Degree in Health Engineering La Salle Campus Barcelona

Bachelor in Health Engineering

Lead the biomedical engineering that will define the medicine of the future

Clinical management

Description
The Clinical Management course in the Health Engineering Degree provides students with the foundational knowledge required to understand healthcare systems and healthcare organization, with a practical perspective aligned with the professional role of the Health Engineer. The course addresses the main domains of contemporary healthcare management: international models of healthcare systems and their applicability to our context, the organization and management of healthcare institutions and services, quality of care, patient safety, resource management, information systems and financing models. The objective of the course is for students to acquire the essential knowledge in the field of healthcare management and planning, so that they can apply it within the scope of health engineering: analysis and comparison of healthcare system models, understanding the organization of healthcare services and institutions, interpretation and design of outcome and efficiency indicators, management of health resources and technologies, and emerging models based on value, quality and patient safety.
Type Subject
Tercer - Obligatoria
Semester
Second
Course
4
Credits
3.00
Previous Knowledge

No prior knowledge is required.

Objectives

Learning Outcomes of this subject are:
1.- To identify the different models of healthcare management and the decision-making processes involved.
2.- To understand the concept of quality in healthcare services.
3.- To recognise the stages of healthcare planning.
4.- To identify indicators related to patient safety.
5.- To acquire basic knowledge of the regulatory framework of the Catalan healthcare system.
6.- To distinguish between ethical reflection in professional practice and legal-juridical requirements, with the aim of assuming responsibility for one?s own professional judgements and actions, as well as accountability.
7.- To deepen understanding of concepts with specific legal frameworks, recognising their limits and possible applications (conscientious objection, end-of-life decisions, personal data protection).
8.- To be prepared to take subjects in a third language, English.
9.- To acquire knowledge about the engineering profession, what technology is, and the importance of its management.
10.- To consider the target user segment (women/men) during product or process development, taking into account their characteristics and needs, while also considering other categories such as age, race, or functional diversity.

Contents

1.- Introduction to Clinical and Healthcare Management

2.- Comparative Analysis of Healthcare Models

3.- The Spanish National Health System and the Catalan Healthcare System

4.- Organisation of Healthcare Institutions

5.- Value-Based Healthcare, Patient Safety and Quality Management

6.- Health Indicators and Performance Measurement

7.- Coordination of Healthcare Resources

8.- Healthcare Financing and Sustainability

9.- Performance-Based Management in CatSalut

10.- Emerging Trends and Future Challenges in Clinical Management

11.- Leadership, Innovation and Bioethics in Clinical Management

Methodology

The Clinical Management course will combine theoretical sessions with practical activities aimed at applying concepts to real situations within the healthcare system. Teaching will alternate between lectures and flipped-classroom sessions, case analysis and discussion on the organisation and operation of health services, and workshops focused on interpreting indicators, data and management tools. Activities will include guided problem-solving and case analysis, supervised assignments, cooperative learning tasks, and simulated environments related to the planning and improvement of healthcare services. Students will be required to complete and submit assignments to the lecturer, as well as participate in activities carried out and/or presented in class, with the aim of fostering active participation, analytical skills, and decision-making in professional contexts.

Evaluation

The Clinical Management course will follow continuous assessment through:
- Case studies
- Final group project
- Theoretical exams

Evaluation Criteria

Ordinary Call
Part I: Practical Group Activities (40%)
Case studies (20% - Highly Important Academic Activity). Three case studies will be completed throughout the course, addressing topics such as service management, healthcare models, performance-based contracting and process redesign. Assessment will place particular emphasis on analytical ability, the proposed improvement plan, justification using indicators and data, and the quality of the presentation.
Final group project (20% - Highly Important Academic Activity). This consists of designing a proposal for improvement in a real or simulated healthcare setting. The project may address service planning, resource allocation, care coordination, patient quality and safety, or the implementation of value-based models. Active participation in presentations and discussions will be positively assessed.

Part II: Theory Assessment
Theoretical Exams (60% - Highly Important Academic Activities). Students will have two options for the distribution of the syllabus, which must be communicated before the Midterm:
Two Partial Theoretical Exams:
First Partial Exam (p1) (30%). Midterm exam of the syllabus covering block 1 to 6
Second Partial Exam (p2) (30%). At the end of the course, simultaneously with the final exams, covering the remaining syllabus.
A Single Final Theoretical Exam (F) (60%). At the end of the course covering the entire syllabus of the course.

To pass the course, students must obtain a mark of 5 or higher both in the group project component and in the theoretical assessment, and achieve a final overall grade of 5 or higher. If the student chooses the two-exam option and fails the first partial exam, they must take the final theoretical exam covering the entire syllabus; the first partial exam will not exempt content. If the student does not obtain a minimum grade of 5 in the above components or overall, the course will be considered failed and the student must take the second examination period. Failure to submit activities will result in a mark of 0.

Extraordinary Call
For the second call, the grades of the passed parts will be maintained. If the theoretical exams are failed, the points from the quiz-tests will not be considered in the second call. This second call will consist of an assessment where students will only present the failed part in the first call: 60% final theoretical exam on the knowledge of the contents presented in the course and/or 40% of the group work.

Basic Bibliography

- Revista Econòmica de Catalunya. Salut i Sistema Sanitari. Núm. 81. Barcelona: Col·legi d?Economistes de Catalunya; 2020. https://www.coleconomistes.cat/Canales/Ficha.aspx?IdMenu=1e333773-ef9d-4...
- Generalitat de Catalunya. Atenció Integrada Social i Sanitària de Catalunya (AISS). Conceptualització. Barcelona: Departament de Salut; 2022. https://scientiasalut.gencat.cat/bitstream/handle/11351/11375/atencio_in...
- Casado M. Bioética en la gestión hospitalaria. 3a ed. Barcelona: Fundación Grünenthal; 2006. https://www.researchgate.net/publication/301132206_La_bioetica_en_la_ges...
- Elvira D, Sampietro L. El sistema sanitario. Barcelona: Universitat Oberta de Catalunya (UOC); 2019. (Mòdul docent) https://openaccess.uoc.edu/server/api/core/bitstreams/898ce4af-53ed-4991...
- European Observatory on Health Systems and Policies. Efficiency of Healthcare Systems in the European Union States ? Who Performs Better ? Bismarckians or Beveridgeans? 2023. https://ersj.eu/journal/2725/download/Efficiency+of+Healthcare+Systems+i...
- CatSalut. Contraprestació per resultats (CPR) ? Portal institucional [Internet]. Available from: https://catsalut.gencat.cat/ca/proveidors-professionals/documentacio-pro...
Fundació Pere Tarrés / Taula del Tercer Sector. L?atenció integrada sociosanitària: una perspectiva europea. Relatoria de Debats Europa Social. 2022. https://www.tercersector.cat/documents/relatoria-debat-europa-social-lat...
- Sacristán JA, Oliva J et al. Health care systems in the European Union countries: Health characteristics and indicators 2019. Ministerio de Sanidad; 2019. https://www.sanidad.gob.es/estadEstudios/estadisticas/docs/presentacion_...

Additional Material

Check the electronic folder for the course.