S4: Leading Smarter Systems: Redesigning Health Care for Safety, Quality and Impact


Thursday 20 November 2025 | 13:30-15:30 


Format: Presentation


Stream: Leadership


Part One: Eyes on the road Ronda! How to avoid looking at Hospital Performance through the rear-view mirror and not reaching your destination


Assessment of hospital performance relies on retrospective analysis of measures of cost, quality and activity frequently mandated by policy or regulatory frameworks to enable benchmarking, compliance and service level planning. Operational data reflects aggregated high-level measures of capacity such as occupancy and consumer location or service level descriptors and lack sufficient detail to allow course correction through resource allocation or strategic interventions. Participants in this session will be introduced to a range of theoretical frameworks and evidence-based interventions which provide an alternative approach to understanding and improving hospital performance which engages clinicians and addresses the increasing complexity of consumers. In addition they will be invited to share in problem solving the challenges of releasing the data value of electronic health records to realize the improvement in both understanding and experience of care over time.


Gerry O’Callaghan University of Adelaide; Australia


Part Two: Signposts To High-Quality Health Care: Developing A New National Clinical Governance Framework


Health service organisations need strong clinical governance systems to provide high-quality care, prevent avoidable harm and drive continuous improvement.But we know that clinical governance is not yet fulfilling its potential. Since the current national clinical governance framework was released in 2017, new challenges in providing consistently high-quality care have emerged and many existing challenges have not been overcome. Budget and workforce pressures have intensified implementation difficulties. This presentation describes the Australian Commission on Safety and Quality in Health Care’s development of a new national framework to address chronic implementation challenges and reinforce clinical governance as the cornerstone of providing high-quality care.


It will show how the Commission has:



  • Designed the content to bridge implementation gapsBuilt on the strengths of the current framework

  • Incorporated feedback from health system leaders, clinicians and consumers on the areas of clinical governance they want to strengthen

  • Applied contemporary clinical governance thinking and best practice to support health service organisation leaders to deliver high-quality health care

  • Developed practical ways to adapt the new framework and make it relevant for your organisation.


Anne Duggan Australian Commission on Safety and Quality in Health Care (ACSQHC); Australian 
Cathy Balding Australian Commission on Safety and Quality in Health Care (ACSQHC) and James Cook University; Australian 


Part Three: Transforming Patient Safety Culture: A Data-Driven, Phased Approach in Qatar Healthcare Centers


How can healthcare organizations move beyond traditional safety training to achieve real cultural transformation? This session explores Qatar primary health care corporation (PHCC)’s innovative, phased, and data-driven approach to improving patient safety culture across 31 health centers. Attendees will learn how survey data, focus groups, and tailored training projects were leveraged to identify key safety challenges and drive meaningful change. The session will highlight the critical role of leadership coaching in sustaining improvements and how initial successes in six piloted centers informed a scaled implementation. Delegates will gain actionable insights into designing and implementing and effective patient safety culture strategy, ensuring engagement at all levels. Whether you’re tackling post-pandemic safety culture setbacks or looking to refine existing initiatives, this session will equip you with practical, evidence-based strategies to create lasting impact in your organization.


Nawal Khattabi Primary Health Care Corporation; Qatar


Part Four: Driving Change: Advancing Quality, Safety, and Sustainability through Australia’s National Health and Climate Strategy


In December 2023, Australia launched its first National Health and Climate Strategy, marking a critical step in integrating sustainability with healthcare quality and safety. This presentation will explore the intersection between safety, quality, and environmental sustainability in Australia’s health system. It will outline progress made to reduce greenhouse gas emissions and build climate resilience in the Australian health system, while maintaining the safety and quality of patient care. Participants will learn to understand the interconnection between sustainability and quality healthcare as we explore how decarbonisation initiatives can enhance patient safety and care outcomes. The session will provide insights into supporting frameworks like the Environmental Sustainability and Climate Resilience Healthcare Module as we work toward a more sustainable health system. Delegates will gain an understanding of emerging collaborative approaches, spanning government, health professional colleges, and global partnerships, that drive system-wide change. Join us to be part of this transformative journey toward high-quality, sustainable healthcare.


Madeline Skellern Australian Department of Health and Aged Care; Australia