Welcome and Introduction: Lisa McKenzie, Institute for Healthcare Improvement (IHI); USA

 

Keynote 1: Pat Dudgeon, Poche Centre for Aboriginal Health and the School of Indigenous Studies at UWA; Australia

Take a break from sessions and explore the Exhibition Hall to connect with sponsors and exhibitors, join the Microforum sessions, take part in our collaborative artwork activity in the Wellbeing Zone and review all the ePosters.

Clinical Governance and Quality Improvement: A training partnership. 

Beverly Sutton, Health Education Australia

 

Bernie Harrison, ACHS Improvement Academy, Australia

Part 1: Foundations of Quality Improvement in Health Care

Session details coming soon.

 

Donald M. Berwick, Institute for Healthcare Improvement (IHI), USA

Lloyd Provost, Institute for Healthcare Improvement (IHI), USA

Lisa McKenzie, Institute for Healthcare Improvement (IHI), Australia

Part 1: Medical misogyny – how is healthcare blind to sex and gender

VBHC provides the framework for designing care with and around the person. It establishes a holistic approach to designing health and care that removes unwarranted variation and establishes costs based on the needs and desired outcomes of the person and/or population. Sex and gender bias in healthcare is unwarranted variation. This leads to poorer health outcomes, higher costs and safety and quality issues. Delegates should challenge themselves, their practice, and their biases to test whether sex and gender have played a role.

Key points relating to sex and gender bias are:

• It is a safety and quality issue


• It drives unwarranted variation in care


• Leads to lower value care


• Limits participation in society and employment


• Limits research


• Limits economic productivity

Objectives:

• Identify their own biases


• Seek to learn how to rectify this


• Be engaged in leading the change

Zoe Wainer, Victorian Government Department of Health, Australia

Christobel Saunders, The University of Western Australia, Australia

Susan Mckee, Dental Health Services Victoria, Australia

 

Part 2: Using Improvement Science to End Homelessness: One year on

Did you know that homelessness in Australia is preventable and solvable? Advance to Zero (A to Z) is a ground-breaking national initiative of the Australian Alliance to End Homelessness that supports local collaborative efforts to end homelessness, starting with rough sleeping. Using the A to Z and Improvement Science methodologies, communities are supported not just to address or even reduce homelessness, but to end it. Building on the 2022 Forum session, Advance to Zero teams will demonstrate how one community reduced the number of people sleeping rough by over 50%, and another has almost achieved their goal of functional zero. Join them as they share insights and results and discuss opportunities to further address inequities by integrating health and homelessness services through Improvement Science.

Objectives:

• Understand how the A to Z and Improvement Science methodologies work in an integrated way to end homelessness


• Apply learnings from teams across Australia who have worked to end rough sleeping in their communities using an integrated, equitable and person-centred approach


• Apply learnings shared during the session to their current improvement efforts and understand how they might support their own service delivery models towards ending homelessness in their communities

David Pearson, CEO Australian Alliance to End Homelessness, Australia

George Hatvani, Launch Housing; Australia

Hannah Neven-Gorr, Institute for Healthcare Improvement (IHI), USA

 

Una McKeever, Healthcare for the Homeless Group, St Vincent’s Hospital; Australia

Part 1: Health equity in Aotearoa New Zealand – an example of an approach to addressing the life expectancy gap

Session details coming soon.

Karen Bartholomew, Waitemata District, Service Improvement & Innovation; New Zealand

 

Part 2: Time for Change: Co-funding Commonwealth and State providers leads to improved outcomes

In acute care, Australian funders pay each sector for outputs rather than patient and system-wide outcomes. Funding across traditional funder boundaries, moving care appropriately out of hospitals, is a superior methodology to improve patient outcomes. Geraldton Hospital, looking to reduce hospital ED presentations, paid local community GPs to provide acute care to RACF residents in place rather than transfer to ED. The result was an immediate, sustained 50% reduction in ED attendance; reduced ambulance usage; greater GP and carer engagement. Residents had better access to GPs, avoiding confusing ED attendance. This concept potentially has many applications in Australian Healthcare systems

Objectives:

• Outcomes for patients can be improved with shared Commonwealth- and State-funded care


• Funding primary care to reduce hospital attendances is achievable, desirable and cost-effective


• Run charts can be used to identify improvement clearly and simply.

Allan Pelkowitz, WA Country Health Service, Australia

Kirra Pallant, WV Country Health Service, Australia

 

Part 3: Patient Reported Measures (PRMs) – Measuring what matters

This presentation will cover the NSW Patient Reported Measures program, define patient reported measures (PRMs) and explain how PRMs are collected and utilised at an individual, service and system level by patients, carers, clinicians, service managers and policy makers. Access to real-time PRM information helps to understand what matters to patients and support shared decision making about care, treatment and health interventions It will also cover the development, implementation and use of the IT Platform “Health Outcome and Patient Experience” (HOPE) utilised to collect PRMs, as the first statewide patient facing platform co-designed with patients/carers, clinicians and managers across NSW in partnership with the Agency for Clinical Innovation (ACI), eHealth NSW and the NSW Ministry of Health.

Objectives:

• Gain an understanding of Patient Reported Measures


• Gain an understanding of how HOPE enables Patients/Carers to report on their health care experience and outcomes at the point of care


• Develop an insight to the benefits of collecting self-reported information and how HOPE facilitates the capture and use of this data at the individual, service and system levels within NSW to foster improved patient care.


• Gain an understanding of the staged implementation and scoping approach utilised by NSW Patient Reported Measures Program

Aaron Hall, Agency for Clinical Innovation, Australia

Part 1: TBC

 

Part 2: Improving the mental health of Victorians

Session details coming soon.

 

Anna Love, Safer Care Victoria (SCV), Australia

Kate Thwaites, Safer Care Victoria (SCV), Australia

Julie Anderson, Safer Care Victoria (SCV), Australia

Michael Jones, Safer Care Victoria (SCV), Australia

Jezwyn Lapham, Safer Care Victoria (SCV), Australia

 


Part 3: Towards a regional primary care learning health system: from crisis response to resilience

The concept of Learning Health Systems (LHS) has been gaining traction globally, to translate research and policy into practice, co-design responsive care models, improve quality, remove systems barriers, leverage incentives, measure outcomes based on routinely collected health data, inform health resource commissioning. Come along to hear about how our WVPHN teams worked together to adapt our COVID-19 Learning Health Network into an operational model of a regional primary care led learning health system. Learn about the central challenges of LHSs and the key enablers and barriers to organisational success. Learn about how we harnessed feedback from our community of interest, built supportive processes to power health systems reform in a regional community.

Objectives:

• Describe the rationale for developing a learning health systems and list practical examples of problems that can be addressed through this approach


• Classify the central challenges of learning health systems and discuss how social, technological, political, scientific, ethical and legal processes ideally align for value


• Identify the barriers and enablers to design, implementation and evaluation of learning health systems

Bianca Forrester, Western Victoria Primary Health Network, Australia

Join attendees in the Exhibition Hall for our lunch break. Take the time to connect with sponsors and exhibitors, join the Microforum sessions and ePoster stage, take part in our lunchtime huddle and review all the ePosters.

If only my system was a little more flexible… how software can help healthcare providers in the future of tomorrow.

Benjamin Edwards, GE Healthcare, United States

Part 1: Beyond compliance: The Evolution of Safety and Quality Assessment in Healthcare

Approaches to safety and quality assessment are evolving across the globe. This presentation will consider international accreditation trends moving ‘beyond compliance’ to ‘smart evaluation’. Health services on a quality improvement journey can benefit from external evaluation of safety and quality care. Next generation approaches to improving quality are moving from ‘process’ to ‘outcome’ evaluation. International trends will be discussed.

Objectives:

Participants will:

• Understand current approaches to safety and quality external assessment


• Learn about global trends in quality improvement evaluation


• Reflect on evidence about moving to an ’outcomes’ focus


• We look forward to sharing more about how we can both support your continuing development.

Karen Luxford, Australian Council on Healthcare Standards (ACHS), Australia

 

Louise Cuskelly, ACHS International

 

Part 2: Expertise by experience: A national code of expectations for consumer engagement

New Zealand is one of few countries in the world to have enshrined in legislation a code of expectations for consumer engagement detailing how the health sector must engage with consumers in the design, delivery, and evaluation of the health sector. How can a ‘code’ improve how the health sector engages with the people it serves? This session will explore how this work emerged and how the code was developed and co-designed with patients and providers. It will also discuss broader implications for consumer engagement and quality improvement.

Objectives:

• Gain an understanding of how patients and consumers as well as the broader health sector were directly involved in developing a nationally mandated code for the purposes of ensuring that patient perspectives are reflected in the design, delivery, and evaluation of the health sector


• Discuss broader consumer engagement principles and how these might be applied to specific contexts


• Gain understanding of practical example of how a nationally mandated code is being applied to assess the quality of New Zealand’s healthcare services

Deon York, Health Quality & Safety Commission, New Zealand

 

Part 3: Safe, high-quality care in residential aged care and public health service boards

Older people should expect to receive safe, high-quality safe residential aged care. However, findings from the Australian Royal Commission into Aged Care Quality and Safety suggest otherwise. This session will describe findings from interviews with members of six Victorian public health service boards responsible for governance in 15 public sector residential aged care services (PSRACS) with 857 beds. Using a conceptual model focused on enabling and supporting older people to thrive in these settings, the interviews were part of a larger study undertaken to develop a suite of evidence-based performance measures to help predict failure.

Objectives:

• The purpose of aged care services as a place to thrive


• What board members currently understand about the provision of high quality and safe care in residential aged care settings


• What new ‘measures of quality care’ are required to ensure older people can thrive and be safe

Jo-Anne Rayner, Australian Centre for Evidence Based Aged Care, La Trobe University, Australia

Deirdre Fetherstonhaugh, Australian Centre for Evidence Based Aged Care, La Trobe University, Australia

Linda McAuliffe, Australian Centre for Evidence Based Aged Care, La Trobe University, Australia

Part 1: Homelessness is a health emergency – the case for integrating health and homelessness responses

Launch Housing is one of Melbourne’s largest secular providers of community housing and homelessness supports services. Assisting over 14,000 people each year with crisis accommodation, outreach, and transition and permanent housing solutions, Launch Housing has a mission to end homelessness, starting with rough sleeping as it is the most lethal form of homelessness. Building more affordable homes alone is not enough – we cannot end homelessness without also investing in health care.

This presentation looks at the link between homelessness and poor health, and the impact on the health system and the cost to governments when people experiencing homelessness cannot access primary health care. It presents the case for integrating health and homelessness responses, detailing the many positive outcomes that are achieved when a person experiencing homeless has access to specialist accommodation as well as accessible primary and community health services. This includes fewer hospital and emergency department admissions and reduced pressure and costs on the health system, as well as more sustainable, longer term health improvements for people experiencing homelessness, including mental and physical health and addiction issues.

Launch Housing has extensive experience in the delivery of homelessness and housing integrated support models and will share the results of recent program evaluations. Finally, the presentation will share key learnings about what it takes to enable good integrated approaches.

Laura Mahoney, Launch Housing, Australia

 

Part 2: Aboriginal Health and Patient Reported Measures (PRMs) – Stakeholder Engagement 

In Australia, few PRMs are developed or validated for Aboriginal people. PRMs capture patients’ perspectives of their own health/experiences to improve their health outcomes and quality of care. Benefits of PRMs include better decision making, ensuring patients and clinicians have all the information they need to make the best decisions together. Through implementation of the South Australian Statewide PRMs Program, there are opportunities to implement measures that are meaningful to Aboriginal people and their communities. This session outlines the initial stakeholder engagement undertaken in partnership with SA’s Department for Health and Wellbeing (DHW) – Aboriginal Health, incorporating recommendations made by stakeholders

Objectives

• Understand principles relating to Patient Reported Measures in the context of Aboriginal people in Australia

Caroline Bartle, Commission on Excellence and Innovation in Health, Australia

 

Part 3: Deliberative processes: An authentic, meaningful, and safe model of engagement in healthcare 

Deliberative processes are often used in community engagement, but rarely in health. They focuses on enabling communities to be decision-makers, enhancing accountability, transparency and power sharing between providers and their communities. Their potential applications in health are self-evident. In a first for refugee healthcare, the Victorian Refugee Health Network used deliberative engagement to develop its Strategic Plan and guide future activities. We demonstrate how deliberative processes can be used in healthcare, and evaluate the role of the deliberative model for authentically, meaningfully, and safely engaging lived experience and sector expertise in health.

Objectives:

• Describe what deliberative engagement is, how it differs from other engagement processes and its potential applications in healthcare


• Identify the fundamental process requirements to plan, commission and deliver a deliberative process


• Understand the experience of deliberative process from the perspective of participants and facilitators

Jessica (Ika) Trijsburg, Victorian Refugee Health Network, Monash University & The University of Melbourne, Australia

Abby Foster, Monash Health & Monash University; Australia

Corey Joseph, Monash Health, Australia

Part 1: inTouch – a holistic, person-centred and flexible approach to improve care and outcomes

The inTouch program is evaluated to identify the key lessons to designing and implementing models of care that are holistic, person-centred and flexible. Underpinned by six core elements, three pathways are examined where the inTouch program has been utilised to demonstrate how evidence-informed decisions, grounded in diverse multi-organisational data, drives collaboration, integration and positive patient and organisational outcomes. Ongoing patient feedback to address, in real-time, evolving health, social and practical needs proves central to program success. inTouch governance mechanisms, internally – to the executive and frontline service staff – and externally to other health and community agencies critical to success are explored.

Objectives:

• Identify the key elements of inTouch and customise strategies for different care pathways.


• Diagnose evidence-informed decision making strategies for improved organisational service development and address population health needs.


• Plan and coordinate interprofessional collaboration and practice for enhanced care and outcomes.

Kathy Eljiz, University of New South Wales, Australia

Joanne Medline, University of New South Wales, Australia

Graeme Loy, University of New South Wales, Australia

 

Part 2: Achieving meaningful outcomes through innovative digital consumer engagement

QEC is an Early Parenting Centre, a registered public hospital and winner of the Premier’s Health Service of the Year in 2022. In recent years, we have explored a range of creative ways to meaningfully engage with busy parents using virtual formats. This session will provide inspiration and demonstrate how we create genuine consumer partnerships including:

• Family Online Panel, using a social media platform as suggested by parents


• Family Advisory Committee co-creation of QEC’s quality framework and organisational values


• QEC Consumer representatives influencing the future of Early Parenting Centres across Victoria, including the state-wide Outcomes Framework

Objectives:

• Understand the variety of virtual platforms used by QEC to embed and expand consumer engagement activities


• Understand how these platforms were used to ensure meaningful consumer engagement for a range of projects


• Recognise how genuine consumer engagement initiatives including evaluation can be embedded despite geographic limitations, pandemic, and limited resourcing

Kristy Sealby, QEC, Australia

Lisa Mulvogue, QEC, Australia

 

Part 3: Bridging the urban and regional divide in stroke care (BUILDS) – a novel Tele-Stroke Unit Care model for regional Australia

Stroke Unit Care is the only evidence-based treatment available to all stroke survivors. In 2021, 84% of metropolitan patients received this care compared to 41% in regional areas. BUILDS: Bridging the Urban and Regional Divide in Stroke Care was developed to address this significant gap in care. The aim was to develop, implement and evaluate a telestroke unit service. The results of this innovative, cost-effective pilot had an impact on diagnostic accuracy and resource use. Patient, carer and clinician feedback indicated this model was well received. The BUILDS model and results will be highlighted in the presentation.

Objectives:

• Understand the impact of ‘true’ stroke unit care on patient outcome and resource utilisation


• Consider telehealth models that may address gaps in care as well as build the capacity of regionals clinicians


• Advocate for stroke unit care in regional areas

Lauren Arthurson, Echuca Regional Health, Australia

Philip Choi, Echuca Regional Health, Australia

Part 1: Re-imagining consumer engagement: Health system resilience & the COVID-19 pandemic

Reflections on the response to the COVID-19 pandemic often evoke the concept of ‘resilience’ to describe the way health systems adjusted and adapted their functions to withstand the disturbance of a crisis. As an integral part of the health system, health consumer representatives in New South Wales (NSW) played a crucial role in bringing the voices of patients, carers and the wider community to the pandemic response – but not in the way they expected. The pandemic has served as an unexpected backdrop for important transformations in the consumer engagement space – now and into the future.

Objectives:

• Understand how the theory of systems resilience can be applied to changes in the consumer engagement movement due to the COVID-19 pandemic


• Gain knowledge about how COVID-19 impacted on health consumer representatives working in diverse contexts and communities throughout NSW health services and how they responded


• Gain knowledge about the value of co-research and co-design in the context of this particular study

Patti Shih, University of Wollongong, Australia

Anthony Brown, Health Consumers New South Wales, Australia

Laila Hallam, NSW, Australia

 

Part 2: Speaking “truth to power”: How a rural town saved their medical workforce, their patients, their lives

In February and March 2022, Lismore Northern NSW Australia suffered two major catastrophic floods to the town , over 14 metres through the township in the space of 28 days. It is now 12 months since those floods events, and the Northern Rivers region is still trying to regain, and retain its medical workforce and to survive, whilst maintaining quality and safety in primary care clinics and state funded hospitals Despite a health care system that is lauded around the world for its approach to “universal care for all”, it transpires that medical facilities are not considered “essential “ in the face of a natural disaster to any level of government in Australia There appears to be no literature on the effect of natural disaster in the form of floods to regional /rural communities and their medical workforce Hence we offer “our lived experience “ on how the medical community rallied in the face of “once (?twice ) in a lifetime catastrophic events to maintain patient safety and survival , whilst trying to rebuild. If you want to know what life is like without primary care facilities , how this impacts on your hospital system, and importantly , what you can do as a leader in your community – then this is the session you need to attend …. How can we save another community from this ongoing tragedy in the future?

Objectives:

• Understand the physical and mental challenges placed on a community during natural disaster involving floods


• Understand the challenges faced when advocating for the medical and local community at local,state and Commonwealth levels of government during a flood disaster


• In the event of future disasters , have a checklist for future medical leaders and how they respond to apparent “firewalls“ in government policy

Sue Velovski, Northern Rivers Surgical Group, Australia

 

Part 3: Working together to embed virtual care in NSW: The value of partnering with consumers

This session will explore NSW Health’s transformative approach to integrating virtual care as a safe, effective and accessible option for healthcare delivery in NSW – and the value of engaging consumers in the process. Karol Petrovska, Director, Virtual Care, NSW Health, Shannon Nott, Rural Health Director of Medical Services, Western NSW LHD and Laila Hallam, Consumer Representative will discuss the critical role consumers play in virtual care design, delivery and evaluation. They will also share examples of virtual care models that are transforming:

• Patient experiences of receiving care


• Clinician experiences of providing care


• Effectiveness and efficiency


• Outcomes that matter to patients

Objectives:

• Understand the value of partnering with consumers when designing, delivering and measuring virtual care models, implementation and change processes


• Understand NSW Health’s approach to embedding virtual care as a safe, quality and accessible option for healthcare delivery across the state

Karol Petrovska, NSW Health, Australia

Shannon Nott, NSW Health, Australia

Laila Hallam, NSW Health, Australia

Take a break from sessions and explore the Exhibition Hall to connect with sponsors and exhibitors, join the Microforum sessions, take part in our collaborative artwork activity in the Wellbeing Zone and review all the ePosters.

Session details coming soon.

Fiona Herco, Institute for Healthcare Improvement (IHI); Australia

Part 1: Consumer partnerships to drive quality improvement in an acute paediatric outpatient population

How do you give transient populations a voice to drive clinically relevant priorities for change? We will share experiential learnings of patient journey mapping for consumer engagement within quaternary outpatient fracture clinics. Using process evaluation to examine the implementation of a new model of care stemming from this mapping, the inclusion and outcomes of simple “outcome measures that matter to patients” built in partnership with consumers, will be discussed as an example of translating value-based-health-care for frontline clinician and managers. We will share tools used, recommended improvements from the process, and invite audience discussion on driving service level partnered decision-making.

Objectives:

• Consider if patient journey mapping or Value-based Health Care (VBHC) outcome measures are suitable for use in their own setting based on the simple framework application and implementation process shared


• Reflect on the implementation process research to support quality improvement initiatives within their own setting

Katherine Dalton, Queensland Children’s Hospital, Australia

Megan Simons, Queensland Children’s Hospital, Australia

Stephen Butler, Queensland Children’s Hospital, Australia

Anna Young, Queensland Children’s Hospital, Australia

Stuart Bade, Queensland Children’s Hospital, Australia

Damian May, Queensland Children’s Hospital, Australia

Sarah Lyall-Watson, Queensland Children’s Hospital, Australia

 

Part 2: Co-designing a Family Support Structure for families affected by paediatric sepsis

The Queensland Paediatric Sepsis Program (QPSP) has collaborated with our family representatives to develop a novel Family Support Structure (FSS). The FSS delivers Australian first and world leading initiatives including a Peer Mentor Program, post-sepsis model of care and family video series. We will share the various aspects of our FSS and discuss our approach of codesign and delivery. Partnership with family representatives has ensured development of resources and supports that improve the entire spectrum of morbidities experienced by those affected by sepsis, not just physical sequelae.

Objectives:

• Co-design a family support structure


• Understand the benefits of family lead peer mentoring


• Integrate psychosocial support into programs

Alana English, Queensland Paediatric Sepsis Program, Queensland Health, Australia

 

Part 3: Northern Territory patient stories

In NT Health, 60-90% of consumers are Aboriginal and or Torres Strait Islander. Up to 60% of this cohort do not speak English as their first language. Previous survey tools used to assess patient experience resulted in overwhelmingly positive responses which was not consistent with formal complaints received. Existing surveys used in healthcare are not culturally safe for Aboriginal and Torres strait Islander people. NT Health are committed to their consumers and have changed the way we collect patient experience through stories.

Objectives:

• Better understand the cultural divide between health care provision and Aboriginal and or Torres Strait Islanders


• Learn culturally safe ways to engage and understand patient experience


• Use evidence based tools for effective communication in gathering

Verity Powell, Department of Health, Australia

Part 1: What matters in healthcare for people experiencing homelessness?

People with lived experience of homelessness find engagement with many healthcare services difficult and have very poor health outcomes with a high rate of morbidity and mortality. There is little evidence determining how to measure the experience and quality of care for this priority population. This study initially undertook a literature review to identify relevant articles on this topic. Subsequently, a framework to support measuring patient experience for people experiencing homelessness in the healthcare setting was co-designed using a modified Delphi methodology.

Objectives:

• Learn the special requirements of people who are homeless for healthcare as identified by this population


• Understand the previous evidence in this area


• Have an evidence-based quality framework that has been co-designed by people with lived experience of homelessness which can be used in the healthcare setting

Claire Doherty, St Vincent’s Hospital Melbourne, Australia

Matthew Scott, St Vincent’s Hospital Melbourne, Australia

James Morrow, St Vincent’s Hospital Melbourne, Australia

 

Part 2: People aren’t hard to reach, services are: Improving healthcare through lived experience

To effectively innovate healthcare services and make them more accessible to vulnerable communities, we need to address who is represented in the workforce and how they can influence service design. This presentation will explore how health services can better connect with communities and innovate service delivery through a lived experience workforce. During the peak of the COVID pandemic cohealth established one of Victoria’s largest lived experience workforces to better support engagement with culturally diverse communities most at risk. This model demonstrated the value that embedded community insights had in directing responsive and effective healthcare.

Objectives:

• Effectively engage with ‘hard to reach’ communities


• Embed community insights into ongoing design and delivery


• Explore Innovative approaches to address structural barriers

Emit Taylor, Cohealth, Australia

Malik Abdurahman, Cohealth, Australia

 

Part 3: How Community Paramedicine is bridging the health equity rural divide

This presentation describes the implementation and impact of community paramedics to improve healthcare access and equity in Canada and rural Victoria. With a critical shortage of healthcare professionals and resources, community paramedics have emerged as a crucial workforce in the delivery of high quality, safe, targeted healthcare. This presentation will demonstrate the impact of the community paramedic model (known as CP@clinic) on chronic disease and quality of life in Canada and how the model is showing promising results in the rural Australian community health and palliative care sectors.

Simone Heald, Sunraysia Community Health Service (SCHS), Australia

 

Part 4: Asking the community to design the future of HIV care

Great healthcare is about more than clinical care. It is about involvement and partnership between clinicians, organisations and community. Alfred Health’s HIV Service Advisory Group (HSAG) conducted a sensitive, powerful and public discussion with the HIV-affected community to co-design the next generation of HIV care. The result was a clear articulation of the community’s priorities and healthcare needs that will now guide the development of the State-wide HIV service. More importantly, it initiated a genuine approach to service co-design, with the HIV community becoming an active participant in creating the services they require for the best health outcome.

Objectives:

• Use co-design principles to create an ongoing conversation with our HIV community working with our clinical partners and peak bodies


• Extend the reach of the community consultation as far as possible so we could connect with people living with HIV who were not associated with Alfred Health


• Engage with people in more difficult-to-reach communities


• Gather quality information that enables Alfred Health to develop a proposal for future care of people with HIV

Katrina Lewis, Alfred Health, Australia

Max Niggl, Alfred Health’s Consumer Advisory Committee and the HIV Services Advisory Group, Australia

Part 1: Utilising data as a catalyst for improvement 

This session will help you: Appreciate the difference in data for Improvement and data for accountability. Describe the ways that data informs an improvement project. Experience an example of an improvement project that effectively uses data to learn and communicate results. List the common visual methods to learn from data for improvement.

Lloyd Provost, Associates in Process Improvement, Institute for Healthcare Improvement (IHI); USA

Kate Bones, Institute for Healthcare Improvement (IHI); New Zealand

 

Part 2: Counting what Matters and Making what Matters Count in NSW’s Maternity Hospitals

This presentation will describe the journey that has taken the QIDS MatIQ maternity intelligence system into the heart of every public NSW maternity hospital since July 2021. QIDS MatIQ puts maternity data, that is as uptodate as last Friday, directly into the hands of midwives and obstetricians. If you want to see how clinically high-value maternity data can come alive at your fingertips, drive practice improvement and also provide NSW-wide safety oversight (whilst remaining sensitive to local user conditions) this session is for you.

Objectives:

• Understand the genesis of QIDS MatIQ


• Discover how near-real time NSW maternity data can be visualised in dashboards that are user-friendly, flexible and locally relevant


• See how the Clinical Excellence Commission NSW and QIDS MatIQ provides a semi-automated safety oversight of NSW’s maternity system whilst simultaneously strengthening relationships with maternity facilities and promoting outcome improvement

Felicity Gallimore, Clinical Excellence Commission (AU), Australia

Steve Bowden, Clinical Excellence Commission (AU), Australia

 

Part 3: Revolutionizing healthcare: The implementation of smart hospitals in Hospital Authority

Session details coming soon.

Anna Tong, Hospital Authority; Hong Kong

Part 1: Implementing age friendly healthcare system in primary care for housebound people

As the population grows older care systems are exploring approaches to care for people in place (home). This needs an integrated approach with health and for those that are housebound access to comprehensive primary care. The session will using an interactive and engaging approach with brief ‘2-minute conversations’ and ‘online polls’ discuss the implementation of an Aged Care Friendly System approach embedded in Primary Care in the Australian Capital Territory. A quality improvement approach using the 5M framework, team-based care and virtual care integrated with face to face care.

After this session, participants will be able to:

• Describe what an Age Friendly Health System approach is


• List enablers and barriers for implementation in primary care


• Describe a model of care embedding virtual care and tele-examination in primary care

Paresh Dawda, Prestantia Health; Australia

 

Part 2: Elevating lived experience (2): Safety, power and consumer stories in quality improvement

Consumer stories are a powerful influence in building ‘the will’ for quality improvement work. However, personal stories used in this way are often about sharing experiences of when things didn’t go well, or weren’t safe. It is important to understand the power consumer stories have while creating psychologically safe opportunities for sharing that minimise potential for harm such as re-traumatisation. This interactive workshop will be led by consumers and SCV staff, share examples and experiences of where good practice has and hasn’t occurred. Participants will work together to identify ways to safely incorporate lived experience stories in quality improvement work.

Objectives:

• Creating awareness of the how to balance beneficial outcomes with potential for harm in using consumer stories for quality improvement


• Consider how to take action to create psychological safety when using consumer stories in quality improvement work


• Build on the learning presented and explored in Elevating lived experience (Part 1): Co-designing and co-delivering the PPH collaborative)


• Take away a range of change ideas that can be tested locally to create psychological safety for those wanting to share their lived experience to support quality improvement.

Nami Nelson, Safer Care Victoria; Australia

Kristiina Siiankoski, Safer Care Victoria; Australia

Simon Waring, Safer Care Victoria; Australia

Alana Donaldson, Safer Care Victoria; Australia

 

Part 3: Healthcare culture change at the system level – Sisyphus had it easy

The Medical Registration authority in Australia runs an annual survey of doctors in the early years of their careers, prior to specialist qualifications. Recent surveys have included measures of workplace culture. The data shows that early career doctors witness and experience adverse behaviours such as racism and bullying in the workplace, and that they identify other doctors as frequent perpetrators. Given the link to patient safety, creating a positive workplace culture is a high priority. This session will present an overview of the approach being taken, including the evidence base for change.

Objectives:

•  Understand the link between patient safety and a positive workplace culture


• Compare behavioural vs system interventions


• Apply system-thinking to workplace culture challenges

 

Jillann Farmer, Royal Australasian College of Medical Administrators, Australia

Session details coming soon.

Euan Wallace, Victorian Department of Health, Australia

Derek Feeley, Institute for Healthcare Improvement (IHI), USA

Welcome and Recap: Karen Luxford, ACHS, Australia

Below the Belt Documentary: Exposing widespread problems in healthcare systems

Keynote 4: Shannon Cohn, Project Endo, USA

Part 1: Kindness in action

Facilitated by: Lucy Mayes, Hush Foundation and the Gathering of Kindness; Australia

Host, Lucy Mayes (Engagement Manager, Hush Foundation, and author ‘Beyond the Stethoscope: Doctor’s Stories of Reclaiming hope, heart and healing in medicine’) speaks with our panel as they share stories of kindness in action. The panel, representing international healthcare leaders, change agents doctors and consumer advocates will consider whether kindness have a reputation problem, what does structural kindness looks like and what happens when individuals, teams, organisations and whole sector leadership make the commitment to kindness?

 

Uncle Alan Parsons, Elder, artist, activist and storyteller

Chris Turner, University Hospitals of Coventry and Warwickshire, England

Göran Henriks, Region Jönköping County, Sweden

Catherine Crock, Hush Foundation, Australia

Part 1: Impacting 100,000 lives

Session details coming soon.

Maria Bradshaw, Every Week Counts National Preterm Birth Prevention Collaborative; Australia

Nicole Carlon, Women’s and Children’s at Northern Health; Australia

 

Part 2: Creating age friendly health systems in Victoria: Breakthrough series collaborative

This session provides an interactive overview of the first time the Age-Friendly 4Ms framework has been implemented in Australia, and the first time worldwide it has used a Breakthrough Series Collaborative methodology to deliver Age-Friendly care. Safer Care Victoria and the IHI worked with consumers, subject matter experts, and 18 health and residential aged care services across Victoria to ensure all older people are assessed and acted upon for What Matters, Mind, Medication and Mobility. Come and learn about the framework, our processes and results, and learn how you can join the movement and deliver Age-Friendly Care at your settings. Objectives: Describe and understand the Age-Friendly 4Ms Framework Learn how you can join the global Age-Friendly movement, and deliver care consistent with the 4Ms at your service Learn how we delivered a large collaborative across multiple care settings, during an extremely challenging period in health and residential aged care

Objectives:

• Describe and understand the Age-Friendly 4Ms Framework


• Learn how they can join the global Age-Friendly movement, and deliver care consistent with the 4Ms at their services


• Learn how we delivered a large collaborative across multiple care settings, during an extremely challenging period in health and residential aged care.

Veronica Hope, Safer Care Victoria (SCV), Australia

Katerina Yakimov, Safer Care Victoria (SCV), Australia

Part 1: Artificial intelligence (AI) expedites patient throughout and accelerates growth in Hospital-in-the-Home

A rapid improvement event approach was utilised to develop an automated solution to drive growth in at-home patient care. Clinical and Analytics stakeholders developed and validated a machine learning algorithm which identifies patients within the Emergency Department (ED) and Inpatient Wards who may be suitable for at-home care. Identified patients are ‘flagged’ on live, point-of-care Electronic Patient Journey Boards, alerting the treating team and Hospital in the Home (HITH) of a potentially suitable patient. Expedited referral and review enables more patients to be considered for home sooner, meeting consumer expectations and supporting hospital bed access and flow.

Objectives:

• Understand how a range of health business stakeholders and clinicians came together to solve a business problem using human-centred design and an agile approach


• Understand how AI has been utilised to identify patients with specific attributes


• Understand how AI has been integrated into business operations to expedite patient throughout

Corinne Howell, St Vincent’s Virtual & Home; Australia

Bede McKenna, St Vincent’s Hospital Melbourne, Australia

 

Part 2: Surgical safety management with AI: A prospective study in a large-scale ophthalmic surgery centre

If medical professionals mistakenly identify patients or confuse left and right, would they honestly report everything? We used artificial intelligence (AI) to verify patient IDs, left and right, and intraocular lens authentication in a large-scale ophthalmic surgery centre for a year. As a result, we discovered errors or near misses at a rate more than 20 times higher than traditional reporting. If only one-twentieth of the mistakes are being reported, the improvement cycle would likely not function properly. We will explain whether the AI system is wrong, or if humans are creatures capable of reporting only one-twentieth of their mistakes.

Objectives:

• Understand human biases related to hiding mistakes


• Understand the capabilities of AI systems


• Understand the principles of psychological safety

Hitoshi Tabuchi, Hiroshima University, Japan

Yasuyuki Nakae, Tsukazaki Hospital, Japan

Masahiro Akada, Tsukazaki Hospital / Kyoto University, Japan

Part 1: Embedding a safety culture: From theory to practice

The Clinical Excellence Commission Safety Culture framework was designed to develop a shared mental model ensuring the whole NSW health system, from boards to front-line staff, are enabled to lead positive safety cultures. The first step is to help people understand what a safety culture looks and feels like, how individuals can contribute to it personally, and why it is critical for safe, quality healthcare. This presentation outlines the process taken to operationalise the theoretical CEC Safety Culture framework to become a foundation for programs that influence, support and build capability for psychological safety, effective teamwork and better staff and patient experience.

Objectives:

• Define a health system Safety Culture


• Understand the factors enabling a culture of safety in health


• Understand how to measure and improve the safety culture of their workplace using CEC resources

Susan Sims, NSW Clinical Excellence Commission, Australia

Brigitte Sigl, NSW Clinical Excellence Commission, Australia

 

Part 2: Reducing same day cancellations of surgery in a large hospital system

Hosted by Dr David Brouhard and Dr Jill Waters, expect an interactive workshop on how a large hospital system in Dayton, OH, USA, decreased their same day cancelation of surgery by almost 50% in less than six months. (baseline 7.3% to 4.1%) This workshop will highlight the analysis and process that yielded this metric decrease so that it can be as repeatable and reproducible as possible in any system.

Objectives:

• Learn what controllable factors are impacting same day cancelation of surgery


• Learn about the impact partnering with Physicians historically external to a process has in improvements


• Relearn how sticking to the process yields improvements far greater than jumping to conclusions and solutions

Jill Waters, Kettering Health Network, USA

David Brouhard, Kettering Health Network, USA

Publishing healthcare improvement and innovation – top tips from editors

Join this microsession to learn more about how to publish your health improvement work. Whether you’re a beginner or regular author, hear advice about where to publish your work, how to navigate the submission process and what you should think about before writing your manuscript. We’ll also be sharing top tips from editors to maximise your chance of acceptance.

 

Ashley McKimm, Partnership Development BMJ; England

Take a break from sessions and explore the Exhibition Hall to connect with sponsors and exhibitors, join the Microforum sessions, take part in our collaborative artwork activity in the Wellbeing Zone and review all the ePosters.

Part 1: Taking action at Victoria’s frontline: addressing our healthcare professional wellbeing challenges

Are you interested in reducing burnout and improving joy in your workplace? Join us as we share our learnings from the 24 teams who participated in the Victorian Wellbeing for Healthcare Workers Initiative. Hear about how we used improvement science to measure the impact of changes made locally by teams to reduce their burnout and improve their wellbeing. Don’t miss this opportunity to learn from this work in what promises to be an engaging and practical session that is sure to inspire and generate enthusiasm to create a safer, more effective health system for all.

Objectives:

• Confidently apply and share key aspects of Quality Improvement science and the Joy in Work (JiW) Framework and improvement science to improve joy and decrease burnout


• Apply and share strategies to promote staff wellbeing and what was achieved as part of the Initiative


• Practice the application of appreciative enquiry in your everyday work

Derek Feely, Institute for Healthcare Improvement (IHI), USA

Fiona Herco, Institute for Healthcare Improvement (IHI), USA

Briana Baass, Safer Care Victoria (SCV), Australia

 

Part 2:To be confirmed

Part 1: ‘Making it Meaningful’: Co-designing a medication safety intervention with service users

We will start the session by focusing on the need to improve medication safety in cancer care for people from culturally and linguistically diverse (CALD) backgrounds. The attendees will learn how we used the adapted experienced-based co-design (EBCD) to co-create the novel ‘Making-it-Meaningful’ (MiM) instrument with service users at one cancer service. We will describe the specific medication safety challenges impacting CALD populations at one cancer service followed by description of the two adaptations (adding a preparatory phase and involving a consumer co-facilitator) made to the standard EBCD method to develop the novel MiM instrument.

Objectives:

• Identify the conditions that support meaningful involvement of people from CALD backgrounds in co-design of improvement projects


• Understand the specific medical safety challenges impact CALD communities affected by cancer


• Be equipped with a range of strategies to improve co-design with CALD communities

Ashfaq Chauhan, Australian Institute of Health Innovation, Macquarie University, Australia

 

Part 2: Building a transformative Community Advisory Committee through a robust evaluation process

The RMH Community Advisory Committee (CAC) is one of five Victorian health services participating in the Health Issues Centre pilot evaluation of the Safer Care Victoria CAC Evaluation Framework. The RMH CAC journey is a story of evolution, learning and a resolve to improve our impact, through advice and advocacy to the RMH Board. Through this influence, change in services and systems ensure that we better meet the needs of our diverse community. This session will describe the RMH evaluation experience and our focus on building a collaborative path to transform the impact of the RMC CAC on service design.

Objectives:

• Understand the journey of a maturing health service CAC


• Identify evaluation processes that can enable people powered change


• Understand the identity and purpose of a tertiary service CAC

Margaret Burdeu, Royal Melbourne Hospital, Australia

Jenny Barr, Royal Melbourne Hospital, Australia

 

Part 3: How to avoid four deep clinical governance rabbit holes

Session info coming soon.Australian healthcare has been working with clinical governance for over two decades. In that time, despite hard work and good intentions, the sector has not achieved point of care results commensurate with the investment. This presentation proposes that most healthcare organisations disappeared down at least one deep rabbit hole on the path to effective clinical governance; stalling progress and discouraging staff. The session will draw on lived experience and the literature to identify four of these rabbit holes and suggest tactics for escaping them – or not falling into them in the first place.

Objectives:

• Identify signs of stalled clinical governance in their organisations


• Build board and executive understanding of the issues


• Take action to drive effective clinical governance

Cathy Balding, Australasian Institute of Clinical Governance and Qualityworks P/L, Australia

Part 1: Workplace sustainability and environmental reform, be the change

In pursuit of best practice and ethical congruency, there is growing momentum within healthcare to decouple care from emissions and environmental degradation. But what does that look like in practice? This presentation will address why climate and environmental action is within scope for healthcare professionals and provide multiple examples of practical clinical implementation. Accompanying business case and carbon accounting will reinforce the triple bottom line savings that are available for people, planet, and profit. We will explore existing and developing governance settings that will further support Australia’s transformation, and reference ready to use frameworks, tools, and resources.

Roslyn Morgan, ANMF (Victoria Branch), Australia

 

Part 2: Prioritisation and effects of alternative healthcare models for a sustainable health system

To counteract unsustainable increases in healthcare expenditure, alternative models for delivering healthcare have been proposed. Our Delphi study brought together 82 Australian health system stakeholders to provide input and reach consensus about which alternative models should be prioritised for implementation and research in the Australian context. 70% or more of the Delphi panel rated 14 models as high or very high priority, including improving medical care in residential aged care facilities; delivery of in-home intravenous anti-cancer therapy; and hospital-athome. We then investigated evidence for, and/or factors affecting implementation of these models and will discuss translation of our findings into practice.

Objectives:

• A worked example of the Delphi methodology in which an expert panel of healthcare stakeholders and leaders are brought together to provide input and reach consensus


• Approaches to classify alternative models of health care delivery


• Succinct overview of the effectiveness and cost-effectiveness of various models of care that have been assessed in past decades


• Discussion about which alternative models of health care delivery should be prioritised for future implementation or research in Australian context


• Evidence associated with enablers and barriers to the implementation of one high-priority alternative model of healthcare delivery

Denise O’Connor, Monash University, Australia

Jason Wallis, Monash University, Australia

Liesl Nicol, Monash University, Australia

 

Part 3: Healthcare’s carbon addiction: it’s time to quit

Climate change is a health issue. Not only are our health systems increasingly being required to manage climate-health impacts; but also healthcare itself is a major contributor to greenhouse gas emissions driving climate change. Therefore health systems have a responsibility to address their climate risks. At the same time there are also many opportunities to improve health and quality of care, whilst reducing emissions. Dr Charlesworth leads the Climate Risk & Net Zero Unit at NSW Health and will discuss the key elements of their net zero transition program.

 

Kate Charlesworth, NSW Ministry of Health, Australia

Part 1: You are the cavalry – improving patient flow in Victoria

Improving patient flow is a complex challenge and attempts often miss opportunities to improve the operational management of flow across the hospital. The Timely Emergency Care Collaborative, involving Ambulance Victoria and 14 health services from across Victoria, has taken an approach to lift engagement and focus on achieving early results by:

• Reframing the ‘why’ to be about creating a ‘safe and calm’ hospital


• Shifting from externalisation of the problem to organisational solutions


• Starting with opportunities that have an immediately measurable impact on patient flow


• Linking health services together working on the same change idea


• Using system-wide data for learning

Objectives:

• Engage clinicians in patient flow improvement in a way that resonates


• Plan patient flow improvements to achieve early impact


• Learn from the early gains achieved through this project

Stephanie Easthope, Institute for Healthcare Improvement (IHI), Australia

Jon Scott, Institute for Healthcare Improvement (IHI), Australia

Shane Robertson, Department of Health Victoria; Australia

 

Part 2: Planned Surgery Reform: Driving a patient centred approach to planned surgery waitlist management

In April 2022, the Victorian Government announced a $1.5 billion dollar investment to deliver the Surgery Recovery and Reform Program. A key element of the program has been the establishment of novel Patient Support Units (the Units) across Victorian health services. The Units provide an innovative approach to driving reform in action – ensuring patients receive timely and tailored communication whilst waiting for surgery, as well as receiving access to the right treatment, at the right time. This presentation will highlight how these new and innovative Units provide effective and inclusive management of Victorian patients waiting for planned surgery.

Objectives:

• Understand how the Units are driving improvements in patient experiences, access, and outcomes through timely and tailored engagement


• Recognise opportunities to improve equity of planned surgery access and outcomes for priority populations such as Aboriginal Victorians, through the targeted work of the Units


• Understand how health services are shifting the dial on traditional models of care, to improve patient outcomes and drive waitlist management efficiency, and how patients can directly influence model of care change


• Take learnings back to their own health services as to how the Units are ensuring best care delivery, as well as supporting pre-surgical optimisation of patients through streaming to non-surgical treatment pathways where appropriate


• Understand how collaboration both within and across Health Service Partnerships (HSPs) is driving sustainable planned surgery system reform, including the important role that HSPs and their partnering health services play in ongoing reform sustainability

Benjamin Thomson, Victorian Department of Health, Australia

Naomi Bromley, Victorian Department of Health, Australia

Join attendees in the Exhibition Hall for our lunch break. Take the time to connect with sponsors and exhibitors, join the Microforum sessions and ePoster stage, take part in our lunchtime huddle and review all the ePosters.

Singapore is a small island nation that has achieved high standards of public health, water security and food safety, despite its limited land and natural resources. In this session, we will explore how Singapore Ministry of Health (MOH) worked with Joint Commission International (JCI) to design the “Ensure Safer System” (ESS) programme based on the JCI Standards that moved the public healthcare institutions from an accreditation to an improvement approach towards high reliability. The speaker will also highlight the change of mindset and practise at the hospital that he is working in with the introduction of this new programme. Join us for this session to learn more about Singapore’s public healthcare experience to gain insights that might be useful to implement in your own countries.

Objectives:

• Components of a high reliability programme at a national level


• Mindset and practise change at the hospital level


• How to harness ground-up movement to tackle national priorities

 

Chi Hong Hwang, Ministry of Health Singapore

Our ePoster Champions have selected a number of top scoring oral presentations from Tuesday and Wednesdays Poster Stages. Join us on Wednesday afternoon as these authors take to the main plenary stage to present their projects, with the opportunity for you to vote for the winning ePoster project.

Session details coming soon.

Donald M. Berwick, Institute for Healthcare Improvement (IHI), USA

Join us for our conference close and hear what we have planned for the year ahead.

• Thank you and e-Poster winners announced


• ePoster presentations: what are their aspirations for 2024


• Breaking down barriers – Patient representation Forum round up


• Agenda for action: What is Melbourne’s event legacy?


• See you in Brisbane 2024

 

Mike Roberts, Safer Care Victoria, Australia

Alison Coughlan, Health Issue Centre (HIC), Australia

Helen Brown, Clinical Excellence Queensland, Australia