New schemes and solutions for the governance, organisation and management of a modern hospital

11-12 December 2019

Brussels, Belgium

Hospital sectors in the industrialised world are facing tremendous changes and pressures. Internal and external challenges, such as changes in demography, new technology, innovation in clinical practice, relationships with trade unions and new lobbying groups, make managing hospitals extraordinarily complex and demanding task.

These pressures are leading to hospital re-organisations, which fall in three broad categories:

  1. Bridging;
  2. Re-designing;
  3. Engaging.

Bridging concerns inter-organisational integrations. We refer to vertical and horizontal integration leading to integrated delivery systems, multi-hospital networks based on alliances or other informal agreements of cooperation, multi-hospital groups based on mutually desired mergers or on hostile takeovers, multi-site hospitals based on consolidations institutionally enforced by health authorities. Further, clinical networks are emerging as the way to improve clinical governance among physicians and units belonging to the same network, as well as to create patterns for concentrating complex cases requiring a certain critical mass. All this is generating the need for new organisational design.

Re-designing regards the development of new design for the internal organisation of the hospital, along principles of “patient-centred” care, valued-based healthcare and clinical service lines built around multi-professional and multispecialty teams. Further, new challenges and opportunities are generated by new models for the delivery of healthcare (remote care, concierge medicine, retailisation, etc.) and by skill mix and operations management.

Engaging concerns the policies and actions that can enhance the engagement of clinicians in doctor-managers roles. Engagement that is even more fundamental for the success of devolved responsibility models, where managerial autonomy must be aligned with organisational interests – such in the case of hospitals organised in clinical directorates or departments. Further, recent studies have highlighted the importance of management and clinical leaders in the healthcare sector, as positive correlations have been found between clinical and economic performance. Therefore, is key for the future of hospitals addressing the issues of reluctant leadership and custodial strategy that plague the effective engagement of clinicians in their much-needed hybrid roles

All these changes taking places in hospitals are driven by new paradigms such as value-based hospital care, the “focused hospital”, patient-flow logistics, clinical service lines design.

The programme will tackle these changes and provide specific solutions and frameworks that can be actionable. The key deliverable for participants is to provide them both with food-for-thought for lateral thinking and new envisioning on one side, and a to do list of actions that the day after can be pursued in their own context.

Who should attend?

The Executive Workshop is targeted at multiple professional profiles wherein the common denominator is the search for competencies, skills and managerial tools to understand and personally manage, coordinate or lead hospitals and their departments, units, services, etc.

The workshop has been designed for all protagonists of the management and transformation of modern hospitals. Expected participants are:

  • Chief Executive Officers, Chief Medical Directors, Chief Operating Officers, Chief Nursing Manager and Administrators that want to acquire new visions and solutions or discuss their practices on hospital possible reconfigurations according to value-based, patient-focused and patient-centered paradigms.
  • Clinical leaders working in secondary and tertiary care hospitals who already lead clinical directorates or hospital divisions, departments, centers and units.
  • Clinicians that aspire to move in leading roles.
  • Nursing managers of all levels of hospital structure: divisions, directorates, centers, units, clinical service lines; and seniors nurses that are about or aspire to move to the next level leading roles.
  • Managerial and administrative staff aspiring to lead functional units of hospitals.
  • Experienced healthcare managers aspiring to «C» level positions (Chief Executive, Chief Operating Officers, Chief Medical Director, Chief nursing manager, Chief administrators)

The common denominator among participants is the interest in framing the changes hospitals are undergoing, and developing competencies and skills to lead the management of their structure (hospital, divisions, departments, units, clinical service lines, etc.).

Multiple participants from the same hospital are welcome, as the workshop could be the opportunity to generate a shared unfreezing and that “meeting of minds” finalised at enhancing changes in their context.


The Executive Workshop fees are:

  • For EHMA members: 750 Euro* per person (VAT excluded)
  • For non-EHMA Members: 900 Euro* per person (VAT excluded)

* Discount: a 10% discount will be granted to groups composed of 5 people or more coming from the same organisation. To make a group reservation, please contact adrianna.trojak@ehma.org

What does the fee include?

  • Study material and training program
  • Meeting space
  • Coffee breaks and lunches
  • Networking reception


The Executive Workshop has a closed attendance of 30 participants. Registrations will be processed on a first-come first-served basis.

Cancellation Policy
* PLEASE NOTE * – EHMA reserves the right to cancel the Executive Workshop and inform the participants of its cancellation by Monday, 18th November 2019. Should the Executive Workshop be cancelled, the paid participation fee will be reimbursed in full. However, EHMA will not reimburse any travel and accomodation arrangements made by the participants.
At any time, participants may transfer their bookings to another participant upon written notice to adrianna.trojak@ehma.org
Participants have the right to cancel their bookings at any time. If the cancellation is received by Monday, 11th November 2019 (included), your payment will be refunded less an administrative fee of 150 EUR. If your cancellation is received after Monday, 11th November 2019, there will be no entitlement to any refund. To exercise the right to cancel, you must inform us of your decision via email at adrianna.trojak@ehma.org

Detailed programme

* Please note, the information below is provisional and subject to change.

 Wednesday, 11th December 2019

09.00 – 12.30 – Toward patient-centric hospitals: internal design and process-based management for hospital services. How you can build a value-based hospital.
12.30 – 13.30 – Lunch break
13.30 – 17.00 – Building effective clinical and hospital networks: strategies, governance, benefits, cautions. From Hub & Spokes networks to Hospitals network. Vertical and horizontal integration.

17.30 – 19.00 – Networking reception

Thursday, 12th December 2019

09.00 – 12.30 – Patient flow logistics and operations management: how data, brutal facts and new rules and roles are changing the game of hospital. What is it and who can fill the shoes of new roles: bed manager, flow manager, patient experience manager…
12.30 – 13.30 – Lunch break
13.30 – 17.00 – May be I will, may be I won’t. How to make it happen. Managing and surviving change management issues. Why leaders make the difference? Which leaders? Leadership practices and styles applied to professional contexts and hospital governance structures

About the trainer

Prof. Federico Lega is Affiliate Professor of Government, Health and Not for Profit at SDA Bocconi School of Management, Italy. He is Associate Professor, Department of Institutional Analysis and Public Management at Bocconi University, Italy. He is Full Professor of Health Management at the University of Milan, Italy.

At SDA Bocconi, since 2015 he is Director International Master in Healthcare Management Economics and Policy (MIHMEP) and, from 2007 to 2015, he was leader of executive training in Healthcare sector. He drives two “academy” dedicated to managerial development of clinical professionals (MSM Lab for neurologists and Lab for Medical Laboratory) and, furthermore, he conducts specific programs dedicated to general and medical directors of health companies. Over the last 20 years, he has been involved in projects all over Italy and abroad. He conducted numerous workshops and consulting projects with many pharma and medical devices companies, hospitals, several local health authorities, Italian Regions and health boards.

His research activities involve many different areas related with healthcare sector. He has worked on five main issues: the first deals with organisation and operationof Italian Public Administration, the second with organisation and operation of regional and local health systems. The third one examines systems and administration tools of healthcare companies. The forth topic analyses programming and control, budget, activity-based costing & management and re-engineering process. Finally, he is focusing on organisational design problems, strategic planning and change management in healthcare organisations. Recently, he is deepening the topics of competitiveness and strategic positioning of private health care companies.

He is the author of numerous books and articles on the subject. His works have been published in British Journal of ManagementJournal of Healthcare ManagementHealth Policy and International journal of clinical practice. He is a member of the Scientific Committee of the magazine Organizzazione Sanitaria; he is representative for Clinical Leadership and Associate Editor for the magazine BMC Health Service Research and Editor in Chief of the magazine Healt Service Management. He is also President of the European Healthcare Management Association (EHMA). Since 2005, he is Adjunct Professor Department of Health Services Administration University of Alabama (USA) and Research fellow at York University Management School (UK). He was Visiting Professor in many international Universities including Hamburg University and Care Center (2013) and Zurich University (2012).

Prof. Federico Lega earned a Degree in Economics and Business Administration and a Ph.D. in Business Administration and Management both from Bocconi University, Italy.