More information to follow.

Format: Keynote
Stream: Building Capability and Leadership
Content filters: Responses to the covid-19 pandemic

The opening keynote of the International Forum Sydney will bring together perspectives from different states and countries on the management of the covid-19 pandemic.

Speakers to be announced soon.

Format: Presentation
Stream: Building Capability and Leadership
Content filters: tbc

Session details and speakers to be announced soon.

Stream: Population and Public Health
Format: Presentation
Content filters: tbc

(Part One): Co-designing an age-friendly health system for the bush

Age-friendly health systems can prevent, delay or slow physical and cognitive declines, support healthy ageing, reduce health care costs, and improve staff morale.

This presentation will show you how one geographically dispersed region in rural Victoria worked with health administrators and economists, sub-acute and acute health services, primary health clinicians, and older people to codesign an integrated, age-friendly health system based on the IHI 4Ms Framework.

Kathleen Brasher, Upper Hume Primary Care Partnership; Australia

(Part Two): Implementing Virtual Clinical Pharmacy in Rural NSW Hospitals improves medication safety

Virtual pharmacy is an evolving model of care worldwide. This session will provide an overview of an Australian telehealth clinical pharmacy model which provides comprehensive support to clinicians and patients at rural and remote NSW hospitals. This model supports both patients and clinicians with the safe and quality use of medicines.

The session will cover the clinical services provided, key design considerations and experience with implementation. It will also include the services evaluation including demonstrated improvements in NSQHS standards, staff, and patient feedback and how the model could be translated into other healthcare environments.

Shannon Nott, Western NSW Local Health District; Australia

(Part Three): tbc 

Stream: Safety
Format: Workshop
Content filters: Features discussion of improvement methodology

(Part One): Maternity Resilience Assessment – strengthening patient safety systems at scale in NSW health (across 8 million people)

This session will share the assessment process, themes, and improvements NSW health are making to support over 70 maternity units. This includes their governance and accountability framework, their new maternity database system, and their self- assessment guide. Join them to hear how this is benefiting the local services to improve safety and quality for patients.

Michael Nicholl, North Shore Hospital, Sydney; Australia

Harvey Lander, Clinical Excellence Commission; Australia

(Part Two): Does mother know best?  A pilot study proactively assessing caregiver concern in the Paediatric Emergency Department.

A common theme after an adverse event involving a child is the parent reports, “I knew something was wrong, but nobody listened to me”.  Parents are experts on their own children, and it makes sense they might identify deterioration or serious illness earlier than Emergency Department (ED) clinicians.  We piloted a tool for proactive assessment of Caregiver Concern in the ED, with the aim to identify deteriorating paediatric patients at an earlier stage in their illness and reduce adverse patient safety outcomes.

Erin Mills, Monash Health; Australia

Liat Watson, Safer Care Victoria; Australia

Meg Harvey, Monash Health; Australia

 

Stream: Building Capability and Leadership
Format: Workshop
Content filters: tbc

(Part One): How can healthcare organisations sustainably build capacity in quality improvement?

Capability building in QI is a prerequisite for high functioning health systems. But how can it be sustained over a period of years? The Southern Adelaide Local Health Network Department of Surgery and Perioperative Medicine runs an internally developed capability and support program known as the Continuous Improvement Program (CIP). What is unusual, is the length of time (15?years) that the CIP has been in place. This means the CIP has had time to evolve and foster a continuous support infrastructure, experienced personnel, and corporate memory. We evaluated the key features of what makes QI sustainable.

Peter Hibbert, Australian Institute of Health Innovation, Macquarie University; Australia

Rob Padbury, Southern Adelaide Local Health Network; Australia

(Part Two): tbc 

Format: Panel
Stream: Population and public health

Details to follow

Format: Presentation
Stream: Population and Public Health
Content filters: Co-presented with consumers, service users or carers

(Part One): Meaningfully involving service users and carers in quality improvement work

This session will be discussing an exciting new initiative to develop meaningful service user and carer engagement within quality improvement work at Central and Northwest London NHS Foundation Trust. All work is co-produced with service users, carers, and staff at the Trust.

Delegates interested in improving co-production within their areas can learn from the work and create more meaningful working relationships between service users, carers, and clinicians.

Sarah McAllister, Central and Northwest London NHS Foundation Trust; England

Sandra Jayacodi, Central and Northwest London NHS Foundation Trust; England

(Part Two): Partnering with the woman who decline recommended maternity care

Refusal of recommended maternity care can be a confronting issue for women, midwives, and obstetricians with clinical, legal, and ethical implications.

This presentation describes the development and implementation of co-designed, evidence-based resources to support informed decision-making, respectful care, and clinical, legal, and ethical safety when the woman declines recommended maternity care.

Lyndel Gray, Patient Safety and Quality Improvement Service, Clinical Excellence Queensland, Queensland Health; Australia

Bec Jenkinson, University of Queensland; Australia

Rebecca Kimble, Clinical Excellence Queensland, Department of Health (Queensland), Royal Brisbane and Women’s Hospital and Queensland Children’s Hospital, Clinical Excellence Queensland, Department of Health (Queensland), Royal Brisbane and Women’s Hospital, University of Queensland; Australia

(Part Three): Co-designing person-centred comprehensive care planning across the care continuum

Models of healthcare have traditionally been episodic, and diagnosis centred. In an era of increased chronic illness and multi-morbidity, there is a clear need for health care to transition towards integrated, person centred and goal-oriented care. However, involving consumers in care planning decisions and aligning this with consumers’ values, needs and preferences across the care continuum and clinical specialties is operationally challenging.

This session will demonstrate how health services can co-design meaningful and implementable solutions for interdisciplinary person-centred care planning and delivery across the care continuum, using an Australian public health service as a case study.

Rebecca Barnden, Peninsula Health; Australia

Nadine Andrew, Monash University; Australia

Jo Hansen, Peninsula Health; Australia

Format: Workshop
Stream: Safety
Content filters: Features discussion of improvement methodology

Sentinel event review and Root Cause Analysis are powerful methods for understanding causes of failures in systems that can lead to unsafe care. Part of this methodology requires providing recommendations for systems improvement. It is not uncommon for recommendations to be incompletely implemented, have low levels of effectiveness and/or not be fit for purpose.

This workshop will provide you with theories and practical skills in how to improve the quality of recommendations. It will also draw on human factors theory and Deming’s principles of Plan Do Study Act cycles to maximise the success of implementation of recommendations.

After this session, participants will be able to:

• Understand how to develop ‘strong’ recommendations and change strategies


• Gain in-depth knowledge of how to test recommendations using PDSA cycles to understand when they work and when they fail, prior to full implementation


• Understand the methods for measuring PDSA cycles


• Know how to develop a project plan to ensure recommendations are implemented in a timely manner.

Bernie Harrison, Australian Council on Healthcare Standards; Australia

Peter Hibbert, Australian Institute of Health Innovation, Macquarie University; Australia

Format: Roundtable

Stream: Building capabilities, leadership and value

Session sponsored by ASCOM 

This session will explore thought leadership in the field of better collaboration and communication, particularly looking at the pain points and to identify what support and solutions can provided to solve these issues, particularly looking at the the following key areas (but not all):

• The need for clinicians to be able to communicate effectively with each other in real-time, especially in the context of increased pressures and staff shortages across the supply chain


• Lessons learned during the pandemic and the rapid adaptation to new ways of working – what weaknesses were exposed with current systems


• Change management and to successfully adapt to new systems and processes


• Challenges around how to work across multiple stakeholders

Format: Presentation
Stream: Person and Family-Centered Care
Content filters: Co-presented with consumers, service users or carers


This session will ask a provocative question of our audience and a panel of consumers, clinicians and researchers who will debate for and against the motion. The question we propose is: are consumers the chief improvement change agents?

Leanne Wells, Consumers Health Forum of Australia; Australia

More speakers to be announced.

Format: Presentation
Stream: Integrated Care
Content filters: Features discussion of improvement methodology

(Part One): Dementia and changed behaviours: Using person-centred care to reduce medicine-related harms 

Harms often outweigh benefits when using psychotropic medicines (e.g., antipsychotics and benzodiazepines) to manage changed behaviours in people living with dementia. Person-centred care has been effective at reducing use of psychotropic medicines while improving overall management of changed behaviours in people with dementia.

NPS MedicineWise led a multidisciplinary and multistakeholder collaboration in the design, development, implementation, and evaluation of an Australia-wide program. The program aimed to improve the quality use of psychotropic medicines in people living with dementia, across primary care and residential aged care facilities (RACFs).

This session will engage participants in processes used in program development.

Kara Joyce, NPS MedicineWise; Australia

Raelene Simpson, NPS MedicineWise; Australia

(Part Two): Regional Queensland Falls Collaborative: Multi-sector innovation reducing personal and system impact of falls

Speakers will share the secrets of municipal partnerships in developing the Wide Bay Falls Collaborative – Fraser Coast Falls Prevention Service Pilot Project.

Partnering with the Queensland Ambulance Service, Central Queensland, Wide Bay Sunshine Coast Primary Health Network, Hervey Bay Neighbourhood Centre, Wide Bay Hospital and Health Service, General Practice and consumers, this pilot is a patient-centred, biopsychosocial and salutogenic model. Combining evidence-based and best-practice methodologies to improve consumer safety, health and wellbeing, an integrated health and social care model promises to transform shared care across the patient health care journey.

Kristen James, Wide Bay Hospital and Health Service; Australia

Jasper Duane-Davis, Queensland Health; Australia

Format: Workshop 
Stream: Safety
Content filters: Co-presented with consumers, service users or carers

This session will explore restorative responses to complaints, conflict, and adverse events. The relational values and principles that underpin restorative practice and Hohou Te Rongopai (Indigenous peace-making) will be shared. Emerging theories of what works, for whom, how and in what contexts will be discussed with examples of their application in NZ, and the efficacy of responses provided. It will conclude with examples of how leaders, advocates and clinicians might best support the development of restorative responses in a co-design model and in partnership with Indigenous peoples.

After this session, participants will be able to:

• Critically evaluate how healthcare harm is responded to within health systems, with a particular focus on the New Zealand approach.


• Appreciate the human and relational impacts on all those involved – patients, clinicians, organisations, and policy makers.


• Define the relational values and principles that underpin restorative practice and hohou te rongopai and their efficacy for different people and within different contexts.


• Reflect as to how they might be able to support the development of restorative responses in their own context.

Jo Wailling, Centre for Restorative Practice, Te Herenga Waka, Victoria University of Wellington; New Zealand

Graham Cameron, Victoria University of Wellington, Te Herenga Waka, / Bay of Plenty District Health Board/ Interim Public Health Agency; New Zealand

Heather Gunter, National Collaborative for Restorative Initiatives in Healthcare / Heath Quality Safety Commission; New Zealand

Caroline Tilah, Health Quality Safety Commission; New Zealand

Format: tbc
Stream: tbc
Content filters: tbc

Session to be announced soon.

Format: Keynote
Stream: tbc
Content filters: tbc

Session details to follow.

Derek Feeley, Former CEO and President, Institute for Healthcare Improvement (IHI); Scotland

Format: tbc
Stream: tbc
Content filters: tbc

Session details to be announced soon.

Opening remarks for the last day of the conference.

Format: Keynote
Stream: Building Capacity and Leadership
Content filters: n/a

Embedding compassion throughout our healthcare ecosystem is our next critical strategic move.

Over many years, Mary contributed to Australia’s national health and social care reform agenda through her work with state and commonwealth agencies. She has held executive leadership positions with national government, not for profit health care and social welfare services and in 2014 she founded Change Day Australia.

Mary Freer, Compassion Revolution; Australia

 

Format: tbc
Stream: tbc
Content filters: tbc

Session to be announced soon.

Format: Workshop
Stream: Person and Family-Centred Care
Content filters: Includes examples of using technology to enable change

This session will provide an overview of the key steps involved in co-designing evidence-based digital consumer resources for use in acute care settings.

After this session, participants will be able to:

• Understand the key components required to co-design evidence-based resources with consumers


• Use design thinking to promote creative solutions and problem solving


• Integrate evidence-based practice and consumer perspectives


• Understand the technical requirements for harnessing digital platforms and multimedia applications

Stacey Goad, Epworth HealthCare Freemasons; Australia

Damien Khaw, Deakin University/ Epworth HealthCare Partnership; Australia

Jane Willcox, Deakin University/ Epworth HealthCare Partnership; Australia

Ana Hutchinson, Deakin University/ Epworth HealthCare Partnership; Australia

Format: Workshop
Stream: Safety

Safety Intelligence entails providing clinically relevant data to inform safety and quality and is a key strategic priority for the NSW Clinical Excellence Commission (CEC). Safety intelligence requires a shift away from traditional approaches to data use in healthcare and focuses on

• Improvement rather than judgement

• Anticipation rather than reaction

• Curiosity rather than reporting

In NSW, safety data is provided down to clinician level through a range of CEC designed and developed safety databases. These provide an opportunity to use a safety intelligence approach to attain deeper insights regarding safety drivers, targeted drilldown analysis, report automation and predictive system monitoring.

This session will demonstrate the expanding work of safety intelligence by the CEC in NSW.

Patricia Bradd, Clinical Excellence Commission

James Mackie, Clinical Excellence Commission

Format: tbc
Stream: tbc
Content filters: tbc

 

Session to be announced soon.

Format: Presentation
Stream: Improvement Methods
Content filters: tbc

Globally, future approaches to quality assessment and regulation are changing across several sectors. This panel session will consider disruptions to the ‘compliance model’, the development of risk-based approaches and the implications for health service assessments. The critical role of automated performance data in safety and quality to support assessment in key clinical areas will be explored by panel members. Virtual assessments and short notice models aligned to support ‘safety first everyday’ will be discussed

Karen Luxford, ACHS; Australia

Helen Bevan, NHS Horizons; England

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

Format: Presentation
Stream: Person and Family-Centred Care
Content filters: tbc

(Part One): Exceptional Experience for Everyone – Using Metrics to Lead Change

Providing an exceptional experience for our patients and their families is a goal of all clinicians and health providers. This presentation outlines the St Vincent’s Health Australia journey, the nation’s largest not-for-profit health network, towards an exceptional patient experience. We will share the ‘St Vincent’s Experience’ strategy and show how measuring the right things has taken us from average to world-leading.

All clinicians and health providers strive to provide an exceptional experience for patients and their families. This presentation outlines the journey of St Vincent’s Health Australia – the nation’s largest not-for-profit health network – towards an exceptional patient experience. We will share the ‘St Vincent’s Experience’ strategy and show how measuring the right things has taken us from average to world-leading.

Jane Evans, St Vincent’s Health; Australia

Kylie Preece, St Vincent’s Health; Australia

(Part Two): Real-time patient feedback and improved patient experience

Improving patient care experience is integral to improving the overall care delivery. Learn how the Peter MacCallum Cancer Centre uses real-time patient feedback to deliver more proactive, personalised, and value-driven healthcare. The Peter MacCallum Cancer Centre has implemented this tool to capture feedback from over 500 patients to understand their experience of care and service.

Kylie Thitchener, Peter MacCallum Cancer Centre; Australia

Kristina Palermo, Peter MacCallum Cancer Centre; Australia

(Part Three): Applying a taxonomy for patient complaints in a New Zealand regional hospital

Patient complaints are a valuable source of information about the quality and safety of healthcare systems; however, they are generally addressed in an individualised way. To enable patient complaints to drive quality and safety improvement, a standardised method of categorising complaints is required. Reader, Gillespie, and Robers (2014) created such a taxonomy. Our study applies this system to patient complaints in a regional hospital in New Zealand and discusses implications for quality and safety improvement in this setting. This presentation will enable delegates to gain an understanding of the value of patient complaints data, and how it can be used to improve healthcare systems in a systematic way.

Apurva Kasture, Taranaki District Health Board; New Zealand

Format: Workshop 
Stream: Quality, Cost, Value
Content filters: tbc

Excessive and inequitable waiting times for outpatient and community services lead to poorer health outcomes, anxiety, and reduced engagement with services. Long waiting lists leading to delays in care are often considered to be the result of a disparity between demand and supply. They have developed a data-driven, evidence-based model for managing demand known as Specific Timely Appointments for Triage (STAT) that has been shown to reduce, or even eliminate, waiting lists.  This workshop will introduce service providers to a practical, step by step approach for tackling this enormous challenge in the delivery of outpatient and community health services.

After this session, participants will be able to:

• Understand the theoretical principles of the STAT model


• Describe the evidence for the effectiveness of STAT in reducing waiting time and the steps required for implementation


• Make an informed choice about the applicability of STAT for their health service

Katherine Harding, Eastern Health; Australia

Annie Lewis, Eastern Health; Australia

Nicholas Taylor, La Trobe University, Eastern Health; Australia

Format: tbc 
Stream: tbc
Content filters: tbc

Session to be announced soon.

Format: tbc 
Stream: tbc
Content filters: tbc

Session to be announced soon.

Format: Workshop
Stream: Population and Public Health
Content filters: Co-presented with consumers, service users or carers

Suboptimal Health Status (SHS) is the physical state between health and disease, characterised by ambiguous health complaints in the absence of a diagnosable condition. SHS is considered a subclinical, reversible stage of pre-chronic disease. Detection of SHS has demonstrated the ability to predict the risk of certain chronic diseases before their onset, providing a window of opportunity to halt or reverse the progression of chronic disease.

Delegates will be introduced to concepts that can, 1) predict a person’s predisposition to disease before its onset, 2) reduce the prevalence of chronic diseases 3) challenge established practices using a robust evidence base.

After this session, participants will be able to:

• Understand that the current biomedical model of health has a reactive, delayed approach to treating non-communicable chronic diseases (NCD), that is, treatments are implemented after disease onset.


• Learn that SHS is aligns with Predictive, Preventive and Personalised Medicine (PPPM) by moving to a pro-active approach when managing NCD, i.e.: identifying persons at risk of developing chronic disease and initiating interventions earlier.


• Understand self-claimed “normal” health status may not represent health because asymptomatic subjects may carry chronic diseases at their early stage, such as cancer, diabetes mellitus and atherosclerosis.


• Design and plan according to clinical needs, heterogeneity, and uncontrollability in precaution health studies.

Wei Wang, Edith Cowan University; Australia

Monique Garcia, Edith Cowan University; Australia

Format: tbc 
Stream: tbc
Content filters:tbc

Session to be announced soon.

Format: Presentation
Stream: Quality, Cost, Value  
Content filters: tbc

(Part One): How to “PrOMoTe” Value-based Healthcare: Perspectives & Experiences from Singapore

In Singapore, the national Value-based Healthcare (VBH) Programme was initiated in 2017 to achieve timely, appropriate, and superior clinical outcomes that are affordable and sustainable.

SingHealth, the largest public healthcare delivery cluster in Singapore, has implemented VBH initiatives in several conditions across its institutions. The cluster consists of primary care services, secondary and tertiary hospitals, community hospitals and services.

This session shares the perspectives and experience in initiating VBH adoption in SingHealth, including detailed sharing of implementation by one of the acute hospitals in SingHealth cluster, i.e., Changi General Hospital.

Jansen Koh, Changi General Hospital; Singapore

Lim Eng Kok, Singapore Health Services Pte Ltd (SingHealth); Singapore

(Part Two): Implementing value-based health care framework at Dental Health Services Victoria: improving health outcomes that matter most to patients

To reduce health inequity and improve health outcomes for disadvantaged patients, Dental Health Services Victoria (DHSV) co designed and implemented a value-based health care (VBHC) framework. Adopting the principles of VBHC into DHSV’s health service delivery model has resulted in a care process that is more patient-centric and has enabled clinicians to be more aware of patient health care needs.

Shalika Hegde, Dental Health Services Victoria; Australia

Susan McKee, Dental Health Services Victoria; Australia

Format: Keynote
Stream: tbc
Content filters: tbc

A paediatrician by background, Dr. Berwick has served on the faculty of the Harvard Medical School and Harvard School of Public Health, and on the staffs of Boston’s Children’s Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women’s Hospital. He has also served as Vice Chair of the US Preventive Services Task Force, the first “Independent Member” of the American Hospital Association Board of Trustees, and Chair of the National Advisory Council of the Agency for Healthcare Research and Quality.

He served two terms on the Institute of Medicine’s (IOM’s) Governing Council, was a member of the IOM’s Global Health Board, and served on President Clinton’s Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. Recognized as a leading authority on health care quality and improvement, Dr. Berwick has received numerous awards for his contributions.

Donald M. Berwick, President Emeritus and Senior Fellow, Institute for Healthcare Improvement (IHI); USA