Stakeholder-alignment simulation for healthcare

Practise agreeing a healthcare change with everyone who can block it

Halign is a management simulation, not a clinical one. Each participant plays a stakeholder (physicians, hospital management, patients, insurers or the regulator) and the group has to agree a proposal for change.

Developed with Professor Jaume Ribera and IESE's Center for Research in Healthcare Innovation Management (CRHIM). Funded by EIT Health.

Participants around a table fitting puzzle pieces together

Who Halign is for

Hospitals and health systems

Leadership and change programmes for clinical leads, managers and executives who have to get a change accepted across professional groups.

Health-management faculties

Master's, MBA and executive programmes in health management that want participants to go through a negotiation between stakeholders rather than read about one.

Pharma and medtech training teams

Market-access, medical and key-account teams who need to understand how a hospital, a payer and a regulator reach a decision.

Management, not clinical

Halign does not simulate patients, vital signs or procedures. It simulates the decisions around care: who has to agree to a change, what each party needs from it and what each will accept. If what you need is clinical simulation, we will tell you.

Clinicians and managers in a meeting

What participants practise

  • Reading a health system as a set of actors with different interests and constraints.
  • Finding out what the other stakeholders need before making a proposal.
  • Building coalitions and negotiating the terms of a change.
  • Testing an intervention in a safe environment before trying it for real.

How a session works

Halign is synchronous: everyone plays the same simulated day at the same time, and the facilitator controls the clock.

  1. Choose a case

    Halign comes with several cases, and you can write your own. The roles depend on the case: a hospital management team, physicians, a patient association, an insurer, a technology provider or the regulator.

  2. Take a role

    Each participant reads the shared case and confidential instructions for their own role: what they want, where their limits are and what they can do.

  3. Play the days

    Each round is a simulated day with a limited budget of action points, spent on requesting information, connecting with other stakeholders, holding meetings and joining the discussion.

  4. Propose and vote

    Stakeholders put proposals forward and the parties involved vote on them. Some proposals fail, and that is part of what the group learns.

  5. Debrief

    The facilitator follows the activity live and uses the results to debrief: who moved first, which coalitions formed and why some proposals failed.

In practice

Introductory case: 30 to 60 minutes, five roles
Full case: about three hours, debrief included
In the classroom or online, in English or Spanish
Large groups play several copies of a case in parallel

Developed with IESE, funded by EIT Health

Halign was designed by Professor Jaume Ribera and the Center for Research in Healthcare Innovation Management (CRHIM) at IESE Business School.

Its development was funded by EIT Health, which is supported by the European Institute of Innovation and Technology (EIT), a body of the European Union.

It runs on the Eureka Simulations platform, by Kudzu Partners.

EIT Health logo, co-funded by the European Union

See Halign with your programme in mind

Tell us who your participants are and how much time you have. We will show you the simulation, suggest a case and send you a quote.

Prefer email? Write to info@eurekasimulations.com

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