202817 Do as I do: Teaching evidence-based management in Ukraine

Tuesday, November 10, 2009

Marc D. Mitchell, MD, MS , Harvard University School of Public Health, Boston, MA
Rachel Criswell , Together for Health project, John Snow, Inc., Wellesley, MA
Laurentiu Mihail Stan, MD, MPH , Together for Health project, JSI Research and Training Institute, Kyiv, Ukraine
The Ministry of Health (MOH) of Ukraine is moving towards decentralization of health services management. This requires strategies oriented towards prevention, and shifting of health managers' attitude from passive receivers of central orders to active managers finding innovative solutions. To support MOH, within USAID-funded Together for Health project, the JSI Research and Training Institute (JSI), in conjunction with the Harvard School of Public Health (HSPH) and the National Medical Academy for Post-Graduate Education (NMAPE) in Kyiv, developed a health management training curriculum using the HSPH case-based learning technique, which is new to Ukraine. Key to the curriculum's success was the use of real Ukrainian examples of successful health managers negotiating positive change in a bureaucratic system with limited resources. Cases were researched and written by Ukrainian professors at NMAPE and taught by the NMAPE faculty in a three-day workshop with high-level health care managers enrolled as students. Initial coaching of the NMAPE faculty was done by faculty from HSPH and staff from JSI, through a series of workshops with the goal of promoting a sustainable program at the end of less than two years. The success of the debut workshop prompted NMAPE senior management to commit to expanding the use of cases throughout the Academy by developing a teaching textbook approved by MOH. Expanding the case method management teaching will help Ukrainian managers to take an active role in management, supporting decentralization of the current system.

Learning Objectives:
1. To describe how participatory management training can be effectively introduced into a lecture-based educational environment. 2. To present the collaborative approach between Harvard School of Public Health (HSPH) and the National Medical Academy for Post-Graduate Education (NMAPE) in Kyiv. 3. To explain the importance of using local management successes for the sustainability of management training.

Keywords: Management, Sustainability

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was co-author of the health care management textbook "New Technologies in Teaching Health Care Management: The Case Method" discussed in this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.