Session Track: Safety

Speakers: Frank Federico

Moderator: Dr. Kimberly Leighton

CPD: 1 hour

Level: Beginner

Description

Behavior based safety is a process that creates a safety partnership between management and frontline staff that continually focuses people's attentions and actions on theirs, and others, daily safety behavior. This session will highlight for attendees how to focus on staff behaviors, analyze behaviors and implement a focused safety management system that is focused on improvement rather than blame.

Learning Objectives

• Discuss the role of behaviors in influencing culture
• Describe behaviors of leaders at all levels of the organization that lead to increased staff engagement
• Define the culture of safety you want to develop in your workplace

Session Track: Improvement Science

Speakers: Dr. Don Berwick, Maureen Bisognano, Dr. Muna Al Maslamani, Nasser Al Naimi

Moderator: Dr. Kedar Mate

CPD: 1 hour

Level: Beginner

Description

Attendees will be invited into a conversation with Institute for Healthcare Improvement (IHI) President Emerita Maureen Bisognano, IHI President Emeritus Dr. Don Berwick, HMC’s Dr. Muna Al Maslamani, and Mr. Nasser Al Naimi about their extensive experience implementing quality improvement initiatives around the world. The speakers will tell stories of improving care delivery and safety in a diverse range of environments and share some of the most significant challenges and barriers they faced in their careers. Moderated by Dr. Kedar Mate, attendees will leave with tips and tricks for what works in practice, and where to start.

Learning Objectives

• Learn from HMC and IHI leaders about their extensive experience implementing quality improvement initiatives around the world
• Share stories of improving care delivery and safety in a diverse range of environments
• Learn about tips and tricks for what works in practice, and where to start

Session Track: Patient Engagement and Involvement

Speakers: Mahesh Kumar Patel, Regina Pinto

Moderator: Thabit Melhem

CPD: 1 hour

Level: Beginner

Description

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

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

Session Track: Patient Engagement and Involvement

Speakers: Eman Elkaragi

Moderator: Thabit Melhem

CPD: 1 hour

Level: Beginner

Description

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

Session Track: Safety

Speakers: Frank Federico

Moderator: Hina Fatema Siddiqui

CPD: 1 hour

Level: Beginner

Description

This mini session with emphasize the importance of culture on ensuring safety in an organization. Attendees will learn what they can do personally to contribute to the positive culture change that results in a culture of safety.

Learning Objectives

• Discuss how culture change begins with the individual
• Describe and individual’s action that contribute to culture change
• Explain how culture influences how people work

B.HMC Culture: Our Culture

Session Track: Safety

Speakers: Dr. Reham Hassan

Moderator: Wesam S Smidi

CPD: 1 hour

Level: Beginner

Description

Inspire a sense of belonging that makes staff protect the system , patient and staff like theirs.

Learning Objectives

• What is HMC way
• How to "take care" of the sytstem as well as the patients and families
• Declare commitment to safety

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

Speakers: Dr. Kedar Mate

Moderator: Prof. Shahrad Taheri

CPD: 1 hour

Level: TBD

Description

In this session participants will learn how to identify evidence-based practices that can make be reliably implemented to achieve measurable impact for older adults and their families. The participants will learn from global experiences of an Age Friendly Health Systems impacting positively every day for every older adult. The participants will learn from a personal story of caring for an older adult.

Learning Objectives

• Learn what it means to be an Age Friendly Health System
• Learn how to close the gap between evidence-based care and care delivery
• Learn from a personal experience

Session Track: Patient Engagement and Involvement

Speakers: Dr. Hanadi AlHamad, Maryiam AlMutawa

Moderator: Wesam S Smidi

CPD: 1 hour

Level: Intermediate

Description

The speakers will use this inspirational session to invite the audience to reflect on leadership skills and behaviors as well as their own personal opportunities to apply what they're learned in the workplace.

Learning Objectives

• What are leadership skills and behaviors
• Sustaining a leadership journey over time
• Leaders inspiring culture
• Good leadership strategies for staff engagement

Session Track: Safety

Speakers: Prof. Jason Leitch

Moderator: Wesam S Smidi

CPD: 1 hour

Level: TBD

Description

Delegates will hear about what factors contribute to burnout, and how supporting people to develop agency is a vital tool in the reduction of workplace stress. Delegates will hear an example of how agency is working in practice in NHS Scotland in the design and implementation of telehealth, and what factors contributed to the success of this work.

Learning Objectives

• Understand what factors can contribute to workforce burnout
• Learn how to support people to develop their own agency
• Understand how creating agency can work in practice

Session Track: Workforce Wellbeing and Development

Speakers: Dr. Sodzi Sodzi-Tetty, Prof. Mahmoud Adil

Moderator: Prof. Abdul Badi Abou Samra

CPD: 1 hour

Level: Beginner

Description

Health professionals at all levels are being asked to meet the changing demands of the health care industry; however, core leaders report that it is the culture aspects of change that present the greatest hurdles. This session will showcase how to leverage the science of improvement to distribute leadership, build new partnerships, and effect change in your community.

Learning Objectives

• Learn about the means to meet the changing demands of the health care industry; Understand the culture aspects of change that present the greatest hurdles
• Showcase how to leverage the science of improvement to distribute leadership, build new partnerships, and effect change in your community

Session Track: Patient Engagement and Involvement

Speakers: Don Goldmann

Moderator: Dr. Kimberly Leighton

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: Innovations in Patient Care: Value, Access and Flow

Speakers: Dr. Reham Negm, Dr. Raana Siddiqui, Dr. Poonam Gupta, Novica Icic, Mary Titus, Lamiaa Saleh, Antoinette Tanios, Ginesh George

Moderator: Dr. Reham Negm

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: Patient Engagement and Involvement

Moderator: Karen Narag Paguirigan

CPD: 1 hour

Level: Expert

Description

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

What Matters to You

Session Track: Patient Engagement and Involvement

Moderator: Karen Narag Paguirigan

CPD: 1 hour

Level: Expert

Description

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

Session Track: Safety

Speakers: Frank Federico, Maryanne Gillies

Moderator: Maryanne Gillies

CPD: 1 hour

Level: Intermediate

Description

Technology is often sought out as a way to reduce errors, improve the diagnostic process and provide ongoing monitoring of our patients in new and innovative ways. However, we have learned that there is danger in magical thinking with the use of technology, “If we only had...all our problems would be solved”. Often, when we implement new technology, we trade one set of problems for another and fail to identify and mitigate those problems in the design and implementation of a new approach. Technology can offer solutions, but only when designed with the user in mind. In this session, participants will learn how to use human factors approach to the design and implementation of technology. We’ll share lessons learned with examples from around the world and participants will develop a plan to assess existing and future technology to ensure that it has been designed to support how work is done, and to design interventions to deal with existing poor designs.

Learning Objectives

• Discuss the role of human factors in the design and use of technology in healthcare
• Describe the process of testing technology to accommodate the human condition
• Develop a plan for your organization to improve the safety of technology in use

Session Track: Improvement Science

Speakers: Dr. Sodzi Sodzi-Tetty

Moderator: Dr. Shireen Sulaiman Omar

CPD: 1 hour

Level: Intermediate

Description

In this session participants will learn how they need to embrace a broad approach, utilizing the Juran Trilogy of Quality Planning, Quality Control and Quality Improvement to emphasize co-ownership, co-design and co-implementation from the very beginning for sustainability of large scale improvement projects. Participants will learn how define mechanism for ongoing nourishment of health system capacity and the importance of Investment in the quality of national data systems.

Learning Objectives

• Learn how the “Adaptive Design” is the key ingredient for successful large scale improvement
• Learn how an accelerated reduction in under 5 mortality in Ghana was achieved by applying Quality Improvement efforts
• Learn how innovative changes enable transformative improvements

Session Track: Improvement Science

Speakers: Prince Mathew, Syed Abdul Ansari

Moderator: Dr. Kimberly Leighton

CPD: 1 hour

Level: Beginner

Description

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.ment.

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

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

Session Track: Improvement Science

Speakers: Umaima Alraisi, Safia Al Shahi

Moderator: Dr. Kimberly Leighton

CPD: 1 hour

Level: Beginner

Description

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: Improvement Science

Speakers: Robert Lloyd

Moderator: Dr. Aisha AlAdab

CPD: 1 hour

Level: Beginner

Description

This session will outline the process, tools and techniques to manage the people side of change to achieve desired care and operational efficient outcomes.

Learning Objectives

• Define Change
• Human side of change
• Introduce psychology of change framework

Session Track: Workforce Wellbeing and Development

Speakers: Dr. Don Berwick, Dr. Kedar Mate, Don Goldmann

Moderator: Frank Federico

CPD: 1 hour

Level: Intermediate

Description

In this session learn from global leaders how to identify the capabilities and capacities required to meet the needs of healthcare in the future. Learn how professions, academia and healthcare organisations can best prepare and what needs done now to have the ability to deal with the constant changes in healthcare and for the workforce of tomorrow.

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: Innovations in Patient Care: Value, Access and Flow

Speakers: Shabina Khan, Samer Osman Mahgoub

Moderator: Dr. Guillaume Alinier

CPD: 1 hour

Level: Beginner

Description

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

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

Emergency Room Overcrowding: A National Perspective

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

Speakers: Dr. Hossam ElAmir

Moderator: Dr. Guillaume Alinier

CPD: 1 hour

Level: Beginner

Description

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

• 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

Session Track: Safety

Speakers: Frank Federico

Moderator: Dr. Shafi Khan

CPD: 1 hour

Level: Intermediate

Description

The current patient safety measurement methodology, which often relies around retrospective surveillance via claims data or chart reviews, fails to detect all instances of errors, harms and "never events" and does not allow for proactive improvement or measurement of system reliability. This session will introduce participants to new guiding that aim to improve the way in which we measure patient safety around the globe.

Learning Objectives

• Describe the role of measurement in determining the safety of a system
• Discuss the measures that you use today and usefulness in determining the safety of care delivered
• List three principles that will guide organizations in the future

Session Track: Patient Engagement and Involvement

Speakers: Saif Khan, Adil Ahmed

Moderator: Dr. Hasan Ali Kasem

CPD: 1 hour

Level: Intermediate

Description

live interaction with our PFAC member and a patient ambassador who will share their experience while working with HMC’s patient engagement activities. The term Patient Experience and Patient Engagement are often used interchangeably by hospitals and providers. At first glance, it seems to carry the same meaning. The difference however is in understanding that Patient Experience is essentially an outcome measure. An effective Patient Engagement strategy moves beyond the care journey and engages the patient and their families/care givers in their healthcare journey. It employs multiple methods of communication and builds on issues and opportunities identified in previous interactions. Understanding what is important to that patient, and barriers they might have to getting well may also differ at various points of their healthcare journey.

As a result, leaders in health care have recognized that transforming the role of patients and families in health care delivery is essential for improving patient experience and clinical outcomes and for decreasing overall costs. This fact has been reinforced at the national level with the implementation of government programs designed to encourage hospitals and physicians to report on specific quality measures, many of which pertain specifically to patient experience and engagement. HMC have responded by developing methods for increasing patient and family engagement, and a particularly successful strategy has been the development of patient and family advisory councils (PFACs), Person-centered Care Ambassadors and Patient Stories.

This session is intended to review how engaging patients and family members outside their care journey can help improve patient experience and highlight specific examples of the successful utilization of various patient engagement initiatives at HMC.

Learning Objectives

• At the conclusion of this session, participants will be able to define effective ways to engage patients to improve patient experience
• Participants will be able to, summarize the challenges that they may face during implementation with possible solutions

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

Speakers: Amr Metwally

Moderator: Dr. Hassanin Abdulkarim

CPD: 1 hour

Level: Beginner

Description

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.

Learning Objectives

• Improving Operation Theatre utilization in Ambulatory Care Center
• To increase performance improvement
• To minimize cost
• To involve staff as a frontline of the project

Improving Operation Theatre Utilization in Ambulatory Care Center

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

Speakers: Vanaja Balasingh

Moderator: Dr. Hassanin Abdulkarim

CPD: 1 hour

Level: Beginner

Description

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

• Improving Operation Theatre utilization in Ambulatory Care Center
• To increase performance improvement
• To minimize cost
• To involve staff as a frontline of the project

Session Track: Safety

Speakers: Dr. Kimberly Leighton, Ardee Domingo

Moderator: Ardee Domingo

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 breakout session, participants will 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
• Verbalize understanding of how simulation scenario(s) are designed for healthcare practitioners to impact patient safety and outcomes
• Participants will understand how simulation can be designed to impact patient safety and reduce medical error

Session Track: Improvement Science

Speakers: Robert Lloyd

Moderator: Aidan Paul Kehoe

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: Workforce Wellbeing and Development

Moderator: Dr. Mahvesh Qureshi Abdulwaris

CPD: 1 hour

Level: Beginner

Description

Effective medical leadership and involvement in QI facilitates the provision of safer and better quality healthcare. Quality Improvement (QI) has been defined as ‘better patient experience and outcomes achieved through changing provider behaviour and organisation through using a systematic change method and strategies’. Leading quality improvement is both complex and demanding as it requires junior doctors to behave as leaders to foster change and to achieve implementation of an intervention. Evidence shows that involving juniors in QI, particular regarding the design, running and implementation of personal projects, infers long-lasting organisational benefits. However, this is easier said than done. I present my QI journey and the barriers I faced.

Learning Objectives

• Recognize areas needs to be addressed in order to increase Joy at Work
• Teach strategies to build a better team which provide efficientpatient care in energetic working environment
• Describe the importance of physicians, nurses and all employees finding joy and meaning in their work

A Junior Doctor's Story of Motivating Stakeholders

Session Track: Workforce Wellbeing and Development

Moderator: Dr. Mahvesh Qureshi Abdulwaris

CPD: 1 hour

Level: Beginner

Description

Effective medical leadership and involvement in QI facilitates the provision of safer and better quality healthcare. Quality Improvement (QI) has been defined as ‘better patient experience and outcomes achieved through changing provider behaviour and organisation through using a systematic change method and strategies’. Leading quality improvement is both complex and demanding as it requires junior doctors to behave as leaders to foster change and to achieve implementation of an intervention. Evidence shows that involving juniors in QI, particular regarding the design, running and implementation of personal projects, infers long-lasting organisational benefits. However, this is easier said than done. I present my QI journey and the barriers I faced.

Learning Objectives

• Involving juniors early in QI has organisational benefit
• Empowering juniors can breed the next generation of researchers
• We must work to reduce barriers to junior involvement in QI work

Session Track: Improvement Science

Speakers: Mark Malaba, Sadaf Riaz, Dr. Farah Jibril, Fatma Mohamed Abd Elfatah Mohamed, Dr. Hamed Elgendy

Moderator: Dr. Khawla Ahmad, Mark Agramon

CPD: 1 hour

Level: Expert

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

• Learn from presenters how they made the change, achieved success and overcame challenges
• Get inspired through interaction with the speakers
• Learn how you can support the continuous improvement efforts in your organization
• Disseminate information and share experience

Session Track: Workforce Wellbeing and Development

Speakers: Syed Hamza Aman

Moderator: Joey Daniel

CPD: 1 hour

Level: Beginner

Description

This session show cases the PHCC experience in empowering frontline employees to deliver quality improvement by utilizing “bottom up” improvement approach. A great session under the workforce wellbeing and development focusing on empowering frontliners and staff engagement in quality improvement efforts. The presenter will show tools and practical examples for “bottom-up” improvement strategies.

Learning Objectives

• 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: Patient Engagement and Involvement

Moderator: Sahar AlShammari

CPD: 1 hour

Level: TBD

Description

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 < 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 < 0.56% per 100 intubated days.

Learning Objectives

• We achieved the primary goal of having the rate below the international benchmark < 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

Delirium in ICU

Session Track: Patient Engagement and Involvement

Moderator: Sahar AlShammari

CPD: 1 hour

Level: TBD

Description

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: Safety

Speakers: Frank Federico

Moderator: Hina Fatema Siddiqui

CPD: 1 hour

Level: Beginner

Description

This mini session with emphasize the importance of culture on ensuring safety in an organization. Attendees will learn what they can do personally to contribute to the positive culture change that results in a culture of safety.

Learning Objectives

• Discuss how culture change begins with the individual
• Describe and individual’s action that contribute to culture change
• Explain how culture influences how people work

B.HMC Culture: Our Culture

Session Track: Safety

Speakers: Dr. Reham Hassan

Moderator: Wesam S Smidi

CPD: 1 hour

Level: Beginner

Description

Inspire a sense of belonging that makes staff protect the system , patient and staff like theirs.

Learning Objectives

• What is HMC way
• How to "take care" of the sytstem as well as the patients and families
• Declare commitment to safety

Session Track: Patient Engagement and Involvement

Speakers: Dr. Hanadi AlHamad, Maryiam AlMutawa

Moderator: Wesam S Smidi

CPD: 1 hour

Level: Intermediate

Description

The speakers will use this inspirational session to invite the audience to reflect on leadership skills and behaviors as well as their own personal opportunities to apply what they're learned in the workplace.

Learning Objectives

• What are leadership skills and behaviors
• Sustaining a leadership journey over time
• Leaders inspiring culture
• Good leadership strategies for staff engagement

Session Track: Safety

Speakers: Kate Hilton

Moderator: Wesam S Smidi

CPD: 1 hour

Level: TBD

Description

This session will outline the process, tools and techniques to manage the people side of change to achieve desired care and operational efficient outcomes.

Learning Objectives

• Define Change
• Human side of change
• Introduce psychology of change framework

Session Track: Workforce Wellbeing and Development

Speakers: QU Students

Moderator: Dr. Suhad Daher-Nashif, Maha Jameel AlKurbi, Fardous Abbasher

CPD: 1 hour

Level: Expert

Description

Meet your hero. What would you ask them if you get an oppurtunity to interview your healthcare idol. Enjoy this as you watch two QU students meet and ask what they want from world leading experts on healthcare QI.

Learning Objectives

• Observe Interaction between junior medical students and Senior International and local healthcare quality leads
• Recognize the value from passing experience and wisdom across generations of healthcare QI
• Understand more about Healthcare QI from the perspective of medical students

Session Track: Workforce Wellbeing and Development

Speakers: Robert Lloyd

Moderator: Dr. Kimberly Leighton

CPD: 1 hour

Level: Beginner

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.

Learning Objectives

• 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: Amin Abdelghany

CPD: 1 hour

Level: Beginner

Description

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

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

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

Moderator: Amin Abdelghany

CPD: 1 hour

Level: Beginner

Description

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