International opportunities for students

Details

Instructors: Sabina Nuti (sabina.nuti [at] santannapisa.it); Milena Vainieri (milena.vainieri [at] santannapisa.it); Nicola Bellè (nicola.belle [at] santannapisa.it)

Class hours: 36, 6 ECTS
Syllabus 2018-2019

Contents

The course aims at providing students with the basic and advanced components of health management and their impact on performance. The course will offer to the students an introduction to the feature of the health care sector: financing systems, goals, stakeholders and governance models and their evolution considering the international and the Italian context. Moreover the course focuses on the main strategies and actions that health managers and policy makers can use to improve performance. In particular, the course aims at providing tools able to make performance measurement systems work and make a difference in complex  service systems as healthcare.
The first part and second part of the course will introduce students into the basic information of the governance of health care systems: which are the stakeholders, their interactions and the relationships. 
The third part of the course will deal with the characteristics that make a performance measurement system effective in the health care sector. The content of this part will present tools that can help policy makers, managers and professionals to achieve more "value for money", i.e. to obtain better outcomes with the available resources. 
A fourth part of the course will deal with the fundamental of behavioral management. The content of this part will include how to set challenging targets, how to select priorities and how to motivate employees in the private and public healthcare institutions. 

Objectives

By the end of the course the students should be able to: i) understand the complexity of the governance of health care systems; ii) know the different frameworks in use to analyze performance; iii) how to measure and  compare multidimensional results; iv) how to work on the determinants of performance ; v) the role of human resources management in healthcare.

List of topics:

  • The features of health care sector and services
  • Innovation challenges
  • Performance measurement systems in Healthcare  
  • Human performance management strategies

Teaching method

The course is arranged mixing lectures with seminars, project works and case studies. Lectures will include theoretical issues, the recent development in health service research. The course also considers practical sessions in which students are called to read technical documents and discuss the assigned readings. 

Evaluation method

40% of the final score will be assigned by individual and group assignments during the course. The remaining 60% of the final score will be based on the final exam at the end of the course. A sufficient grade (18/30) is at minimum needed in the written exam to pass.

Teaching material

  • Nuti S, Vola F, Bonini A, Vainieri M (2015) Making governance work in the health care sector: evidence from a ‘natural experiment' in Italy. Health Economics Policy and Law
  • Nuti S., Seghieri C., Vainieri M. (2012), Assessing the effectiveness of a performance evaluation system in the public health care sector: some novel evidence from the Tuscany Region experience, The Journal of Management and Governance, May 2012, n. pag. 10. 
  • Nuti S., Vainieri M. (2016) Strategies and tools to manage variation in regional governance systems in  Sobolev B, Gatsonis B, Johnson A, Stukel T, Levy A, JohntsonK, Briggs A,Sutton M, van Ginneken e, Busse R, Goring S (Eds) Handbook of Health Service Research. Springer (printed version in 2015)
  • Nuti S., De Rosis S., Bonciani M., Murante AM. (2017) Re-thinking healthcare performance evaluation systems towards the people-centeredness approach: their pathways, their experience, their evaluation. HealthcarePapers
  • Bevan, G., Evans, A. Nuti, S. (2018). Reputations count: why benchmarking performance is improving health care across the world. Health Economics, Policy and Law. 
  • Nuti S. Vola F. Vainieri M. (2017) Priorities and targets: a methodology to support the policy-making process in healthcare. Public money and management
  • Vainieri M., Vola F., Gomez Soriano G., Nuti S. (2016), "How to set challenging goals and conduct fair evaluation in regional public health systems. Insights from Valencia and Tuscany Regions", Health Policy
  • Nuti S; Seghieri C (2014) Is variation management  included in regional healthcare governance systems? Some proposal from Italy. Health Policy vo.114
  • Nuti S., Noto, G, Vola, F, Vainieri M (2018) Let's play the patients music: a new generation of performance measurement systems in healthcare. Management Decision
  • Bellè N (2013) Experimental Evidence on the Relationship between Public Service Motivation and Job Performance. Public Administration Review. 73
  • Report PES of Network in english

Additional readings and materials will be assigned during the course.