Quality Improvement and Patient Safety Conference (QIPS)



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SEHA (Abu Dhabi Health Services Company) in collaboration with The American College of Medical Quality (ACMQ) & The American College of Board Quality (ABMQ) Quality Improvement and Patient Safety Conference (QIPS) Transforming Healthcare Quality through Innovation, Education and Leadership October 29 th, 30 th and 31 st, 2015 ADEC, Abu Dhabi, UAE The meeting for leaders in Healthcare Quality and Medical Education CME: Pending HAAD-CME CME: 18.5 Credit Hours Joint Providership of: 1

Pre-Conference ACMQ Workshop: Quality Improvement and Patient Safety Thursday, October 29,2015 GOAL: Improve Quality and Patient Safety OBJECTIVES: Active engagement in this workshop will enable participants to: - Implement the concepts of clinical quality improvement, including basic methods, tools and leadership. - Apply new concepts through hands-on experience using cases and exercises in implementing effective quality measurement and improvement. - Study topics relevant to the ABMQ certification exam (this course has not been approved by the ABMQ and is not deemed a guarantee for passing the examination). - Implement concepts of Patient Safety in their own organizations - Effect and sustain organizational systems and culture changes necessary for Quality Improvement and Patient Safety - Demonstrate effective leadership skills 7:30am- 8:00am Registration Morning Session- Quality Improvement: Methods and Tools Faculty: Prathibha Varkey, MD, MPH, MHPE, MBA; Katherine Reller, RN,MS, CPHQ Moderators/Facilitators: Samer Ellahham, MD, EFQM, FACP, FACC, FAHA Bernadette Kelly, BSc, MPH, CPHQ; Zahra Saeed Baalawi, DBA 8:00am 8:10am Welcome and Introductions 8:10am 8:30am 8:30am 9:30am 9:30am- 10:00am Quality Improvement Overview Why address quality (include local perspective) Definition of quality Quality Improvement Scenario Group Exercise Methods for QI: PDSA; Six-Sigma (DMAIC), Lean (Toyota Production System) - Step 1: Select the process to be improved and establish well-defined process improvement objectives Types of quality problems overuse, underuse and misuse Urgency/Impact Chart (Exercise) Clinical Value Compass - Step 2: Organize a team to improve the process - Step 3: Define the current process using a flow chart; literature search Flow Chart identifies process components and their interdependencies (Exercise) - Step 4: Simplify the process by removing redundant or unnecessary activities Coffee/Tea/Prayer Break 2

10:00am 11:30am A Step-Wise Improvement Model (cont.) Katherine Reller, RN, MS - Step 5: Data Sources of Data Types of Quality Measures structural, process, outcomes (Exercise) - Step 6: Visual Data Communication 4 Step Process o o Understand Goal (Exercise) Choose the Best Tool Histogram Distributions of Variables Bar Chart Compare Variables Scatter Diagram Plots 2 variables to determine relationship Control Chart Process Stability (Exercise) o Highlight the Point Data Collection Plan (Exercise) o Make it Simple - Step 7: Process Capability, Process Stability (5mins) (Exercise) - Step 8: Root Causes Cause and Effect Diagram (Fishbone or Ishikawa) Identifies potential contributors to outcome where to focus efforts (Exercise) 5 Whys (Exercise) Pareto Chart (Exercise) 11:30am 12:00pm Discussion: Exercise Sharing 12:00 pm 1:30 pm Lunch and Prayer Afternoon Session - Patient Safety, Strategies for Implementing and Maintaining Quality as an Organization s Core Value Faculty: ; Samer Ellahham, MD, EFQM, FACP, FACC, FAHA, MD; Jessica White, MD, CMQ Moderators/Facilitators: Bernadette Kelly, BSc, MPH, CPHQ; Zahra Saeed Baalawi, DBA Advanced tools and skills Advanced tools and skills Case studies 1:30pm 2:30pm Patient Safety Samer Ellahham, MD, EFQM, FACP, FACC, FAHA Zahra Saeed Baalawi, DBA - Types of Errors, Contributors and Risks - Systems Approach - Tools Learning from defects (Exercise) Pareto Chart Histogram Root Cause Analysis or Cause and Effect Diagram (Fishbone or Ishikawa) identifies potential contributors to outcome where to focus efforts - Culture and Prevention - Simulation case study 3

2:30pm 3:00pm 3:00pm- 3:15pm 3:15pm 4:30pm Implementing Quality Improvement Changes Bernadette Kelly, BSc, MPH, CPHQ - An organizational framework is needed to support quality Structure (includes UM) Commonly Used QI Strategies o Academic detailing o Opinion leaders o Audit & feedback o Reminder or Alert systems o Patient education o Reengineering o Incentives (public reporting of data, P4P, PCMH, ACOs) Staff Information Systems Financial Systems Organizational Renewal -Exercise - Coffee/Tea/Prayer Break Leadership for Quality - A discussion of individual leadership and organizational leadership as a complex set of interrelated activities in several broad categories: History of quality movement Organizations that recognize quality (Baldridge, ISO 9000, NCQA, TJC, URAC, EFQM, etc.) Set direction: Mission, Vision and Strategy Establish the foundation Build will Generate ideas Execute change What about traits of successful leaders? - A blueprint for effectively establishing quality as a core organizational strategy through a series of steps: Unfreezing the old culture Forming a powerful guiding coalition/teamwork Developing a vision and strategy Communicating a vision and strategy Empowering employees to act on the vision and strategy Generating short-term wins Consolidating gains and producing more change Refreezing new approaches in the culture - Leadership Exercise 4:30pm 5:00pm Moderator: Mark Lyles, MD, MBA Q&A Discussion Samer Ellahham, MD, EFQM, FACP, FACC, FAHA Zahra Saeed Baalawi, DBA Katherine Reller, RN, MS, CPHQ Bernadette Kelly, BSc, MPH, CPHQ 4

Quality Improvement and Patient Safety Conference (QIPS) Transforming Healthcare Quality through Innovation, Education and Leadership Day 1: Friday, October 30, 2015 8:00am - 8:45am 8:45am 9:00am Moderator: Mariam Buti Al Mazrouei, MD, CQM, FACHE Registration National Anthem Welcome from SEHA Senior Leadership H.E. Dr. Matar Rashed Al Darmaki Group Chief Executive Officer, SEHA, Abu Dhabi, UAE Ali Al Obaidli, MD, FRCP, ABIM, CPE, FACP Group Chief Academic Affairs Officer, SEHA, Abu Dhabi, UAE Welcome & Introduction of ACMQ (American College Medical Quality) President, American College of Medical Quality Welcome & Introduction of ABMQ (American Board Medical Quality) Beverly Collins MD, American Board of Medical Quality Co-Chairs of Organizing and Scientific Program Committee 9:00am 9:15am CEO and President, Clinical Enterprise, Seton Healthcare Family, Austin, TX, USA; President, ACMQ Bernadette Kelly, BSc, MPH, CPHQ Corporate Clinical Quality Manager, SEHA, Abu Dhabi, UAE Andrew Jerdonek Executive Director, ACMQ, Bethesda, MD USA Samer Ellahham, MD, EFQM, FACP, FACC, FAHA Chief Quality Officer, SKMC, Abu Dhabi, UAE Chief Strategy Officer, Medical University of South Carolina, Charleston, SC, USA; President-elect, ACMQ Valerie Brown, CPS CME Coordinator, Community Health Network, Indianapolis, IN USA 5

Keynote: Leadership and Just Culture in Quality and Patient Safety David Mayer, MD Vice President, Quality and Safety, MedStar Health, Washington, D.C., USA 9:15am 10:15am - Critical success factors - Fusion of change - Lessons learned US experience with international implications - Literature review, take a next step further beyond this, - Change management - Fusion of change, - Practical approach and examples how do we deal with incidents fairly? 10:15am 11:00am IHI Session via Remote Connection 11:00am- 11:30pm 11:30am 12:15pm 12:15pm 1:45pm 1:45 pm 2:30 pm Coffee/Tea/Prayer Break The Business Case for Quality and Safety Chief Strategy Officer, Medical University of South Carolina, Charleston, SC, USA; President-elect, ACMQ Lunch and Prayer The Science of Improvement Prathibha Varkey, MD, MPH, MBA, MHPE CEO and President, Clinical Enterprise, Seton Healthcare Family, Austin, TX, USA; President, ACMQ Chief Strategy Officer, Medical University of South Carolina, Charleston, SC, USA; President-elect, ACMQ Concurrent Sessions: Human Factors Moderators: Zahra Saeed Baalawi, DBA Faculty: Katherine Reller, RN, MS, CPHQ Interim Director Accreditation, Mission Health; President and CEO, Reller Consulting LLC, Rochester, MN, USA David Mayer, MD Vice President, Quality and Safety, MedStar Health, Washington, D.C., USA Timothy B McDonald MD, JD Professor of Anesthesiology, Weill Cornell Medical College in Qatar. Medical Director for Quality and Safety, Sidra Medical and Research Center, Doha, Qatar - Organizational learning - Applying Human Factors to healthcare Systems - Simulation - Case Studies 6

Innovation in Medical Quality, a Panel Discussion Faculty: CEO and President, Clinical Enterprise, Seton Healthcare Family, Austin, TX, USA; President, ACMQ 2:45pm-3:30pm Moderator: Samer Ellahham, MD, EFQM, FACP, FACC, FAHA Chief Strategy Officer, Medical University of South Carolina, Charleston, SC, USA; President-elect, ACMQ David Mayer, MD Vice President, Quality and Safety, MedStar Health, Washington, D.C., USA Katherine Reller, RN, MS, CPHQ Interim Director Accreditation, Mission Health; President and CEO, Reller Consulting LLC, Rochester, MN, USA Nawal Al Kaabi, MBBS Consultant Pediatric Infectious Diseases and DIO, SKMC, Abu Dhabi, UAE Mariam Buti Al Mazrouei, MD, CQM, FACHE Acting CEO, Ambulatory Healthcare Services, Abu Dhabi, UAE Timothy B McDonald MD, JD Professor of Anesthesiology, Weill Cornell Medical College in Qatar. Medical Director for Quality and Safety, Sidra Medical and Research Center, Doha, Qatar 3:30pm 4:00pm Posters and Refreshments Best Abstracts: 5 speakers, ten-minutes each for presentation and Q&A Mariam Buti Al Mazrouei, MD, CQM, FACHE Acting CEO, Ambulatory Healthcare Services, Abu Dhabi, UAE 4:00pm 5:00pm Nawal Kaabi, MBBS Consultant Pediatric Infectious Diseases, DIO, SKMC, Abu Dhabi, UAE Chief Strategy Officer, Medical University of South Carolina, Charleston, SC USA; President-elect, ACMQ 7

Day 2: Saturday, October 31, 2015 8:00am- 8:45am 8:45am 9:00am 9:00am 10:00am Registration Welcome Ali Al Obaidli, MD, FRCP, ABIM, CPE, FACP Group Chief Academic Affairs Officer, SEHA, Abu Dhabi, UAE President, American College of Medical Quality Keynote: Education: Integrating Quality into Training CEO and President, Clinical Enterprise, Seton Healthcare Family, Austin, TX, USA; President, ACMQ Nawal Al Kaabi, MBBS Consultant Pediatric Infectious Diseases and DIO, SKMC, Abu Dhabi, UAE Concurrent Sessions: 10:15am 11:00am Technology to Optimize Patient Safety Chief Strategy Officer, Medical University of South Carolina; Charleston, SC, USA; President-elect, American College of Medical Quality Gregory Raglow, MD, FAAFP Director of Health Informatics, SEHA, Abu Dhabi, UAE Bernadette Kelly, BSc, MPH, CPHQ Corporate Clinical Quality Manager, SEHA, Abu Dhabi, UAE - Data Validation - Over-utilizing EMR - SBAR Communication Technique - Advanced technology Crew Resource Management Katherine Reller, RN, MS, CPHQ Interim Director Accreditation, Mission Health; President and CEO, Reller Consulting LLC, Rochester, MN, USA Jacqueline Arnold, RN, MSN Senior Director, Multidisciplinary Simulation Center, Cleveland Clinic Abu Dhabi, Abu Dhabi, UAE Zahra Saeed Baalawi, DBA Corporate Clinical Education Manager, SEHA, Abu Dhabi, UAE - Team STEPPS - CRM 11:00am- 11:30am Coffee/Tea/Networking/Posters Updates in Health Care Quality in Abu Dhabi and Region Speaker from Health Authority Abu Dhabi To Be Confirmed 11:30am-12:15pm Timothy B McDonald MD, JD Professor of Anesthesiology, Weill Cornell Medical College in Qatar. Medical Director for Quality and Safety, Sidra Medical and Research Center, Doha, Qatar 8

Panel Discussion: Cutting Edge Looking Forward Faculty: CEO and President, Clinical Enterprise, Seton Healthcare Family, Austin, TX, USA; President, ACMQ 12:15-12:40pm Samer Ellahham, MD, EFQM, FACP, FACC, FAHA Chief Quality Officer, SKMC, Abu Dhabi, UAE Chief Strategy Officer, Medical University of South Carolina, Charleston, SC, USA; President-elect, ACMQ David Mayer, MD Vice President, Quality and Safety, MedStar Health, Washington, D.C., USA Katherine Reller, RN, MS, CPHQ Interim Director Accreditation, Mission Health; President and CEO, Reller Consulting LLC, Rochester, MN, USA Meeting Conclusion 12:40-12:45pm Ali Al Obaidli, MD, FRCP, ABIM, CPE, FACP Group Chief Academic Affairs Officer, SEHA, Abu Dhabi, UAE CEO and President, Clinical Enterprise, Seton Healthcare Family; President, ACMQ, Austin, TX, USA 12:45 pm 2:00 pm Lunch and Prayer 2:00pm 5:00pm American Board of Medical Quality: Paper-Based Exam for Medical Quality Certification Eligibility Criteria: Clinical and Non-Clinical Staff with Master s Degree and Above (Non-Doctorate level individuals must be Members of the ACMQ) Administered by ABMQ staff 2:00pm 3:30pm Concurrent Workshops Measuring and Improving Patient Safety Culture Stephen Powell, MSc, DHA(c) Chief Executive Officer, Synensis, USA Daniel Baily, MS Director, Analytics, Synensis, USA - Patients: The Missing Healthcare Team Member In The Medical Care Team Over-utilizing EMR - Creating a Safety Net in Health Care by Engaging Patients and Families Open Disclosure Workshop David Mayer, MD Vice President, Quality and Safety, MedStar Health, Washington, D.C., USA Timothy B McDonald MD, JD Professor of Anesthesiology, Weill Cornell Medical College in Qatar. Medical Director for Quality and Safety, Sidra Medical and Research Center, Doha, Qatar 9

British Medical Journal Publication Workshop Yasir Khan, MBBS, MSc Clinical Specialist Middle East, Far East & Australia, British Medical Journal, Abu Dhabi, UAE 3:45pm - 5:15 pm Overview of the publishing process and types of publication What editors look for and how to increase the likelihood of acceptance SQUIRE and it s role in quality improvement Structuring your introduction, background, methods, results and analysis Formulating your abstract and finalizing your manuscript The submission process and common mistakes to avoid Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Indiana State Medical Association (ISMA) through the joint providership of Community Health Network, The American College of Medical Quality and the Abu Dhabi Health Company. Community Health Network is accredited by the ISMA to provide continuing medical education for physicians. Designation: Community Health Network designates this live activity for a maximum of [18.5] AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. 10