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LEIERSKAP EN BESTUUR IN GESONDHEIDSORG
LEADERSHIP AND MANAGEMENT IN HEALTHCARE




                                       2 0 1 3



    Fakulteit Geneeskunde en Gesondheidswetenskappe  Faculty of Medicine and Health Sciences
Needed: Agents of change

Is it possible to develop a health care environment where

              improving patient outcomes

          and staff competence and empathy,

             are consistently encouraged?
The aims of this module

• To enable you to better understand your potential role
  as a change agent so that patient outcomes are
  improved and health systems strengthened.

• To explore the seven roles you need to take on to be
  an effective change agent in the
  21st century, focusing on the roles of manager, leader,
  collaborator, communicator and professional.

• To enable you to develop better insight about how the
  health system works, how to tackle a problem and
  when to wait for the right opportunity.
Overview of the module



Theme       • Change agent for the 21st
 1            century


Theme      • Change agent putting
             patients and communities
 2           first


Theme      • Working as change agent
 3           in the health system
Tema 1 / Theme 1

                      Agent van verandering in 'n onsekere
                      toekoms
      1               Change agent in an uncertain future
 AGENT VAN            Agent van verandering as leier en
VERANDERING           bestuurder
VIR DIE 21STE         Change agent as leader and
     EEU              manager
                      Agent van verandering as
Change agent for      kommunikeerder, medewerker en
the 21st century      beroepspersoon
                      Change agent as communicator,
                      collaborator and professional
Tema 1 / Theme 1



       2
STEL PASIËNTE EN
 GEMEENSKAPPE
VOOROP AS AGENT
VAN VERANDERING

Change agent putting
    patients and
  communities first
Tema 3 / Theme 3
                    Werk as agent van verandering in die globale en
                    Suid-Afrikaanse gesondheidsisteme
      3             Working as change agent in the global and South
  WERK AS           African health systems
 AGENT VAN          Werk as agent van verandering in 'n distrikhospitaal
VERANDERING         Working as change agent in a district hospital
   IN DIE
                    Werk as agent van verandering deur die
GESONDHEID-         gemeenskap te betrek
  SISTEEM           Working as change agent by engaging the
                    community
   Working as
                    Werk as agent van verandering in privaatpraktyk
 change agent in    Working as change agent in private practice
the health system
                    Voorkom en bestuur risiko as agent van verandering
                    Preventing and managing risk as change agent
Developing competencies needed to
successfully complete this module.

• Reflection on and discussion of ideas and concepts in
  the readings and the lectures with fellow students are
  key.

• Just to work for the class mark will not assist you to
  develop the competencies needed to successfully
  complete this module.

• To fully benefit you’ll need to be intuitive, to think out of
  the box, wrestle with new ideas, and be creative and
  bold. This may well result in discomfort or even
  confusion.
Venues

• All lectures will be in Main Lecture Hall of the Teaching
  Block.

• Group presentations will be in four different locations,
  which will be announced during the first week of the
  module.
Assessment

The class mark will be based on

• Group assignment: 45%

• Group test/exam question and memorandum: 5%

• Test (18 Jan @9h00 in TSS): 50%
Learning Management System

This module is on new Blackboard Learning
Management System NOT on the old Webstudies


http://webstudies2.sun.ac.za
Make sure you are loaded today.
Attendance

Both the lectures and the group presentations are
compulsory. Failure to request permission of absence
beforehand (from ssnyman@sun.ac.za) will lead to an
unsatisfactory outcome.
Reaching Learning Outcomes

• Lectures (basic concepts, framework and overview)

• Readings (notes and blackboard)

• Group Assignments (By Wednesday16 January)

• Group Presentations (Thursday 17 January )

• Film: The Doctor (Wednesday 16 January @9h00)

• Setting exam question as group (Tuesday 15 January
  @9h00)

• Writing test (18 January @9h00 – 11h00 in TSS)

• Writing exam (6 May)
Group assignments 1

                    Class divide in 4 for presentations
                         4-5 students per group
                A           B            C           D
Assignment 1
Assignment 2
Assignment 3
Assignment 4
Assignment 5
Assignment 6
Assignment 7
Assignment 8
Assignment 9
Assignment 10
Group assignments 2

• Follow the specific instructions assigned to your
  group. Take in consideration the learning outcomes
  related to your topic. If there are any other issues or
  experiences which you regard as important to facilitate
  deep learning, it should also be mentioned

• Each assignment has an allocated coach. Groups can
  contact their couch to clarify any uncertainties.

• Most of the assignments require groups to interview
  people. In most cases appointments with these people
  are already made. The persons should be followed up
  immediately and the appointment confirmed.
Group assignments 3

• Questionnaires and surveys: Information on how to
  draw up a questionnaire is available on Blackboard.

• Before the interviews students should have mastered
  the theory, having studied and reading more about the
  specific topic. Interviews should be meticulously
  planned and executed.
Groups and Task Teams

GROUP 1                   A             B               C            D

                               Coetzee
Ms Michelle May     Anderson                   Africa       Dhoodhat
                               Van Der Merwe

                                                            Mahlangu
Dr Jan Kunene       De Kock    Muller          Africa
                                                            Theron
                                               Ameen
Dr Riëtte du Toit   Ferreira   Neethling                    Omar
                                               Van Wyk


                    Groenewald Van Der Merwe
Ms Marlie Enright                              Roux         Stober
                    Van Der Walt
Group assignments 4

• When a task team returns to the campus, an email of
  appreciation should be sent to the interviewee. Dr
  Snyman (ssnyman@sun.ac.za) should be copied on
  this email.

• When a task team returns to the campus, the members
  return to their original groups, where they will share
  the information gathered by their respective task teams.

• The group will then combine their findings and
  analyse it in relation to the theory and the learning
  outcomes.
Written Group Report 1

• Each group will compile a written report of not more
  than 7 pages, excluding the front page, the references
  and addenda (questionnaire and other material you are
  of opinion peers/examiners should know).

• The report should focus to integrate theory (evidence-
  based literature searches) with the practical data
  obtained from the interviews and in the process provide
  a clear summary in your own words of what a final
  year medical student should know about the topic.

• Harvard Referencing System
Written Group Report 1

• The report should be uploaded to Blackboard by
  7h30 on Thursday 17 January 2013.

• Failure to do so will lead to a 5% penalty per hour.
  Additional resources for fellow students to study may
  also be uploaded to Blackboard.

• A hard copy of the report should be given to the
  lecturers before your presentation.

• [Please note – the portfolio is not there to impress the
  examiners, but to help fellow students to learn, and will
  thus be assessed taking that in consideration!]
Presentations 1

• Each group will present their findings to the other
  groups with the same letter (e.g. Group 1A will present
  to all the other group A’s, i.e. 2A, 3A, 4A, . . . 10A.) on
  Thursday 17 January.

• Each group has 30 minutes on stage.

• The group will have a maximum of 15 minutes to do
  their presentation. The presentations should focus on
  what a final year medical student should know about
  the topic, reflecting on the experiences and data
  gathered during interviews and the knowledge gained
  from reading.
Presentations 2

• The presentations should NOT be a lecture by
  PowerPoint only and all group members should
  participate. It should be scholarly and practical, but not
  theory overload which can be read.

• After the 15 minute presentation each team member
  should reflect for 1 minute on the core competencies
  he/she developed during the past two weeks and what
  competencies are still lacking. How do you plan to gain
  the required competence?
Presentations 3

• This will be followed by 10 minutes of discussion
  involving the larger group, which should be facilitated
  by a member of the group involved. These students will
  make sure that key points or areas of difficulty are
  raised. (It is not necessary to try to answer all the
  questions or resolve all the issues.

• Attending the all 10 presentations is compulsory.
Test / Exam questions

• Each group will submit a carefully constructed
  test/exam question of 10 marks, as well as a
  memorandum, serving as tool for other class members
  to assess themselves.

• The questions should be uploaded to the Discussion
  Board on Blackboard by Tuesday morning 15
  January at 9h00.

•   Failure to do so will lead to a 5% penalty per hour.
Anonymous peer evaluation of participation

• Anonymous peer evaluation form of participation
  (see Addendum A in study guide) for each member
  of your group and task team.

• This should be handed in before your group starts it
  presentation on Thursday 17 January.

• The average mark given to you by your other team
  members will determine your personal mark for the
  group assignment (e.g. if the lecturers give your group
  70% for your portfolio; and if your group is of the
  opinion that you contributed 60% of your weight; then
  your mark for the group assignment will be 60% of
  70%, i.e. 42%.
Travel claim

• Travel claim forms can be downloaded from
  Blackboard. Only one claim per group will be
  remunerated, i.e. five students should share one car.

• Claims should be submitted before 18 January to Dr
  Snyman (Room 6051).
Group Portfolio

• Before a group start to do their presentation a hard
  copy of the group portfolio should be handed in,
  containing:

    • Cover page

    • The group report

    • The presentation (if a printout is not possible, then a
      recording on CD/DVD/online reference)

    • The group’s test/exam question and memorandum

    • Each group member’s completed anonymous peer
      evaluation forms sealed in an envelope

    • The questionnaire or survey or interview framework used

    • Any other resources that may be of value (optional)
If everything else fails

• Read the study guide and other instructions

• Read it again

• Discuss it with a peer

• Discuss it with your couch / Dr Snyman



             USE YOUR COMMON SENSE

                           THINK!
Tema 1 / Theme 1

                      Agent van verandering in 'n onsekere
                      toekoms
      1               Change agent in an uncertain future
 AGENT VAN            Agent van verandering as leier en
VERANDERING           bestuurder
VIR DIE 21STE         Change agent as leader and
     EEU              manager
                      Agent van verandering as
Change agent for      kommunikeerder, medewerker en
the 21st century      beroepspersoon
                      Change agent as communicator,
                      collaborator and professional

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Introduction (health management 2013)

  • 1. LEIERSKAP EN BESTUUR IN GESONDHEIDSORG LEADERSHIP AND MANAGEMENT IN HEALTHCARE 2 0 1 3 Fakulteit Geneeskunde en Gesondheidswetenskappe  Faculty of Medicine and Health Sciences
  • 2. Needed: Agents of change Is it possible to develop a health care environment where improving patient outcomes and staff competence and empathy, are consistently encouraged?
  • 3. The aims of this module • To enable you to better understand your potential role as a change agent so that patient outcomes are improved and health systems strengthened. • To explore the seven roles you need to take on to be an effective change agent in the 21st century, focusing on the roles of manager, leader, collaborator, communicator and professional. • To enable you to develop better insight about how the health system works, how to tackle a problem and when to wait for the right opportunity.
  • 4. Overview of the module Theme • Change agent for the 21st 1 century Theme • Change agent putting patients and communities 2 first Theme • Working as change agent 3 in the health system
  • 5. Tema 1 / Theme 1 Agent van verandering in 'n onsekere toekoms 1 Change agent in an uncertain future AGENT VAN Agent van verandering as leier en VERANDERING bestuurder VIR DIE 21STE Change agent as leader and EEU manager Agent van verandering as Change agent for kommunikeerder, medewerker en the 21st century beroepspersoon Change agent as communicator, collaborator and professional
  • 6. Tema 1 / Theme 1 2 STEL PASIËNTE EN GEMEENSKAPPE VOOROP AS AGENT VAN VERANDERING Change agent putting patients and communities first
  • 7. Tema 3 / Theme 3 Werk as agent van verandering in die globale en Suid-Afrikaanse gesondheidsisteme 3 Working as change agent in the global and South WERK AS African health systems AGENT VAN Werk as agent van verandering in 'n distrikhospitaal VERANDERING Working as change agent in a district hospital IN DIE Werk as agent van verandering deur die GESONDHEID- gemeenskap te betrek SISTEEM Working as change agent by engaging the community Working as Werk as agent van verandering in privaatpraktyk change agent in Working as change agent in private practice the health system Voorkom en bestuur risiko as agent van verandering Preventing and managing risk as change agent
  • 8. Developing competencies needed to successfully complete this module. • Reflection on and discussion of ideas and concepts in the readings and the lectures with fellow students are key. • Just to work for the class mark will not assist you to develop the competencies needed to successfully complete this module. • To fully benefit you’ll need to be intuitive, to think out of the box, wrestle with new ideas, and be creative and bold. This may well result in discomfort or even confusion.
  • 9. Venues • All lectures will be in Main Lecture Hall of the Teaching Block. • Group presentations will be in four different locations, which will be announced during the first week of the module.
  • 10. Assessment The class mark will be based on • Group assignment: 45% • Group test/exam question and memorandum: 5% • Test (18 Jan @9h00 in TSS): 50%
  • 11. Learning Management System This module is on new Blackboard Learning Management System NOT on the old Webstudies http://webstudies2.sun.ac.za Make sure you are loaded today.
  • 12. Attendance Both the lectures and the group presentations are compulsory. Failure to request permission of absence beforehand (from ssnyman@sun.ac.za) will lead to an unsatisfactory outcome.
  • 13. Reaching Learning Outcomes • Lectures (basic concepts, framework and overview) • Readings (notes and blackboard) • Group Assignments (By Wednesday16 January) • Group Presentations (Thursday 17 January ) • Film: The Doctor (Wednesday 16 January @9h00) • Setting exam question as group (Tuesday 15 January @9h00) • Writing test (18 January @9h00 – 11h00 in TSS) • Writing exam (6 May)
  • 14. Group assignments 1 Class divide in 4 for presentations 4-5 students per group A B C D Assignment 1 Assignment 2 Assignment 3 Assignment 4 Assignment 5 Assignment 6 Assignment 7 Assignment 8 Assignment 9 Assignment 10
  • 15. Group assignments 2 • Follow the specific instructions assigned to your group. Take in consideration the learning outcomes related to your topic. If there are any other issues or experiences which you regard as important to facilitate deep learning, it should also be mentioned • Each assignment has an allocated coach. Groups can contact their couch to clarify any uncertainties. • Most of the assignments require groups to interview people. In most cases appointments with these people are already made. The persons should be followed up immediately and the appointment confirmed.
  • 16. Group assignments 3 • Questionnaires and surveys: Information on how to draw up a questionnaire is available on Blackboard. • Before the interviews students should have mastered the theory, having studied and reading more about the specific topic. Interviews should be meticulously planned and executed.
  • 17. Groups and Task Teams GROUP 1 A B C D Coetzee Ms Michelle May Anderson Africa Dhoodhat Van Der Merwe Mahlangu Dr Jan Kunene De Kock Muller Africa Theron Ameen Dr Riëtte du Toit Ferreira Neethling Omar Van Wyk Groenewald Van Der Merwe Ms Marlie Enright Roux Stober Van Der Walt
  • 18. Group assignments 4 • When a task team returns to the campus, an email of appreciation should be sent to the interviewee. Dr Snyman (ssnyman@sun.ac.za) should be copied on this email. • When a task team returns to the campus, the members return to their original groups, where they will share the information gathered by their respective task teams. • The group will then combine their findings and analyse it in relation to the theory and the learning outcomes.
  • 19. Written Group Report 1 • Each group will compile a written report of not more than 7 pages, excluding the front page, the references and addenda (questionnaire and other material you are of opinion peers/examiners should know). • The report should focus to integrate theory (evidence- based literature searches) with the practical data obtained from the interviews and in the process provide a clear summary in your own words of what a final year medical student should know about the topic. • Harvard Referencing System
  • 20. Written Group Report 1 • The report should be uploaded to Blackboard by 7h30 on Thursday 17 January 2013. • Failure to do so will lead to a 5% penalty per hour. Additional resources for fellow students to study may also be uploaded to Blackboard. • A hard copy of the report should be given to the lecturers before your presentation. • [Please note – the portfolio is not there to impress the examiners, but to help fellow students to learn, and will thus be assessed taking that in consideration!]
  • 21. Presentations 1 • Each group will present their findings to the other groups with the same letter (e.g. Group 1A will present to all the other group A’s, i.e. 2A, 3A, 4A, . . . 10A.) on Thursday 17 January. • Each group has 30 minutes on stage. • The group will have a maximum of 15 minutes to do their presentation. The presentations should focus on what a final year medical student should know about the topic, reflecting on the experiences and data gathered during interviews and the knowledge gained from reading.
  • 22. Presentations 2 • The presentations should NOT be a lecture by PowerPoint only and all group members should participate. It should be scholarly and practical, but not theory overload which can be read. • After the 15 minute presentation each team member should reflect for 1 minute on the core competencies he/she developed during the past two weeks and what competencies are still lacking. How do you plan to gain the required competence?
  • 23. Presentations 3 • This will be followed by 10 minutes of discussion involving the larger group, which should be facilitated by a member of the group involved. These students will make sure that key points or areas of difficulty are raised. (It is not necessary to try to answer all the questions or resolve all the issues. • Attending the all 10 presentations is compulsory.
  • 24. Test / Exam questions • Each group will submit a carefully constructed test/exam question of 10 marks, as well as a memorandum, serving as tool for other class members to assess themselves. • The questions should be uploaded to the Discussion Board on Blackboard by Tuesday morning 15 January at 9h00. • Failure to do so will lead to a 5% penalty per hour.
  • 25. Anonymous peer evaluation of participation • Anonymous peer evaluation form of participation (see Addendum A in study guide) for each member of your group and task team. • This should be handed in before your group starts it presentation on Thursday 17 January. • The average mark given to you by your other team members will determine your personal mark for the group assignment (e.g. if the lecturers give your group 70% for your portfolio; and if your group is of the opinion that you contributed 60% of your weight; then your mark for the group assignment will be 60% of 70%, i.e. 42%.
  • 26. Travel claim • Travel claim forms can be downloaded from Blackboard. Only one claim per group will be remunerated, i.e. five students should share one car. • Claims should be submitted before 18 January to Dr Snyman (Room 6051).
  • 27. Group Portfolio • Before a group start to do their presentation a hard copy of the group portfolio should be handed in, containing: • Cover page • The group report • The presentation (if a printout is not possible, then a recording on CD/DVD/online reference) • The group’s test/exam question and memorandum • Each group member’s completed anonymous peer evaluation forms sealed in an envelope • The questionnaire or survey or interview framework used • Any other resources that may be of value (optional)
  • 28. If everything else fails • Read the study guide and other instructions • Read it again • Discuss it with a peer • Discuss it with your couch / Dr Snyman USE YOUR COMMON SENSE THINK!
  • 29. Tema 1 / Theme 1 Agent van verandering in 'n onsekere toekoms 1 Change agent in an uncertain future AGENT VAN Agent van verandering as leier en VERANDERING bestuurder VIR DIE 21STE Change agent as leader and EEU manager Agent van verandering as Change agent for kommunikeerder, medewerker en the 21st century beroepspersoon Change agent as communicator, collaborator and professional