Standards of Functional Integration in Health System

1. Dr. Shahram Yazdani Standards of Functional Integration in Health System

2. Provision Stewardship Finance Resource Creation Main Functions of Health System

3. Provision Stewardship Finance Resource Creation Sub-functions of Stewardship Intrasectoral Governance Policy Making Intersectoral Leadership

4. Clinical Care Health Risk Factor Management Social Determinants of Health Provision Stewardship Finance Resource Creation Sub-functions of Provision

5. Provision Stewardship Finance Pooling Purchasing Resource Creation Sub-functions of Finance Revenue Generation

6. Provision Stewardship Finance Resource Creation Research Innovation & Industry Education Sub-functions of Resource Creation

7. Different Levels for Each Sub-system Public Health Research Innovation Clinical Services Education Policy Policy Policy Policy Policy Administration Administration Administration Administration Administration Operation Operation Operation Operation Operation

8. Vertical Integration within Each Sub-system Public Health Clinical Services Research Innovation Education Policy Policy Policy Policy Policy Administration Administration Administration Administration Administration Regulatory Standard Performance Monitoring Vertical Integration Operation Operation Operation Operation Operation Policy Governing Levers Aligned Operation

9. Horizontal Integration Between Sub-systems Public Health Research Innovation Clinical Services Education Policy Policy Policy Policy Policy Administration Administration Administration Administration Administration Operation Operation Operation Operation Operation Communication Cooperation Horizontal Integration Coordination Collaboration Structural Integration

10. Horizontal Integration Between Sub-systems Public Health Research Innovation Clinical Services Education Policy Policy Policy Policy Policy Administration Administration Administration Administration Administration Operation Operation Operation Operation Operation Communication Throughout The Cross-organizational or Cross-boundary Processes Cooperation Horizontal Integration Coordination Collaboration Structural Integration

11. Cross-Organizational & Cross-boundary Processes  Education Intra-organizational Process

12. Cross-Organizational & Cross-boundary Processes  Education Cross-organizational Process

13. Cross-Organizational & Cross-boundary Processes Research  Education Cross-boundary Process

14. مراحل کار: • فهرست اولیه فرایندها (بیش از 500 فرایند) • کميته ھای ارتقاء کيفيت و اصلاح فرايندھای • مدیران و کارشناسان حوزه های مختلف • فهرست فرایندهای بین سازمانی و بین حوزه ای (بیش از 150 فرایند) • بررسی راهکارهای تعامل برای بهبود فرایندهای بین سازمانی و بین حوزه ای • تدوین استانداردهای تعامل در فرایندهای بین سازمانی و بین حوزه ای (بیش از 300 استاندارد)

26. Thank You !

27. Research Sub-system • Feedback of health system to academy about research needs • Involvement of health system in the process of research priority setting in academy • Research on policies of health system in academy • Research on management (administration) of health system in academy • Funding of academic research by health system • Joint research projects and corporate R&D by academy and health system • Knowledge management (appraisal, synthesis and customization) by academy for health system usage • Utilization of new academically generated knowledge by health system

28. Innovation & Industry Sub-system • Role of academy in protecting intellectual property (e.g. patent office) • Venture nurturing activities and units in academy (Searching for ideas that can be commercialized, creating fertile ground for spin-off activity, protecting the technology base, business coaching, and facility management) • Science and technology parks, business parks • University consultancy and contracting services • Knowledge brokering in academy • Knowledge purveyering in Academy • Supply of scientific and technical services to third parties (business sector and public administration) • Diffusion of information, knowledge and technology towards economic and public operators acting at the interface between suppliers and users. (Innovation centers and liaison units at universities) • Technology Policy making (technology assessment offices) • Diffusion of scientific culture through science museums, science centers

29. Education Sub-system • Involvement of academy in community needs assessment • Involvement of academy in workforce planning • Involvement of academy in service gap analysis • Defining and approving new educational programs according to community needs • Community orientation (alignment of objectives and content with community needs) in academic educational programs • Community based (authentic educational settings) in academic educational programs • Continuous education of providers or producers by academy • Continuous professional development of providers or producers by academy

30. Provision Sub-system • Academy role in Setting standards and norms of services • Academy role in Licensure and certification of providers • Academy role in Distribution of workforce • Academy role in Monitoring and control of service performance or quality • Academy role in Coordination of services

31. Ownership and Governance • The legal relationship between the medical school and the faculty practice plan • The legal relationship between the medical school and other components of the clinical enterprise (Ownership, contractual, consortium, separate) • The functional interdependence of the academic enterprise and the clinical enterprise • CAO role in CE governance • CAO role in chairs/chiefs appointment (Appoints, vetoes, consulted) • CE role in CAO appointment • CAO role in CE CEO appointment (CAO hires in line relation, participate significantly, consulted) • CAO allocation authority • CAO budgetary authority—FPP • CAO budgetary authority—CE (Approve budget, participate in budgeting, receive allocation, request supports) • Financial interdependence