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Sep 05 - Sep 10, 2019

Moving Measurement into Action: Designing Global Principles for Measuring Patient Safety

Session 622
Measurement is fundamental to advancing improvement. However, there is not presently a broadly agreed upon set of metrics to understand the current state of patient safety. There are critical measurement gaps in key settings, such as ambulatory care, and the current measurement methodology fails to detect all instances of errors and harms, and is often reactive rather than proactive. Over the last 15 years, safety measurement has become routine in many areas of health care. However, unlike with other aspects of quality, there is not presently consensus on a set of metrics to understand the current state of patient safety. There are critical measurement gaps in measuring safety in key emerging settings such as ambulatory care and in measuring the use of low-value care. The current measurement methodology, which often relies on retrospective surveillance via claims data or chart reviews, fails to detect all instances of errors and harms or the level of safety in the health care we deliver. Poorly devised or under-utilized metrics carry the potential for unintended negative consequences. For example, one particularly common measure – “total adverse events” – may be too heterogeneous to provide meaningful data for improvement, yet it is often used as a primary metric for assessing patient safety. Current measures predominantly focus on inpatient safety rather than safety across the entire continuum and are retrospective and reactive, not allowing for the identification and measurement of risks and hazards before an adverse event occurs. They may also fail to adequately represent what is meaningful to patients (including emotional harm and disrespectful behavior). The safety field needs to develop a set of meaningful measures that accurately assess the safety of patient care and focus on improvements of care across the continuum. At this meeting, we will utilize a comprehensive view of harm to inform the creation of recommendations for a framework to guide the development of more effective measures and collection strategies, and to help ensure validity of effective measures for safety, error, and harm through the lens of various stakeholders, including the patient. We will focus on cross-continuum measures that support the safety of patients and the healthcare workforce with the ultimate aim of developing design principles and recommendations for a framework of actionable areas of measurement focused on learning and improvement that can be applied in high, medium, and low-income countries KEY QUESTIONSChallenges of measurement: What are the unintended consequences and limitations of current measurement practices? How do these vary around the globe? What are the potential unintended consequences of a new framework for measurement, and how might they be mitigated? The role of proactive and reactive measurement: What are the benefits of proactive data and reactive data? How can each type of measure be used to understand and address both harm and risk? How and when should each type of measure be used, and how can these measures be most useful to systems, clinicians, and patients? The role of patients: What is the role of patients in measurement? What role can and should patient-reported measures play in measuring harm and system safety? The role of novel methods of data collection: How do organizations and countries around the globe collect data (e.g. electronic health records, chart reviews, or administrative data) for measuring safety and/or harm? How can new technologies, big data, artificial intelligence, or other innovations be best developed and implemented to promote improved measurement for learning? Measuring across the continuum of care: What types of measures matter in settings outside of hospitals, such as ambulatory practices, community-based and home health, nursing homes, etc. and as the patient journeys through the health care system? How does collection and analysis of data vary across these environments, and how can a potential framework reduce these challenges? Measures for the broader definition of harm: What measures should be considered to cover a broader definition of harm (e.g., emotional harm and disrespect)? How can organizations measure the psychological safety of patients? How should organizations measure the both the physical and psychological safety of staff and clinicians? National and international action to advance measurement: What are countries doing around the world? What national or international protocols are in place or necessary to develop and validate measures? How can a framework influence developers and processes around the globe? What policies and incentives currently exist, and which could or should be considered?PARTICIPANT PROFILE This program will bring together around 50 participants, including global healthcare leaders, researchers and design thinkers, patients, providers, and experts in measurement, quality improvement, operations, and informatics from measurement and patient safety-focused organizations around the globe. PROGRAM FORMAT This program will be highly participatory, with a strong focus on synthesizing experience from different settings. The program will combine presentations and panel discussions with group conversations and participant-led group work to develop an actionable, cross-continuum framework for safety measurement. EXPECTED OUTCOME AND IMPACT This program will seek to create:A consensus paper outlining recommendations for a framework focused on improving measurement of safety and harm for learning, improvement, and accountability; Principles for evaluating the actionability and effectiveness of existing measures and the development of new measures for system safety; Recommendations for implementing the framework and selecting valuable measures for health care providers and systems; and An ongoing collaboration among participants and their institutions, including policymakers, to implement the recommendations and improve tools and guidelines for measurement. Develop a Salzburg Statement and other policy recommendations in relation to the future of work and its impact on health.
Sep 20 - Sep 24, 2019

The Changing Role of the Media in American Life and Culture: Emerging Trends

The USA has never had so many sources with which to inform itself and the world. But while the options of how to consume news are broadening, consumers’ views are narrowing. The rise of 24-hour TV news channels, hyper-partisan advertising and social media is widening cultural, political and social divides in the United States. At the 2019 SSASA symposium, academics and practitioners will explore how the news media has developed an increased political role. In addition to its traditional communications goal of informing and shaping domestic and worldwide understanding, and alongside the three traditional branches of government – the executive, legislature and judiciary – the media has become a more active and significant institutional political part of an increasingly polarized America. What does the future hold? No longer constrained to city morning papers, top-of-the-hour updates or evening newscasts, Americans now have more choice in when, how and where they access their news. In addition to the traditional newspapers, radio stations and TV channels, mobile apps, podcasts, blogs, online video channels, social media networks also capture conventional audiences. The producers and publishers of this news are just as varied, from global conglomerates to independent bloggers and malicious bots.  Education, geography, race, political leanings and age have all long influenced how Americans access and consume their news. Aided by algorithms, social media platforms show content tailored to their users’ existing political views, homogeneous communities and specific demographics.  Social media has also made it easier to publish and share content from news producers at all levels of professionalism and purposes, whether delivering objective reporting, serving niche audiences, advancing political viewpoints, or sowing deliberate discord. Many readers, however, lack the media literacy necessary to discern what news is “real” and what is “fake,” preferring instead to consume and share news that supports rather than opposes their view of “the truth.” Trust in both news outlets and social media platforms is waning. Although freedom of the press is enshrined in the First Amendment, the US is sliding down the World Press Freedom Rankings – a slide that pre-dates but is accelerated by the current administration and its declaration of the media as the “enemy of the people.” With today’s global access to news online, anyone can now read, watch and listen to America’s coverage of itself as well as that produced by their own countries’ and others’ correspondents. But shrinking revenues have reduced both the spread of national and foreign correspondents and the depth of local and international news coverage. Despite diversity initiatives and some gender advances, cultural issues remain a challenge for the media.    Many of these issues are not uniquely American, but how the USA responds to these challenges will have wide-ranging implications for media markets around the world and how they in turn positively or adversely affect their own countries. KEY QUESTIONSHow has the American media landscape and the world’s news consumption habits changed in America and abroad in past decades? What have been the main drivers of these changes?  What appears to be the motive and purpose of those who are producing and publishing the news?  Why do many Americans appear to have lost trust in the news media an how can the industry regain trust and remain objective in an age of “alternative facts”? How is the American media landscape influencing other countries’ media markets and the image of America abroad and how, in turn, is America being influenced by its image in the world How can the American media fulfill its communication and emerging political role as an institution of American democracy and how are the executive, legislature and judiciary likely to react to this new political involvement? What does the future look like for the US media, its consumers and its role in American culture and democracy?PROGRAM FORMAT The intensive four-day session will include thematic presentations and panel-led discussions by distinguished speakers and participants, as well as small in-depth discussion groups to maximize cross-sector interaction with everyone present. The highly interactive session takes place at Schloss Leopoldskron, the historic home of Salzburg Global Seminar. PARTICIPANT PROFILE Salzburg Seminar American Studies Association (SSASA) symposia are intended to connect scholars and professional leaders from around the world to build collaborative networks for research and debate. The 2019 meeting – the 17th SSASA symposium – will bring together approximately 45 participants from more than 25 countries. Speakers and participants will include individuals with expertise in the current American media landscape, as well as academics teaching about the United States in universities around the world.
Oct 22 - Oct 27, 2019

Cultural Innovation, Leadership and Collaboration: A Global Platform

Session 627
Many cities and regions around the world are facing radical environmental, social, political, and economic transformation, confronting challenges such as climate change, social injustice, the need for educational reform, and growing economic disparities. Addressing these challenges takes action at all levels and in collaboration across multiple different sectors. Recognizing that some of the most imaginative solutions at the local and community levels are found in the arts and culture sector, where young cultural innovators are helping to drive change, Salzburg Global Seminar launched the Young Cultural Innovators Forum in 2014 to connect and empower a critical mass of talented change-makers across the world to shape a more creative, just and sustainable world. Each year the YCI Forum brings together a new group of 50 cultural innovators and creative practitioners, selected from participating city or country “hubs” with the active support of local partner organizations. The artistic disciplines they represent range from the visual and performing arts, literature, and cultural heritage, to foods, fashion, architecture, and design. The residential program at Schloss Leopoldskron, home of Salzburg Global Seminar, is designed to help participants develop the dynamic vision, practical skills, and global networks they need to bridge divides, expand collaboration, and transform systems at the local, regional, and global levels. Now in its sixth year, the YCI Forum is growing and nurturing a dynamic international network that catalyzes an expanding range of local and cross-border collaborations. The Forum represents a major, ten-year commitment by Salzburg Global Seminar to fostering creative innovation and social entrepreneurship for more inclusive and sustainable development. Focused on human capital and leadership development, the Forum aims to build a more vibrant and resilient culture and arts sector equipped to advance positive social change agendas and equitable community transformation worldwide. PARTICIPANT PROFILE Each annual YCI cohort comprises approximately ten expert facilitators and 50 young cultural innovators between the ages of 25 and 35 from around the world. Salzburg Global strives to have a group each year that is balanced in terms of gender, discipline, and geographic representation. Participants are chosen through a competitive application and nomination process, to ensure outstanding quality and diversity of professional knowledge and experience within the Forum. Most participants come from “YCI hubs” that Salzburg Global Seminar has been developing with partners in cities and regions around the world. These hubs – which form the core of the YCI Forum’s activities – now include: Adelaide, Australia; Athens, Greece; Baltimore, USA; Buenos Aires, Argentina; Canada; Cape Town, South Africa; Detroit, USA; Malta; Manila, Philippines; Memphis, USA; Mekong Delta: Cambodia, Vietnam, Laos, and Thailand; Nairobi, Kenya; New Orleans, USA; Plovdiv, Bulgaria; Salzburg, Austria; Seoul, South Korea; Tirana, Albania; and Tokyo, Japan, and the Upper Midwest, USA. Applications for funded scholarships for specific YCI Hubs will open on a rolling basis by hub throughout 2019. Sign up here to receive notification of when applications open: PROGRAM FORMAT Forum components include the one-week annual program in Salzburg combining theory and praxis, with capacity building sessions focusing on:Communicating value; Principles of self-organization; Cross-sectoral collaboration; Leadership and values.Outstanding participants from previous years are often invited back as facilitators, resource specialists or rapporteurs at later sessions and regional events to assure continuity, communication and exchange of best practice across the Forum. The YCI Forum helps participants to create and develop hubs on all continents to share learning, scale up projects, and magnify the impact of the network created in Salzburg at the community and regional levels. YCI hub teams take the initiative to convene mini-sessions, workshops and public events and become a local resource for emerging cultural innovators working at the intersection of the arts and social impact. EXPECTED OUTCOMES AND IMPACT Through the annual week-long program in Salzburg and ongoing network facilitation, the Salzburg Global Forum for Young Cultural Innovators aims to:Support next generation creative change-makers who are major, yet unrecognized or under-resourced, drivers of civic innovation and imaginative social change; Create a world-class network of Young Cultural Innovators to strengthen and encourage cross-sectoral collaboration between the arts sector and other sectors over the next five years; Build the capacity of a critical mass (500+) of networked young creative change-makers committed to innovative leadership, social impact, entrepreneurial approaches, and exchange of best practices within and among “YCI hubs” worldwide; Generate a multiplier effect through the “YCI hubs” by sharing the learning from the Salzburg sessions and inspire innovation, collaboration, and peer mentoring at the local and regional levels; and Disseminate the Forum’s groundbreaking ideas around the intersection between the arts and social impact to a broad community of stakeholders and build a creative impact network for continuing dialogue, collaboration and advocacy, through social media and catalyzed by the “YCI hubs.” 
Dec 08 - Dec 13, 2019

Education and Workforce Opportunities for Refugees and Migrants

Session 630
At 68.5 million, the global number of forcibly displaced people is at its highest since the end of the Second World War. Over half of all refugees are children and they face massive educational disadvantages. Their lack of access to education hinders not only their own wellbeing and future prospects, but also the future of both their own and host countries. Building on recent Education for Tomorrow’s World programs on language policy and social and emotional learning, this program will bring together experts, policymakers and practitioners from a wide range of organizations, sectors and countries to develop policy and financing solutions that can create better education outcomes and life chances for both refugees and displaced people and their host communities. 
Nov 03 - Nov 06, 2019

People, Partnership and Investment: Solutions to Converging and Urgent Challenges in the 2020s

Session 639
Wealth – both in the hands of individuals, philanthropic institutions, and investors – has reached new heights. At the same time, the world faces unprecedented challenges, from climate change to growing inequality. How can foundations and social investors better channel their people, investments, and partnerships to meet these challenges? At the latest program in the Philanthropy and Social Investment series, senior foundations staff and social investors will explore the challenges and opportunities to develop and integrate talent, purpose, and profit at the individual, organizational, and broader social investment ecosystem levels in order to exchange best practices, build new networks and foster collaboration for greater social impact. Over the past decade, levels of wealth have risen among the richest to new levels. Assets in endowments of foundations, philanthropies, and with social investors are also higher than ever. At the same time, the view over the horizon is dimmed by sobering indications of fundamental challenges facing us as a global society in the coming decade. Climate change, growing social and economic inequality, and population health and wellbeing are among the most significant challenges, and are converging at an unchartered pace and timescale. The next decade will need to be one of significant global transition – away from carbon-based economies, and toward more equitable and fair financial systems, and healthier communities and societies – especially if we are to work together across sectors and geographies to achieve the Sustainable Development Goals (SDGs) by 2030. In the face of this, how can foundations and social investors position their approaches to people, partnership, and investments to be more effective? What are the elements of this transition that philanthropy and social investment need to keep in focus? How can the philanthropic sector act as a lever for larger flows of capital from the public and private sector toward aiding this transition and tackling these global challenges?  For over 70 years, Salzburg Global Seminar has worked with visionary and ethical leaders and changemakers to shape a better world in times of transition and challenge. Developing global networks that bridge divides and creating conditions for improved foresight and innovation lie at the heart of our commitment to expand collaboration and transform systems, in alignment with the SDGs. Building on Salzburg Global’s multi-year Philanthropy and Social Investment series and the “Developing Talent Across the Continuum of Capital” workshop at the June 2019 AVPN conference in Singapore, this program will bring together 40 senior-level representatives from across the investing and talent management functions at foundations and social investing firms to examine the key issues that could unlock greater effectiveness, collaboration, and greater social impact.  PROGRAM GOALS This program seeks to:Expand the network of influencers across sectors, geographies, and generations for impactful alliances;  Develop and advance breakthrough approaches in talent management, investment, and partnerships to drive more effective practices; and  Facilitate stronger collaboration with a focus on the talent and capital necessary for systems transformation. The content is framed around the challenges and opportunities to develop and integrate talent, purpose, and profit at three levels:The broader social investment ecosystem (“working for a purpose” regardless of sector): addressing the systemic perceptions and power dynamics and asymmetry between and within government, private, and NGO sectors in regions globally, including ease of  mobility;  The organizational level: developing the kind of culture, management, leadership, and incentives necessary for handling complexity and effective philanthropy and social investment;  The individual level: addressing recruitment, talent development, talent pipeline, retention, mobility, and professionalization of the philanthropic sector globally.      PROGRAM FORMAT The residential program will be in the retreat-like setting of Schloss Leopoldskron, which facilitates trust, networking, and in-depth conversations. The highly interactive program is structured around a mix of thought-provoking presentations, curated conversations, informal interactions, knowledge exchange, and practical group work and innovation prototyping.   The process seeks to combine theory, policy, and practice across sectoral and geographic silos, opening up new perspectives and intensive learning opportunities. Participants will work in focus groups, allowing for intense explorations of specific aspects of the general themes before returning to the plenary to refine conclusions. KEY QUESTIONSBy 2030, what is your vision for how philanthropy and social investing can address fundamental challenges of climate change, social and economic inequality, population health, and wellbeing? To achieve the vision, what is the investment strategy? The people strategy? The partnership strategy?   What would need to change for philanthropy and social investing to act as a lever for larger flows of capital from the public and private sectors to develop scalable solutions that are sufficiently capitalized?  What are “elephants in the room” with respect to solutions to these challenges that you have a hard time discussing that could be brought up in the safe, open space of Salzburg?  How much cross-pollination and common language is there currently between different parts of the ecosystem? Are perceptions of risk and “impact” different for social and corporate actors? How do management strengths and weaknesses vary across the ecosystem? What progress are we seeing in donor/funder understanding of organizational needs e.g. to support operating costs? How are cultural and professional perceptions of the social investment ecosystem changing? How sustainable are employment opportunities and salaries? What would it take to get/help the social sector to meaningfully invest in talent development; define the skills needed; and develop structured opportunities for advancement, training, and mobility?PARTICIPANT PROFILE This program will bring together a globally-representative group of 40 participants including:Senior staff of foundations and social investment vehicles (e.g. President/CEO, Executive Director, Vice President, Director); and  Heads of human resource functions (VP of Talent, Human Resources Director).  
Dec 14 - Dec 19, 2019

Halting the Childhood Obesity Epidemic: Identifying Decisive Interventions in Complex Systems

Session 642
Since the 1970s the prevalence of excess weight has more than tripled across populations around the world to 13 % - but among children, the proportion has reached 18% (over 30% in the United States). There is variation in this, but projections continue to show an upward trend in most countries, with profound consequences for physical and mental health, and social inequalities, for now and the future. Given the complexities involved in this phenomenon, what can be done about it? Over the past decade, our collective understanding of the systems, forces, and conditions that impact childhood obesity has evolved. Increasingly, initiatives in this area have focused on policy and environmental changes. In many parts of the world, we have moved forward as we have shifted national conversations and public discourse away from just personal responsibility to an understanding that it is also the systems and policies that shape our ability to live well and access opportunities for healthy eating and physical activity. But that needs to move faster and on a broader front, recognising the systens change needed, while identifying the most decisive and inter-linked points of intervention. There is increasing recognition that the systems and policies that drive obesity in childhood are the same systems that broadly impact the health and well-being of children and families. What this means is that we are unlikely to solve the childhood obesity crisis unless we are widening our lens to think about broad changes, such as policies that better support families. Until we address the broader determinants of obesity and barriers to its treatment in low income and minority populations, the current disparities in the prevalence of obesity and other chronic diseases will persist and may even increase. The epidemic of childhood obesity is deeply intertwined with related challenges around food access, income inequality, a fragile safety net, inadequate public transportation, and the scarcity of affordable housing. The Salzburg Seminar will highlight how global innovations and ideas in the childhood obesity prevention space could help optimize health outcomes for children everywhere. Building on Salzburg Global's long-standing series on health systems transformation, including last year's seminar on creating healthy environments and shared value for children, and on the Robert Wood Johnson Foundation's approach to a Culture of Health, this program will enable participants from across the world to review strategies and adapt them to different contexts to enable all children to grow up at a healthy weight.