Graduate Certificate Programme in Health Services Innovation (GCP-HSI)


Background


Healthcare professionals require the skills and confidence to prosecute health services research to inform innovation among services. Clinical staff and service managers face challenges that will not go away. They must respond to population growth and aging, increasing prevalence of chronic diseases, which are costly to manage under current configurations of services, and they must reduce waste and inefficiency.

Innovation to improve the performance of health services is increasingly relevant, yet delivering this innovation requires new knowledge and some prospects to collaborate with existing Health Services Research groups.

The Graduate Certificate Programme in Health Services Innovation was approved by Ministry of Education in February 2020 to build capacity for innovation, build relationships with researchers and increase pressure for the promotion of high value services.

The specific objectives of the Graduate Certificate Programme are:

i)  To build a sustainable training programme in health services innovation;

ii) To increase among Singaporean HCPs the skills and confidence for health services research;

iii) To train a workforce to identify opportunities for improvement, measure and improve patient outcomes, demonstrate and improve value for money, and implement evidence into practice sustainably.


Modules


The Graduate Certificate Programme will offer the following four new modules:


Module 1: Implementation Science (4 modular credit)

This module is designed to introduce health care professionals to the principles of translating evidence for better services into a clinical setting. Participants will learn processes and factors associated with successful integration of evidence-based interventions within a particular setting, assess whether the core components of the original intervention were faithfully transported to the real-world setting and gain new knowledge about the adaptation of the implemented intervention to the local context.

On successful completion of this module, students will be able to:

• Design interventions based on community, patient, clinician and organizational inputs to translate findings into clinical practice, policy and public health

• Design evaluations of interventions that translate evidence into practice

• Develop better proposals

• Develop a design for a research implementation and/or a dissemination and evaluation project


Module 2: Research Methods for Health Services Research (4 modular credit)

This is about the current practice of health services research. It will include a discussion of the reproducibility crisis. The sources of data that are commonly used to address research questions are reviewed and critiqued. Different approaches to assess causality and associations are taught. An introduction to qualitative research methods is provided and participants are taught about systematic reviews and meta analyses.

Upon completion of the module, students should be able to:

  • Describe the reproducibility crisis and debate contemporary issues relevant to the conduct of health services research.
  • Understand the requirements for good survey design, the importance of patient reported outcome measures. The advantages and disadvantages of using disease registries and other routinely collected data.
  • Understand the different approaches to assessing causality used in health services research
  • Apply the methods of qualitative research and understand the value of these approaches to Health Services Research.
  • Design and conduct a systematic review and simple meta analyses.

Module 3: Health Technology Assessment, Economic Evaluation and Decision Making (4 modular credit)

Health technology assessment is a well-established tool used when decisions need to be made quickly. Often there is no time for new data collection or a dedicated research effort. It is an exercise in synthesizing current evidence and responding appropriately.  Economic evaluation has its foundations in welfare economics and offers a theory based approach to informing choice and trade-offs given resources are scarce. Often, new data are required or a more formal research approach is used. Various modelling approaches are used to complete economic evaluations.

Upon completion of the module, students should be able to:

• Complete their own health technology assessment project and understand the rationale and methods for doing one.

• Understand the principles of welfare economics, market failures and how they apply to the supply of health care services.

• Be able to read and interpret a published cost-effectiveness study, able to collaborate with a health economist for a new study.

• Understand the scientific paradigms of decision making and how they come into conflict with traditional scientific approaches.

• Have awareness of other approaches for decision making such as dynamic system modelling and multi criterion approaches.


Module 4: Healthcare + Data Science (4 modular credit)

This module exposes students to the foundation concepts, case studies and applications, some mathematics behind data science models and algorithms. There will also be practical sessions for model development, training, validation and tests. Students will acquire new knowledge of data science techniques. The new knowledge from this course will enable predictions to be made about likely diagnoses, prognoses of health conditions and risks of adverse events.

There will also be a mini-project and healthcare case studies to demonstrate the applicability of data science as a key enabler for improving the delivery of health services.

Upon completion, students should be able to:

• Understand the value and application of data science for the future of health services

• Develop the ability to independently conduct health data science projects



Eligibility

We are recruiting a cohort of doctors, nurses, allied health and professional staff from the institutions of SingHealth. To be eligible, you need a Bachelor’s Degree in a Health, Information Technology or a Management discipline. Work experience instead of a Bachelor’s Degree can be considered on a case-by-case basis. The goal is to help develop future clinical and non-clinical leaders to drive innovation, engage in research and redesign services. We seek enthusiastic participants willing to join a high performing cohort and have impact on health services. The programme will be open to external applicants in the future.


Contact


If you are interested in the Graduate Certificate Programme, please feel free to contact Prof Nicholas Graves (n.graves@duke-nus.edu.sg).