Session Track: Innovations in Patient Care: Value, Access and Flow

Moderator: Dr. Akhnuwkh Jones

CPD: 1.5 hours

Level: Beginner

Description

Session A: will demonstrate patient safety concepts associated with LEAN methodology and ‘plan, do and act’ cycles to improve equipment at the ‘patient’s side’ in a high reliability ambulance service.

Session B: is designed to provide audiences from a wide clinical and non-clinical background to understand how an ambulance service responses to a major incident as well as to an infectious disease pandemic (e.g. Novel2019 Coronavirus). This session will be linked to Session A.

Note: both sessions A and B will run simultaneously with participants swapping over to either Session A or B after lunch depending on which session they complete first.

Learning Objectives

Session A

• Understanding the impact of technology in tracking equipment as part of patient safety
  • Improving product recall
  • Improving the monitoring of maintenance dates
• Understanding LEAN principles used to optimize the supply processes within clinical support services by:
  • Minimizing time spent on stocking and restocking ambulances
  • Maximising available clinician time to treat patients
  • Maximising equipment availability whilst minimizing waste
• Product development through ‘plan, do, act’ audit cycles and simulation
• Product development through staff engagement 'learning from the shop floor'

Session B

• Understand what is a major incident
  • It’s not just about patient numbers
• Understanding the different management/clinical processes used in a major incident
  • Patient flow using triage
  • The infectious patient
  • The multiple patient incident
• To understand the role of LEAN and standardized equipment methods in optimizing mass patient care

Session Track: TBD

Speakers: TBD

Moderator: Dr. Mohammed Usama Al Homsi

CPD: 1.5 hours

Level: TBD

Description

TBD

Learning Objectives

TBD

Session Track: Improvement Science

Moderator: Dr. Amira Ibrahim Al Hail

CPD: 1 hour

Level: Beginner

Description

So, you can explain what the letters PDSA mean. Great! But, are you able to successfully run multiple PDSA tests in one day, know when a change concept is ready for implementation, and then sustain the improvements? This workshop will provide a refresher for those who are stalled, and a jump start for those who are new to the quality improvement journey. The Model for Improvement (MFI) provides the foundation and will be used to demonstrate how to link the three questions in the MFI related to aim, measurement, and change concepts to the sequence for success.

Learning Objectives

• To provide an overview of the Model for Improvement (MFI)
• To specify the differences between testing, implementing and spreading a change
• To identify key concepts, methods and tools that should be part of your QI toolkit

Session Track: Quality Improvement

Speakers: Dr. Moza A/Latif A Alishaq

Moderator: Dr. Reham N. Hassan

CPD: 1 hour

Level: Beginner

Description

Effective and compassionate leadership is vital at every level of health and social care. However, individuals and teams must be nurtured and supported to develop the competencies and behaviors required for effective leadership. The Leadership Game is a unique group-learning resource that helps individuals and teams explore the complexities of collective leadership in a relaxed and creative environment. This model is endorsed and used by the Institute of Health Visiting (IHV). The underpinning theoretical knowledge enables all health and social care practitioners to understand and participate in collective leadership.

Learning Objectives

• To support and encourage discussion and learning around leadership roles
• Highlight the need to work together as a team and engage in active listening

Session Track: Safety

Speakers: Dr. Kimberly Leighton, Dr. Maggie Allen

Moderator: Saif Mohammed Mirzaman Khan

CPD: 1 hour

Level: Expert

Description

The use of simulation is increasingly popular in addressing patient safety education, but it is important to use it appropriately and effectively to improve health care outcomes. In this workshop, participants will work in small groups to analyze needs assessment data and use that to drive the creation of scenarios designed to impact patient safety.

Learning Objectives

• Identify common preventable causes of medical error
• Discover the role of simulation for improving patient safety
• Create a simulation scenario(s) for healthcare practitioners that could impact patient safety and outcomes

Outcome

• Participants will understand how simulation can be designed to impact patient safety and reduce medical error

Session Track: Safety

Speakers: Dr. Noof Al-Siddiqi

Moderator: Dr. Eric Goralnick

CPD: 1 hour

Level: Beginner

Description

This workshop is a great opportunity for understanding and applying improvement science from a clinical perspective, using a case study around the national program for autism care. It is an applied example of using QI methodology to develop national strategies for special populations of patients. The workshop will help participants develop skills like drafting problem and aim statements, driving change ideas and developing testing and learning plans to reach standardization of care. The workshop also orients audience to the diagnostic approach and prevalence of the disorder, in addition to the National Clinical Guidelines for the diagnosis and treatment of autism spectrum disorder.

Session Track: Safety

Moderator: Dr. Huda Abdulla Hussain Saleh

CPD: 1 hour

Level: TBD

Description

TBD

Learning Objectives

TBD

Session Track: Patient Engagement and Involvement

Moderator: Dr. Nawal Al-Tamimi

CPD: 1 hour

Level: TBD

Description

TBD

Learning Objectives

TBD

Session Track: Patient Engagement and Involvement

Moderator: Nadia Saleem Abdullah Fakhouri

CPD: 1 hour

Level: Beginner

Description

The Institute for Healthcare Improvement’s (IHI) Free From Harm report lists “partner with patients and families for the safest care” as one of the eight recommendations for achieving total systems safety. Yet, many organizations struggle with creating systems that promote partnership opportunities. Faculty from IHI’s Safety Team will explore strategies for improving patient safety through effective patient and family engagement. A Patient Partner faculty will share proven successful implementation strategies. Participants will have the opportunity to observe and then practice the models presented through interactive activities.

Learning Objectives

• Incorporate tactile ways to engage patients at all levels of healthcare
• Demonstrate proven techniques for implementing patient and family engagement tools into practice
• Develop a process to utilize and apply input from patients to improve the safety of care delivered

Session Track: Innovations in Patient Care: Value, Access and Flow

Moderator: Thankam V. Panicker

CPD: 1 hour

Level: Intermediate

Description

This session will discuss hospital-wide strategies to improve hospital flow and deliver high quality patient care. Conceptual frameworks for system optimization to improve hospital wide-patient flow will be discussed. This course will provide the skills needed to analyze organizational capability and conduct successful interventions towards the aim of creating a sustainable system for system-wide hospital flow.

Learning Objectives

• Describe the IHI framework for system optimization to improve hospital-wide patient flow
• Utilize an approach for “sense-making” regarding the multiple strategies for improving hospital operations and patient flow throughout the hospital
• Analyze organizational capability, change concepts and successful interventions for creating a sustainable system for system-wide hospital flow, so that patients receive the right care, in the right place, at the right time
• Describe transformational strategies changes implemented at a large health system to dramatically improve hospital-wide patient flow

Session Track: Improvement Science

Speakers:Dr. Almunzer Zakaria, Dr. Amal Abusaad, Dr. Khawla Ahmad, Dr. Mohammad Adnan

Moderators: Dr. Aisha Hussain Al Adab

CPD: 1 hour

Level: Beginner

Description

ورشة عمل تفاعلية باللغة العربية تهدف إلى تعزيز ثقافة التحسين في القطاع الصحي. تدريب مركز على أحدث مفاهيم التحسين لدعم مقدمي الرعاية الصحية للوصول إلى الرعاية الصحية الآمنة والفعالة. وتستهدف حلقة العمل جميع العاملين في مجال الرعاية الصحية: الأطباء، الممرضين، الصيادله، المعالجين وغيرهم من العاملين والطلاب في المجال الصحي.

Learning Objectives

في نهاية هذه الورشه، سيكون المشارك قادراً على:

• تعريف الجودة وتحسين الجودة
• مناقشة نموذج تحسين الجودة
• إعداد المقاييس
• تطبيق دورات الاختبار والتحسيين
• إنشاء المخططات وعرضها

Session Track: Improvement Science

Speakers: Sumeet Kumar

Moderators: Mary Jyothis Titus

CPD: 1 hour

Level: Beginner

Description

Many facilitators struggle to take a project in healthcare from the stage of opportunity identification to completion. Sometimes even trained and experienced quality professionals get stuck in leading the teams through the next steps when they hit an unexpected roadblock while analysing data. The dependencies on different services and managing multi-disciplinary stakeholders, makes the healthcare project even more complex and uncertain. This intensive session is an opportunity for quality improvement professionals to learn a scientific approach that has been developed and standardized based on two decades of experiential learning gained while implementing improvement projects. This 10-step approach is proven to never-fail and always-deliver, and to provide project leads and facilitators an edge over facilitators using a traditional approach. The session will be divided into 3 parts. Part 1 will introduce the participants to the 10-step approach. In part 2, participants will be expected to apply the 10-steps on a healthcare case study provided. Table facilitators will be available to coach and mentor teams while they apply their learnings. Part 3 will focus on ‘Reflection’, where different teams will share their experience. Activities will be interjected throughout the session to make the learning fun and effective.

Learning Objectives

• Learn proven 10-step scientific approach to implement any project in healthcare
• Hands-on experience to apply the 10 steps using a healthcare case study
• Facilitators and project leads will have ready access to newly added tools in their tool kit

Session Track: Improvement Science

Moderator: Nadia Saleem Abdullah Fakhouri

CPD: 1 hour

Level: Beginner

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

• To provide an overview of the Milestones in the Quality Measurement Journey (QMJ)
• To identify and build useful measures (operational definitions, stratification and sampling)
• To explain QI approaches to analyzing and interpreting data with statistical process control (SPC) methods

Session Track: Improvement Science

Moderator: Nadia Saleem Abdullah Fakhouri

CPD: 1 hour

Level: Intermediate

Description

This session is designed for those who are or who aim to be coaching improvement teams. It will provide an overview of the skills and behaviors required to be a successful coach. Participants will also learn how to evaluate the effectiveness of their team meetings and explore the use of key tools such as he divergent and convergent thinking tools, establishing team norms, and using the 7-step meeting process. Case studies and exercises will be used to allow participants to determine if they would make a good QI coach.

Learning Objectives

• Understand the role of an improvement coach and how this role differs from being the team leader
• Discuss methods and tools for running effective team meetings
• Explore options for dealing with team challenges such as motivation or difficult conversations

Session Track: Improvement Science

Speakers: Dr. Amar Shah

Moderator: Dr. Guillaume Alinier

CPD: 1 hour

Level: Intermediate

Description

This session will describe how to manage quality within a frontline service. It will work through the various aspects of quality management and how best to utilize them within a service to improve care.

Learning Objectives

• Identify the components of a quality management system
• Share examples of how to integrate quality management into daily work
• Recognise the different roles for team members, team leaders and senior leaders in a quality management system

Session Track: Workplace Effectiveness

Speakers: Mark Agramon, Novica Icic, Robert Lloyd

Moderator: Maitha Al-Bouainain

CPD: 1 hour

Level: Intermediate

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.

Objective

• 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

Session Track: Patient Engagement and Involvement

Moderator: Prof. Walid Abdel Hak El-Ansari

CPD: 1 hour

Level: Expert

Description

Disease-centered approaches are appropriate when individuals have a single predominant disease and everyone with the disease desires the same outcome, such as prolonged survival or stroke prevention. They are however ill suited, for persons with multiple chronic conditions, i.e. most adult health care users. Patient goals directed care assesses patients as individuals and takes into each patient’s needs and desired outcomes. This session will 1) make the value case for such an approach to care 2) teach clinical staff how to develop goals with patients that are specific, measurable and time bound.

Learning Objectives

• Inform on the foundational model of goals directed care, “what matters to the patient, not what is the matter with the patient”
• Understand current goals driven care models including SMART goals
• Case study presented with interactive discussion including where are the opportunities to implement goals driven care with goals elicitation communication

Session Track: Workforce Wellbeing and Development

Speakers: Helen Crisp

Moderator: Dr. Faten El Taher

CPD: 1 hour

Level: Beginner

Description

A interactive crash course on how to QI results should be written up for presentation.

Learning Objectives

• Why dissemination of QI work is important
• How to plan QI projects to facilitate write-up
• Do’s and don’ts of writing a QI Report
• Other routes to dissemination

Session Track: Innovations in Patient Care: Value, Access and Flow

Speakers: Don Goldmann

Moderator: Dr. Monkez A/Razak Al Masri

CPD: 1 hour

Level: Expert

Description

Clinical pathways promote evidence-based practice, but physicians complain that they encourage “cookbook medicine” rather than leveraging their experience/expertise. 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. A clinical pathway for hip arthroplasty, developed with experts and patients, will be provided as an illustration.

Learning Objectives

• 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”

Session Track: Patient Engagement and Involvement

Speakers: Eman Elkaragi, Maheshkumar Patel

Moderator: Dr. Monkez A/Razak Al Masri

CPD: 1 hour

Level: Beginner

Description

The Magic of Four Words-What Matters to you Initiative in High Dependency Unit B

What matters to you? A simple but deep concept aimed at improving patient experience and satisfaction during their hospital stay. Patient and family satisfaction are one of the best measures that indicate the standard of health care in any facility. What matters to you concept encourages the clinicians to have more meaningful conversations with the patients and family to understand what really matters to them. Multi-Disciplinary team in High Dependency Unit B of Heart Hospital introduced What Matters to you, initiative under value Improvement Program to achieve improvement in patient engagement and satisfaction during their stay in HDU-B. Model of improvement is used to test and introduce the change ideas. Participation of patient and family in the project was an exceptional move. The idea of ‘Hello my name is’ another significant step taken to establish a good rapport with our clients very quickly. In conclusion ‘What matters to you?‘ approach has increased the patient as well as staff satisfaction in HDU-B. It gives both, the care giver and the client a novel experience in caring and being cared for patient care became more personalized and ensured patient and family participation in co creating health.

Learning Objectives

• Identify the areas where patient satisfaction can be improved
• Recognize individual patient needs, issues in their lives and the strategies to address them
• Teach the methods of collecting and analyzing patient concerns

Description

We Are Listening - Essential For Engagement & Enhancing Patient Experience

Patient satisfaction is undoubtedly the outcome of engagement and moments experienced by the patient in the hospital. It is important to “Hear what they Hear and Feel what they Feel” if we introspect and think from the patients/family perspective all that they expect is genuine care and a personal human touch whilst they are in our care. Literature agrees upon the fact that patient’s view of care certainly leads to improvement in quality. At Aster we adopted various channels to listen/feel what patient has undergone though patient feedback during stay, discharge feedback, post discharge calls, social media, google reviews, WhatsApp, Aster website etc. Overall structured patient feedback helps to monitor “what matters to patient” along with healthcare performances and provides us an opportunity to compare services and set benchmarks. Also, patient experience attributes to factors such as quality care, positive clinical outcome, safety, cost effectiveness and service efficiency.

Learning Objectives

• Understand patient engagement and the important aspects of the definition
• Learn about how a positive patient experience can affect the many different aspects important to an organization’s health
• Get ideas for the best ways to improve a patient’s experience & engagement

Session Track: Improvement Science

Speakers: Dr. Amar Shah

Moderator: Khadija Khalid M. Y. Mohammed

CPD: 1 hour

Level: Intermediate

Description

This session will describe how to manage quality within a frontline service. It will work through the various aspects of quality management and how best to utilize them within a service to improve care.

Learning Objectives

• Identify the components of a quality management system
• Share examples of how to integrate quality management into daily work
• Recognise the different roles for team members, team leaders and senior leaders in a quality management system

Session Track: Patient Engagement and Involvement

Moderator: Dr. Hatim Ahmed Abdelrahman, Dr. Eman A.Rahman Senan Al Maslamani

CPD: 1 hour

Level: Expert

Description

Disease-centered approaches are appropriate when individuals have a single predominant disease and everyone with the disease desires the same outcome, such as prolonged survival or stroke prevention. They are however ill suited, for persons with multiple chronic conditions, i.e. most adult health care users. Patient goals directed care assesses patients as individuals and takes into each patient’s needs and desired outcomes. This session will 1) make the value case for such an approach to care 2) teach clinical staff how to develop goals with patients that are specific, measurable and time bound.

Objective

• Inform on the foundational model of goals directed care, “what matters to the patient, not what is the matter with the patient”
• Understand current goals driven care models including SMART goals
• Case study presented with interactive discussion including where are the opportunities to implement goals driven care with goals elicitation communication

Session Track: Workforce Wellbeing and Development

Speakers: Azhar Ali, Kush Badshah

Moderator: Dr. James William Edward Laughton

CPD: 1 hour

Level: Beginner

Description

In this interactive session, participants will learn about the four steps they can take to address and improve joy in work amongst team members, build resiliency, and make sustainable system-level progress. It will be demonstrated how these outcomes will in turn create greater staff engagement in quality and safety initiatives.

Objective

• Understand how to apply quality improvement to enhance joy in work
• Learn about the key components required to create and enhance joy in work
• Share examples of teams that have applied this framework and approach to enhance joy in work

Session Track: Workforce Wellbeing and Development

Speakers: Dr. Don Berwick, Don Goldmann, Dr. Marty Makary

Moderator: Frank Federico

CPD: 1 hour

Level: Intermediate

Description

TBD

Learning Objectives

• Describe the workforce we have to today and ability to deal with the changes in healthcare
• The changes in healthcare and the implications for the workforce
• Identify the capabilities and capacities to meet he needs of health care in the future
• Discuss how to embed QI into the workforce to meet the constant changes
• List what the professions, academia and HC orgs can do to prepare for the future

Session Track: Patient Engagement and Involvement

Speakers: Angelica F Lalamunan, Dr. Muna Al Maslamani, Dr. Samar Mahmoud A. Hashim, Theresa Thomas

Moderator: Frank Federico

CPD: 1 hour

Level: Beginner

Description

What Matters to You

The Qatar National Health Strategy 2018-2022 reflects that the development of a nation's health system not only sustains well-being and treats illness but is also a critical investment in its communities. Aligning with the Qatar national health strategy, Communicable Disease Center (CDC) aims to achieve health improvement through addressing the health needs of population groups and the individuals through patient engagement – Direct observation therapy, community supervised therapy, eliminating stigma with regards the communicable diseases and outreaching the population. CDC establishes and maintains community relationship through building a bridge between facility and the public to achieve its vision. The facility ensures that the community needs are been assessed and studied further to meet precautionary measures, customize the services based on the need of the identified population and indulge in various community engagements for vulnerable population of Qatar. E.g. collaboration with public and private sector. The project emphasizes the quality of human interactions that occur within healthcare settings and practical strategies for engaging patients and family members as partners in care. We ensure bringing patient and family members in the board to get solutions for making good on the promise of partnering with patients.

Learning Objectives

• Enhance the partnership between healthcare facility and patients
• Foster community understanding towards communicable diseases
• Recognize the importance of strong community relationships with health sector and patient / family members

Description

A Smooth Sailing Towards Partnership: Patient Engagement and Involvement in Enaya Specialized Care Center

This presentation is about person- centered care which is a practice of caring the residents and their families. It also involves partnership of healthcare professionals (physicians, nurses, pharmacists, dieticians, occupational therapists, physiotherapists, respiratory therapists, wound care nurse, educators, case managers, and social workers). Person centered care includes listening to, informing and involving the residents in their care; providing care that is respectful of and responsive to, individual resident preferences, needs and values, and ensuring that resident values guide all clinical decisions. It also includes the What Matters to You? which is a simple but a powerful question in order to learn, to discover, to understand what residents need, want and hope for. It makes a difference, empowers residents and their families; improves outcomes, builds trust, shows respect, and strengthens relationships. It includes “Asking” what matters; “Listening” to what matters; and “Doing” what matters. Measures: 1. Patient Experience (through residents' and families stories, comment cards/ notes, face to face and online satisfaction surveys, and focus groups discussions) 2. Quality of Care (through leadership walk rounds, feedbacks, compliments and complaints).

Learning Objectives

• The team aim is to provide a person- centered care in Enaya Specialized Care Center that is executed in accordance to safety, high- quality, evidence- based, and value- driven practices thereby improving resident care experience and to maximize the patient engagement and involvement in ESCC
• The interventions include: Created organizational structures that promote engagement
• Person- Centered Care provides a structured, operational framework for evaluating the systems, and processes necessary to sustain organizational culture change

Session Track: Patient Engagement and Involvement

Speakers: Dr. Mike Posencheg

Moderator: Wesam S Smidi

CPD: 1 hour

Level: Intermediate

Description

Providing successful and equitable neonatal care requires a range of clinical staff, although all too often, staff and patient perspectives are absent at the care system's point of design. This session will outline how you can involve the full range of stakeholders in care design to ensure neonates and their families receive the quality care they deserve.

Learning Objectives

• Review the importance of the Psychology of Change for improvement work
• Discuss ways to involve the front-line staff in creating change
• Discuss ways to involve families in creating change

Session Track: Improvement Science

Speakers: Prince Mathew, Umaima Alraisi

Moderator: Sahar Dahawi H H Al-Shamari

CPD: 1 hour

Level: Beginner

Description

Critical Care Design for Tomorrow: A Mobility Platform in CICU

Early mobility program is an evidence-based mobility program designed to maintain baseline mobility and functional capacity and decrease hospital length of stay. The concept of mobilization is large, complex and interdisciplinary as well as it enhances recovery of functional exercise capacity, self-perceived functional status and muscle force at hospital discharge Aim is to mobilize 95% of the non-mechanical ventilated patient within 48 hours of admission. Multidisciplinary early mobility team developed strategies for patients in a 20-bed closed Coronary ICU. All patients had a “MOBILITY SCORE” documented at the bed side. This could be determined and changed by a physical therapist, physician or nurse. Score were from 0 to 10 Simple, therapy directed “Mobility Score” allowed and encouraged participation from all providers in the CICU. Adopting the Early mobility algorithm and Rapid cycle of changes, mobility level increased from 45% in April 2018 to 85 % by August 2018 and is sustaining at 100% since January 2019. All the improvements that were put together were adopted and the compliance monitoring is consistently done daily rounds by Early Mobility team. The future plan is to change the culture of CICU and extending the benefits of early mobility to critically ill patients.

Learning Objectives

• Build the urgency to understand the significance of early mobility
• Identify and discuss the key interventions of an early mobility program to improve patient outcomes
• Recognize the importance of implementing an early mobility protocol

Description

Learning Lessons Through The Cycle of improvement: Surgical Site Infection Post Cardiothoracic Surgeries

Surgical Site Infection (SSI) remains a substantial cause of morbidity, prolonged hospitalization, and death. In 2016-2017, SSI rate was 15.4% while the SSI benchmark was 2%. The hospitalization cost for cardiac surgery with SSI (9210 OMR) was calculated as three times cardiac surgery without SSI (9210 OMR). The mean Length Stay (LoS) post coronary bypass grafting (CABG) is 6 days whereas for CABG with SSI is 14 days. Methodology: The team planned to SSI post cardiac surgery by 50% from the current situation, by the first quarter of 2019 using process mapping and correct implementing SSI prevention bundle. The Patient journey was mapped in relation to the current practice. The mapping identified core contributing factors that were considered to be hindering the ideal implementation of SSI prevention. Re-mapping the process have been done by all of the stakeholders with introduction of new steps, elimination of unnecessary steps and standardization of practice. Results: The rate of SSI post cardiac surgery in adult and pediatric reduced from 15% in 2016 to 5% in 2019. And 100% compliance with the SSI prevention bundle was achieved. Conclusion: Stakeholder engagement in decision making and teamwork were the key eliminate of the achievement.

Learning Objectives

• To understand the difficulties in the process of improvements
• To learn the importance of teamwork, cooperation and collaboration for achievement to happen
• To understand the high impact of simple initiative on healthcare cost

Session Track: Innovations in Patient Care: Value, Access and Flow

Moderator: Dr. William Andrews

CPD: 1 hour

Level: Beginner

Description

Facilitating Discharges before 11 am in Pediatric Inpatient Units by Introducing an Inter-Disciplinary Standardized Discharge Process (HGH)

Delays in the discharging patients from the hospital result in an accumulation of the new admissions from the Emergency Departments (ED) and transfers from the PediatricIntensive Care Units (PICU). This quality improvement project aimed to increase the percentage of discharged pediatric patients who leave the pediatric unit by 11:00 Am from 4-6% to 30% by March 2020.A baseline discharge process map and fishbone diagram were studied to understand the possible causes of the delays. A data collection tool was designed to record the different steps in the discharge process for the pre-and post-intervention period. Using a PDSA cycle, interventions were introduced. The leading cause for the delayed discharges was late orders by the physicians and then the poor communication between the different health care providers. Post-intervention, there was an increase in the percentage of patients discharged by 11:00 Noon from 4.6% to 57%.

Learning Objectives

• Improve patients flow and reduce waiting time in Emergency Department and Intensive Care unit
• To improve the communication and coordination of discharge among inter-Disciplinary healthcare team
• Standardized Discharge Process

Description

Emergency Room Overcrowding: A National Perspective

This 60-minute session presents how the Ministry of Health in Kuwait is addressing the problem of Emergency Rooms Overcrowding as a part of its national project to improve the patient flow in Emergency Departments by applying lean-based interventions. The project is supported by previous published local research. The presentation contains a descriptive analysis of the current situation with the identification of the causes of overcrowding in the six general hospitals. In addition, the presentation illustrates the level of lean readiness in hospitals together with a high-level environmental scan for the proposed interventions. Moreover, the presentation lists a number of indicators that represents a balanced set of performance measures. The session is suitable for any senior or entry-level staff who is interested in lean healthcare and patient flow, especially in the Emergency Department. The session can accommodate any number of attendees

Learning Objectives

• Describe the situation of Emergency Department Overcrowding with its causes
• Define Lean Management and its concepts
• Develop a balanced set of performance measures

Session Track: Workforce Wellbeing and Development

Speakers: Azhar Ali, Kush Badshah

Moderator: Noreen Sheikh Latif

CPD: 1 hour

Level: Beginner

Description

In this interactive session, participants will learn about the four steps they can take to address and improve joy in work amongst team members, build resiliency, and make sustainable system-level progress. It will be demonstrated how these outcomes will in turn create greater staff engagement in quality and safety initiatives.

Objective

• Understand how to apply quality improvement to enhance joy in work
• Learn about the key components required to create and enhance joy in work
• Share examples of teams that have applied this framework and approach to enhance joy in work

Session Track: Innovations in Patient Care: Value, Access and Flow

Speakers: Don Goldmann

Moderator: Noreen Sheikh Latif

CPD: 1 hour

Level: Expert

Description

Clinical pathways promote evidence-based practice, but physicians complain that they encourage “cookbook medicine” rather than leveraging their experience/expertise. 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. A clinical pathway for hip arthroplasty, developed with experts and patients, will be provided as an illustration.

Objective

• 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”

Session Track: Innovations in Patient Care: Value, Access and Flow

Speakers: Dr. Anand Kartha, Anas Halabi, Ibrahim Alnadhari, Dr. Mohamed Khalil

Moderator: Noreen Sheikh Latif

CPD: 1 hour

Level: Beginner

Description

Improving Patient-centered flow in Medical inpatients€“a Middle East tertiary hospital-wide flow initiative

A system wide collaborative was established in November 2019 with IHI (Institute of Healthcare Improvement) to re-engineer the flow of Medical inpatients at a tertiary Middle East academic Health Center, focusing on standardizing admission, hospitalization and discharge processes to improve flow, reduce waste and significantly improve patient safety and satisfaction. A 2 day workshop conducted initial analysis and described the current processes, identifying waste and areas for improvement and collecting data. Process mapping and baseline data revealed multiple areas for improvement and multiple outcome metrics were identified including waiting time for admission orders (currently 03:25 hrs), length of stay for acute patients (currently around 4.5 days), improvement in provider satisfaction, improvement in patient satisfaction, reduction in number of long stay patients by 25% and reduction in causes of discharge delays by 25% by October 2020. Three multidisciplinary teams were established and developed interventions at admission, during hospitalization and at discharge. Initial PDSA outcomes will be available by February 2020.These initial steps have been rapidly initiated in a short time frame around 1 month and are closely integrated with a year-long system collaborative with IHI that will result in considerable spread of scope and favorable outcomes.

Learning Objectives

• Learn how to Design the right micro-meso system Teams in the Middle East to improve inpatient flow
• Learn how to Develop meaningful Interventions in the Middle East to improve inpatient flow
• Learn how to Deliver sustainable Improvement in the Middle East

Description

Al Wakra Stone Center of excellence journey

Al Wakra Stone Center is the first stone center worldwide to get an accreditation for center of excellence in kidney stone management from surgical review corporation in USA. Al Wakra stone center offers innovative, multidisciplinary and individualized clinical care to patients with urinary stones. We provide an outstanding services from diagnosis of kidney stones, management till prevention with our specialized stone prevention clinics. Timed effective care pathways are central to delivering quality and timely care to patients throughout their journey and to the delivery of an equitable service. An excellent standards and clear clinical pathways for each step through the process of management including full package of educational material which have an important role in great outcomes. Align with the HMC vision Al Wakra stone center is working in different pillars including research, education and quality improving projects which will be reflected on the patient best service. Our aim is to provide state of the art, evidence-based healthcare delivery to national, regional and international communities through an integrated, inter-disciplinary professional team of clinicians, surgeons, and researchers.

Learning Objectives

• To share the service provided by the Al Wakra stone center
• To show the standards of center of excellence and how we comply with these standards
• To show the benefits for the patients and organization from the accreditation

Session Track: Workforce Wellbeing and Development

Speakers: Kate Hilton

Moderator: Wesam S Smidi

CPD: 1 hour

Level: TBD

Description

TBD

Learning Objectives

TBD

Session Track: Improvement Science

Speakers: Dr. Mike Posencheg

Moderator: Dr. Guillaume Alinier

CPD: 1 hour

Level: Intermediate

Description

Quality improvement initiatives cannot be carried out only by leadership nor can it be carried out by a handful of engaged quality management professionals. Successful improvement projects are carried out by carefully designed teams, all engaged in working towards one aim. This session will provide the framework for constructing an improvement team and the tools needed to keep them engaged a long an improvement journey.

Learning Objectives

• Discuss the fundamental attributes of a successful team
• Discuss the stages teams go through from initial formation through success
• Describe strategies to help teams be effective and engaged

Session Track: Improvement Science

Speakers: Robert Lloyd

Moderator: Maitha Al-Bouainain

CPD: 1 hour

Level: Expert

Description

People don’t always make rational decisions based on careful calculations of risks and benefits. Instead, human behavior is often influenced by emotions and environment, as well as by how options are presented to us. This session will explain how you can use behavioral economics concepts and techniques to “nudge” people toward making better decisions without restricting their freedom of choice.

Objective

• The foundation for decision making and dialogue
• Threats to building dialogue
• Nudging people toward making better decisions

Session Track: Innovations in Patient Care: Value, Access and Flow

Moderator: Prof. Walid Abdel Hak El-Ansari

CPD: 1 hour

Level: Intermediate

Description

This session will provide an overview of the strategies and frameworks available for improving operations and patient flow throughout a hospital. Will offer guidance on how to determine which strategies will be best to test in attendees’ respective organizations and how to document improvement.

Learning Objectives

• Describe the IHI framework for system optimization to improve hospital-wide patient flow
• Utilize an approach for “sense-making” regarding the multiple strategies for improving hospital operations and patient flow throughout the hospital
• Analyze organizational capability, change concepts and successful interventions for creating a sustainable system for system-wide hospital flow, so that patients receive the right care, in the right place, at the right time

Session Track: Innovations in Patient Care: Value, Access and Flow

Speakers: Amr Metwally, Vanaja Balasingh

Moderator: Dr. Faten El Taher

CPD: 1 hour

Level: Beginner

Description

When Art shape the Healthcare Facility Design, what would be the impact on Quality Improvement

The presentation aimed to develop consensus around important of Art work in designing unique Healing Design Environment for patient safety issues to be considered during various stages in the healthcare design process and to identify key activities, methodologies, and tools for improving facility design in terms of patient safety. During presentation we will demonstrate recent project " Daam Specialized Care Center" as perfect example where Art embedded in the design process since the beginning, and wasn’t consider as merely decoration, rather as one important pillar that shape the whole building design internal/external and act as main element that interact, affect and affected by other healthcare design considerations. The impact of such important and bold design decision was initially measured through Clinical team/patients/family meetings initially at design stage, during construction and even after building completion, and it was found that it is measurably increases Patient and employee satisfaction; Patient, visitor, and employee perception of quality of care; and Brand recognition.

Description

Improving Operation Theatre utilization in Ambulatory Care Center

Identified significant problems of 70 -72% average utilization due to cancellation rates in ACC OT. Inefficiency OR utilization increases costs, indicating dissatisfied patients, physicians, and staff members. Objectives: To increase performance improvement and to minimizing cost, to involve staff as a frontline of the project. Methods: Scrutinized appropriate data criterion through fish bone diagram to assess the cause and effects of increasing rate in surgery cancellation. Highlighted the chief reasons for medical issues and no show by using Pareto method for improving outcomes. Designed iterative cycles of PDSA methodology and root cause analysis to monitor congruent improvement in our systematic project. Results: Achievement of a reduced rate in surgery cancellation from 11% to 5% with progressive patient outcomes and significant increase of utilization in ACC OT averaging of 80% as of December 2019.

Learning Objectives

• To increase performance improvement
• To minimize cost
• To involve staff as a frontline of the project

Session Track: Workforce Wellbeing and Development

Speakers: Dr. Khalid A Noor Saifeldeen

Moderator: Dr. Monkez A/Razak Al Masri

CPD: 1 hour

Level: Beginner

Description

Safe Manual Handling program was initiated at HMC in the year 2018. The overall goal of this program is to create a safe system of work for patient and staff and to reduce work related Musculoskeletal disorders (MSDs).

Safe Manual Handling Program include the following components:

• Surveillance of the incidence of work-related MSDs
• Risk assessment, Hazard analysis and controls (patient and worksite specific)
• Employee training
• Manual Handling Policy development
• Standardization of Manual handling Equipment (selection, purchase and management of patient handling equipment)
• Monitoring evaluation and Audits

The Safe Manual Handling Program sits under the umbrella of HITC and it was developed through extensive stakeholder engagement across HMC. Various committees were established including nursing AHPs, OHS, RACS, Engineering and biomedical planning/engineering, staff medical clinic to support development of this comprehensive Manual Handling program. The program is governed by Corporate Policy and Committee and supported by Manual Handling Scientific Education Planning Committee (general, link trainer and practical manual handling Course), Cerner Task Group, Equipment Evaluation Committee and Risk Assessment team.

This one-hour presentation will highlight the development and implementation of safe Manual Handling Program at HMC.

Learning Objectives

At the end of this presentation participants will be able to:

• Recognize the importance of Safe Manual handling program at work place to enhance patient and staff safety
• Develop a plan to support implementation of Safe Manual Handling Program in their assigned area of work

Session Track: Improvement Science

Speakers: Parag Mahajan, Yasser Khan

Moderator: Dr. Monkez A/Razak Al Masri

CPD: 1 hour

Level: Beginner

Description

Transition from Adolescent to Adult Mental Health Services: Bridging the Gap & Innovating Healthcare in Qatar

The concept of healthcare transition and its effective implementation has become an important focus across health care systems globally. The challenges which arise during transition are not specialty or disorder specific but embody common challenges for pediatric and adult health services. Poor transition leads to disengagement, poor patient experience and outcomes. A formal transition process encourages collaboration and integration between services and facilitates clinicians with developing effective and needs-based care-plans for patients. We adopted the principles identified in the recent International Delphi Study to develop and implement an effective transition model in 2018 between the Child and Adolescent Mental Health Services (CAMHS) and the West Doha Community Adult Mental Health Service (AMHS), within Hamad Medical Corporation. We have since put into place effective communication channels for adequate information transfer and flexible transition clinics to improve engagement and the quality of care provided to young people and their families during this period. This initiative is first of its kind within the entire organization (HMC) and there is work ongoing on replicating the above model between Child and Adolescent Mental Health Services and Community Adult Mental Health teams in other catchment areas of Qatar as well as other specialist mental health services.

Learning Objectives

• Understand the difference between “Transfer” and “Transition” of care
• Recognise the importance of improving young people’s transition from child-orientated to adult-orientated health services
• Discuss whether healthcare professionals working across Hamad Medical Corporation and other regional healthcare organizations (like Sidra Medicine) can incorporate the principles of optimal transition in their clinical services

Description

Quality Improvement of Sonographer Findings in Obstetric Ultrasound Imaging - The Al-Khor Hospital Experience

Sonographers are increasingly performing and reporting the findings in obstetric ultrasound (OBUS) examinations. It is important to quality assure (QA) ultrasound examinations to ensure standards are maintained and the levels of autonomy and case review are appropriate. We used retrospective expert review QA technique which can be applied to all OBUS examinations. Aims (95% target): To evaluate image quality and overall findings accuracy and quality (clarity, content, readability, and relevance) and adherence to local/national scanning protocols To ensure that abnormal examinations are discussed with a radiologist or appropriate supervisor as per protocol and that this is documented in the report Results: 6/ 8 sonographers scored ≥96.6% on all examined parameters. One achieved a score of 93% (below target) in only one parameter (quality of findings). Another also achieved a score of 93% in two parameters (presence of findings in RIS-PACS and quality of findings). Interventions: Met sonographers to discuss findings, processes, local protocols adherence and discussion documentation The first sonographer did not mention a few parameters in her findings and the second one forgot to add findings in RIS. They were informed of the same and agreed to comply in future Quality re-assessment after 6-months after sonographer discussion/meeting.

Learning Objectives

• Retrospective expert review can be successfully used as a quality assurance technique in all ultrasound examinations
• It is important to quality assure ultrasound examinations to ensure standards are maintained and the levels of autonomy and case review are appropriate
• To improve quality of sonographer findings, it is important to discuss with them the processes, local protocols adherence and discussion documentation

Session Track: Improvement Science

Speakers: Dr. Mike Posencheg

Moderator: Dr. Guillaume Alinier

CPD: 1 hour

Level: Intermediate

Description

Quality improvement initiatives cannot be carried out only by leadership nor can it be carried out by a handful of engaged quality management professionals. Successful improvement projects are carried out by carefully designed teams, all engaged in working towards one aim. This session will provide the framework for constructing an improvement team and the tools needed to keep them engaged a long an improvement journey.

Learning Objectives

• Discuss the fundamental attributes of a successful team
• Discuss the stages teams go through from initial formation through success
• Describe strategies to help teams be effective and engaged

Session Track: Improvement Science

Speakers: Robert Lloyd

Moderator: Maitha Al-Bouainain

CPD: 1 hour

Level: Expert

Description

People don’t always make rational decisions based on careful calculations of risks and benefits. Instead, human behavior is often influenced by emotions and environment, as well as by how options are presented to us. This session will explain how you can use behavioral economics concepts and techniques to “nudge” people toward making better decisions without restricting their freedom of choice.

Objective

• The foundation for decision making and dialogue
• Threats to building dialogue
• Nudging people toward making better decisions

Session Track: Innovations in Patient Care: Value, Access and Flow

Moderator: Dr. Hatim Ahmed Abdelrahman, Dr. Eman A.Rahman Senan Al Maslamani

CPD: 1 hour

Level: Beginner

Description

Reduce The Wastage Of Medical supplies in North Female Medical Ward (HGH)

The cost of health care has been rising for decades. Eliminating the waste would also stop our rising health-care costs from eating up our wage increases, our aim to reduce consumables cost by 5% from the current average of 40000 QAR at FMU 5N3 HGH by December 2019 to QAR 38000. Methods: Through Qatar National Value Improvement Collaborative and with the initiatives of HGH Senior Leaders they formed quality taskforce in Inpatient Medical Unit 5 North 3 in which we identify a Value Improvement Project under Cost Measures entitled Reduce Wastage of Medical Supplies. Using Model of improvement, and conducting multiple PDSA cycle such as 5S (Sort, Set, Shine, Standardize and Sustain), Data collection from the start of the project , comparing the total number of gloves, bed pads and face mask used for regular bedridden versus ventilated patients, development of standard list of requisition with items and quantity to be delivered and co-signed by nurses, development of tool to identify the number of incidence of shortage of store items, monitoring of borrowed items from another unit and to another unit, on the spot requisition of items with store man. Results: A significant change in cost and wastage of consumable items was noted.

Learning Objectives

• To reduce the wastage of medical supplies by identifying the unnecessary and infrequently used items
• To reduce the cost of consumable items
• To organize the store

Description

Phlebitis Treatment, Prevention and Care

Over a billion peripheral intravenous catheters (PIVCs) are inserted each year in hospitalized patients worldwide. Yet, international data on prevalence and management of these devices is lacking. Localized complications rates such as phlebitis are an under reported problem yet are known to be a contributing factor for PIVC line failure that leads to cessation of IV therapy, device removal and the requirement of re-siting of a new PIVC, increased of hospital stay and cost. Given that intravenous therapy is often accompanied by complications, phlebitis being the most common, nurses have a responsibility to minimize this incidence.Our aim is to reduce rate of phlebitis in HDU-A to zero by December 2019 and assess nurse’s perceptions of risk factors for the development of phlebitis and recognize some factors that may reduce the incidence of phlebitis as well as adherence to best practice and infection control guidelines. Our work is based on model for improvement. We assessed all the patients admitted with PIVC in our unit and need to change within 24 hours. We achieved zero rates of phlebitis in Nov 2019 and sustaining. By observing good practice both during and after peripheral catheter insertion, complication rate of phlebitis can be reduced.

Learning Objectives

• Undertake a multicenter study to assess the prevalence of PIVCs in patient care units
• Assess and evaluate nurse’s perception of risk factors for the development of phlebitis
• Improve patient outcomes involving proper and safe IV catheterization and maintenance through best

Session Track: Innovations in Patient Care: Value, Access and Flow

Speakers: Pat Rutherford

Moderator: Dr. James William Edward Laughton

CPD: 1 hour

Level: Intermediate

Description

This session will provide an overview of the strategies and frameworks available for improving operations and patient flow throughout a hospital. Will offer guidance on how to determine which strategies will be best to test in attendees’ respective organizations and how to document improvement.

Learning Objectives

• Describe the IHI framework for system optimization to improve hospital-wide patient flow
• Utilize an approach for “sense-making” regarding the multiple strategies for improving hospital operations and patient flow throughout the hospital
• Analyze organizational capability, change concepts and successful interventions for creating a sustainable system for system-wide hospital flow, so that patients receive the right care, in the right place, at the right time

Session Track: Patient Engagement and Involvement

Speakers: PCC Facilities Representation, PFAC Represenation

Moderator: Dr. Monkez A/Razak Al Masri

CPD: 1 hour

Level: TBD

Description

TBD

Learning Objectives

TBD

Session Track: Innovations in Patient Care: Value, Access and Flow

Speakers: Dr. Reham Hassan

Moderator: Dr. Monkez A/Razak Al Masri

CPD: 1 hour

Level: Beginner

Description

This session is a reiteration of the national value improvement journey from embracing the value management innovative methodology, through piloting and spread efforts, till reaching a national value improvement collaborative that reflects a strategic “better value” vision. The session is presented by different stakeholders of the journey with several speakers from HMC executive leaders, HHQI leads and clinical teams from HMC facilities, who piloted and spread the methodology.

Learning Objectives

• Brief orientation on the value improvement methodology
• Describe a couple of clinical units efforts in implementing the methodology successfully, with evidenced performance, capacity and finance outcomes
• Highlight the strategic impact of this approach and the national spread and sustainability plan

Session Track: Improvement Science

Speakers: Robert Lloyd

Moderator: Wesam S Smidi

CPD: 1 hour

Level: Expert

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

Session Track: Safety

Speakers: TBD

Moderator: TBD

CPD: 1 hour

Level: TBD

Description

TBD

Learning Objectives

TBD

Session Track: Value, Flow and Access

Moderator: TBD

CPD: 1 hour

Level: Beginner

Description

TBD

Learning Objectives

At the end of this session participants will be able to:

• Understand the bottom up vs top down improvement
• Understand how to empower frontline employees to make quality improvement a part of their day job
• Identify potential quality improvement strategies for bottom up improvement
• PHCC experience in empowering frontline employees to deliver quality improvement

Session Track: Safety

Speakers: Habeebah S Fazlullah, Saumya Boby

Moderator: Noreen Sheikh Latif

CPD: 1 hour

Level: Beginner

Description

SUN: A Quality Improvement Journey: To Stop Unplanned ExtubatioN in NICU, WWRC

Aim to reduce the rate of unplanned extubation at NICU, WWRC from rate of 3% per 100 intubated days to less than 1% per 100 intubated days. Our outcome measure was % of reduction of number of adverse events related to unplanned extubation and our process measure was percentage of compliance to monitoring tool with 24 categories. We have reduced complication of traumatic extubation, failed extubation & multiple intubations. The active use of NIV has promoted better patient outcomes due to reduced rate of BPD and shorter ICU stays. We had a higher census of patients successfully weaned from NIV. Patients are discharged with fewer complications not related to UEx and mechanical ventilation. We have achieved the primary goal of having the rate below the international benchmark less than 1% per 100 intubated days. Since the education, constant RCA analysis, participation & willingness of the staff to promote improved patient care and outcomes we didn’t have any UEx in November 2019. The long-term plan is to continue this project while simultaneously dropping the unit baseline by 25% consecutively each year until the end of year 2020 to reach a rate of UEx less than 0.56% per 100 intubated days.

Learning Objectives

• We achieved the primary goal of having the rate below the international benchmark less than 1% per 100 intubated days
• The active use of NIV has promoted better patient outcomes due to reduced rate of BPD and shorter ICU stays. We had a higher census of patients successfully weaned from NIV. Patients are discharged with fewer complications not related to UEx and mechanical ventilation
• We have reduced complication of traumatic extubation, failed extubation & multiple intubations

Description

Delirium in ICU

Intensive Care Unit (ICU) delirium is a nonspecific, potentially preventable, and often reversible disorder of impaired cognition, which results from various causes in ICU patients. It is often poorly recognized by treating physicians, leading to inappropriate management. We are not assessing delirium in our unit in a regular basis. This might lead to have an undetected and hence not treated entity that can worsen the outcome of our patients.We identified the gap in our assessment and it’s an important matter to deal with as soon as possible.By incorporating a delirium scoring tool in our daily patient assessment we can diagnose, prevent and treat delirium, for a better outcome in our unit. We started the project with MD team formation in Sept 2018. Various strategies have been used like assessment,teaching,implementation of CAM-ICU tooldiagnosing and developing preventive and management strategies. Global Aim:To improve the assessment, prevention and management of delirium for all patients admitted to SICU from 0 to 60% by June 2020 and to 90% by December 2020. Specific Aim:To improve the compliance with appropriate assessment to detect delirium by using a validated assessment method, in all the non- intubated patients admitted to surgical ICU from 0 % to 50% by the end of October 2019.

Learning Objectives

• Understand the definition, types, risk-factors and diagnosis of Delirium
• Understand the prevention and management of Delirium
• Understand the different strategies used in the “Delirium in SICU” project in identifying, preventing and managing Delirium in our local context

Session Track: Workforce Wellbeing and Development

Speakers: Andrew Jeremijenk, Arulmozhi Vinayagam

Moderator: Noreen Sheikh Latif

CPD: 1 hour

Level: Beginner

Description

Occupational Health, SafeQuest and Sustainability at Mater

I worked at the Mater Occupational Health Centre of Excellence for 12 years and implemented many initiatives in that time. We demonstrated at the Mater that injury prevention combined with the culture of caring for your injured employees was effective at reducing Lost Time Injury (LTI) rates, saved the organisation millions of dollars and contributed to better health outcomes. This could have been put under workforce wellbeing because our culture of caring for employees began with health protection, preventing injuries and ensuring injured employees were rehabilitated back into the workforce. Health promotion in the workforce begins with health protection. The centre was also involved in sustainability initiatives to improve environmental health as well as occupational health. The Mater won multiple awards and its reputation as a safe place to work had impacts on employee recruitment, retention and patient care.

Learning Objectives

• Safety, injury prevention (SafeQuest), The importance of measuring LTIs and managing injuries for safety
• Injury management, rehabilitation. "Culture of Caring" and why it is so important to feedback the "learnings" for safety
• Sustainability Why a healthy environment is as important as a safe environment

Description

Unlocking the Resilience Potential: Loading Bliss at Work in Enaya Specialised Care Centre (ESCC)

Attentive, capable nursing has a direct impact on client’s sense of well -being. Capable nurse is one who is able to manage the stress of day-to-day work situations. Recently, Enaya leadership became operational with extensive program of reforms in highlighting the power of building resilience buy-in through stress management. AIM: “To achieve 100% joy at work status of staff by December 2019 from 30% of baseline joy at work status in January 2019”. METHODS:An appreciative inquiry approach with discrete dimensions based on model for improvement.Weekly surveys with Self reflection zone,One-one semi structured interviews,Employee Assistance program , Leadership support groups, Work centered solutions, Time converged strategies, Family gathering and parties, Weekly wellness programs, Staff appreciation programs ,Sharing success stories and short term wins .. RESULTS:Various Plan-Do-Study-Act (PDSA) cycles tested and implemented within real work settings, reflected an action-oriented learning with its magnificient accomplishment in Joy at work status of 36% in January 2019 to 88 % in November 2019. SUSTAINABILITY: Many accessible resources to retain sustainability in this venture so as to strengthen emotional intelligence and self- confidence.Enthusiasm at its zenith; Enaya staff are capable enough to utilize the preventative strategies to sustain bliss of physical and mentalwellbeing.

Learning Objectives

• To achieve 100 % Joy at work status by establishing staff wellness programme in a robust manner
• To identify key elements in system that posses pivotal roles in enhancing joy at work To articulate the link between resilience potential,staff empowerment and joy at work
• To articulate the link between resilience potential,staff empowerment and joy at work

Session Track: Innovations in Patient Care: Value, Access and Flow

Speakers: Farrukh Ali Farooqi, Jeanamarie Samson, Dr. Mohamed Amin Khalil Elesnawi, Shajahan Joseph

Moderator: Noreen Sheikh Latif

CPD: 1 hour

Level: Beginner

Description

Value Improvement Project And IT's Journey; The Present -Day Horizon of Improvement Initiatives in Enaya Specialised Care Centre (ESCC)

Beneath national Value improvement collaborative,Enaya team aligned to do a deep dive into innovative improvement tactics by integrating five key elements such as cost ,capacity, performance and safety strategies simultaneously. METHODS:Adopted Model of care as a change management process by applying science of improvement methodology,essential elements of “Lean Accounting,” RESULTS:PERFORMANCE MEASURES:3 :Percentage of medical records that have nursing plan of care maintained and updated as per policy CL 7038 increased from 33.3% in April 2019 to 94% by November 2019. :Percentage of resident who score 0 in oral cleanliness tool improved from 60% in April 2019 to 88 % by November 2019. :No incident of fall reported or restraint initiation in ESCC M-2 since 895 Days. :Percentage of Good quality calls from nurses to physicians in ESCC-M2 improved from a baseline of 50% in April 2019 to 100% by November 2019(CAPACITY MEASURE) :Weekly consumable cost reduced from a baseline of 8312 OR TO 6885 QR by November 2019.Consumable store items are arranged by using 5s lean methodology(FINANCIAL MEASURE). :Greatest accomplishment in Joy at work status ,shows a steady achievement of 36% in January 2019 to 88 % in November 2019(OVERALL BALANCE MEASURE). :A reliable process in place supported by successfully tested PDSA's.

Learning Objectives

• To identify strategies so as to incorporate value management in facility and care delivery model
• To understand and expertise on good PDSA hygiene,QI tools and track the impact of value management in value-based care
• To sustain and spread value management system by emphasizing facility strategies and staff engagement

Description

Green Dialysis: Environment Friendly & Cost-Effective Model in FBJ Kidney Center

Green Dialysis is an environment-friendly model that is still a challenge for healthcare settings worldwide, it manages energy, water conservation & waste more efficiently by reducing, reusing and recycling techniques. In our center, we implement this program to save water and minimize waste management by recycling programs that are coordinated between the multidisciplinary dialysis team, the Qatar Green Building Council and HMC Engineering. The project was able to achieve the target and sustain. The program showed remarkable reduction in Hand tissue paper from 5280 to 3600 packets/month, A4 size paper from 200 RIM to 35 Rim/ month, Plastic cup from 5000 Pcs to 350 Pcs/month, total saving 5000 Qrs/month which will be equal to 60000 Qrs/year. We recycled 9000 kg Paper waste in 6 month and 700 Kg plastic waste to reduce plastic/paper burden on earth. Managing of water wastage (50-60% water rejecting from Reverse osmosis plant) by using in gardening and building cleaning purpose. Next step for Energy & water Conservation to replace all electricity lamp by LED Lamp and install Solar system and install aerator faucet in all water tap in FBJ Kidney center to reduce water wastage in coordination with engineering team and infection control team.

Learning Objectives

• Implementing Green dialysis and maintaining excellent compliance is the key in having this excellent result
• Green dialysis implementation is Environmental friendly as well as cost effective model