Global Executive USF SWU Training Program. and SRINAKHARINWIROT UNIVERSITY. LEAD Leadership for hospital administrator.

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1 MED Global Executive USF SWU Training Program and SRINAKHARINWIROT UNIVERSITY LEAD Leadership for hospital administrator Proposal for: Thai Hospital Administrator International MSE Class 1 (IMSE1) 25 th February th March 2013 Prepared by: Lynette Menezes, PhD Director, USF Medicine International John Sinnott, MD FACP Associate Dean, USF Medicine International Director, Division of Infectious Disease USF Medicine International, Morsani College of Medicine University of South Florida, Tampa, FL, USA

2 LEAD LEAD programs are partnerships that USF Medicine International forges with hospitals, governments, and universities globally that wish to enhance the leadership and management skills of their healthcare personnel. Through these partnerships, various Leadership Enhancement And Development (LEAD) programs are offered to physicians, hospital administrators, and healthcare personnel. Trainings for each LEAD program are custom-tailored to meet the needs of that region.

3 HOSPITAL ADMINISTRATORTRAINING PROGRAM OVERVIEW Thailand has made great strides in improving health outcomes yet it continues to face many medical and public health challenges. With a population of 67 million, Thailand has made rapid progress in enhancing the health of its citizens. However, there are still some areas that are in need of improvement. Thailand is committed to build the capacity of their hospital administrators to improve health care services and enhance health outcomes for patients. The University of South Florida, College of Medicine (USF CoM) has been conducting highly specialized training programs in Infectious Diseases for physicians, administrators and policy makers from various countries over the last eight years. To date, we have trained more than 40 hospital administrators from 24 hospitals in Gansu Province China, more than 200 Indian physicians, health care administrators and policy-makers in India and the United States, and more recently trained 7 physicians from Tianjin and Gansu China in various subspecialties. Six years in a row we co-hosted an Annual Update on HIV/AIDS in India in which more than 2,000 Indian physicians attended. Additionally, we have expanded to offer subspecialty training and observer ships in Infectious Disease and other areas for medical exchange students, physicians, and international medical graduates. USF Medicine International is pleased to propose a three-week Hospital Management training program for hospital administrators from Thailand. Through USF s partnership with Tampa General Hospital, we are able to offer hospital management training that can be tailored to individual learners needs. Applicant Requirements English language skills: read and converse in English, English literacy test Applicants must be MD. in management positions in hospitals Program Description Objectives At the end of this training, the trainees will: 1. Describe US-based, state-of-the-art approaches to clinical care for acutely ill hospitalized patients and outpatients 2. Critically analyze their country s hospital system and conduct a gap analysis 3. Develop leadership skills to institute improvements in clinical care and hospital operations 4. Discuss the importance of health screening and prevention and adapt interventions to improve morbidity and mortality for common illnesses 5. Use evidence-based medical approaches to delivery of patient care

4 6. List quality control and quality assurance measures to improve patient outcomes 7. Describe staff development programs and continuing medical education to continually improve patient services in Thailand 8. Illustrate the art of conflict resolution and public relations including how to work with the media Program Topics Health care economics Managing Quality in Health Care and Hospital accreditation Hospital budgeting and financial administration Health Information management Public relations: marketing, media relations, communication skills Organization problems: Recruitment, evaluating employee performance, negotiating contracts Organization Behavior and Design Employee assessment, employee health Health care ethics Building leadership capacity and conflict resolution Operations and administration Forming strategic alliances Management of human resources Change management Cost-benefit and cost-effectiveness analyses in health care management Staff and Professional Development Interdisciplinary team work in hospitals Managing a Clinical Department and Clinical Division Strategic plan

5 TRAINING PROGRAM FORMAT Morning sessions: There will be didactic lectures, interactive case presentations, seminars and discussions, ample reading and reference. Trainees will be required to participate actively. These lectures, seminars, workshops and small group discussions will help trainees to apply the knowledge they have gained in a systematic manner. Afternoon sessions: Trainees will be divided into three groups. Each afternoon, trainees will rotate with different faculty/experts. Site visits include tour of Tampa General Hospital: laboratories, pharmacy, ICU, Operating Theatres, Emergency Medicine, Infection Control, Security and Biomedical Waste Management, Employee Health, Burn Unit, Women s Care Center, Trauma Center, Transplant Services, Nursing Administration, Information Management System, and the Center for Advanced Medical Learning And Simulation; Morsani Center for Advanced Health Care; Moffitt Cancer Hospital; and Hillsborough County Health Department. USF HEALTH USF Health has successfully designed and built two state-of-the-art patient centric outpatient centers that integrate all outpatient needed services from a patient perspective under one roof. We integrated process, service, people, experts, and technology around the patient by aligning services around a patient workflow and needs and not around the providers as is typically done. For instance, when a patient requiring orthopedic services walks in, he/she is already pre-registered, they get their imaging, then see their provider with their exam result already online, get to meet with their physical therapist if that is recommended and pick up their medication from the pharmacy before they leave. All in one location; all in one visit. We successfully differentiate our centers with the following: One Stop Health Services: Instead of patients moving from doctor to doctor, we bring services, including x-rays, MRIs and labs to the patient. Patients don't have to schedule three different appointments at three different locations for their annual exam because we take care of everything in just one visit. Excellent Customer Service: Concierge level staff will ensure every patient's needs are accommodated. Patient information is stored in sophisticated electronic health records so patients don't complete any paperwork. Patients will be able to request appointments, send messages to doctors and request prescriptions online. Holistic Health: Faculty and students are trained to focus on our patients overall well-being. By combining professionals from all three colleges and focusing on the continuum of health from birth to end-of-life issues, we promote good health and prevention so patients have a healthier future.

6 Below is a brief description of locations that trainees will have the opportunity to rotate in: 1. Tampa General Hospital (TGH): Tampa General is a private not-for-profit hospital that serves over 4 million people from a dozen counties. TGH is licensed for 958 beds and has over 6,000 employees, making it one of the largest hospitals in Florida and one of the region's largest employers. The hospital has five medical helicopters and is equipped to transport critically injured or ill patients from 23 counties. TGH is the only level I trauma center in the area, is one of four burn centers in Florida, has one of the leading organ transplant centers in the country (having performed more than 6,000 adult solid organ transplants), is a state-certified comprehensive stroke center, and has the largest (32-bed) Neuroscience Intensive Care Unit on the west coast of Florida. Other outstanding centers include cardiovascular, orthopedics, high risk and normal obstetrics, urology, ENT, endocrinology, and the Children's Medical Center (a nine-bed pediatric intensive careunit and one of just three outpatient pediatric dialysis units in the state). TGH is the primary teaching affiliate of the USF College of Medicine and at least 270 residents are assigned to TGH for specialty training in areas ranging from internal medicine to neurosurgery. USF medical students, nurses and physical therapy students all receive part of their training at Tampa General. USF COM faculty and community physicians serving as adjunct clinical faculty admit and care for patients at TGH. 2. Center for Advanced Medical Learning and Simulation: USF Health s newest facility which opened March 2012 is the Center for Advanced Medical Learning and Simulation (CAMLS). CAMLS is a 3-story, 90,000 square-foot state-of-the-art facility equipped with the latest technology designed to enhance medical education. It incorporates simulation and robotic technology, medical science, aviation science, interprofessional education, team training and best practices to provide an enhanced learning experience. CAMLS has a surgical & interventional training center, an education center, a virtual patient care center, and a Research & Innovation center

7 Features of the new facility include: 39 surgical stations, more than the number found at many hospitals, with enough space for the entire healthcare team to train at once. A hybrid catheterization lab / operating room, the first such training facility in the world. Another first-of-its-kind trauma operating room that can change environments to suit different training purposes, from providing soothing light and sounds for a complex surgery to mimicking the noise of an urban emergency department and even the desert light and explosive noises of the battlefield environment faced by combat medics. In the Virtual Patient Care Center, several standardized patient exam rooms and team training rooms, set up with audiovisual recording to allow for in-depth debriefing and analysis. A variety of realistic human patient simulators, from neonatal to adult, including combat casualty and birth simulators. Surgical simulators for endoscopic, laparoscopic, interventional vascular, urologic and gynecologic procedures. The Tampa Bay Research & Innovation Center, which will bring medical faculty, engineers and other experts together to develop new medical technologies and devices. The center will include machining and rapid prototyping capabilities, allowing new devices to be made, tested, and modified at CAMLS. 3. Hillsborough County Health Department: The Hillsborough County Health Department (HCHD) is a state agency operating under the jurisdiction of the Florida Department of Health in partnership with the county government. HCHD services are available to all residents of Hillsborough County with a population of nearly a million people. HCHD provides health services in the areas of maternal and child health, environmental health, HIV/AIDS, tuberculosis, sexually transmitted infections, school health, dental, epidemiology and pharmacy. The HIV/AIDS section consists of a surveillance unit, a research unit and a specialty care center. In the research unit, participants had the opportunity to see how patients are enrolled in clinical research and followed up thereafter. The specialty care center serves primarily HIV/AIDS outpatients. Participants will observe the functioning of a comprehensive public health care system whose focus ispreventive care and quality outpatient care to reduce hospital admissions for the socially and economically disadvantaged populations.

8 4. Moffitt Cancer Center: The H. Lee Moffitt Cancer Center & Research Institute is anot-forprofit institution and includes private patient rooms, the Southeast s largest Blood and Marrow Transplant Program, outpatient treatment programs that record more than 272,000 visits a year, the Moffitt Research Center, The Moffitt Clinic at Tampa General Hospital and the Lifetime Cancer Screening & Prevention Center. In 2003, Moffitt expanded to include the Muriel Rothman Building (Moffitt Clinic) and Vincent A. Stabile Research Building. These two buildings dramatically increased the existing research and outpatient clinical space to better serve patients. Moffitt is licensed for 206 beds. Other clinical facilities include a 36-bed blood and marrow transplant unit; 12 operating rooms; a diagnostic radiology department with MRI, PET/CT, digital mammography and all other imaging capabilities; and a radiation therapy department with seven linear accelerators. 5. The Carol and Frank Morsani Center for Advance Health Care: The Morsani Center is an ambulatory surgery center that holds eight operating rooms, five endoscopy suites, 50 clinic exam rooms, a patient outreach and education center and a complete pharmacy. The center specializes in orthopedics and sports medicine, physical therapy, ear, nose and throat, breast health, women's health, and neurology. The Morsani Center contains One Stop Healthcare that aims to bring services including X-rays, MRIs, and labs to individuals so that patients can complete multiple tests during one visit. Participants toured the facility and spoke with physicians working at the center. Participants will have the opportunity to train in a state-of-the-art diagnostic imaging center that included MRIs, CTs, women s diagnostics with mammography, ultrasound and bone densitometry, fluoroscopy, basic X-ray, and nuclear medicine. 6. The Center of Excellence for Aging and Brain Repair: The mission of the Center of Excellence for Aging and Brain Repair is to develop new therapeutic strategies to promote repair and regeneration of aging and diseased brain. Grounded in basic and clinical research the Center aims to translate innovative ideas into industrial partnerships, educational and clinical services to target the needs of those suffering from brain injury and disease and the surrounding community. The Center hosts international research scholars from China, India, South Korea, Bangladesh, Brazil, England and other nations. Participants

9 will have the opportunity to be engaged in cutting-edge basic and clinical research with leading international faculty and scholars PROGRAM EVALUATION Trainees will complete a pretest to assess their baseline knowledge level, and a post-test at the end of the training program to assess if there is an increase in the level of their knowledge. Additionally, trainees will complete an evaluation of the speakers, site visits and course logistical arrangements. CERTIFICATION At the end of the training period each trainee will be award a certificate of successful completion of the training program.

10 BUDGET Three-Week Training Program at USF Registration fee: 250,000 baht / participant Inclusion 1. Discount three-week intuition fee (under USF-SWU Collaboration) 2. Airfare (return ticket- economic class) 3. Health/medical insurance 4. Preparation cost 5. Accommodation x 22 days (twin sharing) with breakfast (Single room has to pay addition extra cost for $630 (19,215 THB) 6. Meals: Lunch & dinner x 22 days, opening and closing receptions 7. Ground Transportation: Includes transportation from and to airport, transportation for lectures, site visits and receptions. Does not include weekend activities How to registration: 1. During 1 st to 30 th November 2012 by 2. First come first serve basis. (Due to limited seats) 3. One hospital could apply one reservation applicant. 4. Reservation deposit fee 20,000 THB (Training seat and flight reservation fee) must be paid on the day of application. Payment to Account: HRH PRINCESS MAHA CHAKRI SIRINDHORN MED. Krungsri Bank, Ong-kharak branch. Savings Deposit Account. Condition 1. Trainees are responsible for their visa fee. 2. Personal expenses like laundry, telephone etc., are not included in accommodation costs. 3. Transportation includes travel from airport to hotel and return and from hotel to lectures/site visits. All other transportation costs will be borne by the trainee. 4. Meals will be provided.

11 5. Spouses may stay in the US with appropriate visa and health insurance arrangements. However the training program assumes no responsibility for spouse arrangements. 6. The University does not assume liability for any injury or health problem that may arise during the training program. Contact person: 1. Professor Wuttichai Thanapongsathorn, Dean of Medicine SWU Ms.Sureerat Ruangsri Tel Ext Mobile ,

12 FACULTY Stephen Klasko, MD Sr. Vice President, USF Health Dean, USF College of Medicine Ron Hytoff, CEO and President Tampa General Hospital (TGH) John T. Sinnott, MD Professor and Associate Dean International Affairs, College of Medicine Director, Infectious Diseases Steve Short, MBA Executive Vice President & CFO Tampa General Hospital Deana Nelson Chief Operating Officer Administration, TGH Sally Houston, MD Chief Medical Officer, Tampa General Hospital Paul Sanberg, PhD, DSc, Associate VP Research and Innovation, Director, Center for Aging and Brain Repair Patricia Emmanuel, MD Chief of Pediatric Infectious Diseases Associate Dean, Clinical Research USF College of Medicine Dr. Edward Cuotolo Chief, Veterans Administration Hospital Doug Holt, MD, FACP Professor of Medicine Director, Hillsborough County Health Department Peggy Thompson Director Infection Prevention & Control Tampa General Hospital Harry Van Loveren, MD Professor and Chairman Department of Neurosurgery USF College of Medicine Mohamad S Kasti, MS, MBB, MCA Chief Transformation Officer Center for Transformation & Innovation (CTI) Robert Brooks, MD, MA, MBA, MPH, Professor of Medicine Associate VP, Educational Affairs USF Health JoAnn Shea, ARNP Director, Employee Health Tampa General Hospital Don Kurtyka, PhD, ARNP Director Specialty Care Center, HCHD John Ekarius, MBA Chief Administrator Liaison to Vice President, USF Health Mark Rumbak, MD Professor of Medicine Pulmonary and Critical Care Medicine Lynette Menezes, PhD Director, International Affairs College of Medicine Stephanie McKown, RN, BSN USF Health Simulation Center Tampa General Hospital Joe Jackson Director of Managed Care and Clinical Facilities Morsani Center for Advanced Health Care Rick Green Executive Director, USF Physician s Group Chief Operations Officer, Center for Adv. Healthcare

13 Agenda for LEAD USF-SWU th Feb-22 nd Mar 2013, At USF 28 ST Feb-20 TH Mar 2013 Sun Mon Tue Wed Thu Fri Sat Orientation at Day 1 Day 2 MED SWU Flight time BKK,TH to FL,USA. -Opening - Managing Clinical - Program -Pre test&bar Operation - Managed Care and introduction and -How to enhance Health Insurance preparation Welcome party leadership in heath system care - TGH Tour 3 4 Day 3 - Nursing Admin - Hospital Budget & Finance - Team Education& Multidisciplinary Day 8 - Building Leadership Cap&Conflict Resolution. - TGH ICU Tour 5 Day 4 - Quality Health Care - Health IT System - TGH Management Operation - TGH Security & Bio Waste 12 Day 9 - Ethics in-health Care - Public Relation - HCHD Tour 6 Day 5 - Future Medicine: Mgr an Academic. - Managing a Clinical Division - Adv Health Care Tour 13 Day 10 - Hospital/Physician Relationships. - HR Mgr/Evaluation - Exchange Management - CAMLS Tour 7 Day 6 - Strategic Planning&Admin - Operation Management: Develop, Design, Improve Hospital Quality 14 Day 11 - Cost & Benefit&Effective - Staff&Proff Development - Cancer Center Tour 8 Day 7 - Organization Behavior - TGH Infection Prevention 15 Day 12 - Employee Assess &Employ Health. - Hospital Infection Prevention &Control. - TGH Tour Day 13 - Recap Session - Assist with Projects Q&A - Hospital Tour Day 14 - Presentation by participants - Starship Dinner Cruise 19 Day 15 - Post Survey: Evaluation - Close Training Program Flight time from FL,USA.to BKK,TH

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