Africa’s second annual summit on quality improvement and innovation in health care was hosted by the Best Care…Always! Campaign at the Hospital Association of South Africa (HASA) conference from 15-17 October 2014 at the Sandton Convention Centre, Johannesburg.
KEYNOTE SPEAKERS
Dr Sarah Fraser, International Consultant on Quality and Systems Improvement
Paul Levy, Former CEO, Beth Israel Deaconess Medical Center, Boston
Prof Jeremy Grimshaw, Canada Research Chair in Health Knowledge Transfer and Uptake, University of Ottawa
RESEARCH THEMES (Podium Presentations & Posters)
Session 1: Approaches to Spread and Sustain Best Practices
Session 2: Improving Access to Care
Session 3: Antimicrobial Stewardship & Preventing Healthcare-Associated Infections
Session 4: Getting the Basics Right (Staff Performance, Infection Control & Preventing HAIs)
Session 5: Patient Centered Care & Patient Safety
Day 1: Wednesday, 15th October 2014
The role of leadership in leading Quality Improvement
Paul Levy, Former CEO, Beth Israel Deaconess Medical Center, Boston, MA, USA
Download
Not Running a Hospital Blog
Twitter @paulflevy
Why good practice does not spread in healthcare
Dr Sarah Fraser, Independent International Consultant on Quality and Systems improvement
Sarah Fraser & Associates
Spread Good Practice Blog
Twitter @sarahfraser
The importance of implementation science to help enhance quality improvement activities
Professor Jeremy Grimshaw, Canada Research Chair in Health Knowledge Transfer and Uptake, University of Ottawa
Using video to illustrate improvement concepts
Dr Michéle Youngleson, Independent Improvement Advisor
Day 2: Thursday, 16th October 2014
An overview of antimicrobial stewardship in South Africa and work done at Groote Schuur Hospital
Dr Tom Boyles, Infectious Diseases Physician, Groote Schuur Hospital
The improvement journey around reducing healthcare-associated infections
Dr Malcolm Miller, Intensivist, Groote Schuur Hospital
National Core Standards: Bridging the regulatory environment with improvement science
X, Office of Health Standards Compliance, National Department of Health
Dr Zameer Brey, Chief Operating Officer, South African TB Vaccine Initiative
Building Quality Improvement Capability
Lauren de Kock, Deputy Director, Quality Improvement and Training, Aurum Institute
Ebola Preparedness – Rapid Learning in Practice
Dr Anchen Laubscher, Medical Director : Netcare Hospital Division
Improvement ideas from some of the most remote places in the world,
from Al Jazeera’s new series ‘Lifelines – the Quest for Global Health’
Dr Michéle Youngleson, Independent Improvement Advisor
Watch films:
Lifelines @ Al Jazeera
Workshop 1: Influencing without authority – Behavioural Approaches to Quality Improvement
Dr Sarah Fraser
Sarah Fraser & Associates
Spread Good Practice Blog
Twitter @sarahfraser
Workshop 2: Getting Implementation in Health Care Right:
Behavioural Approaches to Developing Quality Improvement Interventions
Prof Jeremy Grimshaw
Workshop 3: Preventing late onset infections in neonates – BCA for the Newborn Task Team
USANA EXCO member Prof Alan Horn
Workshop 4:
Applying LEAN methodology to healthcare improvement
Paul Levy, Farzana Mohamed
A3 Thinking
Prof Norman Faull, Lean Institute
Podium Presentation and Posters
| Presenter | Title | Abstract | Organization |
|---|---|---|---|
| Maureen Tshabalala | Eliminating MTCT at scale: A six country collaboration using performance improvement methods | 70 | Institute for Healthcare Improvement |
| Andriette van Jaarsveld | Implementation of an Antimicrobial Stewardship programme in a private healthcare setting in Southern Africa | 61 | Mediclinic Southern Africa |
| Rene Grobler | Trauma Centre Accreditation as a Tool for Focussed Performance Improvement | 41 | Netcare Milpark Hospital |
| Karin Swart | Risk management for the emerging CRE in SA | 34 | Netcare Operations Centre |
| Linda Pretorius | Neonatal Infection control measures help save a Penguin species | 51 | Netcare Operations Centre |
| Thabiso Gaohose | Being reflective about how offering continued technical support can have powerful outcomes | 29 | Aurum |
This selection is based on the ‘3 delays model’ (delay in seeking care, delay in accessing care, delay in the provision of adequate care). [Thaddeus & Maine, 1994]
| Presenter | Title | Abstract | Organization |
|---|---|---|---|
| Craig Grindell | Saving time, saving lives | 50 | Netcare 911 |
| Anri van Deventer | Enhancing efficiency through successful allocations [Reduced Waiting Times] | 3 | Netcare Unitas Hospital |
| Mariesa Human | Reduction of blood product wastage at a Level 1 Trauma Centre | 36 | Netcare Milpark Hospital |
| Heather Tuffin | Patient Flow Collaborative | 11 | WC DoH – 11 Hospitals Flow Collaborative |
| Craig Parker | Improving Early Antenatal Care Booking Rate of Pregnant Women in a South African Primary Healthcare Clinic | 24 | Aurum |
| Roshini Moodley Naidoo | Using an Internationally validated survey to assess and improve patient perceptions of primary care | 7 | Discovery Health |
| Presenter | Title | Abstract | Organization |
|---|---|---|---|
| Melody Dreyer | The challenge of changing prescribing practices: how addressing our use of colistin changed our perspective on the correct utilisation of antimicrobials | 67 | Mediclinic Bloemfontein |
| A Wessels | Supporting a quality pharmaceutical service in Life Healthcare through dispensing system enhancements | 15 | Life Healthcare |
| Susan Bester | How we involved critical role players in an antibiotic stewardship team in a peri-urban hospital | 12 | Mediclinic Paarl |
| Marna Basson | Antimicrobial Hang Time of less than an hour – An achievable and sustainable goal in the critical care units of a private hospital | 46 | Netcare The Bay Hospital |
| Presenter | Title | Abstract | Organization |
|---|---|---|---|
| Liezl Fourie | Pharm-I-See: The Role of the Ward Pharmacist in Hand-Hygiene | 47 | Netcare Olivedale Hospital |
| Sonelle Coetzer | Going deeper – Implementing additional measures to enhance the effectiveness of the Surgical Site Infection prevention bundle | 6 | Mediclinic Highveld – Trichardt |
| Arina Jenkins | The Best Care… Always! CLABSI Bundle: Reducing CLABSI in a Public Sector Neonatal ICU | 27 | WC DoH – Tygerberg Hospital |
| Presenter | Title | Abstract | Organization |
|---|---|---|---|
| Tracy Grant | Developing a remedial programme to be used at the campus using lessons learned from SANC: Final exam results | 58 | Netcare Education |
| Werner Hartdog & Lindi van Heerden | Enhancing Performance and Development Through Improvement Science | 55 | Netcare |
| Elani Olivier | Responding to an Acinetobacter baumanii outbreak in neonatal and adult ICU | 62 | Mediclinic Tzaneen |
| Lesley Devenish | Improvement of compliance to the WHO’s “five moments” for hand hygiene | 48 | Netcare Operations Centre |
| Maatje Wessels | Whole body Chlorhexidine wash leads to a reduction in Surgical Site Infections and saves time and costs | 66 | Mediclinic Vergelegen |
| Presenter | Title | Abstract | Organization |
|---|---|---|---|
| Jamila Chellan | SBAR Communication | 10 | City Hospital, Joint Medical Holdings |
| Anne Roodt | Evidence-Based Practice Project: Reduction of adult patient falls in an acute care private hospital | 18 | Life Healthcare |
| Leonie Olivier | Improving compliance and capturing the VTE risk assessment document upon admission of all patients | 59 | Netcare Milpark Hospital |
| Sue-Ann Mohapi | Improving compliance with regards Discharge information in Emergency departments? | 35 | Netcare Trauma Division |
All ePosters organized by Category
| Abstract | Author | Title | Organization |
|---|---|---|---|
| 48 | Lesley Devenish | Improvement of compliance to the WHO’s “five moments” for hand hygiene | Netcare |
| 47 | Liezl Fourie | Pharm-I-See: The Role of the Ward Pharmacist in Hand-Hygiene | Netcare |
| 39 | A Messina | Antibiotic Stewardship is in our hands: A Collaborative approach using the iScrub iPad App | Netcare |
| 12 | Susan Bester | How we involved critical role players in an antibiotic stewardship team in a peri-urban hospital | MediClinic Paarl |
| 8 | Jamila Chellan | Healthcare-associated Infections and Antibiotic Stewardship | City Hospital, Joint Medical Holdings |
| 42 | M Griesel | Building blocks for a sustainable Antibiotic Stewardship Program | Netcare |
| 54 | Ansie Zietsman | Antibiotic Stewardship from Zero aiming for Hero: implementation of the antibiotic stewardship programme at two Netcare hospitals | Netcare |
| 38 | A Messina | Antibiotic Stewardship across 54 Private Hospitals – The South African Way | Netcare |
| 61 | Andriette van Jaarsveld | Implementation of an Antimicrobial Stewardship programme in a private healthcare setting in Southern Africa | MediClinic MCSA |
| 64 | Ian Jordaan | Improvement needs to be continuous: developing a pharmacy driven approach to evidence-based antibiotic prescribing | Mediclinic Constantiaberg |
| 15 | A Wessels | Supporting a quality pharmaceutical service in Life Healthcare through dispensing system enhancements | Life Healthcare |
| 14 | Lloyd Kaseke | Development of a training programme to facilitate clinical pharmacy services at ward level | Life Healthcare |
| 37 | S Naidu | Successful Medication Information Provision – A marriage between Nursing, Pharmacy and Hospital Management | Netcare |
| 67 | Melody Dreyer | The challenge of changing prescribing practices: how addressing our use of colistin changed our perspective on the correct utilisation of antimicrobials | Mediclinic Bloemfontein |
| 45 | B Collins | Ensuring sustainable antimicrobial medication chart use | Netcare |
| 43 | M Griesel | The Journey to Sustain “Perfect Prophylaxis” | Netcare |
| 44 | B Collins | Hang Time- Implementation of best practice | Netcare |
| 46 | Marna Basson | Antimicrobial Hang Time of less than an hour – An achievable and sustainable goal in the critical care units of a private hospital | Netcare |
| Abstract | Author | Title | Organization |
|---|---|---|---|
| 5 | Ellen le Roux | Don’t take your eye off the ball – Challenges in sustaining improvement [VAP] | MediClinic Panorama |
| 13 | Thabiso Bale | ICU nurses’ knowledge regarding ventilator-associated pneumonia in a private hospital group in Gauteng | MediClinic Heart Hospital |
| 27 | Arina Jenkins | The best care always CLABSI-bundle:reducing central line associated bloodstream infections in a public sector Neonatal Intensive Care Unit | WC DoH – Tygerberg Hospital |
| 33 | Kesaree Naidoo | Multidisciplinary Approach to Decrease the Central Line Blood Stream Infection (CLABSi) at Netcare Parklands Hospital | Netcare Parklands Hospital |
| 6 | Sonelle Coetzer | “Going deeper – Implementing additional measures to enhance effectiveness of the Surgical Site Infection prevention bundle” | MediClinic Highveld – Trichardt |
| 66 | Maatje Wessels | Whole body Chlorhexidine wash leads to a reduction in Surgical-site infections and saves time and costs | MediClinic Vergelegen |
| 63 | Andriette van Jaarsveld | Improving antimicrobial surgical prophylaxis in a highly specialised surgical environment serving organ transplant and oncology patients | Mediclinic WDGM |
| 65 | Andriette van Jaarsveld | The management of Multidrug resistant organisms in a private hospital from a hospital manager’s perspective | MediClinic Medforum |
| 31 | Yolanda Janse van Rensburg | Management of MDR Pseudomonas aeruginosa in general ICU at Mediclinic Pietermaritzburg | MediClinic Pietermaritzburg |
| 62 | Elani Olivier | Responding to an acinetobacter baumanii outbreak in neonatal and adult and ICU | MediClinic Tzaneen |
| 34 | Karin Swart | Risk management for the emerging CRE in SA | Netcare |
| Abstract | Author | Title | Organization |
|---|---|---|---|
| 18 | Anne Roodt | Evidence-based practice project: Reduction of adult patient falls in an acute care private hospital | Life Healthcare |
| 56 | Ansie Zietsman | Prevention and management of patients at risk of falling | Netcare |
| 9 | Jamila Chellan | Pressure Ulcers: Prevention, Evaluation, and Management | City Hospital, Joint Medical Holdings |
| 59 | Leonie Olivier | Improving compliance and capturing the VTE risk assessment document upon admission of all patients | Netcare |
| Abstract | Author | Title | Organization | QI Concept | |
|---|---|---|---|---|---|
| 69 | Ansie Zietsman | An enquiry into the factors affecting QI projects’ impact and sustainability | Netcare | Design, methodology and support | |
| 20 | Bonolo Pitse | Leadership is Key in Improving and Sustaining Antenatal ART initiation | Aurum | Leadership | |
| 36 | Mariesa Human | Reduction of blood product wastage at a Level 1 Trauma Centre | Netcare | Reducing waste | |
| 3 | Anri van Deventer | Enhancing efficiency through successful allocations [Reduced Waiting Times] | Netcare Unitas Hospital | Matching supply and demand | |
| 19 | Sylvia Radingoana | Reordering Steps In A Process Can Have A Powerful Impact On Improving Infant 18 Months HIV Testing And Decreasing The Stigma Associated With Testing | Aurum | Reordering steps in a care process | |
| 11 | Heather Tuffin | Patient Flow Collaborative | WC DoH – 11 Hospitals Flow Collaborative | Improving flow | |
| 17 | Lloyd Kaseke | Best Practice in Continence Management: Improving outcomes through successful Partnerships | Life Healthcare | Evidence based interventions and partnerships | |
| 70 | Maureen Tshabalala | Eliminating MTCT at scale: A six country collaboration using performance improvement methods | Institute for Healthcare Improvement | Collaboration | |
| 29 | Thabiso Gaohose | Being reflective about how offering continued technical support can have powerful outcomes | Aurum | Mentoring and Support of QI teams | |
| 26 | Craig Parker | Developing proxy measures to track improvement on 6 week PCR testing and 18 month infant HIV testing | Aurum | Measurement | |
| 22 | Craig Parker | The Ongoing Development of a PMTCT Change Package in Ekurhuleni | Aurum | Sharing Change Ideas | |
| 51 | Linda Pretorius | Neonatal Infection control measures help save a Penguin species | Netcare | Cross-Industry Sharing of Change Ideas | |
| 68 | Pauline Masike | Improving Participation of Health Facilities in Quality Improvement Using Social Media in North West Province | Aurum | Using Technology to strengthen systems |
| Abstract | Author | Title | Organization | QI Concept |
|---|---|---|---|---|
| 50 | Craig Grindell | Saving time, saving lives | Netcare | Improving Access to Care |
| 49 | Ansie Zietsman | Major Incident Medical Management | Netcare | Improving Access to Care |
| 41 | Rene Grobler | Trauma Centre Accreditation as a Tool for Focussed Performance Improvement | Netcare | Improving Access to Care |
| 2 | Deborah Mashigo | Improving first ANC booking below 20 weeks at Kempton Park Civic centre clinic | Aurum | Improving Access to Care |
| 21 | Degratia Masenya | Early Antenatal Care Booking Rate Can Be Improved At A Facility Level Despite Conflicting Traditional Beliefs Observed at Sesobe Clinic, Moses Kotane Sub District, North West Province | Aurum | Improving Access to Care |
| 24 | Craig Parker | Improving Early Antenatal Care Booking Rate of Pregnant Women in a South African Primary Healthcare Clinic | Aurum | Improving Access to Care |
| 25 | Craig Parker | Improving the Early Booking Rate of Pregnant Women with a Gestational Age of less than 20 weeks in a South African Public Health Setting | Aurum | Improving Access to Care |
| 32 | Craig Parker | QI methodology – a way to improve 18 month infant HIV testing at Daveyton Main | Aurum | Increasing the Reliability of Care |
| 30 | Craig Parker | Improving Antenatal care HIV retest rate in Paulos Masha clinic | Aurum | Increasing the Reliability of Care |
| 23 | Craig Parker | Testing all infants for HIV at 18 months irrespective of whether they are HIV exposed or not | Aurum | Increasing the Reliability of Care |
| 28 | Craig Parker | Reducing the Risk of Active TB in HIV Infected Clients by Increasing IPT Uptake Rate at Marishane Clinic | Aurum | Increasing the Reliability of Care |
| Abstract | Author | Title | Organization |
|---|---|---|---|
| 7 | Amrita Raniga | Using an Internationally validated survey to assess patient perceptions of primary care | Discovery Health |
| 10 | Jamila Chellan | SBAR Communication | City Hospital, Joint Medical Holdings |
| 40 | Ansie Zietsman | Comprehensive management of patient’s pain | Netcare |
| 52 | Ansie Zietsman | Improvement of Pain management | Netcare |
| 35 | Sue-Ann Mohapi | Improving compliance with regards Discharge information in Emergency departments | Netcare |
| 53 | Ansie Zietsman | Improvement & sustainability in collecting sufficient patient feedback to ensure patient satisfaction | Netcare |
| Abstract | Author | Title | Organization |
|---|---|---|---|
| 57 | Ansie Zietsman | Measuring the impact of constructive feedback to students during completion of the IPC POE | Netcare |
| 58 | Tracy Grant | Developing a remedial programme to be use d at the campus using lessons learned from SANC: Final exam results | Netcare |
| 55 | Werner Hartdog & Lindi van Heerden | Enhancing Performance and Development of Employees in a Private Healthcare Group | Netcare |