Thursday 22 May 2025 | 13:15-14:30

Format: Presentation

Stream: Change

Content filters: Recommended for those working at system level in QI

PART ONE: Monitoring regional implementation of the Dutch Integrated Care Agreement. Insights from year 1 in the regions of Amsterdam and Kennemerland

In the Dutch Integral Care Agreement, the Ministry of Health and major healthcare parties have joined forces to stimulate integrated care. In every region, a network organisation has been installed to work on specific integrated care programs focusing on themes like chronic disease, mental health, acute care, elderly care, digitalisation, and housing. Policy makers, involved organisations, practitioners and citizens seek insights into the progress and results of these programs. How can we monitor these national and regional efforts? Effective monitoring of these complex strategic developments requires trust, courage, knowledge, and skills. In the Amsterdam and Kennemerland regions, a bottom up approach was chosen, in collaboration with public health researchers and regional partners. We chose to empower the decentral multidisciplinary thematic working groups to use monitoring for learning and adapting in a safe environment, before using it for accountability purposes. This session will share insights and lessons from the first year of implementing this approach.

In this session, participants will:

• Identify challenges in monitoring integrated regional care


• Understand relevant implementation and monitoring frameworks


• Apply lessons from our example to design, implement and monitor integrated care

Andrea Thoonsen Amsterdam UMC; Netherlands

Martine de Bruijne Amsterdam UMC, Amsterdam Public Health Research Institute; Netherlands

 

PART TWO: Leading for large scale change across a system: Comparing Swedish and English approaches

Our speakers offer some of the most significant wisdom about system leadership for large scale change globally. Goran Henriks brings learning from Jönköping Region, Sweden which delivers outstanding population health outcomes. Sam Allen represents the North East and North Cumbria (NENC) Integrated Care System, which, faced with some of the greatest health inequalities in the UK, supports thousands of people to lead improvement through its learning and improvement community. This session is a conversation with Sam and Goran. Questions include: How do we build a leadership system and develop collective (not just individual) leadership skills for large scale change? How can we work together with people with lived experience and local communities at a system level to enable change? How do we get many people working together in different places, at different levels, aligned to achieve our system goals? How do we create governance and system accountability? How can we show the impact of system leadership on large scale change? Expect a lively discussion!

In this session, participants will:

• Identify and analyse essential capabilities and capacities for effective whole system leadership of change


• Appreciate how to apply these principles to create big system goals


• Develop techniques for fostering collaboration and building effective relationships and partnerships for change across different sectors and disciplines

Göran Henriks Region Jönköping County; Sweden

Samantha Allen North East and North Cumbria Integrated Care System; England

PART THREE: Building Connection, Learning and Action for Large-Scale Change: Practical Lessons from Canada

The importance of building connection and relationship is increasingly being recognized as foundational for system-level change. But what does that look like in practice? What methods and approaches work to convene health, social and community sectors and mobilize towards collective action? The Saskatchewan Health Quality Council (HQC) is tackling these questions and testing new methods within a large-scale change initiative in our province. Roll-up your sleeves with us, as we share the practical methods from our journey to convene multiple sectors, co-develop an impact network with our partners, and design the measures to evaluate and learn as we go. We know we are not alone in our curiosity to learn new ways of working to organize for action and improvement. In this interactive session, you will have a chance to hear our story, reflect on our collective experiences and synthesize our shared learnings.

In this session, participants will:

• Discover powerful insights and practical ideas for creating the conditions for connection, learning and action for system-level improvement. Identify relevant methods to support change in participants’ own context


• Inspire and facilitate connection between others engaged in large-scale change practice


• Create collective intelligence about convening and connecting as an important condition for large-scale change

Tracey Sherin Saskatchewan Health Council; Canada

Tanya Verrall Saskatchewan Health Council; Canada