Thursday 11 April 2024 | 13:15–14:30

Format: Presentation

Stream: Science

Content filters: Co-presented with patients, service users or carers

James Hoffman St Jude Children’s Research Hospital, USA (Chair)

PART 1: 3-stage national discovery phase: triangulation in a maternity/neonatal learning cycle

Establishing deep understanding of the context, nature and scope of the problem/s is fundamental to any improvement work.  The national NHS Wales Maternity & Neonatal Safety Support Programme (MatNeoSSP) applied rigour to the Discovery Phase of its work, undertaking a 3-stage discovery which drew out qualitative and quantitative findings using the IHI Framework for Safe, Reliable and Effective Care and Trigger Tool methodologies.  To support this process, the IHI Framework was utilised innovatively (including development of a bespoke interactive data analysis tool).  The impact of the robust MatNeoSSP Discovery Phase is being felt even before the national improvement work commences, with findings already influencing improvements to clinical practice and culture.

As a result of this session, participants will be able to:

• Understand the national and international context within which the NHS Wales MatNeoSSP was established


• Consider how the MatNeoSSP Discovery methodologies and approaches could apply or be adapted, to own improvement projects


• Reflect on how a rigorous Discovery/Learning phase adds value to an improvement project


• Apply lessons learnt by the NHS Wales MatNeoSSP Discovery Phase to their own work

Sarah Patmore Improvement Cymru, Wales

 

PART 2:  Evaluating improvement collaboratives: design variations and their impact

Leading health systems have invested in substantial quality improvement capacity building, but little is known about the aggregate effect of these investments at the health system level.

Collaborative learning is one of the educational approaches of using groups to enhance learning through working together.  Research shows that collaborative experiences that are active, social, contextual, engaging and student-owned lead to deeper learning.

This session will discuss and compare different designs of collaboratives and evaluate a collaborative learning system within a large organisation covering a wide geographical area and providing a diverse range of services such as community, mental health, health & justice, and addictions services.

As a result of this session, participants will be able to:

• Explore and compare different improvement collaborative designs and their suitability for specific contexts


• Demonstrate how improvement collaboratives align to achieve organisational-wide objectives


• Understand CNWL’s Added Value framework to evaluate improvement collaboratives in terms of their impact and effectiveness covering both tangible and intangible benefits


• Explain the importance of leadership and cultural factors in collaborative design

Geetika Singh Central and North West London NHS Foundation Trust, England

Janet Seale Expert by Experience Advisor, England

 

PART 3: A/B testing and quality improvement: bringing tech tools to healthcare

NYU Langone’s Rapid RCT team will describe how they integrated rapid A/B testing into ‘business as usual’ within NYU Langone, transforming it into a learning healthcare system. Taking tech industry tools, they developed a unique approach to quality improvement, blending the robustness of randomisation with the speed and responsiveness of quality improvement. This approach is fresh, highly practical, and timely – the ability to evaluate innovations rapidly and flexibly is even more important with the growth in AI in healthcare. The team will share their experience building the team and process within NYU, and with our burgeoning partnerships with Bronx Care, Center for Medicare & Medicaid Innovation and NHS trusts.

As a result of this session, participants will be able to:

• Understand the value of rapid RCTs in healthcare – where, when and what innovations they are useful for 


• Identify the building blocks – data, culture, and team – necessary to start running Rapid RCTs in their system


• Form partnerships with other interested organisations and experts 

Holly Krelle NYU Langone Health, USA