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Nowadays, the realm of safety management is moving from former reactive to more proactive approaches. Consequently, organizational resilience is increasingly regarded as a relevant way to manage performance and safety in many types of organizations. This concept promotes 4 cornerstones to do so: anticipating, monitoring, responding and learning.
However, these competences require a tremendous continual commitment from all staff and stakeholders. The power of influence that some leaders can have on their teams and colleagues might become an explanatory variable of the level of organizational resilience witnessed in all kinds of institutions.
This study takes place in healthcare organizations and focuses on two variables: the quality of the leadership expressed by the heads of medical services and the level of organizational resilience preventing these departments from failure.
This master’s thesis starts with an overview of published literature on leadership and organizational resilience. The two concepts were first defined and afterwards put into the context of healthcare management. Several tools were then explored and chosen to build a relevant questionnaire in order to lead empirical research in several medical departments. The second part of this thesis is dedicated to the aforementioned comparative study. We led our research by meeting with the heads of 10 different medical departments. These qualitative interviews provided us with valuable information about the way the chief medical officers lead their services and the abilities of those to anticipate and monitor risks, respond to unexpected situations and learn from the past.
These empirical results allowed us to identify a resilience profile for each of the visited departments and to assess the quality of the leadership in each of those. Moreover, it enabled us to make clear comparisons between them and to highlight the best practices.
Finally, based on our quantitative assessments, we investigated a hypothetical correlation relation between the quality of the leadership and the level of organizational resilience.

resilience --- healthcare --- hospitals --- organizational resilience --- healthcare resilience --- resilient healthcare --- leadership --- management --- healthcare leadership --- safety management --- performance management --- healthcare service --- research --- case study --- comparative study --- Sciences économiques & de gestion > Gestion de l'entreprise & théorie des organisations

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In this paper, I firstly offer a description of the problems that the department of medical physics from the CHU of Liège is currently facing due to the lack of suppliers monitoring. I believe this leads to a higher risk of receiving a poor maintenance on the machines, which would impact their availability and hence disturb both users and patients.
I then proceed to detail how I, through scientific research and the benchmark of another department, have come up with a linear-weighted model based on SMART and objective key performance indicators to help solve this issue. I then explain that those KPIs were created based on the existing service contracts with the suppliers and the expectations of the department. In order to improve the practicality and efficiency of this new task, I offer an alternative control method based on subjective attributes in addition with an automatic model to compute the indicators.
Thirdly, with the intention to comply with the quality norms ISO9001, I map the processes and add procedures to demonstrate who does what, when and how so that the manager clearly knows how to use the tools. Furthermore, I provide the hospital with my risk analysis regarding the implementation phase of the tools. I highlight several risks by adopting a project management methodology and I propose solutions to reduce the identified and prioritized risks. I evaluate the effectiveness of my solutions on the risks and I estimate no risk to still be above the acceptable level assuming the application of my ideas. I go on by justifying the adequacy of my methodology with the training on project management from the ESQ UQAM. In this chapter, I also take a step back on my work and attempt to criticize my approach.
I end this paper with my recommendations for the short and long-term efficiency of my tools. If they wish to obtain a precise control tool, I highly encourage the department to work on the quality of the existing data base by communicating with its staff and by collaborating with its suppliers. I submit a priority list of the suppliers for the department to begin the evaluation and I strongly advocate the manager to analyze and take appropriate actions within a maximum of 6 months after the evaluation of the supplier. I conclude with the possibility of integrating SLAs and criticality in the future specifications.

suppliers --- management --- hospital --- healthcare --- public --- supplier risks --- Sciences économiques & de gestion > Finance

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Health Care Costs. --- Pulmonary Embolism --- Tomography, X-Ray Computed --- Diagnostic Imaging --- Embolism, Pulmonary --- Embolisms, Pulmonary --- Pulmonary Embolisms --- Pulmonary Thromboembolisms --- Thromboembolisms, Pulmonary --- Pulmonary Thromboembolism --- Thromboembolism, Pulmonary --- Infarction --- Costs, Medical Care --- Health Costs --- Healthcare Costs --- Medical Care Costs --- Treatment Costs --- Cost, Health --- Cost, Health Care --- Cost, Healthcare --- Cost, Medical Care --- Cost, Treatment --- Costs, Health --- Costs, Health Care --- Costs, Healthcare --- Costs, Treatment --- Health Care Cost --- Health Cost --- Healthcare Cost --- Medical Care Cost --- Treatment Cost --- Health Expenditures --- economics. --- radiography. --- Theses --- Health Care Costs --- economics --- radiography

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Malaria is a major public health concern in Africa. The lack of human resources and capacity at national levels is one of the main obstacles to the development, implementation and sustainability of malaria control. The management of logistics systems remains a significant weakness. Cameroon is one of the countries on the continent most affected by the disease. However, literature is scarce in the Cameroonian context, concerning the management of the product used for preventing and treating the disease throughout the distribution channel.
This study aims to explore the measures that can be implemented to enhance the supply chain management for antimalarial commodities within Cameroon. The objectives encompass assessing supply chain challenges within the African public health setting, analysing identified issues in the malaria treatment and prevention supply chain in Africa, and proposing actionable measures to improve the supply chain management of antimalarial products in the surveyed country.
A comprehensive investigation was carried out, gathering information from several stakeholders involved in the Cameroonian healthcare supply chain sector. The methodology consisted of a combination of semi- and unstructured interviews to identify the current practices, challenges and potential solutions. The interviews covered eight topics: procurement and sourcing, inventory management, distribution networks, supply chain technology, cold chain management, quality assurance and government regulations, stakeholders’ collaborations and emergency preparedness and response.
The results of the survey demonstrated the importance of reliable data in procurement, real-time inventory tracking, improvements in distribution logistics, the integration of technology to ensure transparency, enhanced cold chain infrastructure and robust quality control systems. Furthermore, the findings revealed the lack of trust in local sourcing, hazardous inventory handling, disparities in distribution across regions, constraints of some communication platforms, and difficulties posed by extreme temperatures.
Strengthening the supply chain management of antimalarial products requires consideration of cooperative initiatives between the public and private sectors. Fostering trust in local goods, promoting fair competition, and adjusting emergency protocols are highly recommended. Yet these goals should not be achieved without considering the equitable distribution of funds, which is an essential element of effective governance.

healthcare supply chain --- antimalarial commodities --- improvement measures --- Cameroon --- Sciences économiques & de gestion > Production, distribution & gestion de la chaîne logistique

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Mithra Pharmaceuticals is currently embracing many challenges and thereby questions the stature of its present supply chain network as well as the responsibility of each stakeholder.
The business environment of the healthcare industry has significantly changed in the past decade putting a tremendous price pressure and strengthening competition among life science companies. Beyond a stricter regulatory scrutiny, contract manufacturing operators impose rigorous constraints leading to long lead times with regards to products’ shelf life and large minimum order quantities. Therefore, supply chain is viewed as a new strategic asset and becomes a potential competitive advantage rather than an unavoidable cost center embedded in daily operations.
For what is more, Mithra recently started an international expansion and is aware that the current supply chain network might represent a burden to the successful accomplishment of its ambitions. In addition to that, Mithra’s future state-of-the-art technologic R&D and manufacturing platform is likely to bring changes and innovations in the way Mithra produces and commercializes its products, reducing the production dependency on third parties.
In this context, this project thesis aims at studying two potential alternatives to Mithra’s current distribution patterns. One the one hand, it will address a problem of network design and facility location to determine whether Mithra should move on to a centralized distribution model with a single warehouse taking roots in Liège Airport or not. Indeed, nowadays, the firm has a decentralized model including four local distribution centers. One the other hand, I will work on postponement concepts for Mithra’s production process. The objective will be to determine the best suited postponement strategy with regards to Mithra’s products portfolio. In both scenarios, I will evaluate the financial impact of such models.

healthcare industry, supply chain network optimization, centralized distribution strategy, facility location problem, postponement strategies. --- Sciences économiques & de gestion > Production, distribution & gestion de la chaîne logistique