Special Training is Needed for Healthcare Managers

28 november 2018

Value-based healthcare focused on long-term effectiveness for the patient was the main topic of the III Russian National Conference of Department Heads on Management Staff Training in Healthcare hosted by the Analytical Center.

Welcoming the participants of the conference the Deputy Head of the Analytical Center Nelly Naigovzina reported that the resolutions passed at last year's conference had been implemented. Thus, according to her, throughout the year the professional standard for public healthcare management specialists has been upgraded, resulting in a completely new trajectory for the training and appointment of chief medical officers. In addition, the experts have drafted a new federal standard for medical residency types. The document is currently being reviewed by the Coordination Council of the Ministry of Education and Science of Russia for the Field of Education 'Healthcare and Medical Sciences'. At the end of the conference a work group was also set up that compiled a single database of test assignments for how to properly organize and manage healthcare facilities and public health. The tests were harmonized with the professional healthcare management standard.

During the plenary session the participants discussed the relevant trends in healthcare and in the development of management potential. Tatiana Semenova, Director of the Medical Education and Human Resources Policy Department of the Ministry of Health of Russia, opined that healthcare managers play a key role in the industry, so educational facilities need to take management training very seriously.

"It is your job to train managers within the industry, " Ms. Semenova said addressing the participants of the conference. "And the quality of management in a system or industry determines its overall state. Presidential Decree No. 204 sets a broad goal for the entire country in broad strokes in terms of what results are to be achieved in key areas. That alone implies cooperation between industries and consolidation across ministries. It's a challenge for managers who must use the project management approach to achieve said goals."

The conference participants agreed that an effective manager must have proper training in economics. However, according to Olga Tretyakova, Head of the Public Healthcare Department at S.I. Georgievsky Medical Academy, graduates from higher medical education schools usually have rather limited competencies in economics. This is a result of poor curricula and the fact that most students tend to treat non-major disciplines as less important.

"Today we're seeing a new trend towards value-based healthcare in which the link between costs and results is always emphasized and the economic components of healthcare must not be divorced from healthcare itself. And when today's newly minted graduates become doctors or ministers tomorrow they should not have any illusions about how much high tech healthcare actually costs," Ms. Naigozina added.

The conference also became a venue where people got to learn about the best practices in creating an educational environment. Elena Parmon, Director of the Medical Education Institute of the Almazov National Medical Research Center, talked about an experiment being conducted at the center, which aims to promote the development of innovative HR potential in healthcare and anticipate where the medical sciences are going to go next.

"For the first time in history a research facility in our country has been allowed to offer medical education," Ms. Parmon explained. "Under the current law our graduates must get at least master's degrees. We've developed a specialization program, got a license, admitted a small group of students from the best applicants. We didn't offer any paid programs or target programs. Our students work in small groups. We expect that in five years’ time they will be able to successfully tackle even the most complex tasks."

According to her, the training program emphasizes problem solving and active use of advanced knowledge and science. All classes are fully integrated with real clinical practices. Right from first year the students are conducting research, studying biomedical technologies, digital healthcare, cybernetics and bionics.