Past Program

Sep 25 - Oct 01, 2011

Health and Healthcare Series III, Innovating for Value in Health Care Delivery: Better Cross-Border Learning, Smarter Adaptation and Adoption


Countries around the world and across the range of wealth of nations are struggling to achieve the goal of providing their citizens with effective and efficient health care. With the intensifying challenges of the coming generation - fiscal pressures, demographic shift, the impacts of climate change and new disease patterns - it is increasingly urgent to work more creatively with the resources we have. This third session in the SGS health care series tackling these issues will focus on the ways in which the discipline of science and the discernment that comes from capturing experience across contexts - North and South - can foster innovation which enhances the value of health care.



The session will begin and end with questions of principle:


· Are there universal goals of health care for individuals and for communities?


· Do we have adequate methods and metrics to measure progress in achieving such goals?


· How do we design health care with outcomes in learning as well as delivery - especially in learning what constitutes real and sustainable value?


· Can we design health care that transcends the cultural as well as the technical barriers to better care with better health at lower cost?


· How best can we track, nurture and apply 'reverse innovation' - cheaper, smarter, quicker innovation from the ground up where resources are scarce, often adapting existing organizational models or mass technologies?


· When difficult decisions must be made, can innovative delivery design narrow the gap in influence between those who make the decisions and those who live with the consequences?


Case studies of service innovation, drawn from both developed and developing countries, will suggest ways of generating innovative redesigns of care, as well as their implementation and disciplined evaluation. As well as seeding ideas through plenary and informal discussions, role-play, incorporating aspects of simulation and game design, will be used to explore the importance of context, such as the organization of a health care economy, the resources available to it, and cultural difference.


The ideal candidates to be Fellows at this Salzburg Global Seminar will be emerging leaders focused on enhancing the value of health care around the world.

This session is being organized in collaboration with The Dartmouth Center for Health Care Delivery Science at Dartmouth College, Hanover New Hampshire, USA.

As mentioned, this session is the third in a series of Salzburg policy forums on health and healthcare responding to the demographic, organizational, and financial challenges on the horizon for the coming generation. The policy challenges vary, but there are universal questions -about funding and payment methods and the effects of the resulting financial incentives on care delivery, and about the roles patients can, and should, play in decision-making regarding their own health care. What are the roles of the state, the market and physicians in delivering the care that patients need and no less, and the care they want and no more? The first two sessions in the Salzburg Global Seminar (SGS) series on health care confronted ample evidence that current health care delivery in most countries falls short in these dimensions. Health care everywhere could be more effective and more efficient, and this third session will work on approaches to innovation which can help bring this about.

Among the outcomes of the series as a whole will be Salzburg papers on health and healthcare and a dedicated network of health and healthcare Fellows within the Salzburg Global Fellowship.

The fee for the session is €3,300. This covers the costs of the program, accommodations, and meals. We hope that financial constraints will not deter participation; some scholarships and partial bursaries are available. Those seeking such assistance should submit an application for financial aid to our registration office.


Jaime Bayona
Public Health Advisor, The World Bank
Agnes Binagwaho
Former Minister of Health, Kigali, Rwanda
Richard Bohmer
Professor of Management Practice, Harvard Business School, Boston, US
Angela Coulter
Director of Global Initiatives, the Foundation for Informed Medical Decision Making, Boston, US
Nigel Crisp
Independent Member of the Crossbenches and member of the Select Committee on the Merits of Statutory Instruments, House of Lords, London, UK
Susan Dentzer
Editor-in-Chief, Health Affairs, Bethesda, US (by video-link)
Glyn Elwyn
Professor, The Dartmouth Center for Health Care Delivery Science, Hanover, NH
Mary Flanagan
Sherman Fairchild Distinguished Professor in Digital Humanities; Director, Tiltfactor Laboratory, Dartmouth College, Hanover, US
Donald Goldmann
Chief Medical and Scientific Officer, Institute for Healthcare Improvement (IHI)
Vijay Govindarajan
Earl C. Daum 1924 Professor of International Business, Hanover, US (by video-link)
Jim Yong Kim
President, Dartmouth College, Hanover, US (by video-link)
Laura Landy
President & CEO, Fannie E. Rippel Foundation, Morristown, US
Ruth Nduati
Associate Professor of Paediatrics, School of Medicine, College of Health Sciences, University of Nairobi, Kenya
Thulasiraj Ravilla
Executive Director, Lions Aravind Institute of Community Ophthalmology, Madurai, India
Jonathan Skinner
John Sloan Dickey Third Century Chair of Economics, Professor, Department of Economics, Dartmouth College; Professor, Department of Family and Community Medicine, Dartmouth Medical School, The Dartmouth Institute for Health Policy and Clinical Practice; H
Aravind Srinivasan
Director of Projects, Aravind Eye Care System, Madurai
Elizabeth Teisberg
Professor of Business at the University of Virginia Darden School of Business; Senior Institute Associate at the Harvard Institute for Strategy and Competitiveness; Charlottesville, US
Christopher Trimble