HLSC659 - Strategic Management in Health Service Delivery

Year

Credit points

Campus offering

Prerequisites

Unit rationale, description and aim

Strategic management in health service delivery addresses health system design, delivery and evaluation. Globalisation has brought the need for healthcare management to be strategically planned and delivered with an awareness of both local and global implications because a broad-based response or approach may be required to address health service issues. This unit is required for students to develop a comprehensive understanding of the knowledge and skills, including critical analytical skills, required to apply a contextual, integrative approach to strategic management in health service delivery.

In this unit students will consider the broad context of strategic health service management with reference to health service funding and health service delivery. Students will reflect on how awareness of strategy as it applies to health-related issues can influence consumer advocacy and political lobbying for the common good. In critically evaluating strategic, contemporary health service management students will develop skills in addressing national and international health priorities from a long term, consultative, social justice and equity perspective.

The aim of this unit is to provide students with a comprehensive understanding of the theoretical basis underpinning health care management strategy and the ability to evaluate the implications of strategic decisions on health outcomes.

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

On successful completion of this unit, students should be able to:

LO1 - reflect on strategic management principles to critically appraise the factors that influence decision making in health service delivery (GA1, GA2, GA4);

LO2 - evaluate the impact of changes to healthcare funding on aspects of health service delivery from a strategic management and equity perspective (GA1, GA2, GA4, GA9);

LO3 - apply knowledge of effective consultation, consumer advocacy and political lobbying in relation to strategic agenda setting in health service delivery (GA1, GA2, GA3, GA4, GA9);

LO4 - critically evaluate strategic management in health service delivery in relation to potential impacts on health and the common good (GA1, GA2, GA3, GA4, GA6, GA9). 

Graduate attributes

GA1 - demonstrate respect for the dignity of each individual and for human diversity 

GA2 - recognise their responsibility to the common good, the environment and society 

GA3 - apply ethical perspectives in informed decision making

GA4 - think critically and reflectively 

GA6 - solve problems in a variety of settings taking local and international perspectives into account

GA9 - demonstrate effective communication in oral and written English language and visual media 

Content

Topics will include:

• Management Theory
• The theoretical underpinnings of strategy and strategic management in health service delivery
• Contemporary strategic health care management – national and international

• Strategic Management
• Social determinants of health and relevance to strategic health management
• National and international health priorities
• Stakeholder consultation processes
• Health service delivery (including NDIS, Aged Care Packages)
• Health policy and social justice

• Implementing Strategic Management
• Policy implementation strategies
• Agenda setting
• Healthcare funding – strategic management implications
• Health insurance – strategic management implications
• Patient/consumer advocacy
• Political lobbying

• Evaluating Strategy Outcomes
• Evaluating outcomes of strategic decision making
• National and international trends in strategic health service direction

Learning and teaching strategy and rationale

The learning and teaching strategy for this unit is founded on active learning whereby students are provided opportunities to appraise contemporary strategic management in health services and the impact of consultative processes, consumer advocacy and strategic decision making on health outcomes, particularly for disadvantaged population groups.

This unit is provided through LEO, the online learning platform, which is utilised for assessment submission and results, online readings, lecture notes and slides. This approach offers flexibility and inclusivity to students. The teaching and learning strategies will support students in meeting the aim, learning outcomes and graduate attributes of the unit and the broader course learning outcomes. Learning and teaching strategies will reflect respect for the individual as an independent learner. Students will be expected to take responsibility for their learning and to participate actively with peers.

Multi-mode

Located in the second year of the program, this unit includes significant face-to-face interactions with lecturers and peers to assist students in linking theory with practice. Lectures are utilised to convey content while collaboration with peers in face-to-face mode will support students in considering, discussing and debating principles and theories underpinning strategic management and the impact of consultative processes, consumer advocacy and strategic decision making on health outcomes. There is potential for interaction with industry practitioners who may be invited to provide occasional recorded guest lectures.

Online mode

Located in the second year of the program, this unit is founded on self-directed, self-paced learning through the LEO platform whereby students are supported in linking theory with practice. Interactive eModules are utilised to convey content. Collaboration with peers in the online environment, for example, via the use of Padlet walls, Discussion Forums and Wikis, among other digital media, will support students in considering, discussing and debating principles and theories underpinning strategic management and the impact of consultative processes, consumer advocacy and strategic decision making on health outcomes. There is potential for interaction with industry practitioners who may be invited to provide occasional recorded guest lectures. Learning in this mode will be largely asynchronous (‘anywhere, anytime learning’), as well as synchronous, for example, via live webinar scheduled periodically throughout the semester.

Assessment strategy and rationale

In order to pass this unit, students are expected to submit three graded assessment tasks. In addition, students must achieve a cumulative grade of at least 50% across all assessments. In order to reward students for engagement and performance, a final graded result will be awarded. 

In this unit, to support students in being able to demonstrate unit learning outcomes and develop graduate attributes, a standards-based assessment is utilised, consistent with University assessment requirements. The assessment strategy allows for the progressive development of knowledge, skills and attitudes necessary for the student to be able to demonstrate an understanding of strategic management and decision making in health service delivery. Students are supported in demonstrating an understanding of the impact of consultative processes, consumer advocacy and strategic decision making on health outcomes and the common good which is required for students who are aspiring towards ethical and effective management in health service delivery. These assessments are required to build student knowledge, skills and attitudes to graduate as a healthcare professional who can contribute to ethical and effective health service delivery.

Multi-mode

A range of assessment strategies are used including assessing students’ ability to: (i) reflect on the ethical implications and effectiveness of strategic decision making in health service delivery through a written reflection; (ii) analyse health service implementation strategies through group work and collaborative seminar presentation (iii) evaluate health service delivery in relation to health outcomes and the common good through preparation of a written essay. 

Overview of assessments

Multi-Mode;

Online-mode

A range of assessment strategies are used including assessing students’ ability to: (i) reflect on the ethical implications and effectiveness of strategic decision making in health service delivery through a written reflection; (ii) analyse health service implementation strategies through online group interaction and presentation of the findings/outcomes of group collaboration (iii) evaluate health service delivery in relation to health outcomes and the common good through preparation of a written essay. 

Representative texts and references

Althaus, C., Bridgman, P., & Davis, G. The Australian policy handbook (5th Ed.). Crows Nest, Australia: Allen & Unwin.

Buttigieg, S., Rathert, C., & von Eiff, W. (2015). International best practices in health care management. Bradford, U.K.: Emerald Group Publishing Limited. Available from: http://www.emeraldinsight.com/doi/book/10.1108/S1474-8231201517.

Keleher, M., Sabanovic, H., La Brooy, C., Lock, M., Lusher, D., & Brown, L. (2014). Does            more equitable governance lead to more equitable health care? A case study based on the implementation of health reform in Aboriginal health Australia. Social Science & Medicine, 123, 278 – 286.

           http://ezproxy.acu.edu.au/login?url=http://dx.doi.org/10.1016/j.socscimed.2014.07.032

Palmer, G., & Short, S. (2014). Health care and public policy: An Australian analysis (5th ed.). South Yarra, Melbourne: Palgrave MacmillanVerhoeven, A., Partel, K., & Thurecht, L. (2017). Universal health in a mixed public-private system: The Australian experience. International Hospital Federation, 52(4), 28 - 30.

Waring, J., Allen, D., Braithwaite J., & Sandall, J. (2016). Healthcare quality and safety: A review of policy, practice and research. Sociology of Health & Illness, 38(2), 198 –      215. http://ezproxy.acu.edu.au/login?url=http://dx.doi.org/10.1111/1467-9566.12391