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Africa's first summit on quality improvement and innovation in health care was hosted by the Best Care...Always! Campaign in conjunction with the Institute for Healthcare Improvement at the Hospital Association South Africa (HASA) Conference from 28-30 October 2013 at the Cape Town International Convention Centre.


SPEAKERS

RESEARCH THEMES (Podium Presentations & Posters)

Track A: Preventing Healthcare-associated Infections
Track B: Antibiotic Stewardship
Track C: Quality Improvement

SPEAKERS

Day 1: Monday, 28th October 2013

The Best Care…Always! Campaign: the journey from skepticism to success
Dr Dena van den Bergh, Director of Quality Leadership and IT, Netcare Limited
Dr Gary Kantor, Senior Clinical Consultant, Discovery Health
Presentation of collated data from hospitals participating in the Best Care…Always! Campaign

An overview of the South African Antimicrobial Stewardship Programme (SAASP)
Prof Marc Mendelson, Principal Specialist and Associate Professor, UCT, Chairperson of SAASP
An outline of the extent of the problem and the need for urgent action
to promote the appropriate use of antimicrobials in South Africa

What are patients telling us and how are we responding: how to hear the patient’s voice
Dr Carol Haraden, PhD, Vice President, Institute for Healthcare Improvement



Day 2: Tuesday, 29th October 2013

Quality improvement workshop
Dr Carol Haraden, PhD, Vice President, Institute for Healthcare Improvement
Dr David Munch, Senior Vice President, Healthcare Performance Partners
Dr Pierre Barker MD, Senior Vice President, Institute for Healthcare Improvement,
Clinical Professor Pediatrics, University of North Carolina at Chapel Hill

This dynamic workshop is ideal for leadership and frontline clinicians. Those attending will
leave with the basic tools needed for quality improvement and a deeper understanding
of how to sustain their QI efforts even in resource constrained environments

The business case for quality
Dr David Munch, Senior Vice President, Healthcare Performance Partners.
Leading edge scientific methods for improving patient experience,
health outcomes and reducing waste.

Diagnostics for patient safety: understanding and preventing readmissions
Dr Carol Haraden, PhD, Vice President, Institute for Healthcare Improvement

Lessons from large scale improvements in Africa on maternal and child health
Dr Pierre Barker MD, Senior Vice President, Institute for Healthcare Improvement,
Clinical Professor Pediatrics, University of North Carolina at Chapel Hill

Taking the prevention of healthcare harm a step further:
introducing Best Care...Always! for the newborn
Dr Paul Soko, Clinical Risk Specialist, Discovery Health.
The presentation will focus on the neonatal risks that this campaign will be addressing
and will outline the unique collaborative approach which is being adopted.

LEAN applied to healthcare in the USA
Dr David Munch, Senior Vice President, Healthcare Performance Partners

LEAN applied to Public Sector Service Delivery in SA
Prof Norman Faull, Chairman, Lean Institute Africa



Day 3: Wednesday, 30th October 2013

Lessons from the Mid-Staffordshire Enquiry applied to South African hospitals
Dr Carol Haraden, PhD, Vice President, Institute for Healthcare Improvement
Using the lessons learnt from the Mid-Staffordshire Enquiry to dismantle current belief systems on how we should improve quality in a sustainable manner.

The National Health Amendment Act and the National Core Standards:
the contribution of regulation to improving quality in South Africa
Dr Carol Marshall, Cluster Manager, Office of Standards Compliance, National Department of Health

Clinician leadership for quality: How do we pursue the quality agenda together?
Dr David Munch, Senior Vice President, Healthcare Performance Partners


RESEARCH





Track A: Preventing Healthcare-Associated Infections




Podium Presentations












Abstract
Presenter
Title
Organisation
Province
Abstract Type
Download
49
Marilyn Leadsom
Surgical Antibiotic Prophylaxis: “Have we got it right”?
Netcare Christiaan Barnard Memorial Hospital
WC
Implement

2
Dr Ann Horak
Environmental improvements in operating theatres in a public sector maternity hospital in South Africa reduce Caesarian Section surgical site infection
Mowbray Maternity Hospital
WC
Implement

10
Heide Kunzmann
Dedicating an ICU nurse’s time to improvement reduces paediatric VAP rates
Red Cross War Memorial Children's Hospital
WC
Method

11
Maatje Wessels
CAUTI: Management support and standardised nursing processes leads to a reduction in Catheter-Associated Urinary Tract Infections
Mediclinic Vergelegen
WC
Method

12
Arina Jenkins
Central Line Associated Bloodstream Infections in Neonates: early experience of the first BCA CLABSI programme in a public sector neonatal intensive care unit
Tygerberg Academic Hospital
WC
Implement

23
Marlene Wiid
Positive financial impact of improving quality of care and reducing hospital acquired infections
Steve Biko Academic Hospital
GP
Implement

8
Yolanda Walsh
Facilitating the implementation of Best Care Always across a hospital group
Mediclinic
National
Implement

55
Dr Gary Kantor
Best Care…Always! A Collaborative to Reduce Healthcare-associated Infection in Nine Public Hospitals in the Western Cape
9 Western Cape Public Hospitals
WC
Method

24
Phindi Dube
Measuring best practice compliance drives changes in behaviour which reduces infections in ICU
Charlotte Maxeke Johannesburg Academic Hospital
GP
Method

3
Yolanda van Zyl
CAUTI: Engaging Staff Across a Hospital was the Key to Increasing Compliance with the CAUTI bundle
Paarl Hospital
WC
Method

4
Carol Burgess
CAUTI: Early removal of urinary catheters in acute spinal injury to reduce catheter associated urinary tract infections.
Western Cape Rehabilitation Centre
WC
Implement








Track A: Preventing Healthcare-Associated Infections




Poster Presentations












Abstract
Presenter
Title
Organisation
Province
Abstract Type
Download
1
Sonelle Coetzer
“Stratifying data reveals improvement in SSI’s in rural Mpumalanga”
Mediclinic Highveld
MP
Implement

6
Ronel Senekal
Containing Carbapenem Resistant Enterobacteriacea outbreak with environmental cleaning
Wits Donald Gordon Medical Centre
GP
Implement

7
Ellen le Roux
The importance of leadership engagement in ensuring successful quality improvement.
Mediclinic Panorama
WC
Method

9
Margaret Lidovho
Engaging physicians in quality improvement: Hard lessons from implementing the CLABSI bundle
Mediclinic Morningside
GP
Method

14
Angeliki Stephanou
Implementing a Quality Improvement Project to Ensure the Early Administration of Antimicrobials across Multiple Private Hospitals in South Africa
Netcare
National
Implement

15
Michelle De Kock, Nina Strydom (presenter)
Prevention of Urinary Tract Infections in Patients in a Rehabilitation Setting
Life Healthcare
National
Implement

20
Marilyn Philander
Changing doctor’s behaviours in order to reduce surgical site infections (SSI):
New Somerset Hospital
WC
Implement

26
Rikie Willemse,
Louise Zeelie (presenter)
Making strides towards improving hand hygiene compliance and reducing HAIs in Mediclinic Bloemfontein
Mediclinic Bloemfontein
FS
Implement

47
Dr Dena vd Bergh
The Whole is Greater than the Sum of the Parts - A Multi-Hospital Quality Improvement Journey Reduces Healthcare Associated Infection Risk
Netcare
National
Method

57
Delyne Subrayen
A study of the hand cleansing practices of healthcare professionals in a private hospital Intensive Care Unit (ICU) in Gauteng, South Africa
Netcare
GP
Research

59
H Georgieva,
Mary Ellery (presenter)
Management of Carbapenem-Resistant Enterobacteriaceae (CRE) in TICU Netcare Milpark Hospital
Netcare Milpark Hospital
GP
Implement

65
Juanita Coetzee
Reducing CAUTI in sub-acute facilities with the objective to increase functional outcomes and reduce length of stay
Intercare Tygervalley
WC
Implement








Track B: Antibiotic Stewardship




Podium Presentations












Abstract
Presenter
Title
Organisation
Province
Abstract Type
Download
13
Angeliki Stephanou
Antibiotic Stewardship Data Collection
Netcare
National
Method

56
Delyne Subrayen
Giant Leaps in Antibiotic Stewardship – a realistic and attainable goal
Netcare
National
Implement

52
Dr Gary Kantor
Automated Claims-Based Reporting of Antibiotic Utilisation can Support Antibiotic Stewardship in Hospitals
Discovery Health
National
Method








Track B: Antibiotic Stewardship




Poster Presentations












Abstract
Presenter
Title
Organisation
Province
Abstract Type
Download
64
Nirasha Singh, Vishala Gokool (presenter)
Antibiotic Stewardship Program: Collaborative Leadership leading collaborative teams
Netcare
KZN
Method

48
Maletjé Griesel
Measuring the impact of implementing an antibiotic prescription chart as part of a Netcare Hospital antibiotic stewardship program
Netcare Christiaan Barnard Memorial Hospital
WC
Implement

25
Prisantha Moodley, Vishala Gokool (presenter)
Implementation of an Antibiotic Stewardship Program via a daily ICU ward round and an Antimicrobial Prescription Chart at a Private Hospital in KwaZulu-Natal
Netcare Alberlito Hospital
KZN
Implement








Track C: Quality Improvement




Podium Presentations












Abstract
Presenter
Title
Organisation
Province
Abstract Type
Download
17
Geoffrey Fatti
Community-Based Adherence Support Improves Outcomes for Patients Receiving Antiretroviral Treatment in South Africa
Kheth'Impilo
National
Method

33
Craig Parker
Optimizing Action Periods through Grouping Onsite Support Sessions
Aurum Institute
GP
Method

46
Dr Ashley Chengadoo
Acute Myocardial Infarction (AMI) Collaborative: Collaborative learning is about Collaborative Leadership
Netcare
National
Method

54
Chantal Hadfield
Discovery Care Coordination Programme: Addressing Fragmented Care in High Risk Populations
Discovery Health
National
Method

63
Anton Grutter Kgwadikgolo Mahosi
The application of lean management practices to improve service delivery in the OPD process at a semi-rural district hospital
Lean Institute Africa

Method
SLIDES Only

SLIDES & AUDIO
Student 1
Jessica Price
New Somerset Hospital – The Lean OOPD
New Somerset Hospital
WC
Implement








Track C: Quality Improvement




Poster Presentations












Abstract
Presenter
Title
Organisation
Province
Abstract Type
Download
5
Dr Michele Youngleson
From Research to Improvement - Changing the Data Mindset in a Teaching Hospital
Groote Schuur Hospital
WC
Method

16
Geoffrey Fatti
An Innovative Approach to Improve the Quality of Prevention of Mother-to-Child Transmission of HIV Programs through Nurse Clinical Mentoring in South Africa.
Kheth'impilo
National
Method

18
Dr Donna Jacobs
Improving implementation of the Family Planning programme in Uthungulu District, KwaZulu Natal Province
University Research Company
KZN
Implement

19
Nobesuthu Ramawela
Using the Pregnancy Screening Tool to Improve Antenatal Bookings before 20 weeks Rate
Aurum Institute
NW
Method

21
Salama Bassardien
Improving the discharge process in a surgical ward with the use of chairs:
New Somerset Hospital
WC
Implement

22
Marlene Wiid
Integral link between critical equipment resources and the provision of quality care
Steve Biko Academic Hospital
GP
Method

27
Justin Engelbrecht
Using colour-coding to improve caregiver’s confidence to administer antiretroviral medication
South2South
NW
Method

28
Mariesa Human, Mary Ellery (presenter)
Improvement in data capturing as an effective tool in measuring Level 1 trauma centre performance
Netcare Parktown West
GP
Method

30
Nomzamo Mvandaba
Increasing Cervical Cancer Screening in a Family Planning Clinic using a Quality Improvement Approach
CAPRISA - UKZN
KZN
Implement

31
Neliswe Ngcobo
Enhancing Access to Sexual Reproductive Health Services in a Public Sector Primary Care Clinic in Rural KwaZulu-Natal, using a Quality Improvement Intervention
CAPRISA - UKZN
KZN
Implement

32
Mdu Mntambo
Using Quality Improvement to Strengthen Health Systems, with a focus on Sexual Reproductive Health Service Provision, in a rural district in KwaZulu-Natal – preliminary findings
CAPRISA - UKZN
KZN
Implement

34
Craig Parker
Applying Small Multiples to track facility improvements and guide Learning Sessions
Aurum Institute
GP
Method

35
Craig Parker
A PMTCT Quality Improvement (QI) Project in Ekurhuleni North Sub-District: A Methodology For Addressing Gaps Identified By The National Core Standards
Aurum Institute
GP
Implement

36
Craig Parker
Incorporating Quality Improvement Methodologies into HAST Management Strategies at a Sub-District Level
Aurum Institute
GP
Method

38
Mmotsi Moloi
Maximising the role of data capturers in improving the PMTCT program using a cohort data validation tool and a social media chat group
Aurum Institute
Limpopo
Method

41
Jayson Gopiechand
Evaluation of the Nursing Interventions in the Primary and Secondary Management of the AMI Care Bundle at Netcare St Augustine Hospital
Netcare St Augustine
KZN
Implement

42
E Erwee, Mary Ellery (presenter)
Improvement of AMI patient outcomes based on the AMI bundle of care
Netcare Milpark
GP
Implement

43
Ashley Chengadoo
“Time is Muscle and Muscle is Quality Life.”
Netcare Clinton
GP
Implement

45
Anne-Marie Oelofse
The Implementation of a Human Milk Bank has a Positive Impact on the Percentage of Exclusively Breastfed Babies at the Time of Discharge from NICU.
Netcare Cuyler - Uitenhage
EC
Implement

50
Discovery Team
The Discovery Health KidneyCare Program – Developing a Measurement and Feedback System for Improvement
Discovery Health
National
Method

51
Discovery Team
Developing a Population-Based View of the Quality of Care Provided to Patients who Consult Specialist Physicians
Discovery Health
National
Method

53
Discovery / Netcare Team
Payer-Provider Collaboration to Measure and Improve Patient Experience in Private Hospitals
Discovery Health / Netcare
National
Method

58
Ansie Zietsman
Using innovation and technology to gather patient feedback and improving care
Netcare
National
Method

60
S Grant,
Mary Ellery (presenter)
Improvement of pain management in South African private hospitals
Netcare
GP
Implement

62
E Erwee, Mary Ellery (presenter)
Early upgrade of patient leads to improved outcomes
Netcare
GP
Implement

66
Clare Davis
Changing the practice of ‘Chinese Whispers’: an action research approach to optimise the PICU nursing shift handover.
Red Cross War Memorial Children's Hospital
WC
Method
please email

clare.davis at uct.ac.za
Student 2
Kendra Wilson, Karabo Sebopa
Understanding and Improving Patient Flow from Presentation to Admission in a District Hospital Emergency Centre (EC)
GF Jooste Hospital
WC
Implement