Welcome to the International Forum from Maureen Bisognano, Institute for Healthcare Improvement (IHI)

Welcome to Hong Kong from Siu-Fai Lui The Chinese University of Hong Kong and The Jockey Club School of Public Health and Primary Care, Hong Kong

Opening address follows from 09:00 from Dr Libby Lee, Under-Secretary for Health, Health Bureau Hong Kong

 

Exploring the power of innovative solutions in delivering smarter, more efficient care and the integration of new technologies that redefine the patient experience and driving value-based outcomes.

Tony Ko Hospital Authority, Hong Kong Special Administrative Region, Hong Kong

Joanna Pang Hospital Authority, Hong Kong

Calvin Mak Hospital Authority, Hong Kong

Format: Presentation

Stream: Safety

Part 1: An integrated health system – the transformation to be fit-for-purpose

Session details coming soon.

EK Yeoh The Chinese University of Hong Kong

 

Part 2: The Singapore healthcare system – evolution and transformation

Session details coming soon.

Lee Chien Earn SingHealth, Singapore

 

Part 3: Utilising collaborative approaches to achieve large-scale organisational changes within healthcare

Doctors with backgrounds in leading QI will describe their experience exacting large-scale organisational change in tertiary hospitals in London, England. Sometimes change can be challenging in complex health systems or cultures in the delivery of healthcare. We discuss how to navigate these barriers and share our experiences.

Suha Abdulla University College London Hospital, England

Format: Presentation

Stream: Populations

Part 1: Safe options and integration of alternative medicine

Session details coming soon.

Yi Bin Feng Hong Kong University, Hong Kong

 

Part 2: Development of a clinical guideline for Herb-drug co-use for Hospital Authority and beyond

The Integrated Chinese and Western Medicine (ICWM) programmes, initially known as ICWM Pilot Projects was commenced in HA hospitals since 2014. The safety of herb-drug co-use is crucial in the practice. In addition to a heightened assurance of herb safety, commercial herb-drug interaction databases from overseas were  being subscripted to provide guidance for clinical practice.  Despite the availability of several well known databases, gaps remained between their recommendations and real life practice. To address the problem, the Expert Panel on Herb Safety was formed to develop a clinical guideline for the integrative use of Chinese herbs and drugs. The panel consisted of experts from both Chinese medicine and western medicine fields. Systemic review were performed on the subject followed by risk assessment on individual herb for potential herb-drug interaction.  Clinical recommendations were made according to the risk level of a herb assigned through consensus meetings. The resultant guideline consisted of the many recommendations made by the panel which is evidence-based, with a wide safety margin and being user-friendly. Further enhancement, updating and validation of the guideline is in progress with a vision to extend its use for ICWM practice outside HA.

Tse Man Li Hong Kong Poison Centre, Hong Kong

 

Part 3: How to complement Western Medicine with Traditional Chinese Medicine

Justine Wu Chinese University of Hong Kong Medical Centre, Hong Kong

Format: Presentation

Stream: People

 

Part 1: Fostering co-production and equal partnership: ESTHER network singapore’s journey in person-centred care

With ageing population and the rising in healthcare costs, together with the evolving societal expectations to be involved in one’s own healthcare, it is timely to transform from a provider-driven disease-centred model to a person-centred one by partnering health and social care providers to deliver care that is meaningful to patients and meets their recovery goals. The session aims to introduce ESTHER Network Singapore as a person-centred care model and how it supports the co-production and co-design in our innovation projects and service delivery.

Amanda Tan Singapore General Hospital, Singapore

 

Part 2: Inspiring change: transforming person-centred attitudes through training of health practitioners

Person-centred care has two key dimensions – “caring about the service user as a whole person” and “sharing of power, control and information”. This session will cover how the team impacted healthcare practitioners’ person-centred attitudes through an Esther Network (EN) Person-Centred Care (PCC) advocacy training over time. We will share how the training interacts with contextual factors and social actors in the scene at the microsystem, mesosystem, and macrosystem levels to influence healthcare practitioners. Furthermore, we will explore reasons why equalising power between providers and patients could be harder to achieve within a hierarchical structure and clinician-centric culture. Come and find out how to promote a cultural shift towards PCC!

Esther Lim SingHealth, Singapore

 

Part 3: “What is it that you need?” Driving person-centerdness through regulatory practices

Internationally, the provision of person-centered services is recognized as an important quality requirement. Delivering person-centered services is a challenging endeavor; preferences vary and change over time and individuals often require support from different providers across health and care domains. Assessing the quality of person-centeredness, as national health|care regulators are required to do, is challenging too. How does a regulator determine if person-centered care is delivered? Which provider should a regulator address when person-centeredness is usually achieved through collaborative network efforts? In this session we report on a research-project that is developing a new regulatory approach to assess and foster person-centered service delivery, in co-production with service users, providers and regulators.

Josje Kok Erasmus School of Health Policy & Management, The Netherlands

Format: Presentation

Stream: Change

Part 1: Digital transformation is everywhere, but are we making life safer for patients?

Anticoagulants are used extensively for thrombotic and embolic disorders. Whilst incredibly effective when used appropriately, they are deemed high risk medications. It’s these risks, such as major bleeding, that our research aims to prevent. In the current clinical environment, healthcare organisations are investing in health information technology as a quality improvement measure to enhance patient safety. This session presents the effect of electronic medical record (EMR) implementation on the safety and quality of therapeutic anticoagulation management, highlighting strategies to harness digital technology to promote safety for hospitalised inpatients.

Jodie Austin The University of Queensland, Australia

 

Part 2:  Will the artificial intelligence take place in stroke prevention?

Recognizing stroke risk factors and creating behavioral changes will be possible with the more common use of today’s possibilities. Artificial intelligence and machine –learning have begun to attract great attention in the field of medicine, as in every field today. In the field of neurology, the contribution of artificial intelligence to improve diagnosis, creating risk algorithms and developing scales to measure risk level, and contributing to treatment decisions is being investigated by more and more studies. This new achievement can be used to decrease stroke prevalence and incidence by using big data and by distributing prevention tools through common smart devices.

Serefnur Ozturk Selcuk University Faculty of Medicine, Turkey

 

Part 3: Multidisciplinary approach to enhance control of blood pressure in essential hypertension patients

Hypertension leads multiple complications including cardiovascular pathology, stroke, and renal failure. This controllable condition is next to smoking as a cause of mortality from avoidable cardiovascular events. Despite global efforts to manage hypertension in recent years, its frequency among adults has been increasing. Hypertension is a highly prevalent disease in Saudi Arabia with poor control rates. The “Vibrant Society”, one of the main pillars of the Kingdom’s vision 2030. The program will work to achieve improved health and healthcare services and also work to complete the implementation of the strategic objectives which are: facilitating access to health services, improving the quality and efficiency of services, promoting prevention of health risks.

Sultan Alharthi Prince Mansour Military Hospital, Saudi Arabia

Join in to hear presentations from the below poster authors as they showcase their poster projects.

The presentations will be followed by an interactive discussion.

• Elevating patient safety, efficiency and sustainability through leveraging paperless closed-loop medication management – Alan Wong CUHK Medical Centre, Hong Kong


• Fast OPD Project – Anchalee Chaiyanont Siriraj Piyamaharajkarun Hospital, Hong Kong


• Enhancing access in the primary care system for migrant workers in Singapore – Elayne Ong Ministry of Manpower, Singapore


• Neurobot: AI- Powered Companion for Neurosurgery Patient – Chung Man Ho Hospital Authority, Hong Kong


• Development and Pilot of a Risk-Based Assessment Instrument to Inform Regulatory Approaches – Carrie Ho-kwan Yam The Chinese University of Hong Kong, Hong Kong

Format: Presentation

Stream: Leadership

Part 1: Staff wellbeing is a top priority of healthcare

Session details coming soon.

Kelly Tsz Wing CHAU Prince of Wales Hospital, Hong Kong

Wing Cheong Leung Hong Kong Academy of Medicine, Hong Kong

 

Part 2: Staff psychological services in the Hospital Authority: an integrated approach to enhance psychological wellbeing

The Oasis – Center for Personal Growth & Crisis Intervention (Oasis) under the Corporate Clinical Psychology Services, Hospital Authority (HA), is committed to improve the psychological wellbeing of HA staff and their resilience against life and work challenges. Based on a stepped-care model, Oasis offers a spectrum of comprehensive, accessible and timely psychological services, covering in-depth intervention, treatment groups, crisis intervention, training, preventive services and mental health promotion. As technology evolves, Oasis also employs modernised media, such as websites and a mobile app (myOasis), to facilitate service delivery and raise staff’s mental health awareness.

Karen Tam Hospital Authority, Hong Kong

 

Part 3: Joy In Work Framework and the Victorian Healthcare Worker Wellbeing Initiative

Session details coming soon.

Fiona Herco Institute of Healthcare Improvement (IHI), Australia

Format: Presentation

Stream: Populations

Part 1: Advanced Nursing Practice (Hong Kong): opportunity & challenges

Session details coming soon.

Sek Ying Chair Hong Kong Academy of Nursing, Hong Kong

 

Part 2: Impact of advanced nursing practice on patient outcomes 

In the presentation, what about patient outcomes, trend in healthcare urging for outcome-based practice, and APN roles development will be briefly introduced. 3 major approaches for outcome measurement—outcome research, outcome management, and outcome evaluation will then be discussed respectively.
In addition, nursing/APN-sensitive outcomes are elaborated using the Nursing Role Effectiveness Model and Donabedian’s quality framework in how the outcomes can be accurately and reliably measured and attributed to the role of the nurse. To address the challenges in doing outcome measures for APN, some principles in determining outcome measures will be discussed. In order to enable nurses and APN demonstrating safe, quality and cost effective care, and justifying appropriate allocation of health care resources, some challenges and opportunities for measuring APN outcomes in the future will be shared.


Suzanne MAK So Shan Hospital Authority, Hong Kong

 

Part 3: Competency of nurse manager contributing to health quality & safety

Session details coming soon.

Sandy Choi Hong Kong Metropolitan University, Hong Kong

 

Part 4: How do nurses contribute to health quality and cost containment? 

A panel discussion – session and more panelists’ details coming soon.

Agnes TIWARI Fung Yee HK Nursing Council, Hong Kong

Danny TONG Wah Kun HAHO, Hong Kong

Sylvia FUNG Yuk Kuen HKANM, Hong Kong

Format: Presentation

Stream: People

Part 1: Resilience redefined: innovating behavioural solutions for a safer, healthier tomorrow

Breaking Barriers, Building Bridges: Join the conversation on Sydney Local Health District’s Behavioural Escalation Support Team (BEST). Explore how BEST pioneers transformative strategies, ensuring patient and staff well-being. Join us for a compelling session on revolutionizing behavioural support in modern healthcare.

Chloe Hannigan Sydney Local Health District, Australia

 

Part 2: Survey of factors influencing nurses managing mental state in acute hospital settings

Caring for patients presenting with mental state deterioration (MSD) in acute hospital settings presents a uniquely complex and demanding challenge. The impacts of MSD include poor patient outcomes, continued use of restrictive practices, negative staff effect. Our healthcare organisation is trialing a rapid response team model to manage patients presenting with MSD. This survey is part of a realist evaluation testing and refining theories by identifying factors influencing nurses’ ability to manage MSD. Understanding these factors is important for understanding the effectiveness of the response model. Our research is in line with the forum’s systems thinking stream and would be honoured to share our findings.

Tendayi Bruce Dziruni Alfred Health, Deaking University, Australia

 

Part 3: Impact of using transcription software in outpatient clinic to improve efficiency

Demographic details play a pivotal role in the holistic assessment of children providing valuable insights to the doctors in their clinic consultation. During the first visit to the Department of Child Development (DCD) at KK Women’s and Children’s Hospital in Singapore, the demographic details including child’s medical and birth history are collected through a parent-reported online questionnaire. Upon receiving this, the nurse transcripts the details manually onto the electronic medical records (EMR). However, it is prone to errors, consumes time and resources. We have implemented a JavaScript Object Notation “JSON” -based transcription software for transcription onto EMR. This paper reports the preliminary findings of adopting this software on quality improvement.

Neo Jun Rong KK Women’s & Children’s Hospital, Singapore

Format: Presentation

Stream: Safety

Part 1: Stayer, a patient wondering about life in and around a hospital bed

After a serious car-accident, Dutch-Norwegian actress Coby Omvlee spent one year in a hospital-bed with her small intestines damaged. Nobody imagined it would take two near-death experiences and three stomas before she could leave. Even though the staff was dedicated, things went terribly wrong: Badly kept patient-journal, no responsible doctor, miscalculated surgeries, near-starvation, complicated stomas and lack of hospital beds… Once out again she had Questions and the urge to ask them publicly. This became a documentary-performance: A personal and black-humoured analysis of her path back to life, and of today’s healthcare system. To shake and move the audience and stimulate to fruitful debates on patient safety and future health-care.

Coby Omvlee and Jacob Herman den Hertog Teater Fusentat, Norway

 

Part 2: Don’t waste a crisis – turn it into a game changer

An effective leader in healthcare understands the importance of not wasting a crisis and turn challenges into opportunities for improvement and growth. The ability to adapt quickly to this ever-changing landscape is vital and there is no one size fit all strategy. This presentation will describe the journey of the transitional care inpatient program, integrating an unique “outside the box”, and cost saving care model that addresses needs of complex patient populations. Key essentials for success grounded on leading with empathy, building collaborative team and fostering positive work environment that is adaptable and resilient. The foundation is strengthened by ongoing quality improvement initiatives that is driven by organization and population needs.

Marianne Ng University Health Network, Canada

Sabrina Lim Reinders University Health Network, Canada

 

Part 3: Unlocking solutions for patient safety: our patients and families holds the key

Our interprofessional team of healthcare providers, quality experts, educators and patient & family advisors will describe a co-production model for patient safety initiatives, leveraging our success with implementation of the “family as faculty” in-situ simulation program &incorporation of lean “Kamishibai” methods in partnering with patients and families in Hospital Acquired Conditions reduction and medication safety. Culture change is an arduous task and requires relentless drum beat – our journey spans 10 years of engagement with experts in quality improvement science, high reliability organization principles, innovators in medical education and the frontline. Our data supports sustained improvements in Hospital-Acquired-Conditions (HAC) reduction to zero and improvement in communication competencies for patient-cantered care.

Maria Lyn Quintos-Alagheband NYU Langone Hospital Long Island, USA

Join in to hear presentations from the below poster authors as they showcase their poster projects.

The presentations will be followed by an interactive discussion.

• Building and monitoring of an indicators system for medical quality and safety – He Jiang The University of Hong Kong – Shenzhen Hospital, Hong Kong


• Joint attention in simulated anaesthesia emergency: a multimodal analysis with eye-tracking devices – Hitoshi Sato Yokohama City University Medical Centre, Japan


• Easy Search Easy Locate – An Electronic Sorting System in the Workplace – Hon Kwan Lo Hospital Authority, Hong Kong


• Effectiveness of Counselor Training Program for Patient Safety Incident Victims – Jeehee Pyo Ulsan University, Korea


• Smart Panel Powered Approach: Multi-functional Electronic Platform for Patient Care in Hospital Authority – Hoi Tik Ngan HA-HAHO-HOIT&HI, Hong Kong

Format: Presentation

Stream: Leadership

Part 1: Leadership unravelled: lessons drawn from implementing healthcare innovations

In a rapidly evolving landscape of healthcare, innovation is crucial for improving patient outcomes, optimizing operational efficiency, and addressing emerging challenges related to the provision of healthcare. There are various dimensions, frameworks or lenses through which leadership can be explored. These include: strategic, adaptive, dispersed and transformational leadership to name a few. Leadership plays a pivotal role in driving and sustaining innovation within healthcare organizations by developing and encouraging aspects such as vision|strategic direction,transformation, resource allocation, communication|engagement to name a few.

Jennifer Egbunike University of Doha for Science and Technology, Qatar

 

Part 2: Creating an integrated electronic health record data platform for revolutionising healthcare improvement

Despite there being more electronic health data than ever before, information remains siloed, poorly integrated and underutilised, leading to failures to optimally use these data for healthcare improvement. Our ground-breaking National Centre for Healthy Ageing Data Platform, crafted by our diverse team—comprising clinicians, engineers, epidemiologists, and implementation scientists has broken down these silos, seamlessly integrating information, and unlocking the power within these data for healthcare improvement.Through real-world use cases tailored to ageing populations, we will showcase the transformative impact of our model. More than just a local initiative, we will showcase a model with the capacity to scale globally, offering a blueprint for healthcare improvement on an international scale.

Nadine Andrew Monash University, Australia

 

Part 3: Collaborating for success: combining AI with clinical expertise to enhance patient care


A colloration between clinican computer scientists and a large private hospital in Australia demonstrates that AI can be sucessfully implemented to improve patient outcomes. This team will describe the key steps and factors to unlock the potential of AI to generate real improvements.

Levi Bassin Adventist Healthcare, Australia

Format: Presentation

Stream: Populations

Part 1: Smart, safe, active ageing in Hong Kong – the way forward

Donald Li Elderly Commission, Hong Kong SAR, Hong Kong

 

Part 2: Care of elderly & medical-social collaboration

Tak-Yeung Chan Hospital Authority, Hong Kong

 

Part 3: Appropriate legal matters for end-of-life care

Raymond Lo British Medical Association, Hong Kong

 

Part 4: Polypharmacy and potentially-inappropriate medications in the elderly cancer patients receiving cancer treatment

Most of the elderly cancer patients have pre-existing illnesses. Excessive medications would lead not only futility, but also result in adverse outcomes. This study was a prospective cohort study conducted among the elderly non-hematologic cancer patients (= 65 years old) whom a medical oncologist had decided suitable for systemic therapy. We found that among elderly cancer patients suitable for systemic cancer therapy, around two-thirds of patients had polypharmacy (PP) and potentially inappropriate medications (PIMs). Higher co-morbidity index was the sole significant predictor of PP; while only primary lung cancer was associated with PIMs. PP was associated with unplanned hospitalization.

Chanyoot Bandidwattanawong Navamindradhiraj University, Thailand

Format: Presentation

Stream: Safety

Part 1: Simple rules for ensuring safe care and avoiding medico-legal pitfalls

In this presentation, the audience will learn about seven basic rules that physicians and care providers can follow to provide safe care to their patients. These rules will also help them avoid medico-legal pitfalls. The seven rules are as follows:

1. Practice good medicine


2. Maintain good documentation


3.  Set clear expectations


4. Foster good communication


5. Ensure timely escalation


6. Promote patient-centered decision-making


7. Understand limitations

During the presentation, we will discuss examples of common mistakes that care providers make in these seven areas, and provide solutions to help them deliver safe and patient-centered care.

Shaik Mohiuddin SEHA, UAE

 

Part 2: Preventing goal-discordant care: improving documentation of advance care planning

Given the seriousness of a cancer diagnosis, it is important that patients engage in advance care planning (ACP) discussions with the healthcare team. Patients whose wishes are not documented in the electronic health record (EHR) are at risk of receiving goal-discordant care. Using a Lean Six Sigma framework, we evaluated the impact of a series of interventions using the Plan-Do-Study-Act (PDSA) Cycle. A multidisciplinary workgroup was convened, including representatives from the center’s Patient and Family Advisory Council. We created an analytical ACP dashboard. Next, we are developing a toolkit to streamline consistent ACP documentation and a deicated qualified healthcare professional to assist patients with goals of care discussions.

Yanka Campbell Johns Hopkins, USA

 

Part 3: The phoenix rises: improving patient safety and communication through revitalizing the SSC

Inspired by the rising Phoenix, this session shares our journey of rejuvenating the WHO Surgical Safety Checklist (SSC). The University of Calgary’s Equity, Quality, Improvement, and Safety (EQuIS) Research Team presents its collaboration with Harvard’s Ariadne Labs in developing the High-Performance Checklist (HPC) Toolkit. Using a quality improvement (QI) model, the Toolkit provides tools for customizing and optimizing the SSC. In our presentation, we describe the Toolkit’s development and deployment in surgical suites in Alberta, Canada, and Singapore. Employing mixed methods, we worked with surgical teams to rejuvenate their SSCs. This session demonstrates the power of innovation through iterative, multidisciplinary collaboration, offering insights for clinicians and QI professionals.

Mary Brindle University of Calgary, Canada

Format: Presentation

Stream: Change

Part 1: Implementing genomic medicine: an evaluation of the Hong Kong Genome Project (HKGP)

Researchers from the University of Hong Kong share experience and findings from evaluating the initial phase of the Hong Kong Genome Project (HKGP). The HKGP aims to develop genomic medicine for better health and well-being by providing access to whole genome sequencing, initially for rare disease and hereditary cancer before expanding to the wider population. The session explores how to accelerate the integration of genomic medicine into the healthcare system by driving clinical application, advance scientific research, nurture talents, and enhance genomic literacy in the general population.

Samuel Yuk Ching Sze University of Hong Kong, Hong Kong

 

Part 2: Implementation of a new intestinal microbiota transplantation service in Hong Kong

Clostridioides difficile infection (CDI) is one of the most common nosocomial infections worldwide and associated with significant morbidity and mortality. Antibiotic therapy is effective but a significant proportion of patients develop recurrent or refractory disease where further antibiotic treatment is associated with suboptimal outcomes. Intestinal microbiota transplantation (IMT) has emerged as an effective modality for the treatment of recurrent or refractory CDI. Herein, we share our experience of exploring this therapy in the early stages, how we collaborated with academia to build Hong Kong’s first stool bank from scratch, the actual implementation of the IMT service in the public sector, and future developments in this exciting space.

Rashid Lui Hospital Authority, Hong Kong

 

Part 3: Innovation in the surgical counting process to prevent retained surgical item

A innovative design with evidence-based design surgical counting information system is essential for patient safety and efficient surgical procedures. It automates the tracking and documentation of surgical instruments, sponges, and other materials used during operations, reducing the risk of retained foreign objects. By providing real-time information, it enables accurate and timely counting, minimizing errors and improving patient outcomes. The system facilitates seamless communication and collaboration among surgical team members, enhancing coordination and efficiency. Additionally, it offers comprehensive documentation for regulatory compliance and quality assurance purposes. Overall, a surgical counting information system ensures accurate inventory management, promotes patient safety, and streamlines surgical processes.

Ngan Hoi Tik Hospital Authority, Hong Kong

 

Part 4: Caveat emptor! Dynamic consent & normal birth in the digital era

We are witnessing an epidemic of misinformation around evidence related to birth and pelvic floor trauma across multiple jurisdictions. The poor outcomes that ensue from such misinformation are manifesting through multiple inquiries into maternity services, as is seen in the United Kingdom and Australia. This must change. The aim is to see  research around consent in birth and the use of technology to translate into better information provision for patients in pregnancy and birth.

Harsha Ananthram Illawarra Shoalhaven Local Health District, Australia

Join in to hear presentations from the below poster authors as they showcase their poster projects.

The presentations will be followed by an interactive discussion.

• Keys to the success of discovering malnutrition patients in Siriraj Piyamaharajkarun Hospital – Kanicha Bumrungcheep Siriraj Piyamaharajkarun Hospital, Thailand


• Enhancing Knee Osteoarthritis Care with Patient-Reported Outcome Measures in Physical – Therapysamah al mushawih AFHD, Saudi Arabia


• Enhancing Postoperative Recovery after Emergency Surgery through Strategic Physiotherapy Integration in Qatar – Mohammed Burhan Khan Hamad Medical Corporation, Qatar


• Reducing Harm from Antipsychotic-Induced Extrapyramidal Side Effects (EPSE) – Ziwen Gao Institute of Mental Health, Singapore


• Strategies for Venous Thromboembolism Prevention-  Ying Qiu, Shenzhen Hospital; China


• Effectiveness of a community-based health-social partnership program for community-dwelling older adults: A randomized controlled trial –  Dr Arkers Wong, School of Nursing, The Hong Kong Polytechnic University Hong Kong

Disease is medical, health is social. The shift from healthcare to health requires mindset shifts from solution to ecosystems that addresses the needs and aspirations of our patients and population within their respective contexts, in particular where they live, work and play.  This requires strong integration of health, social and living environments enabled by technology. Outcome measures also need to move beyond contributions of respective departments or institutions with value being defined across the life course. Delve into the transformative potential of moving beyond traditional boundaries and embracing a holistic approach to health and well-being.

Lee Chien Earn SingHealth, Singapore

Details to follow.

Experience the best of Hong Kong during a special 3-hours night river cruise along Victoria Harbour.

See more details and book your tickets here.

Format: Presentation

Stream: n/a

Session led by the Institute for Healthcare Improvement (IHI).

Our clinical workforce wants, more than anything, to deliver their highest quality and safest care to their patients. Our health care system leaders want to ensure that sufficient numbers of competent clinicians are available to care for their patients with financially sustainable models. The IHI Clinical Operating System is being designed to enable both of these goals with:

• Data-driven/tech-enabled workflows in response to change-sensitive leading indicators at the point of care


• Clearly articulated priorities for supported standard workflows


• Prioritized quality and safety workflows to increase value and reduce toil


• Reduced complication rates that improve Average Length of Stay and reduce Extra Days of Acute Care translating to improved hospital flow and bed availability


• Reduced burnout of the clinical workforce through increased meaning and purpose in work


• Organizational values and Just Culture alignment reinforced by leader rounding of the clinical workforce with application of affirmative coaching techniques


• Increased focus on Good Catches leading to increased reporting of safety risks and system design improvement opportunities

Josh Clark Institute for Healthcare Improvement (IHI); USA

Learn more.

Format: Presentation

Stream: n/a

Session led by WUN Universities Group.

This interactive breakfast session explores the growing role of artificial intelligence (AI) in medical decision-making. The session begins with a 10-minute talk by Prof. Kelvin Tsoi, followed by a 20-minute panel discussion, where experts discuss the opportunities and challenges of AI in clinical settings. The second part of the session focuses on a 10-minute co-authorship invitation, where attendees are invited to collaborate on an upcoming AI-related publication based on a Survey exploring the current attitude towards using Artificial Intelligence (AI) Chatbot in your work/study.

Kelvin Tsoi The Chinese University of Hong Kong and WUN Universities Group, Hong Kong

 

Format: Presentation
Stream: n/a

Hospital accreditation is widely adopted across the world to evaluate and enhance the
quality of healthcare and patient safety. In Hong Kong, many hospitals are accredited by
the Australian Council on Healthcare Standards (ACHS) International and the Joint
Commission International (JCI) standards, and some of them are also planning to adopt
the new China’s International Hospital Accreditation (CIHA) Standards which are the first
internationally recognised hospital accreditation standards of the country.
Gleneagles Hospital Hong Kong (Gleneagles), part of IHH Healthcare which is one of
the world’s largest healthcare networks, has been accredited by the ACHS International
since 2019 and will be one of the first private hospitals in the city to participate in the
CIHA scheme. In this session, Gleneagles will compare and contrast its experience in
the two international accreditation schemes and share some of its current learnings
through its sister hospital in Shanghai where more and more hospitals are striving to
obtain international accreditations in the recent decade.

Kenneth Tsang Gleneagles Hospital Hong Kong and IHH Healthcare North Asia, Hong Kong

Format: Presentation

Stream: n/a

 

Part 1: Digital intelligence empowers regional obstetrics quality management

Digital intelligence plays an important role in empowering regional obstetric quality management, and is also the fastest and most powerful tool to achieve health equity. In the field of obstetrics-related digital intelligence, Guangzhou has demonstrated a unique “Guangzhou experience”. In terms of maternal health management, the Guangzhou Women and Children’s Medical Center has launched the “Sui Hao Pregnancy” platform, which allows pregnant women to record their pregnancy information at home after registration, so that the community health service center can know the situation of pregnant women in time and provide health guidance. Medical institutions can also reasonably arrange prenatal health care for pregnant women. In terms of obstetric clinical expertise, Guangzhou Women and Children’s Medical Center provides diagnosis and treatment services for a variety of difficult pediatric diseases, including congenital heart disease, hematological tumors, etc., and has successfully carried out many multi-disciplinary treatments at home and abroad through telemedicine. We will continue our efforts in the field of digital intelligence and to promote the modernization and high-quality development of obstetric services.

Xiu QIU Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, China

 

Part 2: C-section trend and health needs

In this lecture, we will introduce the changes in the cesarean section rate in China in the past 30 years and its future trends,  the causes and risks of the high cesarean section rate in China, and the efforts made by China to reduce this rate. In the final part of the lecture, we will share a study held by our center about the changes in the characteristics after China’s two-child policy and its potential impact on cesarean section and preterm birth rates, and also discuss the impact of the policy on obstetric care and future challenges.

Haitian CHEN Sun Yat-sen University First Hospital, China

Kamran Abbasi Editor-in-Chief, The BMJ, BMJ, England

Facilitator: Kamran Abassi, Editor-in-Chief of The BMJ, BMJ, England

Explore the relationship between ethical principles, regulation, and regulatory science, seeking to strike a delicate balance that enables, rather than inhibits the positive impact of AI on patients and human transformation.

Joseph Sung NanYang Technological University, Singapore

Erwin Loh Royal Australasian College of Medical Administrators, Calvary Health Care, Australia

Format: Presentation

Stream: Change

Part 1: Artificial intelligence in healthcare: the ethical and legal landscape

Session details coming soon.

Gilberto Leung Hong Kong Academy of Medicine, Hong Kong

 

Part 2: Using digital health in enhancing primary healthcare

Session details coming soon.

Kelvin Tsoi The Chinese University of Hong Kong, Hong Kong

 

Part 3: AI and Big data technologies in digital healthcare

Session details coming soon.

Gary Lau Hong Kong University, Hong Kong

Joshua Ho Hong Kong University, Hong Kong

Format: Presentation

Stream: People

Part 1: District Health Centres – are they effective?

Session details coming soon.

Fei-Chau Pang Commissioner for Primary Healthcare HKSAR, Hong Kong

 

Part 2: Managing multimorbidity in primary care: what works?

Session details coming soon.

Samuel Wong The Chinese University of Hong Kong, Hong Kong

 

Part 3: Patient’s voice – a journey together with the healthcare professionals (a panel discussion)

Patient Experience Survey

Eliza Wong The Chinese University of Hong Kong (CUHK), Hong Kong

Fion Lee Hospital Authority, Hong Kong

Format: Presentation

Stream: Populations

Part 1: Population health improvement: strategy and implementation

Dominique Allwood UCL Partners, England

 

Part 2: Workforce Transformation: Building a flexible, adaptive and engaged workforce

With the increasing demand for healthcare services against the backdrop of a fast-ageing healthcare workforce coupled with rising risk of attrition, workforce transformation is needed to ensure the sustainability of the workforce and the continued delivery of quality healthcare services to the population. In this presentation, we will share about how Tan Tock Seng Hospital has adopted a three- pronged strategy to build a Flexible, Adaptive and Engaged Workforce. This strategy aims to enhance workforce resilience, enable more flexible working arrangements for frontline staff, prepare the workforce through upskilling and education, and to create an environment that is supportive and safe for staff.

Kong Choong Tang Tan Tock Seng Hospital, Singapore

 

Part 3: Creating a safe and calm hospital: using data to improve patient flow

The Clinical Operations team from the RMH will describe their journey to improved access and flow for our patients through a bold and innovative strategy that included the implementation of a Victorian first – a Digital Coordination Centre and a corresponding Capacity and Patient Flow Escalation procedure. Challenges in healthcare access and flow are long standing and complex to solve but this team have created an approach to managing capacity and demand that is visionary and scalable to other health services and will provide inspiration that teaming informatics with operations can create solutions that enable our patients to receive timely care in a safe and calm hospital.

Catherine Humphrey and Jana Gazarek Royal Melbourne Hospital, Australia

Format: Presentation

Stream: Safety

Part 1: WHO Patient Safety Movement & Patient Safety Rights Charter

WHO Assembly adopted the Resolution on “Global Action on Patient Safety” in 2019.

According to it, “Global Patient Safety Action Plan 2021-2023” was developed in 2021. It encompasses seven strategic objectives and five concrete actions for each of them.

WHO’s interest in patient safety is expanding over introducing globally an idea that patient safety is a human right.

On the occasion of the first in-person memorial event for World Patient Safety Day in September 2023, a draft “Patient Safety Rights Chapter” was placed on the discussion table. Through the following consultations, the final document was unveiled during the 6th Global Ministerial Summit on Patient Safety in Chile in April, 2024. It outlines ten fundamental rights in healthcare settings focusing on reducing harm and supporting patients.

In this session, I will describe the above-mentioned progress and observations I have had throughout my experience in developing the plan and the charter.

Shin Ushiro Kyushu University Hospital, Japan

 

Part 2: The translational gap – a digital revolution for healthcare

This speaker session delves into the critical realm of translational gaps within the landscape of Digital health and technological innovation. With more new technology and safety concerns all the while, just how do we successfully lead an organisation without failing patients and ensuring safe outcomes? This session goes through a journey of Senior Healthcare leadership lessons, risk managment using methods of improvement and learning to safeguard clinical services whilst enabling new technology to find a safe environment for staff. Examples from NHS at scale delivery and also vanguard programmes with commercial environments the perfect skill session to enhance senior leaders skillsets to ensure an exciting yet safe and academic environment.

Mateen Jiwani Global Health Executive, UK

 

Part 3: Machine learning techniques to predict timeliness of care among lung cancer patients

This research addresses a critical issue in healthcare, specifically focusing on the timely delivery of care for lung cancer patients. Our project leverages state-of-the-art machine-learning techniques to predict the timeliness of care among lung cancer patients using a number of clinical and socio-economic risk factors. We believe that our approach holds significant promise in aiding healthcare providers and administrators in making informed decisions to optimize the delivery of quality of care for lung cancer patients worldwide.

Arul Earnest Monash University, Australia

Join in to hear presentations from the below poster authors as they showcase their poster projects.

The presentations will be followed by an interactive discussion.

• Initiation of new project to enhance patient’s service in plasma exchange – Shing Tak poon Hospital Authority, Hong Kong


• Preventing Falls in Older Adults Using Fall Warning Protection Technology – Siqi Liu Medical School of Chinese PLA, China


• Operating Theatre Control Centre at Department of Anaesthesia & Operating Theatre Services – Siu Lo Cheung Tseung Kwan O Hospital, Hospital Authority, Hong Kong


• Antiviral Prophylaxis for the Prevention of Mother-to-Child Transmission of Hepatitis B Virus – Vivien Wai-Man Tsui HA-HAHO-Q&S, Hong Kong


• Nurse-led empowerment program on self-management for patients with heart failure in cardiac-rehabilitation-unit – Wang Lik LEE Tung Wah Eastern Hospital, Hospital Authority, Hong Kong


• Improving the care of longstayers at a public hospital in Singapore – Norhisham Main Ng Teng Fong General Hospital, Singapore

Format: Presentation

Stream: People

Part 1: Team and psychological safety

Session details coming soon.

Göran Henriks Qulturum, Sweden

Jason Leitch Institute for Healthcare Improvement (IHI), Scotland

 

Part 2: Compassion and Kindness – missing element of quality healthcare

Session details coming soon.

Joseph Sung NanYang Technological University, Singapore

Maureen Bisognano Institute for Healthcare Improvement (IHI), USA

 

Part 3: Engaging doctors in the safety and quality agenda

National Quality and Safety agencies in both Australia and New Zealand raised concerns that doctors are often not engaged in the quality and safety agenda. The Royal Australasian College of Medical Administrators (RACMA) responded by launching a program of initiatives including: undertaking a survey of medical practitioners attidude and engagement in hospital based quality and safety programs and launching a fortnightly podcast series entitled “Safeguarding Healthcare – Essensials of Clinical Governance”The prestentation will share responses to the survey – which painted a concerning picture of disengagement and frustration. It will also outline of the challenges the College faced in developing and producing a publicly available podcast.

David Rankin RACMA (College of Medical Administrators), Australia

 

Format: Presentation

Stream: Populations

Part 1: Sentinel Event Policy of Hospital Authority, Hong Kong- 17 years on, what have we learnt?


Session details coming soon.

Raymond Cheung Hospital Authority, Hong Kong

Sara Ho Hospital Authority, Hong Kong

Siu-Fai LUI Hospital Authority, Hong Kong

 

Part 2: Top medication risks concerning our frontline staff

Session details coming soon.

Carmen Ho Hospital Authority, Hong Kong

Kai-Ming Chow Hospital Authority, Hong Kong

Simon So Hospital Authority, Hong Kong

 

Part 3: Patient and carer panel: what matters to us?

Peck Seah Lim Singapore

Victor Manvir Patients for Patient Safety, Malaysia

Format: Presentation

Stream: Change

Part 1: Improving whole-of-hospital flow in Victoria – the Timely Emergency Care Collaborative

The Clinical Operations team from the RMH will describe their journey to improved access and flow for our patients through a bold and innovative strategy that included the implementation of a Victorian first – a Digital Coordination Centre and a corresponding Capacity and Patient Flow Escalation procedure. Challenges in healthcare access and flow are long standing and complex to solve but this team have created an approach to managing capacity and demand that is visionary and scalable to other health services and will provide inspiration that teaming informatics with operations can create solutions that enable our patients to receive timely care in a safe and calm hospital.

Stephanie Easthope Institute for Healthcare Improvement, Australia

 

Part 2: Smart optimisation of patient workflows & operational logistics in public hospitals

Session details coming soon.

Larry Lee Hospital Authority, Hong Kong

 

Part 3: Digital connectivity and IoT in improving flow and logistics

Session details coming soon.

Hong Fung Hong CUHK Medical Centre, Hong Kong

Format: Presentation

Stream: Safety

Part 1: Hospital Accreditation – Hong Kong’s experience (past and current)

Session details coming soon.

Jeffrey Lai Hospital Authority, Hong Kong

 

Part 2: Evolution from national to international Hospital Accreditation System in China

Session details coming soon.

Anne Lee The University of Hong Kong, Shenzhen Hospital, Hong Kong

 

Part 3: Singapore’s Ensure Safer Systems (ESS): Unlocking possibilities towards high reliability

Session details coming soon.

Albert TY Ministry of Health, Singapore

Join in to hear presentations from the below poster authors as they showcase their poster projects.

The presentations will be followed by an interactive discussion.

• Quality Improvement through online mentoring at health care facilities in remote area – Windhi Kresnawati Gatot Soebroto Military Hospital, Indonesia


• Joint Clinic model to relieve Medical SOPC caseload in HA – Xiao Rui Catherine CHEN Kowloon Central Cluster, Hospital Authority, Hong Kong


• Preventing Delays in Specimen Transportation through a Reminder System – Fung Ki Ma HA-KEC-HHH-Medical, Hong Kong


• Smart Ward System to Enhance Nursing Communication and Nursing Care Effectiveness – Ka Kit Lam TWGHs Wong Tai Sin Hospital, Hong Kong


• Reducing Average Length of Stay for Elective Total Hip Replacement (eTHR) Patients – Yan Mei Yap Tan Tock Seng Hospital, Singapore

 

Format: Presentation

Stream: People

Part 1: Enhancing childcare in China beyond the patient

Children’s health concerns the happiness of families and the future of the nation. It is crucial to strengthen the development of pediatric healthcare services and alleviate the shortage of pediatric medical services.

This report focuses on:

• policy background of pediatric health service development in China;


• current situation and prominent issues in the development of pediatric health services in China;


• solutions to improve the development of pediatric health services in China.

The general principle of the development of pediatric health services in China is clear functions, reasonable layout, appropriate scale, and high efficiency. China has established a five-level children’s medical and health service system at the national, regional, provincial, municipal and county levels.

 

Part 2: Full Cycle Safety and Quality Control Model based on the National Registry Platform

The presentation will focus on safety issues of human implants and their full-cycle management model based on the national registry platform.

Human implants, such as artificial joints? pacemakers, mesh are used to replace and repair damaged organs. Major safety issues include material biocompatibility, mechanical failure, infection risk, systemic complications, and manufacturing defects. To address these issues, we try to proposes a full-cycle management model based on a registry platform?taking the pelvic floor implant for instance. This model involves establishing cross-department working groups, creating a nationwide standardized database, standardizing operational procedures, providing training and education, implementing supervision and feedback mechanisms, and ensuring policy support. The model emphasizes the transition of clinical doctors from passive users to active regulators, thereby enhancing the safety of implants and maximizing patient benefits.

Lan ZHU Peking Union Medical College Hospital, China

 

Part 3: Digital medicine as a whole system approach

Digital health represents a transformative approach to healthcare, leveraging technology to address global challenges in medical resource distribution and patient care. Digitalization, fundamental to this transformation, revolutionizes medicine by enhancing data-driven practices. It empowers diverse healthcare ecosystems and drives advancements in fields such as ophthalmology through intelligent screening, diagnostic tools and treatment planners. This lecture explores how digital medicine, at the forefront of technological innovation, catalyzes improvements in healthcare delivery and population health outcomes, underscoring its pivotal role in shaping the future of global healthcare systems.

Haotian LIN Zhongshan Opthalmology Center, China

 

Part 4: Current quality and safety movement in Mainland China

Session details to follow.

Alastair Mah United Family Healthcare, China

Format: Presentation

Stream: People

Part 1: Postgraduate medical education in Hong Kong – Hong Kong Academy of Medicine’s perspectives

Session details coming soon.

Philip Li + a young fellow, Hong Kong Academy of Medicine, Hong Kong

 

Part 2: Meeting the leadership challenges in a complex health system and environment

Globally we see some common challenges to the health system leaders such as the ageing population, increasing burden of non-communicable disease, the manpower shortages and burnout, mental wellbeing and the impact of climate changes on health. These issues make the complex adaptive health system even more complex, calling for fit-for-purpose leadership skills that can cross professional, organisational and even jurisdictional boundaries to facilitate the tackling of those issues. While no single leadership theory would be good enough, there are skills that are good for some situations but not others. It calls for someone who is conversant with various theories and their applications, and someone working for the good of the organisation/system and the people it serves. This requires someone who is always mindful, reflective and clear about the objectives and priorities. The biggest challenge remains as to how and where to find such a person.

Chi-Tim Hung The Chinese University of Hong Kong, Hong Kong

 

Part 3: Nurturing and training a sustainable workforce in Hospital Authority

Hospital Authority, as a major public healthcare service provider in Hong Kong, accords priority to training and development to ensure a right number of healthcare workforce with right skills, maintain the standard of care, improve patient outcomes and bring about greater job and career satisfaction for staff. The newly established Hospital Authority Academy builds on 5 Pillars – Training Coverage, Training Governance, Training Quality, Training Hub, and Training Technology. Foster Person Development, Enrich Learning Experience, Promote Qualification Recognition, and Uphold Effective Governance, are the 4 Strategic Focus Areas on which we work to attain our vision to be a leading healthcare training institute to nurture sustainable workforce.

David Sun Hospital Authority, Hong Kong

 

Part 4: Nurturing the Next Generation of healthcare professionals

Session details coming soon.

Gordon Wong Hong Kong University, Hong Kong

Format: Presentation
Stream: Populations

Part 1: How to convene a Public Private Partnership programme: Public’s perspective

Session details coming soon.

Christina Maw Hospital Authority, Hong Kong

 

Part 2: Convergence of a dual-track system private sector’s perspectives 

Session details coming soon.

Kenneth Tsang Gleneagles Hospital Hong Kong and IHH Healthcare North Asia, Hong Kong

 

Part 3: Private sector in the provision of healthcare in Hong Kong

Session details coming soon.

Chan Woon Tong Hong Kong Sanatorium Hospital, Hong Kong

 

Part 4: Person-centred care – patient, carer, staff

Erwin Loh Royal Australasian College of Medical Administrators, Calvary Health Care, Australia

Bill Wang Patient Liason Advisory Group, Hong Kong

Format: Presentation

Stream: Safety

Part 1: Improving the palliative care access for people with intellectual disabilities

Individuals with intellectual disabilities (ID) often face challenges in accessing palliative care leading to unmet needs towards the end-of-life. This vulnerable group encounters multiple barriers. There is a lack of evidence-based integration models mentioned in current literature. Our innovative program, known as “Embracing the Setting Sun” aims to address these gaps by taking an approach in delivering palliative care services for ID patients living in Hong Kong residential care homes. Through training residential home nurses , involving palliative care specialist support, providing advance care planning and offering assistance to both patients and caregivers, this integrated model has successfully improved access to palliative care and reduced unnecessary interventions.

Wong Chi Yan Grantham Hospital, Hong Kong

 

Part 2: Initiative infrared bed-exit sensor with voice prompts message to prevent potential falls

Falls are the most common inpatient accidents, and most hospital falls are preventable. Therefore, fall prevention is critical among healthcare institutions, as providing quality and safe care is the primary mission worldwide. Most falls occur during bed exits without calling for assistance. However, the existing bed exit sensors is lacking of evidence about their effectiveness in reducing inpatient falls. Furthermore, high false alarms has decreased the acceptability of bed exit sensors among healthcare providers.A new initiative infrared bed-exit sensor device with voice prompts (Luna Cat) was designed by hospital staff and one started up company to prevent fall risk patients’ falls when patients exit beds without assistance.

See Kee Fok Gleneagles Hospital, Hong Kong

 

Part 3: Translational in-situ simulation to enhance system processes and patient safety

Healthcare simulation has long been vaunted as a key driver for patient safety. Recently, the role of translation simulation has gained popularity, particularly with the emergence of in-situ simulation. Leveraging advances in simulation technology and expertise in debriefing, our simulation centre has created a territory wide in-situ simulation program that engaged stakeholders across a spectrum of clinical specialties, including intensive care, cardiology, radiology, endoscopic procedures, surgery, obstetrics, emergency medicine, pediatrics, etc. By harnessing the power of in-situ simulation, not only did we enhance interprofessional training, but also identified key latent safety threats to patient safety in different clinical settings. We hope to share tips and nuances in running such programs.

Albert Chan Prince of Wales Hospital, Hong Kong


 

Part 4: Enhancing patient safety in trauma resuscitation

Trauma remains a leading cause of mortality and morbidity worldwide, despite the effectiveness of trauma systems and centers in reducing mortality rates. Yet, adverse events (AEs) persist in trauma resuscitation, impacting patient outcomes and healthcare systems. Identifying and analyzing AEs and their contributing factors is imperative for advancing trauma care. In this session, we will delve deeply into trauma resuscitation, focusing on the investigation of AEs. This involves examination of contributing factors, evaluation of assessment tools, and an exploration of how trauma video review can effectively address AEs. Emphasizing the pivotal role of trauma systems and center care, we aim to propose strategies to improve patient safety.

Anisa Nazir St. Michael’s Hospital, Canada

Exploring  the ‘rapid revolution’ of people, populations and culture and the revolutionary changes that are reshaping quality and safety in healthcare by ensuring every person, regardless of location, has access to life-saving innovations.

Maureen Bisognano Institute for Healthcare Improvement (IHI), USA

Jason Leitch Institute for Healthcare Improvement (IHI), Scotland