Halign - Stakeholders Alignment Simulation

Stakeholder alignment for healthcare management

Stakeholder alignment for healthcare management

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


For hospitals, faculties and pharma teams

For hospitals, faculties and pharma teams

Leadership programmes in hospitals and health systems, health-management faculties and business schools, and pharma and medtech teams who need to understand how a hospital, a payer and a regulator reach a decision.


Several cases, one role per participant

Several cases, one role per participant

Halign is multicase. Each participant reads the shared case and confidential instructions for their role, then spends a limited budget of action points each simulated day to gather information, meet other stakeholders and negotiate a proposal that the others will vote on.


Developed with IESE, funded by EIT Health

Developed with IESE, funded by EIT Health

Halign was designed by Professor Jaume Ribera and IESE's Center for Research in Healthcare Innovation Management (CRHIM). 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.


Management, not clinical

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, in a safe environment before anyone tries it for real.


Halign is a stakeholder-alignment simulation for healthcare management. It is written for health professionals, management students and managers in healthcare organisations, and it works on the management side of care, not the clinical side.

Developed with Professor Jaume Ribera and the Center for Research in Healthcare Innovation Management (CRHIM) at IESE, with funding from EIT Health, Halign puts participants in the shoes of the stakeholders of a health system, such as hospital executives, insurers, suppliers and healthcare professionals, and reproduces the interdependencies between them.

Key Learning Objectives:

  • Stakeholder Understanding and Negotiation: Gain a deep insight into the perspectives of different stakeholders in the healthcare sector and learn the art of negotiation and collaboration to achieve mutual goals.
  • Change Management and Innovation: Understand how to orchestrate proposals for change in a healthcare setting, dealing with challenges such as digital transformation, financial constraints, and organizational restructuring.
  • Strategic Decision-Making: Enhance decision-making skills in complex scenarios involving multiple, often conflicting, stakeholder interests.
  • Collaborative Problem Solving: Develop the ability to collaboratively solve problems and create innovative solutions that benefit all parties involved.

Halign immerses learners into real-world scenarios, where they must role play to learn by doing.

  • Real-World Scenarios: Participants are immersed in realistic healthcare scenarios, each requiring a unique approach to stakeholder alignment and decision-making.
  • Role Playing: Assume various roles within a healthcare setting, from hospital CEOs to technology suppliers, gaining a holistic view of the healthcare ecosystem.
  • Interactive Learning: The simulation is designed to be highly interactive, encouraging participants to engage in discussions, negotiations, and collaborative problem-solving.
  • Multicase Simulation: Offers a variety of cases, each presenting a unique set of challenges and learning opportunities. You can even create your own case study!
  • Management, not clinical: Participants work on the decisions around care, such as who has to agree to a change and what each party needs, not on patients, vital signs or procedures.
  • Comprehensive Educational Experience: Designed not just for learning but also for applying theoretical knowledge in practical, real-life situations.

In the case study of St. Elaine Hospital, participants can explore the challenges faced by Joan Osborne, the CEO, in managing a large general hospital. They can delve into issues like organizational restructuring, managing digital transformation, and introducing innovative healthcare solutions like e-health and home care monitoring. This simulation offers a rich environment to understand and navigate the complex web of stakeholder relationships and interests in the healthcare sector.

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