Harvard School of Public Health 2nd Annual Workshop: Creating and Using National Health Accounts for Health Finance Reform March 19 – 30, 2001 Stowe, Vermont USA Department of Population and International Health and Center for Continuing Professional Education PURPOSE Throughout the world, nations are increasingly aware of the importance of the financial dimension of health care systems. The amount of money available for health and health care, the way those funds are organized, and the way they are used are significant factors determining health system outcomes in terms of health status, equity, financial protection, and people's satisfaction. Surprisingly, most countries lack reliable and timely data on health spending. They often depend on out-of-date and aggregated data from only the government and social insurance sectors. Many countries do not know how much is spent in the private sector or how funds flow through the health care system. A critical first step in addressing this gap is for countries to develop National Health Accounts (NHA). NHA provide an internationally tested and proven method for describing and monitoring the overall financing of the health care system. To enable health system managers to better plan, implement, and use NHA, the International Health Systems Group along with the Center for Continuing Professional Education at Harvard is offering an intensive two-week workshop on Creating and Using National Health Accounts for Health Finance Reform. The workshop will provide a solid overview of health financing issues and recent developments with reform strategies for lower income countries. In addition, the program will provide training in the international "state-of-the-art" on what is NHA, how it can be designed to meet a country's needs, how to organize and collect health expenditure data according to the NHA framework, and how to use the results to analyze different health policy issues. The focus is on adapting the emerging international standards for NHA to the needs of the lower and middle income nations. WHO SHOULD ATTEND The workshop is designed for health policy planners in low and middleincome countries and the transitional economies. Participants should be those who develop and supervise NHA work in their countries or senior technical analysts on NHA teams. Economists and health policy researchers and specialists who use NHA data or who may advise governments, international organizations, or private sector groups and who want to get "up to speed" on the latest developments in NHA should also attend. Background in health economics and finance is desirable. Course Director Peter Berman, Ph.D. Professor of Population and International Health Economics, HSPH, and Director, International Health Systems Group Core Faculty Alessandro Magnoli, Ph.D. Health Economist Harvard School of Public Health Ravindra Rannan-Eliya, M.D. Institute for Policy Studies Sri Lanka Claudia Corra, M.A., M.S. Research Specialist Harvard School of Public Health Invited Guest Faculty Jean-Pierre Poullier Organizing Health Systems World Health Organization Daniel Waldo Director Information Methods Group Health Care Financing Administration William Hsiao, Ph.D. K.T. Li Professor of Economics Harvard School of Public Health Jack Langenbrunner World Bank THE INTERNATIONAL HEALTH SYSTEMS GROUP (IHSG) IHSG is a research, training, and technical assistance program at the Harvard School of Public Health. Dr. Peter Berman, IHSG Director, has been a leader in the development and application of NHA methods to the problems of low and middle-income countries. Dr. Berman and IHSG staff developed “National Health Accounts,” a software program for training and data analysis. With support from a variety of international organizations, especially USAID via the Data for Decision Making and Partnerships for Health Reform projects, the group has worked on NHA in over 30 countries and is currently collaborating with major international organizations on global strategies to develop NHA as a basic tool for health system analysis. COURSE TOPICS The curriculum of the workshop includes: ♦ Overview of health financing issues and what NHA can contribute ♦ Health expenditure estimation: boundaries, concepts, classifications and definitions ♦ Collect and analyze NHA data in developing countries ♦ The use of NHA to address priority health policy issues such as equity in spending, the impact of specific diseases like HIV/AIDS, resource allocation to priority programs, and monitoring debt relief results ♦ Project and evaluate the effects of health financing reforms ♦ Communicate results to policy makers ♦ The use of NHA in international comparisons ♦ Recent advances in global development of health accounting TEACHING METHODS The method of instruction for the course will be divided between lectures, presentations, teaching cases, group projects and individual study. A typical day will begin with lectures and presentations in the morning. In the afternoon, participants will work in groups on projects related to the topics discussed in the morning session. UPON COMPLETION OF THE PROGRAM, PARTICIPANTS WILL HAVE GAINED: ♦ Increased understanding of health care finance issues as related to health sector reform ♦ Knowledge of detailed NHA concepts including standard definitions and classifications used by the OECD and other international organizations ♦ Familiarity with "National Health Accounts v. 2.0" -- a dedicated software program for organizing NHA data ♦ Skills to design a NHA study, develop complex data collection techniques, and make “best practice” estimates from missing or poor information ♦ Effective approaches for communicating research findings to senior policy officials ♦ Broader appreciation for the role of NHA in analyzing health system performance and in evaluating reform strategies COSTS Workshop Package: US$ 3,800.00 Accommodations Package: US$ 2,400.00 Total: US$ 6,200.00 The Workshop Package includes tuition, course materials, mandatory health insurance and computer fees. The Accommodations Package includes a private sleeping room with private bath, three meals per day and use of the conference center’s meeting and recreational services. This package covers thirteen nights, Saturday, March 17th – Thursday, March 29th. Should you need to stay into the weekend, you can individually reserve additional nights at the hotel at the same reduced price. Please note that we have negotiated a very competitive price for your accommodations and purchase of the Accommodations Package is mandatory. Should you choose not to partake of all three meals each day, you will not be refunded for the meal’s value. You or your funding agency will be responsible for airfare, transportation fees to and from the airport, any meals and drinks, including alcoholic beverages, not included in the accommodations package, and incidentals. We can assist you with arranging transportation from the airport to the conference center (about a 35-minute drive). Burlington, Vermont has the nearest airport with significant scheduled service. Financial Assistance may be obtained from your employer or a funding organization. Applicants are encouraged to make these contacts. Suggested organizations are the World Bank, USAID (United States Agency for International Development), SIDA (Swedish International Development Authority) and the World Health Organization. Please note that Harvard University and the School of Public Health do not provide scholarships or financial assistance for workshops. Location The location of our workshop is the Stoweflake Resort & Conference Center in Stowe, Vermont. The Stoweflake is newly renovated and has a wide variety of fitness equipment and recreation activities and two restaurants located on site. Stowe is a charming town located in the heart of the picturesque Green Mountains in the State of Vermont. Shops, restaurants and other recreational facilities are within walking distance of the Stoweflake. In addition, there are plenty of ways to enjoy the great out- doors with popular winter sports such as, skiing, snowshoeing, sledding, skating and snowmobiling. The month of March is a beautiful time in this area amongst the snow covered mountains and at the peak of Vermont’s maple sugaring season. The temperatures can range between 30°– 40° F (-1°– 4°C) in the day and 20°–30° F (-7°– -1°C) at night. VISAS Applicants are responsible for obtaining visas. You should apply for an appropriate visa at your nearest United States Embassy or Consulate. Since you are not required to be in Vermont beyond the period of the workshop, you will not need a special student visa to attend the program. If you plan to visit another country before returning home, you should arrange to obtain the appropriate visas before you leave home. It can be difficult and time-consuming to obtain a visa in the United States while you are attending the program. APPLICATION Please complete and forward the enclosed application, a recent CV and a personal statement outlining why it would be beneficial for you to attend this workshop to the address below. Please submit your application no later than January 26, 2001 as space is limited. Applications are reviewed on a rolling basis. You should receive information regarding your acceptance within two weeks of submitting your application. If you do not, please contact our office. Please note that in order to guarantee your place in the workshop payment in full is due by February 9, 2001. Nerissa Majid, MPH Training & Development Officer International Health Systems Group Harvard School of Public Health 677 Huntington Avenue, Building 1-1210 Boston, Massachusetts 02115 USA Telephone: 617-432-4515 Fax: 617-432-1323 Email: [email protected] Internet: www.hsph.harvard.edu/ihsg/ihsg.html As a matter of policy, Harvard University does not discriminate in the admission of participants on the basis of race, religion, gender, national origin or handicap. Application by women and members of minority groups is strongly encouraged. CREATING & USING NATIONAL HEALTH ACCOUNTS FOR HEALTH FINANCE REFORM March 19 – 30, 2001 APPLICATION FOR ADMISSION Instructions 1. 2. 3. 4. Please type or print. Applicants should provide all information requested. Applications should be received no later than January 26, 2001 We encourage all applicants to secure their financial sponsorship as early in the application process as possible. Name:____________________________________________________ Gender: Dr./Ms./Mr. First Middle Last Address: Country: Telephone: Fax: Email: English Language Ability ___ English is my native language. ___ My previous training has been in English. ___ A copy of my TOFEL score is enclosed. ___ An English-speaking member of my organization will certify my ability in English. Financial Support (please check one) Please note tuition payment is due in full on or before February 9, 2001. I will be funding myself: Upon admission to the course, I will provide evidence of sufficient funds to cover required fees and living expenses. (Self-funded participants are financed by funds from personal savings, friends and/or relatives.) I will be sponsored: I will provide a letter of commitment from my sponsor detailing the level of support provided. (Sponsored participants are financed by funds from agencies, organizations, or employers.) Agency: ___________________________________________________________________________ Address:___________________________________________________________________________ Telephone:________________________________ Fax: ___________________________________ Contact:__________________________________ Email:___________________________________ Additional Required Information – your application will not be reviewed with out these materials - A current curriculum vitae that details your work experience. A brief statement (250 words) outlining how you would benefit from attending this workshop. How did you hear about this workshop? ____ A Colleague. His/Her Name:______________________________________________________ ____ Professional Association. Name:___________________________________________________ ____ On the Internet. ____ Other. Please explain:____________________________________________________________ ____ I have a disability that will require an accommodation during the workshop. I verify that all statements in this application are true and correct. Signature of Applicant Date Please airmail or fax the completed application, curriculum vitae and statement to: Nerissa Majid, MPH Training & Development Officer Harvard School of Public Health 677 Huntington Avenue, Building 1-1210 Boston, Massachusetts 02115 USA Telephone: 617-432-4515 Fax: 617-432-1323 Email: [email protected] Internet: www.hsph.harvard.edu/ihsg/ihsg.html If you have not heard from us within two weeks of sending this application, please contact our office.