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EHMA_FY2010 [EHMA] [20093101] - Operating Grant
Mission and vision of the operating grant holder

EHMA`s aim is to improve the quality and build the capacity of health management across the European region. As EHMA`s statutes state: we seek to "improve health management and health policies through the development and exchange of both ideas and practices among academics, researchers, managers, clinicians, policy makers and consumers throughout Europe."

EHMA structures its vision under three areas: Quality and Equity in health and healthcare; Innovation in health management; and Sustainable Health Systems; underpinned in all three areas by Leadership.

> Quality and Equity: We want to see high quality healthcare and reduced health inequalities, led by outstanding managers, supported by appropriate policy frameworks and underpinned by the best available research.

> Innovation: We want to see innovative health management and research that thinks radically about service provision and public health for the good of all citizens.

> Sustainable health systems: We want to see health systems equipped to respond to current and future challenges in a way that safeguards health for all.

Strategic objectives and specific activities

EHMA has the following core objectives, set out in its statutes:

> The provision, development and improvement of education and training in health management.
> The development and improvement of health management practice.
> The encouragement and support of research and development among the members of the Association and the exchange of their findings.
> The transfer of research findings into practice through publications and through collaborative activities amongst the membership, and particularly between researchers and managers.
> Collaboration, on behalf of the members, with the European Union and its affiliates and agencies, the World Health Organisation and its agencies, and other international and national organisations which have an influence on health policy.

Through these objectives, EHMA aims to build the capacity and raise the quality of health management throughout the European Region. EHMA has 200 institutional members in more than 30 countries, from Ministries of health, to hospitals, to research institutions, to health insurers. EHMA takes the broadest possible definition of health management, to include the management of public health, prevention/ health promotion and health insurances as well as operational healthcare management, such as primary care, hospitals and mental health service provision.

Main Activities
EHMA`s activities are structured under three headings (Quality & Equity, Innovation and Sustainable Health Systems), with Leadership as a cross cutting theme:

1. Quality and Equity:
Activities in this area include: involvement in a major project to look at reducing health inequalities through tackling the social determinants of health through working with local government, and a programme in 2009-11 on the uses of Diagnosis-Related Groups. EHMA has also organised follow-up policy seminars to the EU funded HealthQUEST report on access to quality healthcare and its links to health inequalities. In 2009 these seminars have focused on access to healthcare for migrants, older people with functional limitations, and people with mental disorders.

2. Innovation
Activities in this area include: work to encourage innovative health management through a Special Interest Group on management development, and peer learning events with EHMA members. By way of example of peer learning events, EHMA has hosted in 2009 a meeting of senior health managers to look at innovative strategies for commissioning and purchasing healthcare in ways that build in quality measures. EHMA also presents an annual award in partnership with the Karolinska Institute for a research paper by a young researcher, and is seeking to develop ways of encouraging innovative health management and policy research, for example through the inclusion of a PhD students` session at the Association`s Annual Conference in 2010.

3. Sustainable Health Systems
Activities in this area include: management of the HEALTH PROMeTHEUS FP7 project on professional mobility in the EU and a Special Interest Group (SIG) on the health workforce; work on health in non-health Budgets (incl. Structural Funds); managing cross border care. EHMA also runs a special interest group looking at innovative primary care, and is seeking funding to develop the SIG activities to compare management approaches to primary care across Europe, and sharing of good practice across disciplinary and national boundaries.

Cross-Cutting theme: Leadership
Activities in this area include: the launch in 2009 of EHMA`s CEOs Network, which is designed to bring together health leaders across the European region to share learning across international and sectoral boundaries. EHMA has also launched a ground-breaking network for health managers and policy makers in transitional countries, which now has members from over 13 countries. EHMA also runs a programme review service for health management education programmes. The aim of this service is to build the quality of management training for the next generation of health leaders through international peer review and support.

Expected outcomes

The work programme is summarised under the three activity areas, with Leadership as a cross-cutting theme.

1. Quality and Equity
1.1 Collaboration Mechanism (CM)
The aim of the CM will be to build capacity through facilitating the exchange of expertise and information on maximizing health gain between key health investment funders and Member States/regions utilizing and applying for these funds. One CM meeting will be organised for 2010 with a specific theme, such as health investment in the light of the credit crisis. The expected outcome will be enhanced capacity to access investment for health and intelligence for funders on the experience of applicants for funding. The target group will be 15 key stakeholders, including major health funders, experts, MS and regional governments, with a focus on stakeholders from EU 12 Member States.

2 Innovation
2.1 European Mental Health Network (EMHN)
The objective of the EMHN will be to provide a unique European forum for policy makers, managers and researchers looking at mental health care delivery from a system perspective. The network will meet to look at implementing the evidence on effective and high quality mental health care, including moving care out of hospitals and somatic care for people with mental disorders. It is expected that the outcome of the network will be strengthened European capacity to implement the evidence on effective mental health systems and a strong peer network to solve common problems. The network`s target group will be 20 senior mental health policy makers, managers and researchers, from both old and new Member States.

3. Sustainable Health Systems
3.1 Cross Border Healthcare in Practice Simulation
The objective of the simulation will be to model likely impacts of future patient mobility. A simulation feasibility meeting will model reactions and implications of managing cross border care. The expected outcome will be valuable intelligence on the scope of a simulation, the potential impact of cross border care on European health systems through its impact on management practice, published as a discussion paper. The target group for the simulation will be 25 national and regional policy makers and health managers, with representation from Southern, Eastern, Central and Northern Europe.

4. Leadership
4.1 Transition Countries Network (TCN) for Health Managers and Policy Makers
The objective of the TCN is to build the capacity of health managers and policy makers in transition countries. In 2010 we aim to expand the TCN to maximise the value of the meetings and mentoring opportunities. The priority topics for 2010 will include patient safety and the health workforce. The expected outcome is increased health management capacity in transition countries and improved connections between management practice and policy. The target will be to recruit an additional 15 senior managers and policy makers.

4.2 Chief Executives Network
The objective of the CEOs` Network is to build capacity for health leaders across Europe, with a particular emphasis on international exchange and learning from other sectors. The network will meet once in 2010, with additional mentoring, briefing papers and virtual contact. The expected outcome of the network is a greater European perspective for health leaders and a strong peer network across Europe for finding solutions to common problems. The target group will be 15 CEOs of health planning and delivery organisations, including both new and old MS.

Ethical aspects affecting all work programme elements:
All work programme activities will be carried out in compliance with ethical principles according to Decision No 1982/2006/EC. We will also follow the European Directive 95/46/EC on the protection of individuals with regard to personal data. The work programme will consider data and information from a large number of sources. However, it will use exclusively secondary and aggregated data which do not pose ethical dilemmas with regards to personal information or information traceable to an identifiable individual.

Start date: 01/01/2010
End date: 01/01/2011
Duration: 12 month(s)
Current status: Finalised
Programme title: Second Programme of Community action in the Field of Health 2008-2013
EC Contribution: € 70 000,00
Portfolio: Interest groups