Advancing Care: PPPs in Health Infrastructure Training Course

Introduction

The global demand for modern, accessible, and high-quality healthcare infrastructure continues to outpace traditional public funding capacities. Public-Private Partnerships (PPPs) offer a transformative approach to bridge this gap, enabling governments to leverage private sector capital, innovation, and operational efficiency for the development, refurbishment, and management of essential health facilities. From large-scale hospitals to specialized clinics and diagnostic centers, PPPs can significantly enhance the delivery of healthcare services, but their unique complexities require a deep understanding of contractual, financial, and regulatory nuances.

This intensive training course is meticulously designed to equip public health authorities, private healthcare providers, financial institutions, and legal professionals with the advanced knowledge and practical tools to effectively structure, procure, and manage PPPs in the health infrastructure sector. By delving into diverse project models, intricate financing mechanisms, critical risk allocation, and stringent regulatory compliance, participants will gain the strategic acumen to expand healthcare access, improve patient outcomes, and foster resilient health systems through robust and well-executed partnerships.

Target Audience

  • Public Sector Officials from Ministries of Health, Finance, and Planning.
  • PPP Unit Staff and Infrastructure Development Professionals focused on health.
  • Private Healthcare Providers, Hospital Groups, and Medical Equipment Suppliers.
  • Financial Institutions and Lenders specializing in healthcare project finance.
  • Legal Professionals advising on health sector projects and infrastructure law.
  • Hospital Administrators and Facility Managers.
  • Project Managers and Engineers working on health infrastructure.
  • Consultants and Advisors in the healthcare and PPP sectors.

Duration: 10 days

Course Objectives

Upon completion of this training course, participants will be able to:

  • Understand the unique characteristics and challenges of PPPs in health infrastructure.
  • Grasp the various PPP models applicable to different types of health facilities.
  • Analyze financial structuring options and payment mechanisms for health PPPs.
  • Comprehend the critical technical, commercial, clinical, and regulatory risks in health projects.
  • Evaluate methodologies for effective risk allocation in health infrastructure agreements.
  • Develop practical skills in preparing and evaluating tender documents for health PPPs.
  • Navigate the complexities of healthcare sector regulatory frameworks and governance.
  • Formulate robust strategies for contract management during the operational phase of health assets.
  • Understand the role of technology and innovation in modern healthcare delivery.
  • Champion best practices in stakeholder engagement and public communication for health projects.
  • Recognize the importance of ethical, social, and public health considerations in health PPPs.
  • Appreciate the challenges of clinical interface management and service integration.
  • Distinguish between different types of health PPP contracts (e.g., DBFO, PFI, service concessions).
  • Understand the process of asset handback and contract expiry for health infrastructure.
  • Strategize for fostering sustainable, equitable, and high-quality healthcare systems.

Course Content

  1. Introduction to PPPs in Health Infrastructure
  • Overview of global healthcare infrastructure challenges and the role of PPPs.
  • The rationale for using PPPs in hospital development and healthcare facilities.
  • Key benefits and challenges of health infrastructure PPPs.
  • Different PPP models applicable (e.g., Design-Build-Finance-Operate, Private Finance Initiative).
  • Global trends and case studies in health infrastructure PPPs.
  1. PPP Models for Health Facilities
  • Design-Build-Finance-Operate (DBFO) and Build-Operate-Transfer (BOT) for hospitals.
  • Private Finance Initiative (PFI) models and their evolution in healthcare.
  • PPPs for specialized clinics, diagnostic centers, and medical laboratories.
  • Management contracts for existing health facilities.
  • Case studies of successful health infrastructure PPPs.
  1. Project Identification and Feasibility in Health
  • Identifying suitable health infrastructure projects for PPPs.
  • Conducting comprehensive feasibility studies (technical, economic, financial, clinical, social).
  • Needs assessment for healthcare services and infrastructure gaps.
  • Value for Money (VfM) analysis in health projects.
  • Strategic alignment with national health policies and master plans.
  1. Financial Structuring of Health PPPs
  • Sources of finance for health infrastructure (debt, equity, grants, blended finance).
  • Project finance principles and their application in healthcare.
  • Payment mechanisms: availability payments, service fees, shadow payments.
  • Financial modeling for hospitals and other health facilities.
  • Managing affordability and fiscal implications for the public sector.
  1. Risk Allocation in Health PPPs
  • Identifying key risks in health infrastructure (e.g., construction, operational, demand, clinical).
  • Principles of optimal risk allocation to the party best able to manage.
  • Mitigation strategies for common health PPP risks (e.g., clinical risk transfer, payment adjustments).
  • Force majeure and change in law provisions.
  • Managing interface risks between clinical and non-clinical services.
  1. Procurement Strategies for Health PPPs
  • Designing competitive and transparent procurement processes for health projects.
  • Pre-qualification and Request for Proposals (RFP) for health infrastructure.
  • Managing the bidding process and bidder interactions.
  • Bid evaluation criteria specific to health sector projects (e.g., clinical outcomes, facility design).
  • Contract award and negotiation strategies for health PPPs.
  1. Regulatory Frameworks and Sector Governance
  • The role of health sector regulators and accreditation bodies.
  • Legal provisions for healthcare quality, safety, and patient rights.
  • Licensing and permitting requirements for health facilities.
  • Ensuring regulatory independence, predictability, and transparency.
  • Adapting regulatory frameworks to new healthcare delivery models.
  1. Contract Management in Health Operations
  • Performance monitoring and Service Level Agreements (SLAs) for health services and facilities.
  • Payment mechanisms and deductions for underperformance.
  • Managing contract variations, amendments, and unforeseen events.
  • Dispute resolution mechanisms in long-term health contracts.
  • Relationship management between public health authority and private operator.
  1. Clinical and Non-Clinical Service Integration
  • Defining the scope of clinical and non-clinical services in PPPs.
  • Strategies for seamless integration of services.
  • Managing the interface between public sector clinical staff and private sector facility management.
  • Quality assurance for both clinical and non-clinical services.
  • Ensuring patient safety and continuity of care.
  1. Public Health and Ethical Considerations
  • Ensuring equitable access to healthcare services for all populations.
  • Ethical considerations in profit-driven healthcare provision.
  • Data privacy and confidentiality in health PPPs.
  • Health impact assessments and social safeguards.
  • Promoting public health outcomes as a core objective.
  1. Technology and Innovation in Health PPPs
  • Integration of medical technology and equipment in PPP projects.
  • Digital health solutions: telemedicine, e-health records, AI in diagnostics.
  • Smart hospital design and energy efficiency.
  • Cybersecurity for healthcare data and systems.
  • Leveraging private sector innovation for improved patient care.
  1. Human Resources and Workforce Management
  • Impact of PPPs on healthcare workforce planning and development.
  • Staff transfer and employment considerations in health PPPs.
  • Training and capacity building for healthcare professionals.
  • Ensuring adequate staffing levels and skill mix.
  • Managing industrial relations and labor issues.
  1. Stakeholder Engagement and Public Communication
  • Identifying and engaging diverse stakeholders (patients, staff, unions, community groups).
  • Strategies for effective communication and transparency throughout the project lifecycle.
  • Managing public perception and addressing concerns about private involvement in healthcare.
  • Promoting patient advocacy and feedback mechanisms.
  • Building trust and fostering collaborative relationships.
  1. Asset Handback and Contract Expiry
  • Planning for the end of the concession or contract term for health facilities.
  • Handback requirements and asset condition assessments.
  • Transfer of operations, assets, and knowledge to the public sector.
  • Legal and financial implications of contract expiry.
  • Post-PPP strategies for continued healthcare service provision.
  1. Case Studies and Lessons Learned
  • In-depth analysis of successful and challenging health infrastructure PPP projects globally.
  • Examination of common pitfalls and how to avoid them in the health sector.
  • Best practices in structuring, procuring, and managing health PPPs.
  • Group exercises on specific health project scenarios (e.g., new hospital build, equipment procurement).
  • Discussion on future trends and opportunities in the health PPP market.

CERTIFICATION

  • Upon successful completion of this training, participants will be issued with Macskills Training and Development Institute Certificate

TRAINING VENUE

  • Training will be held at Macskills Training Centre. We also tailor make the training upon request at different locations across the world.

AIRPORT PICK UP AND ACCOMMODATION

  • Airport Pick Up is provided by the institute. Accommodation is arranged upon request

TERMS OF PAYMENT

Payment should be made to Macskills Development Institute bank account before the start of the training and receipts sent to info@macskillsdevelopment.com

For More Details call: +254-114-087-180

 

Advancing Care: Ppps In Health Infrastructure Training Course in T眉rkiye
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