Read the summary and the most important questions on Management and Innovation in the health sector

• 1 Week 1

• 1.1 Lecture 1. Introduction

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• Is there a difference in management levels in different organisations?

  Yes.
  Organising goes up
  Controlling up  
  Planning goes up
  Leading goes down

• What is the trend around health care management?

  See figure. Why? More patients, more doctors, more managers. There is a complex context--> more managers for less people needed

• Why is health care so special and difficult?

  Health care is dynamic and complex
  
  Health care services involve many different and often complicated tasks. Many highly specialized disciplines must collaborate seamlessly  
  --> coordination is the key!

• What makes Health care organisations different?

  HCO's are large, complex entities providing a wide range of highly tailored and personalised services to many often vulnerable users.
  
  However many other types of organisations share these characteristics --> schools, law firms.
  --> profession, patients, process

• What is a stakeholders analysis?

  • Based on the belief that there is a reciprocal relationship between an organisation and certain other organisations, groups and individuals 
    
  • Generate knowledge about the relevant actors

  --> Understand their behaviour , intentions, interrelations, agendas, interests and the influence or resources they can bring to the decision- making process
  
  Stakeholder analysis: a review

• 1.2 Lecture 2. E- health (1)

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• Why e- health in this course?

  Technology in itself has the ability to change the way healthcare is delivered by stimulating all involved stakeholders to critically think about how they deliver or receive care. This opens up new ways of thinking, which can in turn stimulate innovation

• What is the first dimension: health care processes

  Three areas in which eHealth in healthcare processes can be applied
  

  • To provide information and for preventative purposes:

  e-public health
  

  • During the care process (treatment/support): e-care
  • For administrative purposes: e-care support

• What are kinds of levels of care in NL? Context: settings

  Primary health care: first point of consultation for all “patients”
  

  • GP, physiotherapist, dietician, dentist

  
  Secondary health care: medical specialists for acute care (outpatients)
  

  • Cardiologist, surgeons

  
  Tertiary health care: specialized health care, usually for inpatients
  

  • Cancer management, severe burns

  
  ‘Zero line’: preventative health care: Municipal Health Services (GGD)

• What is the broader context?

  Stakeholders in the socio- ecological model
  For example, you have to deal with:
  

  • Laws & regulations 
  • Cluster of health services 
  • Hospitals, nurses 
  • Informal caregivers 
  • Patients 

  
  Individual--> interpersonal--> organizational--> community--> public policy
  All of these levels influence eHealth

• What is digital health?

  The field of knowledge and practice associated with the development and use of digital technologies to improve health
  
  Digital health expands the concept of eHealth to include digital consumers, with a wider range of smart and connected devices. It also encompasses other uses of digital technologies for health such as the Internet of Things, advanced computing, big data analytics, artificial intelligence including machine learning, and robotics.