QI Summit 2013

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.

RESEARCH THEMES (Podium Presentations & Posters)

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

BCA Antibiotic Stewardship Measures

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


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


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


Track A: Preventing Healthcare-Associated Infections

Abstract Presenter Title Organisation Province Abstract Type
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
Abstract Presenter Title Organisation Province Abstract Type
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 NIntercare Tygervalley WP Implement

Track B: Antibiotic Stewardship

Abstract Presenter Title Organisation Province Abstract Type
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
Abstract Presenter Title Organisation Province Abstract Type
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

Abstract Presenter Title Organisation Province Abstract Type
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

Download Slides
Download Audio

Lean Institute Africa Method
Student 1 Jessica Price New Somerset Hospital – The Lean OOPD
Abstract Presenter Title Organisation Province Abstract Type
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