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Quest Training

Health Cluster Governance & Performance Contracting Training Course

Covers how corporatized health clusters are governed, from holding company ties and delegated authority to purchaser performance agreements and KPI oversight.

HAM · Hospital Administration & Healthcare ManagementAll Levels#2999ClassroomEnglish , Arabic
Duration
5 Days
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Free substitution at any time · 30+ days' notice: full refund minus 10%. Cancellation policy

Sectors:Healthcare & Hospital ManagementCategories:Hospital Administration & Healthcare Management

Course Overview

This advanced training course addresses the governance model of corporatized public healthcare providers, where health clusters operate as entities owned by a holding company and are funded through performance agreements with a separate purchaser. It goes beyond general healthcare leadership and public-entity governance to focus on cluster-level ownership relationships, delegated authority and performance contracting. Participants will examine how roles are separated between the ministry, the holding company, the purchaser and the clusters, how reserved matters and delegation frameworks are designed, and how board and executive accountability is structured. The course also covers the design, negotiation and management of performance agreements, including payment models, indicators and risk-sharing arrangements. Through case studies, governance mapping, contract negotiation exercises and scorecard design workshops, participants will develop practical tools to build KPI-linked oversight, integrated assurance and a governance roadmap for a corporatized health cluster.

Learning Objectives

  • Explain the rationale and structure of corporatized public healthcare models.
  • Distinguish the roles of the ministry, holding company, purchaser, regulator and health clusters.
  • Evaluate ownership relationships, reserved matters and governance instruments within a holding company.
  • Design delegation of authority frameworks cascading to hospitals.
  • Assess board composition, committees and the separation of oversight from management.
  • Define executive accountability and performance objectives for cluster and hospital leaders.
  • Analyze the structure and payment models of purchaser performance agreements.
  • Prepare negotiation positions on volumes, targets, indicators and risk-sharing terms.
  • Build KPI hierarchies and scorecards linking system goals to facility targets.
  • Apply structured performance reviews, escalation and intervention mechanisms.
  • Integrate risk, internal audit and compliance into board assurance.
  • Develop a governance maturity roadmap for a corporatized health cluster.

Who Should Attend

This course is designed for health cluster chief executives, board members, board secretaries, hospital CEOs and directors in corporatized systems, and senior executives responsible for governance, strategy, finance and performance management. It is also suitable for professionals in holding company and ministry oversight units, purchaser contracting and performance teams, governance and compliance officers, internal auditors, risk managers and transformation office leaders. The course is particularly relevant to organizations moving public hospitals and primary care networks from direct ministry operation to corporatized cluster models.

Learning Outcomes

  • Interpret the governance architecture of a corporatized public healthcare system.
  • Clarify the respective mandates of the ministry, holding company, purchaser and clusters.
  • Identify reserved matters and instruments governing owner-cluster relationships.
  • Develop a delegation of authority matrix for financial, contractual and workforce decisions.
  • Evaluate board effectiveness, committee structures and executive accountability arrangements.
  • Analyze obligations, payment models and incentives in purchaser agreements.
  • Negotiate realistic volumes, targets and risk-sharing terms with the purchaser.
  • Design a KPI hierarchy and balanced scorecard for a cluster and its hospitals.
  • Assess data quality and validation for performance reporting.
  • Apply escalation, intervention and earned autonomy in performance oversight.
  • Map integrated assurance across risk management, internal audit and compliance.
  • Prepare a governance and performance contracting action plan for a health cluster.

Course Outline

Day 1

Corporatized Health Systems & Cluster Governance

  • Rationale for corporatizing public providers
  • Separating policy, regulation, purchasing and provision
  • Roles of ministry, holding company, purchaser and clusters
  • Holding company and cluster ownership relationships
  • Governance instruments: articles, charters and policies
  • Reserved matters retained by the owner
  • Owner expectations and strategic direction
  • Public accountability in a corporatized model
  • Common governance gaps after leaving direct ministry operation
  • Practical application: Mapping a health cluster governance architecture
Day 2

Delegated Authority, Boards & Executive Accountability

  • Designing a delegation of authority framework
  • Financial, contractual and workforce thresholds
  • Cascading delegation to hospitals and networks
  • Cluster board composition, skills and independence
  • Audit, risk, quality and nomination committees
  • Board oversight versus executive management
  • Executive objectives, appraisal and succession
  • Conflicts of interest and disclosure
  • Board papers, minutes and decision records
  • Practical application: Drafting a delegation matrix for a cluster and its hospitals
Day 3

Performance Agreements with the Purchaser

  • Purpose and structure of performance agreements
  • Population health and service coverage obligations
  • Capitation, activity-based and blended payment models
  • Linking payment to access, quality and outcomes
  • Service volumes, access standards and data obligations
  • Risk sharing, incentives and payment adjustments
  • Preparing negotiation positions with clinical and finance leaders
  • Contract variation, disputes and periodic review
  • Cascading commitments into internal hospital compacts
  • Practical application: Negotiating a purchaser-cluster performance agreement
Day 4

KPI Frameworks & Performance Oversight

  • KPI hierarchy from system goals to facility targets
  • Balanced scorecards for clusters and hospitals
  • Access, quality, efficiency and financial indicators
  • Baselines, targets and tolerance thresholds
  • Data definitions, quality and validation
  • Board and owner dashboards and exception reporting
  • Performance review meetings and action tracking
  • Escalation and intervention ladders
  • Earned autonomy for sustained high performance
  • Practical application: Designing a cluster scorecard and review cycle
Day 5

Integrated Assurance, Risk & Governance Maturity

  • Enterprise risk management and risk appetite
  • Three lines model and assurance mapping
  • Internal audit, compliance and financial controls
  • Board oversight of quality and patient safety reporting
  • Accreditation readiness as a governance topic
  • Transparency, public reporting and stakeholder engagement
  • Governance maturity and capability gap assessment
  • Transition roadmap and governance milestones
  • Sustaining performance after the transfer
  • Final workshop: Integrated governance and performance contracting plan for a health cluster

Upcoming Dates

Selected date

Madrid · 1 – 5 Mar 2027 · Classroom

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CityDatesPrice per ParticipantEarly Bird
SalalahScheduled
2 – 6 Nov 2026€5,300—
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AmmanScheduled
8 – 12 Nov 2026€3,100—
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AbujaScheduled
9 – 13 Nov 2026€5,100—
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AmsterdamScheduled
16 – 20 Nov 2026€5,400—
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BangkokScheduled
23 – 27 Nov 2026€6,100€5,490until 2 Nov
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BakuScheduled
23 – 27 Nov 2026€4,800€4,320until 2 Nov
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BarcelonaScheduled
30 Nov – 4 Dec 2026€5,400€4,860until 9 Nov
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BeirutScheduled
6 – 10 Dec 2026€4,000€3,600until 16 Nov
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CairoScheduled
13 – 17 Dec 2026€3,300€2,970until 23 Nov
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Cape TownScheduled
14 – 18 Dec 2026€5,100€4,590until 23 Nov
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CasablancaScheduled
21 – 25 Dec 2026€4,300€3,870until 30 Nov
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DammamScheduled
27 – 31 Dec 2026€4,200€3,780until 7 Dec
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DohaScheduled
27 – 31 Dec 2026€4,400€3,960until 7 Dec
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DubaiScheduled
3 – 7 Jan 2027€4,400€3,960until 14 Dec
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ErbilScheduled
10 – 14 Jan 2027€3,100€2,790until 21 Dec
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FrankfurtScheduled
11 – 15 Jan 2027€5,800€5,220until 21 Dec
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GenevaScheduled
18 – 22 Jan 2027€6,300€5,670until 28 Dec
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IstanbulScheduled
25 – 29 Jan 2027€4,700€4,230until 4 Jan
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JeddahScheduled
31 Jan – 4 Feb 2027€4,200€3,780until 11 Jan
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KigaliScheduled
1 – 5 Feb 2027€5,100€4,590until 11 Jan
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Kuala LumpurScheduled
8 – 12 Feb 2027€4,400€3,960until 18 Jan
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LisbonScheduled
8 – 12 Feb 2027€5,400€4,860until 18 Jan
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LondonScheduled
15 – 19 Feb 2027€5,600€5,040until 25 Jan
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MadinahScheduled
22 – 26 Feb 2027€4,200€3,780until 1 Feb
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MakkahScheduled
1 – 5 Mar 2027€4,200€3,780until 8 Feb
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MadridScheduled
1 – 5 Mar 2027€5,400€4,860until 8 Feb
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ManamaScheduled
8 – 12 Mar 2027€4,700€4,230until 15 Feb
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OnlineScheduled
14 – 18 Mar 2027€1,700€1,530until 22 Feb
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MuscatScheduled
15 – 19 Mar 2027€5,300€4,770until 22 Feb
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ParisScheduled
22 – 26 Mar 2027€5,700€5,130until 1 Mar
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Available in: Istanbul · Dubai · London · Doha · Amsterdam

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