ¿Cómo construímos el Sistema sobre la excelencia de nuestra Atención Primaria, si estos servicios, como muchos otros, enfrentan una crisis de recursos humanos? ¿Qué estrategias podemos usar para desarrollar el talento humano que exigirá el futuro de los servicios?

• ¿Qué rol debería tener el Sector Privado en nuestro Servicio Nacional de Salud? ¿Cómo mejoramos los servicios para los Adultos Mayores y Salud Mental?

PRESENTACION DEL PROGRAMA

¿Cuáles son las oportunidades que surgen de la innovación y cómo podemos aprovecharlas? ¿Cómo puede transformar los servicios la Salud Digital y cuáles son los obstáculos que necesitamos superar para que esto suceda?

Nuestro Programa ha sido diseñado para considerar todas estas cuestiones. Usted podrá conocer e interactuar con docentes que están dispuestos a compartir sus visiones y sus experiencias. Todos han trabajado en servicios opertativos, pero también han realizado una contribución a nivel nacional, por lo tanto, las sesiones se nutren de una profunda experiencia sanitaria. Además, hay una gran oportunidad de compartir sus conocimientos y experiencias con los compañeros del curso. Hay mucho tiempo para hacerlo durante las sesiones formales. Pero un rasgo distintivo de este Programa es la “Mesa Redonda” donde los participantes que quieren mostrar sus experiencias pueden hacerlo, culminando en una sesión donde los mejores trabajos serán presentados y premiados. Adoptamos la filosofía de “todos enseñamos, y todos aprendemos”. Muchos de los profesores, que les hablarán sobre los servicios de salud en el Reino Unido, vuelven año tras año para formar parte de este evento, porque encuentran muy estimulante el compromiso con los colegas de América Latina y un ambiente de aprendizaje continuo.

FORTALEZAS DEL PROGRAMA

Quienes deben asistir Decisores politicos que diseñan el futuro de la atención

sanitaria y las políticas de salud. Líderes de hoy y del mañana que trabajan en seguros de

salud, quienes necesitan comprender y anticipar las tendencias macro de la atención sanitaria para posicionar a sus organizaciones en una estrategia a largo plazo.

Ejecutivos de organizaciones prestadoras de salud que desean implementar cambios en procesos complejos.

Gerentes de compañías farmaceúticas o tecnológicas interesados en comprender el desarrollo presente y futuro de los sistemas integrados de salud.

Representantes de ONGs comprometidas en el futuro de la gestion sanitaria de sus propios países o de la Región.

Docentes o directivos universitarios que desean colaborar en la solución de la crisis de recursos humanos que enfremos globalmente.

Fortalezas del Programa Comprender las metas a largo plazo, los principios en

que se basa el NHS y cómo se ha transformado a lo largo de los años, respondiento efectivamente a los nuevos desafíos y demandas.

Explorar temas claves de la actualidad y del futuro que impactan los sistemas integrados de salud, y cómo hacemos en el NHS para solucionar estos problemas.

Reconocer tendencias, oportunidades, y desafíos en las prestaciones de salud que brindamos en el Reino Unido, y cómo podrían ser relevantes en vuestros propios países y organizaciones.

Aprender de casos reales, presentados tanto por los

docentes como los participantes, e identificar acciones concretas y resultados, que pueden ayudar a mejorar vuestras organizaciones.

Discutir los desafíos estratégicos que enfrentan vuestras

organizaciones, en especial la crisis de los RRHH, y compartir vuestras experiencias y conocimientos con los docentes y vuestros colegas internacionales.

PROGRAMA

DAY 2 Jueves 25 de Julio de 2019

08:00 – 09:00 Desayuno-Arlosh Hall, Harris Manchester College 09:00 – 10:15 Los Desafíos del NHS en 2019 – Prof. Bernard

Crump 10:15 – 10:30 Coffee Break 10:30 – 12:00 Pluralidad de Prestadores: El Rol del Sector

Privado en el Sistema de Salud del Reino Unido– Dr. Andrew Vallance Owen

12:00 – 13:00 Lunch - Arlosh Hall, Harris Manchester College 13:00 – 15:00 Caminata Guiada por los Colegios de Oxford 15:00 – 15:30 Afternoon Tea 15:30 – 17:00 Nuevos Servicios de Salud Mental en el Reino

Unido – Dr. Alvaro Barrerra Parraguez, Oxford Health Foundation Trust

17:00 – 18:15 Presentación de Posters – Part 1 19:00 – 20:00 Cena - Arlosh Hall, Harris Manchester College 20:30 – 22:00 Oxford by Night Walk (optional)

DAY 1 Miércoles 24 de Julio de 2019

14:00 – 16:00 Check in - Harris Manchester College

16:00 – 17:30 Introducción al NHS – Prof. Bernard Crump

18:00 – 18:30 Brindis de Bienvenida – Arlosh Quad, Harris Manchester College

18:30 – 19:00 Visita Guiada a Harris Manchester College

19:00 – 20:30 Cena de Bienvenida - Arlosh Hall, Harris Manchester College

This agenda is subject to change

DAY 4 Sábado 27 de Julio de 2019

08:00 – 09:00 Desayuno - Arlosh Hall, Harris Manchester College

09:00 – 09:30 Reflexiones sobre Día 3 – Prof. Bernard Crump y participantes

09:30 – 10:30 Gestionando la Innovación en el Reino Unido – Prof. Bernard Crump

10:30 – 11:00 Coffee Break 11:00 – 12:00 Atención Primaria: La Joya de la Corona

Atención Primaria de Cáncer en UK– Dr. Veronica Wilkie

12:00 – 13:00 Lunch - Arlosh Hall, Harris Manchester College

13:30 – 14:30 Reduciendo la Presión sobre los RRHH. Nuevos Roles y Mayor Complejidad de Tareas – Dr. Veronica Wilkie

14:30 – 15:00 Coffee Break

15:00 – 17:00 Mesa Redonda Final: Presentación de Casos Latinoamericanos

18:00 – 19:00 Ceremonia de Entrega de Certificados & Premios, Cierre del Programa- The Chapel, Harris Manchester College

19:00 – 20:30 Cena Final – Arlosh Hall, Harris Manchester College

DAY 3 Viernes 26 de Julio de 2019

08:00 – 09:00 Desayuno - Arlosh Hall, Harris Manchester College 09:00 – 10:00 Reflexiones sobre Día 2 – Prof. Bernard Crump y

participantes 10:00 – 10:30 Coffee Break 10:30 – 12:00 Diez Estrategias para Solucionar la Crisis de los

Recursos Humanos en Salud. Estudio de casos. Dr. Charlotte Refsum

12:00 – 13:00 Lunch - Arlosh Hall, Harris Manchester College 13:00 – 15:00 El Cuidado de los Adultos Mayores - Prof. Ian

Philp, Stirling University. Ex Director del Instituto Nacional para los Adultos Mayores en el Reino Unido

15:00 – 15:30 Coffee Break 15:30 – 17:00 Medicina y Salud Digital Soluciones en el Reino

Unido – Prof. Dr. Tom Hughes 17:00 – 17:45 Presentación de Posters – Part 2 18:00 – 19:00 Evensong at Christ Church Cathedral (optional)

PROGRAMA

DAY 5 Domingo 28 de Julio de 2019

08:00 – 09:00 Desayuno de Despedida - Arlosh Hall, Harris Manchester College

09:00 – 10:00 Check out. Posibilidad de guardar el equipaje en Harris Manchester College hasta las 13 horas

PROGRAMA

Los Directores se reservan el derecho de modificar este programa por razones de fuerza mayor

Dr. Bernard Crump Professor of Practice in Healthcare and Leadership, University of Warwick El Prof Bernard Crump estudió Medicina en la Universidad de Birmingham, obteniendo la graduación en 1980. Después de siete años de práctica clínica e investigación, retornó a los West Midlands para realizar un posgrado en Salud Pública. Durante una década fue Director de Salud Pública en South Birmingham y en Leicestershire, donde también se desempeñó como Deputy Chief Executive. En 2002 fue nombrado CEO de la Autoridad Sanitaria Estratégica de Shropshire y Staffordshire, un puesto que ocupó hasta ser designado como el primer CEO del Instituto para la Innovación y la Mejora Continua del NHS; en Julio del 2005. Este Instituto ha desarrollado una amplia gama de programas que sustentan la mejora de calidad para los servicios del NHS, como Productive Ward y Productive Series, No Delays Achiever y comisionados. Ha publicado trabajos y brindado conferencias sobre una amplia gama de temas vinculados a la Atención de Salud, incluyendo aspectos sobre salud pública, el rol de los clínicos en la gestion administrativa , la mejora de calidad, el uso de medidas estadisticas para alentar la mejora continua y la aplicación de Economía de la Salud para la toma de decisiones. Actualmente es Profesor de Liderazgo Médico en Warwick Medical School y dirige los Seminarios para Líderes Latino Americanos de Salud en Oxford.

PROGRAMME DIRECTOR

Over the seventy years of its existence, the UK National Health service hasachieved iconic status from UK nationals and recognition from academicswho compare health care systems globally. From afar it may appear that theservice has remained essentially unchanged since its birth in 1948, but thatwould be far from the truth. What has endured is the essence of a systemwhich is funded from central taxation, offers universal coverage and, in mostcases, is free at the point of use. But successive Governments haveexperimented with the structure and with the incentives and regulationwithin the system as they seek improved performance. That processcontinues as the NHS faces major challenges in 2019 and beyond. Thesechallenges may be familiar to you from your own country or service.

At the heart of this programme is an opportunity to discuss these challenges,to hear from people working across the NHS about how the challenges arebeing confronted, and to share perspectives for the future as we each playour role, wherever we may make our contribution.

Examples of the challenges we will discuss include,• How to manage the rising costs of healthcare whilst at least

maintaining, and hopefully improving the quality and safety ofservices?

• How do we balance our efforts between prevention and cure?• How do we build on the excellence of our Primary Care services as

they, like many of our services, face a workforce crisis?• What role should the private sector play in our health services?• How do we insure improved services for Older people and for Mental

Health service users?

5th UK SEMINAR FOR LATIN AMERICAN HEALTHCARE LEADERS

MANAGING INTEGRATED HEALTHCARE SYSTEMS: WHAT CAN WE LEARN?Harris Manchester College, University of Oxford24-28 July 2019

PROGRAMME OVERVIEW

• What are the opportunities arising from innovation, and how canthese be exploited?

• How can Digital Health transform services and what are the obstaclesthat need to be overcome for this to happen?

Our programme has been designed to consider all of these questions. Youwill meet and engage with a faculty that can share their views and theirexperiences. They have worked at the frontline of services, but all of themhave also made a national contribution and the sessions they will lead benefitfrom this broad experience.

In addition, there is the enormous opportunity to tap into the knowledge andexperience of fellow course participants. There will be ample time to do thisduring the formal sessions. But a feature of this programme is the“Roundtable”. Here those participants who wish to showcase their ownexperiences are able to do so, culminating in a session where selectedparticipants present on their work to the group as a whole.

We adopt a philosophy of “all teach, and all learn”. Many of those who willspeak to you about services in the UK return year after year to take part inthis event because they find the engagement with colleagues from LatinAmerica so stimulating and the atmosphere is so conducive to learning.

Dr. Bernard CrumpProfessor of Practice in Healthcare and Leadership, University of Warwick

Prof Bernard Crump studied medicine at the University of Birmingham, qualifying in 1980. After seven years in clinical practice and clinical research, he returned to the West Midlands to postgraduate training in public health medicine.

He spent a decade as Director of Public Health in South Birmingham, and in Leicestershire, where he was also Deputy Chief Executive. In 2002 he became CEO of Shropshire and Staffordshire Strategic Health Authority, a post which he occupied until being appointed the first CEO of the NHS Institute for Innovation and Improvement in July 2005. The NHS Institute has developed a wide range of programmes that are supporting the improvement of the NHS, the Productive Ward and the Productive Series, the No Delays Achiever and commissioners.

He has written and lectured on a wide range of topics in healthcare, including aspects of population health, the role of clinicians in management, health and healthcare improvement, the use of metrics in encouraging improvement and the use of health economics in decision-making. He is currently a Professorial Teaching Fellow in Medical Leadership at Warwick Medical School.

PROGRAMME DIRECTOR

Dr Andrew Vallance-Owen

Dr Andrew Vallance-Owen graduated from the Birmingham Medical School in 1976 and was Chair of the Guild Trustee Board 2011-2013. A trained surgeon, he then joined the staff of the British Medical Association -he was Scottish Secretary and then became Head of Policy and a spokesman for both the BMA and the medical profession.

Dr Vallance-Owen has recently retired from BUPA, where he was accountable for the safety and quality of care of BUPA’s 11 million customers. At BUPA he maintained an external profile; he is a keen advocate of improved doctor-patient communications, measurement of clinical performance and shared decision making.

Dr Vallance-Owen now has a number of non-executive roles in education and in both NHS and private healthcare. He has also been promoting UK healthcare plc in developing markets overseas through his involvement in Healthcare UK based at UK Trade and Industry in Whitehall.

Dr Alvaro Barrera Parraguez, FRCPsych, MSc, PhD

Dr Alvaro Barrera Parraguez is a consultant psychiatrist at Oxford Health NHS Foundation Trust, honorary senior clinical lecturer at Oxford University, and a Fellow of the Royal College of Psychiatrists.

He completed his PhD at Cambridge and joined the neuropsychiatry rotation at Addenbrooke’s Hospital.

His research focuses on transforming inpatient mental health care using novel digital and organizational approaches. He is working on introducing optical sensors in acute psychiatric wards to improve care, as well as with the fellows from the Oxford Department of Biomedical Engineering, on digital solutions for clinical needs.

He was the PI of the first pilot RCT of CBT for insomnia on an acute inpatient unit and is editing a textbook on inpatient mental health care with Oxford University Press .

SPEAKERS

Professor Ian Philp, MB ChB, MD, FRCP, FFPH (HON)

Dr Ian Philp is Professor of Global Ageing Studies at the University of Stirling. Medical Director NHS in Warwick, Hull and Birmingham. He was professor of Health Care of Older People and Consultant in Geriatric Medicine at the University of Sheffield, and National Director of Older People in England between 2000-2008.

Presenter and developer of programmes on ageing: 100yrs Younger in 21 Days (ITV), Only the Lonely (ITV),-How to Live Longer (BBC), Are You Younger Than You Think (BBC)

Founder of the EasyCare Academy, a global social enterprise for digital learning, assessment and personalised care of older people.

Dr Philp has been granted numerous awards: CBE; Queen's Birthday Honours, 2010; Team leader, Queen's Award for Higher Education, 2000; Team leader, Hospital Team of the Year, Older People, 1998.

Dr Veronica Wilkie

Dr Veronica Wilkie is a General Practitioner (GP) in a training practice in Droitwich, Worcestershire, and a Senior Clinical Teaching Fellow at the Institute of Clinical Leadership at Warwick University Medical School.

She has a master’s degree in Evidence-based Medicine and was a GP trainer, course organiser and postgraduate tutor, before starting her current post at Warwick University.

She is currently working with the NHS Institute on evaluating the implementation of the Medical Leadership Competency Framework, and she teaches and facilitates courses on medical leadership and evidence-based practice (EBP). She is the Curriculum Guardian for the EBP statement for the Royal College of General Practitioners (RCGP) curriculum. (March 2008).

SPEAKERS

Dr Tom Hughes, Emergency Physician, Oxford

Dr Hughes is an Emergency Care Physician who trained in Australia and the UK. He practises at the Oxford University Hospitals NHS Trust.

As well as delivering Emergency care, Dr Hughes has a major interest in healthcare informatics. He holds a national role as the Clinical Lead for the Emergency Care Dataset. This project involves the agreement of a common suite of clinical data that will be collected in all of the 220 Emergency Departments in hospitals across England.

He has also developed a number of Healthcare related Apps.

Dr Charlotte Refsum

Dr Refsum was part of the National Medical Director’s Clinical Fellowship Scheme, a national scheme in which talented doctors in their early career are seconded to work directly with the leaders of national organisations, including private sector organisations.

During this time she worked with Mark Britnell, Global Chairman and Senior Partner for Health for KPMG. She was a key part of the team working with Mark in the production of his book “Human: Solving the Global Workforce Crisis in Healthcare”, which was published in Spring 2019, and which will be the subject of her session.

SPEAKERS

PROGRAMMEDAY 1 – JUL 24

14:00 – 16:00 Check in - Harris Manchester College

16:00 – 17:30 Introduction to the NHS – Dr. Bernard Crump

Dr Crump will offer an overview of the National Health Service in England. He has provided a short background document which will be available to participants as pre-reading. This document charts the history of the NHS. In this session he will focus on recent developments.

18:00 – 18:30 Welcome Drinks – Arlosh Quad, Harris Manchester College

18:30 – 19:00 Guided Tour of Harris Manchester College

19:00 – 20:30 Welcome Dinner - Arlosh Hall, Harris Manchester College


08:00 – 09:00 Breakfast - Arlosh Hall, Harris Manchester College

09:00 – 10:15 The Challenges Facing the NHS – Dr. Bernard Crump, Warwick University

Dr Crump will identify the major challenges facing the NHS in 2019. Many of these are common to other countries. During the course of the seminar, each of these challenges will be discussed and solutions evaluated.


10:30 – 12:00 Plurality of Provision: The Role of the Private Sector in UK Health Care – Dr. Andrew Vallance Owen

The NHS is often seen as an archetypal, publicly owned, health care system. In reality private organisations have always played a role, both in the NHS, and in the provision of healthcare in the UK. Dr Vallance Owen will outline this relationship.


13:00 – 15:00 Oxford Colleges Guided Walk (optional)


15:30 – 17:00 Mental Health Developments in the UK – Dr. Alvaro Barrerra Parraguez, Oxford Health Foundation Trust

There is “no health without mental health” as we say in the UK. Dr Parraguez is a consultant psychiatrist, working in Oxford, who will share his expert knowledge of mental health provision in the UK,.

17:00 – 18:15 Poster Session – Part 1

In preparation for the Roundtable session on Day 4, a number of participants will present posters on their own work. From these a selection will be chosen for presentation to the group in plenary session on Saturday, Day 4

19:00 – 20:00 Dinner - Arlosh Hall, Harris Manchester College

20:30 – 22:00 Oxford by Night Walk (optional)



09:00 – 10:00 Reflections on Day 2 – Dr. Bernard Crump, Warwick University


10:30 – 12:00 Solving the Global Health Workforce Crisis- Dr Charlotte Refsum

Drawing on the book “Human” by Mark Britnell, Dr Refsum, who is part of the team who researched the background for the publication, will explore the findings, and introduce ten pointers that will contribute to its solution..


13:00 – 15:00 The Care of Older People - Prof. Ian Philp, Stirling University

Prof Philp, who is an international expert on the care of older people, will discuss developments in the context of the ageing society which is a blessing, but which can bring challenges to care delivery.


15:30 – 17:00 Digital Health in the UK. Dr Tom Hughes

Developments in Digital Health are seen as of central importance to the future. However, the UK has a mixed record of putting in place the systems, standards and technology to make a digital health future a reality. Dr Hughes will share his perspectives.

17:00 – 17:45 Poster Session – Part 2

In preparation for the Roundtable session on Day 4, a second group of participants will present posters on their own work. From these a selection will be chosen for presentation to the group in plenary session on Saturday, Day 4

18:00 – 19:00 Evensong at Christ Church Cathedral (optional)

20:30 – 22:00 Oxford by Night Walk (optional)



09:00 – 09:30 Reflections on Day 3 – Dr. Bernard Crump, Warwick University

09:30 – 10:30 Handling Innovation in the UK – Dr. Bernard Crump

The UK has a proud record of invention and discovery of healthcare innovations, but a more mixed experience of implementation, adoption and spread. Dr Crump will explore the factors that can influence healthcare innovation.


11:00 – 12:00 Primary Care: The Jewel in the Crown. Cancer Care in the UK– Dr. Veronica Wilkie, Worcester University

For many, the most important and distinctive feature of the NHS is the quality of the Primary Care system. But population growth, greater anticipatory care, and workforce challenges, see UK Primary Care in 2019 on the brink of major change. Prof Wilkie will help us to understand these changes.


13:30 – 14:30 Easing the Pressure: New and Extended Primary Care Roles -- Dr. Veronica Wilkie

As part of the response to pressures faced in Primary Care Dr Wilkie will discuss the introduction of new and additional roles into the Primary Care team.


15:00 – 17:00 The Latin American Roundtable

In this session selected participants will present their work to their colleagues and to a panel, comprising Dr Crump, Dr Wilkie and Dr. Alvaro Arceo Ortiz. There will be a small prize for the presentation judged by the panel to be of greatest quality.

1800 -- 1900 Presentation of certificates & prizes, programme closing -The Chapel, Harris Manchester College

19:00 – 20:30 Formal Dinner – Arlosh Hall, Harris Manchester College



09:00 – 10:00 Check out. Luggage storage at Harris Manchester College available until 13:00

MANAGING INTEGRATED HEALTHCARE SYSTEMS: WHAT CAN … · Ejecutivos de organizaciones prestadoras de...

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