Monday
All sessions are organised by stream and format. Programme timings are in CEST (Central European Summer Time), GMT+2.
- X1Collaboration for health equality in a multicultural community (Angered)
Format: Site visit
Stream: Population and Public Health
Angered Hospital (ANS) is a modern hospital providing health care and health promotion services to 95,000 people in a multicultural area of northeast Gothenburg.
Närhälsan is Sweden’s largest public primary care provider with 5,500 employees, near 200 sites, and virtual clinics.
The Family Center is a meeting place for children and parents, with open preschool, childcare, midwives, social service and ANS.
Hälsoteket in Angered is a collaboration between the municipality of Gothenburg and the Healthcare Committee of Gothenburg, that focuses on promoting health and reducing lifestyle-related disease.
This site visit is a unique opportunity to learn more about the collaboration between professionals and patients/caregivers/inhabitants, with extra focus on children, women and families. We’ll explore the specific needs of a multicultural community and how we use cultural competence as a tool to create success.
Our full day programme will begin with an introduction, followed by 4 tracks that you can choose from.
View the programme for more information here.
Learning objectives
- Understand how to collaborate in a multicultural context with the extensive participation of community partners
- Effective cooperation meets the needs of society and creates value for the inhabitants
- X2Collaboration for continuous improvement: Examples from maternity care, surgery, psychiatry, and the Collaborative Health Care project (NU Hospital Group)
Format: Site visit
Stream: Person and Family-Centred Care
During this site visit, you will witness examples of collaboration across both professional and departmental borders leading to higher quality and increases in efficiency.
You will visit a first-rate maternity and neonatal care unit where mother and child are co-cared for in brand new modern facilities. Inside our newly built operating theatres, you will witness unique teamwork and task exchange which shortens the stay of a patient at the hospital and increases availability.
You will also visit the Psychiatric department at Brinkåsen and experience its award-winning architecture. The department benefits from highly advanced patient and relative participation and it works with care recipient-controlled admission to reduce self-harm and suicide.
This site visit will be led by participants in the Co-operating Health Care project which has received multiple national awards. The co-operation sees NU Hospital Group and the Emergency Medical Services work closely together with Primary Care, municipalities, Emergency Call Centres and the SVLC (Emergency Healthcare Advice Centre).
See the full programme for this site visit. - X3An expose in person-centered and integrated care, together with Esther (Region Jönköping County)
Format: Site visit
Stream: Person and Family-Centred Care
During this site visit you will learn how Region Jönköping County combines person centered and integrated care to put the patient and community at the heart of everything they do.
Region Jönköping County is a public organisation responsible for health and medical care, public transport and culture, as well as for regional growth work and planning of infrastructure in Jönköping County, South of Sweden. This means ensuring that the county’s residents, appr. 350 000, have access to equal and high quality health and dental care, well-functioning public transport and a rich cultural life.
Region Jönköping County has also the government’s mandate to drive regional growth work and coordinate development efforts in areas such as infrastructure, business, and the labour market.
As an organisation we constantly strive to improve. This is done through research, ongoing development, and quality work in all different areas. We strive to always involve patients and their relatives in their care process and in the development of health care.
Healthcare in our region is publicly funded and democratically governed. It is managed partly by Region Jönköping County and partly through agreements with other care providers. The Region Jönköping County is governed by political board elected directly by the county’s residents. This means that citizens have great opportunities to influence and control how the organisation carries out its assignment.
Qulturum is the Region´s centre for development of improvement knowledge and innovation in healthcare. Qulturum is also the improvement unit at Region Jönköping County and engaged in several improvement activities both on a local, regional, national and international level.
Our focus is on developing improvement knowledge concerning co-production, patient involvement, co-operation and flow, inter professional teams, leadership, management and the design of healthcare.
View the full programme for this site visit. - X4This matters to me! Creating safe, person-centred care in co-production with patients and families (Region Kronoberg - hosted on site at Swedish Exhibition and Congress Centre, 11:00 - 16:15)
Format: Workshop
Stream: Person and Family-Centered care
This experience day programme will be held on-site at the Swedish Exhibition and Congress Centre between 11:00 – 16:15.
Welcome to an interactive day presenting new models and tools combined with the components of humanity and patient power.
You will be the first to hear about PEP- Professional Experienced People, and learn about different examples of quality improvement initiatives, including:
- Dialogues with patients – this matters to me!
- Kronoberg model – a structured model for serious illness conversations
- Listen carefully! When do we listen and when do we merely hear?
- Virtual Reality as a person-centred tool
- Children and youth as care developers
This session is hosted by Region Kronoberg, a county located in the south of Sweden, three hours by car from Gothenburg. A “Kronobergare” is often characterised as a serious and energetic person who is modest with their effort. The Region provides health care for the 200.000 inhabitants in the county of Kronoberg, which consists of eight municipalities. The county is known for industry and service based on forestry and digitalisation, glass, furniture, design, forests and lakes. The county seat of Växjö is home to Linnaeus University, which Region Kronoberg works closely with. The small size of the county enables strong and efficient co-production and cooperation. This is defined as 13 promises in the development health care strategy Closer to the population.
Full programme available here. - X5Patient involvement through digitalization and innovation (Sahlgrenska)
Format: Site visit
Stream: Improvement methods
Content filters: Includes examples of using technology to enable change
Sahlgrenska University Hospital is one of Europe’s largest hospitals, aiming to improve healthcare through innovation and research.
Närhälsan is Sweden’s largest public primary care provider with 5,500 employees, nearly 200 sites, and virtual clinics
You will get an insight in our commitment to patient- and employee driven organizational development in the light of innovation and digitalization. An onsite visit to the new Queen Silvia Children’s Hospital is combined with an introduction of a primary care center testbed for experimental research. At the neurological department, we will illustrate digital first line caregiving, and remote monitoring projects in special- and primary care, and in regional corporations, with focus on patient empowerment, quality, safety, and efficiency.
Learning Objective:
Understand how patient and employee driven organizational development can maximize value for patients.
See the full programme here. - X6Together with the patient, for the patient – a road to excellence (Södra Älvsborg’s Hospital)
Format: Site visit
Stream: Improvement Methods
Content filters: Co-presented with patients, service users or carers, Features discussion of improvement methodology, Includes examples of using technology to enable change, Responses to the covid-19 pandemic
Visit Södra Älvsborg Hospital (SÄS) and learn more about how we use a patient centred approach and expand local healthcare provision to provide care closer to the patient. Innovative work in the patient safety field is another of our areas of expertise, the green cross method for daily patient safety improvement was invented here. We also use digitalization, AI and process-orientation to help us preserve patients’ future health and create value.
Learning Objectives
Understand how we:
- Use a patient centred approach and expand local healthcare provision to provide care closer to the patient
- Use digitalization and AI to help us preserve patients’ future health and create value
- Use the patient safety method the green cross in our daily patient safety improvements
- Designed and implemented a new operational model to enhance effective operational management in the post pandemic era
- See process-orientation in practice in a real life hospital setting
- Patients and next-of-kin will tell about their experiences
Information about our hospital
Södra Älvsborg Hospital (SÄS) is a county hospital in Region Västra Götaland. We provide specialised health care for about 300,000 people in the city of Borås and its surrounding municipalities.
Along with providing high-quality health care within all specialties, the hospital also has a research department and provides training for nurses and doctors and we have University hospital settings. We have a long experience of working with process-oriented improvement in healthcare setting. Innovative work in the patient safety field is another of our areas of expertise, the green cross method for daily patient safety improvement was invented here.
SÄS is currently doing reform work to adjust and be sustainable in order to manage the challenges and demands of tomorrow´s healthcare. We are using a patient centred approach, digitalization and expanding local healthcare provision together with our surrounding communities as our main strategies.
See the full programme here. - S1Camp Sweden
Format: Presentation
Stream: Building Capability and Leadership
On this first day of the conference, this special seminar for Swedish delegates will focus on the health and care issues that are relevant in Sweden, including knowledge management, mental health, preventive health work, patient safety and the transition to closer care.
During the day, there will be an opportunity to both discuss the issues and contribute to driving the work forward, through workshops and round-table discussions (world cafe and open space). We’ll bring together managers, employees, politicians and clinicians, and explore how we can work together to put improvements into practice.
There will also be input from the lecturers Maureen Bisognano, former President and CEO of the Institute for Healthcare Improvement (IHI), and Mats Tyrstrup, Associate professor at the School of Business in Stockholm.
The program also has space for your specific questions – what do you think is important to talk about when we shape the care and care of the future? It will be a day of co-creation, on the theme of the conference: “Creating tomorrow today”.
The language during the day is mainly Swedish, with some elements in English. - S2The International Improvement Science Symposium
Format: Workshop
Stream: Improvement Methods
Content filters: Features discussion of improvement methodology
The International Improvement Science Symposium brings together researchers and healthcare professionals to discuss how the latest innovations in scientific methodology can be used to transform outcomes for patients.
This year’s theme for the Symposium will be: What is the role of improvement science in a fast-moving, exciting world? We’ll be covering four key topic areas that explore how the science of improvement can help us thrive in our changing health and health care environment:
- What have we learned from the pandemic?
- Moving care into the home
- Co-designing and personalising health
- Applying the science of improvement to digital health
The programme will feature landmark research from leaders in the field, examples of successful projects from across the globe, and practical discussions on how to test and scale initiatives in practice.
View the full programme here.
- M1An introduction to quality improvement
Format: Workshop
Stream: Improvement Methods
Content filters: Recommended for those new to quality improvement, Features discussion of improvement methodology
Whether you are new to quality improvement methodology or want to brush up on the basics, join us for an interactive workshop to develop your skills and meet with other improvers from across the world.
This session will explore the basics of improvement science, and support participants to understand how they might use QI in their own systems and teams in partnership with clinicians, patients, and staff.
After this session, participants will be able to:
- Describe the basics of improvement science and understand how the method is helpful for sustainable change
- Understand the variety of ways that people can learn and use improvement science in their practice
- Take away ideas to support your own improvement work
Angela Zambeaux, Institute for Healthcare Improvement (IHI); France
Selina Stephen, Institute for Healthcare Improvement (IHI); England
Susan Hannah, Institute for Healthcare Improvement (IHI); Scotland
Emily Rose, Institute for Healthcare Improvement (IHI); England - M2How to develop, implement and monitor national action plans for safer healthcare
Format: Workshop
Stream: Safety
Content filters: Features discussion of improvement methodology
The WHO calls for healthcare systems around the world to develop action plans to improve patient safety. In this session lessons and results from the design, development, implementation and monitoring of patient safety action plans will be shared and discussed.
Academic experts, international country representatives and patient representatives will share insights and experiences. Participants will engage in interactive discussions about the challenges and ways forward to achieve the transition from error management to system change.
The session is jointly hosted by the Swedish National Board of Health and Welfare and The Swedish National Cooperation Group for Patient Safety.
After this session, participants will be able to:
- Understand and discuss the global work by the WHO and how countries with different contexts approach patient safety
- Understand how science based knowledge, and patients and other stakeholders involvement, can be used in designing and developing action plans
- Apply knowledge about the transition from national action plan to implementation in different healthcare systems and levels
- Discuss the benefits of a system perspective in monitoring and sharing results in patient safety
Olivia Wigzell, National Board of Health and Welfare; Sweden
Axel Ros, Region Jönköping County; Sweden
Charles Vincent, Department of Experimental Psychology, University of Oxford; England
- M3How to get your quality improvement work published: insider advice from editors
Format: Workshop
Stream: Building Capability and Leadership
Healthcare staff, improvement professionals, patients and their families and caregivers, in all healthcare settings, design and lead efforts to improve the quality of care. A common and impactful way of sharing those quality improvement (QI) efforts is by publication in the peer-reviewed literature. Through lecture and small and large group discussion, this session will help participants to: 1) identify opportunities to publish QI work to disseminate their experiences and new knowledge with others; 2) identify common pitfalls in QI project report submissions to peer-reviewed journals; and 3) describe strategies that can be employed during both the project stage and the writing stage to increase the chances of publication.
During this workshop we will briefly discuss why it is important to publish QI work and where it can be published, while providing new perspectives on authorship for QI reports. We will also share resources and best practices regarding research ethics and protection of human subjects for QI. In small groups, workshop participants will then review QI report abstracts as if they were peer-reviewers or journal editors. During a large-group discussion, we will briefly review the SQUIRE2.0 guidelines, but spend most of the time-sharing tips for publishing QI based on our experiences as Co-Editors-in-Chief of the journal BMJ Quality and Safety. Our tips for publishing QI will also draw on the many decades of combined experience of two additional senior editors at BMJ Quality and Safety. Participants will take away practical advice for preparing and publishing QI reports, including tips from highly experienced QI practitioners, writers, and editors. This workshop will be most useful to individuals with relatively little experience publishing QI work, although more experience individuals may find parts of the workshop useful.
After this session, participants will be able to:
- Identify peer-reviewed publications in which to publish QI reports
- Describe and implement strategies during the conduct of QI projects that will increase the chances of being able to publish the work
- Write improvement reports that avoid the most common pitfalls
Eric Thomas, University of Texas Health Science Center, BMJ Quality and Safety; USA
Bryony Franklin, Centre for Medication Safety and Service Quality, BMJ Quality and Safety; USA
Perla Marang-van de Mheen, Leiden University Medical Center, BMJ Quality & Safety; The Netherlands - M4Improving equity in local communities: learning and approaches from anchor institutions
Format: Workshop
Stream: Population and Public Health
Content filters: Responses to the covid-19 pandemic, Recommended for those new to quality improvement
As healthcare organisations and systems recover from covid-19, anchor institutions can play a key role in improving equity. Anchor institutions uniquely influence the wider determinants of health and inequalities through their significant impact as employers, purchasers, users of resources and community partners.
Anchor approaches can make a real difference to local communities, but organisations and systems often struggle with how. Building on the latest evidence and learning, and hearing practical lessons from leading healthcare anchor institutions, this session will explore the link between anchor institutions, population health and equity, and the improvement approaches and methods to make it happen.
After this session, participants will:
- Have an increased understanding of how healthcare organisations acting as anchor institutions can impact population health and improve equity
- Have an opportunity to reflect on the opportunities and challenges for anchor missions to drive equity in their own places and communities
- Be inspired to act through exploring real life examples of how improvement approaches have been used to implement anchor action that makes a difference
Dominique Allwood, UCLPartners; England
Jenna Collins, Health Foundation; England
Charlotte Williams, Mid & South Essex NHS Foundation Trust; England
- M5Saving the planet - reducing healthcare waste to improve environmental impact
Format: Workshop
Stream: Population and Public Health
Content filters: Recommended for those new to quality improvement
Healthcare systems are the second highest contributor to environmental challenge, but little is known or understood by healthcare’s workforce about how everyday activities impact the environment – or about measures everyone can take to reduce impact.
In this session we will explore the hard facts on waste in healthcare, offering tools and solutions to support practical steps in addressing waste and environmental harm in healthcare settings.
Participants will engage in facilitated discussions, including exploring their own context and leave with new ideas to build the movement towards a cleaner, greener health system, with less waste overall, and better patients/staff experience.
After this session, participants will be able to:
- Highlight the link between waste in care design and delivery and poorer experience for staff and patients as well as greater cost, and describe the contribution of healthcare to environmental challenges
- Discuss strategies and approaches to quantify the impact of waste in healthcare as seen through the eyes of organisations, staff and service users
- Identify opportunities that exist right now to make a positive change by minimising the impact of healthcare waste on our environment across a broad range of roles: everyone can make a difference
- Apply tools to assess the impact of healthcare without harm and green planning for organisations
Gill Smith, Kaizen Kata, Northern Ireland and Institute for Healthcare Improvement (IHI) Faculty; Northern Ireland
James Mountford, Royal Free London NHS FT; England
Susan Hannah, Institute for Healthcare Improvement (IHI); Scotland
Maureen Bisognano, Institute for Healthcare Improvement (IHI); USA
Elaine Mead, Improvement Care and Compassion; Scotland - M6How to build a holistic management system to create reliability and inspire innovation
Format: Workshop
Stream: Quality, Cost, Value
(Part A) Beyond QI – how to build a holistic management system for quality
How often are quality improvement projects seen as separate to the way our teams function? How do we move from QI being an add-on, to being truly embedded within daily work?
This session will describe how to adopt a quality management system at team and service level, integrating quality improvement into a holistic approach to quality.
We will explore how different members of a healthcare team, including patients, can contribute to all aspects of quality management, and identify key tools and tenets for each of the four functions within the quality management system: planning, assurance, control and improvement.
Amar Shah, East London NHS Foundation Trust; England
(Part B) Creating a Learning Organization: Developing leaders to create reliability and inspire innovation
In today’s environment, an organization’s learning agility is crucial to its success. Learning organizations require leaders to have a system view where both the social and technical aspects of change are addressed.
Using Virginia Mason’s twenty-year experience developing leaders who can lead large, complex change, we will share a framework and tools for developing system leaders. It will include our approach to building daily management leader routines to solve day to day problems and support reliability, as well as innovation techniques that are built into training and visioning events to inspire breakthrough solutions.
Gary S. Kaplan, Virginia Mason Franciscan Health; USA
Wendy Korthuis-Smith, Virginia Mason Franciscan Health; USA
- M7Establishing a nationwide system for knowledge based health care – The Swedish experience
Format: Presentation
Stream: Building Capability and Leadership
Content filters: Recommended for those new to quality improvement
Health and Care in Sweden is generally considered to be of good quality, but there is variation in outcomes between care-givers and patient groups. In an attempt to optimize the whole country’s performance and make the best knowledge reach every patient/provider encounter, the Swedish system for knowledge based health care was established in 2017. It is driven by Sweden’s 21 regions responsible for health care in close collaboration with patients, professional organisations and the national government.
In this session leaders, patients and other stakeholders from Sweden will be sharing learnings from establishing a collaborative, nationwide system for knowledge based health care.
After this session, participants will be able to:
- Understand how to reduce variation in care
- Reflect on how collaboration between different stakeholders including patients is crucial for success
- Take home key learnings and adapt to their specific role and setting
Mats Bojestig, The National Steering Group; Sweden
Tuesday
All sessions are organised by stream and format. Programme timings are in CEST (Central European Summer Time), GMT+2.
- O1Welcome and opening remarks
- K1Opening keynote: Kedar Mate
Format: Keynote
Stream: tbc
Content filters: tbc
Kedar Mate, MD, is President and Chief Executive Officer at the Institute for Healthcare Improvement (IHI), President of the IHI Lucian Leape Institute, and a member of the faculty at Weill Cornell Medical College. His scholarly work has focused on health system design, health care quality, strategies for achieving large-scale change, and approaches to improving value.
Kedar Mate, MD, Institute for Healthcare Improvement (IHI); USA
- A1Creating tomorrow today; tackling the dilemmas at the heart of transformational change
Format: Presentation
Stream: Building Capability and Leadership
Content filters: Recommended for those new to quality improvement
Across the world, leaders are seeking a radically different health and care system for the future: one that promotes health, that addresses health inequity, that regards patients and families as equal members of the care team. This means confronting some big dilemmas at the heart of change; building new structures yet giving people power and autonomy; standardising care, yet personalising care; creating small changes that add up to big changes. In this provocative session, Helen and Göran will identify actions we can take to navigate the complex situations we face today in order to create a different system for tomorrow.
After this session, participants will be able to:
- Identify some of the big dilemmas in creating tomorrow today
- Reframe the questions we are asking about making change happen
- See the big picture and search for new possibilities
Göran Henriks, Qulturum; Sweden
Helen Bevan, NHS Horizons; England - A2Let’s talk about power in patient partnership
Format: Presentation
Stream: Person and Family-Centred Care
Content filters: Co-presented with patients, service users or carers
(Part A) Let’s talk about power – patients transforming healthcare in the UK and Sweden
It has long been said that: “Patients are the most under-utilised resource in healthcare”, but what does that really mean? In this session, we will present work done in the UK and Sweden on patient leadership. The presenters will talk about how active and engaged patients are transforming health, healthcare and research, and what we all need to do to support this paradigm shift.
Sara Riggare, Uppsala University; Sweden
Karin Althén, Independent peer patient improver; Sweden
David Gilbert, InHealth Associates; England
(Part B) Power: dynamic or dynamite in co-production
The relationship between caregivers and users is asymmetric. Power imbalances as well as caregivers’ attitudes and fear of losing power can hinder co-production and allow the asymmetric power relationship to persist.The underlying power imbalance needs to be addressed and challenged to create an equal and reciprocal relationship between professionals and users. Power is seen as the possibility to influence.
This session focuses on psychological safety and power dynamics in co-produced improvement work. We will interactively introduce the use of the power triangle reflection model. The model, based on Franzén’s power triangle, is further developed from ESTHER improvement coaches’ perceptions in Sweden.
Nicoline Vackerberg, Region Jönköping; Sweden
Christina Wandt, Living Library Jönköping; Sweden - A3Innovations for improving equity and safety of cancer care
Format: Presentation
Stream: tbc
Content filters: Responses to the covid-19 pandemic
(Part A) An overview of the individual patient data – benefits for patients and professionals
The Individual patient overview (IPÖ) enables the collection and visualization of information about the individual patient. All data/registered information is visualized in an overview image, which in a fast and clear way provides information about the patient’s status, illness and treatment. This streamlines preparation for meetings with patients and for internal meetings where decisions are discussed. The information in IPÖ can also be used for development, research and to promote equal care. In the presentation the project leader, together with clinicians and patients, will describe the benefits for the end-users, and the interactive process during development and implementation.
Maria Sörby, Regionalt cancercentrum (RCC) Mellansverige; Sweden
(Part B) Peer to peer health promotion to reduce cancer disparities in socioeconomically marginalised communities in Sweden
Volunteers are recruited by Region CancerCenter Stockholm to serve as peer advisors. They raise awareness by informing and communicating with their peers about cancer and cancer prevention. The main source of information is the European code against cancer in 12 different languages.
The long-term effects on cancer-incidence and uptake on cancer-screening remains to be seen, but results from the pilot study indicate that the peer advisors reach populations often difficult to reach in other health campaigns. Their efforts contribute to increase health equity among marginalised groups. They have also successfully provided information about Covid-19 during the pandemic. Their role is currently scientifically evaluated to learn from the peer advisors’ practice, to also include other important areas related to public health.
Arja Leppänen, Regional Expert in Cancer Care Equality; Sweden
Max Kleijberg, Karolinska Institutet; Sweden
(Part C) Levla – An initiative to engage schools in cancer prevention
At least 40 % of the cancer cases in Europe could be prevented if we adhere to healthier lifestyle habits. The Regional Cancer Center Stockholm-Gotland (RCC) have started several initiatives to reach out with evidence-based health information to encourage prevention. Specific initiatives have targeted socioeconomically marginalised groups to reduce the well-documented cancer-specific inequalities. One particularly significant group to reach out to is children.
Swedish children have coined this “Swenglish” term (Levla) whilst playing various computer games where they strive to level up. Here we have adopted this term to capture the idea of levelling up your own health and wellbeing. Using a co-design approach, the Levla project started in collaboration with the RCC and a local secondary school in a multi-cultural area of Stockholm. In this presentation you will learn more about the development of the project, the results so far and the next steps planned.
Jennie Jackson, Regional Cancer Center Stockholm-Gotland; Sweden
(Part D) National e-library for standardized chemotherapy regimens
Chemotherapy regimens are used for different cancer diagnoses and defines the drugs to be used, the dosage, and the frequency and duration of drug administration. Chemotherapy is highly beneficial for the patient, but medication errors with these drugs represent a potentially serious risk of patient harm.
An e-library has been developed within the Regional Cancer Centres (RCC) in Sweden. The users are physicians, pharmacists, and nurses. The e-library is now an easily accessible, national anchored system with practical tools that support professionals in their everyday work with drug treatments for cancer. This presentation will demonstrate how the e-library has been co-designed with users, and how it can mitigate patient safety risks.
Ann-Sofie Fyhr, Regional Cancer Centre South; Sweden
Ulrika Landin, Regional Cancer Centre South; Sweden - A4Session to be announced
Format: tbc
Stream: tbc
Content filters: tbc
Session details to be announced - A5Leading in complex systems
Format: Workshop
Stream: Building Capability and Leadership
IHI President and CEO Kedar Mate, IHI President Emerita and Senior Fellow Maureen Bisognano, and Regional Chief Executive of Region Östergötland Krister Björkegren, will reflect on what they have learned about leadership and building resilient teams. They will share lessons they have learned and discuss ways they have supported fellow leaders and their own staff to foster a culture of equity and safety.
After this session delegates will be able to:
- Identify key leadership principles for supporting staff and teams
- Apply lessons learned by Executive Leaders within your own team and organisation
- Demonstrate the ways leaders contribute to building and fostering a culture of equity and safety
Maureen Bisognano, Institute for Healthcare Improvement (IHI); USA
Kedar Mate, Institute for Healthcare Improvement (IHI); USA - A6How to make data count when it comes to engaging people
Format: Workshop
Stream: Improvement methods
Content filters: Features discussion of improvement methodology, Recommended for those new to quality improvement
Data visualisations that are overwhelmingly busy or very technical prevent the dialogue between presenter and audience and reduce the ability to effectively convey information. Understanding how the human brain processes visual information helps to effectively communicate, facilitate dialogue, and encourage engagement with different stakeholders. During this session, we will demonstrate the principles of visual perception, understand some cognitive biases and show how to apply them in the context of improvement.
After this session, participants will be able to:
- Understand the core principles of how humans process visual information and how it relates to creating engagement
- Understand how cognitive overload triggered by a ‘too busy’ data representation reduces the probability that the audience understands the message to be conveyed (and how to avoid that)
- Gain insight into the core principles of data representation in the context of different stakeholders and ‘people styles at work’
John Boulton, Improvement Cymru, Public Health Wales; Wales
Doris Behrens, University for Continuing Education Krems; Austria/ Aneurin Bevan University Health Board; Wales
- A7How Safety 2 thinking helps improve haemovigilance, diagnostic error and allows us to learn from excellence
Format: Presentation
Stream: Safety
Content filters: Features discussion of improvement methodology, Co-presented with patients, service users or carers
(Part A) Taking healthcare safety to the next level using lessons from haemovigilance
Patient safety incidents impact patients, family, friends, and carers have an emotional and professional impact on staff involved, a cultural impact on the department and reputational damage to the organisation. Serial data from Serious Hazards of Transfusion (SHOT), the UK haemovigilance scheme shows that while transfusions are safe, errors continue.
Now is the time to reevaluate the way we look at patient safety and incident investigations. This session will give delegates the knowledge and tools to incorporate human factors and systems thinking principles into their own working environment and use a combined Safety-I and Safety-II approach to improve patient safety.
Shruthi Narayan, Serious Hazards of Transfusion; England
Charlotte Silver, NHS Blood and Transplant; England
(Part B) Moving from diagnostic error to diagnostic safety
We’ve changed the focus from diagnostic error to diagnostic safety. From safety 1 to safety 2. Our aim is to make the patient and relatives safe in their contact with health care but also make the system safer for the clinicians. The patient and relatives are encouraged to be active in the diagnosis process.
We have used adverse event reporting and complaints to initiate our improvement work. We have also tried to calculate the extra cost for the health care system when a diagnosis is delayed, not given or wrong.
Pär Lindgren, Region Kronoberg; Sweden
Linda Hördegård, Region Kronoberg; Sweden
(Part C) Practice what you preach: experiences with ’learning from excellence’ in a tertiary pediatric centre
There is increasing evidence from Safety 2 research that vigorously analyzing the positive outliers in patient care, can improve patient safety even more. As a resident in Pediatrics and trainer in a foundation called ‘Leading Doctors’, founded to stimulate professional fulfillment, we developed a program in our hospital (a tertiary children’s hospital) to detect and evaluate excellent cases. Our project was inspired by Adrian Plunkett and his model for Learning from Excellence.
This session will give delegates an overview of how we build this project and what our results are, as well as practical tools to incorporate ‘Learning from excellence’ in their own working environment.
Marije Smits, Resident in Pediatrics; Netherlands - A8Integrated care: Learning from the Swedish experience
Format: Presentation
Stream: Integrated care
(Part A) It’s all about people – big scale transformation for integrated people-centred care
We will share experiences from our journey of working together as a region and community to create large-scale change by shifting from healthcare systems that focus on diagnoses to a system designed for people.
Anette Nilsson, Region Jönköping County; Sweden
Anneli Forsgren, Region Jönköping; Sweden
(Part B) Person-centred and integrated care – shifting to a system designed for humans
In this presentation, you´ll hear how we lead, support and monitor the transition towards a more integrated and person centered health and care system. Based on the Swedish movement, you will be asked to reflect upon how you can achieve a more integrated person centered care in your own organisation.
Lisbeth Löpare Johansson, The Swedish Association of Local Authorities and Regions (SALAR); Sweden
Anette Nilsson, Region Jönköping County; Sweden
(Part C) Framing quality improvement – Empowerment to co-create a resourceful municipal health care
A reform has been underway since 2017 to create a sustainable health care system in which patients and their relatives feel that they are involved and confident, and in which employees choose to work. This presentation offers experiences to help develop and implement models to govern and define quality in municipal care.
Iréne Nilsson Carlsson, The National Board of Health and Welfare; Sweden
Hans Knutsson, Lund University School of Economics and Management; Sweden - A9Improving mental health at a population level - what can we learn from the UK and Sweden
Format: Presentation
Stream: Population and Public Health
Content filters: Co-presented with patients, service users or carers
(Part A) Quality and safety improvement in mental health: learning from England’s national programme
This session will describe how complex quality and safety issues have been tackled at national scale in England. We will share the learning from work to tackle restrictive practice, sexual safety, mental health inequalities and staff wellbeing – all designed and led through the Royal College of Psychiatrists, and the first national improvement work in mental health in England.
Amar Shah, East London NHS Foundation Trust; England
(Part B) Society wide collaboration for mental health in Sweden
Improving mental health of a population cannot be done by healthcare alone but requires whole society engagement. Knowledge and methods for improving mental health are abundant but are not sufficiently turned into action.
A decentralized welfare system can be an obstacle for comprehensive, coordinated, long-term improvement. To overcome this a Joint action for mental health was formed in Sweden 2019. For three years, the program has co-designed collaborative tools for engaging stakeholders from all parts of society to improve mental health. The tools were not created in preparation for the pandemic but have been effective in a time of crisis.
Ing-Marie Wieselgren, The Swedish Association of Local Authorities and Regions (SALAR); Sweden
Conny Allaskog, The Swedish Partnership for Mental Health, NSPH; Sweden
(Part C) Building structures for user-driven welfare innovations to promote mental health
Bräcke diakoni is a Swedish not-for-profit organisation that uses the opportunity to operate in healthcare and social services and at the same time engage service users in diverse innovation projects, financed by the public inheritance fund. Our aim is to develop methods, knowledge or operations that can be used to bridge gaps within and between different welfare systems.
In this session we will present a concept of civil society driven innovations, building on competence in systematic development, evaluation capability and communication skills. The concept is illustrated by two cases:
- Parents with mental health problems who asked for parenting support
- Parents with adult children with disabilities who co produced a method of support called “When I´m not here anymore”
Rakel Lornér, Bräcke diakoni; Sweden
- L1Tools and approaches to measure spatial aspects for better health
Format: Presentation
Stream: Integrated care
The session covers the connection between healthcare and the physical environments where it takes place. The outset is the spatial continuum within integrated care from high tech in-patient care to care at people’s homes and the impact on patients’ as well as staff’s health and well-being.
We will develop an embodied knowledge on basic aspects to more complex measurements of health care environments including discussions of what is measured and how it relates to evidence-based design. The delegates should attend to learn concretely how to relate their healthcare practice to the place where it takes place.
Helle Wijk, Institute of Health and Caring Sciences, The Sahlgrenska Academy at Gothenburg University; Sweden
Göran Lindahl, Chalmers University of Technology, Center for Healthcare Architecture; Sweden - L2From Planning to Dissemination: Research, QI, and EBP
Format: Presentation
Stream: Building capability and leadership
Session sponsored by Wolters Kluwer Health
Join Wolters Kluwer Health to discuss the challenges and barriers to organising, planning and sustaining successful initiatives in clinical settings.
After this session attendees will be able to:
- Describe the challenges and barriers to organising, planning and disseminating successful initiatives in clinical settings
- List key elements to be considered when supporting clinical initiatives
- Discuss how to increase the odds of sustainability
Rachel Dicker, Wolters Kluwer, Health, Learning, Research and Practice; USA - L3Student networking lunch
Format: Workshop
Stream: Improvement Methods
If you are a student, come and join the IHI Open School for an opportunity to meet with colleagues and new connections from across the global Quality Improvement community.
- B1What have we learned? Two Scandinavian approaches to covid-19
Format: Presentation
Stream: Building Capability and Leadership
Content filters: Responses to the covid-19 pandemic
(Part A) Hope is not a strategy! What have we learned from covid-19?
Hope is not a strategy… wrote the Permanent Secretary to the Prime Minister in Denmark in the late hours of a day in January 2020. This approach set the tone for the Danish covid-19 strategy, and has had a major impact on the relatively successful outcome of the covid-19-crisis in a small, open country.
During the first year of the crisis more than 120 contributors – from researchers to front line staff – have contributed to a book collecting learning points focusing on quality and safety in healthcare. The book covers 7 themes and, in this session, the editors of the book will elaborate on the themes and engage the audience in discussion about the learnings.
Jan Mainz, Psychiatry, Region North Denmark & Aalborg University; Denmark
Inge Kristensen, The Danish Society for Patient Safety; Denmark
(Part B) Collaboration between and coordination of the Swedish regions during the covid-19 pandemic
The covid-19 pandemic has exposed the Swedish healthcare system to great strain. This session describes how the regions, supported by their member organisation the Swedish Association of Local Authorities and Regions (SALAR) in a very short time developed a strong operational collaboration.
The collaboration covered several different fields: national coordination of the purchase and distribution of critical medicines; national coordination of the purchase of protective personal equipment and medical devices; national coordination of ICU resources, and the implementation of the vaccination program.
The purpose is to show regional collaboration in practice and give some concrete examples of how national coordination has been achieved within the framework of regional self-government.
Emma Spak, The Swedish Association of Local Authorities and Regions (SALAR); Sweden - B2Session to be announced
Format: tbc
Stream: tbc
Content filters: tbc
Session details to be announced - B3Integrating clinical services inspiration from the Netherlands
Format: Presentation
Stream: Integrated care
Content filters: Features discussion of improvement methodology
What integration of health services is vital to deliver a coherent care package responsive to the needs, preferences and values of patients and to achieve desired outcomes? We will address this question by a reflection on a variety of real life practices, selected from oncology, elective surgery and chronic diseases. The cases show a robust common direction, a diversity of patients and parties involved and improved results.
We will share and discuss great steps health professionals and administrators in the Netherlands took to collectively focus on outcomes that matter to patients, arrange appropriate teams and pathways and create supporting information flows.
Nico Van Weert, Society Personalized Healthcare; Netherlands
Ralph So, Albert Schweitzer Hospital, Society Personalized Healthcare; Netherlands - B4The future is digital? Three perspectives from Sweden
Format: Presentation
Stream: Building Capability and Leadership
Content filters: Includes examples of using technology to enable change, Co-presented with patients, service users or carers
(Part A) Hospital-wide boost for digitalization and digital competence at Sahlgrenska University Hospital
Digitalisation carries promises of simplified administration, improved service, and comprehensive support systems for care professionals. However, transformation to a digitalized healthcare does not happen by itself. Care professionals need to acquire new competencies and overcome initial resistance to change old ways of working.
To approach this challenge, the Sahlgrenska University Hospital has undertaken a broad-ranging boost for digitalization. Several activities to improve digital competence for all employees and support development work have been initiated in this multi-year digitalization journey.
Christian Colldén, Sahlgrenska University Hospital; Sweden
(Part B) Death to books, hail to instant knowledge support
Books still have their place in learning, but today people expect to have instantly accessible knowledge. In the Region of Stockholm we work aggressively on delivering support at point of care but we also see the challenges – come and listen to our experiences and contribute in the discussions. Is blood pressure the same for a cardiologist as for a psychiatrist? Is our EHR modern enough to support clinical pathways?
Ameli Norling, County Council of Stockholm, Health and Medical Care Administration Stockholm; Sweden
Anette Falkenroth, Knowit; Sweden - B5A new multidimensional quality model for patients, their kin, professionals and providers
Format: Workshop
Stream: Building Capability and Leadership
Content filters: Features discussion of improvement methodology
Since the publication of Crossing the Quality Chasm there has been significant progress in quality of healthcare. However, the focus has been on process reliability in the management of disease rather than the coproduction of Health. In this session we present a new multidimensional model with the integration of the IOM dimensions, a new dimension on ecology and core values of dignity, respect, kindness, a holistic vision, and coproduction built on never-ending learning and leadership. This will be demonstrated by its introduction to the Flanders healthcare system. Participants will be shown how to apply this to their own context.
Peter Lachman, Royal College of Physicians Ireland; Ireland
Kris Vanhaecht, KU Leuven Institute for Healthcare Policy, University of Leuven; Belgium - B6Bringing ward rounds into the 21st century using interdisciplinary inpatient review
Format: Workshop
Stream: Person and Family-Centred Care
Content filters: Features discussion of improvement methodology, Co-presented with patients, service users or carers, Recommended for those new to quality improvement
Inpatient interdisciplinary review is the cornerstone for safe, effective and personalised care in hospitals. Inconsistent process and culture means potential benefits are commonly not maximised.
This workshop will help participants:
- Understand best international practice
- Identify common challenges facing high-quality inpatient reviews
- Begin a plan for their own hospitals’ improvement programme
The workshop will cover practical solutions for structuring, preparing and delivering effective interdisciplinary inpatient review. Sharing learning from clinicians leading
- RCP/RCN/NHSE&I Modern Ward Rounds report and collaborative
- Team Based Patient Centred Ward Round’ process in Sweden
- 10+ years of implementing Structured Interdisciplinary Bedside Rounds (SIBR) in America, Australia and Canada
John Dean, Royal College of Physicians and East Lancashire Hospitals NHS Trust; England
Nichola Ashby, Royal College of Nursing; England
Lynne Quinney, Royal College of Physicians Patient and Carer Network; England
Gordon Caldwell, Lorne and Island Hospital; Scotland
Liam Chadwick, 1unit; Ireland
Valdemar Erling, Sahlgrenska University Hospital; Sweden
Andrew Rochford, NHS England and Improvement; England - B7How public health and scientific improvement controlled malaria and helped win WWII
Format: Workshop
Stream: Population and Public Health
Content filters: Features discussion of improvement methodology
Malaria caused more casualties than the battlefield in the WWII Pacific Theatre. Attack rates exceeded 100% in some regions due to repeated infections. Critical supply nodes in West Africa were paralyzed by malaria. Using public health methods and basic improvement science concepts (before the birth of “improvement science”), malaria was virtually eradicated in Ghana and Liberia. This effort – part of the US “Malaria Project” – featured innovation, experimentation, context-sensitive sustainable implementation of a “bundle” of interventions, reliable systems, and successful scale-up. The Malaria Project provides powerful lessons for how public health strategies plus rigorous improvement methods can mitigate global health challenges.
After this session, participants will be able to:
- Understand the core elements of successful campaigns to eradicate or nearly eradicate major global infectious disease threats, focusing on malaria in WWII, but also considering smallpox, guinea worm, and polio
- Understand how improvement science concepts and public health approaches can work synergistically to address contemporary health and health care challenges
- Incorporate historical lessons for ethical human research in current efforts to address pandemics and other urgent global problems
Don Goldmann, Institute for Healthcare Improvement (IHI); USA - B8Co-creation: shared decision making, health diplomacy and co-designing safety
Format: Presentation
Stream: Person and Family-Centred Care
Content filters: Recommended for those new to quality improvement
(Part A) Supporting shared decision making for treating complications from pelvic mesh surgery
Mesh surgery for urinary incontinence or pelvic organ prolapse has left some women with life-changing complications. But evidence about possible treatments for these complications is limited and decisions are highly preference sensitive. This session will describe how the UK’s National Institute for Health and Care Excellence (NICE) co-produced patient decision aids (PDAs) with mesh-affected women, to support informed shared decision making
Andrew Hutchinson, National Institute for Health and Care Excellence (NICE); England
(Part B) The rule of health diplomacy to the protection of patient rights and safety
Health diplomacy (HD) is an arising field that merges foreign affairs to medicine and law. The rule of HD is to give a specific education for hospitals settings to protect patient rights and safety. It is important to differentiate personal from institutional responsibility.
This session covers communication advice for patient-doctor relationships, how to avoid and respond to patient complaints, and how to develop good patient partnership engagement.
Jasna Karacic, International Council of The Patient Ombudsman; Belgium/Croatia
(Part C) What can co-design teach us about involving patients in patient safety work?
Medication Without Harm is according to WHO the third Global Patient Safety Challenge and affects everyone of us. But how can we make medication management safer and what is our role in this improvement process as a person using medications, next-of-kin, physician, nurse, quality improvement leader etc.? How do we all get involved and what are our input and responsibilities? Join to explore these questions and learn from each other.
Malin Holmqvist, Region Jönköping county; Sweden
Bertil Lindenfalk, Jönköping Academy for Improvement in Health and Welfare, School of Health and Welfare, Jönköping University; Sweden
- C1Acting with kindness is central to delivering high quality care
Format: Presentation
Stream: Quality, Cost and Value
Content filters: Co-presented with patients, service users or carers, Recommended for those new to quality improvement
Kindness needs to be at the business end of healthcare, yet too often we see the disastrous impact of leaders paying too little attention to the impact their behaviour has on others. Without kindness being front and centre to how we act, we don’t believe systems can deliver high-quality (or high value) care.
In this interactive session, we will go beyond theory to explore and test what it means to be kind to patients, relatives, and the people we work with—and how to do it. We also invite delegates to join a growing global “movement”, exploring and promoting kindness.
After this session, participants will:
- Think differently about kindness, and have a clear understanding as to why it is so central to quality and safety in healthcare
- Feel mobilised and equipped to act as role-models and advocates for kindness within their teams, organisations & healthcare systems
- Have ideas, methods, and tools which they can use to test to grow a culture of kindness in their work
- Have the opportunity to participate in a “movement” for kindness emerging from the Forum
Bob Klaber, Imperial College Healthcare NHS Trust; England
Suzie Bailey, The King’s Fund; England
Gabrielle Anne-Marie Mathews, NHS England; England
Göran Henriks, Qulturum; Sweden
Anette Nilsson, Region Jönköping County; Sweden
James Mountford, Royal Free London NHS FT; England
Maureen Bisognano, Institute for Healthcare Improvement (IHI); USA
Dominique Allwood, UCLPartners; England - C2Communicating for Behaviour Change – how can we help people to do things differently?
Format: Presentation
Stream: Population and Public Health
Content filters: Responses to the covid-19 pandemic
As improvers and leaders, we are continually searching for new and better ways to communicate with staff, patients and the public to encourage positive behaviour change.
The covid-19 pandemic required large-scale behaviour change for all of us – staff and public alike. This session draws on practical learning since March 2020 about how to communicate with people to encourage them to behave differently, and how we can use this learning in our post-pandemic world.
After this session, participants will be able to:
- Understand the main learning points from Scotland’s pandemic communications
- Understand the principles of communicating for behaviour change
- Translate this learning into practical use for their own improvement work
Selina Stephen, Institute for Healthcare Improvement/Scottish Government; England - C3Session to be announced
Format: tbc
Stream: tbc
Content filters: tbc
Session details to be announced - C4Longing for integrated care: the importance of governance and culture in building the steps for success
Format: Presentation
Stream: Integrated care
Content filters: Co-presented with patients, service users or carers
Today, many countries are working to transform their health and care systems to a “closer care” model, both geographically and relationally. A care with more focus on preventive measures, the ability to work upstream, and one that works in collaboration between primary care centres, hospitals, other care facilities and social services. This cultural shift toward a more person centred care is strongly needed to increase the efficiency, as well as keeping the patient at the heart of the system by asking “what matters to you?”
Continuity in care contacts is emphasised as a factor for increased efficiency, as well as the care professionals’ ability to feel satisfaction at work. There is also a need to take advantage of the possibilities in digital healthcare solutions.
This integrated care approach has been adopted by decision-makers as well as patient representatives and professional associations, but are our governance systems ready for the transition? Are there built-in cultures in health and care that make it difficult to move from the traditional hospital-focused care to one which is focussed on integration and has a stronger primary care component? Join us to hear leading experts in the field give their own personal views on factors crucial to success.
Anna Nergårdh, Swedish Government; Sweden
Sara Riggare, Uppsala University, Sweden
Hugh McCaughey, NHS England and Improvement; England
- C5Can building a culture of psychological safety be the key to radically improved patient safety?
Format: Presentation
Stream: Safety
Increasing awareness of the connection between work culture and patient safety inspires more and more countries to initiate and expand efforts in this area. The OECD working paper “Culture as Cure” (2020) reflects that. In the new WHO Global Patient Safety Action Plan 2021-2030 safety culture is a guiding principle, after a proposal from Norway. This involves safety for both patients and healthcare workers, and as we conceive it, also psychological safety. In our own National Action Plan for Patient Safety and Quality Improvement one of three main areas for increased emphasis and action is work environment and patient safety culture. This session will elaborate why we think this is so important and how it can be translated into practice. Culture development requires efforts on many fronts, and we will share ideas on what can be done at the national and local level. Topics include how patient safety culture and psychological safety can be integrated in traditional, systematic efforts to improve the work environment in health care.
After this session, delegates will be able to:
- Share evidence for why culture is important for patient safety and thus increase awareness and motivation
- Understand three core, interrelated factors: building psychological safety, dealing with incivility and creating a culture of respect, and turning a culture of infallibility into a learning culture
- Take home new ideas and inspiration regarding tools, processes and examples for building workplace cultures that promote patient safety
Joy Buikema Fjærtoft, The Norwegian Directorate of Health; Norway
Kari Annette Os, Norwegian Directorate of Health; Norway - C6Game On! Using gamification to increase access to human skills and knowledge
Format: Workshop
Stream: Safety
Content filters: Features discussion of improvement methodology
In this session delegates will have an opportunity to experience an innovative approach to developing human factor skills through the application of the principles of Gaming. Participants will share in the journey of ‘Joe’ the patient as he travels through the health and social care system. In a series of five missions participants can experience DuPont’s Dirty Dozen – the 12 contributory factors that can set you up to make an error. The challenge is to navigate each mission successfully before progressing to the next; in the process acquiring insight into human factor skills and knowledge and accessing associated learning resources.
After this session, participants will be able to:
- Describe how human factors is a significant contributory factor to patient safety incidents
- Discuss how the principles of Gaming can be adapted to human factor skills development and learning
- Implement a Gamification Strategy to impact positively on behaviour change and support getting ‘up stream’ of patient harm
Gill Smith, Kaizen Kata, Northern Ireland and Institute for Healthcare Improvement (IHI) Faculty; Northern Ireland
Jonathan Holland, Northern Health and Social Care Trust; Northern Ireland - C7Life is for living! Population based approaches can beat involuntary loneliness
Format: Workshop
Stream: Population and Public Health
To have friends and a social context is a basic human need. The pandemic has raised the need to work across community and health care borders to reduce involuntary loneliness.
Join an interactive session that takes a population based approach to how we can beat involuntary loneliness. Meet the End Loneliness network, a national non-religious and politically independent non-profit association working to prevent loneliness and promote social well-being. Local examples of cross-sectional collaboration will be presented. Join the movement that beats involuntary loneliness!
After this session, participants will be able to:
- Enhance the ability to use health promoting and population based approaches to tackle the involuntary loneliness challenge
- Develop strategies for establishing cross-sectional networks
Jesper Ekberg, The Swedish Association of Local Authorities and Regions (SALAR) and Region Jönköping County; Sweden
Kerstin Thelander, Stop Involuntary Lonliness (NSOE); Sweden
Ejja Häman Aktell, Skellefteå municipality; Sweden
Elin Zetterberg; Sweden
Maria Pahlberg; Sweden - C8Aligning the world of improvement and digital: collaborating for technology-enabled care
Format: Workshop
Stream: Building Capability and Leadership
Content filters: Includes examples of using technology to enable change
Technology is playing an ever-increasing role in health care, accelerated by the pandemic. Yet service improvement and digital change are often managed in silos, leading to solutions that are less likely to scale and sustain. Join this session for practical insights from an ambitious partnership between Q and NHS England and NHS Improvement: boosting collaboration in technology enabled remote monitoring
After this session, participants will be able to:
- Understand and reflect on the need for an integrated approach to achieve sustainable use of technology
- Identify methods and ideas that can help bring together the worlds of improvement and digital
- Understand the difference a more integrated approach can make in practice
Penny Pereira, The Health Foundation; England
Breid O’Brien, NHS England and NHS Improvement; England
Joanna Scott, The Health Foundation; England
Donna Clements, NHS England and NHS Improvement; England - C9A co-produced model for investigation and learning from suicide cases in healthcare
Format: Workshop
Stream: Safety
Content filters: Co-presented with patients, service users or carers
This session shares learning and results from the process of the creation of a new model for investigation and learning from suicide cases, and include the aspects of patients.
The investigation model is based on the understanding of patient safety as risk management over time. The perspectives of the patients are seen as essential, and the model was co-produced with patients, family and professionals.
The outcomes of the investigations using this new model should improve the possibilities for healthcare providers to make the suicide prevention strategies more powerful.
After this session, participants will be able to:
- Understand patient safety as risk management over time with suicide as an example
- Understand the importance and benefits of involving patients and family in the work with improving patient safety at several levels
- Have a better understanding of the complexity of incidents of severe patient harm
- Understand how studying suicide can lead to improvements in the care of people with serious mental health problems
Elin Fröding, Region Jönköpings County, Jönköping University; Sweden
Charles Vincent, Department of Experimental Psychology, University of Oxford; England
Fredrik Tjulander, Suicide Zero; Sweden
Axel Ros, Region Jönköping County; Sweden
- K2Keynote: Improving physical and mental wellbeing in young people (Klas Bergling and Carolina Klüft)
Format: Keynote
Stream: tbc
Content filters: tbc
Klas Bergling is a Swedish entrepreneur and founder of the Tim Bergling Foundation, created in honour of his son Tim (stage name Avicii). The Tim Bergling Foundation aims to reduce mental illness and prevent suicide among children, young people and young adults. The foundation also works to remove stigma that surrounds these issues
Carolina Klüft is a former elite track & field athlete and today the Operations Manager at Generation Pep. Generation Pep is a non-profit organization promoting physical activity and healthy eating behaviors among children and youth in Sweden.
- WRWelcome Reception
- SESocial event
Join us for an evening of entertainment at this year’s International Forum Social event at Kooperativet.
The social event is hosted in partnership with Region Jönköping, Region Kronoberg and Region Västra Götaland.
Read more about the social event and book your place.
Wednesday
All sessions are organised by stream and format. Programme timings are in CEST (Central European Summer Time), GMT+2.
- BR1Whole system quality leadership (breakfast session hosted by IHI)
Format: Workshop
Stream: Building Capability and Leadership
There’s no greater time to put quality back on the agenda. This panel discussion will focus on the development of a framework to help your organisation and Board focus on all aspects of quality. International experts will answer questions and lead a robust discussion about the future of quality leadership.
After this session, participants will be able to:
- Examine three interrelated components — quality planning, quality improvement, and quality control — that inform a more holistic whole system quality approach
- Describe the curriculum of IHI’s Quality Leaders Development Programme
- Elaborate activities that health care organisations can undertake to build a foundation for the transition to whole system quality
Amar Shah, East London Foundation Trust; England
Pedro Delgado, Institute for Healthcare Improvement (IHI); Northern Ireland - BR2Clinical decision support for patients with comorbidities: enabling safer care, higher quality, and shared decision-making (Breakfast session hosted by BMJ)
Format: Workshop
Stream: Person and Family-Centred Care
Content filters: tbc
Patients with multiple comorbidities are common. But there is not much focus on their needs from a clinical, research, or quality improvement perspective.
After this session, participants will be able to:
- Think about comorbidities from the perspective of the patient
- Know the impact that comorbidities can have on the quality and safety of care
- Understand the role that clinical decision support can play in the care of patients with comorbidities
Kieran Walsh, BMJ; England
William Waldoc, DocMe Technologies Ltd; England - BR3IHI Fellows Networking Breakfast
This invitation-only breakfast is an opportunity to meet and greet IHI Fellows from across the globe and join in the co-design of a Fellows Network.
Who should attend: IHI Fellows (from any IHI and NPSF Fellowship cohort). - BR5How do we solve the shortage of nurses and ensure public health and patient safety globally and nationally?
Format: Workshop
Stream: Building capability and leadership
Further details to be announced shortly - BR4Learn how you can use AI to improve communication skills training at your institution
Format: Workshop
Stream: Building capability and leadership
Sponsored by SimConverse
Learn cutting edge educational techniques for training communication skills across the health workforce. Find out how AI can be used to combat the thousands of communication errors that occur in healthcare daily, and how we as educators can better train our workforce. SimConverse harnesses AI to play the role of any patient, colleague or casualty and are impacting the quality and safety of healthcare across the world.
After this session, participants will be able to:
- Understand a learning theory approach to better structure your communication skills training.
- Learn how modern AI can be used to improve scalability and assessment of communication skills training.
- Appreciate the fidelity of training now possible and the need for our collective improvement.
William Pamment, SimConverse; Australia
- O2Welcome and opening remarks
- K3Keynote: Nadia Nadim
Format: Keynote
Stream: tbc
Content filters: tbc
Nadia Nadim was born in Herat, Afghanistan, in January 1988. She grew up in Kabul, with her parents and her 4 sisters. When Nadia was 12, her father, who was a General in the Afghan army, was killed by the taliban.
Nadia then fled the country with her sisters and mother, and ended up in Denmark after months on the run. Since then, Nadia has learned to speak 11 languages fluently, she has become one of the most powerful female athletes, playing professional football for clubs such as Manchester City, PSG and now Racing Louisville in the US. Nadia has also combined her professional career with studies, and in January 2022 she graduated from Med School as a doctor. Viaplay/NENT is currently shooting a documentary about Nadia, that will air late 2022, in 3 episodes.
Session details to be announced soon.
- D1Innovations that can reduce the impact of healthcare on the environment
Format: Presentation
Stream: Quality, Cost, Value
Content filters: Responses to the covid-19 pandemic
Healthcare is one of the most polluting industries, responsible for nearly 5% of total global greenhouse gases and generating over a tonne of waste per hospital bed each year. The covid-19 pandemic has also greatly exacerbated the use of single-use plastics which have limited potential for recycling.
In this session, we hear from three innovative improvement projects published in a special issue of BMJ Innovations that looked at practical ways frontline staff have improved the quality of patient care while also reducing our impact on the environment in the process. - D2What's next for QI? How we create new models for improvement
Format: Presentation
Stream: Improvement Methods
Content filters: Responses to the covid-19 pandemic, Features discussion of improvement methodology
(Part A) Improving how we improve post-pandemic
This session will illustrate the range of ways in which healthcare providers and systems from different contexts across the world utilised quality improvement in responding to the covid-19 pandemic.
We will describe the range of methods and tools that were deployed during the pandemic response and illustrate how health systems were able to utilise and deploy their existing improvement capability.
From this, we will propose some theories about what we have learnt about quality improvement over the past year, and the opportunities that this presents for the way that we practise and apply quality improvement in the future.
Amar Shah, East London NHS Foundation Trust; England
Penny Pereira, The Health Foundation; England
(Part B) Methods for Scale-up and Spread: How to conceptualise and describe ‘interventions-in-systems’
This session will present a new method to help quality improvement teams describe their interventions to support scale up and spread. This method, first published in 2021, provides a structured approach to conceptualise ‘interventions-in-systems’. An exemplar multisite case study of comprehensive medical review implementation will be provided.
Julie E Reed, Halmstad University; Sweden - D3Rest and recovery post-covid: a necessary step for quality
Format: Workshop
Stream: Building Capability and Leadership
Content filters: Responses to the covid-19 pandemic
Covid-19 placed unprecedented stress on healthcare systems across the globe. The pandemic took us through the fear of the unknown, overwhelmed health systems, delays and cancellations of ‘regular’ care. We have big challenges managing the tension between the recovery of our people and the recovery of healthcare services. This interactive session will explore organizational energy and practical strategies on recovery from significant events such as a pandemic. We will explore how we might re-design the way we work so that when we face another crisis, we are prepared to support the wellness of our teams and health of our system.
After this session, participants will be able to:
- Articulate the need for post-pandemic rest and recovery to ensure the sustainability of our people and the healthcare system
- Identify the multiple aspects of organizational energy and implement strategies for addressing in the context of post-pandemic recovery
- Explore how quality improvement can play a pivotal role in people recovery and service recovery
Christina Krause, BC Patient Safety & Quality Council; Canada
Helen Bevan, NHS Horizons; England - D4What does it take to establish a reliable quality system? A safety conversation
Improving and sustaining patient safety in any setting requires the interplay of culture and the learning system. In this session, faculty will share experiences and lessons learned from practice, consider what it takes to strengthen safe practice and explore a framework that forms the foundation for this transformational work. Learn about the components of the framework and how elements interact to achieve safer reliable and effective care. Participants will hear how this framework is applied to strengthen the quality system, will reflect on the progress that their organisation has made, and consider their future safety needs.
After this session, participants will be able to:
- Describe the components and elements of a framework to improve and advance patient safety in your area of responsibility
- Discuss how culture and learning system interact to drive patient safety
- Identify two components where you will begin to work or address an identified gap
Susan Hannah, Institute for Healthcare Improvement (IHI); Scotland
John Boulton, Improvement Cymru, Public Health Wales; Wales - D5Interested in implementing person-centred care? We have the tools to help!
Format: Workshop
Stream: Person and Family-Centred Care
Content filters: Co-presented with patients, service users or carers
For over ten years The University of Gothenburg for Person-centred Care GPCC has been performing multidisciplinary interventional and explorative studies on person-centred care in a wide variety of health care settings. Effects show significantly improved quality care, increased patient satisfaction and reduced costs. We also work with implementation, innovation and education. Join this workshop to get hands-on experience of the tools we have developed to facilitate implementation of person-centred care in health care settings. The tools are all available in English. Our two digital tools are available globally for free. The European standard is available in all European countries.
After this session, participants will be able to:
- Find quality evidence for person-centred care, at GPCCs website
- Find cost free tools to commence a person-centred care journey within your own context. Mutual Meetings online education package and the PCC-game App
- Learn how to use The European standard ‘Patient involvement in healthcare – Minimum requirements for person-centred care’ to benchmark PCC implementation in your own setting
- Learn how facilitators plan to use these tools in a project for implementing PCC in Swedish healthcare settings
Karl Swedberg, Senior Professor of Cardiology and Care Science, Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg; Sweden
Emma Forsgren, Institute of Health and Care Sciences, Sahlgrenska Academy and GPCC; Sweden
Håkan Hedman, The Swedish Kidney Association and GPCC; Sweden
Helena Fridberg, Dalarna University and GPCC; Sweden
Lilas Ali, Institute of Health and Care Sciences, Sahlgrenska Academy and GPCC; Sweden - D6Making “learning” part of routine “doing” in health care
Format: Workshop
Stream: Quality, Cost, Value
Content filters: Features discussion of improvement methodology
Much of health care is delivered under conditions of substantial uncertainty and complexity. Learning fast and well needs to be embedded into how care is delivered day-by-day. Building learning into routine doing puts improvement at the heart of health care operations and also ‘mainstreams’ improvement into health care delivery.
In this interactive session, we will offer a framework for learning and, drawing on examples from the NHS’s pandemic response and playing forward into resetting and rebuilding care post-acute covid, we will explore what it takes to design-in learning both locally and at scale for patient, staff and taxpayer (ie, funder) benefit.
After this session participants will be able to:
- Think differently about learning—what “learning” is, its relationship to improvement, and what learning contributes to, and have a clear understanding as to why learning is so central to rapidly achieving better results (across cost, quality and experience) in healthcare
- Understand the central importance of leadership in unleashing learning and be equipped with principles and tips to become “leaders for learning”, whatever our profession/role and wherever we work in a health system
- Be equipped with ideas, methods and tools around a basic framework for learning fast and well which participants can use to grow a culture of learning in their work, across settings and roles. In particular, we will focus on systematically gathering and acting on patient/family and staff insights on an ongoing basis as the “fuel” for the process
Jenny Shand, UCLPartners; England
Sasha Karakusevic, NHS Horizons/NHS England & Improvement; England
James Mountford, Royal Free London NHS FT; England
- D7A bootcamp for leaders
Format: Workshop
Stream: Building Capability and Leadership
You probably recognise the feeling of going to a conference and learning a lot of new things, but when you return home operational work takes over and you do not have time to test your new leadership skills.
Here you get the chance to try on the spot! Join us for a special workshop that will bring together leaders from all levels and professions. Theory will be combined with practical training and together we create a safe place to challenge yourself and try out new ideas before you head back to your day to day routine.
Marie Blom Nikalsson, The Swedish Association of Local Authorities and Regions (SALAR); Sweden
Tina Crafoord, Region Värmland; Sweden - D8Child health in Sweden - 4 projects to improve equity and give all children the best start in life
Format: Workshop
Stream: Population and Public Health
(Part A) Best possible start in life – learning from early, coordinated and family centered efforts
It all begins with the children! Promoting the best possible start for children and families takes a whole system approach. By having a family centered focus – health care, the local community, school, social services and many more need to work in new integrated ways.
Together, we will explore and learn from three regional efforts, all taking a wide system approach on health and care, with a strong focus on what matters to the children and families. Meet Västra Götaland County, Kronoberg County and Jönköping County.
Jesper Ekberg, The Swedish Association of Local Authorities and Regions (SALAR) and Region Jönköping County; Sweden
(Part B) Prescribed book reading – social investments enables development of new methods and cooperation
County Council of Gävleborg uses social investments to encourage development of new preventive methods and enhance collaboration between actors. The goal is to achieve better outcomes for the targeted group – and to reduce societal costs in the longer term.
One example of a social investment applied in health care in Gävleborg is the social investment ‘Prescribed book reading’. It involves a reading intervention, targeting pre-school children with speech, language and communication needs. In this presentation, we will describe social investments, Prescribed book reading, and the encouraging results from its evaluation, which has led to implementation in ordinary care.
Karin Myrberg, County Council of Gävleborg; Sweden
Emma Mårtensson, County Council of Gävleborg; Sweden
(Part C) Equality and quality – meeting the needs of children and professionals throughout society
Region Kronoberg, our eight municipalities, the Police and the idea-driven sector are co-creating an improved way of working with children and at the same time aiming to improve the way different services from the various public and private actors work, within different professions as well as with each other.
Support and help should be equal regardless of where the child is located, the nature of the childs needs or which parties are involved. Preventative and supportive measures are highlighted as well as reacting and acting quickly when problems arise and the need for structured cooperation when needed.
Erika Lagergren, Region Kronoberg; Sweden
(Part D) Session to be announced - D9Information driven healthcare - turning data into health for patients and quality of care
Format: Workshop
Stream: Building Capability and Leadership
In this workshop you will get insights about how Halmstad University and Region Halland in Sweden have developed a leading European competence node for information driven care. The work has been carried out in close collaboration with strategic partners from the private and public sector. The work includes systematic use of healthcare data safely and responsibly to improve care delivery and patient safety while providing deeper insights into actual resources utilized across patient pathways. Artificial intelligence is applied to complex data to identify patterns and make actionable predictions supporting fact based precision healthcare.
Carolina Samuelsson, Halland Hospital; Sweden
Martin Engström, Region Halland; Sweden
Markus Lingman, Halland Hospital; Sweden
- L4The Quality Imperative: foster the conditions for care
Format: Workshop
Stream: Building Capability and Leadership
Healthcare has stopped caring. Care for, about, and with patients and staff is not a universal part of our health systems despite some efforts witnessed through pandemic. In this session, we describe the ‘pathologies’ of industrialised healthcare and we pose an alternative: careful and kind care for all. This session is directed at healthcare improvers who want to play their part in radically changing healthcare, shifting from activity focused on efficient processing of patients and backlogs to that of caring. This session will feature a brief presentation of key concepts, followed by an interactive discussion on how participants can place care at the center of their improvement activities. We will offer opportunities to reflect, share ideas and think differently about our work and the ability to make changes towards more careful and kind care for all in our own health systems. This session builds on our BMJ Leader article, widely acclaimed book ‘Why We Revolt’ and the work of The Patient Revolution and others on this topic.
Victor Montori, Mayo Clinic; USA
Dominique Allwood, Health Foundation; England
- E1Session to be announced
Format: tbc
Stream: tbc
Content filters: tbc
Session details to be announced - E2Building virtual communities
Format: Presentation
Stream: Person and Family-Centred Care
Content filters: Co-presented with patients, service users or carers, Includes examples of using technology to enable change
(Part A) Learning network – works! Experiences of co-production in pediatric diabetes care in Sweden
The learning network in the care of paediatric diabetes has captured the opportunity that the increased digitalisation has brought to meet regularly online. Patient representatives and diabetes teams (n=11) from all over Sweden have during 2 x 12 months shared their experiences, challenges and improvement efforts. Together, the teams have continued to learn from data collected in the Swedish Paediatric Diabetes Registry and have followed the same global aim: to improve Diabetes Care. This session will describe more about how teams can work actively with patient representatives and the methodology how to bring together everyone’s experiences in the work with improvements.
Kerstin Ramfelt, Region Jönköping; Sweden
Cecilia Fältskog, Patient Council; Sweden
(Part B) A digital, social community to support young people with Type 1 Diabetes
We will describe a digital social community developed in co-design that enables young people with Type 1 Diabetes from all over Sweden to support each other by sharing their experiences. The lived knowledge from members can be eligible for diabetes teams in their improvement work. The platform has web-based forums where diabetes teams can meet up with members and discuss improvements, which leads to an active coproduction of healthcare services. You will meet the community manager, with own experiences of living with type 1 diabetes since adolescence.
Christina Petersson, Region Jönköping; Sweden
Sofia Segersson, Patient Entrepreneur; Sweden - E3Improving safety and quality in community care across Denmark
Format: Presentation
Stream: Integrated care
For decades, the effort to improve quality and patient safety has been focused on acute care, thus most care is delivered outside hospitals. In 2014, communities in Denmark embarked on a journey to improve medication safety and reduce falls, pressure ulcers (PC) and infection in nursing homes and home-based care. The outcomes are outstanding: communities have accomplished >300 days between medication errors and PC. The programs are now expanded and cover a large spectrum of facilities that provide social and health care, rehabilitation and other services and improvement teams are staffed with a variety of different professional disciplines.
After this session, delegates will be able to:
- Describe the key factors of safety and quality programs in community care
- Identify the core components to build will in multidisciplinary teams and settings
- Apply the learning from the Danish program to their own context
Vibeke Rischel, Danish Society for Patient Safety; Denmark
Inge Kristensen, Danish Society for Patient Safety; Denmark - E4Learning from patients on how to manage covid-19
Format: Presentation
Stream: Person and Family-Centered Care
Content filters: Responses to the covid-19 pandemic, Co-presented with patients, service users or carers
(Part A) Why the patients learn faster: an agile approach to long covid
All over the world, patients have constituted the wave front of learning about covid-19, and have sounded the alarm when basic assumptions about covid-19 have turned out to be wrong. Here, we will provide examples of when patient organizations have been involved in identifying novel and critical steps toward correct treatment and monitoring of the disease, and when authorities/public health systems have proven inadequately tuned to address the issues that arise from the pandemic.
An agile approach requires tightly coupled feedback loops between producers and consumers. We will present benefits of tightening this connection between healthcare systems and patients.
Åsa Kristoferson Hedlund, The Swedish Covid Association; Sweden
Lisa Norén, Läkare till Läkare/Doctor to doctor; Sweden
(Part B) Post-covid protocols for patient’s self-assessment and quality assured diagnosis in primary care
Two post-covid protocols are implemented and accessible nationwide in Sweden. The patient’s self-assessment protocol is available at 1177 Vårdguiden, a national website with public information about health and diseases and where to find suitable care. The quality assured diagnosis protocol for primary care is published at the National knowledge management website Kunskapsstyrningvard.se. We will share lessons learned and measures taken in connection with implementation and practical use of the protocols, as well as how they were initiated and designed by a national multi-professional task force. The members of the task force were patient participants and specialists in competences related to covid-19.
Katharina Stibrant Sunnerhagen, Institute of Neuroscience and Physiology, The Sahlgrenska Academy; Sweden
(Part C) Learning from patients how to manage a pandemic: covid-19 in Switzerland
The covid-19 pandemic is much more than a medical issue.
How did it impact our lives? How did our societies respond? Have these responses been appropriate and effective?
We asked the experts: people who experienced it first hand, confronting the difficult road from uncertainty to diagnosis, from treatment to remission.
Where did we struggle? And where did we learn, as individuals and societies? This is action-oriented research: a participatory process, combining practical knowledge and theoretical reflection, in the pursuit of solutions to issues of pressing concern to individuals and communities.
Giovanni Spitale, Institute of Biomedical Ethics and History of Medicine, University of Zurich; Switzerland - E5Session to be announced
Format: tbc
Stream: tbc
Content filters: tbc
Session details to be announced - E6Transformative Innovation in Swedish Health Care
Format: Workshop
Stream: Population and Public Health
Content filters: Includes examples of using technology to enable change
A radically aging population, a countryside where hospitals sometimes are hours away and a health care system where technology quickly is changing the playing field. How does the Swedish public health care system tackle these challenges, and provide better health care for the patients?
Join us for a deep dive into innovation and technology in Swedish health care. Hear examples from leading experts in transformation, and add your voice to the discussion about how we translate these into improved outcomes for patients and communities.
After this session, participants will be able to:
- Give examples on how the Swedish heath care system uses new technology to provide better health care in both urban settings and less populated areas
- Understand how you can anticipate and plan for better outcomes when designing innovation processes in health care
- Gain insights into the specific challenges that Swedish health care faces, as well as place Swedish health care innovation in an international perspective
Magnus Kristiansson, Innovationsplattformen, Region Västra Götaland; Sweden
Lina Strand Backman, Innovationsplattformen, Region Västra Götaland; Sweden
Jeanette Tuval, Karolinska University Hospital, Region Stockholm; Sweden
Virginia Zazo Hernanz, Region Västerbotten; Sweden
Rolf Östlund, Director of development, Region Östergötland - E7Spreading improvement: the when, how and who
Format: Workshop
Stream: Improvement Methods
Content filters: Includes examples of using technology to enable change
Health care is full of fantastic innovation and improvements. The challenge is how to spread these pockets of brilliance. In February 2020, Scotland’s Near Me video consulting service was being used for around 200 consultations a week. A 12-week national scale up programme started in March. By May, Near Me was being used for 16,000 consultations a week, reaching 20,000 shortly after. This fast-paced national scale up of Near Me meant patients could still access care during the Covid-19 pandemic, health professionals who were shielding could continue to work, and it delivered an impressive carbon saving of 28 million miles a year or 1,123 trips around the Earth. This session will explore the spread journey and how quality improvement underpinned every step.
After this session, participants will be able to:
- Describe how continuous co-design with patients, professionals and populations is essential to the successful spread and embedding of a service
- Identify the essential members of a spread team and define their different roles
- Understand how to use the quality improvement approaches that underpinned a successful 12-week national scale up programme
Clare Morrison, Royal Pharmaceutical Society; Scotland
Rosie Cooper, Scottish Government; Scotland - E8Using improvement to foster workforce well-being and combat burnout
Format: Workshop
Stream: Building Capability and Leadership
With growing concerns around staff turnover, depression, moral injury and burnout it can become increasingly difficult to make strides to support our well-being and that of our workforce. The IHI Joy and Well-being Framework offers proven methods to foster a positive work environment that creates the conditions for equity, camaraderie, meaning, and control, even in stressful times. In this session you’ll learn from IHI and East London NHS Foundation Trust lessons and techniques that enable the workforce to truly thrive, not just persevere.
After attending this session, delegates will be able to:
- Recognise the value of prioritizing workforce well-being in your quality agenda
- Identify the key changes in the system for joy and staff well-being
- Take away at least one intervention you can test in your institution to support staff well-being
Jessica Perlo, Institute for Healthcare Improvement (IHI); USA
Amar Shah, East London Foundation Trust; England
- F1What matters to you? – experience from 4 countries
Format: Presentation
Stream: Person and Family-Centred Care
A highly interactive session introducing the rapidly growing ‘What matters to you?’ (#WMTY) movement. This approach has become an international force for improvement and also been shown to effectively help focus efforts and resources during a pandemic. The WMTY conversation is reframing the relationship between caregivers, patients and families, as well as reconnecting staff with their original purpose as caregivers. This session will share some of the key ingredients that have contributed to the success of this movement to-date and stories illustrating impact from participating countries. Evidence from diverse settings now shows how WMTY can drive better outcomes and wellbeing for patients as well as staff, and greater focus and efficiency/use of resources.
Shaun Maher, Scottish Government; Scotland
Maureen Bisognano, Institute for Healthcare Improvement; USA
Anders Vege, Norwegian Institute of Public Health; Norway
Karen Turner, Royal Free London NHS Foundation Trust; England - F2Session to be announced
Format: tbc
Stream: tbc
Session and speakers to be announced shortly. - F3How Dutch hospitals continue their quality and safety journey
Format: Presentation
Stream: Building Capability and Leadership
The Netherlands has a rich history in monitoring and improving patient safety. National longitudinal Adverse Event rates in hospitals have been available since 2007, resulting in high priority themes for patient safety programmes. After two decades of work in patient safety, a movement for more supportive and inspiring progress is needed to restore joy in work and to ensure patient safety. To deregulate healthcare, hospitals and governmental bodies focus on how to monitor quality by dialogues. In this session, Dutch experts share their insights and thoughts on how to further optimise quality by discussing national and local experiences to innovate transparency. - F4Improving flow in the acute setting
Format: Presentation
Stream: Improvement Methods
Content filters: Features discussion of improvement methodology, Recommended for those new to quality improvement
(Part A) The emergency department needs emergency care
Emergency department (ED) crowding is associated with lesser patient flow and adverse patient outcomes. Improving patient flow requires involvement of professionals outside the ED and support from hospital management. Therefore, a Taskforce Acute Care Team (TACT) was introduced which addresses acute care as a strategic priority. The TACT introduced four interventions: (1) adding an emergency nurse practitioner and (2) five medical specialists to the 24/7 available emergency physicians, (3) a Lean program to improve radiology report turnaround times and (4) extending admission offices’ openings hours. The impact of the multimodal intervention on ED processes and patient flow is described.
Christien van der Linden, Haaglanden Medical Centre; Netherlands
(Part B) Faster, Safer, Better – Together: Improving Patient Flow in Acute Mental Health Services
We will explore how QI principles and methodology can be used to address the challenges we face around patient flow in acute inpatient services (and beyond). A variety of QI methods have been used to address flow issues, for example Lean, Model for Improvement and Theory of Constraints.
We will share some insights and learning from our experience of using QI to address this complex problem. This includes how data can help understand where to target interventions, the importance of whole system thinking, and exploring how to motivate teams, carers and patients to take part in improving flow.
Freddie Johansson, Camden and Islington NHS Foundation Trust (C&I); England
Sifi Bahuleyan, Camden and Islington NHS Foundation Trust (C&I); England
Emma Scott, Camden and Islington NHS Foundation Trust (C&I); England - F5Tackling population health together in Europe - what have we learned from the Health Improvement Alliance Europe
Format: Workshop
Stream: Population and Public Health
Welcome to a European learning café, hosted by the IHI Health Improvement Alliance Europe (HIAE). Join the movement for population health, learn how improvement methods are applied to tackle shared challenges including health equity.
Meet leaders partnering in the HIAE workstream for population health. Together, we will explore successful strategies and share bright spots from around Europe – measuring what matters; working with and for the population; and making health improvement everyone’s business.
The HIAE is a community of leaders, dedicated to continuous learning and identification of best practices and new models from within and outside health care.
After this session, participants will be able to:
- Understand how strategies and approaches impact positively on population health across a range of demographic groups
- Consider a range of quality improvement methods which support population health improvement work
- Explore how public health issues relate to their own context and consider the opportunity to influence improvement activity to impact on outcomes
Jesper Ekberg, The Swedish Association of Local Authorities and Regions; Sweden
Susan Hannah, Institute for Healthcare Improvement (IHI); Scotland
Gill Smith, Kaizen Kata, Northern Ireland and Institute for Healthcare Improvement (IHI) Faculty; Northern Ireland - F6New Pathways to Drive Elective Recovery and Better Care
Format: Presentation
Stream: Building Capability and Leadership
This session will share the NHS’ approach of using pathways as the central strategy to drive elective recovery. Better productivity, improved outcomes and reduced variation in quality and delivery are all achieved by embedding Pathways across England.
After this session, participants will be able to:
- Understand the approach adopted across England to drive optimal recovery
- Understand and learn from NHSEI use of Pathways
- Learn form the early evaluation of the approach
Hugh McCaughey, NHS England and Improvement; England
John Ashcroft, NHS England and Improvement; England - F7Afterthought- meta reflections on the conference through the lens of improvement and implementation research
Format: Workshop
Stream: Improvement methods
Content filters: Features discussion of improvement methodology
During this session improvement and implementation scholars will reflect on the sessions of the international forum together with participants.
Driving questions will be:
What have we learned about the frontier of improvement of health care quality and safety?
What are important unsolved questions that have risen during the sessions?
This session will be hosted by the Vinnvård Fellows alumni network.
Julie E Reed, Halmstad University, University of New Hampshire; Sweden / England
Andreas Hellström, Centre for Healthcare Improvement (CHI);. Sweden
Johan Thor, Region Stockholm health system; Sweden
Pierre Barker, Institute for Healthcare Improvement (IHI); USA - F8How do they do that? Using Appreciative Enquiry to Develop Safety Culture
Format: Workshop
Stream: Safety
Content filters: Features discussion of improvement methodology
Understanding and supporting effective safety culture in teams, organisations and systems is vital to enable improvements in safety, quality and experience of care.
The cultural and relational elements of planned improvements need to be considered to allow effective implementation. Understanding how culture shifts requires accounting for the relational elements when considering systems as ecosystems
We will present our learning from a considered analysis of several clinical services where there is a perceived high quality safety culture. We will share how a range of interventions from these services can be used to support other clinical services to develop supportive safety cultures
After this session, participants will be able to:
- Understand the interdependence between safety culture and safety/quality improvement
- Appreciate how the local relational aspects of effective teams can support shifts in safety culture
- How to practically provide support to teams to generate and nurture effective safety culture
Tony Kelly, NHS England & Improvement; England
Nicola Mackintosh, Social Science Applied to Healthcare Improvement Research (SAPPHIRE) Group, University of Leicester; England
Matt Hill, NHS England and Improvement; England
Becky Wilson-Crellin, NHS England & Improvement; England - F9Session to be announced
Format: tbc
Stream: tbc
Content filters: tbc
Session details to be announced
- K4Closing keynote: Maureen Bisognano and Pedro Delgado
Format: Keynote
Stream: tbc
Content filters: tbc
Maureen Bisognano is President Emerita and Senior Fellow, Institute for Healthcare Improvement (IHI), previously served as IHI’s President and CEO for five years, after serving as Executive Vice President and COO for 15 years. She is a prominent authority on improving health care systems, whose expertise has been recognized by her elected membership to the National Academy of Medicine (IOM), among other distinctions.
Pedro Delgado oversees IHI’s portfolio of work in three regions (Latin America, Europe, and Australasia) and the IHI Open School. Based in the United Kingdom, he has been a driving force in IHI’s global expansion. From work on reducing C-sections and healthcare-acquired infections in Brazil and several Latin American countries, to improving early years education in Chile, to improving patient safety in Portugal and mental health in London, Mr. Delgado has led the key senior relationships and design and implementation of large-scale health system improvement efforts and networks globally.