EVENT GUIDE - NHS Improving Quality - International Forum on Quality and Safety in ...
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London 2015 EVENT GUIDE International Forum on Quality & Safety in Healthcare In Partnership With Patients London, 21-24 April 2015 Gold Sponsor Silver Sponsors Breakfast and Lunchtime Sessions sponsors NHS Improving Quality
2 Contents Contents Welcome 03 Practical Information 04 2015 at a glance 05 Speakers 06 2015 Highlights My next step 08 Connect at the Forum 09 Cable Car Challenge 10 Wellbeing and Yoga 11 Learning and Networking Zone 12 S tudent and Health Care 15 Professionals Programme Special Interest Breakfast Sessions 16 Special Interest Lunchtime Sessions 17 Tuesday 21 April programme International Improvement Science 18 and Research Symposium London Experience Days 22 Full Day Courses and Seminars 25 Wednesday 22 April timetable 26 Wednesday 22 April session details 28 Thursday 23 April timetable 32 Thursday 23 April session details 34 Friday 24 April timetable 38 Friday 24 April session details 40 Floor Plan 44 Exhibitors 48 Abstract Reviewers 51 Strategic Advisory Board 52 Patient Panel 54 Twitter: @QualityForum #quality2015 internationalforum.bmj.com
Welcome 3 On behalf of the Institute for Healthcare Improvement and BMJ, I wish you a very warm welcome to the 20th International Forum. We have a rich and inspiring programme in store for you, representing the very best of new thinking from the global quality improvement movement. This week I invite you to celebrate the achievements of the healthcare improvement movement over the last 20 years and to reflect on the solutions for the challenges we face in the future. Her Royal Highness The Princess Royal I am honored to welcome Her Royal Highness The Princess Royal who will be attending the 2015 International Forum on the occasion of the 20th anniversary of the event. Introducing our Patient Panel I am also delighted to introduce our new Forum Patient Panel who will be with us throughout the International Forum representing the patient voice. Our Patient Panel is composed of a number of people who can actively contribute through their first-hand personal experience. They will be contributing to our discussions and challenging our thinking to keep patients at the core of our mission. Moving forward for our planning for the 2016 International Forum in Gothenburg, our Patient Panel will play an active role in shaping the next programme. Live broadcast For the first time we will be streaming the presentations on the main stage live via our Livestream channel (new.livestream.com/IFQSH/ForumLIVE). I would like to extend a special welcome to our colleagues who will be joining us online throughout the week from many locations around the globe. Be sure to also visit our new Forum YouTube channel (youtube. com/QualitySafetyForum), where you can view hundreds of sessions from previous years of the International Forum. Contribute in real-time via Twitter This year, each session will have a designated discussion thread on Twitter. Be sure to join the conversations and share your opinions with the presenters during each session at the conference. There will be facilitators who will be posing your questions to the speakers during every session. Our passionate team I would like to personally thank our Strategic Advisory Board, reviewers, speakers, poster presenters, facilitators, sponsors and partners for their knowledge, commitment and dedication in bringing this International Forum to you. I look forward to welcoming you again to the 2016 International Forum in Gothenburg, Sweden, in April next year. Mark Stuart Forum Director On behalf of Institute for Healthcare Improvement BMJ
4 Practical Information Assistance Poster Viewing If you have any questions or require any Posters have been grouped into themes and The International Forum live information, just ask a member of the Forum can be viewed in the Poster Area, Level 1 of stream and YouTube channel Team (they will be wearing green shirts) who the venue during registration, refreshments With such a comprehensive programme will be able to assist you. and lunch on the three main event days, and so many speakers, it has always been Wednesday 22 - Friday 24 April. a challenge to get to all the sessions you Registration In addition there are daily Specialty Poster want to go to. Registration will take place in the Capital Focus Group Sessions on the three main event This year, all the presentations on the Hall, Level 0. Registration will be open days (see full details on the daily programme main stage will be streamed live via our during the following times: pages). These chaired sessions provide a great Livestream channel on new.livestream. • Tuesday 21 April 0800-0900 Full day opportunity to view posters and interact with com/IFQSH/ForumLIVE. The stream is course attendees only the authors who took part in the research and publicly available and there is no need to design of the work on display. • Tuesday 21 April 1600-1800 All Forum sign in. After the International Forum all attendees streamed sessions will be published on our Accreditation • Wednesday 22 April 0800-1900 All Forum new International Forum YouTube channel. The Forum has been awarded 24 CPD credits attendees Visit the International Forum by the Royal College of Physicians (RCP) in • Thursday 23 April 0800-1730 All Forum YouTube channel (youtube.com/ England. Attendees wishing to claim CPD attendees QualitySafetyForum), where you can should sign the green register on the also view hundreds of sessions from • Friday 24 April 0800-1615 All Forum Registration Desk each day. previous years of the International Forum. attendees The Forum has also been granted 23 European CME credits (ECMEC) by the European Badges Accreditation Council for Continuing Medical You will be issued with your name badge Education (EACCME). Attendees wishing to Please join us at the International Forum when you register. Please be aware that you claim ECMEC credits should sign the blue Welcome Reception on Wednesday 22 must wear your badge at all times during register each day. April from 1730 in Capital Hall, Level 0. the International Forum as it does show the days you are eligible to attend the Forum and Certificates of Attendance guarantees you entry to the venue on those A general certificate of attendance will be days via the venue security team. emailed to you two weeks after the event. This will be followed by a CPD certificate if you have Registration Desk signed the register. During the event, the Registration Desk telephone number is: +44(0)207 069 6150. Give us your feedback and get Wifi access entered into a prize draw Wifi is available in all areas. We want to hear your real-time feedback Please select ExCel_London as your wifi about the sessions you attend. By network and enter forum2015 as the user providing your feedback you have the name and password. chance to win one of our 4 prizes: To access Forum handouts go to • 2 iPads http://internationalforum.bmj.com/speaker- • 2 complimentary 4-day delegate tickets handouts-2015 for Gothenburg 2016 (allocated to the organisation of the winning delegates; Print Booth travel, accommodation and expenses are The Print Booth is located in Capital Hall, Level not included) 0, Booth number 25 and is for the download of How to enter? speaker handouts only. Please fill in the feedback form at the end Opening times are as follows: of this Event Guide as you go along and • Tuesday 21 April 0800-1600 put it in the boxes provided at Registration • Wednesday 22 April 0800-1600 before you leave. • Thursday 23 April 0800-1600 Thank you for support and feedback, which will help us to improve and develop • Friday 24 April 0800-1430 future events. Twitter: @QualityForum #quality2015 internationalforum.bmj.com
2015 at a glance 5 Streams This year our programme is structured with nine streams. These streams capture the essence and key priorities of today’s quality improvement movement. Clinical Improvement Cost, Value, and Quality Education and Training Improvement Science (sponsored by The Health Foundation) Introducing our Patient Panel 5th annual International London Experience Days Improving Population and Our International Forum Patient Improvement Science and At our ever popular London Community Health Panel is composed of people with Research Symposium Experience Days, you will be able to first-hand experience of healthcare. Our fifth annual International visit local health organisations and Leadership and Management Members of the Patient Panel will Improvement Science and Research get an insight into the best quality join you this week during sessions Symposium will aim to connect and safety initiatives in the UK New Technology and Innovation and will be with us to ensure the researchers and healthcare healthcare system. patient voice is heard. professionals who are at the See page 22 See page 54 frontline of implementing evidence- Patient and Family-Centred Care based improvement interventions. Patient Safety See page 18 Learning and Networking Zone Special Interest Breakfast Cable Car Challenge Wellbeing and Yoga Visit our dedicated space for sessions In this fun networking session, Take a break from a busy networking and shared learning to A number of special interest delegates are sent on a special programme – energise and reflect meet colleagues, participate in some breakfast sessions will run before quality improvement mission. Walk on your learning with our wellbeing of our informal sessions held in the the first keynotes on Thursday and in teams to the Emirates Air Line sessions designed to balance your Zone and write your messages on Friday. Get a practical view of how Cable Car where you will be given mind, body and spirit. our Big Wall of Inspiration. to handle challenges and progress in an exclusive cable car cabin to See page 11 See page 12 local settings. undertake the challenge. See page 16 See page 10
6 Keynote Speakers In Partnership With Patients “Inspiring a new “Old Myths and New “Providing practical, “A story about fruit “A Story of generation Designs: The New emotional and flies, balloons, Suffering, Recovery, of healthcare Simple Rules for educational support toys and our Determination and improvers” Health Systems” to vulnerable inner- future: What can Self-Belief” city children and healthcare learn Maureen Bisognano Donald M. Berwick young people” from Google’s Martine Wright President and CEO, Institute MD, MPP, President Emeritus Paralympian; Survivor of for Healthcare Improvement and Senior Fellow, Institute global innovation the 7/7 London Bombings; Camila Batmanghelidjh and customer- (IHI) for Healthcare Improvement Patient Spokesperson, Founder and Director, Kids (IHI) Company, England centric approaches” England Alfred Biehler Head of Customer Advocacy, Google, England “EBOLA: The Global Impact” Professor David Heymann Colin Brown Stephen Mepham Jean-Jacques Muyembe- Chair of Public Health Infectious Diseases Lead Consultant in Microbiology Tamfum England, Head of the for the King’s Sierra Leone and Infectious Diseases, Professor of Microbiology, Centre on Global Health Partnership Royal Free London NHS Kinshasa University Medical Security at Chatham House, Foundation Trust, UK School and Director General London and Professor of of The National Institute Infectious Disease, UK for Biomedical Research, Kinshasa, Democratic Republic of Congo Twitter: @QualityForum #quality2015 internationalforum.bmj.com
Featured Speakers 7 Vision for the future: In treating illness, are Making better lives Quality Mindset: NHS England we forgetting about with Cycling Without Health & Care creating wellness? Age Radicals Inspiring Simon Stevens Industrial Quality Chief Executive, NHS Harry Burns Ole Kassow England Founder, Cycling Without Improvement Professor of Global Public Health at Strathclyde Age, Denmark Celine Schillinger University, UK French Business Woman of the Year 2013, charter member of Change Agents Worldwide, and currently running the Sanofi Pasteur’s dengue programme Project ECHO: Everyone’s Involved Designing PARO robot Moving Knowledge and No One’s in Technology for harp baby seal in Not People Charge: Strategies Working Dogs: action at Danish for Multi-system an Interspecies elderly homes, the Sanjeev Arora Problem Solving in Perspective on important factors MD, Founder of Project Population Health Human Wellbeing ECHO, USA Jakob Iversen Rosanne Haggerty Clara Mancini Senior Project Manager, Founder and President of Lecturer in Computing and Health and Human Community Solutions, USA Head of Animal-Computer Interaction Technologies, Interaction, The Open Danish Technological University, England Institute, Denmark Developing a world Inspired Can social networks Improving Care for class digital health transformation: How support minimally Athletes – lessons service to ignite energy for disruptive medicine from The Glasgow change through promoting 2014 Commonwealth Helen Rowntree connections and Games Head of Digital Services, NHS Helen Bevan England, UK mobilising resources Chief Transformation Officer, Liz Mendl NHS Improving Quality, outside of formal Consultant, Performance England medical care? Sport and Medical Services, UK Göran Henriks Anne Rogers Chief Executive of Learning Professor of Health Systems Dr John MacLean and Innovation, Jönköping Implementation, University of Medical Director, Sports County Council, Sweden Southampton and Research Medicine Centre, Hampden Director of the NIHR CLAHRC Park, Glasgow; International Wessex, England Team doctor for The Scottish Football Association Sarah Mitchell Programme Manager, Chief Medical Officer and Public Health Directorate
8 2015 Highlights My Next Step! This year we want you to take your new learning from the International Forum and put it into action when you return home. Over the next few days, be sure to send us a ‘selfie’ photo of yourself or your new friends holding up your ‘Next Step’. Send your photo to: email@example.com or Tweet to: #qfnextstep NEXT STEPS! What’s your next step to improve healthcare? Twitter: @QualityForum #quality2015 internationalforum.bmj.com
2015 Highlights 9 Connect at the Forum Join the conversation on Twitter! #quality2015 @QualityForum All you need is an internet connection and a Twitter account! I want to learn more! Every session at the International Forum There will be a ‘Twitter Clinic’ during will have a designated Twitter hashtag the morning refreshments break (after (listed in this Event Guide) where you can morning keynotes) on Wednesday, join a conversation in real-time with your Thursday and Friday in the Learning and fellow participants. Your opinions and Networking Zone to help you get started. questions will be captured and presented You can also join the general International to the speaker to discuss during the Forum happenings by following session. #quality2015 is the hashtag to @QualityForum and using the hashtag use when tweeting about the International #quality2015. Forum in general. I want to meet the people How do I sign up for Twitter? behind the tweets! • Go to twitter.com Let’s hang out! There will be a ‘tweet up’ • Enter your name, email address, and a at Meeting Point B on Thursday 23 April password, click ‘Sign up’ during the lunch break. It will be a great • Select a username - type your own or chance to catch up and meet the people choose one you have been tweeting with over the last • Click ‘Create my account’ couple of days. • Twitter will send you a confirmation email – click the link in that email to activate your account What’s a hashtag? • A hashtag is used to organise information so that it’s easy to find. For instance, if you’re tweeting about stroke care you could type “#stroke” in your tweet. Someone looking for information on strokes would then find what you (and the rest of the world) are talking about by searching for “#stroke”. • Every session will have a hashtag so that you can comment, discuss and follow key points with your fellow participants. You will find each session’s dedicated hashtag next to its description in this Event Guide. • To view all of the tweets relating to a session, enter its hashtag in the Twitter search box. • Don’t forget to add the hashtag in all of your tweets so you can join the conversation, too!
10 2015 Highlights Cable Car Challenge In this fun networking session at the thoughts, ideas, conversations, and to foster International Forum, delegates will be new friendships. It will also provide delegates a allocated into teams of 8 people plus a ‘Cable unique opportunity to experience London from Car Captain’, and sent on a special quality the air. improvement mission. The activity will be facilitated by an expert in Your team will walk to the Emirates Air Line the field of quality and safety. Cable Car (about 20 minute walk) where you will be given an exclusive cable car cabin to The Cable Car Challenge will be held at the undertake the challenge. Prior to the flight following times during the International Forum: and during the walk to the station, some warm-up and icebreaker activities will be Wednesday 22 April facilitated, to enable your team to get to know each other and prepare for the challenge. 1330-1500 Your team will be presented with a Thursday 23 April hypothetical scenario to discuss and solve. You 1100-1230 and 1330-1500 will be in-flight for 20 minutes during a round trip across to The O2 on Greenwich Peninsula, where you will workshop your ideas together. Ask at the Registration Desk to check availability and join! The networking event will bring people Meeting point for the Cable Car together in a truly unique way to inspire Challenge is Meeting Point B. Twitter: @QualityForum #quality2015 internationalforum.bmj.com
2015 Highlights 11 Wellbeing and Yoga Programme About the Sessions Carol is a member of the International Yoga Teacher’s Association and Australian The Hatha style of yoga is suitable for Yoga Master’s Therapist Association and all fitness levels and ages. Sessions will also a qualified nurse. Carol believes that present a variety of easy physical exercises through yoga, health, happiness, and including gentle limbering and stretching, inner peace can be improved. breathing techniques and relaxation and meditation techniques. 1. Yoga to Start the Day Classes will be tailored to the participants A class for people of all abilities, based and will involve techniques that can on the Hatha style of yoga. The class will be done by most conference delegates combine gentle yoga techniques and Carol Stuart, Yoga Teacher throughout the day. No special change breathing exercises to energise and refresh in clothes is required and yoga mats will you before you start the day. be provided. Some people may feel more Be sure to drop comfortable in loose fitting clothes and 2. Reflect and Refresh may wish to bring a small towel. Informal drop in time for tailored gentle into our Yoga and yoga exercises and guided meditation to As with any exercise, people with any Wellbeing Space physical or medical conditions (including balance the mind, body, and spirit. in our Wellbeing pregnancy or post natal) should have 3. Energise and Revive - their health professional’s approval Room (Capital before participation and must advise the Thames River Walk Suite, Level 3). instructor of these conditions and any This revitalising lunchtime session by the limitations and medications before doing Thames River will include gentle stretches the class. and guided visualisation to help focus and refresh the mind. About Carol Stuart, Yoga Teacher 4. Yoga and Relaxation for Life Carol practices Hatha Yoga, meditation These sessions will demonstrate simple and Ayurveda in Sydney, Australia where techniques in yoga and relaxation that she presents classes, workshops and can easily be incorporated into your busy retreats. She is qualified in yoga practice lifestyle. and philosophy, and Ayurvedic therapy and massage. Wednesday 22 April Thursday 23 April Friday 24 April Before Keynote 0800-0900 - Yoga to Start the Day 0800-0900 - Yoga to Start the Day Morning 1100-1230 - Reflect and Refresh 1100-1230 - Reflect and Refresh 1045-1145 - Reflect and Refresh Lunchtime 1245-1330 - Energise and Revive 1245-1330 - Energise and Revive 1300-1400 - Energise and Revive Thames River Walk Thames River Walk Thames River Walk (Starts at Meeting Point B) (Starts at Meeting Point B) (Starts at Meeting Point B) Afternoon 1345-1500 - Reflect and Refresh 1345-1500 - Reflect and Refresh 1415-1500 - Reflect and Refresh Afternoon 1530-1630 - Yoga and Relaxation 1530-1630 - Yoga and Relaxation for Life for Life
12 2015 Highlights Learning and Networking Zone INSPIRE US! At this year’s International Forum we have a designated space for networking and shared learning - you can find this energising zone towards the rear of the exhibition area in Capital Hall on Level 0. There are scheduled interactive and dynamic sessions throughout the What healthcare programme taking place at the Learning and Networking Zone. We invite you to join us in this space during breaks and lunchtime to meet new friends and to contribute to global thinking to improve healthcare. improvement Don’t forget to also leave your messages for all to read on our ‘Big Wall of Inspiration’. are you most What’s happening at the Learning and Networking Zone? Twitter clinic proud of? Learn how to join and use Twitter. When: every morning break (Wednesday - Friday) SPARK A Facilitated activities This year, we also have some new facilitated learning and networking opportunities. Drop in REVOLUTION! these fun and informal sessions to start conversations with fellow colleagues and get involved in discussions ranging from the challenges of working in primary care and why do Team What’s your big Scotland huddle, to the reality of being an agent for change. When: see schedule below. idea to improve Learning and Networking Zone sessions schedule healthcare? Wednesday 22 April 1100-1230 (90 minute session) A The FolksLab (the Peoples’ Laboratory) 1300-1330 (30 minute session during The FolksLab (the Peoples’ Laboratory) lunch) 1330-1500 (90 minute session) B Primary Care Networking 1530-1630 (60 Minute session) C Nurses using social media to improve care Thursday 23 April 1100-1230 (90 minute session) D The FolksLab (the Peoples’ Laboratory) 1300-1330 (30 minute session during The FolksLab (the Peoples’ Laboratory) lunch) 1330-1500 (90 minute session) E Using Games to Teach the PDSA Cycle 1530-1630 (60 Minute session) F Networking on quality indicators Friday 24 April 1045-1145 (60 minute session) G GetUpGetBetter 1200-1300 (60 minute session) H The FolksLab (the Peoples’ Laboratory) 1330-1400 (30 minute session during Why do team Scotland huddle? lunch) 1400-1500 (60minute session) I Becoming an Agent for Change Twitter: @QualityForum #quality2015 internationalforum.bmj.com
2015 Highlights 13 ...Leave your messages on our Big Wall of Inspiration! Session types other and participate in our Global Nurses want to share our passion for the GUGB Network Live Tweet Chat. ideals. We will discuss how GUGB can help The FolksLab (the Peoples’ Hosts: Erica Reid, Strategic Advisor in your quality improvement work inspire Laboratory) Improvement and Person-Centred Care, colleagues around the world and offer Scottish Government, Scotland; Lorraine support to join or set up your own GUGB Converse with people with similar interest Armstrong, Clinical Academic Fellow, competition. Join us at the International and curiosity to learn, discuss topics that University of Stirling, Scotland Forum and online on getupgetbetter.com. you are passionate about, share your learning and learn from others from across Hosts: Ian Leistikow, MD PhD, Senior the world. Using Games to Teach the Inspector, Dutch Healthcare Inspectorate, PDSA Cycle The Netherlands; Patrick Kools, Founder, The topics that will be covered through GetUpGetBetter, The Netherlands; Claire interactive discussion will include: This networking session will anchor the Matthews, FY2, St Thomas’ Hospital, UK • Improvements in primary care simple fact that we do PDSA testing every day. A variety of games that enable teams • The revolution in care for older people Why do team Scotland huddle? to quickly design and conduct PDSA cycles • Spreading change will be explained and then experienced Previous delegates at the International • Person-centred care by participants. The value of rapid-cycle Forum will have witnessed Team Scotland testing and the knowledge gained from a huddles (if you are an early riser!). You • Clinical innovation failed test will also be demonstrated. have perhaps looked on from a distance, The Folkslab is jointly managed by leaders or even joined us. If you’ve always from Qulturum, Jönköping Sweden and Host: Robert Lloyd, PhD, Executive wondered why we huddle, what we talk NHS Improving Quality, England. Director, IHI, USA about and how we structure them then Hosts: Agata Rukat, Improvement leader, come and join us. This is your opportunity Qulturum, Jönköping County Council, Networking on quality to see first-hand. We will also discuss how Sweden; Caroline Fruberg, Development indicators huddles can and do support safe and leader, Qulturum, Jönköping County In this creative and interactive session person centred care in clinical areas in Council, Sweden delegates will share their experiences and Scotland. challenges connected to creating and using Hosts: Erica Reid, Strategic Advisor in Primary Care Networking National Quality Indicators. Your hosts will Improvement and Person-Centred Care, This session brings together GP’s, be Jan Maarten van den Berg and Fredrik Scottish Government, Scotland; Brian practice nurses, pharmacists, allied health Westander, both leaders in the Dutch Robson, Executive Clinical Director, professionals and all those who oversee respectively Swedish system for National Healthcare Improvement Scotland, or who are responsible for primary Quality Indicators. Their goal of this session Scotland care to share experience, ideas and is to yield ideas and inspiration and seduce encouragement. you to continue the discussion long after Becoming an Agent for Change the Forum ends. Hosts: Dr Kate Adams, GP; Paresh Agents for Change is a collection of Dawda, Australian National University, Hosts: Ian Leistikow, MD PhD, Senior junior doctors with a common vision: a Keele Univeristy UK, ACT Medicare Inspector, Dutch Healthcare Inspectorate, generation inspired and prepared to deliver Local, Ochre Health, ACT, Improvement The Netherlands; Jan Maarten van den world class healthcare. Their mission (if Foundation, Australia; Robert Vanham Berg, Coordinating Healthcare Inspector, you choose to accept it!): To create a Dutch Healthcare Inspectorate, The community and foster a culture where Nurses using social media to Netherlands individuals work collaboratively; sharing ideas, developing skills and inspiring improve care change. Together we will deliver world The Nursing Network session at the 2014 class healthcare which eliminates inequality Paris International Forum generated and promotes healthy lives. We are all excitement and enthusiasm in how we use agents for change. quality improvement methodologies to Learn from Clinical fellows from the Faculty improve care. A diverse range of nurses in of Leadership and Management National policy, academia, leadership, practice and Medical Director’s Scheme how to be an students at the event formed the Global GetUpGetBetter effective Agent for Change within your Nurses Network for Quality Improvement GetUpGetBetter (GUGB) is a non- organisation. Get help with developing (GNN for QI). As a result a group of commercial initiative to set up international your individual ‘elevator pitch’ to get your enthused nurses from around the globe healthcare quality competitions. In sports, message across, and key skills to make connected to develop what is now our competitions have dramatically improved the most of your networking time at any new network for nurses with a passion for the speed and spread of innovation. event. QI. A year on, our network has expanded. Imagine what we could achieve if the Nurses at any stage in their QI journey Hosts: Kate Adlington, BMJ Clinical Olympics were about healthcare quality? are welcome to join us for an informal Fellow, UK; Emma Parish, BMJ Clinical Imagination is becoming reality, the first and friendly opportunity to share stories, Fellow, UK GUGB competitions have already been ask questions, connect, learn from each launched. In this interactive session we
The International Leadership Development Improvement Program for Physicians Advisor IHI in collaboration with the Harvard Professional School of Public Health Development Program Autumn June 15–26, Boston, MA 2015 Europe Develop the management knowledge and leadership skills you need to drive your health care organisation forward. Organisations that achieve multiple and sustained improvements usually have the invaluable leadership of an Improvement Advisor (IA). IAs are trained to identify, plan, and execute improvement projects, deliver successful results, and spread changes across the entire system. Open School Spreading safety and improvement through online courses! Build a common language among Customised Services staff and earn more than 30 continuing education credits. For ten years, IHI has worked intensively Use the tracking feature to stay with organisations and government entities updated on staff progress along to drive transformational change throughout with provided tools to facilitate a system or country. Learn how IHI can help team discussions. you achieve bold aims in quality and safety and build long-term sustainability. Learn more at ihi.org/Europe or visit booth #19.
2015 Highlights 15 Student and Junior Health Care Professionals Programme Throughout the International Forum, the IHI Open School and BMJ are hosting a number of dynamic and unique sessions for students, junior health care professionals, trainee doctors, and educators in the Student and Juniors Lounge (Capital Suite, Level 3). We look forward to seeing you there! Tuesday, 21 April Thursday, 23 April Come visit the IHI booth, Booth 1800 #19, to meet the IHI Open School 1500-1700 team and learn more about the Student & Junior Health Care Social Outing for Students, Junior Open School Chapter Network and Professional Orientation Health Care Professionals, and the Open School’s growing catalog Student and Juniors Lounge Friends of asynchronous online courses (Meet in the Student and that teach the foundations of (Capital Suite, Level 3) improvement, safety, system design, Join us for an orientation session to network Juniors Lounge) and leadership. with colleagues from around the world. Here Join us at a nearby bar or restaurant for you’ll find guidance on how to get the most informal networking with your new colleagues out of your Forum experience, review activities and friends. planned for the following three days, and have an opportunity to network and meet new Friday, 24 April friends at the Forum. 1300-1400 Student & Junior Health Care Tuesday, 21 April Professional Lunch Session 1800 Social Outing for Students, Junior Student and Juniors Lounge Health Care Professionals, (Capital Suite, Level 3) and Friends Grab your lunch and join us for the final lunch session. IHI Open School Regional Chapter (Fox Bar @ Excel) Leaders will help you reflect on the Forum Join us for a fun social event at a nearby experience and develop an action plan to bar for informal networking with your new bring home. colleagues and friends. Friday, 24 April Wednesday, 22 April 1400-1500 1230-1330 Student Session - Becoming an Student & Junior Health Care Agent for Change Professional Lunch Session Student and Juniors Lounge (Learning and Networking Zone) (Capital Suite, Level 3) Join us in the Learning and Networking Zone Grab your lunch and join Donald Berwick, to learn how to be an effective Agent for MD, MPP, FRCP, President Emeritus and Senior Change within your organisation. Clinical Fellow at IHI, for a discussion on how students Fellows from the Faculty of Leadership and and junior doctors can lead improvement. Management National Medical Director’s Scheme will help you develop your own Thursday, 23 April ‘elevator pitch’ to get your message across and teach key skills to make the most of your 1230-1330 networking time at any event. Student & Junior Health Care Professional Lunch Session Student and Juniors Lounge Twitter #quality2015 (Capital Suite, Level 3) Twitter #IHIOpenSchool Grab your lunch and join the IHI Open School for an opportunity to meet other students and reflect with BMJ Clinical Fellows and members of Agents for Change on your Forum experience so far.
16 2015 Highlights Special Interest Breakfast Sessions Thursday 23 April, 0800-0900 Thursday 23 April, 0800-0900 Friday 24 April, 0800-0900 Platinum Room 1 Platinum Room 3 Platinum Room 2 Twitter #qfbupa Twitter #qfpwc Twitter #qfdrfoster New developments in dementia New patient, new health: beyond Dr Foster – Don’t be myopic: care the illness stories from a global healthcare In the absence of a pharmacological disease Never before has so much change occurred in quality group modifying breakthrough in more than fifteen such short periods of time. Disruptive forces - Over the past four years Dr Foster in years new dementia care developments in demographic change, increased expectations, collaboration with over fifty hospitals in ten recent times embrace risk-awareness, the pressure to deliver better outcomes at lower countries have worked to share insight and benefits of diagnosis, cognitive stimulation cost, new entrants and new technology - are improve healthcare outcomes. As the project interventions, managed care and the added- rapidly reshaping healthcare, in the UK and widens into the Middle East and China, this value of longstay care settings. Yet do these globally. A new health landscape is emerging, session will cover both the outcomes and the represent little more than a leap of faith? with a new type of patient at its heart: with insights gained from parts of this work. Dr Hemal Desai, Associate Medical Director, increasing expectations about healthcare Corporate Centre: Medical; Professor services, increasing knowledge about their After this session, participants will be Graham Stokes, Bupa’s Global Director of health, and increasing motivation to take able to: Dementia Care responsibility for their own wellbeing. • A ppreciate the value in linking international This interactive session will explore the datasets to monitor hospital performance, implications of the new patient for healthcare drive academic research and improve patient providers, clinicians and commissioners. outcomes We’ll also be previewing the findings of our global study into patient, carer and clinician • U nderstand insight obtained from hospitals experiences of cancer care. across the ten countries in areas including stroke management, Acute Myocardial Thursday 23 April, 0800-0900 Dean Arnold, UK Health Industries Leader, Infarction Mortality, Sepsis and demand PwC Platinum Room 2 management Twitter #qfnhsiq Katrina Herren, Clinical and International Advancing transformational Director, Dr Foster, UK change using collaboration, networks and systems thinking – realtime learning from the English Friday 24 April, 0800-0900 health system Platinum Room 1 Join this interactive and practical session Twitter #qfihi from NHS Improving Quality, England’s national health improvement body, on its What Wall? A Walking Breakfast work with health and care systems advancing Through IHI’s Global Initiatives transformational change. You’ll take away Maternal and Child Health. Safety. Systemwide tested approaches for large scale change and improvement. hear insights into the progress and impact for Join IHI staff on a walking tour of leadership local systems. and capability-building storyboards at the Charlie Keeney, Programme Director, NHS International Forum. In this breakfast session, Improving Quality; Rachel Hinde, Programme you will hear from IHI content experts and Lead, NHS Improving Quality our partners about the recent work in Europe, Chair: Steve Fairman, Interim Managing Africa, the US, Latin America, Asia, and the Director, NHS Improving Quality Middle East - what tests of change are moving forward with local partners, what’s worked, and what has not, what has been achieved. Be prepared to ask questions and analyse results for how teams succeed when they come upon a wall, throw their hats over it, and then go and get their hats. Pedro Delgado, Executive Director, Institute for Healthcare Improvement (IHI), USA Twitter: @QualityForum #quality2015 internationalforum.bmj.com
2015 Highlights 17 Special Interest Lunchtime Sessions Friday 24 April, 0800-0900 Thursday 23 April, 1245-1315 Platinum Room 3 Capital Room 2 Twitter #qfbmj Twitter #qfkmandt BMJ Quality – Making quality Health: How it needs to work. improvement simple A concept based on TOYOTA At BMJ Quality we believe in making thinking healthcare improvement simple. In this session For the past 60 years, Toyota has been globally we introduce our award-winning online recognised as the world leader in not only programme which aims to put everything you motor manufacturing, but also in supplier need to improve healthcare in one place: relations, employee satisfaction and product • See how our innovative online workbook innovation. This holistic approach to Toyota’s can guide you step-by-step through an products has driven its global success. improvement project and make it easy to This session, developed by senior ex-Toyota record your data managers working with the NHS, looks at how • Hear about BMJ Quality Improvement we can bring the whole system together to Reports - a peer-reviewed journal of front- provide seamless care within a single cohesive line quality improvement evidence - which system. allows you to submit your work with a single Karen Baker, Chief Executive, The Isle of click Wight NHS Trust; Steve Boam, KM&T CEO • Understand how you can collaborate online & founder with your team through the Quality platform and access our expert mentors to support your work Ashley McKimm, Head of BMJ Quality, BMJ Dr Cat Chatfield, Clinical Lead for BMJ Quality, BMJ Friday 24 April, 1315-1345 Capital Room 2 Twitter #qfcwf The Harkness Fellowships The Harkness Fellowships in Health Care Policy and Practice provide a unique opportunity for promising mid-career professionals – from Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, and the U.K. – to spend 12 months in the United States working with leading U.S. experts to study innovative healthcare delivery system reforms and critical issues on the health policy agenda in both the U.S. and their home countries. Each fellowship provides up to U.S. $119,000 plus family supplement of approximately $55,000. Please join us to learn more about the Harkness Fellowship experience, who should apply, and the impact of the Fellowship on Fellows’ career paths. Robin Osborn, Vice President and Director of the Harkness Fellowships; Harkness alumni: Jako Burgers, Christopher Hayes, and Imogen Mitchell
18 Tuesday 21 April Session Details M1 5th annual International Improvement Science and Research Symposium Sponsored by: 0900-0910 1120-1230 Welcome and introduction Presentations: Putting patients at Fiona Godlee, Editor-in-chief, The BMJ the centre of Improvement Science Göran Henriks, Chairman of the Forum’s Chairs: Göran Henriks, Chief Executive of Strategic Advisory Board and Chief Executive Learning & Innovation, Jönköping County of Learning & Innovation, Jönköping County Council, Sweden; Nick Barber, Director of Council, Sweden Research, The Health Foundation 1. Q uality improvement and person- 0900-1715 0910-0930 centredness: developing and refining the Capital Room 1 Opening keynote: ‘always event’ concept for primary care Challenges for Improvement Gregor Smith, Senior Medical Officer, Primary Science for the real world: making Care Division, Scottish Government, Scotland Twitter #qfscience a difference for patients 2. System-oriented engagement of stakeholders in identifying priority Maxine Power, Director of Innovation evidence-practice gaps, barriers and and Improvement Science at Salford Royal strategies for primary healthcare Foundation Trust, England improvement Ross Bailie, Professor of Public Health and 0930 -1040 Scientific Director, Centre for Primary Health Care Presentations: Researching how we Systems, Menzies School of Health Research, work together Australia Chair: Paul Batalden, Professor Emeritus, 3. Partnership between patients and health Dartmouth Medical School, USA workers to implement an improvement 1. ‘The most productive meeting we have change package – a strategy to accelerate ever had’: the power of constructing improvement gains programme theory diagrams using the Martin Muhire, Quality Improvement Advisor, Action Effect Method USAID- Applying Science to Strengthen and Laurel Issen, Research Associate, National Improve Systems (ASSIST) Project, University Institute of Health Research (NIHR) Collaboration Research Co., LLC, Kampala, Uganda for Leadership in Applied Health Research and Care (CLAHRC) Northwest London; Imperial 1230-1330 College, Chelsea and Westminster Hospital, Lunch and networking London, UK 2. Using ethnographic research to inform 1330-1430 the development of a diagnostic and Improvement Science world café: intervention toolkit for intensive care settings ‘conversations about research’ Presentations from authors to their table. Scott Reeves, Professor in Interprofessional Research, Faculty of Health, Social Care and Chairs: Göran Henriks, Chief Executive of Education, Kingston University & St George’s, Learning & Innovation, Jönköping County University of London, England Council, Sweden; Nick Barber, Director of Research, The Health Foundation 3. Collaboration and proactive teamwork used to reduce (CAPTURE) falls 1430-1445 Katherine Jones, Associate Professor, Division of Physical Therapy Education, School of Allied Reflection and discussion Health Professions, Omaha, Nebraska, USA around the table: 3 challenges in Improvement Science 1040-1100 Within the categories of design and Refreshments and networking collaboration, methodology, measurement and evaluation 1100-1120 Getting to person-centred care: 1445-1515 building and using the evidence Refreshments and networking Helen Crisp, Assistant Director of Research, The Health Foundation, United Kingdom This segment is sponsored by The Health Foundation. Twitter: @QualityForum #quality2015 internationalforum.bmj.com
19 1515-1600 1715-1730 Presentations: Challenging Closing remarks G8: Engineering systems to save our thinking on approaches to Göran Henriks, Chief Executive of Learning & lives; recognise the unexpected Improvement Science Innovation, Jönköping County Council, Sweden; Friday 24 April, 1045-1145 Chair: Kaveh Shojania, Editor-in-Chief, BMJ Nick Barber, Director of Research, The Health Platinum Room 3 Foundation This 60 minute sessions describes a detailed Quality & Safety 1. E valuation of improvement initiatives systems engineering approach to solving using statistical process control and complex problems. theory driven evaluation Sponsored by: I5: Embracing Complexity: Tom Woodcock, Information Theme Lead, National Institute of Health Research (NIHR) Mastering the use of Plan-Do- Collaboration for Leadership in Applied Health Study-Act cycles to navigate and Research and Care (CLAHRC) Northwest London; negotiate change Imperial College, Chelsea and Westminster Friday 24 April, 1400-1500 Hospital, London, UK Capital Room 4 2. How scientific is the Plan-Do-Study-Act method? Comparisons of the scientific Improvement Science stream This workshop draws on new research method and its application in chemistry There a number of events alongside findings from an international qualitative and in healthcare study to explore the reality of using PDSA the International Improvement Science method in practice. Julie Reed, Academic Co-Director, National and Research Symposium, aimed at Institute of Health Research (NIHR) Collaboration those working on or with an interest in for Leadership in Applied Health Research and the areas of improvement science and Care (CLAHRC) Northwest London; Senior research.These include: Research Fellow, Imperial College, Chelsea and Westminster Hospital, London, UK A7: The impact of improvement 1600-1645 research on clinical practice Presentations: Implementation and Wednesday 22 April, 1130-1230 knowledge translation Platinum Room 2 Chair: Gareth Parry, Senior Scientist, Institute During this Wednesday session, hear for Healthcare Improvement (IHI) and Clinical about research initiatives by 3 different Assistant Professor at Harvard Medical School, organisations in the USA, UK and New USA Zealand. 1. A chieving implementation principles is associated with effective delivery system C3: Efficient Approaches to innovation Infectious Diseases in Africa Olivia Jung, PhD Student in Health Policy Wednesday 22 April, 1530-1630 (Management), Graduate School of Arts and Sciences, Harvard Business School, Harvard Capital Room 2 University, USA Evaluate the success of 2 different 2. Improving physician hand hygiene interventions initiated by public health compliance: design and pilot of a theory- officials and emergency medical services. based knowledge translation intervention C8: Specialty Focus Groups Stefanie Linklater, Research Assistant, Ottawa Wednesday 22 April, 1530-1630 Hospital Research Institute (OHRI), Ontario, Canada Poster Area This poster focus group will provide a unique 1645-1715 opportunity for research teams to connect Panel discussion: How do we and share their work. translate what we know into practice? Moving from research to implementation Panelists: Maxine Power, Paul Batalden, Helen Crisp, Kaveh Shojania
How we can help you in 2 15 The Health Foundation is an independent charity working to improve the quality of health care in the UK. We are here to support people working in health care practice and policy to make lasting improvements to health services. We carry out research and in-depth policy analysis, fund improvement programmes in the NHS, support and develop leaders and share evidence to encourage wider change. www.health.org.uk
Stay on top of Resources to Improvement news patient safety make care more and research delivered person-centred to your desktop Get access to accurate, up-to-date People will enjoy better health Every month we scan thousands patient safety information from a and wellbeing if they have the of journals to select and summarise single online resource. Our patient right support and information at around 60 of the most interesting safety resource centre provides key the right time to help them make studies about health care research papers, national standards, informed decisions and to manage improvement. implementation guidelines and their own health and care. The Signing up for the Research Scan case studies. Health Foundation’s person-centred is quick, free and will save you time care resource centre features a range Visit the patient safety resource getting the latest evidence. of materials to help health care centre today at professionals deliver care responsive Sign up at www.patientsafetynow.org.uk to people’s individual abilities, www.health.org.uk/researchscan preferences, lifestyles and goals. Visit the person-centred care resource centre today at www.personcentredcarenow.org.uk For UK attendees Innovating for improvement will be open for application in the summer. We have £1.5m available for up to 20 teams to test and develop innovative ideas and approaches Stay in touch to improving health care delivery in the UK. Scaling up improvement will be open for application in the spring. Seven teams will receive For all the latest news and developments up to £500,000 each to support from the Health Foundation: the wider implementation and • subscribe to our monthly email newsletter evaluation of their work. at www.health.org.uk/enewsletter GenerationQ • register for email alerts to be notified about our part time, fully-funded leadership our latest work at www.health.org.uk/updates programme for senior leaders from health care policy and practice, and • follow us on Twitter, Facebook or LinkedIn the charity sector, will be open for • visit our blog for the latest opinions, application in the summer. analysis and insight on health and Visit www.health.org.uk health care at www.health.org.uk/blog
22 Tuesday 21 April Session Details M2 London Experience Days This interactive and energising day will give a detailed and inside view of the Proudly supported by: • Embedding the science of improvement best quality and safety initiatives currently into primary and community care. being implemented in the UK healthcare Your facilitators and hosts system. The day will advance and progress • Dr Zuhair Zarifa, Chair of Newham CCG fresh thinking in improvement and safety EXPERIENCE 1 by: • Satbinder Sanghera, Director of Olympic Experience Day: Partnerships Newham CCG and previously • E nabling international visitors to actively Regeneration and Innovation in Director of Athletes’ Village learn from the word class examples of Newham • Meradin Peachey, Director of Public the UK healthcare system Twitter #qfolympic Health, London Borough of Newham • P roviding UK healthcare professionals A morning visiting the Queen Elizabeth II • Dr Shanti Vijayaraghavan, Consultant with an interactive opportunity to learn Olympic Park, host site for the London 2012 Diabetologist, Barts Health from the wider global community, and Olympic & Paralympic games, followed by to inspire fresh thinking around local an afternoon out in the local community • Professor Martin Marshall, Lead, of Newham. Delegates will experience an Improvement Science London, Professor of initiatives official tour of the iconic park gaining an Healthcare Improvement, UCL The day will include tours and insight into the planning of health services • Richard Mountford, Communications demonstrations of local healthcare throughout the games and how new Manager, Newham CCG, UK facilities at a number of healthcare centres services have been designed for the local of excellence around London. population post-games. After a lunchtime • Liz Nicholls, Programme Lead for trip up the Anish Kapoor designed Orbit Physiotherapy, School of Health and Tower, delegates will then be taken out Bioscience at UEL, UK to experience the local health services that serve one of the UK’s most deprived populations. Proudly supported by: Learning Objectives • To gain an insight into the Olympic and Paralympic 2012 legacy and how health services have evolved and sustained to EXPERIENCE 2 support Newham’s regeneration and new population. Improving Care of Children, • To look at examples of how local health Great Ormond Street Children’s services are building on the legacy of Hospital the games, by incorporating exercise Twitter #qfgosh into healthcare and working with young Great Ormond Street Children’s Hospital people, in the youngest population in the Trust (GOSH) is one of the top 5 children’s UK hospitals in the world. Everything the Trust • To learn how Newham is building and does – from excellent clinical care to cutting embedding a culture of quality and safety edge research and paediatric education - is in primary care through collaboration with devoted to improving the health of children academia, secondary care and community and supporting their families during what partners. we know are difficult times. • To learn how Newham health system is Achieving sustainable change is a challenge driving innovation and behaviour change that many organisations face on their across a whole system. improvement journey. Great Ormond Street Hospital is continually learning how to • To visit the Olympic site and see local develop and sustain Quality Improvement regeneration, first-hand interventions despite encountering Your experience significant challenges. • Risk stratification of patients and the use Your experience of informatics (EMIS) across whole patient Your visit to GOSH will take you into the journey. heart of the organization, where you will • Engaging ‘hard to reach’ patients in learn how GOSH teams deliver their safety diabetes self-management. agenda across a complex system. Twitter: @QualityForum #quality2015 internationalforum.bmj.com
Tuesday 21 April 23 Session Details Delegates will see our successes and • Some of the innovative service models in Proudly supported by: challenges and how we addressed them. operation within liaison teams, primary There will be an opportunity to interact with care, and community settings – which have those who have innovated and improved, as applicability beyond the mental health and well as experience skills learning workshops community services context. and a visit to clinical areas. EXPERIENCE 5 Your facilitators Your facilitators Improving acute care for all ages • Dr Kevin Cleary, Medical Director • Zoe Egerickx, Transformation Programme – inspiration from University • Dr Amar Shah, Associate Medical Director Manager College London Hospitals NHS for QI • Peter Lachman, Co-Deputy Medical Foundation Trust Director and Consultant Paediatrician EXPERIENCE 4 Twitter #qfacute About your Visit Embedding quality Primary Care Experience Day Your visit to UCLH will provide you with Proudly supported by: access a wide range of talks from our Twitter #qfprimary executive team and our clinical leaders. The UK’s health system is based on These will be interactive sessions with a comprehensive primary health provision focus on safety, quality improvement and and free access for all. The recent innovation. This will be through a large EXPERIENCE 3 Commonwealth Fund’s 2014 report ranked group session in the morning with the Embedding quality the UK the best performing health system in opportunity for delegates to break into the world. smaller groups with a specialty focus in the improvement in mental health afternoon. During the day you will: and community services at East During the morning of the primary care experience day, there will be an opportunity • Learn from leading experts in women’s London NHS Foundation Trust to visit some of the following: health, elderly medicine, critical care and Twitter #qfeast cancer care on what they’ve been doing • An innovative community-led organisation East London NHS FT is a provider of to improve clinical outcomes and patient working alongside a primary care practice predominantly mental health and experience. in one of the most deprived areas of the community services in one of the most UK • Network with clinical experts interested in culturally diverse and economically deprived parts of the country. The organisation has improving clinical outcomes, safety and • A site that has undergone system wide embraced quality as its business strategy, patent experience reform of urgent care services and has embarked on a large organisation- • Develop ideas on the use of simulation wide quality improvement programme, in • A site where GP-led commissioning has that you can implement in your own partnership with the IHI. East London NHS FT resulted in new solutions to patient care organisation receives some of the best patient feedback • A GP practice to learn more how results among its peers, and has recently Sessions for all primary care is delivered, managed and been named as one of the top 10 best incentivised. • Hear about our organisation and the places to work in healthcare in the country. benefits and challenges facing an acute In the afternoon we will come together Your experience foundation Trust in the current economic to share reflections from the morning. We climate - Sir Robert Naylor (CEO). Spend a day with East London NHS FT, and will also hear from UK primary care leaders learn more about: about approaches to establishing new multi- • Hear about our improvement journey so professional primary care offerings at greater far and our aspirations for the future - • How the organisation is applying scale. Jonathan Fielden (Medical Director) and systematic continuous improvement Tara Donnelly (Director Quality, Efficiency to tackling complex quality issues in Your hosts and Productivity ) mental health and community services, hearing directly from the teams leading • Dr Kate Adams, General Practitioner • Learn how our critical care team with improvement work the support of UCLP have successfully • Paresh Dawda, Senior Research sustained a 50% reduction in cardiac • How the organisation is shifting to being Fellow, Australian National University, arrests and eliminated pressure ulcers improvement-focused, building capacity Visiting Fellow, Keele Univeristy, UK, in their unit whilst improving staff and and capability for improvement at scale, Implementation Adviser, ACT Medicare patient satisfaction - John Welch (Nurse and making quality its business strategy Local, GP and Medical Director, Ochre Consultant) and Elaine Thorpe (Matron) Health, ACT, Consultant, Improvement • How patients, carers, and families Foundation, Australia • Observe the use of simulation in are partnering with staff and leaders clinical training and learn how you to influence decisions, define quality • Robert Vanham could implement this approach in your measures, and being part of all own organisations - Melissa Whitten improvement work (Consultant Obstetrician)
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