Why ISP

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Why ISP?

• The U of MN is a land grant University. Its
  mission is to educate the citizens of the state.
• How do we reach those NOT able to attend
  on-campus classes?
• One answer was a totally different approach for
  the employed administratorISP
• It was and remains a program for the employed
  executive. It is NOT intended for those entering
  the field. We have a regular dayschool MHA for
  the typical student.
• Over the years ISP grew to be International.
• It started as Independent Study. Changed in 1978
  to ISP.
• When 3M became MN, Mining Manufacturing

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Part 1 What is ISP?

• Oldest Graduate Executive Program1968
• To date 3097 enrolled from 45 Nations
• Over 1000 CEOs, VPs, top Administrators
• 3 years3 weeks yearly on U of MN campus
• Positional authority to apply and implement units
• Monthly applied units to home clinic/hospital
• Monthly sessions with Preceptor near home
• MHA as Option3 additional weeks on-campus
• MPH as Option...3 on line courses additionally.

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COURSE
I II III
A-A C-R D-S R-R I-A
COGNITIVE AFFECTIVE
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ORDERING OF EFFECTIVENESS IN LEARNING (By Vernon
E. Weckwerth for ISP/HA development, 1968)
Key Xleast XXXmost
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Summary
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• On-Campus AKS
• Self Study KSA
• 3. Written Assignment SKA
• 4. Preceptor (Monthly) ASK
• 5. Regional Seminars SAK
• 6. Forces Course III KAS
• 7. Course III Project Balance

K
A
S
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Five Levels of Learning

• Acquisition Absorbing
• the learner takes notes and memorizes facts or
  lists.
• 2. Confirmation Responding
• the learner nods, indicating agreement with the
  lecturer or fills in a blank on a written exam.

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• 3. Distillation Synthesizing
• the learner produces an outline or a paper
  summarizing the relevant elements of a lecture or
  posits a personally developed solution to a
  problem based on facts.
• 4. Reconstruction Restructuring
• the learner reflects parts of the former fact
  and belief structure in such a way that newly
  acquired knowledge, skill and/or attitude is
  producing a personally reordered set of facts,
  beliefs and behavior. The learner becomes a
  convert or a teacher.

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5. Influence Affecting the learner has
acquired the personal knowledge to assess how
others knowledge-skill-attitude constructs are
composed and has the skill to alter such
constructs in others to produce changes in
appearance, belief, and behavior in them. The
upper limit of this stage or level is the control
and influence of others.
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Principles for Adult Learning

• 1. The mode depends on what is to be learned
• 2. Each learner learns idiosyncratically
• 3. Peer learning is a critical reinforcer
• 4. Immediate application heightens retention
• 5. Feedback Practice to principle not just
  theory to practice closes the loop
• 6. The time frame depends on the content

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• 7. Bite size elements enable application
• 8. Cases useful if specific principle is clear
• 9. Freeing student to think of alternatives is
  far superior to fact or format
• 10. Instructor charisma is more important than
  pedantic expertise.
• 11. Identity with a successful exec produces more
  learning than academic credentials.

Poor materials in the hands of a master is far
superior to the best in the hands of a drudge
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• 12. Scheduled periodic reinforcement is critical
  for cumulative, synthesized learning
• 13. Management is a temporally applied skill.
  Content structure must be easy to change and
  reorder conditional on learners setting
• 14. Content must build sequentiallynot done
  merely as in counted course/credit/degrees
• 15. Professional learning mandates both
  socialization and acculturation be integrated
  with knowledge and skill
• 16. Learner must be freed from the dependence on
  instructor and class structure.

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• 17. Measures of performance, achievement, loyalty
  and competence must be clear
• 18. Right to drop out for cause must be
  honored, but re-entry must be assured
• 19. Mix of prior learning and experience must be
  seen as enrichingNOT a special need
• 20. Remediation must be encouragedNOT used as
  punishment or exclusion
• 21. Face to face interchange with a master exec
  is critical to link practice to theory
• 22. Technology is an AID to but not a replacement
  for content

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• GRADES are symbols of selective achievement
• CREDENTIALS are symbols of competence
• DEGREES are symbols of qualification
• AN OPINION
• We have produced far too many qualified degree
  holders who are incompetent.

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Part 2 Overview of ISP

• 3 year graduate Administration program
• For employed healthcare executives
• Initial on-campus at U of Minnesota yearly
• 2 weeks in class, one in mini-residency
• Monthly applied units at home shop, write up
• Meet monthly with local preceptor
• At end, present defend data-based thesis
• MHA admission then 3 weeks on-campus

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MHA MPH Degree Options
For All ISP Programs If
admitted to the option GRE/GMAT required Three
Years ISP (including Research Stats)
Research Thesis MHA 6 Additional
Credits 3 Weeks On-Campus post
C3 MPH Existing (No GRE or GMAT) 8
additional credits on-line (3.0 GPA)
after completing all 3 ISP courses Apply after
ISP acceptance 4 Semester Grad Credits of
pre-approved Stats/Research can be transferred
Process for admission is the
same as for Dayschool
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The Flow of ISP

• Year 1 Management functions
• Year 2 Relationships across functions
• Year 3 External Forces affecting deliver
• (must take research and stat courses)
• - Do a data-based applied research project,
  defended at end before peers and faculty
• - Separate MHA admission, then transfer of the 3
  years of ISP credits to receive MHA

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Units of Course 1

• 1. Management
• 2. Org Behavior
• 3. Executive Role
• 4. Problem Solving
• 5/6. Financial Management Basic/Advanced

7. Human Resources 8.Clinicians or Patient
care 9. Productivity 10. Information
systems 11. Governance
Verbal regional presentation on The Role of
the Executive
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Units of Course 2

• 1. Ethics
• 2. Managing Change
• 3. Strategic Planning
• 4. Marketing
• 5. Financial Strategies

6. Capital Finance 7. Managing Care 8. Legal
Dimensions 9. Physicians Role as a Healthcare
Executive 10. Facility Development (Optional)
Verbal Regional Presentation on Elective
Topic
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Units of Course 3

• External Forces Affecting Healthcare Units
• 1. Financing
• 2. Organizing
• 3. Social Policy Making
• 4. Developing Human Resources
• courses in stat and research...taken locally
• Data-based Research project (Thesis mode)
• Defense of project final week on-campus

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Part 3 ISPers Around the World

• From the nearly 200 countries in the world, these
  are views taken the 45 nations from which ISPers
  have come.
• On MAP Green is ISP country.

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Ethiopia

• Gumbie, Ethiopia Ken Rose-Adventist Hospital 200
  kilometers east of Addis Abba
• Definition of Poverty At least one adult spends
  more than half a day obtaining fresh water for
  the household. 60 below poverty
• Access Typical patient walks two days to the
  clinic. Almost none have any means to pay. Over
  200 visit daily.

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Uganda

• Dr. Binta Med Dir of the southern district where
  4 tourists were murdered in 2000. Nearest fax 90
  miles. Only health outpost.
• Akkiki Kajeru MOH Serves as Head of nutrition,
  MCH and family Planning. Annual pay is less than
  an airline ticket to Minnesota. Operates almost
  completely on grants and donationschiefly UNICEF

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Korea 11 ISPers

• Tae Hon Lee Director Gil Hospitals of Incheon.
  Private, 6 hospital system includes a University
  and Medical Schoolfree tuition to the top 40
  medical students.
• Monsignor Nicholas Chang CEO Catholic University
  Medical Center and Emeritus Monsignor of
  Cathedral of Seoulknown for outreach caring

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Spain

• 20 ISPers CEOs of 5 University Hospitals
• Deputy MOH
• CEO of the 3 hospitals of the largest Health
  Insurer of Spain
• Director of their 51 private clinics.
• Spain has 3rd longest expected length of life

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Spain Juan Guell

• Demonstrated tele-surgery from the Center in
  Barcelona with patient in Azores
• Demonstrated 3 dimensional body motion in
  walking, lifting, sitting to determine the
  corrective action for worker rehabilitation-
  Giving before and after treatment results.
• Outcomes are DEMONSTRATED
• Huge reductions in compensation costs

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Hungary

• Site of the ISPs 6th International Symposium on
  Healthcare Delivery 2000
• Home of Semmilweiss University
• Zoltan Varga Former Deputy Minister of Health.
  Implementer of DRGs in Hungary
• Zombar Kovascy Specialist in forensic
  medicineboth MD and JD

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Hong Kong

• 40 ISPers Mostly CEOs
• Hospital care costs about 7 US per day.
  Technology is competitive with the best in the
  US. Male expected length of life 68.7 years. US -
  65.7 years.

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Nepal UAE

• Rebecca Martin 60 Kilometers west of Katmandu.
  What do you mean patient records? Scheduling
  appointments? What?
• Bernie Missal For 50 years this Christian
  mission hospital has provided free or minimal
  cost service to Al Ain. The Shaikh of UAE was
  born in Oasis Hospital.

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ISP ASIA Hong Kong

• On November 17, 2005 ISP-Asia opened an ISP
  office to serve Asia
• Key to this is Dr. Geoffrey Lieu
• Signing included Gov MN Pres of U Dream started
  in 1988...
• First offering of on-campus Course 1 ISP
  intended to be in 2006 or 2007

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Grand Caymans 6 ISPers

• Previous Director MOH
• Heads of Nursing, human resources, pharmacy in
  the Ministry of Health
• Superb health care and a healthy population and
  magnificent white sands

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Saudi Arabia 36 ISPers

• Wedad Al-Syoty Only Saudi women with MHA is
  Deputy Director of King Fahd Armed Forces
  Hospital in Jeddah.
• Abdullah Amro Directory of Oncology for Kingdom.
  Cancer technology at US level
• Ibrahim Mohsen Director Outreach King Faisal
  Hospital Riyadh Community based

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Manama, Bahrain 11 ISPers

• Seham Al-Shaikh Director of countrys 21
  neighborhood health clinics
• Naji Ali Ex-Deputy Dir Sulmaniya Medical
  Center1000 bed regional referral hospital
• Ismail Akbari Ex-Head of Protocol for MOH
• Sadiq Shehabi Deputy Minister of Labor
• MOH (Deputies) who head Pharmacy, Nursing, Human
  Resources

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DINKlage Hospital West Point

• Todd CONSbrook (The first syllable is important
  in understanding this assertion)
• There are no healthcare problems in Nebraska!
• (Since there are 139 ISPers in Nebraska.)

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Canada 170 ISPers

• In comparison to the US 10.3 vs. 14.7 of the
  GDP. That means the US should be 40 better off?
  correct? Hmmm
• We loose on every health status comparison except
  waiting time for elective surgery
• Canadians even have Choice of Physician which
  most of us in the US dont have.

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Canada

• Kathy Kowerchuk Yellowknife NWT delivers care in
  the Igloos. Travels by dogsled. In the dark for
  months.
• Others from Prince Edward Island to Vancouver
  Nutrition, medicine, nursing, financing, long
  term carethe spectrum

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Kenya Tanzania

• Jagi Gakunju (Zebra) CEO African Air Rescue in
  Kenya (also headed it in Dar Es Salaam,
  Tanzania.) AAR first and only investor owned
  Managed Care Org in Africasmooth marketeer
• Zeenat Suliaman Director Patient Care, Aga Khan
  Hospital Nairobi, Kenya
• Outstanding nursing and hospital services

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Grandy Mission in Tanzania

• The beauty of the country
• US marketing
• The openness of the people
• The hospital laundry
• Their emergency call system
• Duty roster
• Their hospital lab

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Taiwan Republic of China

• 24 ISPers Execs of
• Showplace Air Force Hospital
• N T University Hospital
• China Medical College
• Site of 1st International Symposium
• And the litany goes on

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Penang Malaysia

• 3 ISPers
• A Hi Tech showplace
• Most open heart operations in any hospital in
  Malaysia.
• Competitive technology with
• the best in the US.

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ISPs Financial Philosophy

• Cheap is good.
• Free is better!
• ISP must support itself via student fees and
  donations without state monies.

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Facts about the MHA Option via ISP

• Application (as if applying to dayschool
  full-time)
• 1. GRE score 1000 or GMAT score 500
• 2. TOFEL 580 (paper) or computer equivalency
• 3. Undergrad GPA 3.0 from accredited school
• Recommendations Personal interview
• Then if admitted Three weeks on campus covering
  3 courses Principles Practices of Public
  Health Economics Advanced Financial Management
• Thesis (Repackaging of acceptable C3 project)

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ISP is the original Executive Program in
Healthcare Administration, now in its 39th year.
ISP began as an alternative for those who are
employed and must continue to work.
ISP is graduate study, academically based but
linking theory to practice performance counts.
ISP is for those who are inspired to make a
difference!
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ISP has a Masters degree option (MHA in Health
Services Administration) available.
ISP changed its name in 1978 from Independent
study to ISP...analogous to 3M
ISP has an accessible worldwide network of those
committed to making a difference.
ISP has disproportionately many minority,
including over 50 native Americans.
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ISP is a second chance program for those who are
committed to the field but already employed.
ISP is the only health administration program
requiring data based research thesis for
graduation.
ISP was moved from the School of Public Health to
the Carlson School of Management in 1997 But
returned to SPH in 2005
ISP is MORE than a degree its a lifelong
educational experience!
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ISP FACTS 1968-2005  Total enrolled  
3097    Total Graduates        1416 From
US    2734       with    MHAs            
530 International  363       with    MPHs  
           245
Alumni and faculty from all US States/territories
plus 43 other nations 439 people worldwide172
from Canada
Half of ISPers have clinical backgrounds nurses,
physicians (116), nutritionists, MH, pharmacists,
dentists
Faculty  993 (Since 69) 77 (Current) 58
International 97 HC Program PhDs involved 183
Dayschool MHAs

•  Currently enrolled Total 70 65 regular and 2
  Institute
• (plus 3 recycles)