Marie-Aline BLOCH

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Discipline(s): Biology, Management Science

Current position: Professor of EHESP

Diploma(s): Ecole Polytechnique graduate (X79); PhD in Microbiology (1986); Higher research Masters degree in management science (2011)

Affiliation(s): Collectif de recherche sur le handicap, l’autonomie, société inclusive (CoRHASI), Department of Human and Social Sciences

Curriculum

I have spent twenty years of my career developing vaccines in general and more especially vaccines against whooping cough, group B meningococcal meningitis and the vaccine against papillomavirus infections. Towards the end of the 1990s, I gradually became interested in organisational change and the dynamic of professionals in two areas characterised by a high level of expertise: higher education and research, and healthcare and aid systems.

My various management positions (at Pasteur Mérieux Connaught, the Pasteur Institute, Caisse nationale de solidarité pour l’autonomie and currently as head of research and teaching innovation) have involved a range of responsibilities, including: coordination of R&D project management implementation; strategic coordination of research; oversight of watch systems; implementation of a quality policy; and development of management training programmes for R&D managers. Having trained in coaching, I also accompany managers (R&D managers, social work and healthcare organisation managers, etc.) in professional transition.

In addition, I have been director of the national public health doctoral network, which brings together 10 doctoral schools across France (Rennes, Paris, Bordeaux, Nancy, and Aix-Marseille).

I am currently fully devoted to research, education, counselling and expertise

Research

The various positions I have held in the field of higher education and research have led me to take an interest in the internal structure of organisations (department-based and technological hub-based organisation, professional dynamics, and change management), networking (establishing partnerships between various higher education and research organisations including public-private partnerships, PRES higher education research centres, etc.) and in the assessment of research and higher education.

Since 2006, as scientific director of CNSA, I have begun to take an interest in research into the healthcare system and more particularly the care system for chronic patients (particularly elderly dependent and disabled individuals). Since 2010, I have focused on the issue of coordination within the healthcare system, and more recently the challenges involved in the care plan. This research activity has been developed with a number of partners: the Ecole des Mines Centre de gestion scientifique Research Unit in Paris; Léonie Hénaut, a sociologist from the Paris School of Political Science (Sciences Po Paris) organisational sociology unit; and Blanche Le Bihan, a political scientist from UMR CRAPE, Rennes. I am now developing these activities within the new Healthcare Organisation Management team (MOS) at EHESP.

In order to define the conditions for a better territorial response to the needs of individuals and population groups, I am studying factors that may contribute to improving coordination within the healthcare system and optimising care plans for individuals, by means of a multifaceted approach:

• macro level: a historical and comparative approach examining other countries and the role of the authorities in setting up various coordination functions
• micro level: research into the different professionals who exercise coordination functions relating to individuals and to institutions (with a particular focus on case managers and on Chief Nurse Exécutives). We proposed the notion of innovation coordinators.
• meso level: investigating the dynamics of territorial-based cooperation between the structures involved in the provision of care

I am particularly interested in the conditions which favor organisational, social and technological innovations.

We published at the begining of 2014 a book at Dunod with my colleague Léonie Hénaut summarizing most of these issues : Coordination et parcours. La dynamique sanitaire, médico-sociale et sociale, http://www.dunod.com/sciences-sociales-humaines/action-sociale-et-medico-sociale/politiques-et-dispositifs/coordination-et-parcours.

We published beginning of July 2016 a new book at Dunod with JR Loubat and JP Hardy on new types of organizations for health and social care, so called health and social care delivery platforms : « Concevoir des plateformes de services en action sociale et médico-sociale », http://www.dunod.com/sciences-sociales-humaines/action-sociale-et-medico-sociale/politiques-et-dispositifs/concevoir-des-plateformes-de-servi

We are currently finalizing the project POLIA-INLOVE :  POlitiques et dispositifs d'Intégration pour l'Accompagnement des personnes âgées en perte d'autonomie - une comparaison européenne –INtegrated LOng term care for Vulnerable elderly in Europe (https://www.ehesp.fr/wp-content/uploads/2011/02/POLIA-INLOVE.pdf) as well as the programme "dynamics of aging (la dynamique du vieillir)" within Sorbonne Paris Cité and the MAIA-Age project (http://dynamiquevieillir.weebly.com/programme.html)

We have started in 2016 a new 5 years research program in partnership with CNSA  aiming at understanding the major transformations in the field of services for disabled and dependent aged persons with  Hugo BERTILLOT , sociologist et Noemie Rapegno, health geograph.

 

Expertise

• Expert to the Dutch Government on resources for assessing the needs of individuals requiring help with autonomy (March 2010)
• Working group on integration for the French Geriatric and Gerontology Society (SFGG) (2011-2012)
• Assistance with a project for Mutualité française: Conditions and support for setting up a case management system in a care scheme in the Angevin region, for individuals suffering from brain injuries (2012-2013)
• Member of the panel for the consensus conference on research relating to social work (November 2012)
• Member of the boards of trustees of the Plan Alzheimer Foundation, of the International Foundation of Applied Disability Research (FIRAH) and of France RAI
• Member of the executive board of the federative Institute for Research on Disability (IFRH) and responsible for the axis on public health and social sciences
• Member of the scientific council of the Federation of Private Hospital and Assistance Establishments (FEHAP) Higher Training Institute for Senior Managers
• Member of the expert Council of the Fonds de développement des services de soins et d’accompagnement mutualistes (FDSSAM) of Mutualité Française since july 2014
• Member of the team (EHESP-ARMINES- Sciences Po Paris) evaluating for the French Ministry of social affairs and health, the PAERPA national program aiming at improving care pathways for aged persons : published in may 2017 http://drees.solidarites-sante.gouv.fr/etudes-et-statistiques/publications/documents-de-travail/serie-etudes-et-recherche/article/evaluation-qualitative-paerpa-rapport-final
• Participation to the France-US Commonwealth fund seminar on high needs persons care management in June 2016 in Paris
• Member of the association RESOLIS (Recherche et Evaluation de Solutions Innovantes et Sociales)
• Member of steering and expert committees for ANR and IReSP projects
• Article reviewer for International Journal of integrated care, Revue française des affaires sociales, Gérontologie et société, et Journal de gestion et d’économie médicale
• Awards panel member: Médéric Alzheimer Foundation thesis award (2011 and 2012); UNAFORIS/CNAM social work dissertation award (2012); FEHAP research prize and research grant awards (2012, 2013)

Courses

• Manager of the national training program for the professionals (eg. pilotes MAIA) in charge of integration of health and social care services for the aged and/or disabled persons http://formation-continue.ehesp.fr/certificat/diplome-detablissement-de-pilotage-territorial-integration-des-services-dappui-aux-personnes-en-perte-dautonomie/
• Videos on recommandations for the implementation of improved care pathways on territories https://vimeo.com/album/4600763
• Coanimation with Rémy BATAILLON of training sessions for trainers of new territorial organisations aiming at improving care pathways
• Participation to the training program AAPTE,  supervised by Rémy BATAILLON, for health regional agencies
• Student lectures for Hospital Managers, DESSMS (Managers of healthcare, social and medico-social establishments) and Chief nurse officers /directeurs des soins (DS) at EHESP dealing with coordination in the healthcare, medico-social and social sectors
• responsible for a module on care pathways and coordination in the MOOC of EHESP "comprendre la santé publique et le système de santé" on the FUN Platform in 2005
• Management of an Interprofessional module at EHESP: Alzheimer contacts in regional health agencies (with Christelle Routelous, May 2012) and on coordinators for stroke management (with Elisabeth Fery-Lemonnier, May 2015)
• Supervision of  Master students, and future managers in health and social care
• Member of the  jury for the Master of Public Health (2014)
• EN3S : supervision of a group of student for their action research
• Sciences Po Paris: lecture on research into loss of autonomy as part of the executive masters in disability management and policies (2008 and 2009)
• Compiègne Technology University: contributions to the masters for biomedical engineers on autonomy technologies (2008 and 2010) and the medico-social sector (2011 and 2012)