QI Summit 2015

Africa’s third 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 21 – 23 September 2015 at the Cape Town International Convention Centre, Cape Town.

KEYNOTE SPEAKER
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital

PROGRAMME THEMES (Podium Presentations)
Session 1: Improving Care
Session 2: Quality Leadership: Putting the Patient at the Centre of Care
Session 3: Deming’s System of Profound Knowledge
Session 4: Increasing Efficiencies and Quality Improvement in Action
Session 5: Learning from What Works Well – Innovative Ideas

RESEARCH THEMES (Posters)
Theme 1: Best Care…Always! (Antimicrobial Stewardship, Preventing Hospital Acquired Infections, Hand Hygiene & Environmental Cleaning)
Theme 2: Patient Safety (Medication Information, Errors & Hang Time; Preventing DVTs, Pressure Sores and Falls)
Theme 3: Patient Centred Care (Patient Satisfaction, Chronic Care)
Theme 4: Health System Strengthening (Primary Healthcare, Reducing Waste)
Theme 5: Methods and Measurement for Improvement
Other: Core Standards, Staff & Staffing, Leading QI and Innovation

Speakers

Day 1: Monday, 21 September 2015

Official Welcome to the Quality Improvement Summit
Dr Gary Kantor, co-founder of the Best Care…Always! Campaign and Senior Clinical Consultant, Discovery Health

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Innovating for Quality – What does it take to improve care?
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital

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Introducing Wellness into Quality Improvement
Dr Anchen Laubscher and Angeliki Messina, Netcare

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Twitter for Quality Improvement – How to use social media to connect to advances in quality improvement
Dr Dena van den Bergh, co-founder of the Best Care…Always! Campaign and Director: Quality Leadership, Netcare

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Adverse Events: A promise to learn, a commitment to act.
Dr Lloyd Kaseke, Clinical Adviser, Life Healthcare Clinical Directorate
Ellen Le Roux, Clinical Risk Manager, Mediclinic
Facilitator: Yolanda Walsh, Chairperson of the Best Care…Always! QI Summit organising committee and Patient Safety Officer, Mediclinic Southern Africa

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Leadership in Quality Care
Dr Dena van den Bergh, co-founder of the Best Care…Always! Campaign and Director: Quality Leadership, Netcare

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Best Care… Always! Quality Awards
Dr Dena van den Bergh, co-founder of the Best Care…Always! Campaign and Director: Quality Leadership, Netcare
Dr Gary Kantor, co-founder of the Best Care…Always! Campaign and Senior Clinical Consultant, Discovery Health

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Day 2: Tuesday, 22 September 2015

Antimicrobial Resistance in South Africa – a brief update on the data
Dr Kim Faure, South African coordinator, Center for Disease Dynamics, Economics & Policy

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Download State of the World’s Antibiotics Report 2015

“It is not enough to do your best; you must know what to do, and then do your best.”
Insights into Deming’s System of Profound Knowledge
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital

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Insights into medical schemes’ member quality improvement initiatives
Dr Belinda Richards, Metropolitan Health
Dr Nkuli Mxenge, Discovery Health
Dr Jenni Noble, Medscheme

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Turning around quality in a public sector hospital
Dr Rolene Wagner, CEO, Frere Hospital, East London

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Using Limited Resources Efficiently
Prof Norman Faull, Emeritus Professor of Business Administration, Graduate School of Business, University of Cape Town, and Founder & Chairman of Lean Institute Africa

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Patients and lay healthcare workers as a healthcare resource: Panel Discussion on two models of care in which patients and lay healthcare workers are an essential resource.
Antiretroviral Clubs – Lynne Wilkinson, Médecins Sans Frontières together with
Groote Schuur Hospital Adolescent Renal Clinic – Katusha de Villiers, Bertha Centre for Social Innovation and Entrepreneurship, University of Cape Town Graduate School of Business together with

Theatre of Errors – An innovative approach to teaching and learning patient safety in the surgical environment
Dr Gary Kantor, co-founder of the Best Care… Always! Campaign and Senior Clinical Consultant, Discovery Health and Enhanced Recovery after Surgery [ERAS] Project
Fiona Pieterse, ERAS Nurse Coordinator affiliated with Matley and Partners; Director, Integrated Clinical Solutions

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Introduction to Mindfulness
Mandy Johnson and Dr. Danielle Klemp

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Day 3: Tuesday, 23 September 2015

From negativity to positivity – How to use Positive Deviance for quality improvement
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital

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The use of Positive Deviance and engaged leadership to improve patient experience outcomes
Mr Sandile Mbele, Regional Director, Netcare Gauteng South West Reigion
Dr Augusta Dorning, Hospital General Manager, Netcare St Augustine’s Hospital
Glynis Herselman, Nursing Services Manager, Netcare Unitas Hospital
Mrs Ansie Zietsman, Quality Leadership Manager, Netcare

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Wellness and Twitter Reflections
Yolanda Walsh, Chairperson of the Best Care…Always! QI Summit organising committee and Patient Safety Officer, Mediclinic Southern Africa

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From patient to person – how to respond in the new age of care
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital

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Closing
Dr Lloyd Kaseke, Clinical Adviser, Life Healthcare Clinical Directorate and member of the Best Care… Always! QI Summit organising committee

Podium Presentations & Posters

Presenter Title Abstract Organization
Soekie Grant Pain Management 53 Netcare
Mariam Marlie Small adaptations to the Western Cape’s Client Satisfaction Survey lead to enhanced Quality Improvement Outcomes for a Psychiatric Hospital 49 Stikland Hospital, Western Cape DoH
Michele de Kock Undercover Patients! A Novel Approach to Measuring Patient Experience 19 Life Healthcare Quality Department
Tanya Pitt Using an ongoing Program of Parent Feedback to Develop a Practical and Sustainable Model of Family Centred Care in a Neonatal Intensive Care Unit 80 Netcare Waterfall City Hospital
Presenter Title Abstract Organization
Dr Bon Egbujie Primary Health Care Clinics Patient Waiting Time Survey:Applying a different approach to data collection,analysis and presentation 37 Kheth’impilo
Janneke Steyn Comprehensive focus on a surgical unit in a private hospital to improve quality care by efficient staffing 32 Mediclinic Midstream
Dieter Hartmann Sweating the Asset: Making Your Theatres Work For You by Improving Utilisation 39 University of the Witswatersrand
Richard Speares Corporate responsibility and how we can make a difference [Saving Energy] 65 Netcare Alberlito Hospital
Presenter Title Abstract Organization
Elizabeth Hudson Bundles of joy – Neonatal CLABSI 61 Netcare Christiaan Barnard Memorial Hospital
Yolanda Walsh A new approach to measuring peripheral line associated harm in neonatal critical care units 38 Mediclinic Southern Africa
Dr Thameshree Naidu A risk management approach to improving compliance with the National Core Standards in a rural district in KZN 9 Centre for Rural Health,University of KwaZulu Natal
Bonolo Pitse Innovation hubs are an effective spread strategy 46 Aurum Institute
Lesley Devenish Environmental hygiene – improvement by positive feedback 64 Netcare
Ruth Lancaster Rational Medicine Use: Improving the usage of colistin at Life Flora Clinic 10 Life Healthcare Flora Clinic

ALL ePosters organized by Category

Author Title Abstract Organization
The Evolution of Antimicrobial Stewardship in a Private Hospital Group 3 Life Download ePoster
The ‘Building Blocks’ of a Sustainable Antibiotic Stewardship Program, to Include the Reduction of Antibiotic Utilisation & Infection Rates 58 Netcare Download ePoster
Pharmacist Intervention Improves the Early Administration of Antimicrobials across a 33 Private Hospitals 75 Netcare Download ePoster
Reducing Time from Empiric to Appropriate Antimicrobial Therapy at a Private Hospital. 77 Netcare Download ePoster
Rational Medicine Use:Improving the usage of Colistin at Life Flora Clinic 10 Life Download ePoster
The Precision of Incision – The Successful Implementation of a Surgical Prophylaxis Project 55 Netcare Download ePoster
Surgical Prophylaxis 54 Netcare Download ePoster
The Journey to Sustain Surgical Prophylaxis in a Private Hospital Setting 59 Netcare Download ePoster
Author Title Abstract Organization
SSI Bundle: Being compliant with the Annual Operating Plan 7 DoH Paarl Hospital Download ePoster
Scrub Up to Prevent Surgical Site Infections 28 DoH Mamelodi Download ePoster
BCA Bundle CAUTI Prompt List 56 Netcare Download ePoster
Leveraging learning from managing the risk of suspected and confirmed cases of Viral Haemorrhagic Fever (VHF), specifically Ebola Virus Disease (EVD), in a private hospital group in South Africa 41 Netcare Download ePoster
A record review of multi-drug resistant Tuberculosis in Sedibeng district, Gauteng Province 14 DoH Johan Heyns Community Health Centre Download ePoster
‘Hi5’ Quality Improvement Initiative 52 Netcare Download ePoster
Bundles of joy – Neonatal CLABSI 61 Netcare Download ePoster
(NICU) CLABSI – The Challenge to Maintain Compliance and Surveillance 86 DoH Tygerberg Hospital Download ePoster
Author Title Abstract Organization
Accepting the challenge -the impact on hand hygiene compliance through focusing on a single discipline 2 Mediclinic Highveld Download ePoster
Increasing Hand Hygiene Adherence in a Heart Hospital 25 Mediclinic Download ePoster
Developing a pharmacy-driven hand hygiene product usage tool to objectively measure hand hygiene practice 23 Mediclinic WDG Download ePoster
Spotlight on Cleanliness – using a fluorescent marker to improve environmental cleaning 15 Life Download ePoster
Environmental hygiene – improvement by positive feedback 64 Netcare Download ePoster
Improving Primary Healthcare Facility Compliance with National Core Standards Cleanliness Requirements in Bushbuckridge, Mpumalanga 16 Right to Care Download ePoster
Implementation of Environmental Hygiene Audit Due to Difference in Perception of Cleanliness of the Hospital 18 Urology Hospital Download ePoster
Author Title Abstract Organization
Limiting Complications After Percutaneous Coronary Interventions Through Early Detection and Management 67 Netcare Download ePoster
Jamila Chellan Using the International Patient Safety Goals in Daily Nursing Practice 29 JMH
Group
Download ePoster
Quality focus delivers results 76 Netcare Download ePoster
Author Title Abstract Organization
Improving antibiotic hang times in a Cape Town government emergency centre 6 DoH New Somerset Hospital Download ePoster
A quality improvement project to reduce medication errors in a private hospital group in South Africa 8 Life Download ePoster
Targeted Interventions Reduce Pharmacy Medication Incidents 11 Life Download ePoster
An investigation into the number and type of medication prescribing errors in an Intensive Care Unit and whether interventions can reduce these errors 12 Life The Glynnwood Download ePoster
Use of a systems-thinking and a human-factors framework to investigate and learn from serious medication errors 22 Mediclinic Milnerton Download ePoster
Author Title Abstract Organization
Quality improvement in medication information to patients 66 Netcare Download ePoster
Making Educating before Medicating part of our Day 70 Netcare Download ePoster
Author Title Abstract Organization
Medication Safety- DVT compliance and prophylaxis 57 Netcare Download ePoster
A collaborative approach in managing thromboprophylaxis in a private hospital setting 60 Netcare Download ePoster
Pressure lesion initiative 79 Netcare Download ePoster
Reduction of patient falls in Mediclinic Bloemfontein 27 Netcare Download ePoster
Ongoing efforts to reduce falls – reconsidering the role of care workers and introducing a communication notice board 33 Mediclinic Vergelegen Download ePoster
Author Title Abstract Organization
Undercover Patients! A Novel Approach to Measuring Patient Experience 19 Life Healthcare Quality Department Download ePoster
Pain Management 53 Netcare Download ePoster
Author Title Abstract Organization
Early Survival on Maintenance Dialysis Therapy in South Africa: The Impact of a Predialysis Education Programme 69 Netcare Download ePoster
Quality of Life of Chronic Dialysis Patients – A Vital Standard of Care 63 Netcare Download ePoster
Author Title Abstract Organization
Using an ongoing Program of Parent Feedback to Develop a Practical and Sustainable Model of Family Centred Care in Neonatal Intensive Care Unit 80 Netcare Download ePoster
Developing a communication approach to spread improvement and engage teams in Emergency Departments 82 Netcare Download ePoster
DQI skill and access to information builds buy-in and improves patient satisfaction outcomes 83 Netcare Download ePoster
Small adaptations to the Western Cape’s Client Satisfaction Survey leads to enhanced Quality Improvement outcomes for a psychiatric hospital 49 DoH Stikland Psychiatric Hospital Download ePoster
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
Author Title Abstract Organization
Sweating the Asset: Making Your Theatres Work For You, By Improving Utilisation Unit 39 Wits Download ePoster
Lean Healthcare: Doing More with Less 43 Wits Download ePoster
Time Saves Lives! 72 Netcare Download ePoster
Decrease in Emergency Department Waiting Time 73 Netcare Download ePoster
Reducing bed block by improving the discharge process at New Somerset Hospital (NSH) 5 DoH New Somerset Hospital Download ePoster
Corporate responsibility and how we can make a difference 65 Netcare Download ePoster
Author Title Abstract Organization
Lorraine Semenya Leratong Hospital- will we reach the Malaria Elimination Strategy goals set by 2018? 4 DoH Leratong Hospital Download ePoster
Lesego Mawela Improving ART Initiation rate in HIV infected Pregnant Women, Nkomazi Sub-district, Mpumalanga South Africa 17 Right to Care Download ePoster
Londiwe Mthethwa Improving infants rapid HIV testing around 18 months in KwaDukuza Sub-District 44 DoH 20 000+ / UKZN Download ePoster
Amos Ndlovu DCS QI Project: ART Initiation 24 Aurum / Gauteng DCS Download ePoster
Alinah Denge Improving Antiretroviral Therapy (ART) Initiation in HIV positive inmates at Krugersdorp District Correctional Service, Gauteng 34 Aurum / Krugersdorp DCS Download ePoster
Alinah Denge Improving Twelve Months Viral Load Completion For Patients At Vosloorus Poly Clinic, Ekurhuleni 13 Aurum / DoH Vosloorus PolyClinic Download ePoster
Cornelius Jack Improving Condom Distribution 51 Aurum Download ePoster
Lawrance Mpapele Reducing the Risk of Active TB in HIV Infected Clients by Increasing IPT Uptake Rate at Selala Clinic in Limpopo Province 20 Aurum Download ePoster
Bonolo Pitse Empowered Staff and Clients can improve cervical screening coverage in a Primary Health Care facility 26 Aurum / Witfontein Clinic Download ePoster
Winnet Chinogwenya Root cause analysis as a fundamental step to improvement in the HIV Counselling and Testing programme 35 Aurum / DoH Ekurhuleni North sub-district Download ePoster
Winnet Chinogwenya The Plan-Do-Study-Act cycle provides a responsive way of obtaining and responding to data for the improvement of future performance 36 Aurum / DoH Ekurhuleni North sub-district Download ePoster
Degratia Masenya Addressing Primary Drivers is the key to the Success of any Quality Improvement Project 40 Aurum Download ePoster
Author Title Abstract Organization
Thameshree Naidu A risk management approach to improving compliance with the National Core Standards in a rural district in KZN 9 UKZN / DoH Download ePoster
Investment in Staff and Unit Management development leads to improvement in Core Standards Results and Nursing Dashboard Results 71 Netcare Download ePoster
Author Title Abstract Organization
A quality improvement plan, in a private surgical unit, to improve doctor satisfaction 31 Mediclinic Midstream Download ePoster
Comprehensive focus on a surgical unit in a private hospital to improve quality care by efficient staffing 32 Mediclinic Midstream Download ePoster
Developing Academic and Social Skills for nursing studies 81 Netcare Download ePoster
Author Title Abstract Organization
Primary Health Care Clinics Patient Waiting time survey: Applying different Approach to data collection, analysis and presentation 37 Kheth’impilo / DoH Amajuba Download ePoster
A new approach to measuring peripheral line-associated harm in neonatal intensive care units 38 Mediclinic Download ePoster
Ensuring your data reflects what you actually do 45 Aurum Download ePoster
Understanding data indicators can Improve Women’s Health by Increasing Cervical Cancer Screening Uptake at Witfontein Clinic 21 Aurum / Witfontein Clinic Download ePoster
Retrospective data analysis reveals a sustained increase in referral of potential deceased organ donors to Transplant Coordinators in Groote Schuur Hospital 48 DoH GSH Download ePoster
The importance of obtaining valid email addresses and mobile numbers 74 Netcare Download ePoster
Clinical Key Performance Indicator Dashboard: Lessons Learnt in going from a Pilot to Implementation 50 Mediclinic Download ePoster
A complex adaptive system requires a responsive adaptive strategy 42 Aurum Download ePoster
Innovation hubs are an effective spread strategy 46 Aurum Download ePoster
Author Title Abstract Organization
Sustaining the Best Care Always project in the Western Cape Government 30 Western Cape DoH Download ePoster
Engineering a flow for Quality Review Process for the new unit manager in order to deal with the expected, un-expected and everything in between 68 Netcare Download ePoster
Tacit knowledge sharing as avenue for improved quality outcomes 78 Netcare/td> Download ePoster
Collective High Impact Leadership(CHIL) – A one-hundred-day intervention to co-create a step-change in patient feedback scores across 17 hospitals 84 ANetcare Download ePoster
Author Title Abstract Organization
Sustaining improvement helps save the African Penguin 62 Netcare Download ePoster