1. ‘Managing Change’ A Lasting Partnership for the Betterment of Health Systems in CEE Krakow 2007 March 2

2. 1.Introduction of HOPE, 2.History of partnership 3.Management development programs in CEE 4.L2L program -goals 5.Target audience 6.Curriculum 7.Teaching /learning strategy 8.Outputs -outcomes- impact 6. Measures of success

3. The mission of HOPE Project HOPE - H ealth O pportunities for P eople E verywhere - a global organisation working towards sustainable improvement of health care in the world via health education programs health policy research humanitarian assistance in areas of need 88 programs in 37 countries on 5 continents

4. History Health professional education Baby- friendly hospital in Hungary Health care management Over 3,500 managers trained in 8 countries Pioneering multiprofessional training Building networks Improving decision making and cost effectivenes, Changing attitudes and behavior Improving health care A Partnership for Excellence in Health Care: J&J and Project HOPE in CE Europe

5. Investment: In people, teams, local institutions, communities Joint program development from brainstorming through conception to implementation Sharing information re vision and strategy in the region, follow up on implementation and results Harmonizing communication/information campaign, joint marketing, publication of results Joint involvement in health care leadership initiatives Partnership strategy Satisfaction loyalty participation

6. Programs Top management training from 1992-1996 in Poland, Czech Republic, Slovak Republic, Hungary Managing change- middle management training in Czech Republic 2000-2008 Hungary 2000-2005 Estonia 2002-2004 Latvia 2002-2004 Lithuania 2003-2008 ‘Leaders to leaders’ ( L2L) - Hungary 2006-2008 ‘HIV/AIDS Education in Lithuania Program’ (HELP)- Lithuania 2006-2008

7. Goal is to train milddle health care managers in current concepts and practice of management in Hungary, Czech Republic, Slovak Republic, Latvia, Lithuania, Estonia, Macedonia I.Target group: multidisciplinary teams consisting of a department head doctor, nurse and administrator II.Approach : 4 modules training -Strategy; Operations and Quality; Human resources ; Finance and Budgeting Didactic training combined with interactive group sessions, simulation, case studies and practical project work III.Outputs 60 managers /country /year trained overall number :1220 managers in 5 countries IV.Outcomes Team projects developed and implemented to improve quality, cut costs,improve employee and client satisfaction. Quality of managerial decisions improve, behavior and attitude of managers improve Programs I. Managing Change- The Changing Role of Middle Health Care Managers

8. Leaders to leaders Goal To develop a core of well trained top leaders who work together towards a better health for the people in CEE regardless of their background political and cultural differences

9. Leaders to leaders Participants’ profile: High level MoH officials Health Insurance Fund leaders Top managers of major national or regional health /education institutions’ Health politicians

10. Leaders to leaders Curriculum 10 modules of 2,5 days intensive program over 2 years The operating environment StrategyImplementation

11. Leaders to leaders Teaching/learning philosophy “Learning set” approach Self directed, flexible curriculum Built as we go Continuous feedback Highly participative

12. Leaders to leaders Expected results Knowledge-already very high on inception Skills-advanced level Attitude-significant changes Practice-improved decision making

13. People and systems‘ impact Improved processes and systems Faster adoption of technological and policy changes Improved and more cost -effective management of operations and resources in the institutions Improved quality of decisions Adoption of a culture of innovation and learning in Health care Improved health of the community Measures of success