08:00 onwards
09:00 - 09:45
An overview of the ME Forum
Session Title:Middle East Forum Orientation Briefing
Speaker: Dr. Ronal Wyatt - Chief Quality Officer & Frank Federico - Vice President Institute for Healthcare Improvement
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Description
This session attendees will learn about the key points of interest relating to the Forum and how they can benefit from the different activities to further their knowlesge of improvement science and the value of knowlege sharing.
10:00 - 11:30
Pre-Conference Workshop 1
Session Title:Leading by Example in Nursing
Speaker: Prof. Fiona McQueen
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Description
Are you faced with an increasing burden of poor physical and mental health of your nursing & midwifery workforce? Do you want to improve clinical outcomes as well as staff health and wellbeing? Hear how one leader’s story is making a difference.
Objectives
- Reflect on the power of personal leadership to engage nursing & midwifery workforce.
- Identify how to leverage broad policy and resourcing support to improve nursing & midwifery health and wellbeing.
- Explore how to construct initial plan to engage the wider organisation and ensure alignment of nursing and midwifery goals.
10:00 - 11:30
Pre-Conference Workshop 2
Session Title: Improving Safety for the Most Common Intervention in Health Care: Medications - a presentation from the College of Pharmacy, Qatar University
Speaker: Dr. Daoud Al Badriyeh and Dr. Yaw Owusu - Qatar University Faculty
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Description
Medications are the most common intervention in health care. The individuals involved in medication management include doctors, nurses, pharmacist and patients and families. The WHO has issued Medication Without Harm: WHO's Third Global Patient Safety Challenge as an effort to focus on improving medication safety. In this session, faculty will share approaches to improve medication safety across the continuum of care. At the end of the session, participants will be asked to identify two approaches that they are willing to test in their organization.
Objectives
- Define and use terms and concepts related to safety
- Discuss the system failure factors that lead to errors
- Identify sources of errors and problems with medication management
- Propose solutions to improve medication safety
10:00 - 11:30
Pre-Conference Workshop 3
Session Title: Let’s Game It: Optimizing Patient Flow
Speaker: Dr. Moza Al Ishaq and Dr Jameela Al Ajmi
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Description
Patient flow refers to the ability of healthcare systems to manage patients effectively and with minimal delays as they move through stages of care. This interactive session on “patient flow” will demonstrate how to manage patient movements effectively through the stages of care and while minimizing delays. The session will help hospital staff to improve operational efficiency, with regards to patient flow and capacity management. During the session participants will learn the importance of planning and communication to maximizing efficiency. “Let’s Game It” will illustrate a virtual hospital featuring a patient character and hospital staff. Participants will take on different job roles and work together to manage the hospital. The session will give players the opportunity to face a series of tasks and challenges based on typical occurrences in a hospital. Using discussion and teamwork, players attempt to manage their virtual hospital, coping with patient arrivals and discharges, ward transfers, staff management and other unexpected situations. At the end of the session, the participants are encouraged to talk about and reflect upon the experience, helping them to understand their role in effective hospital management.
10:00 - 11:30
Pre-conference Workshop 4
Session Title:Human factors - Three perspectives, one clear lesson.
Speaker: Jennie Ross, IHI, Ms. Nawal Khattabi, PHCC & Dr Aisha Al Adab, HMC
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Description
A trio of short sessions touching on the role of human factors to guide quality improvement activities in healthcare
Human factors can be seen as the latest ‘Buzzword’ accompanied by a belief that its profile will fade over time and that it doesn’t need to be addressed. The reality is quite different, in that there is a truly urgent need to embed the science of human factors in to healthcare, specifically in relation to patient safety. A thorough understanding of how human beings interact with the systems that they work in, which includes the other individuals, tasks, tools and environment, can, and will, improve patient safety. Taking the human factors perspective when undertaking quality improvement work, enables efforts to be focused, to efficiently maximise the efforts and impact on patient safety, improving outcomes for both staff and patients. Whilst the human element exists, human factors has a role in healthcare, these 3 sessions are designed to provide a brief insight in to the science of human factors, aimed to ignite individuals curiosity on the subject, encourage reflection, and start conversation.
Jennifer Ross
BawaGarba – How do we learn from tragedy
In recent months social media has been saturated with #BawaGarba, although the whole story may never be available, human factors specialists have highlighted clear, key concepts, emerging from this tragic situation, that can support learning in healthcare organisations across the globe. During the first 30 minutes of this session these concepts will be shared and the audience encouraged to reflect on how they apply to them as individuals and the organisations they represent.
Ms. Nawal Khattabi
Healthcare organizations are complex adaptive system in which Safety and Incidents are both emergent properties which have suffered from linear approaches to solving complex failures. Human Factors Science provides promising alternatives to learning from incidents and human performance variation that will be shared in the second 30 min of this session. During which, the audience will also benefit from a practical Incident review model applying prominent theories in Human Factor science coupled with leading concepts in the management science.
Dr Aisha Al Adab
Breakfast with quality chief, through understanding patients safety and strategy to improve patient safety
10:00 - 11:30
Pre-Conference Workshop 5
Session Title: Professional Ethics in Quality and Patient Safety
Speaker: Dr. Al Hareth Al Khater, HMC & Dr. Nabila Al Meer, HMC
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Description
"Ethics in healthcare care services is a vital component in maintaining and improving the quality of care and ensuring patient safety. Health care practitioners are expected to be aware of the professional ethics , research ethics and any healthcare ethical dilemma that may arise in their organization and manage it effectively. Ethical dilemmas usually occur when there is uncertainty, or a conflict regarding ethical principles, or personal values. Healthcare practitioners should understand ethics within the cultural , philosophical and religious underpinning medical ethics in order to make the best decisions. The ethical framework should be understood among all healthcare practitioners as they are responsible to promote their patients' welfare in increasingly complex healthcare systems. Healthcare practitioners may need to seek consultation when there are concerns with ethical decisions which entails helping patients, families & staff to better understand clinical recommendations and to make more informed choices."
10:00 - 11:30
Pre-Conference Workshop 6
Session Title: Dementia - Breaking Barriers
Speaker: Dr. Hanadi Al Hamad, HMC Naseer Masoodi, HMC Dr. Shafi Khan, HMC Mani Chandran, HMC
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Description
Dementia is a public health priority with a case of dementia developing every 3 seconds worldwide. Currently there are 47 million people living with dementia and this number is expected to increase to 130 million by 2050. There is a growing need for the health systems of each country to be fully equipped to meet this challenge. Here in the State of Qatar, the Department of Geriatrics & Long-term Care has taken the lead working along with all the key stakeholders.
This session is designed to be a practical, skill-building and interactive workshop. It is aimed at multi-disciplinary groups involved in or interested in improving their understanding of Dementia and the impact it has on patients, families and the healthcare system.
Objective
- To enhance the knowledge and understanding of the Global Dementia
- Review of evidence-based practice regarding de-stigmatization in Qatar
- Increase awareness of safety in relation to people with Dementia
11:30 - 13:00
Lunch & Prayer Break
Dr. Najeh Khalid Hasan Khalid will be leading the Friday 'Juma' Prayer
13:00 - 17:00 *
30 minute break at 15:00
Session Title: Patient Safety in Arabic
Session Track: Patient Safety
Speakers: Dr. Mohammad Aljanahi, Dr. Khalid Mohammad, Dr. Noof Al-Siddiqi, Dr. Aisha Aladab, Dr. Amal Abu Saad, Mr. Almunzer Zakaria,Dr Khawla Ahmad
Description
Applying the basic principles of quality improvement in healthcare sector (Arabic session) Our common goal is to provide the best care always to all our patients. Join is in this healthcare improvement journey to achieve safe and effective healthcare to each and every patient, through a highly interactive workshop full of team work and fun learning. This workshop aims at introducing the basic principles of quality improvement to our audiences, which includes the ‘plan-do-study-act’ method
Session Title: Patient Safety in Arabic
Session Track: Patient Safety
Speakers: Mohammad Aljanahi, Khalid Mohammad, Noof Al-Siddiqi, Aisha Aladab, Amal Abu Saad, Almunzer Zakaria, Khawla Ahmad
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Description
Our common goal is to provide the safest care to all our patients. Join us in this interesting learning experience to achieve the safe and effective healthcare to each and every patient, through a highly interactive workshop full of team work and fun learning. This workshop aims at introducing the basic principles of building safety culture in healthcare, which includes:
- National Patient Safety Strategy
- Safety Culture Survey
- International Patient Safety Goals
- Leadership role in safety culture
- Safety Steps
Session Title: Back to Basics: Building Essential QI Skills
Session Track: Improvement Science
Speaker: Dr. Robert Lloyd - IHI, Dr. Amar Shah - East London NHS Foundation Trust, & Dr. Reham Hassan - HMC
Description
So, you can explain what the letters PDSA mean. Great! (That’s an acronym for Plan-Do-Study-Act, if you didn’t know.) But, are you able to successfully run multiple PDSA tests in one day, know when a change concept is ready for implementation, and then sustain the improvements? Built around the Model for Improvement (MFI), this session will demonstrate how to link the three questions related to aim, measurement, and change concepts to the sequence for success. We will provide a refresher for those who are stalled in their improvement efforts, and a jump start for those who are new to the quality improvement journey.
Objective
- Describe the elements of the Model for Improvement
- Identify the necessary elements to charter an improvement project and develop an aim statement
- Develop high-leverage change ideas using driver diagrams and other tools
Session Title: Back to Basics: Building Essential QI Skills
Session Track: Improvement Science
Speaker: Bob Lloyd & Amar Shah
Track:Transforming Clinical Systems of Care
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Description
So, you can explain what the letters PDSA mean. Great! (That’s an acronym for Plan-Do-Study-Act, if you didn’t know.) But, are you able to successfully run multiple PDSA tests in one day, know when a change concept is ready for implementation, and then sustain the improvements? Built around the Model for Improvement (MFI), this session will demonstrate how to link the three questions related to aim, measurement, and change concepts to the sequence for success. We will provide a refresher for those who are stalled in their improvement efforts, and a jump start for those who are new to the quality improvement journey.
Objective
- Describe the elements of the Model for Improvement
- Identify the necessary elements to charter an improvement project and develop an aim statement
- Develop high-leverage change ideas using driver diagrams and other tools
Session Title: Preparing for the Worst: A Disaster Simulation
Session Track: Patient Safety
Speaker: Dr. Eric Goralnick, Medical Director of Emergency Preparedness at Brigham and Women's Hospital & Brendon Morris
Session Title: Major Incident Response & Emergency Preparedness
Session Track: Safety
Speaker: Eric Goralnick, Medical Director of Emergency Preparedness at Brigham and Women's Hospital &Dr. Rob Owen, HMC
Track:Transforming Clinical Systems of Care
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Description:
Is your hospital prepared for the worst? Do you have a plan in place for an emerging infectious disease? What about a multisite terror attack? During this interactive session, you will participate in exercises that will help you understand current response concepts and plans when facing a large emergency situation. Dr. Eric Goralnick and Mr Brendon Morris are emergency preparedness experts with experience in the United States, United Kingdom, and Qatar. They will lead you through best practices when facing an emergency situation and arm you with the tools needed to implement training at your home institution.
Objective
- Simulate the preparation, response and recovery of your healthcare system to an emerging threat.
- Design, Practice and Review your coordination arrangements, partner support a timeline of expected actions during a disaster
- Understand the critical elements of a communication plan.
Session Title: Mobilising & Organising Students and Residents as Agents of Change
Session Track: Improvement Science
Speaker: Kate Hilton, IHI & Dr. Helen Bevan, IHI
Description
The history of transformational change demonstrates that breakthrough innovation tends to come from two sources: (1) bringing new ideas from the outside; and (2) mobilising the emerging generation of young leaders. Students and residents are critical players in the transformation of our health systems. In this interactive workshop we will discuss methods and tactics for engaging students and residents as agents of change. Participants will be asked to apply these frameworks and skills to their own efforts to improve health in their local settings. Whilst our initial focus will be on young leaders, the same leadership and organising principles can be applied to engage others across an organization to build their effectiveness as change agents. The workshop is aimed at those with responsibility for leading change efforts and those who want to develop as change agents, no matter the stage of their careers.
Objectives
- Appreciate the powerful role that students and residents can play in the transformation of health and healthcare
- Understand the skills of an effective change agent and how to build them
- Describe the design and implementation of an improvement effort that incorporates community organising frameworks and practices
Session Title: Catalyzing Students and Residents as Agents of Change
Session Track: Improvement Science
Speaker: Kate Hilton & Helen Bevan
Track:Transforming Clinical Systems of Care
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Description
The history of transformational change demonstrates that breakthrough innovation tends to come from two sources: (1) bringing new ideas from the outside; and (2) mobilising the emerging generation of young leaders. Students and residents are critical players in the transformation of our health systems. In this interactive workshop we will discuss methods and tactics for engaging students and residents as agents of change. Participants will be asked to apply these frameworks and skills to their own efforts to improve health in their local settings. Whilst our initial focus will be on young leaders, the same leadership and organising principles can be applied to engage others across an organization to build their effectiveness as change agents. The workshop is aimed at those with responsibility for leading change efforts and those who want to develop as change agents, no matter the stage of their careers.
- Appreciate the powerful role that students and residents can play in the transformation of health and healthcare
- Understand the skills of an effective change agent and how to build them
- Describe the design and implementation of an improvement effort that incorporates community organising frameworks and practices
Session Title: Professionalism
Session Track: Leadership and Capability Building
Speaker: Dr. Ronald Wyatt - HMC, Prof. Carlos Pellegrini - IHI & Prof. Fiona McQueen, IHI
Description
Applying the basic principles of quality improvement in healthcare sector (Arabic session) Our common goal is to provide the best care always to all our patients. Join is in this healthcare improvement journey to achieve safe and effective healthcare to each and every patient, through a highly interactive workshop full of team work and fun learning. This workshop aims at introducing the basic principles of quality improvement to our audiences, which includes the ‘plan-do-study-act’ method
Session Title: Professionalism
Session Track: Leadership and Capability Building
Speaker: Ron Wyatt - HMC, Carlos Pellegrini - IHI & Fiona McQueen - IHI
Track:Transforming Clinical Systems of Care
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Description
The vast majority of health care professionals behave to the highest professional standards, but a small number do not. Those who display unprofessional behaviour tend to do so recurrently and often go unchallenged, except in the most extreme cases. Unprofessional behaviour has been demonstrated by physicians, nurses, other clinicians and managers but it is the behaviour of doctors which has been most closely linked with patient harm.
Source: International Journal of Clinical Leadership 2011;17: 93–101. K Stewart, R Wyatt and J Conway.
Objectives
- Describe the impact of unprofessional conduct
- Recognize patterns of disruptive behavior
- Respond to instances of disruption effectively
- Develop system structures to support engagement
- Assess situations that may require outside referral or special assistance
Session Title: Patient Centered Interprofessional Development
Session Track: Person-Centered Care
Speaker: Dr. Khalid Abdulnoor Saifaldeen, Dr. Rahma Salem, Mr. John Tobin, HMC
Description
Applying the basic principles of quality improvement in healthcare sector (Arabic session) Our common goal is to provide the best care always to all our patients. Join is in this healthcare improvement journey to achieve safe and effective healthcare to each and every patient, through a highly interactive workshop full of team work and fun learning. This workshop aims at introducing the basic principles of quality improvement to our audiences, which includes the ‘plan-do-study-act’ method
Session Title: Patient Centered Interprofessional Development
Session Track: Person-Centered Care
Speaker: Dr. Khalid Abdulnoor Saifaldeen, Dr. Rahma Salem, Mr. John Tobin, HMC
Track:Transforming Clinical Systems of Care
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Description
The workshop will provide participants with the opportunity to experience interactive scenarios based learning, which will include the following: HITC's Educational governance framework in developing high quality sustainable training in support of patient care and safety.
Simulated real-time scenario based demonstration of inter-professional team management of a patient and the team dynamics impact on patient care and safety. The session will include team performance assessment, understanding the human factors and learning best practice ways of how to conduct debriefings.
Objectives
- Review practical ways of working together, training together and how this links to patient centered approach.
- Understand about the impact of team work and the human factors on patient care and safety.
- Learning about standardization in resuscitation services and related patient safety approach.
- Practicing team debriefing (demonstration)
07:00 onwards
08:30 - 09:15
Opening Ceremony
Session Title:Opening Ceremony and Launch of National Health Strategy 2018-2022
Speaker: Her Excellency Dr. Hanan Mohamed Al Kuwari, Minister of Public Health & Dr. Don Berwick, IHI
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09:15 - 10:15
Plenary 1: New Ways for Courage and Caring
Speaker: Maureen Bisognano, IHI
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Description
In this plenary, we’ll explore a new way to design and deliver health and care. In this fast-paced time of change, we need new models of care that deliver best outcomes and we need to work upstream to prevent illness, all in ways that make health care work meaningful and effective. Together, we’ll see how we can work on using innovative improvement ideas to decrease the burden of rework and to build in excellent and compassionate care for every person.
10:15 - 10:45
10:45 - 11:50
Breakout Group A
Breakout A1
Patient Experience 2.0: Nothing about me without me
Speakers: Ms. Maureen Bisognano - IHI and Ms. Patty Skolnik - IHI
Description
A dynamic presentation demonstrates how to move from project-based safety to systems of safety. It looks at how patient care and safety cannot be just a project but needs to look at the whole healthhcare system. Working on projects in silos does not support systematic, strategic improvement for the patient and family. This presentation addresses what matters to patients and families in all interactions. Patients and families experience a system that believes "Nothing about me, without me".
Objectives
- Co-produce a safe system with patients and families
- Address what matters to patients and families in every interaction
- Support systematic, strategic improvement of the patient-family experience
Details.
Breakout A2
Better Quality through Better Measurement
Speakers: Dr. Robert Lloyd (IHI), Dr. Akhnuwkh Jones (HMC) and Dr. Mukesh Thakur (HMC)
Description
This session will provide participants a chance not only to understand the milestones in the quality measurement journey but also to apply them to their work. Faculty will offer guidance and practical tips for selecting measures, specifying operational definitions, and building data collection plans. Both conceptual and statistical approaches to understanding variation will be reviewed.
Objectives
- Develop measures, operational definitions, and practical data collection plans that support organizational objectives
- Learn to link measurement efforts to improvement goals
Details.
Breakout A3
A Systematic Approach to Delivering Safe and Reliable Care
Speakers: Dr. Michael Leonard & Frank Federico
Description
A comprehensive approach to improving safety and quality addresses and integrates the essential components of effective leadership, safety culture, teamwork, communication, reliable processes of care, and builds an environment of continuous learning and improvement. The presenters in this session will reflect on their experience working in safety and quality across a broad array of care environments. Faculty will provide examples of how the framework can be applied in any healthcare setting.
Objectives
- Describe the framework's two foundational domains — culture and the learning system — outlining what is involved with each and how they interact
- Describe how the elements of the framework serve as the foundation for organizations on their journey to achieve the characteristics of high reliability organization
- Discuss the engagement of patients and their families, the core of the framework — the engine that drives the focus of the work to create safe, reliable, and effective care
Details.
Breakout A4
5 Big Missteps on the Patient Safety Journey
Speakers:Dr. Don Berwick - IHI
Description
While the patient safety movement has made great strides since the late 1990s, the healthcare industry has veered off the path in a few ways during the journey. This session highlights some missteps in the approach that the patient safety community has taken throughout its improvement journey and what leaders can do to address these challenges.
Details
Breakout A5
Observation Medicine: The Inpatient Fast Track
Speaker: Dr. Jody Crane - IHI
Description
Poor hospital-wide patient flow results in reduced patient satisfaction, adverse clinical outcomes, lost revenue, and negative impacts on the organization from the ED to the ICU. Like segmenting flow in EDs has transformed the patient experience, observation units and clinical decision units are transforming inpatient flow, streamlining and improving quality.
This workshop will highlight the critical elements of successful observation strategies and explain their important role in hospital-wide patient flow.
Objectives
- Understand the academic principles and the case for improving flow of observation patients
- Define a Type 1 Observation Unit
- Learn the four elements of standardization in a Type I observation unit
- Gain insight into the operational principles and goals of observation medicine
Details
Breakout A6
The Power & Potential of Social Media
Speakers: Ms. Helen Bevan - IHI and Ms. Rachel Morris - HMC
Description
Ability to use social media, particularly Twitter, is fast becoming an essential skill for healthcare improvement. This session is a crash course on using Twitter to enhance your quality improvement efforts. A combination of hands on skills and practical advice, the session will give you a clear understanding of how to use social media for engaging, connecting, listening and learning for quality improvement Note: Come to this session with your device (laptop, tablet or smartphone) with an active Twitter account. If you haven’t already created a Twitter account, please come to the session 15 minutes early, at 10.30am, when we will help you to set one up.
Objectives
- What is social media and how are quality improvers using it?
- How to use key elements of Twitter such as retweets, replies, hashtags and lists
- Who to follow in the world of healthcare quality improvement
- How to attract followers and build virtual relationships
- How to use Twitter to its full potential
Details
Breakout A7
Integrated Education for Quality
Speakers: Qatar University speaker Panel: Dr. Pejman Hanifi Moghaddam (CHS); Dr. Maguy ElHajj (CHS); Prof. Srikant Sarangi (CMED); Speaker TBD (Department of Public Health)
Description
The Health Cluster at Qatar University is the largest educational constellation preparing the future health care professionals in the country.
Across three colleges and multiple graduate and undergraduate programs, students are equipped with key skills and with the knowledge and attitudes for the provision of safe and effective care.
This session will highlight the experiences and methods of the colleges of pharmacy, medicine, and health sciences. Each discipline will give their unique model of integrating quality and safety
dimensions into the taught curriculum and experiential learning opportunities. Challenges of teaching quality and safety to future health care providers will be explored through an
interactive panel discussion, as well as strategies for building capacity going forward.
Objectives
- Demonstrating models and experiences of integrating quality and safety across health and medical university education
- Identifying both unique and common challenges associated with teaching quality and safety
- Strategizing for collaboration towards improved capacity building
Details
Breakout A8
Sepsis: Qatar’s national approach to reducing Sepsis morbidity and mortality
Speaker: Prof. Kevin Rooney - IHI & Dr. Ibrahim Fawzy, Mr. Brent Foreman & Dr. Ahmed Labib Shehatta, HMC
Description
Did you know that Sepsis is a major public health concern in healthcare systems around the world? More common than myocardial infarction and stroke, sepsis now claims more lives than any cancer. If not recognised early and treated promptly, Sepsis can lead to shock, multiorgan failure and death. In this highly informative session, we will review the international burden of disease as well as develop a greater understanding of Qatar’s National Patient Safety Collaborative on Sepsis.
Objectives
- Develop a better understanding of Sepsis and its sequelae
- Learn about the new Qatari National Breakthrough Series Patient Safety Collaborative on Sepsis
- Learn about the new Sepsis pathways developed by Hamad Medical Corporation
Details
Breakout A9
Joy in Work & Workplace Wellness
Speakers: Dr Abdulla Al Ansari - HMC and Dr.Hans Kerkkamp - HMC + Dr. Amar Shah - IHI
Description
"Management’s overall aim should be to create a system in which everybody may take joy in their work” We will explore the softer (non-technical) skills and behaviours that support leaders influence and engagement of others in improvement – whether leading teams, leading organisations or leading large-scale change efforts. We will present a framework to help leaders at different levels of a system in their efforts to deeply engage people and connect them to a shared purpose.
Objectives
- Develop knowledge and understanding of the key drivers to a motivated clinical workforce that is continuously improving [Why]
- Access new thinking on ways to cultivate a learning environment that supports clinical leaders and promotes new talent development [How]
- Explore through shared learning and UK examples, key impactful learning from leadership development experiences to inform their own leadership framework [What]
Details
Breakout A10
Antimicrobial Resistance
Speakers: Prof. Trish Perl
Description
In 2016 the WHO highlit the global crisis of antimicrobial resistance. This crisis, called a “slow moving tsunami” by Margaret Chan has developed over many years and is characterized by strains that are emerging as resistant because of pressure from broad and sustained antimicrobial use and those that are transmitted because of failure of infection prevention and public health practices and interventions. Developing strategies to tackle this crisis requires public health, institutional and medical leadership, and implementation of basic infection prevention practices and antimicrobial stewardship. In this session, one experts will review the international situation including the middle east and their direct experience with prevention strategies primarily in the healthcare setting.
objectives
- Review the burden of antimicrobial resistance internationally including in the middle east
- Discuss possible prevention strategies including infection prevention and antimicrobial stewardship
- Identify critical stakeholders and need for collaboration in tackling responses to antimicrobial resistance
Details
Breakout A11
Revolutionizing Patient Experience Through Innovative Technology
Speakers: Mr. Nasser Al Naimi, HMC
Description
In an era where world systems are undergoing exponential change, the role of technology is undeniably important in ensuring how organizations keep up with the changing times, this is all the more true in the ever evolving industry of healthcare
This session aims to provide insights on the revolutionizing effect of technology in addressing common challenges mostly experienced by patients in hospitals. A closer look on how data and analytics transforms and enhances patient experience.
Objectives
- Improving operational efficiency
- Monitoring and analyzing trends and patterns
- Analyzing real time data to make informed decisions
- Listening to and understanding the voice of the patient
- Enhancing patient experience
Details
Breakout A12
Effective communication promotes better patient care: A patient’s safe journey with effective handovers – Part 1
Speakers: Ambulance Service, HMC Hospitals and Qatar Red Crescent, Dr Jorg Kuhne - HMC, Dr Nick Castle - HMC, Prof Guillaume Alinier - HMC
Description
Handovers and transitions of care can be critical phases in a patient’s care pathway. Poor communication practice during those phases may lead to delayed treatment, repetition of procedures, and ineffective us e of time and resources that may also jeopardize patients safety and outcome. In this session, different phases of patient handovers and care transitions between a Qatar Red Crescent Clinic and Hamad General Hospital will be demonstrated using various forms of communication, often involving the Ambulance Service. Although the demonstration will depict ideal processes, faculty will engage participants in discussing the challenges they phase and how they can be managed to always ensure high quality patient care.
Objectives
- Describe the processes of Ambulance transport and transfer activation into and within HMC.
- Discuss the importance of the patient handover phase in ensuring effective patient care.
- List three forms of communications used by Hamad Medical Corporation between NCC, ambulance crews, transfer and retrieval teams, and the clinic or hospital departments.
Details
Breakout A13 (Starts 11:00 AM)
National Health Strategy 2018-2022
Leadership Discussion
Details
Speakers: Ambulance Service, HMC Hospitals and Qatar Red Crescent, Dr Jorg Kuhne - HMC, Dr Nick Castle - HMC, Prof Guillaume Alinier - HMC
Description
Handovers and transitions of care can be critical phases in a patient’s care pathway. Poor communication practice during those phases may lead to delayed treatment, repetition of procedures, and ineffective us e of time and resources that may also jeopardize patients safety and outcome. In this session, different phases of patient handovers and care transitions between a Qatar Red Crescent Clinic and Hamad General Hospital will be demonstrated using various forms of communication, often involving the Ambulance Service. Although the demonstration will depict ideal processes, faculty will engage participants in discussing the challenges they phase and how they can be managed to always ensure high quality patient care.
Objectives
- Describe the processes of Ambulance transport and transfer activation into and within HMC.
- Discuss the importance of the patient handover phase in ensuring effective patient care.
- List three forms of communications used by Hamad Medical Corporation between NCC, ambulance crews, transfer and retrieval teams, and the clinic or hospital departments.
Details
11:50 - 13:00
11:50 - 13:00
Lunch and Learn Session
Session Title:The role of leadership and competency assessment in promoting patient safety – a laboratory and forensic medicine perspective
Speaker: Dr. Nadia Al Kandary
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Description
Most health care organizations continue to strive towards attaining high reliability, which is the ability to minimize adverse events while consistently providing high-quality care in the context of a rapidly changing environment. Patient safety remains at the forefront of corporate priorities and effective leadership is an integral component of establishing an environment that aids personnel in following established procedures to accurately perform their tasks.
This session gives an insight into patient safety concepts and the role of organizational leadership in improving standards of care and safety. A closer look is taken of how procedures for laboratory testing can positively affect patient health. Implementing competency assessment standards for laboratory personnel in performing laboratory testing is also reviewed and how may help ensure accuracy, reliability and timeliness of test results regardless of the test performed.
Objectives
- How leaders can help address safety concerns through competency assessment of clinical personnel
- Understanding how continuing education and performance feedback for performance evaluations can be used as a positive experience that help to enhance performance
- Understanding of the importance of forensic medicine and pathology in improving patient care
13:00 - 14:05
Breakout Group B
Breakout B1
Patient Experience: Nothing About me without me
Speakers: Ms. Maureen Bisognano - IHI and Ms. Patty Skolnik - IHI
Description
A dynamic presentation demonstrates how to move from project-based safety to systems of safety. It looks at how patient care and safety cannot be just a project but needs to look at the whole healthhcare system. Working on projects in silos does not support systematic, strategic improvement for the patient and family. This presentation addresses what matters to patients and families in all interactions. Patients and families experience a system that believes "Nothing about me, without me".
- Co-produce a safe system with patients and families
- Address what matters to patients and families in every interaction
- Support systematic, strategic improvement of the patient-family experience
Details.
Breakout B2
Better Quality through Better Measurement
Speakers: Dr. Robert Lloyd, - IHI, Dr. Akhnuwkh Jones - HMC and Dr. Mukesh Thakur - HMC
Description
This session will provide participants a chance not only to understand the milestones in the quality measurement journey but also to apply them to their work. Faculty will offer guidance and practical tips for selecting measures, specifying operational definitions, and building data collection plans. Both conceptual and statistical approaches to understanding variation will be reviewed.
- Develop measures, operational definitions, and practical data collection plans that support organizational objectives
- Learn to link measurement efforts to improvement goals
Details.
Breakout B3
A Systematic Approach to Delivering Safe and Reliable Care
Speakers: Dr. Michael Leonard - IHI and Mr. Frank Federico - IHI
Description
A comprehensive approach to improving safety and quality addresses and integrates the essential components of effective leadership, safety culture, teamwork, communication, reliable processes of care, and builds an environment of continuous learning and improvement. The presenters in this session will reflect on their experience working in safety and quality across a broad array of care environments. Faculty will provide examples of how the framework can be applied in any healthcare setting.
- Describe the framework's two foundational domains — culture and the learning system — outlining what is involved with each and how they interact
- Describe how the elements of the framework serve as the foundation for organizations on their journey to achieve the characteristics of high reliability organization
- Discuss the engagement of patients and their families, the core of the framework — the engine that drives the focus of the work to create safe, reliable, and effective care
Details.
Breakout B4
5 Big Missteps on the Patient Safety Journey
Speakers: Dr. Don Berwick - IHI
Description
While the patient safety movement has made great strides since the late 1990s, the healthcare industry has veered off the path in a few ways during the journey. This session highlights some missteps in the approach that the patient safety community has taken throughout its improvement journey and what leaders can do to address these challenges.
Details
Breakout B5
Observation Medicine: The Inpatient Fast Track
Speaker: Dr. Jody Crane - IHI
Description
Poor hospital-wide patient flow results in reduced patient satisfaction, adverse clinical outcomes, lost revenue, and negative impacts on the organization from the ED to the ICU. Like segmenting flow in EDs has transformed the patient experience, observation units and clinical decision units are transforming inpatient flow, streamlining and improving quality.
This workshop will highlight the critical elements of successful observation strategies and explain their important role in hospital-wide patient flow.
Objectives
- Understand the academic principles and the case for improving flow of observation patients
- Define a Type 1 Observation Unit
- Learn the four elements of standardization in a Type I observation unit
- Gain insight into the operational principles and goals of observation medicine
Details
Breakout B6
Using Social Media for Impact, Influence and Spread
Speakers: Dr. Helen Bevan and Ms Rachel Morris
Description
This session is for those who are already confident users of Twitter or who attended session A6. Globally, we are at the early stages of understanding the power and potential of social media to amplify change and improvement AND to be able to measure it. In this session, we will examine some of the most advanced social analytics currently available to see the potential of social media to be a catalyst for spread, influence and practice of healthcare improvement. We will consider the implications for our own social media practice. We will design some improvement campaigns to have maximum impact through the channel of social media. Note: Come to this session with your device (laptop, tablet or smartphone) with an active Twitter account.
Objectives
- Understand the societal changes fuelled by the digital revolution and social media
- Gain insight into the latest social media trends
- Appreciate the importance of influencing/connecting rather than broadcasting on social media
- Develop tips and tricks to enhance your influence and reach
- Learn how to be a quality improvement social media super-connector
Details
Breakout B7
Integrated Education for Quality
Speaker: Prof. Hiba Bawadi - College of Health Sciences, Qatar University + Panel: Dr. Pejman Hanifi Moghaddam (CHS); Dr. Maguy ElHajj (CPH)
Description
The Health Cluster at Qatar University is the largest educational constellation preparing the future health
care professionals in the country. Across three colleges and multiple graduate and undergraduate programs,
students are equipped with key skills and with the knowledge and attitudes for the provision of safe and effective care. This session will highlight the experiences and methods of the colleges of pharmacy, medicine, and health sciences. Each discipline will give their unique model of integrating quality and safety dimensions into the taught curriculum and experiential learning opportunities. Challenges of teaching quality and safety to future health care providers will be explored through an interactive panel discussion, as well as strategies for building capacity going forward.
Objectives
- Demonstrating models and experiences of integrating quality and safety across health and medical university education
- Identifying both unique and common challenges associated with teaching quality and safety
- Strategizing for collaboration towards improved capacity building
Details
Breakout B8
Sepsis: Qatar’s national approach to reducing Sepsis morbidity and mortality
Speakers: Prof. Kevin Rooney - IHI & Dr. Ibrahim Fawzy, Mr. Brent Foreman & Dr. Ahmed Labib Shehatta, HMC
Description
Did you know that Sepsis is a major public health concern in healthcare systems around the world? More common than myocardial infarction and stroke, sepsis now claims more lives than any cancer. If not recognised early and treated promptly, Sepsis can lead to shock, multiorgan failure and death. In this highly informative session, we will review the international burden of disease as well as develop a greater understanding of Qatar’s National Patient Safety Collaborative on Sepsis.
Objectives
- Develop a better understanding of Sepsis and its sequelae
- Learn about the new Qatari National Breakthrough Series Patient Safety Collaborative on Sepsis
- Learn about the new Sepsis pathways developed by Hamad Medical Corporation
Details
Breakout B9
Joy in Work/Workplace Wellness
Speakers: Dr. Abdulla Al Ansari - HMC, Dr. Hans Kerkkamp - HMC and Dr. Amar Shah - IHI
Description
"Management’s overall aim should be to create a system in which everybody may take joy in their work” We will explore the softer (non-technical) skills and behaviours that support leaders influence and engagement of others in improvement – whether leading teams, leading organisations or leading large-scale change efforts. We will present a framework to help leaders at different levels of a system in their efforts to deeply engage people and connect them to a shared purpose.
Objectives
- Develop knowledge and understanding of the key drivers to a motivated clinical workforce that is continuously improving [Why]
- Access new thinking on ways to cultivate a learning environment that supports clinical leaders and promotes new talent development [How]
- Explore through shared learning and UK examples, key impactful learning from leadership development experiences to inform their own leadership framework [What]
Details
Breakout B10
Antimicrobial Resistance
Speakers: Prof. Trish Perl - IHI
Description
In 2016 the WHO highlit the global crisis of antimicrobial resistance. This crisis, called a “slow moving tsunami” by Margaret Chan has developed over many years and is characterized by strains that are emerging as resistant because of pressure from broad and sustained antimicrobial use and those that are transmitted because of failure of infection prevention and public health practices and interventions. Developing strategies to tackle this crisis requires public health, institutional and medical leadership, and implementation of basic infection prevention practices and antimicrobial stewardship. In this session, one experts will review the international situation including the middle east and their direct experience with prevention strategies primarily in the healthcare setting.
objectives
- Review the burden of antimicrobial resistance internationally including in the middle east
- Discuss possible prevention strategies including infection prevention and antimicrobial stewardship
- Identify critical stakeholders and need for collaboration in tackling responses to antimicrobial resistance
Details
Breakout B11
Value Management at the Point-of-Care
Presenters: Lisa McKenzie (IHI)
Poonam Gupta (HMC)
Gracy Chacko (HMC)
Panelists:: Paul Mavin (HMC)
Ian McDonald (HMC)
Emad Al Omari (HMC)
Dr. Mawahib ElHassan (HMC)
Description
There is data all around us. Some is easy to collect, some not. But which data is really useful and how can it be used efficiently and effectively? The “Value Management” approach to Quality Improvement is a new method of quality and resource management pioneered by Raigmore Hospital, an acute care hospital in Scotland, and the Institute for Healthcare Improvement, which puts the useful data front and centre on the Hospital Unit’s Value Management Board. “At the point of care” discussions of the data, known as “huddles”, are conducted weekly, and take place at the Value Management Board. The result is very rapid improvement cycles and broad engagement of the multidisciplinary clinical team. This session will introduce the concepts of Value Management and demonstrate the challenges and successes of a pilot unit at Hamad Medical Corporation’s Heart Hospital in Qatar.
Objectives
- Understand the key components of Value Management, including the use of improvement science, “visual management”, and huddle communication methods.
- Be able to draft their own “Box Score” of measures, including performance, capacity and financial measures.
- Describe the advantages of the Visual Management Board for displaying data, highlighting progress, and stimulating discussion.
- Explain how attention to cost in the context of performance improvement drives value.
- Outline the factors that determine the effectiveness of this approach to quality improvement.
Details
Breakout B12
Effective communication promotes better patient care: A patient’s safe journey with effective handovers – Part 2
Speakers: Ambulance Service, HMC Hospitals and Qatar Red Crescent, Dr Jorg Kuhne - HMC, Dr Nick Castle - HMC, Prof Guillaume Alinier - HMC
Description
Handovers and transitions of care can be critical phases in a patient’s care pathway. Poor communication practice during those phases may lead to delayed treatment, repetition of procedures, and ineffective us e of time and resources that may also jeopardize patients safety and outcome. In this session, different phases of patient handovers and care transitions between a Qatar Red Crescent Clinic and Hamad General Hospital will be demonstrated using various forms of communication, often involving the Ambulance Service. Although the demonstration will depict ideal processes, faculty will engage participants in discussing the challenges they phase and how they can be managed to always ensure high quality patient care.
Objectives
- Describe the processes of Ambulance transport and transfer activation into and within HMC.
- Discuss the importance of the patient handover phase in ensuring effective patient care.
- List three forms of communications used by Hamad Medical Corporation between NCC, ambulance crews, transfer and retrieval teams, and the clinic or hospital departments.
Details
14:05 to 14:15
14:15 to 15:15
Title: National Patient Safety Collaborative
Speaker: Dr. Ron Wyatt, Chief Quality Officer (HMC) and Director of Hamad Healthcare Quality Institute + Mr. Derek Feeley - President and CEO of IHI
Description
Developing a systemwide approach to patient safety through a National Patient Safety Collaborative.
Working together as an integrated system, Qatar’s healthcare providers aim to become the safest healthcare system in the world. This will be achieved by by enabling and encouraging all partners to become devoted to continuous learning and improvement in their efforts to reduce the risk of harm to patients.
To help deliver on this ambition, the Ministry of Public Health has launched a National Patient Safety Collaborative of local partners; Sidra Medicine, Hamad Medical Corporation, Primary Healthcare Corporation and Qatar Red Crescent to come together to work on specific system wide priorities.
This five-year quality improvement initiative will provide a foundation for exchanging ideas and best practice and to reinforce continuous learning efforts and improvement by enhancing the capability and capacity of the system to improve safety. The program will enable a strong support infrastructure to help providers embed quality improvement capability in their organisations. Immediate priorities include a focus on sepsis, VTE and patient flow to make measurable improvements in outcomes for patients and their families.
Objective
This session will explore ways in which the National Patient Safety Collaborative partners and other care providers can work to develop a culture that enables and sustains safe, high quality and compassionate care for each and every one of our patients and their families.
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Description
Developing a systemwide approach to patient safety through a National Patient Safety Collaborative.
Working together as an integrated system, Qatar’s healthcare providers aim to become the safest healthcare system in the world. This will be achieved by by enabling and encouraging all partners to become devoted to continuous learning and improvement in their efforts to reduce the risk of harm to patients.
To help deliver on this ambition, the Ministry of Public Health has launched a National Patient Safety Collaborative of local partners; Sidra Medicine, Hamad Medical Corporation, Primary Healthcare Corporation and Qatar Red Crescent to come together to work on specific system wide priorities.
This five-year quality improvement initiative will provide a foundation for exchanging ideas and best practice and to reinforce continuous learning efforts and improvement by enhancing the capability and capacity of the system to improve safety. The program will enable a strong support infrastructure to help providers embed quality improvement capability in their organisations. Immediate priorities include a focus on sepsis, VTE and patient flow to make measurable improvements in outcomes for patients and their families.
Objective
This session will explore ways in which the National Patient Safety Collaborative partners and other care providers can work to develop a culture that enables and sustains safe, high quality and compassionate care for each and every one of our patients and their families.
15:15 to 15:55
15:55 - 17:00
Plenary 2
Session Title: Can a Conversation Change an Outcome? Can a Conversation Save a Life?
Speaker: Ms. Patty Skolnik - IHI
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Description
This presentation is designed to define the characteristics of and differences between Informed Consent and Shared Decision Making. Ms. Skolnik shares with the audience how open, honest conversations about the risks, benefits and alternatives to a procedure can indeed change an outcome or save a life. Listening to this story will compel you to action. Ms. Skolnik will challenge you to put the patient in the middle of medical decisions--and ensure that they possess the power to decide the proper path--and are equipped with the information they need to do it. The conversations that occur in hospitals and doctors’ offices will never be the same. Patients will receive the care they need, no more and no less. After listening to this powerful presentation even skeptics will understand the link between patient safety and a thoughtful conversation that places the patient in the center.
Objectives
- Understand that Shared Decision Making is a process not an event.
- Explain the value of having family members or care partners present during the Informed Consent and Shared Decision Making conversations.
- Describe Shared decision Making and how it improves health outcomes. Understand provider/patient communication.
17:00 - 19:00
Poster Presenters + Networking Reception
Speaker: Poster Presenters
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Description
Over the course of the session, a series of poster presentations will be given in a dedicated area in the Knowledge Zone. A reception will also be held where poster presenters will also be available to discuss their projects with visitors.
Session:Review of previous days and introduction of plenary 3 speaker
Breakout Group C
Breakout C1
Advanced Quality Improvement
Description
Speaker: Robert Lloyd
This workshop is intended for individuals who have a foundation in the Science of Improvement (SOI). Individuals who are just beginning their Quality Improvement Journey and especially in the methods and tools related to quality measurement and statistical process control (SPC) should not attend this workshop. This workshop will focus primarily on the second question in the Model for Improvement (i.e., How will you know that a change is an improvement?). It will challenge participants to think about why they are measuring performance and provide an overview of the Milestones in the Quality Measurement Journey.
- Understand variation conceptually
- Review the application and use of run charts
- Take a deeper dive into the selection and interpretation of Shewhart charts
- Emphasize the importance of linking your measurement efforts to improvement strategies.
Details.
Breakout C2
Creating a Culture of Safety in an Ambulatory Care Setting
Description
Speaker: Tejal Gandhi and Michael Leonard
Improving safety and culture has long been the work of hospitals, but most people receive the majority of care over their lifetime in ambulatory settings, where the work is different and so are the safety challenges. Ways of improving safety and culture in acute care settings are not always appropriate for ambulatory practices. The methods used to capture, analyze, and improve harm and error must match the work and be usable by the ambulatory team. In this session, participants will learn how creating an ambulatory care environment where risks are anticipated, teamwork is the standard, and patient partnerships are maximized allows a culture of safety to flourish.
- Discuss the unique safety challenges in ambulatory settings
- Describe tools for developing teamwork in ambulatory practices
- Identify two methods for capturing and analyzing harm and error in an ambulatory setting
Details.
Breakout C3
Operational and Clinical Improvement in the Emergency Department
Description
Speaker: Jody Crane
Acute care settings are plagued with waits, delays, and diversions. Nowhere is this more observable and its impact more palpable than in hospital emergency departments. This session describes key strategies and best practices that have been developed and field-tested to optimize patient flow and clinical improvement in any and every emergency department, including yours.
- Define key barriers, bottlenecks, and obstacles to patient flow and clinical improvement.
- Describe practical and innovative solutions for improving ED service operations as well as expediting admissions.
- Discuss the business case for optimized patient flow and clinical improvements in the ED.
Details
Breakout C4
The Joy of Practicing Medicine
Description
Speaker: Carlos Pellegrini
"In this session we will discuss the reasons that drive most individuals that enter medical school to do so. Emphasis will be placed on the choice to “service” patients and families in their communities, to do research leading to the discovery of new ways to prevent and or treat disease and to educate the next generation of physicians. We will then discuss the evolution of those feelings, the metamorphosis that takes place as physicians inevitably deal with human suffering and the hurdles that the practice brings at the medical school, at the residency level and at the practice level. We will discuss how to deal with the hurdles, how to deal with cynicism observed sometimes among the peers, how to deal with the difficult patients, how to deal with error, and other matters that contribute to physician burn out. We will then review ways to create resilience and ways to prevent burnout. Paramount among them we will review strategies and tactics such as the creation and the maintenance of teams, the relationships that can be fostered among members of those teams and the support mechanisms that exist to create “teaming” and to create “mutual support” among team members. A second focus will be placed on the relationship building with patients, on the meaning of trust and the role that communication plays as a builder of trust (broad aspect of communication such as actions, demeanors, verbal, non-verbal communication) and the like. Lastly we will focus on communication with self, building the joy in one’s own soul, providing a balance in life, enhancing family relationships and creating support mechanisms that help physicians deal with the problems they face. "
- What makes people chose to practice medicine (service)
- What are the practical ways in which we serve our patients including delivery of medical service, research and education
- What are the threats to joy posed by these actions
- How to enhance joy in the practice and How to develop resilience
Details.
Breakout C5
Building Leadership Skills for Middle Managers
Description
Speaker:Kate Hilton and Fiona McQueen
TBD
Details.
Breakout C6
Improving Behavioral Health through Quality Improvement
Description
Speaker: Amar Shah
East London NHS Foundation Trust (ELFT) is a provider of behavioural health and community health services in England, and has one of the largest quality improvement programmes in behavioural health in the world. This session will share ELFT’s learning from attempting to tackle some of the most complex quality issues in behavioural health through quality improvement, such as inpatient physical violence, access to community-based services, medication safety and recovery-focused care.
- Develop an understanding of how quality improvement can be applied in behavioural health settings
- Identify change ideas that might help solve complex quality issues in behavioural health care
- Share learning and ideas about the particular strengths of behavioural health services that Support the use of quality improvement techniques
Details.
Breakout C7
Designing Facilities for Patient Centered Care
Description
Speaker: John Lambert Smith and Naim Younes
TBD
Details.
Breakout C8
The Importance of Communications in Care
Description
Speaker: Qatar University Leader & Maureen Bisognano
TBD
Details.
Breakout C9
Infectious Disease & Preparedness
Description
Speaker: Trish Perl, Eric Goralnick, and Local Speaker from Ministry
In the last five years there have been a number of major infectious disease outbreaks. Preparing within healthcare facilities for such outbreaks is critical to reduce the negative impact on cities and communities. In this session, two experts will review their direct experience with SARS in Toronto, MERS Co-V in Saudi Arabia, and Ebola Preparedness in the US. They will cover lessons learned and tips for preparing your healthcare system for a multidisciplinary response to screening, isolation, and patient care.
Objectives
- Review critical lessons from recent emerging infectious disease outbreaks for managing emerging diseases in healthcare facilities
- Identify critical stakeholders, types of collaborations and leadership needed in infectious disease response
- Understand key principles of emergency preparedness to help healthcare institutions organize and respond to outbreaks
Details.
Breakout C10
TBD
Description
Speaker: TBD
TBD
Details.
Breakout Group D
Breakout D1
Advanced Quality Improvement
Description
Speaker: Robert Lloyd
This workshop is intended for individuals who have a foundation in the Science of Improvement (SOI). Individuals who are just beginning their Quality Improvement Journey and especially in the methods and tools related to quality measurement and statistical process control (SPC) should not attend this workshop. This workshop will focus primarily on the second question in the Model for Improvement (i.e., How will you know that a change is an improvement?). It will challenge participants to think about why they are measuring performance and provide an overview of the Milestones in the Quality Measurement Journey.
- Understand variation conceptually
- Review the application and use of run charts
- Take a deeper dive into the selection and interpretation of Shewhart charts
- Emphasize the importance of linking your measurement efforts to improvement strategies.
Details.
Breakout D2
Creating a Culture of Safety in an Ambulatory Care Setting
Description
Speaker: Tejal Gandhi and Michael Leonard
Improving safety and culture has long been the work of hospitals, but most people receive the majority of care over their lifetime in ambulatory settings, where the work is different and so are the safety challenges. Ways of improving safety and culture in acute care settings are not always appropriate for ambulatory practices. The methods used to capture, analyze, and improve harm and error must match the work and be usable by the ambulatory team. In this session, participants will learn how creating an ambulatory care environment where risks are anticipated, teamwork is the standard, and patient partnerships are maximized allows a culture of safety to flourish.
- Discuss the unique safety challenges in ambulatory settings
- Describe tools for developing teamwork in ambulatory practices
- Identify two methods for capturing and analyzing harm and error in an ambulatory setting
Details.
Breakout D3
Operational and Clinical Improvement in the Emergency Department
Description
Speaker: Jody Crane
Acute care settings are plagued with waits, delays, and diversions. Nowhere is this more observable and its impact more palpable than in hospital emergency departments. This session describes key strategies and best practices that have been developed and field-tested to optimize patient flow and clinical improvement in any and every emergency department, including yours.
- Define key barriers, bottlenecks, and obstacles to patient flow and clinical improvement.
- Describe practical and innovative solutions for improving ED service operations as well as expediting admissions.
- Discuss the business case for optimized patient flow and clinical improvements in the ED.
Details
Breakout D4
The Joy of Practicing Medicine
Description
Speaker: Carlos Pellegrini
"In this session we will discuss the reasons that drive most individuals that enter medical school to do so. Emphasis will be placed on the choice to “service” patients and families in their communities, to do research leading to the discovery of new ways to prevent and or treat disease and to educate the next generation of physicians. We will then discuss the evolution of those feelings, the metamorphosis that takes place as physicians inevitably deal with human suffering and the hurdles that the practice brings at the medical school, at the residency level and at the practice level. We will discuss how to deal with the hurdles, how to deal with cynicism observed sometimes among the peers, how to deal with the difficult patients, how to deal with error, and other matters that contribute to physician burn out. We will then review ways to create resilience and ways to prevent burnout. Paramount among them we will review strategies and tactics such as the creation and the maintenance of teams, the relationships that can be fostered among members of those teams and the support mechanisms that exist to create “teaming” and to create “mutual support” among team members. A second focus will be placed on the relationship building with patients, on the meaning of trust and the role that communication plays as a builder of trust (broad aspect of communication such as actions, demeanors, verbal, non-verbal communication) and the like. Lastly we will focus on communication with self, building the joy in one’s own soul, providing a balance in life, enhancing family relationships and creating support mechanisms that help physicians deal with the problems they face. "
- What makes people chose to practice medicine (service)
- What are the practical ways in which we serve our patients including delivery of medical service, research and education
- What are the threats to joy posed by these actions
- How to enhance joy in the practice and How to develop resilience
Details.
Breakout D5
Building Leadership Skills for Middle Managers
Description
Speaker:Kate Hilton and Prof. Fiona McQueen
TBD
Details.
Breakout D6
Improving Behavioral Health through Quality Improvement
Description
Speaker: Amar Shah
East London NHS Foundation Trust (ELFT) is a provider of behavioural health and community health services in England, and has one of the largest quality improvement programmes in behavioural health in the world. This session will share ELFT’s learning from attempting to tackle some of the most complex quality issues in behavioural health through quality improvement, such as inpatient physical violence, access to community-based services, medication safety and recovery-focused care.
- Develop an understanding of how quality improvement can be applied in behavioural health settings
- Identify change ideas that might help solve complex quality issues in behavioural health care
- Share learning and ideas about the particular strengths of behavioural health services that Support the use of quality improvement techniques
Details.
Breakout D7
Designing Facilities for Patient Centered Care
Description
Speaker: John Lambert Smith and Naim Younes
TBD
Details.
Breakout D8
"Leadership and Culture of Safety Sidra’s Experience
Speaker:Dr. Sharda Udassi, Sidra Medicine
Description
This presentation provides an overview of the essential role of leadership in establishing healthcare organization’s safety culture. Then providing practical guide to develop initiatives needed to establish international safety culture standards.
Objective
- Define Leadership and Safety Culture
- Identify Key Features of Safety Culture
- Explain why Safety Culture is Important
- Define the Role of Leadership in Building Safety Culture
- Review Healthcare Organization’s Leadership Supported Initiatives to establish Safety Culture
Details.
Breakout D9
Infectious Disease & Preparedness
Description
Speaker: Trish Perl, Eric Goralnick, and Local Speaker from Ministry
In the last five years there have been a number of major infectious disease outbreaks. Preparing within healthcare facilities for such outbreaks is critical to reduce the negative impact on cities and communities. In this session, two experts will review their direct experience with SARS in Toronto, MERS Co-V in Saudi Arabia, and Ebola Preparedness in the US. They will cover lessons learned and tips for preparing your healthcare system for a multidisciplinary response to screening, isolation, and patient care.
Objectives
- Review critical lessons from recent emerging infectious disease outbreaks for managing emerging diseases in healthcare facilities
- Identify critical stakeholders, types of collaborations and leadership needed in infectious disease response
- Understand key principles of emergency preparedness to help healthcare institutions organize and respond to outbreaks
Details.
Breakout D10
TBD
Description
Speaker: TBD
TBD
Details.
Session: Poster Competition review and Awards
Description
1) Over the past three decades, there has been an explosion in new scientific knowledge allowing us to care for sick people in ways that were unimaginable a generation ago. Yet, the systems necessary to deliver that care safely, reliably and in ways that incorporate patients’ values, have not kept up. And thus, we have a dichotomy: great scientific evidence and ineffective systems to deliver care. Further, without a direct focus on systems, we are unlikely to make the kind of necessary progress in improving human health. 2) Scientific research shows that compassionate, whole-person care dramatically enhances outcomes, prolongs survival, improves satisfaction, promotes safety, reduces cost, and gives greater meaning and joy to the work of health professionals - so why isn't compassion spreading like a wildfire across healthcare? Maybe the mindset of improvement science is part of the problem? When we're immersed in a culture and science, we don't see the underlying values and beliefs that shape our world. Can compassion flourish in a materialistic world of objective science and transactional relationships? Or can we be more effective in our leadership by discarding old ways of working and becoming the very change we want to see?
Plenary 4
Speaker: Tejal Gandhi
Description
1) Over the past three decades, there has been an explosion in new scientific knowledge allowing us to care for sick people in ways that were unimaginable a generation ago. Yet, the systems necessary to deliver that care safely, reliably and in ways that incorporate patients’ values, have not kept up. And thus, we have a dichotomy: great scientific evidence and ineffective systems to deliver care. Further, without a direct focus on systems, we are unlikely to make the kind of necessary progress in improving human health. 2) Scientific research shows that compassionate, whole-person care dramatically enhances outcomes, prolongs survival, improves satisfaction, promotes safety, reduces cost, and gives greater meaning and joy to the work of health professionals - so why isn't compassion spreading like a wildfire across healthcare? Maybe the mindset of improvement science is part of the problem? When we're immersed in a culture and science, we don't see the underlying values and beliefs that shape our world. Can compassion flourish in a materialistic world of objective science and transactional relationships? Or can we be more effective in our leadership by discarding old ways of working and becoming the very change we want to see?
Closing Remarks
Speaker: Ron Wyatt
Description
1) Over the past three decades, there has been an explosion in new scientific knowledge allowing us to care for sick people in ways that were unimaginable a generation ago. Yet, the systems necessary to deliver that care safely, reliably and in ways that incorporate patients’ values, have not kept up. And thus, we have a dichotomy: great scientific evidence and ineffective systems to deliver care. Further, without a direct focus on systems, we are unlikely to make the kind of necessary progress in improving human health. 2) Scientific research shows that compassionate, whole-person care dramatically enhances outcomes, prolongs survival, improves satisfaction, promotes safety, reduces cost, and gives greater meaning and joy to the work of health professionals - so why isn't compassion spreading like a wildfire across healthcare? Maybe the mindset of improvement science is part of the problem? When we're immersed in a culture and science, we don't see the underlying values and beliefs that shape our world. Can compassion flourish in a materialistic world of objective science and transactional relationships? Or can we be more effective in our leadership by discarding old ways of working and becoming the very change we want to see?
7:30 - 8:00
Middle East Forum Highlights Review
Session Title:Opening Remarks
Poster Presenters
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Description
This opening session for the day will provide a review of the learning of the previous days and what to expect going forward.
08:00 - 9:00
Plenary 3
Speaker: Dr Don Berwick, IHI
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09:00 - 9:20
09:20 - 10:25
Breakout Group C
10:25 - 11:00
11:00 - 12:05
Breakout Group D
12:05 - 13:30
12:05 - 13:30
Lunch and Learn Workshop
Session Title:Communications in Healthcare Workshop
Speaker: Manasik Hassan, HMC/Sidra Magda Youssef, HMC Manasik Kamil Hassan, HMC Hatim Abdulrahman, HMC Ahmed Alhammadi, HMC
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Description
Effective team communication among Health Care Providers (HCPs) in a hospital setting is associated with better patient care, increase teamwork and job satisfaction. Such collaboration is challenging and often requiring unplanned communication among busy healthcare providers. Differences in training, communication styles and multi-cultural background of nurses and physicians, contributes to communication problems.
The didactics will address the importance of communication and collaborations among health care professionals in a multicultural healthcare environment, share decision and putting plans together, review known challenges (faced or perceived). Interactive video clips will illustrate different communication gaps in clinical workplace.
Afterwards, through analyzing videos and using role-play, participants will identify different barriers to implement effective communication in culturally diverse healthcare environment. In small groups, participants will be exposed to and practice using different tool and strategies to support communication and team collaboration.
Who should attend The workshop welcomes all stakeholders in medical education, patients safety and quality, physicians, nurses and other allied health professionals working in any multicultural clinical environment.
Objective
- Highlight the importance of effective communication and collaboration among healthcare professionals in a multicultural healthcare environment
- Identify challenges for promoting communication among health care providers
- Use different communication tools and strategies to promote such collaboration
13:30 - 14:00
Poster Competition review and Awards
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Description
Announcement of competition winners
14:00 - 14:05
Plenary 4 Speaker Introduction
14:05 - 15:05
Plenary 4
Session Title:Free From Harm
Speaker: Tejal Gandhi
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Description
Published in 2015, Free from Harm examines the state of patient safety 15 years after the release of the Institute of Medicine’s seminal report, To Err is Human, and provides a roadmap for advancing progress in coming years. This report is the work of a panel of 26 preeminent experts convened by NPSF and led by co-chairs, Donald M. Berwick, MD, MPP, and Kaveh G. Shojania, MD.
Looking at where we stand 15 years after To Err Is Human, the panel found that much has improved but that patient safety concerns remain a serious public health issue:
- Despite efforts, we have failed to make substantial, measurable, system-wide strides in improving patient safety.
- Preventable harm remains unacceptably frequent—in all settings of care and among all patient populations.
- Patient safety work to date has largely focused on specific, narrowly-focused, harms. This project-by-project approach has not led to widespread change.
The panel concluded that advancing patient safety in a meaningful way will require an overarching shift from reactive, piecemeal interventions to a total systems approach to safety in which safety is uniformly applied across the entire health care system. The resulting report calls for the establishment of a total systems approach and a culture of safety, and urges action by government, regulators, health professionals, and others to place higher priority on patient safety science and implementation.
Objectives
- Identify recent advancements in patient safety.
- Recognize gaps in patient safety.
- Discuss recommendations to accelerate improvement in patient safety initiatives.
15:05 - 15:20
Closing Remarks
Closing remarks
Speaker: Ron Wyatt
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Description
At the end of this session, participants will be able to
- Explain why “reliance on inspection for improvement” cannot achieve unprecedented performance results.
- Explain the proper, and improper, use of metrics in pursuit of improvement.
- Identify five “radical redesign principles” for the New Era of health care delivery.
Breakout Group C
Breakout C1
Advanced Quality Improvement
Description
Speaker: Robert Lloyd
This workshop is intended for individuals who have a foundation in the Science of Improvement (SOI). Individuals who are just beginning their Quality Improvement Journey and especially in the methods and tools related to quality measurement and statistical process control (SPC) should not attend this workshop. This workshop will focus primarily on the second question in the Model for Improvement (i.e., How will you know that a change is an improvement?). It will challenge participants to think about why they are measuring performance and provide an overview of the Milestones in the Quality Measurement Journey.
- Understand variation conceptually
- Review the application and use of run charts
- Take a deeper dive into the selection and interpretation of Shewhart charts
- Emphasize the importance of linking your measurement efforts to improvement strategies.
Details.
Breakout C2
Creating a Culture of Safety in an Ambulatory Care Setting
Description
Speaker: Tejal Gandhi and Michael Leonard
Improving safety and culture has long been the work of hospitals, but most people receive the majority of care over their lifetime in ambulatory settings, where the work is different and so are the safety challenges. Ways of improving safety and culture in acute care settings are not always appropriate for ambulatory practices. The methods used to capture, analyze, and improve harm and error must match the work and be usable by the ambulatory team. In this session, participants will learn how creating an ambulatory care environment where risks are anticipated, teamwork is the standard, and patient partnerships are maximized allows a culture of safety to flourish.
- Discuss the unique safety challenges in ambulatory settings
- Describe tools for developing teamwork in ambulatory practices
- Identify two methods for capturing and analyzing harm and error in an ambulatory setting
Details.
Breakout C3
Operational and Clinical Improvement in the Emergency Department
Description
Speaker: Jody Crane
Acute care settings are plagued with waits, delays, and diversions. Nowhere is this more observable and its impact more palpable than in hospital emergency departments. This session describes key strategies and best practices that have been developed and field-tested to optimize patient flow and clinical improvement in any and every emergency department, including yours.
- Define key barriers, bottlenecks, and obstacles to patient flow and clinical improvement.
- Describe practical and innovative solutions for improving ED service operations as well as expediting admissions.
- Discuss the business case for optimized patient flow and clinical improvements in the ED.
Details
Breakout C4
The Joy of Practicing Medicine
Description
Speaker: Carlos Pellegrini
"In this session we will discuss the reasons that drive most individuals that enter medical school to do so. Emphasis will be placed on the choice to “service” patients and families in their communities, to do research leading to the discovery of new ways to prevent and or treat disease and to educate the next generation of physicians. We will then discuss the evolution of those feelings, the metamorphosis that takes place as physicians inevitably deal with human suffering and the hurdles that the practice brings at the medical school, at the residency level and at the practice level. We will discuss how to deal with the hurdles, how to deal with cynicism observed sometimes among the peers, how to deal with the difficult patients, how to deal with error, and other matters that contribute to physician burn out. We will then review ways to create resilience and ways to prevent burnout. Paramount among them we will review strategies and tactics such as the creation and the maintenance of teams, the relationships that can be fostered among members of those teams and the support mechanisms that exist to create “teaming” and to create “mutual support” among team members. A second focus will be placed on the relationship building with patients, on the meaning of trust and the role that communication plays as a builder of trust (broad aspect of communication such as actions, demeanors, verbal, non-verbal communication) and the like. Lastly we will focus on communication with self, building the joy in one’s own soul, providing a balance in life, enhancing family relationships and creating support mechanisms that help physicians deal with the problems they face. "
- What makes people chose to practice medicine (service)
- What are the practical ways in which we serve our patients including delivery of medical service, research and education
- What are the threats to joy posed by these actions
- How to enhance joy in the practice and How to develop resilience
Details.
Breakout C5
Building Leadership Skills for Middle Managers
Description
Speaker:Kate Hilton and Fiona McQueen
TBD
Details.
Breakout C6
Improving Behavioral Health through Quality Improvement
Description
Speaker: Amar Shah
East London NHS Foundation Trust (ELFT) is a provider of behavioural health and community health services in England, and has one of the largest quality improvement programmes in behavioural health in the world. This session will share ELFT’s learning from attempting to tackle some of the most complex quality issues in behavioural health through quality improvement, such as inpatient physical violence, access to community-based services, medication safety and recovery-focused care.
- Develop an understanding of how quality improvement can be applied in behavioural health settings
- Identify change ideas that might help solve complex quality issues in behavioural health care
- Share learning and ideas about the particular strengths of behavioural health services that Support the use of quality improvement techniques
Details.
Breakout C7
Designing Facilities for Patient Centered Care
Description
Speaker: John Lambert Smith and Naim Younes
TBD
Details.
Breakout C8
The Importance of Communications in Care
Description
Speaker: Qatar University Leader & Maureen Bisognano
TBD
Details.
Breakout C9
Infectious Disease & Preparedness
Description
Speaker: Trish Perl, Eric Goralnick, and Local Speaker from Ministry
In the last five years there have been a number of major infectious disease outbreaks. Preparing within healthcare facilities for such outbreaks is critical to reduce the negative impact on cities and communities. In this session, two experts will review their direct experience with SARS in Toronto, MERS Co-V in Saudi Arabia, and Ebola Preparedness in the US. They will cover lessons learned and tips for preparing your healthcare system for a multidisciplinary response to screening, isolation, and patient care.
Objectives
- Review critical lessons from recent emerging infectious disease outbreaks for managing emerging diseases in healthcare facilities
- Identify critical stakeholders, types of collaborations and leadership needed in infectious disease response
- Understand key principles of emergency preparedness to help healthcare institutions organize and respond to outbreaks
Details.
Breakout C10
TBD
Description
Speaker: TBD
TBD
Details.
Breakout Group D
7:30 - 8:00
Session Title:Middle East Forum Highlights Review
Speaker: Dr. Nicola Ryley, HMC
View More
Description
This opening session for the day will provide a review of the learning of the previous days and what to expect going forward.
08:00 - 9:00
Plenary 3: Global Frameworks for Improving Health Care Quality: A Turning-Point Year
Speaker: Dr Don Berwick, IHI
View More
09:00 - 9:20
09:20 - 10:25
Breakout Group C
Breakout C1
Advanced Quality Improvement
Speaker: Dr. Robert Lloyd (IHI), Dr. Akhnuwkh Jones (HMC) and Dr. Mukesh Thakur (HMC)
Description
This workshop is intended for individuals who have a foundation in the Science of Improvement (SOI). Individuals who are just beginning their Quality Improvement Journey and especially in the methods and tools related to quality measurement and statistical process control (SPC) should not attend this workshop. This workshop will focus primarily on the second question in the Model for Improvement (i.e., How will you know that a change is an improvement?). It will challenge participants to think about why they are measuring performance and provide an overview of the Milestones in the Quality Measurement Journey.
- Understand variation conceptually
- Review the application and use of run charts
- Take a deeper dive into the selection and interpretation of Shewhart charts
- Emphasize the importance of linking your measurement efforts to improvement strategies.
Details.
Breakout C2
Creating a Culture of Safety in an Ambulatory Care Setting
Speaker: Dr. Tejal Gandhi - IHI and Dr. Michael Leonard - IHI
Description
Improving safety and culture has long been the work of hospitals, but most people receive the majority of care over their lifetime in ambulatory settings, where the work is different and so are the safety challenges. Ways of improving safety and culture in acute care settings are not always appropriate for ambulatory practices. The methods used to capture, analyze, and improve harm and error must match the work and be usable by the ambulatory team. In this session, participants will learn how creating an ambulatory care environment where risks are anticipated, teamwork is the standard, and patient partnerships are maximized allows a culture of safety to flourish.
- Discuss the unique safety challenges in ambulatory settings
- Describe tools for developing teamwork in ambulatory practices
- Identify two methods for capturing and analyzing harm and error in an ambulatory setting
Details.
Breakout C3
Operational and Clinical Improvement in the Emergency Department
Speaker: Dr. Jody Crane - IHI
Description
Acute care settings are plagued with waits, delays, and diversions. Nowhere is this more observable and its impact more palpable than in hospital emergency departments. This session describes key strategies and best practices that have been developed and field-tested to optimize patient flow and clinical improvement in any and every emergency department, including yours.
Objectives
- Understand the academic principles and the case for improving flow in the emergency department.
- Define key barriers, bottlenecks, and obstacles to patient flow and clinical improvement.
- Describe practical and innovative solutions for improving ED service operations as well as expediting admissions.
Details
Breakout C4
The Joy of Practicing Medicine
Speaker: Dr. Carlos Pellegrini - IHI
Description
"In this session we will discuss the reasons that drive most individuals that enter medical school to do so. Emphasis will be placed on the choice to “service” patients and families in their communities, to do research leading to the discovery of new ways to prevent and or treat disease and to educate the next generation of physicians. We will then discuss the evolution of those feelings, the metamorphosis that takes place as physicians inevitably deal with human suffering and the hurdles that the practice brings at the medical school, at the residency level and at the practice level. We will discuss how to deal with the hurdles, how to deal with cynicism observed sometimes among the peers, how to deal with the difficult patients, how to deal with error, and other matters that contribute to physician burn out. We will then review ways to create resilience and ways to prevent burnout. Paramount among them we will review strategies and tactics such as the creation and the maintenance of teams, the relationships that can be fostered among members of those teams and the support mechanisms that exist to create “teaming” and to create “mutual support” among team members. A second focus will be placed on the relationship building with patients, on the meaning of trust and the role that communication plays as a builder of trust (broad aspect of communication such as actions, demeanors, verbal, non-verbal communication) and the like. Lastly we will focus on communication with self, building the joy in one’s own soul, providing a balance in life, enhancing family relationships and creating support mechanisms that help physicians deal with the problems they face. "
Objective
- What makes people chose to practice medicine (service)
- What are the practical ways in which we serve our patients including delivery of medical service, research and education
- What are the threats to joy posed by these actions
- How to enhance joy in the practice and How to develop resilience
Details.
Breakout C5
Building Leadership Skills for Middle Managers
SpeakerS:Ms. Kate Hilton - IHI and Prof. Fiona McQueen - IHI
Description
Managers and clinical leaders "in the middle" are responsible for day-to-day clinical care and support services, yet most health care organizations underinvest in their ability to lead and manage teams. This highly interactive workshop explores the science and art of leading effective improvement teams and delivers practical skills to middle managers.
Objectives
- Establish a real team with the right people
- Develop a shared purpose
- Put enabling structures in place to build team capacity
- Distribute leadership
Details.
Breakout C6
Improving Behavioral Health through Quality Improvement
Speaker: Dr. Amar Shah - IHI
Description
East London NHS Foundation Trust (ELFT) is a provider of behavioural health and community health services in England, and has one of the largest quality improvement programmes in behavioural health in the world. This session will share ELFT’s learning from attempting to tackle some of the most complex quality issues in behavioural health through quality improvement, such as inpatient physical violence, access to community-based services, medication safety and recovery-focused care.
- Develop an understanding of how quality improvement can be applied in behavioural health settings
- Identify change ideas that might help solve complex quality issues in behavioural health care
- Share learning and ideas about the particular strengths of behavioural health services that Support the use of quality improvement techniques
Details.
Breakout C7
Designing Facilities for Patient Centered Care
Speaker: Mr. Naim Younes - HMC + Mr. Amr Metwally - HMC
Description
Enhancing the patient experience and delivering patient-centered care is on the agenda of virtually every hospital today. Increasingly it has become a central aim that has gained prominence in recent year as a key aim at Hamad Medical Corporation and its health facilities design process.
Objective
- The paradigm of change and how healthcare service provision changed significantly
Main attributes for patient centered-care processes and drivers for changing the healthcare landscape
Facilities design and how this affects both patient-centered care and evidence-based design processes
Are we there yet? And what does the future hold?
Details.
Breakout C8
Leadership and Safety Culture – Defining and Implementing International Standards
Speaker: Dr. Sharda Udassi, Sidra Medicine
Description
This presentation provides an overview of the essential role of leadership in establishing healthcare organization’s safety culture. Then providing practical guide to develop initiatives needed to establish international safety culture standards.
Objective
- Define Leadership and Safety Culture
- Identify Key Features of Safety Culture
- Explain why Safety Culture is Important
- Define the Role of Leadership in Building Safety Culture
- Review Healthcare Organization’s Leadership Supported Initiatives to establish Safety Culture
Details.
Breakout C9
Infectious Disease & Preparedness
Speaker: Prof. Trish Perl and Dr. Eric Goralnick
Description
In the last five years there have been a number of major infectious disease outbreaks. Preparing within healthcare facilities for such outbreaks is critical to reduce the negative impact on cities and communities. In this session, two experts will review their direct experience with SARS in Toronto, MERS Co-V in Saudi Arabia, and Ebola Preparedness in the US. They will cover lessons learned and tips for preparing your healthcare system for a multidisciplinary response to screening, isolation, and patient care.
Objectives
- Review critical lessons from recent emerging infectious disease outbreaks for managing emerging diseases in healthcare facilities
- Identify critical stakeholders, types of collaborations and leadership needed in infectious disease response
- Understand key principles of emergency preparedness to help healthcare institutions organize and respond to outbreaks
Details.
Breakout C10
National Diabetes Strategy – An Integrated Approach to Quality Improvement
Speakers: Dr. Al-Anoud Al Thani, Manager, Health Promotion and NCD, MoPH, Co-Chair National Diabetes Committee,
Dr. Samya Ahmad Al Abdulla, Senior Consultant of Family Medicine and Executive Director of Operations at PHCC,
Dr. Mahmoud Ali Zirie, Senior Consultant, Head of Endocrinology, HMC & Chair of the DM Clinical Guidelines and
Dr Khalid Abdulnoor Saifeldeen, Senior Consultant Emergency Medicine & Director of Hamad International Training Centre (HITC), HMC
Description
Statistics clearly indicate that Qatar faces a major health challenge in diabetes. If no intervention or prevention strategies are put in place, the projected growth in the number of people with diabetes will exert tremendous pressure on our public health and health service infrastructures. It is important that we begin the journey to address the progression of this disease in our country immediately. The National Diabetes Strategy is the first step of this journey, It is designed to achieve the vision of preventing diabetes and its complications, and improving the health and quality of life of the population. It is delivered through six strategic pillars: Awareness & Prevention, Patient Empowerment, Care Delivery, Human Capability & Capacity Building, Information Management, & Research.
Objectives
The purpose of this session is to
- Present the vision of the National Diabetes Strategy
- Talk about the Six National Diabetes Guidelines and associated care pathways that have been successfully developed and published on the Ministry’s of Public Health website as part of the Care Delivery Pillar
- Promote the suite of the eight CPD accredited e-learning scenario based diabetes modules that have been developed and will be available to all healthcare professionals in Qatar
- Highlight the collaborative approach between PHCC and HMC in developing a screening guideline for Diabetes and Risk factors
Details.
Breakout C11
Rapid Fire Presenation - Highlighting Local Improvement Projects
Speakers:
Mr. Almunzer Zakaria, AED Quality AWH - HMC, Dr. Amal Abdulla Al-Ali, A/Executive Director of Quality and Performance Management –PHCC, Dr. Shereen Elazzazy is an Asst. Director of Pharmacy, Ms. Joanna Alvaro, Quality and Safety Manager, Red Crescent , Mr. Novica Icic, Quality Manager – Rumailah Hospital - HMC, Dr. Shiraz Bajwa, Director of Performance Improvement – Sidra Medicine
Description
"During this session, teams from across Qatar will tell you about their successful improvement projects in rapid-fire style. Participants will experience what great work has been taking place on a local level and be inspired to bring ideas back to their workplace for implementation. Presentations include: “Keep Our Patients Safe; Let’s Huddle""; “Safety Leadership Walk Round”; “Qatar Red Crescent’s Commitment to Safer Care through Strengthened Quality Agenda”; and ""Medication Reconciliation Success Story in PHCC""; ""Sepsis and VTE care in NCCCR""; ""Medication Reconciliation Success Story in PHCC""; ""Utilizing a Daily Management System to Improve Quality and Performance at Sidra""
"
Details.
Breakout C12
Effective communication promotes better patient care: A patient’s safe journey with effective handovers – Part 1
Speakers: Ambulance Service, HMC Hospitals, Qatar Red Crescent, Dr Jorg Kuhne - HMC, Dr Nick Castle - HMC and Prof Guillaume Alinier - HMC
Description
Handovers and transitions of care can be critical phases in a patient’s care pathway. Poor communication practice during those phases may lead to delayed treatment, repetition of procedures, and ineffective us e of time and resources that may also jeopardize patients safety and outcome. In this session, different phases of patient handovers and care transitions between a Qatar Red Crescent Clinic and Hamad General Hospital will be demonstrated using various forms of communication, often involving the Ambulance Service. Although the demonstration will depict ideal processes, faculty will engage participants in discussing the challenges they phase and how they can be managed to always ensure high quality patient care.
Objectives
- Describe the processes of Ambulance transport and transfer activation into and within HMC.
- Discuss the importance of the patient handover phase in ensuring effective patient care.
- List three forms of communications used by Hamad Medical Corporation between NCC, ambulance crews, transfer and retrieval teams, and the clinic or hospital departments.
Details
Breakout C13
Implementing Continuous Quality Improvement in an Australian Private Pathology Organisation
Speakers: "Michael Giuliano Executive Director – International BusinessThe Australian Council on Healthcare Standards
Description
Presentation Summary – Transitioning an organisation from focusing on basic standards to benchmarking to continuous improvement is most often easier said than done. A common impetus for organisations to accelerate their journey towards continuous improvement is usually financial pressures and changing market dynamics. This session will provide a summary of an actual transformational program delivered in Australia to improve the operational performance and patient outcomes of a private pathology practice based in Victoria. This implementation experience will illustrate key lessons learned that can be adapted for other organisations when attempting to implement continuous improvement and make lasting, sustainable change.
Details.
Speakers:
Description
- Demonstrating the practical elements in inter-professional and inter-provider clinical communications
- Clear opportunities to understand why clinical hanover protocols are in place and how they make the difference betwe
- Demonstration of what excellent clinical team working looks like and why understanding your role in the handover is critical
- Understand the roles of other clinical providers in the patient pathwayonstrating the practical elements in inter-professional and inter-provider clinical communications
10:25 - 11:00
11:00 - 12:05
Breakout Group D
Breakout D1
Advanced Quality Improvement
Speakers: Dr. Robert Lloyd, Dr. Akhnuwkh Jones and Dr. Mukesh Thakur, HMC
Description
This workshop is intended for individuals who have a foundation in the Science of Improvement (SOI). Individuals who are just beginning their Quality Improvement Journey and especially in the methods and tools related to quality measurement and statistical process control (SPC) should not attend this workshop. This workshop will focus primarily on the second question in the Model for Improvement (i.e., How will you know that a change is an improvement?). It will challenge participants to think about why they are measuring performance and provide an overview of the Milestones in the Quality Measurement Journey.
Objectives
- Understand variation conceptually
- Review the application and use of run charts
- Take a deeper dive into the selection and interpretation of Shewhart charts
- Emphasize the importance of linking your measurement efforts to improvement strategies.
Details.
Breakout D2
Creating a Culture of Safety in an Ambulatory Care Setting
Speakers: Dr. Tejal Gandhi & Dr. Michael Leonard
Description
Improving safety and culture has long been the work of hospitals, but most people receive the majority of care over their lifetime in ambulatory settings, where the work is different and so are the safety challenges. Ways of improving safety and culture in acute care settings are not always appropriate for ambulatory practices. The methods used to capture, analyze, and improve harm and error must match the work and be usable by the ambulatory team. In this session, participants will learn how creating an ambulatory care environment where risks are anticipated, teamwork is the standard, and patient partnerships are maximized allows a culture of safety to flourish.
Objectives
- Discuss the unique safety challenges in ambulatory settings
- Describe tools for developing teamwork in ambulatory practices
- Identify two methods for capturing and analyzing harm and error in an ambulatory setting
Details.
Breakout D3
Operational and Clinical Improvement in the Emergency Department
Speaker: Dr. Jody Crane - IHI
Description
Acute care settings are plagued with waits, delays, and diversions. Nowhere is this more observable and its impact more palpable than in hospital emergency departments. This session describes key strategies and best practices that have been developed and field-tested to optimize patient flow and clinical improvement in any and every emergency department, including yours.
Objectives
- Understand the academic principles and the case for improving flow in the emergency department.
- Define key barriers, bottlenecks, and obstacles to patient flow and clinical improvement.
- Describe practical and innovative solutions for improving ED service operations as well as expediting admissions.
Details
Breakout D4
The Joy of Practicing Medicine
Speaker: Prof. Carlos Pellegrini - IHI
Description
"In this session we will discuss the reasons that drive most individuals that enter medical school to do so. Emphasis will be placed on the choice to “service” patients and families in their communities, to do research leading to the discovery of new ways to prevent and or treat disease and to educate the next generation of physicians. We will then discuss the evolution of those feelings, the metamorphosis that takes place as physicians inevitably deal with human suffering and the hurdles that the practice brings at the medical school, at the residency level and at the practice level. We will discuss how to deal with the hurdles, how to deal with cynicism observed sometimes among the peers, how to deal with the difficult patients, how to deal with error, and other matters that contribute to physician burn out. We will then review ways to create resilience and ways to prevent burnout. Paramount among them we will review strategies and tactics such as the creation and the maintenance of teams, the relationships that can be fostered among members of those teams and the support mechanisms that exist to create “teaming” and to create “mutual support” among team members. A second focus will be placed on the relationship building with patients, on the meaning of trust and the role that communication plays as a builder of trust (broad aspect of communication such as actions, demeanors, verbal, non-verbal communication) and the like. Lastly we will focus on communication with self, building the joy in one’s own soul, providing a balance in life, enhancing family relationships and creating support mechanisms that help physicians deal with the problems they face. "
- What makes people chose to practice medicine (service)
- What are the practical ways in which we serve our patients including delivery of medical service, research and education
- What are the threats to joy posed by these actions
- How to enhance joy in the practice and How to develop resilience
Details.
Breakout D5
Building Leadership Skills for Middle Managers
Speaker:Kate Hilton - IHI and Fiona McQueen - IHI
Description
Managers, nurses and clinical leaders "in the middle" are responsible for day-to-day clinical care and support services, yet most health care organizations underinvest in their ability to lead and manage teams and create a culture of psychological safety. This interactive workshop explores new thinking and delivers practical leadership lessons to middle managers of all backgrounds. Participants will explore the skills required to build effective improvement teams, with an emphasis on practical insights for those leading from the middle.
Objectives
- Articulate the "middle manager" role and its contributions to quality improvement
- Establish a real improvement team with the right people;
- Develop a shared purpose;
- Put enabling structures in place to build improvement team capacity.
Details.
Breakout D6
Improving Behavioral Health through Quality Improvement
Speaker: Dr. Amar Shah - IHI
Description
East London NHS Foundation Trust (ELFT) is a provider of behavioural health and community health services in England, and has one of the largest quality improvement programmes in behavioural health in the world. This session will share ELFT’s learning from attempting to tackle some of the most complex quality issues in behavioural health through quality improvement, such as inpatient physical violence, access to community-based services, medication safety and recovery-focused care.
- Develop an understanding of how quality improvement can be applied in behavioural health settings
- Identify change ideas that might help solve complex quality issues in behavioural health care
- Share learning and ideas about the particular strengths of behavioural health services that Support the use of quality improvement techniques
Details.
Breakout D7
Designing Facilities for Patient Centered Care
Speakers: Naim Younes - HMC + Amr Metwally - HMC
Description
Enhancing the patient experience and delivering patient-centered care is on the agenda of virtually every hospital today. Increasingly it has become a central aim that has gained prominence in recent year as a key aim at Hamad Medical Corporation and its health facilities design process.
Objective
- The paradigm of change and how healthcare service provision changed significantly
- Main attributes for patient centered-care processes and drivers for changing the healthcare landscape
- Facilities design and how this affects both patient-centered care and evidence-based design processes
- Are we there yet? And what does the future hold?
Details.
Breakout D8
Leadershipss and Culture of Safety Sidra's Experience
Speaker: Dr. Sharda Udassi, Sidra Medicine
Description
This presentation provides an overview of the essential role of leadership in establishing healthcare organization’s safety culture. Then providing practical guide to develop initiatives needed to establish international safety culture standards.
Objective
- Define Leadership and Safety Culture
- Identify Key Features of Safety Culture
- Explain why Safety Culture is Important
- Define the Role of Leadership in Building Safety Culture
- Review Healthcare Organization’s Leadership Supported Initiatives to establish Safety Culture
Details.
Breakout D9
Infectious Disease & Preparedness
Description
Speaker: Trish Perl, Eric Goralnick, & Local Speaker & MOPH speaker
In the last five years there have been a number of major infectious disease outbreaks. Preparing within healthcare facilities for such outbreaks is critical to reduce the negative impact on cities and communities. In this session, two experts will review their direct experience with SARS in Toronto, MERS Co-V in Saudi Arabia, and Ebola Preparedness in the US. They will cover lessons learned and tips for preparing your healthcare system for a multidisciplinary response to screening, isolation, and patient care.
Objectives
- Review critical lessons from recent emerging infectious disease outbreaks for managing emerging diseases in healthcare facilities
- Identify critical stakeholders, types of collaborations and leadership needed in infectious disease response
- Understand key principles of emergency preparedness to help healthcare institutions organize and respond to outbreaks
Details.
Breakout D10
National Diabetes Strategy – An Integrated Approach to Quality Improvement
Description
Speakers: Dr. Al-Anoud Al Thani, Manager, Health Promotion and NCD, MoPH, Co-Chair National Diabetes Committee,
Dr. Samya Ahmad Al Abdulla, Senior Consultant of Family Medicine and Executive Director of Operations at PHCC,
Dr. Mahmoud Ali Zirie, Senior Consultant, Head of Endocrinology, HMC & Chair of the DM Clinical Guidelines and
Dr Khalid Abdulnoor Saifeldeen, Senior Consultant Emergency Medicine & Director of Hamad International Training Centre (HITC), HMC
Statistics clearly indicate that Qatar faces a major health challenge in diabetes. If no intervention or prevention strategies are put in place, the projected growth in the number of people with diabetes will exert tremendous pressure on our public health and health service infrastructures. It is important that we begin the journey to address the progression of this disease in our country immediately. The National Diabetes Strategy is the first step of this journey, It is designed to achieve the vision of preventing diabetes and its complications, and improving the health and quality of life of the population. It is delivered through six strategic pillars: Awareness & Prevention, Patient Empowerment, Care Delivery, Human Capability & Capacity Building, Information Management, and Research.
Objectives
The purpose of this session is to :
- Present the vision of the National Diabetes Strategy
- talk about the Six National Diabetes Guidelines and associated care pathways that have been successfully developed and published on the Ministry’s of Public Health website as part of the Care Delivery Pillar
- promote the suite of the eight CPD accredited e-learning scenario based diabetes modules that have been developed and will be available to all healthcare professionals in Qatar
- highlight the collaborative approach between PHCC and HMC in developing a screening guideline for Diabetes and Risk factors
Details.
Breakout D11
Resilience in Healthcare and The Role of Middle Management in Complex Adaptive Systems
Speaker: Nawal Khattabi, Manager - Risk Management & Patient Safety, PHCC
Description
The quest of safety through a focus on human error has proven to paralyze organizational learning and many of Safety Science scholars had abandoned this strategy for the benefit of understanding safety and accidents as emergent properties of the system. In this sense, a number of theories, frameworks and approaches saw light such as Normal Accident Theory, High Reliability Organizations, … and more recently Resilience Engineering which seems to be having promising avenues in healthcare. Studies aiming at understanding the characteristics that affect the ability to create sustain resilience has referred to the resilience of middle-level managers as an imperative constituent of organizational safety. This session will highlight the attributes of middle-level managers in resilient healthcare organizations and how executives or higher-level management can enable this crucial layer of decision-making to enhance resilience in their organizations.
Details.
Breakout D12
Effective communication promotes better patient care: A patient’s safe journey with effective handovers – Part 2
Speakers: Ambulance Service, HMC Hospitals, Qatar Red Crescent, Dr Jorg Kuhne - HMC, Dr Nick Castle - HMC and Prof. Guillaume Alinier - HMC
Description
The Ambulance Service will deliver a session that will depict a patient’s journey and simulate the various communication episodes that take place between healthcare professionals. This session is in two parts and is a live demonstration and will help attendees to understand the challenges involved in patient handover processes and what patient safety measures to look out for. This is designed as a dynamic and interactive session for multi-disciplinary healthcare professionals. Session C12: This session explores the scenario where a Qatar Red Crescent Clinic sees a self-presenting burn patient, they make a 999 call to have him taken to HGH Trauma ED. This involves a phone call, handover between QRC and Ambulance Service CCP, and then CCP-Trauma ED, as well as dispatch and pre-notification communication between the units involved. At each stage the handove process is discussed in details with practical examples of the risks and challenges that need to be managed.
Objectives
- Demonstrating the practical elements in inter-professional and inter-provider clinical communications
- Clear opportunities to understand why clinical hanover protocols are in place and how they make the difference betwe
- Demonstration of what excellent clinical team working looks like and why understanding your role in the handover is critical
- Understand the roles of other clinical providers in the patient pathwayonstrating the practical elements in inter-professional and inter-provider clinical communications
Details
Breakout D13
Implementing Continuous Quality Improvement in an Australian Private Pathology Organisation
Speakers: Michael Giuliano Executive Director – International BusinessThe Australian Council on Healthcare Standards
Description
Presentation Summary – Transitioning an organisation from focusing on basic standards to benchmarking to continuous improvement is most often easier said than done. A common impetus for organisations to accelerate their journey towards continuous improvement is usually financial pressures and changing market dynamics. This session will provide a summary of an actual transformational program delivered in Australia to improve the operational performance and patient outcomes of a private pathology practice based in Victoria. This implementation experience will illustrate key lessons learned that can be adapted for other organisations when attempting to implement continuous improvement and make lasting, sustainable change.
Details.
Speakers:
Description
The Ambulance Service will deliver a session that will depict a patient’s journey and simulate the various communication episodes that take place between healthcare professionals. This session is in two parts and is a live demonstration and will help attendees to understand the challenges involved in patient handover processes and what patient safety measures to look out for. This is designed as a dynamic and interactive session for multi-disciplinary healthcare professionals. Session C12: This session explores the scenario where a Qatar Red Crescent Clinic sees a self-presenting burn patient, they make a 999 call to have him taken to HGH Trauma ED. This involves a phone call, handover between QRC and Ambulance Service CCP, and then CCP-Trauma ED, as well as dispatch and pre-notification communication between the units involved. At each stage the handove process is discussed in details with practical examples of the risks and challenges that need to be managed.
Objectives
- Demonstrating the practical elements in inter-professional and inter-provider clinical communications
- Clear opportunities to understand why clinical hanover protocols are in place and how they make the difference betwe
- Demonstration of what excellent clinical team working looks like and why understanding your role in the handover is critical
- Understand the roles of other clinical providers in the patient pathwayonstrating the practical elements in inter-professional and inter-provider clinical communications
12:05 - 13:30
12:05 - 13:30
Lunch and Learn Workshop
Session Title: Communications in Healthcare Workshop
Speaker: Dr. Magda Wagdy, Dr. Manasik Hassan, Dr. Hatim Abdulrhman and Dr. Ahmed Alhammadi, HMC
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Description
Effective team communication among Health Care Providers (HCPs) in a hospital setting associated with better patient care, increase teamwork and job satisfaction, such collaboration is challenging and often requiring unplanned communication among busy healthcare providers. Differences in training, communication styles and multi-cultural background of nurses and physicians contributes to communication problems.
The didactics will address the importance of communication and collaborations among health care professionals in a multicultural healthcare environment, share decision and putting plan together, known challenges faced or perceived. Interactive video clips will illustrate different communication gaps in clinical workplace.
Afterwards, through analyzing videos and using role-play, participants will identify different barriers to implement effective communication in culturally diverse healthcare environment. In small groups, participants will then exposed and practice use different tool and strategies to support communication and team collaboration.
Objective
- Highlights the importance of effective communication and collaboration among healthcare professionals in a multicultural healthcare environment
- Identify challenges for promoting communication among health care providers
- Use different communication tools and strategies to promote such collaboration
13:30 - 14:00
Poster Competition review and Awards
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Description
Announcement of competition winners
14:00 - 15:05
Plenary 4
Session Title:Free From Harm
Speaker: Dr. Tejal Gandhi - IHI
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Description
Published in 2015, Free from Harm examines the state of patient safety 15 years after the release of the Institute of Medicine’s seminal report, To Err is Human, and provides a roadmap for advancing progress in coming years. This report is the work of a panel of 26 preeminent experts convened by NPSF and led by co-chairs, Donald M. Berwick, MD, MPP, and Kaveh G. Shojania, MD.
Looking at where we stand 15 years after To Err Is Human, the panel found that much has improved but that patient safety concerns remain a serious public health issue:
- Despite efforts, we have failed to make substantial, measurable, system-wide strides in improving patient safety.
- Preventable harm remains unacceptably frequent—in all settings of care and among all patient populations.
- Patient safety work to date has largely focused on specific, narrowly-focused, harms. This project-by-project approach has not led to widespread change.
The panel concluded that advancing patient safety in a meaningful way will require an overarching shift from reactive, piecemeal interventions to a total systems approach to safety in which safety is uniformly applied across the entire health care system. The resulting report calls for the establishment of a total systems approach and a culture of safety, and urges action by government, regulators, health professionals, and others to place higher priority on patient safety science and implementation.
Objectives
- Identify recent advancements in patient safety.
- Recognize gaps in patient safety.
- Discuss recommendations to accelerate improvement in patient safety initiatives.
15:05 - 15:20
Closing Remarks
Speaker: Dr. Ronald Wyatt - HMC
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Description
At the end of this session, participants will be able to
- Explain why “reliance on inspection for improvement” cannot achieve unprecedented performance results.
- Explain the proper, and improper, use of metrics in pursuit of improvement.
- Identify five “radical redesign principles” for the New Era of health care delivery.
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