9:00-9:30
Excursion Day Briefing
Session Title:
Middle East Forum
Orientation Briefing
Speakers:
Dr. Reham Hassan,
Ms. Maryanne Gillies
Level:
Beginner
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Learning Objectives
Inform delegates of the expectations, objectives, target audience and outcomes of learning of each excursion trip.
Description
Attendees will get an overview of the key points of interest relating to the Middle East Forum excursion trips and how they can get the most benefit from the excursions trip to further their knowledge of improvement science, practice and the value of knowledge sharing. Tips of notes taking, active participation and reflective learning are shared with delegates.
9:30-14:00
Parallel Excursion Sessions
EX1
HMC’s Person-Centered Care (PCC) Journey
Session Track: Person-Centered Care
Speakers:
Mr. Nasser Al Naimi,
Ms. Deepshikha Sahni,
Ms. Lisha Abraham,
Ms. Takwa Abou Salem,
Dr. Khalid Al Jalham,
Ms. Khadija Khalid Mohammed,
Dr. Muna Al Maslamani,
Mr. Awad Amayrh
Moderator:
Level: Beginner
Description
The excursion will be an exhaustive orientation on the Person-Centered care approach the Center for Patient Experience and Staff Engagement (CPESE) is anchoring in different HMC facilities to improve the experience for its patients and their family members.
The excursion will cover three PCC certified HMC sites namely: Ambulatory Care Center (ACC), Communicable Disease Center (CDC), and Enaya Specialized Care Center (ESCC).
The excursion will give participants understanding about PCC strategies and practices implemented in these facilities.
This tour will also highlight concrete examples and learning points from their transformation journey as PCC certified facilities.
Learning Objectives
- Orient the attendees on the Person-Centered care activities in HMC facilities
- Focus on the Person-Centered care journey of ACC, CDC, and Enaya and its impact on improving services
Details
EX2
ITQAN Clinical Simulation & Innovation Center: Enhance quality and safety efforts using health care simulation
Session Track: Population Health
Speakers:
Dr. Kimberly Leighton,
Mr. Ardee Domingo,
Mr. Baha Tomeh,
Ms. Kristine Luzano,
Mr. Mohamed Amer,
Mr. Karim Attallah,
Ms. Raja Touati,
Mr. Jomy Cherian
Moderator:
CPD:
Level: Beginner
Description
Healthcare simulation offers opportunity for improvement in patient safety through exciting, engaging and impactful interventions. Simulation can be applied in a broad variety of educational situations. Learning gleaned from simulation includes, but is not limited to, skills training, device testing, improving teamwork and communication, and driving systems improvement. Healthcare simulation is a timely and innovative approach to improving the safety and effectiveness of patient and workforce safety. This session will explore different simulation modalities and their application for incorporation into patient safety and quality programs. Participants will have the opportunity to participate in simulation learning activities and will leave with a broader understanding of the applications of this learning approach.
Learning Objectives
- Describe at least three simulation modalities that can be incorporated into health care improvement work
- Discuss effective ways to enhance quality and safety efforts using health care simulation
- Incorporate simulation-based learning into existing programs and initiatives
Details
EX3
Major Incident Response Preparedness during the World Cup
Session Track: Flow, Safety and Value Improvement
Speakers: Mr. Saleh Meqareh,
Mr. Paul Mavin,
Mr. Mohammed Al Feel,
Mr. Chaker Khennisi,
Ms. Nada Arbab,
Ms. Thikra Dehna,
Dr. Aftab Azad
Moderator:
Level: Beginner
CPD:
Description
Participate in an immersive experience designed to re-create the extensive activities and measures undertaken to keep people safe during the World Cup.
Tour sites will include the National Health Incident Command Center, Hamad General Hospital Trauma and Emergency Center and a major incident response set up.
Learning Objectives
- Describe the ways in which the healthcare sector prepared to respond to a major incident during the World Cup
- Discuss effective methodologies to keep people safe during major incidents and mass gatherings
- Incorporate preparedness practices into future events
Details
EX4
Specialized Care for Athletes during the FIFA World Cup Qatar 2022
Session Track: Flow, Safety and Value Improvement
Speakers: Mr. Naven Pullian,
Dr. Celeste Geertsema,
Dr. Liesel Geertsema,
Dr. Khaled Al Khulaifi,
Mr. Rohan Steyn,
Mr. Mourad Hamzaoiu,
Mr. Ramy Gharib,
Mr. Rashid Andila
Moderator:
CPD:
Level: Beginner
Description
Recreation of the healthcare services provided for athletes during the FIFA World Cup Qatar 2022. Tour key sites and meet the experts responsible for designing and providing the services. Tour the Al Janoub Stadium, and recreation of the field of play and players clinic care services. Visit Aspetar, the official hospital dedicated to athletes’ care during the tournament.
Learning Objectives
- Describe measures undertaken to provide highly specialized care to the world’s best football players during the FIFA World Cup Qatar 2022
- Discuss ways in which the design of the specialist athletes pathway ensured high quality care to all players
Details
EX5
NVIP Huddle & Planetree Accreditation in DAAM – Residential Care Services
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Hanadi Al Hamad,
Ms. Lisha Abraham,
Ms. Takwa Abou Salem
Moderator:
Level: Beginner
CPD:
Description
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Meeting with delegates in conference room.
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Overview facility Presentation.
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Site Visit at Enaya/DAAM.
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PFAC committee highlights.
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Visit the patient library.
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Reflection of person-centered care by interviewing one care giver.
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Walk through the Enaya/DAAM patient journey / pathway.
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Enaya/DAAM specialized MDT care delivery.
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Value improvement project presentation at DAAM unit 2.
Staff/Delegates engagement activities to enhance joy at work.
Learning Objectives
-
To showcase the value improvement approach at DAAM specialized care Center.
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To enhance Joy at work by continuous staff engagement activities in order to build the team with positive work culture among through staff wellness activities.
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To focus on person center care approach and practices delivered at DAAM specialized to help the individual make choices and assess any risks that might be involved in their treatment and care.
Details
EX6
Elderly Urgent Care Unit (EUCU) in Rumailah Hospital & Helplines In Geriatric Department- “LIFELINES FOR ELDERLY CARE ACROSS QATAR” – Rumailah Main Campus
Helplines In Geriatric Department- “LIFELINES FOR ELDERLY CARE ACROSS QATAR”
1.Geriatric Helpline
2.RAHA-National Alzheimer’s & Memory Services helpline
Session Track: Population Health
Speakers: Dr. Hanadi Al Hamad,
Mr. Ali Abdal Sattar,
Dr. Amin Abdelghany,
Dr. Mohammed Eid Alshalat,
Ms. Vimala Yesurethnam,
Dr. Pravija Talapan Manikoth,
Dr. Mani Chandran,
Ms. Marwa Elorabi,
Ms. Fida Ahmad
Moderator:
CPD:
Level: Beginner
Description
1) Tour elements:
-
Site Visit
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Visit the location
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Walk through the EUCU patient journey / pathway
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Geriatric specialized MDT care delivery
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Service Presentation
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Scope of the Service
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Target population
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Common procedures
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Source of referrals
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MDT approach to the patients
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Performance monitoring
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Feedback system
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Continuity of care to the community
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Ease of pressure for other HMC Emergency Departments
2) Team:
-
Any Healthcare professionals
3) Benefits and Outcomes:
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Team will be familiar with quality healthcare services for the elderly population.
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Accessibility of the service for the frail patients
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Reflection of continuity of care by liaising with Home Health Care Services (HHCS) for effective and efficient referral to the Elderly Urgent Care Unit and follow ups after discharge.
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To understand delivery of effective and rapid response to the elderly adults with complex co-morbidities.
4) Tour elements:
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Site Visit
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Visit the location
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Walk through the helpline service pathway.
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Service Presentation.
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Scope of the Service
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Target population
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Source of referrals
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MDT approach to the patients
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Performance monitoring
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Feedback system
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Easy access of Geriatric Memory Clinic through self-referrals.
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Care delivery improving patient and caregiver satisfaction.
5) Team:
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Any Healthcare professionals
6) Benefits and Outcomes:
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Familiarizing with quality helpline services for the elderly population under Geriatrics & long-term care department, Rumailah Hospital.
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Understanding on how helpline services support easy access to elderly care services.
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Understanding the significance of needs based customized helpline services.
Learning Objectives
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To reflect on providing access to essential acute emergency medical care to the frail and population in the community on a short-stay basis.
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Comprehensive Geriatric Assessment identifying all the needs of the patients and addressing it in an expedited manner to ensure patient returns back home the same day after all the investigations and management
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Gateway to access any inpatient service such as Acute Geriatrics or Long-Term Care or Observation unit
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To help address elderly population health needs, including health care coordination and organization of care, medication review, address abnormal laboratory or imaging values.
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To help facilitate referrals to different subspecialties for elderly patients, who missed their important appointments during the Covid time.
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Using expert clinical assessment, try to identify the ones that need urgent evaluation by primary Health Center, subspecialty clinic, or emergency room department.
RAHA evolving as the leading National Alzheimer’s & Memory Services helpline.
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Understanding the Uniqueness of Dementia care model via helpline.
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Significance of establishing an Age friendly person-centered care aligning with the framework of Qatar National Dementia Plan.
Details
EX7
Improvement is in Our Heart
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Salaheddin Arafa,
Mr. Ian McDonald,
Ms. Fida Ahmad
Moderator:
Level: Beginner
CPD:
Description
Participate in Award Winning Value Improvement Huddles LIVE in Practice in HMCs tertiary cardiac hospital where IHI’s Value Improvement methodology is embedded & sustained in quality improvement practice. Heart Hospital is considered to be a world leader in it’s application of this rapid cycle approach to improving care driven from the bedside.
In addition, we invite you to share the learning from applying NDNQI in nursing practice to monitor performance and drive up standards of care.
Provide highlights on PCC framework in the heart hospital. The participants will be introduced to the PCC drivers and how its implemented and practiced in the Heart hospital focusing on partnership with the patients.
Learning Objectives
-
Develop an insight of Value Improvement methodology in 4 cardiac clinical areas (inpatient, ambulatory, intensive care and Emergency)
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Understand the impact of NDNQI performance indicators on Nursing Care.
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Highlight on Person Center Care (PCC) practices at the heart hospital
Details
EX8
Path to Excellence in Quality at Qatar Rehabilitation Institute
Session Track: Person-Centered Care
Speakers: Dr. Hanadi Al Hamad,
Ms. JenniferLagunday,
Mr. Allan Batac,
Ms. Anteena Aziz,
Mr. Rhoel Santos Diocson
Moderator:
CPD:
Level: Beginner
Description
In this tour activity of Qatar Rehabilitation Institute (QRI) the MEF delegates will have a thorough understanding about the background a various projects that are being implemented at QRI with the aim of improving the quality, patient experience and rehabilitation outcomes.
Those projects include the National Value Improvement Collaborative (NVIC), its purpose, process involved and benefits that a facility could have by being part of this National quality improvement initiative. In addition, the NVIC Team of FRU 1 will walk through with them in their three year journey, so everyone will feel as if they are part of the success FRU 1 has achieved. The delegates will understand that improvement does not happened in just a snap, but rather it is made up of different test of change, monitoring, analyzing and a sustainable data to ensure real improvement is taking place. Furthermore, it will enhance their ideas and knowledge in starting improvement work to their own facilities.
In addition, the delegates will have an opportunity to attend the QPS team meeting and have an insight of the complex ways of finding the ways to improve existing processes in the facility, as well as its monitoring.
To better understand complexity and continuum of rehabilitation, the delegates will visit two highly specialized programs which have been introduced in recent years. One of them is the Easy Street, which greatly helps rehab patients on their way to be reintegrated into the community after the discharge as they can experience community settings (such is a shop, ramps with various gradients crossing a road, getting into a vehicle etc.) in a safe and simulated atmosphere.
Another specialized program the MEF delegates will observe is the Gait Lab Program in which a quality reporting of patients walking is assessed through kinematic, kinetic and surface electromyography assessments for inpatients and outpatients, both adult and pediatric population. Moreover, the end users of the report, such as Surgeons and Therapists, utilize for a proper quality of care in terms of treatment planning.
Learning Objectives
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To provide MEF delegates with an understanding of quality improvement projects specific to rehabilitation setting
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To showcase projects through which reintegration into the community is facilitated, such as Easy Street and Gait Lab
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To share the experience of the National Value Collaborative Program at QRI, including the discussion of its three fundamental concepts (visual management, data and communication (huddle)
Details
EX9
Emergency Care Resilience @ Trauma Emergency Center (TEC) building
Trauma Care Services
Session Track: Improvement Science
Speakers: Dr. Abdullah Al Ansari,
Dr. Hassan Al Thani,
Dr. Yousuf AL Maslamani,
Mr. Aidan Kehoe,
Mrs. Khadija Al Shukaili,
Dr. Aftab Mohammad Umar,
Dr. Sandro Rizoli
Moderator:
Level: Beginner
CPD:
Description
The tour of Hamad General Hospital Emergency Departments (HGH ED) will provide an insight to the one of the world’s busiest EDs which provides efficient, high quality, patient centered care to the residents of Doha and its surrounding communities.
It will give attendees the opportunity to see effective ED leadership and the dedicated teams that are treating high patient volumes with often complex needs, as the country’s main tertiary center.
HMC’s Trauma System provides comprehensive care for trauma patients including pre-hospital care, emergency care in the trauma center and rehabilitation services. Level 1 Trauma Center, based on the highly regarded, evidence-based classification of the American College of Surgeons, Committee on Trauma. awarded Trauma Distinction accreditation from Accreditation Canada International, the only international accrediting body for trauma systems in the region.
Learning Objectives
-
to understand the patient flow within Emergency Medicine
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to see the impact of service improvement and collaborative working within ED 3) to see the importance of effective leadership to deliver quality care in unprecedented times (Covid-19 & FIFA World Cup)
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Recognize the patient care management throughout the Trauma services from prehospital, level 1 to ICU and rehabilitation.
Details
EX10
Medical Intensive Care and ECMO Services
Acute medical Unit
Session Track: Person-Centered Care
Speakers: Dr. Ahmed Ali AL Mohammed,
Prof. Abdul Badi Abou-Samra,
Dr. Yousuf AL Maslamani,
Dr. Abdullah Al Ansari,
Mr. Aidan Kehoe,
Mrs. Khadija Al Shukaili,
Dr. Abdul Salam Saif Ibrahim,
Mr. Emad Mustafa,
Dr. Ashraf Molokhia,
Mr. Emad Mustafa,
Ms. Roopa Coria,
Dr. Anand Kartha,
Ms. Esmat Swallmeh
Moderator:
CPD:
Level: Beginner
Description
The tour will provide insight on the state of Art Medical Intensive Care Unit (MICU) provides multi-disciplinary evidence based critical care to post-operative patients with life threatening conditions or unstable, severely ill patients who require frequent monitoring and potentially require intensive intervention or ventilation.
The tour will focus on:
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Critical Care flow and critical care dashboard.
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Critical Care joint Programs
(HMC) ECMO is built on the established multidisciplinary (SHAARP) with partnership between the HMC Ambulance Service and (MICU). HMC became the first healthcare organization in the Middle East, Western Asia, and Africa region to receive the (ELSO) Award for Excellence in Life Support (Gold Level) for its extracorporeal life support program.
Visit a state of art Acute Medical Unit with excellent innovations on flow and access to care and who care is are prioritized based on patients’ clinical needs
Learning Objectives
-
To provide an insight on the excellence efforts made o provide High level of Medical intensive care and ECMO services in the country and to deliver safe quality care.
Details
EX11
Surgical Specialty Center & Operating Theatres (Transplant services and Robotic Surgery)
Hyperbaric Center
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Abdullah Al Ansari
Dr. Yousuf AL Maslamani,
Mr. Aidan Kehoe,
Ms. Khadija Al Shukaili,
Dr. Mohamed Soliman,
Mohamed Elakkad,
Dr. Kokash Osam
Moderator:
Level: Beginner
CPD:
Description
HMC is providing transplant patients with world-class pre-operative and post-operative care by an organ transplant team of highly qualified professionals.
Also tour to the state of art Surgical specialty Center which has dedicated specialized surgery services.
state-of-the-art diagnostic imaging equipment that has been permanently integrated into Hamad General Hospital's operation theatres is revolutionizing surgical practice. E.g. hybrid OR, Robotic surgeries.
Hyperbaric Oxygen Multi-Chamber One of the First of its Kind in Middle East Region. Hyperbaric oxygen therapy involves sitting or lying inside a sealed chamber and wearing an air mask with two tubes attached - one providing pure oxygen, the other taking old air away. The therapy is painless and non-invasive. HMC’s new hyperbaric oxygen therapy chamber features both VIP and standard seating. It is one of its kind in the region of middle east.
Learning Objectives
To exhibit the state of art ORs and SSC in delivering excellence in surgery specialty quality care and be center of excellence in transplant and robotic surgeries.
A Ward doing Value Improvement to show how staff on the shop floor have acquired world class skills in Quality Improvement methodologies, and are applying these in the workplace.
Details
Lunch, Prayer and Breaks included
(60-minutes)
14:00-14:30
Excursions Day Debriefing
Session Title:
Middle East Forum
Orientation Briefing
Speakers:
Level: Beginner
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Learning Objectives
-
Highlight the key learning from the conference different excursions
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Share and debrief the learning between the conference different excursions
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Encourage practicing the learning and spreading the knowledge
Description
Attendees will get a summery of the key points of that were covered under various excursions of the Middle East Forum and encouraged to apply the learning in addition to continuing to further their knowledge, as well as highlighting the value of knowledge sharing and spread of learning from the practical examples.
7:00-7:45
7:30-7:45
Middle East Forum
Orientation Briefing
Session Title:
Middle East Forum
Orientation Briefing
Speakers:
Level: All
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Learning Objectives
Understanding the best ways of further the delegates' knowledge during the ME Forum.
Description
Attendees will get an overview of the key points of interest relating to the Middle East Forum and how they can get the most benefit from the different activities to further their knowledge of improvement science, practice and the value of knowledge sharing.
7:45-8:00
8:00-9:00
Workshops
Workshop WS1
How to use learning health system approaches to embed learning and improvement in delivery of healthcare
Session Track: Improvement Science
Speakers:
Dr. Dominique Allwood
Moderator: Dr. Amar Shah
Level: All
Description
In this session participants will learn more about taking a learning health systems (LHS) approach. Theory will be illustrated with practical examples of its application. Several practical examples will be shared including 'the Bedside Learning Co-Ordinator’, an LHS innovation being adopted across healthcare organisations in the UK to gather insights to drive learning. This session will allow participants to reflect on where a LHS approach can apply to their work at any level.
Learning Objectives
- Develop a greater understanding about the components of learning health systems from unit to whole system
- Learn how elements of the learning health system (e.g. real-time feedback, insight analysis, decision-making and change methods) can be translated into practice
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Identify ideas for driving continuous frontline feedback and engagement in change and how these can be applied to the participants own setting
Details
Workshop WS2
Communicating for Behaviour Change
Session Track: Leadership, Resilience and Sustainability
Speakers:
Prof. Jason Leitch, Ms. Selina Stephen
Moderator: Dr. Aisha AlKubaisi
CPD:
Level: All
Description
As improvers and leaders, we are continually searching for new and better ways to communicate with staff, patients and the public to encourage positive behaviour change. The covid-19 pandemic required large-scale behaviour change for all of us – staff and public alike. This session draws on practical learning since March 2020 about how to communicate with people to encourage them to behave differently, and how we can use this learning in our post-pandemic world.
Learning Objectives
- Understand the main learning points from Scotland’s pandemic communications
- Understand the principles of communicating for behaviour change
- Translate this learning into practical use for their own improvement work
Details
Workshop WS3
Building a workforce for the future – how do we take care of people today and build a vibrant workforce for the future
Session Track: Person-Centered Care
Speakers: Ms. Maureen Bisognano
Moderator: Ms. Mariam Al Mutawa
Level: All
CPD:
Description
The greatest challenge of our time is building and nurturing a vibrant workforce for the future. In this session, we will share innovative models for upstream workforce development, new ways to care for the health care teams of today, and leadership tools for helping all to recover from the COVID challenges we have all endured.
Learning Objectives
- Share tools to plan, develop and nurture best teams for the future by working upstream in the community
- Develop tools to measure and act on what matters most to the workforce of today and design new ways to build resilience, joy and clinical effectiveness across all professions and parts of our systems
Details
Workshop WS4
Sequential PDSA Cycle
Session Track: Improvement Science
Speakers: Ms. Eman Refaat,
Ms. Ana Mar Jimena
Moderator: Dr. Reham Negm
CPD:
Level: All
Description
In this session the presenter will focus on the power of testing through using sequential PDSA on ramps for change ideas and concepts.
Learning Objectives
-
Explain the concept of PDSA Explain the relation between PDSAs on Model for Improvement PDSAs and theory of knowledge Apply Plan, Do, Study and Act Apply Scaling PDSA and sequential improvement
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Apply Multiple PDSA cycles ramps in health care (PDSA) cycle is a "trial-and-learning" method that allows you to thoroughly but efficiently test and evaluate your change idea with workshop
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Planning out how the test will be carried out, testing the change and collecting data, evaluating that data, and then either dropping the idea or using the information to run another cycle
Details
Workshop WS5
Better Quality Through Better Measurement
Part 1
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd,
Dr. Aisha AlAdab,
Dr. Gautam Laxmikant Sharma
Moderator: Dr. Kimberly Leighton
CPD:
Level: All
Description
Increasingly healthcare professionals are being asked to measure what they do. Yet, many encounter roadblocks along this journey. This session provides guidance on how to avoid the roadblocks and build a measurement system that works. Special attention will be given to understanding variation conceptually and statistically. Case studies and exercises will be used to demonstrate the application of measurement principles. Linking measurement to improvement strategies will provide the final milestone in the QMJ.
Learning Objectives
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Determine why you are measuring
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Review the key milestones in the Quality Measurement Journey (develop measures, building operational definitions, developing data collection plans)
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To identify and build useful measures (operational definitions, stratification and sampling)
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Understand variation conceptually (common cause and special causes of variation)
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Understand how to create and interpret run charts and Shewhart (control) charts
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Link measurement to your improvement strategies
Details
Workshop WS6
Building a fair and just approach to when things go wrong
Session Track: Improvement Science
Speakers: Mr. Frank Federico
Moderator: Dr. Mahvesh Qureshii
CPD:
Level: All
Description
The principles of a fair and just culture must begin with an approach that does not focus on the individual's performance as the first step in investigating and error or event. How that event is analyzed sends a powerful message to staff. In this session, participants will explore the evolution of a just culture approach.
Learning Objectives
-
Describe the current approach to fair and just culture
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Develop an approach that begins with systems focus
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List the activities necessary to change the approach in your organization
Details
Workshop WS7
Application of statistical process control in healthcare improvement
Session Track: Improvement Science
Speakers: Dr. Gautam Laxmikant Sharma
Moderator: Dr. Raana Siddiqui
CPD:
Level: All
Description
Effective use of Control charts as understanding variation for the inherent healthcare improvement processes can transform and help diverse stakeholders to manage change in healthcare and improve patients' health. Sharing how and when SPC tool can be useful in QI for clinical/patient care processes and the benefits, limitations, barriers and facilitating factors related to such application.
Learning Objectives
-
Sharing how statistical process control charts learnings as a core tool applied to healthcare quality improvement, benefits, limitations, and facilitating factors related to such application
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Efficacy of Control Charts in healthcare quality improvement and sustainability. Understand the variations that are always present in processes. Interpretation of control charts. Process capability
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Impactful approach for ongoing improvement of systems, processes, and outcomes. An analytic study, process thinking, prevention, stratification, stability, capability, and prediction"
Details
Workshop WS8
The Healing Canvas
Session Track: Person-Centered Care
Speakers: Ms. Theresa Thomas
Moderator: Mr. Anas Abdeljabbar Mohamed Al-Masri
CPD:
Level: All
Description
Therapeutic Art encompass healthcare providers center-wide to ensure continuous psychological assistance to patients by letting them express their feelings in form of art. Therapeutic Art in hospitals and clinical settings could be very helpful to aid treatment and therapy, and to enhance communications between patients and on-site medical staffs in a non-verbal way. Therapeutic Art would facilitate early identification and management of patients who might develop changes in mental status during isolation period. Thus, we introduced Therapeutic Art among inpatients and assess their mood pre and post art therapy using the Rogers face scale taking in consideration of factors like pain, social need, nutritional status and Anxiety depression score. During implementation of Therapeutic Art in Communicable Disease Center (CDC), the team was able to keep Patients engaged and were able to relax and express their feelings through art forms. Reflection shared by the patients of the art drawn helped the Direct care professionals in understanding their diverse needs, relate to the knowledge of their life histories and supports so that each person can develop their capacities, have control over their daily lives and consequently feel better. METHODS Patients who has given verbal consent are involved in Art therapy. Rogers face scale is used pre and post art therapy to assess the mood of the patients. Along with the Roger's face scale, the patient pain scale, nutritional score and social need assessment is considered at the time of admission. After each Art therapy the patient shares his / her reflection for the art made, this gives an opportunity for expressing the thoughts and ventilating the feelings. Patients are allowed to have materials for more than one artwork. RESULTS 89% of the patients are satisfied with Therapeutic Art . On an average ten (10) patients, mostly females participates in Art therapy every month. None of the patients enrolled with art therapy was referred for psychiatry consultation or stated that art therapy has affected negatively their daily activity. The pre score for rogers scale is 58%, with most of the patients sharing neutral mood and post therapy it has increased to 98%, with maximum of the patients sharing happy mood and feeling relaxed.
Learning Objectives
-
To improve mood and reduce stress among inpatients by implementing Therapeutic Art at the bedside
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To develop Interpersonal relationship and enhance professional bonding between patient and healthcare providers
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Enhance patient experience and outcome
Details
Workshop WS9
Risk Reduction in Dementia – Let's Implement
Part 1
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Hanadi Al Hamad
Moderator: Dr. Naseer Masoodi
CPD:
Level: All
Description
3 Phase Session
Phase 1:
2 Expert Speakers ( 20 min talk each )
Opening Speaker -Dr Hanadi Al Hamad ; National Lead for Qatar’s Dementia Plan
Second Speaker WHO Expert on Risk Reduction
Phase 2:
Workshop with Teams taking Position in Round Tables 30 min
We will have Teams in tables allocated according to Both -Important service areas as well teams reflecting on Important Risk factors divisions. We will have Facilitators for each table
Each table will have standardized 3 Questions
Q1) You have heard on Risk Reduction Evidenced based approaches. What you consider are the main challenges you are facing in Risk Reduction Implementation to risk factors specific to your work areas
Q2) What you consider ways to Overcome challenges
Q3) Can you Outline Implementation Key steps in your Work zone with Time line actions over one Year
Phase 3:
( 50 Min Total ) Feedback from Team - Key Table Leads and Way forwards from Our QNDP Risk Reduction Lead Dr Irshad
Learning Objectives
-
Understanding of Evidence Base -in Dementia Risk Reduction
-
Understanding of Challenges for Risk Reduction Implementation in Qatar context
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Understanding on Implementation of Dementia Risk Reduction
Details
9:00-9:15
9:15-10:15
Workshops
Workshop WS12
Workplace Violence Prevention
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Mefleh Hussein Alenazi
Moderator: Dr. Amira AlKharraz
CPD:
Level: All
Description
Presentation showing:
- Classify workplace violence.
- Stages & impact of violence.
- Qatar Regulations in workplace violence.
- Workplace violence prevention program
Learning Objectives
-
Classify the workplace violence and explain the stages and impact of violence in the healthcare organizations
- The role of the Qatar Regulations in workplace violence
- Provide the violence prevention program and what I should do during and after the violence
Details
Workshop WS13
Beyond the ‘repair shop’: how can improvement approaches be applied to improve population health
Session Track: Population Health
Speakers: Dr. Dominique Allwood
Moderator: Dr. Nana Twum-Danso
CPD:
Level: All
Description
The role of health care increasingly goes beyond looking after people who are sick. In this interactive session, participants will have the opportunity to hear more about population health improvement and the role of healthcare staff, leaders, and organisations in improving population health. Participants will be introduced to a framework to help them think about how their work maps to different domains of population health improvement and look at opportunities for future action.
Learning Objectives
-
Describe the key features of population health improvement
- Identify opportunities and challenges of healthcare organisations and leaders in undertaking these approaches
- Translate learning and insights to generate ideas for your own work
Details
Workshop WS14
IHI's Latest Thinking on a New Framework for Leadership
Session Track: Leadership, Resilience and Sustainability
Speakers: Prof. Jason Leitch
Moderator: Ms. Maryanne Gillies
CPD:
Level: All
Description
We live in times of unprecedented pressure on leaders at every level to deliver in complex systems, in difficult chaotic times, while being responsive to multiple constituencies, pressures and perspectives. This session will draw on IHI's latest thinking on how leaders can center on a Whole System Quality deployment approach around “What Matters” to patients, whilst accommodating and integrating the perspectives of all those involved in this work, through the lens of Scotland's quality work.
Learning Objectives
-
Understand IHI's latest thinking on leading for whole system quality
- Understand how this thinking can work in the real world, through the stories of leadership in Scotland
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Reflect on your own leadership journey and how this latest thinking can help tackle your current leadership challenges
Details
Workshop WS15
Better Quality Through Better Measurement
Part 2
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd,
Dr. Aisha AlAdab,
Dr. Gautam Laxmikant Sharma
Moderator: Dr. Aisha AlAdab,
Dr. Kimberly Leighton
CPD:
Level: All
Description
Increasingly healthcare professionals are being asked to measure what they do. Yet, many encounter roadblocks along this journey. This session provides guidance on how to avoid the roadblocks and build a measurement system that works. Special attention will be given to understanding variation conceptually and statistically. Case studies and exercises will be used to demonstrate the application of measurement principles. Linking measurement to improvement strategies will provide the final milestone in the QMJ.
Learning Objectives
-
Determine why you are measuring
-
Review the key milestones in the Quality Measurement Journey (develop measures, building operational definitions, developing data collection plans)
- To identify and build useful measures (operational definitions, stratification and sampling)
- Understand variation conceptually (common cause and special causes of variation)
- Understand how to create and interpret run charts and Shewhart (control) charts
- Link measurement to your improvement strategies
Details
Workshop WS16
Intermediate QI: Concepts, Tools & Practice
Session Track: Improvement Science
Speakers: Mr. Mark Adrianne Agramon,
Ms. Catherine N. Jamias,
Ms. Smita Prasad
Moderator: Dr. Khawla Ahmed
CPD:
Level: All
Description
Qatar's changing healthcare landscape has meant that a renewed focus on quality improvement and efficiency is required to deliver sustained changes to maximize resources that will translate and influence person-centered care and patient safety. It talks about an approach that is targeted at all levels across HMC and its healthcare partners to build capacity and capability that translates into results focusing improved healthcare outcomes. Capacity and Capability Building Programs has generated QI champions, advisors, leaders and experts across the system which aims to embed person centered care and transformation through their improvement initiatives. On this worskshop, we will be focusing on the Quality Improvement (QI) tools that is being delivered in the HHQI's Intermediate Quality Improvement Course. There will be exercises and a case study wherein utilization of QI tools is inherent hence application of it will be discussed and practiced on. QI tools to be included are Process Mapping, Pareto Chart, Driver Diagram and Run Charts.
Learning Objectives
-
To enable healthcare professionals to apply appropriate quality improvement tools into practice
-
To generate quality improvement initiatives utilizing the MFI methodology, concepts and tools
Details
Workshop WS17
Transformational health system resilience: Stories of four countries (USA, England, Scotland & Qatar) – Inspiring the future
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Don Berwick,
Prof. Mahmood Adil
Moderator: Prof. Abdul Badi Abou Samra
CPD:
Level: All
Description
All health systems in the world, at times, face immense challenges in delivering high quality, universal, effective and efficient care for their population. It is not easy, but under such extra-ordinary circumstances and predicaments, resilient health systems have an opportunity to bounce back to something better than before.
This session will cover the experience and observations of the presenters to highlight such exceptional stories and examples of transformational efforts from health systems, change efforts in four nations: the USA, England, Scotland, and Qatar. Each example will highlight a real challenge, policy interventions or tools utilised (e.g. health intelligence; system change management; disruptive innovation), successes, failures, and lessons learned; leadership roles in the successful outcome; and ways to make them catalysts in shaping a bright future for healthcare systems, based on these inspiring stories.
Learning Objectives
- To hear an inspiring narrative of health system resilience in overcoming extra-ordinary challenges
- To understand the key ingredients of success applied in achieving quality, efficiency, access, and population health outcomes
- To learn the science and art of effective strategic leadership for shaping our healthcare future
Details
Workshop WS18
Tapping into Person-Centered Care Innovation to Accelerate Quality and Safety
Session Track: Person Centered Care
Speakers: Dr. Susan Frampton
Moderator: Dr. Muna Al Maslamani
CPD:
Level: Intermediate
Description
The rigor and resources applied to healthcare quality improvement over the past three decades have resulted in significant improvements in clinical outcomes and patient safety across much of the globe. However recent studies indicate that upwards of 1 in 4 patients may still experience at least one adverse event during their hospital admission, and many of these are preventable. As care has become more complex and moved to outpatient settings, we see similar challenges in the quality and safety of ambulatory care. Despite the advances that have been made, there is still a need for continued vigilance and focused improvement efforts. Evidence-based person-centered practices offer opportunities to address common quality and safety challenges, from falls and adverse drug events to communication failures. In this session we’ll explore multiple examples of innovative approaches that have advanced quality, compassion and partnership, and the impact they’ve demonstrated at clinical sites around the world.
Learning Objectives
- Understand the connections between evidence-based person-centered practices and improved clinical outcomes
- Identify several on-going challenges posed by the recent pandemic and the impact on quality, safety and patient experience
- Identify multiple person-centered innovations in use at a variety of healthcare settings across the continuum of care that have supported patient and family engagement, and improved safety outcomes
Details
Workshop WS19
Insights into the Power of Lean
Part 1
Session Track: Improvement Science
Speakers: Dr. Reham Hassan,
Ms. Eman Refaat
Moderator: Ms. Fida Ahmed
CPD:
Level: All
Description
In this session the presenter will explore the lean methodology tools and cover a few tools in details with hands on application of those tools.
Learning Objectives
-
The participant will be able to Identify the Lean concept, recognized Value via waste, accomplished Kaizen improvements, Conduct Value stream map, create visual aids and Kanban boards, define 5S tool
-
Streamline the operations and learn how to use lean tools to boost productivity and to eliminate wastes. Explain improvement strategies that emphasize reduction of errors and elimination of waste
-
In this workshop session we will illustrate the lean method of constantly searching for an agile and more informed way to carry out tasks by practical workshop and interactive video
Details
Workshop WS20
Risk Reduction in Dementia – Let's Implement
Part 2
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Hanadi Al Hamad
Moderator: Dr. Naseer Masoodi
CPD:
Level: Intermediate
Description
3 Phase Session
Phase 1:
2 Expert Speakers ( 20 min talk each )
Opening Speaker -Dr Hanadi Al Hamad ; National Lead for Qatar’s Dementia Plan
Second Speaker WHO Expert on Risk Reduction
Phase 2:
Workshop with Teams taking Position in Round Tables 30 min
We will have Teams in tables allocated according to Both -Important service areas as well teams reflecting on Important Risk factors divisions. We will have Facilitators for each table
Each table will have standardized 3 Questions
Q1) You have heard on Risk Reduction Evidenced based approaches. What you consider are the main challenges you are facing in Risk Reduction Implementation to risk factors specific to your work areas
Q2) What you consider ways to Overcome challenges
Q3) Can you Outline Implementation Key steps in your Work zone with Time line actions over one Year
Phase 3:
( 50 Min Total ) Feedback from Team - Key Table Leads and Way forwards from Our QNDP Risk Reduction Lead Dr Irshad
Learning Objectives
- Understand the connections between evidence-based person-centered practices and improved clinical outcomes
- Identify several on-going challenges posed by the recent pandemic and the impact on quality, safety and patient experience
- Identify multiple person-centered innovations in use at a variety of healthcare settings across the continuum of care that have supported patient and family engagement, and improved safety outcomes
Details
10:15-10:30
10:30-11:30
Workshops
Workshop WS23
Use of “Patient Stories” thru Arts: An Effective QI Tool to Improve Patient Engagement
Session Track: Person-Centered Care
Speakers: Mr. Belal Salem Zubi,
Mr. Esmat Swallmeh,
Ms. Katrina Nawag
Moderator: Mr. Kenneth Jun Logrono
CPD:
Level: All
Description
Interactive Techniques: The following are the interactive techniques will be utilized during the session: Storytelling “ Instructor illustrates a concept, idea, or principle with a real-life application, model, or case-study especially during the "Results" part. Socratic Questioning “ The presenter starts the session by peppering students with questions, always asking the next question in a way that guides the conversation toward a learning outcome (or major Driving Question) that was desired from the beginning.
Learning Objectives
-
Investigate the effectiveness of patient story as a QI tool to improve patient experience and engagement
- Identify the significance of using arts to tell more patient's stories and improve patient engagement using QI tools and IHI's model of improvement
- Understand how patient stories is critical to improve staff communication and values patient's what matters to them
Details
Workshop WS24
The Art of Listening
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Nana Twum-Danso
Moderator: Dr. Hanadi Al Hamad
CPD:
Level: Expert
Description
This session will focus on the essential leadership skill of listening and the potential benefits that arise from good listening skills. To be an effective listener, one must develop a genuine sense of curiosity to learn about the other person(s) thoughts, perceptions, beliefs and experiences. This creates the foundation for alignment on shared principles, negotiation around areas of divergence and creativity in problem solving. Participants will have the opportunity to apply what they learn through case study review and discussion.
Learning Objectives
-
Describe the core components of effective listening for leaders
- Diagnose leadership blind spots that could have been addressed through effective listening using a case study approach
Details
Workshop WS25
Better Quality Through Better Measurement
Part 3
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd,
Dr. Aisha AlAdab,
Dr. Gautam Laxmikant Sharma
Moderator: Dr. Aisha AlAdab,
Dr. Kimberly Leighton
CPD:
Level: All
Description
Increasingly healthcare professionals are being asked to measure what they do. Yet, many encounter roadblocks along this journey. This session provides guidance on how to avoid the roadblocks and build a measurement system that works. Special attention will be given to understanding variation conceptually and statistically. Case studies and exercises will be used to demonstrate the application of measurement principles. Linking measurement to improvement strategies will provide the final milestone in the QMJ.
Learning Objectives
- Determine why you are measuring
- Review the key milestones in the Quality Measurement Journey (develop measures, building operational definitions, developing data collection plans)
- To identify and build useful measures (operational definitions, stratification and sampling)
- Understand variation conceptually (common cause and special causes of variation)
- Understand how to create and interpret run charts and Shewhart (control) charts
- Link measurement to your improvement strategies
Details
Workshop WS26
Developing and using an effective huddle system
Session Track: Improvement Science
Speakers: Mr. Frank Federico,
Ms. Mayanne Gillies
Moderator: Mr. Ian Stewart McDonald
CPD:
Level: All
Description
Organizations have been quick to adopt huddles. However, not all use these huddles effectively or meet their intended purpose. In this session, participants will learn about the origin or huddles, the goals and activities of huddles, and building a system that shares information from workers to leaders and back to workers.
Learning Objectives
- Describe the purpose of huddles
- Analyze the effectiveness of current huddles in your organization
- Identify the changes needed in your organization to ensure effective huddles
Details
Workshop WS27
Insights into the Power of Lean
Part 2
Session Track: Improvement Science
Speakers: Dr. Reham Hassan,
Ms. Eman Refaat
Moderator: Ms. Fida Ahmad
CPD:
Level: All
Description
In this session the presenter will explore the lean methodology tools and cover a few tools in details with hands on application of those tools.
Learning Objectives
- The participant will be able to Identify the Lean concept, recognized Value via waste, accomplished Kaizen improvements, Conduct Value stream map, create visual aids and Kanban boards, define 5S tool
- Streamline the operations and learn how to use lean tools to boost productivity and to eliminate wastes. Explain improvement strategies that emphasize reduction of errors and elimination of waste
- In this workshop session we will illustrate the lean method of constantly searching for an agile and more informed way to carry out tasks by practical workshop and interactive video
Details
Workshop WS28
Beyond PDSAS and run charts: Designing and evaluating QI programs for credible results and good learning
Session Track: Improvement Science
Speakers: Dr. Don Goldmann
Moderator: Dr. Anand Bhaskaran Kartha
CPD:
Level: Intermediate
Description
The model for improvement (MFI) provides a sound, practical framework for designing QI projects and fostering real-time learning. Local projects or tests of innovative improvement ideas appropriately focus on application of practical methods, such as driver diagrams, PDSA cycles, and run charts. However, major QI initiatives, including efforts to scale up promising “bright spots”, may yield disappointing results if insufficient attention is paid to rigorous scientific design. Even positive results may not be deemed credible if evaluation is not aligned with design. This workshop will review challenges in applying the MFI to ambitious QI projects and programs and in scaling up local successes and bright spots. Various designs that are consistent with practical improvement science will be discussed. In addition, practical, widely used evaluation frameworks that are compatible with QI methods will be presented.
Learning Objectives
- Recognize common pitfalls in designing substantial improvement projects and programs, including scale up of promising “bright spots.”
- Understand and apply practical designs for obtaining credible results
- Understand and apply commonly used, practical frameworks for evaluation and learning, including both quantitative and qualitative methods
Details
Workshop WS29
Resilience as a System Attribute
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Jeffrey Salvon-Harman
Moderator: Mr. Aidan Kehoe
CPD:
Level: Intermediate
Description
This session will address the concept of system resilience and how a resilient system links to workforce wellbeing. Delegates will hear how we can design resilient systems to prepare and support staff and avoid burnout.
Learning Objectives
- Define resilience for individuals and systems
- Orient attendees to past resilience efforts that have focused on individual resilience
- Understand the value of shifting resilience focus to the system and stressors
Details
11:30-13:00
13:00-15:00
Intensives
Intensive I1
Practical Improvement Science in Health Care: A Roadmap for Getting Results
Session Track: Improvement Science
Speakers:
Dr. Amar Shah
Moderator: Dr. Don Goldmann
CPD:
Level: Beginner
Description
This workshop will provide an engaging and interactive way to learn about the core principles, methods and tools of quality improvement. We will help you learn how to apply the method to a real-life quality issue that you are facing in your service.
Learning Objectives
- Learn the basics of improvement science
- Apply the method of improvement to a real-life quality issue
- Identify the key advantages to using improvement science for applied problem solving
Details
Intensive I2
Root Cause Analysis Through the Human Factors and High Reliability Lenses
Session Track: Improvement Science
Speakers: Dr. Jeffrey Salvon-Harman, Mr. Frank Federico
Moderator: Dr. Muhammed Zahid
CPD:
Level: Intermediate
Description
This session will explore the concept of high reliability and the relationship between human factors and reliability. Delegates will hear how high reliability and human factors can contribute to event learning, and how to apply this learning in their own settings.
Learning Objectives
- Define the role of the Human Factors Analysis and Classification System in event learning
- Understand High Reliability solutions to Action Planning based on event learning
- Incorporate Just Culture application to event learning
Details
Intensive I3
Learning systems for organizational improvement
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Nana Twum-Danso
Moderator: Dr. Kimberly Leighton
CPD:
Level: Intermediate
Description
This session will introduce essential elements of organizational learning systems for performance improvement that is scalable and sustainable. The format will be a workshop split equally between didactic instruction and practical application of the essential elements to learning system challenges that the participants may be facing in their organizations.
Learning Objectives
- Describe the essential elements of a functional organizational learning system
- Apply the principles and design of functional organizational learning systems to diagnosing and mitigating learning systems challenges in their own organizations
Details
Intensive I4
Simplifying the Selection and use of Shewhart (control) charts
Part 1
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd,
Dr. Aisha AlAdab,
Dr. Gautam Laxmikant Sharma
Moderator: Ms. Clara Rodriguez
CPD:
Level: All
Description
You have collected data for your quality improvement project. Now what do you do with it? The starting point is to make a run chart. The more advanced approach would be to make a Shewhart (control) chart. While there is essentially only one way to make a run chart, there are many types of control charts which all are constructed differently. This session will describe the basic and advanced types of Shewhart charts, how to decide which one is most appropriate for the data you have and how to interpret them.
Learning Objectives
- Describe the different types of data that can be used to make a Shewhart chart
- Explain the elements of a Shewhart chart and the rules for special causes
- Provide guidance in deciding which Shewhart chart is most appropriate for your data
Details
Intensive I5
Achieving high quality healthcare with value improvement, waste reduction and flow efficiency
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Raana Siddiqui,
Ms. Maryanne Gillies,
Dr. Reham NegmEldin,
Dr. Jawed Iqbal
Moderators: Ms. Khadija Al-Shukaili
CPD:
Level: All
Description
Healthcare organizations require to consistently meet the needs of their patients while providing excellent quality of care. To ensure that cost reduction or optimization is driven by improvements in clinical and operational quality, with IHI's innovative Value Improvement approach, we focus on helping the organization transition from high-volume care to high-value care. There is lots of waste and flow issues which lead to gaps and bottlenecks in healthcare systems. we aim to, create greater efficiencies achieve system wide patient flow. aligned with value improvement methods to demonstrate "The Right Care, in the Right Place, at the Right Time". We want to prove value by aligning cost KPIs to show benefit across departments, facilities and the organization Methods: It utilizes the IHI value Improvement framework of prioritizing the strategic measures thorough working on the linkage chart, coming up with box score which is a lean accounting methodology that allows a snapshot of the weekly data categorized under performance, capacity and finance. The data is reported on a weekly basis through huddle near the visual management board. It utilizes the model for improvement to come with aims, measures and PDSA's. it also utilizes QI tools like process mapping, cause and effect, pareto analysis, run chart, control charts. Results: We have demonstratable sustained results with compliance to early discharges, reduction in length of stay, waste reduction in terms of applying 5 S and waste wheel tools, with significant cost saving, smooth flow and transition of care measures, effective utilization of resources etc. Successful examples will be shared. Conclusions: The participants would apply this knowledge to their own local setting with many shared examples in Teamwork, staff satisfaction, QI culture, leadership support, engagement, data collection, spread & sustainability, frontline empowerment and templates to share for an inter-active learning experience.
Learning Objectives
- Apply Value improvement methods to achieve better quality care, increased productivity and efficiency through standardization and waste reduction
- Optimally use available resources to deliver better outcomes for patients and achieve financial sustainability
- Catalyze faster progress in the transformation of health care delivery to advance patient and population outcomes, leveraging improvement science methods that achieve better results per unit of cost
Details
Intensive I7
Effective Communication and Team Collaboration in Multicultural Health Care Environment; Challenges
Session Track: Person-Centered Care
Speakers: Dr. Ahmed Alhammadi,
Dr. Manasik Hassan,
Dr. Magda Yousef
Moderators: Dr. Magda Yousef
CPD:
Level: All
Description
Promote communication and collaboration among Health Care Providers (HCPs) in a busy clinical environment is paramount. Effective communication associated with better patient care, less medical errors, increase teamwork & 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. Workshop Objective: 1) Highlights the importance of effective communication & collaboration among (HCPs) in a multicultural healthcare environment 2) Identify challenges and barriers to promoting communication in multicultural clinical work area 3) Use different practical communication tools and strategies to promote such collaboration Workshop Structure: In this interactive workshop participants will be engaged in several activities: (1) interactive didactic introduction on the significance of communication and team collaborations among (HCPs) in a multicultural healthcare environment, share decision and putting plan together, known challenges faced or perceived. (2) Engagement in discussions and reflections on video-clips of different communication gaps in clinical workplace. (3) in small groups, participants will identify barriers to implement effective communication in culturally diverse healthcare environment (4) Practice different tool and strategies to support communication and team collaboration. Who should attend The workshop welcomes all stakeholders in medical education, physicians, patient's safety and quality, nurses and other allied health working in any multicultural clinical environment, and other educators interested in promoting culture of safety in health care.
Learning Objectives
- Highlights the importance of effective communication & collaboration among (HCPs) in a multicultural healthcare environment
- Identify challenges and barriers to promoting communication in multicultural clinical work area
- Use different practical communication tools and strategies to promote such collaboration
Details
Intensive I8
" Part 1 تجاوز الأوقات الصعبه في القطاع الصحي"
Session Track: Improvement Science
Speakers: Dr. Khawla Athamneh,
Mr. Emran Kanan,
Dr. Al Munzer,
Dr. Mohammad Adnan
Moderator: Dr. Khawla Athamneh
CPD:
Level: All
Description
جلسة تفاعلية باللَغة العربية تهدف إلى تعلم كيفية تجاوز الأوقات الاستثنائيه باستخدام مفاهيم وأدوات التحسين. تدريب عملي لدعم المتخصصين في الرعاية الصحية لتوفير الرعاية المناسبة والحفاظ على العمليات اليومية خلال المواقف غير المتوقعة في القطاع الصحي
Learning Objectives
تستهدف الجلسة جميع المتخصصين في الرعاية الصحية. الأطباء والممرضين والصيادلة والمعالجين وغيرهم من العاملين والطلاب في المجال الصحي
في نهاية هذه الورشه، سيكون المشارك قادراً على:
- تعريف الجودة وتحسين الجودة
- مناقشة نموذج تحسين الجودة
- انشاء هدف ذكي
- إعداد المقاييس
- تطبيق تقنية ألعصف الدهني و مخطط السبب والنتيجه
- تطبيق دورات اختبارالتحسيين
- التعرف على المخططات وأهميتها في التحسين
Details
15:00-15:30
15:30-17:30
Intensives
Intensive I12
How to create your own approach to whole systems quality
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Amar Shah,
Dr. Kedar Mate
Moderators: Prof. Abdul Badi Abou Samra
CPD:
Level: All
Description
This session will focus on how to design and create a holistic system for managing quality - encompassing planning, control, assurance and improvement. We will dive into each of these aspects of quality management in detail, using case study to explore and learn, and consider how we might apply these principles within a healthcare environment.
Learning Objectives
- Examine the components of whole system quality and how to integrate and link activities together in practice
- Consider a case study of how to develop an evolving whole system approach to quality over time
- Identify the next steps for your own organization or department in creating a more holistic, integrated approach to quality
Details
Intensive I13
Building reliable processes
Session Track: Improvement Science
Speakers: Mr. Frank Federico
Moderator: Ms. Victoria Terry
CPD:
Level: Beginner
Description
Reliability does not happen by accident. A deliberate design and implementation strategy is necessary to ensure that processes are reliable and capable to deliver the desired results. In this session, participants will learn the principles of reliable design and apply them to improvement efforts.
Learning Objectives
- Understand how to evaluate healthcare process for reliability
- Apply concepts to design reliable processes in a deliberate and intentional manner
- Plan how you will use lessons learned in your work
Details
Intensive I14
Protecting the Health Care Workforce
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Jeffrey Salvon-Harman
Moderator: Ms. Mary Titus
CPD:
Level: Intermediate
Description
This session will address explore the problem of workplace violence, and how we can all improve workforce safety through the use of strategies and tactics and how we respond to threats when they do occur.
Learning Objectives
- Contextualize Workplace Violence threats and spectrum
- Review levels of threat management (primary, secondary, tertiary)
- Introduce strategies/tactics for prevention and management of healthcare workplace violence
Details
Intensive I15
Simplifying the Selection and use of Shewhart (control) charts
Part 2
Session Track: Imporovement Science
Speakers: Dr. Robert Lloyd,
Dr. Aisha AlAdab,
Dr. Gautam Laxmikant Sharma
Moderator: Ms. Clara Rodriguez
CPD:
Level: All
Description
You have collected data for your quality improvement project. Now what do you do with it? The starting point is to make a run chart. The more advanced approach would be to make a Shewhart (control) chart. While there is essentially only one way to make a run chart, there are many types of control charts which all are constructed differently. This session will describe the basic and advanced types of Shewhart charts, how to decide which one is most appropriate for the data you have and how to interpret them.
Learning Objectives
- Describe the different types of data that can be used to make a Shewhart chart
- Explain the elements of a Shewhart chart and the rules for special causes
- Provide guidance in deciding which Shewhart chart is most appropriate for your data
Details
Intensive I17 - Closed
Moving from Healthcare Service Performance Measurement to Performance Management
Session Track: Leadership, Resilience and Sustainability
Speakers: Prof. Mahmood Adil,
Dr. Moza Al Ishaq,
Dr. Somia Elfaki,
Dr. Ali Latif
Moderator: Ayat Mohammed Khalifa
CPD:
Level: All
Description
Performance measurement and performance management are two related but distinct concepts in the healthcare field. They are critical to ensuring that healthcare organisations deliver high-quality care efficiently and effectively. Performance measurement refers to the process of collecting and analysing data on the quality and efficiency of healthcare services. It involves setting specific, measurable goals and targets and collecting data on how well those goals are being met. On the other hand, performance management is a broader term that refers to the systematic process of improving the performance of healthcare organisations. This workshop will be targeting HMC leadership and the middle management of facilities. The first theoretical part of the workshop will provide an overview of the concept of performance management and its importance in the healthcare field. The major components of the performance management framework will be explained. It is also will discuss standard performance metrics used in healthcare. These metrics provide a snapshot of the quality and efficiency of healthcare services and can be used to identify areas for improvement. It's also helpful to discuss the importance of aligning performance metrics with organisational goals/priorities and the need to regularly review and update metrics to ensure they remain relevant and valuable. In the second theoretical part of the workshop, discuss strategies for implementing effective performance management systems. This will include highlighting the role of leadership in setting goals and targets and the importance of involving front-line staff in the process. It will discuss the use of data analytics and other tools to support service performance management. The group exercise(s) can be designed to allow participants to apply what they have learned in the theoretical parts of the workshop. For example, participants could be given a case study of a healthcare organisation and asked to identify key performance metrics and develop a plan for improving performance. Alternatively, participants could be asked to work in small groups to brainstorm ideas for improving performance in a specific area of a healthcare organisation.
Learning Objectives
- To understand the major components of an effective Healthcare Performance Management Framework
- To learn about the role of PDSA and other tools for enhancing better Performance Management
- To explore skills requirements needed to achieve effective strategic and operational goals of a high-performing organisation
Details
Intensive I18
What does a large piece of paper have to do with QI? Introduction to A3 and Scientific Thinking
Session Track: Improvement Science
Speakers: Dr. James Laughton,
Mr. Hassan Farhat,
Mr. Mohamed Aloui
Moderator:Mr. Anish Thomas Varughese,
Mr. Jerome Ramos,
Ms. Ma. Cleo Alcantara,
Mr. Abraham Ranjith
CPD:
Level: All
Description
There are many tools used in Quality Improvement (QI), fundamental is the Plan-Do-Study-Act (PDSA) cycle. PDSA cycles are essentially the tool for scientific thinking applied to solving problems. Taichi Ohno was famously quoted "No problem is problem" ie there are always opportunities for improvement. Approaching opportunities for improvement ('our problems') using a structured approach can be captured on an A3 sheet [1]. Many organisations, including Toyota, use A3 Thinking and the A3 report to capture improvement opportunities, as they evolve and as a means of reporting and sharing the learnings [2]. Quality and Improvement should not be seen as stand-alone projects, but as the culture of the organization. A3 Thinking used routinely helps embed the Quality mindset into the way of doing work, not as a bolt-on activity. Method: Inspired by W. Edwards Deming and his influence on Japan, particularly Toyota, what became known as 'Lean' incldued the approach of A3 Thinking for problem-solving. As a methodology underpinned by PDSA, HMC Ambulance Service Group tested A3 Thinking as an alternative to QI project charters and reports. A pilot example considered the Root Cause Analysis reporting timeline. Results: A3 Thinking provided a structured approach captured on a single A3 sheet of paper. In the pilot example, counter-measures achieved improvements, displayed on an A3 report (Example attached as basis for slides to build working through the development of the A3 during the workshop). Conclusion: A3 Thinking captures Scientific Thinking in an easily reported format for sharing impacts of PDSAs, improvements and learnings. As a tool, it helps streamline the documentation of QI and embed quality as the work, as culture.
Learning Objectives
- Introduce the concepts of Scientific and A3 Thinking
- Practise examples of Scientific and A3 Thinking with real examples of areas for improvement
- Highlight the benefits of Scientific and A3 Thinking for QI activities
Details
Intensive I20
"تجاوز الأوقات الصعبه في القطاع الصحي
Part 2"
Session Track: Improvement Science
Speakers: Dr. Khawla Athamneh
Mr. Emran Kanan,
Dr. Al Munzer,
Dr. Mohammad Adnan
Moderator: Dr. Khawla Athamneh
CPD:
Level: All
Description
جلسة تفاعلية باللَغة العربية تهدف إلى تعلم كيفية تجاوز الأوقات الاستثنائيه باستخدام مفاهيم وأدوات التحسين. تدريب عملي لدعم المتخصصين في الرعاية الصحية لتوفير الرعاية المناسبة والحفاظ على العمليات اليومية خلال المواقف غير المتوقعة في القطاع الصحي
Learning Objectives
تستهدف الجلسة جميع المتخصصين في الرعاية الصحية. الأطباء والممرضين والصيادلة والمعالجين وغيرهم من العاملين والطلاب في المجال الصحي
في نهاية هذه الورشه، سيكون المشارك قادراً على:
- تعريف الجودة وتحسين الجودة
- مناقشة نموذج تحسين الجودة
- انشاء هدف ذكي
- إعداد المقاييس
- تطبيق تقنية ألعصف الدهني و مخطط السبب والنتيجه
- تطبيق دورات اختبارالتحسيين
- التعرف على المخططات وأهميتها في التحسين
Details
Intensive I21
Hi-impact leadership behavior - What Leaders Do to Make a Difference
Session Track: Leadership, Resilience and Sustainability
Speakers: Ms. Maryanne Gillies,
Dr. Khawla Athamneh,
Mr. Jawed Iqbal,
Moderator: Mr. Ahmed Hommos
CPD:
Level: All
Description
Leadership is one of the most debated topic in healthcare settings which influence the organization culture. Hamad Healthcare Quality Institute (HHQI) with Institute of Healthcare Improvement (IHI) co-designed Improvement Leadership Program to deepen participants' knowledge and skills encompassing Hi-impact leadership behaviors focusing on Person Centeredness, Frontline engagement, Relentless Focus, Transparency and Boundarilessness. This creates awareness amongst managers to step-up as leaders and share the organization culture. Methods Improvement Leadership program (ILP) stretch over 10 months and delivered as blended synchronous learning. The program is designed to provide the participants in-depth theoretical knowledge on the subject in the webinars and in-person workshops followed by group discuss as reflective learnings. Also the participants are provided with learning references, recommended books and reference videos. In the workshop the author will utilize the IHI white paper and the ILP curriculum contents to create interactive learning environment and discuss the five elements of the Hi-impact leadership behaviors and how it impacts in shaping culture of the organization. Results The ILP successfully completed four cohorts with more than 100 IL graduates in the system. The post program skill improvement was access to remarkable improvement. The graduates are provided with online and face-to-face platform to meet and share the leadership challenges and the possible solutions are discussed. Conclusion Leadership is very sensitive topic and always misunderstood with administrative jobs. The leaders play important role in shaping right culture for the organization. There is need of tailored program for the HMC healthcare professionals in creating leadership change agents who can drive improvement and innovation, support improvement teams and strategies, and drive collaboration and spread of initiatives in the quality improvement goals of Hamad Medical Corporation (HMC).
Learning Objectives
- Participants will learn how to become consistently person-centered in words and deeds. Participants will be able to discuss the traits of visible champions of improvement
- Participants will be able to learn how to remain focused on the vision and strategy. Participants will be able to discuss transparency about results, progress, aims and defects
- Participants will be able to illustrate the elements of system thinking and collaboration across boundary
Details
7:30-9:00
9:00-9:30
Opening Ceremony
Speakers:
H.E. Dr. Hanan Al Kuwari,
Dr. Abdullatif Al Khal,
Dr. Kedar Mate
Moderator:
Mr. Hassan Al Hail
CPD:
Level: All
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Description
Learning Objectives
Learn about new developments in quality and safety in healthcare in Qatar and internationally from key industry leaders.
9:30-10:30
Plenary 1:
Redefining Leadership for Health: Leading in Extraordinary Times
Speakers: Dr. Don Berwick
Moderator: Prof. Abdul Badi Abou Samra
Level: All
Venue:
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Description
Health care executives and clinical leaders in recent times are having to address a range of important matters affecting health and care beyond their classical roles in delivering medical care. Such topics include, for example, climate change, social determinants of health, equity, workforce burnout, and preparedness for 21st century threats. This lecture will explore structures, processes, and cultural changes that can support this broadened portfolio.
Learning Objectives
- Identify and explain newer concerns about determinants of health that today’s health care leaders must address
- Identify some best practices in addressing social determinants of health
- Explain health care’s footprint on climate change and ways to mitigate that impact
10:30-10:45
10:45-11:45
Breakout Group A
Breakout A1
A focus on population health - what can we learn from other countries?
Session Track: Population Health
Speakers: Dr. Amar Shah,
Dr. Rayana Bou Haka
Moderator: Dr. Eman Radwan
CPD:
Level: All
Description
This session will describe how we can learn from other countries about how to improve population health at scale, whilst utilising a local quality improvement approach. We will describe work taking place that is applying principles of coproduction and quality improvement in order to tackle population health issues. The session will describe actions that healthcare organisations can take to start impacting on the health of the local population.
Learning Objectives
- Understand how we can apply improvement science to improving population health
- Identify the key steps involved in tackling a population health issue through the systematic process of quality improvement
- Appreciate the opportunities for a large healthcare provider to be able to act as an anchor organisation within the local community
Details
Breakout A2
CEO Summit
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Don Berwick,
Dr. Kedar Mate,
Ms. Maureen Bisognano,
Prof. Jason Leitch
Moderator: Ms. Selina Stephen
CPD:
Level: Expert
Description
This session for senior executives will allow for shared learning about approaches to organizing efforts to engage with topics recently on the agenda of health care organizations beyond care delivery, itself, including, for example, climate change, social determinants of health, equity, workforce burnout, and preparedness for 21st century threats.
Learning Objectives
- Identify and explain newer concerns about determinants of health that today’s health care leaders must address
- Identify some best practices in addressing social determinants of health
- Explain health care’s footprint on climate change and ways to mitigate that impact
Details
Breakout A3
Developing Effective Governance Mechanisms for Quality Healthcare Services
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Sodzi Sodzi-Tettey
Moderator: Prof. Abdul Badi Abou Samra
CPD:
Level: All
Description
The session starts with a concise framing of the Juran Trilogy for quality health systems – Quality Planning, Quality Assurance & Quality Improvement. This will then dovetail into a presentation and discussion of the ten lenses of the adapted quality of care governance framework for national health systems based on WHO’s National Quality Policy & Strategy framework. The governance framework will be practically applied through a case study example from the Qatar health system. The moderator will then invite comments and questions from attending participants in a highly interactive portion.
Learning Objectives
- Learn new approaches to developing effective governace meachanisms
- Discuss how to craete and implement Quality Healthcare services
Details
Breakout A4
Building Strategic Dashboards
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd
Moderator: Mr. Paul Thomas Mavin
CPD:
Level: All
Description
The session starts with a concise framing of the Juran Trilogy for quality health systems – Quality Planning, Quality Assurance & Quality Improvement. This will then dovetail into a presentation and discussion of the ten lenses of the adapted quality of care governance framework for national health systems based on WHO’s National Quality Policy & Strategy framework. The governance framework will be practically applied through a case study example from the Qatar health system. The moderator will then invite comments and questions from attending participants in a highly interactive portion.
Learning Objective
- Describe the reasons for building a strategic dashboard
- Explain the statistical knowledge needed to understand the variation that lives in your dashboard measures
- Review various graphical displays of dashboard data and how leaders can use the dashboard to achieve performance goals
Details
Breakout A5
Developing and delivering Hybrid Cardiac Rehabilitation Exercise during the COVID-19 Pandemic
Session Track: Flow, Safety and Value Improvement
Speakers: Mr. Javier Loureiro
Moderator: Dr. Sabah Al-Kadi
CPD:
Level: All
Description
The COVID-19 pandemic resulted in the cessation of approximately 75% of Cardiac Rehabilitation (CR) programmes worldwide (Scherrenberg et al., 2020). In March 2020 Cardiac Rehabilitation Phase 2 (CRP2) services were stopped in Qatar. Multiple studies had shown safety, effectiveness, reduced cost of delivery, and improved participation with Hybrid Cardiac Rehabilitation (Imran et al., 2019; Thomas et al., 2019). A multidisciplinary team reviewed various alternative models for delivery and decided to implement a Hybrid Cardiac Rehabilitation Phase 2 Exercise Program (HCRP2-EP) to ensure continuation of our patient care. Our aim was to enroll in the HCRP2-EP 70% of all eligible patients by 30th September 2020. Institute for Healthcare Improvement's (IHI) collaborative model was adopted (Figure.1). Multiple Plan-Do-Study-Act cycles were used to test change ideas. The outcomes of the project were analysed using standard run chart rules to detect the changes in outcomes overtime. This project was implemented from March 2020, and the patients enrolled between August 2020 and April 2021 (Table.1), with sustained monthly median enrolment above target of 70% throughout (Graph.1). As for our secondary outcome, 75.8% of the patients who completed HCRP2-EP showed a meaningful change in peak exercise capacity of ≥10% (mean change 17% ± 6%) (Graph .2; Table.2). There were no major adverse events reported, and the median Patient Satisfaction Score (PSS) was 96% well above the institutional target of 90%. This shows a well-designed QI program is an appropriate strategy for implementing HCRP2-EP in a clinical setting, and HCRP2-EP is a feasible, effective, and safe intervention in eligible cardiovascular disease (CVD) patients.
Learning Objectives
- To ensure uninterrupted provision of supervised cardiac rehabilitation exercise sessions during the COVID-19 pandemic via telehealth platform
- To implement a new Cardiac Rehabilitation Phase 2 delivery structure including online delivery of exercise rehabilitation
- To achieve equal or more than 10% improvement in the peak exercise capacity after completion of hybrid cardiac rehabilitation
Details
Breakout A6
Effect of Applying Lean Management Tools During Covid19 Pandemic in Critical Care Units
Session Track: Flow, Safety and Value Improvement
Speakers: Ms. Muna Al Shaqsi
Moderator: Dr. Ibrahim Fawzy
CPD:
Level: All
Description
The Covid-19 pandemic is pushed healthcare systems around the world to unexpected challenges and limitations. Process improvement in healthcare had tendency to cut capacity and flexibility in order to meet excessive demand during covid pandemic. Few literatures concluded in their research that application of the Lean Management approach is able to increase the effectiveness and efficiency of health services during covid 19. Some of institutions modified its way of operating and organizational structure to eliminate unnecessary steps in the management of patient flow and adopt lean tools. In Our local setting, excessive challenges to meet high demand compare to capacity of overflow of patients, short of resource, and competent ICU nurse. Four ICU opened with bed increased from 16 to 55 beds within 2 months. 150% competency dilution of untrained ICU nurses. There was an extensive debate about the effectiveness of lean tools during crisis, especially at the first wave of covide 19. lean tools like 5S and visual management system introduced in all ICUs resulted in reduction of admission process waste by 60%, efficiency in nursing performing procedure increased by 80% and reduction of staff search time for equipment by 80%. Reduction in medication preparation time by 40% through streamline the preparation process. In addition, training new ICU nurses process normally takes 3 months in ICU however, it was dropped to 10 days during covid. To sum up, applying lean tools gave an opportunity to identify problems from patient’s perspective as well as from frontline staff who deal with patient closely. This problem can continuously improve through staff engagement with solution and innovative ideas that can streamline the process and remove of waste.
Learning Objectives
- To explore the effectiveness on applying lean tools during covid 19 on nursing work efficiencies in critical care units
- To highlight on the organization experience on projects sustainability before, during, and after covid 19
- To examine staff satisfaction about the lean tools application during covid in critical care units
Details
Breakout A7
A Study on Practice and Awareness of Radiation Safety Among Healthycare Workers in a Tertiary Care HO
Session Track: Population Health
Speakers: Ms. Nahla Kundialil
Moderator: Dr. Tahiya Salem S.R. Ahmed
CPD:
Level: All
Description
A STUDY ON PRACTICE AND AWARENESS OF RADIATION SAFETY AMONG HEALTHCARE WORKERS IN A TERTIARY CARE HOSPITAL ABSTRACT Background: Healthcare workers play a crucial role in ensuring radiation safety. The risks of excess radiation exposure are not insignificant; Radiation emitted during fluoroscopic procedures is responsible for the greatest radiation dose for medical staff. When X-ray radiation is absorbed within our bodies, it can damage molecular structures and potentially cause harm. The awareness and knowledge about radiation safety among healthcare workers minimize the damage, optimizing the quality of images and safe use of ionizing radiation. Studies in worldwide show that majority of healthcare professionals lack the awareness and training regarding radiation safety practices. Thus, for maintaining and enforcing the safety of radiation within the hospital, it is vital to evaluate the radiation safety knowledge and practices of healthcare workers. Objectives: 1:- To assess the adherence to radiation safety practices as per the AERB guidelines 2:- To evaluate the knowledge among healthcare workers about radiation safety practices Methodology : A descriptive cross-sectional study was conducted in a tertiary care hospital using a convenient sampling method. Data was collected from 14 radiographers to assess compliance to radiation safety practices and data was collected from 83 participants to evaluate knowledge about radiation safety practices. Descriptive statistical analysis was used to describe and summarize the data. Result:- Among 14 radiographers the radiation safety practices were poor as per AERB guideline especially in terms of radiation protection precautions . Doctors and radio technologists had good level of knowledge and the interns and technicians had fair level of knowledge, but the nurses had very poor knowledge regarding the radiation safety practices. Conclusion :- The results show that the knowledge level of the healthcare personnel are moderately satisfactory but practice level was not satisfactory. which suggests that a continuing training program should be mandatory for all the healthcare personnel .Pre-test and post-test exercises can be included in order to increase the effectiveness of this trainings, and interactive case studies specific to the clinic can also be included in this program.
Learning Objectives
- To assess the adherence to radiation safety practices as per the AERB guidelines
- To evaluate the knowledge among healthcare workers about radiation safety practic
Details
Breakout A8
Oral QI Presentations on Flow, Safety, Value Improvement (Session A)
Session Track: Improvement Science
Speakers: Ms. Rana Aladawi,
Ms. Asmaa Ezzeldin Mohamed,
Dr. Mohd Amin Khalil Elesnawi
Moderator: Mr. Arun Christopher Samuelaugustine
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- Standardize common admission causes management (ex: electrolytes imbalance and infectious diseases)
- Optimize safe medication utilization by collaboration with the GIM-physicians
- To avoid rework loops in the discharge process
- Reduce the HD Patients admission to ED related to hyperkalemia from 12% to 0% by the end of Dec.22. Reduce number of HD Pts. on Low K+ Dialysate in HGH Dialysis Facilities from 56 pts to 5pts
Details
Breakout A9
Engaging the Clinicians and Team that Provide Patient Care
Session Track: Person-Centered Care
Speakers: Dr. Don Goldmann
Moderator: Dr. Jeffrey Salvon-Harman
CPD:
Level: Intermediate
Description
Jargon-free, practical scientific improvement can avoid common pitfalls in engaging clinicians and accelerate adoption and adaption. This presentation will guide pathway design in a “learning healthcare system” - respectful pathways that invite experience-based clinical judgment where evidence is weak, while supporting implementation of best practices where evidence is strong. Clinician-friendly pathways include criteria for patient selection, timing of interventions, and clear responsibilities of each inter-professional team member. They are patient-centered and incorporate checklists, “time outs,” standardized order sets, and opt-out criteria.
Learning Objectives
- Avoid common pitfalls in engaging clinicians by de-emphasizing jargon and adapting quality improvement to align with routine clinical work
- Understand why clinical pathways often are criticized as “cookbook medicine,” especially by physicians
- Understand the attributes of clinician-friendly, patient-centered clinical pathways that respect both evidence and experience
- Apply principles of clinician and patient engagement, knowledge theory, and behavioural economics to design pathways that support a “learning healthcare system
Details
Breakout A10
Building situational awareness to manage risk
Session Track: Improvement Science
Speakers: Mr. Frank Federico
Moderator: Ms. Elizabeth Macgillivray
CPD:
Level: All
Description
Huddles are used to identify risks and concerns. In health care we have adopted huddles which we use to identify the risks to patients and staff at the beginning of the shift. Yet throughout the day, new risks arise which require changes and adaptations in daily work. In this session, participants will be guided through an exercise to raise personal awareness of emerging risks.
Learning Objectives
- Describe situational awareness
- List how one can improve their situational awareness
- Identify activities to deal with emerging risks
Details
Breakout A11
Whole System Quality
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Nana Twum-Danso
Moderator: Dr. Reham Negm
CPD:
Level: Beginner
Description
This session will provide a basic introduction to IHI's Whole Systems Quality Framework which provide a roadmap for organizations seeking to close the gap between the quality that customers/patients are currently receiving and the quality that they could be receiving. This framework integrates the basic principles of quality planning, quality control, and quality improvement activities across multiple levels of the system. Whole system quality requires leadership principles and practices that foster a culture of learning to reliably and sustainably meet the evolving needs of patients, populations, and communities.
Learning Objectives
-
Describe the basic principles of quality planning, quality control and quality improvement
-
Identify leadership principles and practices that need to be strengthened to animate a whole system approach to quality
Details
11:45-12:45
12:45-14:00
How Qatar’s unique approach to healthcare resilience and teamwork helped deliver the best World Cup
Speakers: Dr. Ahmed Al Mohammed,
Dr. Abdullatif Al Khal,
Dr. Muna Al Maslamani,
Prof. Roberto Bertollini,
Dr. Mariam Abdulmalik,
Ms. Mariam Al Mutawa,
Dr. Robert Owen
Moderator: Mr. Brendon Morris
Level: All
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Description
Over the last few years, the healthcare sector has faced extreme challenges and once-in-our-lifetime opportunities. Learn from some of Qatar’s healthcare sector leaders their experiences and reflections on our performance, the power of our collective resilience and inspiration for our future efforts in quality and safety in healthcare.
Learning Objectives
- Learn from healthcare leaders the power of resilience and the important role it plays in upholding the quality and safety of healthcare in Qatar
- Learn about the innovative approach taken to caring for visitors and residents during the World Cup and lessons learned on that journey
- Learn about the legacy of resilience built over the pandemic and world cup and what that means as we take on new challenges
- Learn how togetherness and working collaboratively across the system, and with many non-healthcare partners, to achieve resilience
14:00-14:15
14:15-15:15
Breakout Group B
Breakout B1
Implementing Age-Friendly Culture Change: Scaling and Spreading the 4Ms
Session Track: Population Health
Speakers: Dr. Kedar Mate,
Dr. Hanadi Al Hamad
Moderator: Dr. Sameer Acharath Valappil
CPD:
Level: All
Description
Age-Friendly Health Systems use the 4Ms (What Matters, Medication, Mentation & Mobility) as a framework to improve care for older adults. When implemented together, the 4Ms allow interprofessional teams and health systems to provide person-centered care aligned with what matters to each older adult. In this session, delegates will hear stories and the latest learning about how health systems can take actionable steps to implement the 4Ms across their teams, together with understanding how Age Friendly Care is being approached at a national and local HMC level in Qatar.
Learning Objectives
- Share essential set of evidence-based practices on Age Friendly Care
- Describe the 4 elements of: What Matters, Medication, Mentation, and Mobility
- Align with What Matters to the older adult and their family caregivers
- Understand the national and local HMC successful implementations of Age Friendly Care
Details
Breakout B2
A framework for building a safe, reliable, equitable system for patients and staff
Session Track: Flow, Safety and Value Improvement
Speakers: Mr. Frank Federico,
Dr. Jeffrey Salvon-Harman
Moderator: Dr. Huda Saleh
CPD:
Level: Intermediate
Description
Organizations aspire to provide safe, effective and reliable care for patients in an environment that is safe for patients and staff. To achieve that goal, organizations must develop a culture and learning system that supports developing an enabling environment and application of improvement science. In this session, participants will be introduced to a framework that serves as a foundation upon which organizations can build to achieve their goals.
Learning Objectives
- Understand the role of culture in achieving highly reliable care
- Describe the skills and behaviors required to develop the desired culture
- List the activities that lead to culture change
Details
Breakout B3
Reducing Medication-related Harm - a Case Study
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Sodzi Sodzi-Tettey
Moderator: Dr. Shereen Alazzazy
CPD:
Level: All
Description
This session describes IHI’s Africa Hospitals Patient Safety Initiative (AHPSI) inspired by WHO’s third global patient safety challenge – Medication without harm. Participants will learn about the design and the various tools deployed by 10 hospitals from Ethiopia, South Africa and Ghana to reduce medcation related harm from polypharmacy, transitions of care and high alert medications. Experiences from the Qatar health system in harm reduction from medications will also be shared.
Learning Objectives
- Describe a case study demonstrating improved care delivery in relation to improved medication safety
- Discuss the importance of reliable healthcare processes to reduce medication harm
Details
Breakout B4
Building Capacity & Capability with dosing
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd
Moderator: Mr. Thabit Melhem
CPD:
Level: All
Description
Patients on the same medication do not all receive the same dose. Why then should we expect that the same dose of the science of improvement will be appropriate for all individuals within an organization? This session will explain IHI’s dosing approach and how it can be used to build capacity and capability for improvement. Dosing strategies will be offered, and case studies will be used to demonstrate how the dosing approach can be applied successfully in different sizes and types of organizations.
Learning Objectives
- Describe the IHI dosing strategy and related implementation tactics;
- Provide examples and case studies of how the dosing approach has been successfully applied in different sizes and types of organizations;
- Offer guidance on how the dosing approach can be applied to your organization
Details
Breakout B5
Association of Glycemic Control With Different Diets Followed by Patients With T2DM: QBB Findings
Session Track: Population Health
Speakers: Prof. Reema Tayyem
Moderator: Dr. Ahmed Al-Mohamed
CPD:
Level: All
Description
Diabetes mellitus type 2 (T2DM) is one of the most common diseases worldwide (1). Unhealthy dietary habits may lead to T2DM, which is also influenced by the extent of education and knowledge of appropriate diets for this disease (2, 3). Aim: This study aims to highlight the possible association between following different types of diet (low-fat diet, low-calorie diet, low-salt diet, and more than one diet) and glycemic control among Qatari and long-term resident patients with T2DM.Methods This study is secondary data analysis. Qatar Biobank (QBB) data on 2448 T2DM patients aged 18-60 years were obtained. The first group included participants with HbA1C <7%, while the second included those with HbA1c < 7%. Results: The results of the association of glycemic control with different diets followed by patients with type 2 diabetes were adjusted in four models. In the 4th model (adjusted for gender, age, sociodemographic, anthropometric, dietary habits, comorbidities, and medications), results showed that poor patients with poor glycemic control have higher odds [OR 1.90; CI (1-3.63)] of following a low-salt diet. The same observation was found in the low-fat diet [OR 1.73; CI (1.06-3.07)]. However, patients following more than one diet showed lower odds of having poor glycemic control for about 32% [OR.69; CI (0.48-0.98)]. Conclusion: Diet and lifestyle are vital factors that can affect HbA1C levels. The findings of this secondary analysis showed that better glycemic control of the patients was observed in patients following more than diet from the studied diets.
Learning Objectives
- Highlight the possible association between following different types of diet and glycemic control among Qatari and long-term resident patients with T2DM
- Study the association between some dietary habits and glycemic control
Details
Breakout B7
Reducing antibiotic use among chorioamnionitis-exposed neonates admitted to Al-Wakrah Hospital NICU
Session Track: Improvement Science
Speakers: Dr. Anvar Paraparambil Vellamgot
Moderator: Almunzer Abduljalil Zakaria
CPD:
Level: All
Description
Neonates exposed to chorioamnionitis accounted for 10-12% of admissions to AWHNICU. Considering the high risk for neonatal sepsis and guided by the American Academy of Pediatrics recommendation2, 100% of these babies received IV antibiotics and stayed in the NICU for at least of 48 hours. However, the observed rate of confirmed sepsis was low, and many babies received unwanted antibiotics. We reviewed the current evidence to look for conservative management strategies and found the evidence-based Early Onset Sepsis risk Calculator(EOSCAL)1,3 as a promising tool. Methods The Institute of Healthcare Improvement(IHI) Model of Improvement was used. A driver diagram (Figure 1)was formulated and accepted by the team members, including nurses and physicians, under the guidance of Quality and Patient safety leaders. Antibiotic use rate was the primary outcome measure. After one year, blood culture rate and early transfer to the postnatal ward were added. The process measures included the EOSCAL use rate and calculation error rate. The rate of positive culture among untreated babies within first week was taken as a balancing measure. Monthly data was collected from February 2020 and updated in the Life QI platform as run charts (Figures 4 and 5). Calculation errors were dealt by multiple PDSA. Additional outcome measures were added in Jan 2021. Data collection and monitoring continued till Dec 2022. Results Among 3837 inborn NICU admissions, 464(12 %) were chorioamnionitis-exposed babies(fig 3). 341(74%) cases were eligible for inclusion. Among eligible babies, 270(79%) did not receive antibiotics. Blood culture could be avoided among 106 (97% of low-risk babies),and NICU stay was reduced among 45(92% of eligible low-risk babies).None of the untreated babies developed sepsis during the first week. Conclusions Implementation of this project effectively and safely reduced the antibiotic use and blood culture rate among term, well babies exposed to chorioamnionitis. In addition, the project resulted in enhanced patient safety, flow, and cost reduction and is recommendable to other NICU settings in Qatar.
Learning Objectives
- To reduce antibiotic use among term, well-appearing neonates exposed to maternal chorioamnionitis, by 50% within six months.
- To reduce blood culture rate among chorioamnionitis-exposed, term, well-appearing neonates with low risk of sepsis (EOSCAL-Early Onset Sepsis risk Calculator score <1) to less than 10% in 6 months.
- To reduce the NICU length of stay to <36 hours for low-risk babies (EOSCAL score <1) for whom the mothers stayed in the postnatal ward for at least 48 hours (within 6 moths)
Details
Breakout B8
Using improvement science to pursue equity
Session Track: Improvement Science
Speakers: Dr. Amar Shah
Moderator: Dr. Muthusamy Thevar Sevugapandian Vijay Jeganath
CPD:
Level: Intermediate
Description
This all teach, all learn intensive workshop will provide attendees with the valuable skills and simple, well-tested tools they need to translate promising innovations or evidence into practice. You will explore a scientific approach to improvement - a practical, rigorous methodology that includes a theory of change, measurable aims, and iterative, incremental small tests of change to determine if improvement concepts can be implemented effectively in practice. Faculty will present this science through the lens of improving health and health care, but will also share examples of how improvement can (and does) influence our daily lives.
Learning Objectives
- Understand the difference between equality and equity
- Apply the systematic method of quality improvement to identifying and tackling an equity issue
- Learn from examples where teams have tackled equity issues using quality improvement
Details
Breakout B9
Oral QI Presentations on Flow, Safety, Value Improvement (Session B)
Session Track: Improvement Science
Speakers: Mr. Farrukh Ali Farooqi,
Ms. Rohini Puttegowda,
Ms. Farideh Jweihan
Moderator: Dr. Sikandar Aftab
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- To emphasize the importance of patient safety and value improvement in the clinical setting of HD units
- Continuous focus on patients safety and value improvement will effect in reducing financial budget and unnecessayr burden on hospital
- To reduce the length of stay of postnatal patients to 55% in Normal vaginal delivery and to 85% in post cesarean section
- To reduce the number of beds occupied in postnatal ward.( to prevent bed crisis -To streamline the patient flow and safety in our department
- To show the impact of the postpartum hemorrhage kit on the incidence of massive PPH among patients undergoing surgical obstetric procedures.
- To demonstrate how a new way of thinking/change of ideas could improve patient safety and quality of life in clinical practice.
Details
Breakout B10
Improving Patient Experience by Implementing an Organizational Culture Model
Session Track: Person-Centered Care
Speakers: Dr. Noha Almohaisen
Moderator: Ms. Khadija Khalid
CPD:
Level: All
Description
A satisfactory patient care culture model can help improve most patients' quality of care in a hospital. This study aims to improve patients' experiences (PX) by implementing a culture model at King Abdul-Aziz Armed Forces Hospital in Dhahran, Saudi Arabia (KAAB-AFH). To achieve the research aim, a set of interventions were implemented that included a patient and family advisory council (PFAC), empathy training, recognition of the patient experience, leadership-patient interviews, patient experience champions, and quality improvement. These interventions were further measured using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey in the inpatient, outpatient, and emergency departments. The improvement project was conducted in 2020, focusing mainly on transforming the culture and launching activities targeting specific touchpoints identified as priority areas. After making these changes, the hospital saw improvements in all patient relationships, with an average score across all dimensions collectively increasing by more than 4%. In addition, findings showed that the quality improvement project utilizing the PX culture model approach demonstrated significant improvements in PX culture. Employee involvement in patient care has become a significant factor in improving the quality of patient care. The critical elements for improving the patient experience and culture included recognizing staff and creating networks across the system through effective leadership, employee engagement, and engagement of patients and their families.
Learning Objectives
- This study aims to improve patients' experiences (PX) by implementing a culture model
- The improvement project was conducted in 2020, focusing mainly on transforming the culture and launching activities targeting specific touchpoints identified as priority areas
-
After making these changes, the hospital saw improvements in all patient relationships, with an average score across all dimensions collectively increasing by more than 4%
Details
15:15-15:45
15:45-16:45
Breakout Group C
Breakout C1
Quality Improvement at HMC/HHQI - Celebrating success and looking to the future
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Kedar Mate
Mr. Nasser Al Naimi,
Prof. Abdul Badi Abou Samra,
Prof. Mondher Letaief
Moderator: Dr. Reham Negm
CPD:
Level: Expert
Description
HMC/HHQI have been on a remarkable journey of quality improvement over the past decade - a journey filled with great examples of QI implementation that have resulted in significant improvements in healthcare outcomes across the system. In this session, you will hear and participate in a conversation between HMC/HHQI and IHI leaders about reflections on the local/regional QI journey, lessons learned and what the future holds.
Learning Objectives
- Learn from examples of successful QI implementation; Identify key leadership principles for supporting staff and teams
- Apply lessons learned by Executive Leaders within your own team and organisations
- Demonstrate the way leaders contribute to building and fostering a culture of quality and safety
Details
Breakout C2
Learning from the use of QI during the pandemic
Session Track: Improvement Science
Speakers: Dr. Amar Shah
Moderator: Dr. Loua Asad Hanna Al Shaikh
CPD:
Level: All
Description
This session will describe the ways in which quality improvement was utilised across the globe during the pandemic, and what we have learnt about how to adopt and apply quality improvement at times of crisis. We will share reflections and recommendations about how we can improve the way we lead quality improvement in the future.
Learning Objectives
- Identify the key aspects of quality improvement that were utilised in healthcare systems across the globe
- Appreciate the factors that led to greater adoption of quality improvement in tackling the challenges of the pandemic
- Share the key lessons from the pandemic about how we need to improve the way we improve in healthcare
Details
Breakout C3
Lessons from anchor institutions on improving health and outcomes
Session Track: Population Health
Speakers: Dr. Dominique Allwood
Moderator: Ms. Selina Stephen
CPD:
Level: All
Description
Healthcare organisations as anchor institutions can uniquely influence the wider determinants of health equity through their significant impact as employers, purchasers, users of resources and community partners. Anchor approaches can make a real difference but it’s not always obvious how. Building on the latest evidence and learning, and hearing practical lessons from leading healthcare anchor institutions, this session will explore the link between anchor institutions, population health and equity, and the improvement approaches and methods to make it happen.
Learning Objectives
- Have an increased understanding of how healthcare organisations acting as anchor institutions can impact population health and improve equity
- Have an opportunity to reflect on the opportunities and challenges for anchor missions to drive equity in their own places and communities
- Be inspired to act through exploring real life examples that have been used to make a difference
Details
Breakout C4
Leadership Strategies for Fostering a Culture of Safety
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Sodzi Sodzi-Tettey
Moderator: Ms. Maryanne Gillies
CPD:
Level: All
Description
This session presents and builds on IHI’s White Paper on “Leading a culture of safety” with practical global & Qatar specific strategies.
AHRQ defines a culture of safety as one “in which healthcare professionals are held accountable for unprofessional conduct, yet not punished for human mistakes; errors are identified and mitigated before harm occurs; and systems are in place to enable staff to learn from errors and near[1]misses and prevent recurrence” (AHRQ PSNet Safety Culture 2014).
The session will need by highlighting how leaders of organizations must set and, more importantly, demonstrate the behaviors and expectations essential to a safe and transparent culture.
Learning Objectives
- Describe leadership behaviours in driving change and engaging across boundaries
- Learn how to start your journey to be the best leader you can be
- Define leaders role in developing team culture, authenticity and transparency
Details
Breakout C5
An Introduction to Planned Experimentation
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd
Moderator: Mr. Jawed Iqbal
CPD:
Level: All
Description
When were you ever asked to do just one thing? Furthermore when did one new idea by itself substantially change an organization's outcomes. Many factors interact to produce outcomes. In this session participants will learn how to analyze the impact of multiple factors simultaneously on a given outcome.
Learning Objectives
- Describe the concepts, methods and tools of planned experimentation (PE)
- Demonstrate how to design and carry out a PE
- Use case studies to show how PE can untangle complex and messy problems
Details
Breakout C6
Implementation of an innovative patient flow management system to reduce crowding and length of stay
Session Track: Flow, Safety and Value Improvement
Speakers: Mr. Mohamed Hawari,
Ms. Marwa Mahmoud,
Dr. Abdelfatteh El Omari
Moderator: Marwa Mohamed
CPD:
Level: All
Description
Surgical specialty center is supporting the capacity of Hamad General Hospital (HGH) - the only tertiary facility in Qatar- with 301 surgical beds distributed as 231 for acute surgical and 71 for critical and trauma services. The delay in transfer of non- Trauma acute care surgery cases negatively impacted both surgical outcomes and increase length of stay, resulting in an inevitable crowding in emergency department or double inpatient booking in both transferring and receiving facility. In this regard, the patient flow management team took appropriate measures in order to implement the Day of Surgery Admission (DOSA) principles in order to save one bed day/patient. Methods: The keynotes to promote the interfacility transfer of non-trauma emergency surgery cases without delay is the clear and well-documented communication between health care providers and SSC patient flow management team. The Institute for Healthcare Improvement (IHI) model of improvement (driver diagram) was used to identify the high-level factors, secondary, tertiary drivers and the appropriate action plan. Multidisciplinary team identified the reasons of delay interfacility through several round of meetings and discussions, and run multiple Plan DO Study Act (PDSA) cycles to reduce the time gaps between the transfer order and the time of bed allocation from 50% to 86% with 2 hours from the transfer order. Other PDSA cycles were run to substitute the elective admission by DOSA cases to save one bed day and reduce the length of stay. Results: Our data demonstrated that our team succeeded the challenge and reached the goals of the current project. In fact, the time gaps between the transfer order and the time of bed allocation were improved from 50% in 2020 to 86% within 2 hours from the transfer order. Moreover, with the support of health care providers collaboration and engagement of DOSA stakeholders, there were a significant improvement (10%), and decrease (10%) for DOSA and elective surgery, respectively. Our results showed that the ratio between elective admission and DOSA changed from 59:41 to 49:51 staring June 2021, and during 2022, respectively. Conclusion: Patient flow improvement in healthcare industry needs to a protocol a streamline the interfacility transfer and promote the cultural change from regular elective admission to DOSA admission in order to improve the outcome and reduce the cost.
Learning Objectives
- Optimizing the scheduled surgery admission process through reducing the length of stay and avoiding cancellation due to bed unavailability in surgical specialty center-HGH
- Improving the interfacility transfer through a multidisciplinary, collaborative, and participative approach among healthcare providers in the surgical specialty center-HGH
- Use of lean healthcare management tools to improve the quality of care, the patient flow, the patient safety and satisfaction, and to reduce the cost of care in the surgical specialty center-HGH
Details
Breakout C7
Improving compliance with antibiotic prophylaxis in selected surgical procedures and impact in health
Session Track: Flow, Safety and Value Improvement
Speakers: Mr. Humberto Guanche Ga
Moderator: Mr. Mohammed Arshad
CPD:
Level: All
Description
When resuming the surgical activity after the COVID-19 pandemic non compliance with antibiotic prophylaxis was identified. A QI project using the Model for Improvement was developed to improve the compliance. In addition we aim to evaluate the impact in consumption of antimicrobial and cost related. During the intervention the goal (95% compliance) was achieved with significant reduction in cost and consumption of antimicrobial.
Learning Objectives
- To improve compliance to antibiotic prophylaxis in selected surgical procedures in The Cuban Hospital through the application of a Model for improvement
- Evaluate the impact of improving compliance in healthcare efficiency
Details
Breakout C8
Reducing 30-Day Hospital Readmissions for Patients Presenting with Heart Failure
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Jassim Zaheen Shah,
Mr. Sharin Varghese,
Ms. Indirani Savarimuthu
Moderator: Mr. Yaser Jaafar
CPD:
Level: All
Description
ABSTRACT Quality improvement (QI) initiatives have become integral to patient-centered care. Hospitalization for Heart Failure (HHF) carries a high risk for readmission and adverse patient outcomes. The current study assesses the impact of a quality improvement project on the reduction of 30-day HF readmission for patients admitted with Heart Failure in a dedicated Heart Failure ward (HDU-C) in the Heart Hospital. A single-center, retrospective service evaluation was performed in HDU-C at the Heart hospital. All patients admitted and discharged from HDU-C with a principal diagnosis of HF and readmitted within 30 days of discharge with the principal diagnosis of HF in any of the facilities of Hamad Medical Cooperation during the period 2019 to 2021 were included in the study. Over time multiple measures were implemented serially (such as early follow-up, education, counseling, and health coaching ) in order to improve the readmission rate, and a model for improvement framework was used to drive continuous improvement and Plan–Do–Study–Act (PDSA) cycles were used to test changes. The rates of readmission for the years 2019, 2020, and 2021 were calculated. Using percentage analysis and a chi-square test, the analysis was carried out with the help of the SPSS package. The result of the study showed a reduction in readmission rate from 25.5% (N= 36) in 2019 to 13.5% (N = 28) in 2020, which reduced further to 5.5% (N= 8) in 2021. The change in the rate of readmission in the years 2020 and 2021 is (X2 = 11.111 and p= .001) statistically significant. The study concluded that the implementation of multiple appropriate measures overseen by a multidisciplinary approach was effective in significantly reducing the readmission of heart failure patients discharged from a specialized Heart Failure Unit in the Heart Hospital. The reduction rate was higher than the expected rate. Keywords: Heart failure (HF), High Dependency Unit-C (HDU-C), CNS (Clinical Nurse Specialist), Quality improvement (QI).
Learning Objectives
- To reduce the number of heart failure patients’ readmission rate by 10% admitted to the HDU C in Heart hospital by the end of 2020
- To reduce the number of heart failure patients’ readmission rate by 20% admitted to the HDU C in Heart hospital by the end of 2021
Details
Breakout C9
Oral QI Presentations on Flow, Safety, Value Improvement (Session C)
Session Track: Improvement science
Speakers: Mr. Khaldoun Mahmoud Alfuqaha,
Ms. Nevine Rasheed,
Mr. Shatha Alqam
Moderator: Ms. Khadija Khalid
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- To comply with HMC policies and JCI Standards.
- To improve the safety and quality of patient care
- This initiative will have high impact in improving patient safety, satisfaction, and care as it will minimize the incidence of multiple patient prick, reducing patient discomfort and pain
- The organization shall benefit by enhancing the delivery of safe and efficient care to the patient with minimal cost and best utilization of resources
- improving medication reconciliation upon discharge from 40 % ( baseline) to 95%, in mental health hospital (MHH) by end of September 2022.
- Secure full supply of discharge medication for a complete dispensing process in a prospective manner
- Assure that the patient receives his \her patient own medication or specific medications
Details
Breakout C10
Creating Excellence in Person-Centered Care Using Certification Standards: Sharing Real-World Experiences at HMC Sites
Session Track: Person-Centered Care
Speakers: Dr. Hanadi Al Hamad,
Dr. Muna Al Maslamani,
Ms. Khadija Mohammed,
Dr. Nidal Asaad, Dr. Susan Frampton
Moderator:
CPD:
Level: All
Description
The Institute of Medicine published ‘Crossing the Quality Chasm’ over 20 years ago, formally identifying ‘patient-centeredness’ as a core aim of a high performing healthcare system. The publication received widespread attention and resulted in a level of interest and activity around patient centered care at both the provider and policy level that has continued to this day. Even though the importance of the patient perspective is now widely acknowledged, the progress made in this realm has been more modest than the gains made globally in quality and patient safety. Barriers have included lack of a clear understanding of which practices are tied to improved clinical outcomes, and lack of a clear pathway to implementing, sustaining and measuring those practices. The Certification for Excellence in Person-Centered Care was developed to provide a structured pathway and operational framework for establishing the evidence-based practices and processes necessary to sustain culture change in healthcare delivery settings. The standards serve as guidelines for designing care initiatives and benchmarks to measure effectiveness of cultivating a culture of continuous improvement and consistently orienting care around patients, families, and communities. This panel session will share several local hospitals’ experiences using the standards to improve person-centered care.
Learning Objectives
- Understand the evidence-base for person-centered practices that support better health, better culture, and better outcomes
- Describe some of the structural elements of a certification pathway for excellence in delivery of person-centered care
- Identify several key practices, structures and policies in place at local healthcare sites that have achieved certification for excellence in person-centered care
Details
Breakout C11
Can You Hear Me Now?
Session Track: Person-Centered Care
Speakers: Dr. Jeffrey Salvon-Harman
Moderator: Dr. Khawla Ahmed
CPD:
Level: Beginner
Description
Hearing loss and language barriers can impede successful and effective communication in the health care setting, sometimes with catastrophic consequences. Interventions to improve communication among patients with hearing loss and language barriers reduce the risk of safety events in multiple care settings.
Learning Objectives
- Highlight the importance of hearing and communication in healthcare coupled with the impact of hearing loss and language barriers
- Introduce strategies to assess and address hearing, communication and language barriers
Details
16:45-17:00
17:00-18:00
Plenary 2:
Patient-Centerdness and Redesigning Health and Care
Speakers:
Ms. Maureen Bisognano
Moderator: Ms. Mariam AlMutawa
Level: All
Venue:
View More
Description
Codesign and coproduction are two of the most vital and effective tools for leaders and clinicians today. In this session, we will share tools, ideas and outcomes for new models of care, codesigned for the aims of better health, best care, lower costs, equity and joy in work.
Learning Objectives
- Learn more about how to use patient-centered design for best care
- Share examples of how codesign and coproduction can lead to the Quintuple Aim
- Learn from new models from across the globe that can be replicated and shared
18:00-19:30
Poster Presentations
Speakers:
Poster Presenters
Moderator:
Level: All
Venue:
View More
Description
The authors of the posters will be presenting their quality improvement initiatives to all the participants. The presenters will be available for an interactive Q&A Session wherein participants are able to ask questions and clarifications for further learning. Participants will also be able to watch pre recorded video and audio presentations from the authors. Q&A session will be facilitated by on-duty poster team members by live chat function.
Learning Objectives
Recognize different quality improvement initiatives from across HMC, its partners and the greater region
Apply the change ideas learned from the poster presenters of the different QI initiatives
7:00-7:30
7:30-8:30
Breakout Group D
Breakout D1
Leadership Models for Co-Producing Joy in Work
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Amar Shah,
Dr. Muna Al Maslamani
Moderator: Ms. Maryanne Gillies
CPD:
Level: All
Description
Fostering joy in work is about creating systems that promote staff engagement, satisfaction, and resilience. This should be a shared responsibility of caregivers, leaders, and organizations. To that end, this session will share tested models for co-producing joy with staff through the IHI Framework for Improving Joy in Work and examples of leadership models and improvement methodologies known to nurture joy in work.
Learning Objectives
- Identify the key leadership behaviours that enhance joy in work
- Share the IHI framework for improving joy in work
- Demonstrate how quality improvement can support teams to create and enhance joy in work
Details
Breakout D2
The Kindness Movement
Session Track: Person-Centered Care
Speakers: Ms. Maureen Bisognano,
Dr. Dominique Allwood
Moderator: Dr. Moza Al Eshaq
CPD: 1 hour
Level: All
Description
Kindness needs to be at the business end of healthcare, yet too often we see the disastrous impact of leaders paying too little attention to the impact their behaviour has on others. Without kindness being front and centre to how we act, we don’t believe systems can deliver high-quality (or high value) care. In this interactive session, we will go beyond theory to explore and test what it means to be kind to patients, relatives, and the people we work with—and how to do it. We also invite delegates to join a growing global “movement”, exploring and promoting kindness.
Learning Objectives
- Think differently about kindness, and have a clear understanding as to why it is so central to quality and safety in healthcare
- Feel mobilised and equipped to act as role models and advocates for kindness within their teams, organisations and healthcare systems
- Have ideas, methods and tools which they can use to test to grow a culture of kindness in their work
- Have the opportunity to join a movement for kindness emerging from the forum
Details
Breakout D3
Leadership Behaviors in Developing a Culture of Safety
Session Track: Flow, Safety and Value Improvement
Speakers: Mr. Frank Federico
Moderator: Akhnuth Jones
CPD:
Level: Intermediate
Description
Culture reflects the values of an organization reinforced by the behaviors of the leaders and the behaviors that are allowed. Participants will examine the behavior necessary to support a culture of safety for every level of leadership in an organization. We will examine the application of the principles that are foundational to culture change and sustainability.
Learning Objectives
- Discuss how values are exhibited by the behaviors of leaders at every level of an organization
- Identify the behaviors that are necessary to impact culture
- Develop a plan to address gaps identified in a self-assessment of the organization
Details
Breakout D4
Training a New Cadre of Healthcare Workers through a Revised Curriculum - Lessons from Nigeria
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Sodzi Sodzi-Tettey
Moderator: Dr. Suhad Daher-Nashif
CPD:
Level: All
Description
To overcome the barriers to a pre-service health training curriculum that prepares the 21st century healthcare worker for the complexity of the healthcare system, leaders must intentionally collaborate to build on Deming’s idea that one can “never transform the prevailing system of management without transforming the prevailing system of education as they are the same systems.”
With lessons from Nigeria & Qatar, participants will be exposed to the curricula revision process, to tools and strategies for building relationships with stakeholders such as the regulatory bodies, tutors in the pre-service health training institutions, trainees, professional associations, implementing partners, and relevant government agencies.
Participants will learn how to facilitate the curricula revision process from conceptualization through design to implementation and evaluation.
Learning Objectives
- Describe a revised cirriculum for improving the training for a new cadre of Healthcare workers in Nigeria
- Learn lessons from the field in developing a cirriculum for a new cadre of healthcare workers
Details
Breakout D5
Understanding Capability Relating to Goals
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd
Moderator: Prof. Guillaume Alinier
CPD:
Level: All
Description
Is your current process capable of achieving the stated target or goal for you improvement project? In this session participants will be shown how to determine very clearly if their efforts have any hope of achieving the aim of the project. Both conceptual and statical ways to make this determination will be addressed.
Learning Objectives
- Define process capability conceptually and statistically
- Demonstrate how to determine capability for different types of measures
- Use examples and case studies to show how easy it is to determine capability
Details
Breakout D6
Quarterly Performance Review Meeting at health centers - A roadmap to Continuous Improvement
Session Track: Improvement Science
Speakers: Mr. Syed Hasan Rizvi,
Mr. Shakil Ahmad
Moderator: Dr. Isameldin Abdelbagi
CPD:
Level: All
Description
At PHCC Quality and Patient Safety is one of the key strategic priorities. Key performance indicators are identified, selected, and developed across each critical patient area/department to provide a reporting mechanism and regularly keep stakeholders updated on their performance. Individual dashboards and scorecards are updated and published. Although the monitoring was ongoing there were no standardized mechanisms or processes to engage stakeholders and monitor the progress at the Management level. This led to data being reported, without any follow-up review to improve the status. This was significantly evident during the Covid-19 outbreak especially during the third wave as many operational issues were identified and the review meetings helped in identifying and addressing the same with action plans in place Method: A pilot Performance Review Meeting (PRM) was first completed for 3 HCs in Q2 2021. Following that, an Introductory Meeting was conducted for all HCs during Q3 2021. PRM was started for all Health Centers from February 2022 to Q4 2021. In our study Q4 2021 data is considered baseline data. The Data Performance Management team supports the management of performance across the health Centers through PRMs where KPI owners share the KPIs, improvement plans, and the journey of improvement. A Standardized presentation was presented during the PRMs. It highlighted the High and low-performing areas, QI projects, or Quick fixes for improvement and the status of the action plan. Results: % Completed Medication Reconciliation was reported to be 60% in Q4 2021, and it increased to 68% in Q3 2022, % Compliance with Hand Hygiene increased from 93% to 97% in a similar time, and the Average waiting time to be triaged came down to 2.04 minutes from 2.1 minutes in Q3 2021. Q4 2022 is not included in the result as December 2022 report is still not published.
Learning Objectives
- Monitoring of performance related to quality and safety at all levels
- Engagement with PHCC leaders where both Quality and Strategic Performance are reviewed, high and low performance are monitored and discussed, and KPI owners share their action plans for improvement
- Ensuring high-quality services based on quality dimensions
Details
Breakout D8
Reduction of Blood transfusion in anemic cardiac surgical patients on cardiopulmonary bypass
Session Track: Flow, Safety and Value Improvement
Speakers: Mr. Irshad Ehsan,
Dr. Hesham Ahmed,
Mohammed Ewila,
Ms. Samira al Maraghi
Moderator: Mr. Hassan Farhat
CPD:
Level: All
Description
The hemodilution resulting from crystalloid priming of the cardiopulmonary bypass circuit represents a major risk factor for blood transfusion in cardiac operations. During surgery, ongoing blood loss and hemodilution because of cardiopulmonary bypass causes low hemoglobin (Hb) levels. Displacing some of the circuit prime with patient own blood known as retrograde autologous prime (RAP). RAP of the CPB circuit reduces the priming volume of CPB circuit and hence limit the hemodilution Methods Introduced Retrograde autologous priming technique for anemic cardiac surgical patient. Result: The result shows 80% reduction of blood transfusion on cardiopulmonary bypass by performing Retrograde autologous priming. Conclusion Retrograde autologous priming is a cost-effective method to limit the Hemodilution on Cardiopulmonary bypass and helps to reduce blood transfusion requirement. acknowledgement we acknowledge surgeons, anesthetics & Perfusionist in heart hospital operation theatre for their co operation to complete the study.
Learning Objectives
- To decrease the requirement of blood transfusion on CPB for anemic cardiac surgical patient by performing Retrograde Autologous Priming
- To find out the level of initial hemodilution can be reduced by performing Retrograde Autologous Priming
Details
Breakout D9
Oral QI Presentations on Flow, Safety, Value Improvement (Session D)
Session Track: Improvement Science
Speakers: Mr. Rinju Jacob Amprayil,
Ms. Al Anoud Al Fehaidi,
Ms. Sara Amdouni
Moderator: Ms. Ana Jimena
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- To determine the outcomes of the strategies based on hospital-acquired infection rates in NICU
- Early screen and management of refeeding syndrome using a rule of thumb by involving multidisciplinary team from 0% to 95% at geriatric units between July to Dec 2022
- Early detection of Refeeding syndrome by using Refeeding syndrome risk assessment tool
- Early assessment and management in individuals with Low, High and very high risk of refeeding syndrome
- The aim of this quality improvement project is to improve medication safety practices in AWH Labor room through BCMA implementation for patient identification compliance for the year 2022.
- To showcase the importance and impact of Bar Code Medication Administration (BCMA) in improving medication safety practices through correct patient identification in Labor & Delivery at a secondary ca
Details
Breakout D10
Oral QI Presentations on Population Health
Session Track: Improvement Science
Speakers: Ms. Safa Fouad Alrawi,
Dr. Sanjeevikumar Sundaram,
Dr. Pravija Talapan Manikoth
Moderator: Dr. Shafi Hashmath Ulla Khan
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- Adults’ vaccination against pneumococcal disease using evidence-based guidelines
- Clinical pharmacists will identify adult patients with gaps in care who are eligible for pneumococcal vaccination
- Clinical pharmacists will use patient education and shared decision-making to boost immunization rates in vaccine-hesitant adults
- In alignment with the Qatar Vision 2030 and the National Health Strategy 2018 – 2022, the primary objective is to provide improved integration and availability of services to the elderly
- To provide access to essential acute emergency medical care to the frail and elderly in a daycare setting.
- To establish The National Alzheimer’s and Memory Service Helpline- RAHA, as a core leading helpline service in enhancing Dementia Care.
- Easy accessibility to caregiver help and support. Easy accessibility to Geriatric Memory Clinic through self-referrals. Early identification and intervention of acute confusion in people with Dementia
Details
Breakout D11
Tying Shoes Saves Lives
Session Track: Improvement Science
Speakers: Dr. Jeffrey Salvon-Harman
Moderator: Ms. Victoria Terry
CPD:
Level: Beginner
Description
This session will explore how layering the Human Factors Analysis and Classification System on Root Cause Analysis processes together with applying High Reliability Organizing principles can greatly increase the learning and fidelity of action plans for system-level improvement from unintended events in health care.
Learning Objectives
- Introduce/review core concepts of Human Factors and High Reliability
- Understand the potential for synergy when Human Factors and High Reliability concepts are incorporated together in health care settings
Details
8:30-8:45
8:45-9:15
WHO Collaborating Center for Healthy Aging and Dementia
Speakers:
Dr. Ahmed Al Mandhari,
Dr. Hanadi Al Hamad
Moderator:
Dr. Kedar Mate
CPD:
Level: All
View More
Description
Hear from international, regional and local experts on the latest plans and objectives for the WHO to collaborate with HMC’s Department of Geriatrics and Long Term Care for healthy aging and dementia in Qatar.
Learning Objectives
-
Explain the global perspective on age friendly care
-
Identify the regional, strategic importance of healthy aging, dementia and WHO/HMC’s plans
-
Describe ways in which HMC will implement plans for collaboration with the WHO
9:15-10:15
Plenary 3:
Trust as a Determinant of Health
Speakers:
Dr. Kedar Mate
Moderator:
Mr. Nasser Al Naimi
CPD: /span>
Level: All
View More
Description
The pandemic and other recent challenges that our health systems face have helped us understand how important developing trusting relationships is in healthcare. This keynote will explore the importance of trust to restoring health and to building health systems capable of improvement. A set of ideas about how to build trust will be presented along with examples of how to do so at the individual, system and community levels.
Learning Objectives
- Understand the importance of trust as a determinant of health outcome
- Describe one important framework for building trust in health systems along with examples
- Identify examples from patient care, health systems and community-system interactions where trust can be built
10:15-10:30
10:30-11:30
Breakout Group E
Breakout E1
Care outside the hospital walls - Population Health panel
Session Track: Population Health
Speakers: Dr. Dominique Allwood,
Prof. Jason Leitch,
Dr. Nana Twum-Danso,
Dr. Rayana Bou Haka
Moderator: Dr. Nana Twum-Danso
CPD:
Level: Intermediate
Description
This session will be a facilitated panel discussion with four distinguished speakers sharing their experiences leading large scale improvements in population health and social care from a wide range of settings in England, Ghana, Scotland and Qatar. Integration with and divergence from the health care delivery systems will also be explored.
Learning Objectives
- Describe the principles of developing and facilitating large-scale improvements in population health and social care
- Identify key facilitators and barriers to large-scale population health and social care change in a range of high-income, middle-income and low-income settings
- Determine synergies and divergences between health care delivery and population health and social care strategies
Details
Breakout E2
The underappreciated roles of Epidemiology and Public Health in Quality Improvement
Session Track: Improvement Science
Speakers: Dr. Don Goldmann
Moderator: Mr. Mark Agramon
CPD:
Level: All
Description
This session will review fundamental principles of epidemiology and how they inform sound design and evaluation of improvement initiatives. In particular, epidemiology helps us understand and mitigate confounding and bias that can distort interpretation of the results we achieve, sometimes leading to claims of success that cannot be substantiated by rigorous analysis. Epidemiology addresses the important question, “Would the results have been the same had we not intervened,” perhaps due to secular trends or other initiatives – the so-called “counterfactual.” Key concepts will be presented in a straightforward, practical fashion, including illustrations from efforts to scale-up promising QI “bright spots.”
Learning Objectives
- Understand basic epidemiology concepts and methods (especially confounding, bias, and the counterfactual) and apply them to their own QI initiatives
- Understand and interpret relevant publications and whether or not the results can be attributed to the interventions that were delivered
- Apply core elements from major successful public health initiatives to major projects and programs in their own organizations and systems
Details
Breakout E3
Culture is the Foundation of Safety
Session Track: Flow, Safety and Value Improvement
Speakers: Dr. Jeffrey Salvon-Harman
Moderator: Mr. Ali Abdusatter
CPD:
Level: Beginner
Description
The culture that we work in and the outcomes that we are able to deliver are deeply related. In this session delegates will hear how patient safety and a culture of safety are inextricably linked, understand the core components of a safety culture and how we might promote this in our workplace settings.
Learning Objectives
- Describe the relationship between Safety Culture and achieving Safety outcomes
- Review core components of Safety Culture
- Understand implementation tactics for designing/re-designing institutional Safety Culture
Details
Breakout E4
Leadership Walkarounds
Session Track: Leadership, Resilience and Sustainability
Speakers: Dr. Robert Lloyd,
Mr. Frank Federico
Moderator: Ms. Deborah Nelson
CPD:
Level: All
Description
Many leaders think that if they get out of their office and just"walk around" the facility they are doing leader walkrounds. This is far from from what Leadership Walkrounds are all about. In this session participants will hear from IHI safety and improvement expeerts how to make this leadership characteristic part of the organization's ongoing quality journey.
Learning Objectives
- Learn why Leadership Walkrounds are a critical part of becoming a high Reliable organization (HRO)
- Understand the steps in conducting a leadership Walkround
- Explore how to set up, conduct and determine if leadership Walkrounds are making a difference
Details
Breakout E5
Healthcare Reform: Performing the Intravitreal Injection Procedure in an Outpatient Setting
Session Track: Flow, Safety and Value Improvement
Speakers: Ms. Saadiya Ahmad Alhebail,
Mr. Mohammad Jamal ,
Abdallah Hassan,
Ms. Erika Rose Baitlon Cayton
Moderator: Mr. Monkez Al Masri
CPD:
Level: All
Description
Introduction Healthcare is undergoing radical transformation, and its majority is moving to the outpatient setting. Ambulatory Care Center (ACC) is moving many theater procedures to the outpatient setting, and one of them is intravitreal injections. Booking intravitreal injections in the operating room is a suboptimal cost-effective option because it necessitates the use of the main operating room and pre-operative holding rooms, necessitates more staff, and prolonged patient turn-over may result in resource misallocation and increase the patient's waiting time. Therefore, ACC proposed transferring it to ophthalmology outpatient.
Aim Improve the Quality of Patient's Experience when getting Intravitreal injections and Increase the Number of Patients who can receive injections in a day. Interventions We used DAMIC (Define, Measure, Analyze, Improve, Control) as a tool for the improvement, and based on the analysis, we performed the interventions as follows: 1. Establish the patient pathway that complied with the requirements and got an approval from Facility Management and Infection Control Representative to operate as a new procedure room within outpatient. 2. Establish Intravitreal Injection transfer team that comprises of Retina Doctors, Staff Nurses, Nursing Aide, Pre Admission Anesthesia Clinic staff, clerk, cashier and housekeeping. 3. All Intravitreal Injection patients were given an appointment by their respective doctors. 4. Calling and sending message to the patients a day before their booked appointment. 5. The entire journey of the patients was observed and correct the shortfalls to be more effective and efficient. Measured Outcomes: 1.Established Intravitreal injection patient pathway. 2.The total number of patients who are undergoing Intravitreal injections increased by 114%. 3.From registration to discharge, the mean patient visit waiting time was reduced to 36 minutes. 4.The total cost of procedure reduced by 35% comparing to the total cost of procedure within the Operating Theater setting. Conclusion ACC increased the number of patients who can receive the Intravitreal injection procedure at a lower cost through transforming a care by moving the procedure to an outpatient setting in accordance with HMC policies and standards of care such as Infection Control and Facility Management.
Learning Objectives
- To increase the total number of patients receiving Intravitreal injections by 50% by the end of 2022
- To decrease the mean patient visit waiting time to 60 minutes from registration of the procedure until discharge by the end of 2022
- To reduce the total cost of the Intravitreal injection procedure by changing the setting from Operating Theater to the OPD by the end of 2022
Details
Breakout E6
Reducing Costs thru the Application of Lean Tool (Modified Kanban System) in HGH Storerooms
Session Track: Improvement Science
Speakers: Ms. Khadija Al-Shukaili,
Mr. Kenneth Jun Logrono,
Mr. Belal Zubi
Moderator: Ms. Diana Lyn Piol
CPD:
Level: All
Description
The COVID pandemic has emphasized the right number of consumables at the right time. Given that 30–40% of HGH’s operating budget is allotted for logistical services. The logistical workflow process at HGH is a demand-based ordering system that results in undersupply and a lack of sufficient consumable items. This process variation caused supply discrepancies, which had a significant impact on patient care. A modified Kanban system is an adaptation of the traditional Kanban system used in manufacturing industry. The system was innovated and redesigned, and it consisted of several levels of systems, including a bin system, divider system, and bin system. Aim: Reduce the cost by 50% (in QAR) (from 16,000 to 8,000 QAR) started June 2020 among HGH Medical unit storerooms (15 units) Methods: The IHI Model of Improvement was used to apply the lean method, like the Kanban system. Through rapid cycles of PDSAs, the system was modified and tested in the unit storerooms of HGH in Doha while using several QI tools (like run and control charts, gemba walks, driver diagrams, pareto charts, fishbone diagrams, etc.). Redesigning the supply chain management in the units utilized a pull strategy and a visual management method that effectively quantified the needs of consumables at the right quantity at the right time. Results: Following its very successful implementation, reduction of costs to 65% among the kanbanized units. There was also an out-stocking reduction of consumables (1-15%). Results showed that for every 1% cost reduction, QAR 3000 is saved. To date, there are already 15 kanbanized units across HGH. Conclusion: This unique nursing innovation called the modified Kanban system is not only an effective cost-reduction strategy but also an important patient and staff experience tool, ensuring the delivery of the right consumables in the right quantity at the right time. Interactive Techniques: The following are the interactive techniques will be utilized during the session: 5 pics, 1 word – Asking the participants to guess the word depicted on pictures at the start of the presentation. Provocative Picture – Begin the lecture with a picture meant to provoke discussion to differentiate par system versus the Kanban system in the storeroom.
Learning Objectives
- Identify the positive effects of the Kanban system in the supply chain in ensuring the right quantity of the right consumables to support patient care at the right time
- Assess the impact of how lean methodology promotes person-centered care through the innovation called Kanban system
- Apply QI tools and IHI’s Model of Improvement to pinpoint issues and ensure improvements in supply chain management
Details
Breakout E7
Improving team communication between nurses and electronic preoperative tracking tool for intensive care
Session Track: Flow, Safety and Value Improvement
Speakers: Ms. Alzahraa Alolasi
Moderator: Esmat Sawlmeh
CPD:
Level: All
Description
Effective team communication has a direct impact on patient experience. There are no established rules for reserving ICU beds for elective surgical procedures. Utilizing an electronic preoperative tracking tool to improve team communication during Pediatric critical care unit bed reservation for elective cases. Aim: This quality improvement project aimed to improve staff communication satisfaction and to create an electronic tool between operative room (OR) nurses and PICU nurses including case manager to improve PICU bed reservation for OR elective cases. Methods: Model of improvement was used to guide this project. This project was implemented in a tertiary hospital in Saudi Arabia has a 10-bed capacity PICU bed. An electronic preoperative tracking tool was used to show the PICU bed reservation request states for OR nurses without calling PICU nurses to ask about the bed reservation status. Pre and post satisfaction survey was distributed for all PICU team and OR nurses including case manager. Moreover, a multidisciplinary staff education done to teach all staff regarding how to use this tool. One staff from each team were assigned to be the resource staff for their colleges. Result: before the implementation of this electronic preoperative tracking tool 50% of PICU nurses reported that they are not satisfied regarding PICU bed reservation process. Moreover, 54.2% reported that they had miscommunication with OR nurses regarding bed states. However, after implementing of electronic preoperative tracking tool the majority of the staff were satisfied regarding the new PICU bed reservation process. All the staff was supporting the new guidelines and intervention for improving bed reservation for elective OR cases. Conclusion: Utilizing an electronic preoperative tracking tool to improve team communication for Pediatric critical care unit bed reservation for elective cases shown a positive outcomes and increased staff communication satisfaction. Miscommunication events significantly decreased after implementing this electronic preoperative tracking tool.
Learning Objectives
- This quality improvement project aimed to improve staff communication satisfaction between operative room (OR) nurses and PICU nurses including case manager
- To create an electronic tool between operative room (OR) nurses and PICU nurses including the case manager, to improve PICU bed reservation for OR elective cases
Details
Breakout E8
Business Case for Quality Improvement
Session Track: Improvement Science
Speakers: Dr. Amar Shah
Moderator: Mr. Emran Kanan
CPD:
Level: All
Description
How can we create a single way to manage quality and cost? How do we evaluate the true benefit of applying quality improvement? This session will present a practical framework to evaluate the return on investment from quality improvement. It will describe each level of return, with examples of real QI projects to illustrate the framework.
Learning Objectives
- Utilize a practical framework for articulating the types of return you might expect from quality improvement
- Identify examples of quality improvement projects that illustrate each type of return
- Understand how to bring quality and cost together in a single way of understanding value
Details
Breakout E9
Oral QI Presentations on Person-Centered Care
Session Track: Improvement Science
Speakers: Mr. Renny Ully,
Ms. Saumya Boby,
Mr. Javed Iqbal
Moderator: Afaf Ramadan
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- A review of uptakes of the VBAC clinic and acceptance rates for a trial of labour after cesarean section in VBAC clinic attenders.
- To describe VBAC success rates among women who went into spontaneous labour after attending the VBAC clinic.
- To demonstrate the impact of measures introduced to promote an increase in the number of successful VBACs at Al Wakra Hospital since setting up this clinic.
- Implementing Delirium assessment and screening to identify the incidence of Delirium in SICU.
- To implement the Delirium prevention and management bundle in SICU adhering to the evidence based practice and to the corporation guidelines (CG 10167) and spread it across the ICUs in HMC.
- To ensure 95% of CDC patients have shared their preferences and documented in communication white board.
- To ensure 95% of the patients have shared their daily goals in communication white board.
- To engage patients in their plan of care. To address and consider patient preferences during hospital stay. To enhance patient experience and satisfaction. To improve communication between patient&HCP
Details
Breakout E10
Oral QI Presentations from International Experiences
Session Track: Improvement Science
Speakers: Ms. Nouf Altalal,
Ms. Najla Zaouya,
Dr. Qasem Ahmad Amedeo
Moderator: Dr. Eihab Awny A/Fattah Elkahlout
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- Improve adherence of surgical antibiotic prophylaxis (SAP) to hospital guidelines by 95% or more in elective surgeries at Armed forces hospital.
- To compare current triage practice within a peripheral ED with evidence-based practice guidelines.
- Implement changes to ensure that the triage is conducted according to national and international practice guidelines.
- Reduction of Hospitalizations (assessed by a unonymous questionario provided to the patient at the time of the first access)
- Maintain stability of ADLs
Details
Breakout E11
Cancer Civil Society Organizational Framework for Ensuring Equitable Person-Centered Cancer Control and Securing a Safety Net for People Living with Cancer
Session Track: Person-Centered Care
Speakers: Dr. Hadi Mohamad Abu Rasheed,
Mrs. Hiba Nassar,
Mrs. Dana Basem Mansour
Moderator: Lamiaa Saleh
CPD:
Level: Intermediate
Description
There is a growing understanding and interest of cancer and equity. So it is of high priority to understand and support cancer civil society in enabling a community partnership framework for Equitable Person-Centered Cancer Control which adopts a more holistic, health-promoting, and home & community-based approach to meet the evolving needs of community in cancer control.
Continuous professional development in cancer care and especially in early diagnosis and in breaking bad news for primary healthcare providers to represent a safety and quality net for cancer patients due to growing evidence of the effectiveness of their role in cancer control and in communicating difficult news to patients in a supportive way. The future of this crucial safety and quality net depends on working together and having intersectoral health, academic, and patient support organizations partnership.
Learning Objectives
- Understand the significance of Equitable Person-Centered Cancer Control from the perspective of people living with cancer.
- Understand the social determinants of health impact on cancer control.
- Describe the potential role of cancer civil society in enabling a community partnership framework for Equitable Person-Centered Cancer Control.
- Perform needs assessment and training need analysis to design capacity building programs for their patient support organization.
- Design evidence-based professional development and capacity building programs to server as safety net for cancer patients.
- Solve their challenge with resources through implementation of intersectoral health and academic, and public private partnership in their organizational professional development strategies.
Details
11:30-12:30
12:30-13:45
Title:
The next 10 years of health and care around the world, what does the future hold?
Speaker:
Dr. Don Berwick,
Prof. Jason Leitch,
Dr. Ahmed Al-Mandhari
Moderator:
Dr. Dominique Allwood
Level:
All
View More
Description
This conversation session with Dr Donald Berwick, President Emeritus and Senior Fellow of the Institute for Healthcare Improvement and Professor Jason Leitch, National Clinical Director for the Scottish Government and Senior Fellow of IHI, will explore the future of health and healthcare as we emerge from the COVID-19 pandemic and start to look to the future.
Learning Objectives
- Have an increased understanding of the factors that are affecting healthcare as we emerge from the COVID-19 Pandemic
- Understand where we could apply our focus help us to create a strong future for our populations
- Reflect on what we can do as leaders to support the creation of this future
13:45-14:00
14:00-15:00
Breakout Group F
Breakout F1
Common language, common method - QI in pursuit of the Population Health
Session Track: Population Health
Speakers: Dr. Dominique Allwood
Moderator: Dr. James Laughton
CPD:
Level: All
Description
Improvement methods have long been effectively used in pursuit of improving the delivery of healthcare. But increasingly people are looking to improvement methods to tackle wider population health issues. Join this session to look at how we think differently to effectively translate improvement methods to make a difference to improve population health. Participants will hear more about different methods and how they can be applied in pursuit of tackling population health in the triple aim.
Learning Objectives
- Understand how improvement methods can be effectively applied to tackling population health issues through practical examples
- Recognise the similarities and differences between methods for traditional QI and population health improvement
- Develop new insights on how to draw on improvement methods to improve population health in your own work
Details
Breakout F2
Human Factors: How to Connect Humans with Systems for Better Culture and Better Performance
Session Track: Improvement Science
Speakers: Mr. Frank Federico
Moderator: Mr. Belal Zubie
CPD: 1 hour
Level: All
Description
Even the most diligent and competent people make mistakes. The science of human factors helps us to understand why this is and what we can do to build systems that make it easy to do the right thing and hard to do the wrong thing. In this session IHI faculty will develop attendees’ understanding of the human condition, and, focusing on the behavioral aspects, look at specific tactics and tools that can be used to prevent and mitigate human error in healthcare and improve patient safety.
Learning Objectives
- Describe the human condition and how human factors influence safety and performance;
- Implement tools and tactics to improve safety;
- Identify opportunities for improving human factors in your own setting
Details
Breakout F3
Joy in work to support a resilient and vibrant workforce able to provide best care for all
Session Track: Person-Cenered Care
Speakers: Ms. Maureen Bisognano
Moderator: Dr. Kimberly Leighton
CPD:
Level: All
Description
As our workforce suffers from the challenges of the last few years, now is the time for each of us to rethink how we can focus on joy in work for ourselves, our colleages and the people we lead/. In this session, we will share models create the conditions that we all seek: joy in work to support a resilient and vibrant workforce able to provide best care for all. New models and tools will demonstrate the effectiveness of new ways to lead at all levels in health care and in many sites for care.
Learning Objectives
- Learn new ways to measure and act for joy in work at all levels in health care systems
- Explore models and actions that leaders can take to improve morale, commitment, effectiveness and tenure for staff in health care today
Details
Breakout F4
Improving the Joy of the Healthcare Workforce - lessons from the field
Session Track: Person-Centered Care
Speakers: Dr. Sodzi Sodzi-Tettey,
Ms. Maryanne Gillies
Moderator: Dr. Khawla Athamneh
CPD:
Level: All
Description
This session combines experiences and lessons from Qatar and South Africa to highlight various efforts to better support frontline health workers in the heat of the Covid-19 pandemic. Through practical case studies, it will discuss core design principles around building agreement on the core purpose, promoting effective leadership actions, preventing harm to health workers, preservation of the mental and emotional health of providers and activating a rapid learning system. Participants will leave with better insights on strategies for protecting the healthcare workforce including preventing and managing moral injuries during peak crises.
Learning Objectives
- Identify key behaviours that enhace joy in the healthcare workforce
- Discuss IHI Framework for Improving Joy in work
- Describe examples from the field implementing joy in work
Details
Breakout F5
Holding the Gains, Implementing & Spreading Improvement
Session Track: Improvement Science
Speakers: Dr. Robert Lloyd
Moderator: Ms. Sahar Al Shamari
CPD:
Level: All
Description
The Sequence of Improvement consists of a series of steps that move a team from exploring the nature of an improvement opportunity to spreading success to other locations. But this journey is not linear and achieved quickly. In this session participants will learn the steps in the sequence of improvement and how to hold the gains they make.
Learning Objectives
- Describe the differences between testing, implementing and spreading an improvement
- Explore their own improvement efforts in light of the holding the gains criteria
- Analyze case studies to determine if more testing is needed, if it is time to implement or should we spread the improvement
Details
Breakout F6
Opportunistic Health Screening of Asymptomatic Teenagers in a Community Setting in Qatar
Session Track: Population Health
Speakers: Dr. Amani Ghasoub,
Dr. Charmaine D’Souzaa
Moderator: Dr. Kholoud Al Mutawaa
CPD:
Level: All
Description
This study also aims to reveal whether long term COVID-19 restrictions, lockdowns and online schooling has unintended adverse consequences on adolescent health.
Learning Objectives
- The purpose of this study is to find the prevalence of obesity, dyslipidemia, vitamin D deficiency and anemia among asymptomatic candidates aged between 12 and 18 years residing in the community
- This study also aims to reveal whether long term COVID-19 restrictions, lockdowns and online schooling has unintended adverse consequences on adolescent health
Details
Breakout F7
Launching the First Experience Of Quality Training in Undergraduate Medical Education at the National
Session Track: Improvement Science
Speakers: Dr. Shireen Suliman,
Dr. Reham Hassan,
Dr. Khawla Athamneh
Moderator: Dr. Reham Negm
CPD:
Level: All
Description
Introduction Quality improvement and patient safety curricula that target trainees usually improve learners' knowledge and frequently result in changes in clinical processes. Enhancing medical students' knowledge, understanding, and skills in quality improvement enable them to become important influencers of change as future doctors(1). Medical school curricula are increasingly emphasizing training medical students in systems failures and their contributions to a cultureof safety and improvement (2). They are positioned toidentify, document, and explore opportunities to improve patientsafety and quality in their institutions (3). The College of Medicine at Qatar University (CMED-QU) in collaboration with the department of medical education at Hamad Medical Corporation (HMC) and with the support of the Hamad Health Quality Institute (HHQI)launched atwo-month initiative aiming at preparing final-year medical students graduates to develop their basic knowledge and skills in quality improvement, patient safety, and person-centered care. During the program, the graduating students applied learned knowledge and skills in their selected futurespecialties to identify a problem and come up with a solution. Methods The initiative included three full days with interactive lectures, hands-on workshops, videos, and group discussion and work (figure 1). During the duration of the program, all students were grouped into 14 groups each composed of 3 to 5 students based on their rotations to identify the microsystems' 5 Ps, identify problems occurring at these microsystems, and plan PDSA cycles for testing change. A fourth day was organized where students received training in Compassionate Humanization Interactionsand learned about creating a culture of compassion recognition, understanding, and emotional resonance with patients' concerns, distress, pain, or suffering, coupled with relational action. This day included interactive lectures, videos, and student role-plays. Besides these workshops, students received coaching on developing the application of the attained knowledge in defining their microsystem, identifying problems, and coming up with PDSA. At the end of the program, students presented their project charters and reported their feedback in quotes on their perceptions of the program in front of leaders from HHQI, HMC, CMED-QU, and the Institute for Healthcare Improvement (IHI). Results The whole graduating batch, fifty-fourfinal-year medical students attended and received the full training. Fourteen projects were presented by the student representative of each group (table 1). Students were trained to assimilate all the data in a project charter that was presented in graduation day, an example given in figure 1. The main themes in the template analysis of the students' responses Conclusions Training medical students in Quality improvement, patient safety, person-centered care, and compassionate humanization is well-received by the students and is crucial in developing future doctors as quality champions.
Learning Objectives
- Explore the ways and methods of introduction Quality improvement, patient safety, person-centered care science to undergraduate clinical students, with focus on medical students
- Define learned knowledge and skills for medical students can be appliedin their selected future specialties by identifying a problem and coming up with a solution
Details
Breakout F8
The Qatar Covid-19 Diabetes Program: Person-Centered Diabetes Management during the Pandemic
Session Track: Person-Centered Care
Speakers: Prof. Abdul Badi Abou Samra,
Dr. Kedar Mate
Moderator: Dr. Manal Musallam
CPD:
Level: All
Description
COVID-19 disrupted many aspects of routine chronic disease management across our nations. In Qatar, during the pandemic, the Hamad Medical Corporation in partnership with the Primary Health Care Corporation launched a successful program to manage Type II Diabetes in older adults. Building on principles described in the chronic care model, many elements of this program are now being considered for the ongoing management of chronic diseases in Qatar.
Learning Objectives
- To understand the elements of the Chronic Care Model
- To learn about the Qatar COVID-19 Diabetes Program
- To understand which elements of the Diabetes Program should be continued even as the COVID-19 pandemic recedes
Details
Breakout F9
Oral QI Presentations on Improvement Science (Session A)
Session Track: Improvement Science
Speakers: Ms. Hoda Abdelrahman,
Dr. Shereen Amin El Azzazy,
Ms. Muna Atrash
Moderator: Ms. Catherine Jamias
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- Improve cultute of near miss reporting
- Identify gaps and root causes to learn more mistakes
- 100% of eligible patients to have a VTE risk assessment 24 hours upon admission and appropriate thromboprophylaxis prescribed and administered as pr the guideline by the end of March 2023
- To decrease the number of hospital acquired DVT confirmed
- Utilize WHO health system resilience framework to assess AWH service delivery resiliency in top three patient safety areas sepsis, VTE and deteriorating patients during and after designation.
- Explore the effect of being designated as COVID facility upon crucial clinical processes and outcomes through comparison of a 6-month median prior to and after COVID designation era.
Details
Breakout F10
Oral QI Presentations on Improvement Science (Session B)
Session Track: Improvement Science
Speakers: Dr. Sohel Mohamed Gamal Ahmed,
Ms. Shahla Nabi,
Ms. Imelda C. Chiuco
Moderator: Ms. Clara Rodriguez
CPD:
Level: All
Description
Participants will learn from presenters how they made the change, achieved success and overcame challenges with select QI initiatives. This interactive session supports the commitment to continuous improvement and serves to disseminate information. It provides recognition of improvement and stimulates the learning experience for everyone.
Learning Objectives
- To improve anesthesiologists and anesthesia technologists’ knowledge and practice competency on anesthesia equipment by 30 percent above the baseline assessment.
- To improve the compliance with the guidelines that involve anesthesia equipment use.
- Use Clairvia Solution to track and update licensing, mandatory courses, and competency of nursing personnel files to achieve 95% staff compliance annually (on an ongoing basis).
- To demonstrate the effectiveness of utilizing Lewin's Change Model in establishing system-based adaptive strategies in WWRC NICU and showcase how these strategies improved infection control outcomes.
- To determine the outcomes of the strategies based on hospital-acquired infection rates in NICU.
Details
15:00-15:30
15:30-16:00
Poster Awards Ceremony
Speaker:Theatre
Speaker:
Ms. Elizabeth MacGillivray
Moderator: Dr. Abdullatif Al Khal,
Mr. Nasser Al Naimi,
Prof. Abdul Badi Abou Samra,
Dr. Hanadi Al Hamad,
Dr. Muna Al Maslamani
Level: All
View More
Description
In this session the speaker will show case the best practices of quality improvement and patient safety and acknowledge the well presented posters form best performing teams.
Learning Objectives
- Recognize best practices and presentations of QI projects
- Celebrate the best achieving teams in healthcare systems
16:00-17:00
Plenary 4: Scotland - a history and a future of innovation in healthcare quality
Speakers:
Prof. Jason Leitch
Moderator:
Dr. Abullatif Al Khal
Level: All
CPD:
Venue: Theatre
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Description
Scotland has a rich history of innovation in healthcare: from the world’s first cloned sheep (better known as Dolly) to pioneering the 3D printing of stem cells, from the discovery of antibiotics to the research that led to the MRI scanner. In the past 15 years, a different type of innovation has been taking place, one that has changed the culture of the NHS and the delivery of public services. Scotland has chosen quality as the organising principle of its public services. An approach based on assets, outcomes and co-production. This session will demonstrate Scotland’s globally recognised ambition to deliver high quality, people centred and assets based public services and share the lessons learned along the way.
Learning Objectives
- Understand the Scottish history of innovation in healthcare and how this has led to improving quality
- Engage with the lessons learned and reflect on their transfer to other settings
- Build on their own quality work with the learning from Scotland’s successes
17:00-17:15
Closing Remarks
Professor Abdul Badi
Abou-Samra
CPD: 0.5 hours
Level: All
View More
Description
Hear from the Forum chairpersons as they recap key learnings and outcomes from the conference.
Learning Objectives
-
Understand the key outcomes, learnings and take-aways from the conference to inform our work in quality and safety in 2023.
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