Quality Improvement Scientific Symposium 2019

PROGRAMME Time

Oceania

8:00am

Registration opens

9:00am

Karakia and welcome from the tangata whenua Peter Jackson, Te Āti Awa

9:10am

Welcome Dr Janice Wilson, chief executive, Health Quality & Safety Commission

9:15am

Opening address Chair, Health Quality & Safety Commission

9:25am

Still advocating for change - reflections of a consumer advocate Darlene Cox, executive director, Health Care Consumers’ Association Inc, Canberra, Australia •

10:00am

Darlene has been a consumer advocate in Australia for over 20 years. In this presentation she will reflect on her personal experiences of health care and identify the challenges consumers and health services need to address if we are to improve the quality and safety of health care.

Morning tea

10:00am

Morning tea

10:30am

How scientific improvement methods can increase the rigour of quality and safety work Dr Jean-Frédéric Levesque, chief executive, New South Wales Agency for Clinical Innovation We know health care systems constantly need quality and safety improvement programmes that address things like demonstrating the under-use of beneficial treatments, the over-use of diagnostics and therapies or inappropriate use of effective care. There is also mounting evidence of the need to renew health care through making innovation programmes such as tele-health and remote monitoring the norm in health care. And there are increasing calls for the adoption of a more scientific approach to improvement to enhance the ability of systems to provide high-quality care.

This presentation proposes combining rigour and pragmatism, through recourse to theories, science and learning, as a way to progress improvement and the science of improvement.

Time

Concurrent Rapid Fire sessions (Oceania)

11:10am

(Rangimarie)

A quality improvement approach to improving dental care for children at gateway assessments

Don’t be a drip; Reducing unnecessary cannulation in Dunedin Public Hospital emergency department

Dr Colette Muir, developmental paediatrician, Starship Children's Health

Dr Layla Hehir, registrar, Southern District Health Board (DHB)

11:25am

Time to move between rooms

11:30am

#endPJparalysis: Engaging Victorian hospitals to prevent functional decline

Manaaki waewae: Foot care at the front door Amanda Johnstone, podiatrist, Bay of Plenty DHB

Eleanor Sawyer, project lead, care of older people clinical network, Safer Care Victoria 11:45am

Time to move between rooms

11:50am

Illuminating inpatient hypoglycaemia

When the stars align (and shine bright): An alpha response in the emergency department

Brian Corley, diabetes & endocrine registrar, Capital & Coast DHB

Hayley Cowley, programme manager - service improvement unit, Bay of Plenty DHB

12:05pm

Lunch

Workshop (Oceania) 12:50pm

Exploring Te Tiriti o Waitangi in quality improvement Faciliated by the Health Quality & Safety Commission Participants will: •

Gain an understanding of Te Titiri o Waitangi in context and how it may add value to quality improvement science

•

Discuss the Window 2019 and consider how Te Tiriti can be used as a framework for programme design and implementation in health care in Aotearoa.

•

Apply a Te Tiriti framework to an improvement activity scenario.

Concurrent Rapid Fire sessions (Oceania)

1:45pm

Active Waipuna falls prevention rmprovement programme Maria Torres, facility manager, Radius Residential Care Limited

2:00pm

Time to move between rooms

2:05pm

Introduction of pharmacist-led medication reviews to address polypharmacy and optimise medications in a geraitric population Natasha Nagar, pharmacist, Hutt Valley DHB

2:20pm

Time to move between rooms

2:25pm

The golden hour Ashvindev Singh, quality improvement advisor, Auckland DHB

2:40pm

Afternoon tea

(Rangimarie) Safety in practice programme for primary care Michael Hammond, project manager and Diana Phone, clinical lead, Waitematā DHB

Improving cardiovascular disease risk assessments (CVDRAs) to at-risk young Māori and Pacific men Te Huri Arthur, clinical and quality improvement facilitator (Māori) and Anne-Maree Delaney, clinical quality improvement facilitator, Tū Ora Compass Health Primary Health Organisation (PHO)

Improving access to care and the journey Māori and whānau with diabetes and pre-diabetes Pauline Ansley, clinical manager, West Coast PHO

Oceania 3.00pm

Smiling is a clinical intervention: exploration of a model of resonant leadership and engagement of nurses Dr Jenny Parr, chief nurse and director, Patient and WhÄ nau Experience, Counties Manukau Health Senior managers are under pressure to deliver and improve high-quality, patient-focused care. Using quantitative design and social exchange theory, this presentation explores the effects of resonant leadership on perceived organisation support, leader-member exchange, nurse engagement and patient outcomes.

The findings identify modifiable factors to improve staff experience of work, the safety of patient care and ultimately patient satisfaction of their care.

3:30pm

Moving the measurement of performance in healthcare from a volume-based to a value-based perspective Dr Jean-FrĂŠdĂŠric Levesque The science of measuring and reporting on the performance of health care systems is rapidly evolving. Organisations are increasingly taking a systems approach to bring clarity to performance assessment and build a whole-of-system view of performance. Existing performance frameworks are not fully aligned with these developments.

This presentation will cover the findings from a process to develop a values-based framework to measure performance in health care. Nineteen performance frameworks were identified and included in the review. A framework was developed that gauges performance in terms of coverage, accessibility, appropriateness, effectiveness, safety, productivity, efficiency, impact, sustainability, resilience, adaptability and equity.

4:10pm

Speaker awards Dr Janice Wilson

4:20pm

Summary and close Gillian Bohm, chief advisor, Health Quality & Safety Commission

4:30pm

Conference ends