This interactive and energising day will give a detailed and inside view of the French healthcare system, and more specifically explore the relationship between its organisation and financing, and the quality of healthcare and patient safety. The day will progress  fresh thinking in quality and safety improvement:

• Enabling international visitors to actively learn from the world-class examples of the French healthcare system
• Providing French healthcare professionals with an interactive opportunity to learn from the wider global community, and to inspire fresh thinking around local initiatives
  

Please note that this day will take place at the Georges Pompidou European Hospital and not the main Forum venue, Le Palais des Congres.

The day will start at 09:30 at the Georges Pompidou European Hospital with a presentation of the healthcare system of France and an insightful overview of the national quality and safety programmes. From there, delegates will move to various healthcare sites in Paris to deep-dive specific issues, bringing together local and international perspectives. The day will also include tours and demonstrations of local healthcare facilities. Delegates will return to the Forum venue in time for the Forum Welcome Reception.

All sessions will be presented in English.

Morning Keynote Sessions 09:30 – 13:00, George Pompidou European Hospital

1. Quality and Safety in the French healthcare system
Chair: Rémy Bataillon, Directeur Adjoint DAQSS, HAS

Introduction: Elisabeth Delaroche‐Lambert, Hôpital Européen Georges Pompidou, AP-HP;
Philippe Michel (CCECQA – FORAP)

2. An international and comparative perspective on healthcare systems performance
Valérie Paris, OECD

3. Main characteristics of the French healthcare system
Organisation of the French healthcare system
Isabelle Durand-Zaleski, AP-HP

Financial coverage and performance system from the National Insurance system
Mathilde Lignot-Leloup, Directrice Gestion et Organisation des Soins, CNAMTS

A patient perspective
Tim Greacen, Patient Representative at Hôpital Européen Georges Pompidou

4. Quality and safety in care pathways; the case of myocardial infarction
Organisation and inequalities
Nicolas Danchin, Société Française de Cardiologie

Quality programmes: collaboratives and national indicators
Armelle Leperre Desplanques, Chef du Service Programmes Pilotes, HAS

Quality and safety in hospitals: the case of operating theatres
a) Performance improvement projects
Presented by ANAP

b) Accreditation of hospitals and of physicians
Catherine Grenier, Directeur Adjoint DAQSS, HAS

14:30-17:00 hrs - Choose one of the local experiences listed here

Experience 1
Surgical and medical intensive care
Hosted by: Georges Pompidou European Hospital surgical and medical intensive care departments

This session will give a detailed and inside view of the organisations of the following two departments, including their management of emergencies, particularly polytrauma.

• Surgical intensive care department – presented by Pr Journois
• Medical intensive care department – presented by Pr Fagon and Dr Faisy
  

The patient safety programme of the intensive care department will be presented, including the organisation of morbidity and mortality meetings.

Experience 2
Evaluation and prevention of drug errors
Hosted by: Georges Pompidou European Hospital Pharmacy Department

This session will have a broad focus on the organisation of drug delivery in the hospital including prescribing, dispensing and administration of drugs. A special focus will be on evaluation and prevention of drug administration errors.

In the hospital, prescriptions are written by physicians, using the same computerised physician order entry system in every case (DxCare®). The hospital pharmacy then validates prescriptions and delivers the prescribed drugs to each unit on a unit-dose basis. If necessary, the nurses obtain the drugs from secure cabinets available in each unit (using Omnicell®). You will visit the pharmacy department to view these processes, followed by a visit to a clinical ward: either the cardiology or immunology department.

 - presented by Pr Patrice Prognon, Dr Brigitte Sabatier

Experience 3
Safety in cardiology
Hosted by: Georges Pompidou European Hospital Department of Cardiology

The department of cardiology comprises of wards specialising in cardiology, hypertension, vascular diseases and prevention of cardiovascular diseases. During the afternoon, the team of health professionals from the cardiology department will present the efforts they are taking to deliver best clinical care which is safe and meets the highest quality standards.

An insight into several areas will be covered including:

• The management of congenital cardiopathies in adults
• The management of cardiac arrest 
  
• The specialty unit for the management of thoracic pain in emergency
• The management of hypertension and the prevention of cardiovascular diseases.
  

Experience 4

Clinical research and information systems for improvement
Hosted by: Georges Pompidou European Hospital

Part a) Department of clinical research; Gilles Chatellier; Dr Pierre Durieux
The hospital comprises a whole department of clinical research responsible for the design and management of all clinical studies, including those focused on quality improvement and patient safety. The work of the department is financed by national or regional research programs. The organisation of this department and its links with the clinical departments within the hospital will be presented, including the financial and ethical aspects. This visit will be an opportunity to discuss the organisation of clinical research in France as it relates to safety and improvement. 

Part b) Department of information systems; Pr Patrice Degoulet
The hospital information system integrates an electronic health record (EHR) (DxCare®, MEDASYS) with a computerised physician order entry (CPOE). The electronic health record currently collates orders and results of clinical tests and imaging procedures.

The electronic health record is at the centre of care delivery. It is integrated with other applications to allow the circulation of information among wards, laboratories, and the pharmacy. We will discuss how this system can be used to evaluate and improve the quality of care.

Experience 5
Patient engagement
Hosted by: Georges Pompidou European Hospital

Part a) Radiotherapy department; Catherine Durdux
The organisation of the radiotherapy department will be presented. Presentations of patient safety programmes actually running in this department will be discussed, including safety rounds, disclosure of errors and process oriented quality systems
Part b) Unit for patient rights; Jean Wils; Tim Greacen
This unit is unique in France and has existed since the opening of the hospital. The unit is responsible for all the problems encountered by patients in the hospital including complaints and law suits. A specific link exists with several patient associations who are present in the hospital to inform patients and develop preventive actions.

Experience 6
Long term care and rehabilitation
Hosted by: Corentin Celton Hospital

Corentin Celton Hospital is a long term care and rehabilitation hospital which has been recently to include a unique walk area designed to improve rehabilitation of older people.

A Snoezelen (or controlled multisensory environment) has also been implemented for patients with Alzheimer disease. This specially designed sensory physical environment, together with the input of the ‘enabling practitioner’, initiates changes in arousal by affecting the relaxation process and by reducing anxiety and pain. It aims to maximise a person's potential to focus on their own free will and to engage with motivational stimuli to improve communication and functioning. This afternoon will enable the visitors to learn how these techniques are improving care for the ageing population.

Experience 7
Improving cancer and palliative care
Hosted by: Ariane Cancer Centre, Paris

This afternoon will give delegates an insight into improvement initiatives in cancer and palliative care.

Part a) The Ariane Cancer Project; Pr François Goldwasser
The Ariane Project aims to improve quality of care as well as the cost-effectiveness of cancer care. Ariane is a pluridisciplinary team formed in response to patient increased complexity.

Ariane is dedicated to the initial evaluation of patients needs (as required in the National Cancer Plan) and the evaluation of therapeutic risks to guide the trajectory of cancer patients. The coordinating nurse facilitates the daily follow up of patients, their access to clinical research and to complementary treatments including: physical therapy, nutritionist, psychotherapy, and spiritual resources. 

Part b) Integrated palliative care
The Hospital based Palliative Care team is integrated into this collaborative model, as the fourth pillar of comprehensive cancer care (along with oncologist, surgeon, and radiation therapist). This integration is mainly based on the weekly onco-palliative meeting and on early intervention of PC team.

 - presented by Dr Isabelle Colombet and Dr Pascale Vinant

Experience 8
Telemedicine for improvement
Hosted by: Georges Pompidou European Hospital and Vaugirard Hospital

A telecommunication programme providing clinical health care from a distance between the two hospitals will be presented, including how this is improving the quality of patient care.

 - presented by Dr Pierre Espinoza

Experience 9
Simulation and virtual learning for improvement
Hosted by: Cochin Hospital Simulation Centre

iLUMENS is a University Medical Teaching Laboratory at the University of Paris-Descartes and its School of Medicine. It is focused on digital technologies, simulations, multidisciplinary and targeting training, and specialised training and continuing education.

The aim of the laboratory is to meet healthcare professional’s growing demand for virtual learning. It also participates in the effort to improve the quality and the safety of healthcare through the use of the new digital technologies and simulations. Such innovative and structured learning approaches are already widely developed, particularly in medical schools of North America and Scandinavian countries.

Programme Organising Committee: Ministry of Health (M. Perrin DGOS and JL Termignon DGS) ; Haute Autorité de Santé (J. Bacou and C. Bruneau, HAS) ; Caisse Nationale des Travailleurs Salariés (M. Gouello, CNAMTS), Agence Nationale Pour l’Amélioration de la Performance (B Alvez de Rezende ANAP) ; Hôpitaux de Paris - Assistance Publique (P Durieux AP-HP) ; Fédération des Organismes Régionaux pour l’Amélioration des Pratiques et des Organisations (P Michel FORAP and International Forum Representative).

Book your place in Paris -  group savings available