Clinical Governance for the NZ Health Sector
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About
In the last year, the health sector has seen significant push towards collaboration efforts both within and between health organisations, along with a raft of new initiatives such as public health target benchmarking, integrated family health centres and the new Quality and Safety Improvement Commission. It can seem a challenge when many health organisations are being asked deliver and improve on their services on reduced budgets.
Yet the goal has always remained the same; managing risks and ensuring patient safety is the top priority.
This year’s 3rd Annual Clinical Governance for the NZ Health Sector will feature case studies and presentations that will explain just how health organisations have transformed themselves to reach the goal of better quality health care and better governance through better utilisation of existing resources.
Featuring a keynote address by Dr Pat Tuohy from the Ministry of Health on public benchmarking and how transparency and accountability lead to improved patient safety.
And expert case studies by:
Allan Cumming, General Manager - Quality Improvement Unit, Counties-Manukau DHB
Learn how Counties-Manukau DHB have streamlined and achieved better patient safety while lowering costs.
Dr Johan Rossman, Chief Medical Officer and Renal Physician, Waitemata DHB
Understand how concepts of risk management and accountability can be made relevant to clinicians and how to develop clinician buy-in.
Dr Jeff Brown, Clinical Director – Child Health, MidCentral DHB and General Practice NZ
Hear how PHO’s within the community have been championing better clinical governance and the latest joint-successes by primary and secondary health care providers.
2 for 1
2 for 1 Offer
Register two people from the same organisation at the same time, and the second delegate attends for free.
Agenda
Day 1
8.30
Registration & Coffee
9.00
Opening remarks from the Chair
Maureen Robinson, Director, Communio
9.10
Components of good clinical governance and its application across health organisations
• Defining good clinical governance
• Results of 3 recent reviews of New Zealand DHBs in the area of clinical governance
• Ways the models and results can be shared and applied across sectors
Maureen Robinson, Director, Communio
10.00
Morning tea
10.30
Keynote Address: Exploring the link between public benchmarking and better governance
• Rationale for public transparency
• Overall DHB performance over the last couple of years
• Evidence of real change or just background noise?
Dr Pat Tuohy, Chief Advisor, Child & Youth Health
11.20
Case Study: Reaching Government set health targets and the process towards better clinical governance
• What had to change? The difference in then and now
• Our processes in place to optimise delivery times
• Linking health targets and processes to good governance
Dr Vanessa Thornton, Clinical Head - Emergency Care, Middlemore Hospital
12.10
Lunch
1.10
Case Study: The role of Integrated Family Health Centres in the new health strategy
• Concept of integrated health centres
• What does integration mean for GPs, PHO and other organisations?
• How will the centres promote better patient management?
Cathy O’Malley, CEO, Compass Health
2.00
Case study: Bridging the gap between management and clinicians to develop better health care
• Why bring accountability into the health care equation?
• Strategies for relating risk management to the clinician
• How do you get clinician buy-in and engagement?
• Aligning management to clinician activities and vice versa
Dr Pamela Melding, Associate Chief Medical Officer Psychiatrist Mental Health Services, Waitemata DHB
2.50
Mini-Workshop: Developing metrics around clinical governance and ensuring value for dollar
• Turning measurements into dollar figures
• Calculating ROI and using the figures to fine tune the process
• Developing matching cost reduction methods
Mel Thornley, Director, Thornley Group
3.30
Afternoon tea
3.45
Case study: Achieving good clinical governance on a shrinking budget
• Increasing efficiencies and finding areas to increase savings without comprising quality
• Reorganising the budget to accommodate new priorities
• Changing staff behaviours to be more efficient
• Lessons to take away
Allan Cumming, General Manager - Quality Improvement Unit, Counties-Manukau DHB
4.30
Case study: Clinical performance reporting and how it can contribute to patient safety and cost control
• Defining your figures – What should you be reporting on?
• Transforming reports to assist in quality improvement and cost control
• Changing behaviour – Getting people to report the right things
Trevor Read, Executive Director, Francis Group
5.15
End of day one & networking drinks
Day 2
9.00
Opening remarks from the Chair
Dr Lee Mathias, Director, Lee Mathias Limited
9.05
Instilling clinical leadership, ownership and accountability into an organisation
• How to develop a framework of clinical leadership
• Creating a culture of ownership and accountability
• Modifying and maintaining the behaviour of staff
Dr Lee Mathias, Director, Lee Mathias Limited
9.50
Case Study: Implementing Open Communication (Open Disclosure)
• Evidence for open disclosure as good practice
• Guidelines for a good system of open disclosure
• Developing a peer-supported no-blame culture
• Results of our open disclosure system
Kate MacIntyre, Patient Safety Officer, Capital & Coast DHB
10.30
Morning tea
10.50
Case study: Cross-sector collaboration between Primary and Secondary health care organisations
• Reasons for increasing collaboration
• New strategies to ensure better patient outcomes and controlling quality
• Case studies where collaboration has brought about better outcomes for patients
Dr Jeff Brown, Clinical Director President of ASMS
MidCentral DHB
Bev O'Keefe, Executive Chair, General Practice NZ
11.30
Panel Discussion: Lessons from PHOs on clinical governance in collaboration
• What does clinical governance mean for PHOs and how does it differ from secondary care?
• Strategies for horizontal and vertical collaboration between primary and secondary care providers
• How can the relationship be strengthened?
• What are the new areas of collaboration and holistic approaches?
Dr Jeff Brown, Clinical Director - Child Health President of ASMS, MidCentral DHB
Bev O'Keefe, Executive Chair, General Practice NZ
Dr Linda Rademaker, Medical Director, Pinnacle Group
Damien Hannah, Clinical Facilitator, HealthWEST
12.10
Lunch
1.10
Building a patient safety culture for maximum effect: a primary care perspective
· How do you establish such a culture within your organisation to ensure maximum effectiveness?
· Whose responsibility is it?
· How do you ensure continuity between process improvement and implementation?
· How do you involve patients?
Hayley Lord, Quality Manager, Pinnacle Group
2.00
Strategic direction of the new Quality and Safety Improvement Commission
• Role of the new clinician-driven commission
• Areas of strategic focus
• Reducing sentinel events through better patient care
• What needs to be done and where to from here?
Geraint Martin, CEO, Counties Manukau DHB
2.45
Afternoon tea
3.00
Case study: Learning from adverse events and delivering better patient safety
• Root causes of adverse events
• Creating an effective strategy and response
• Effectively communicating findings and changes
• Ensuring adoption of the new measures
Dr Patrick Alley, Surgeon Director Clinical Training, Waitemata DH
3.40
The role of auditing in improving clinical governance
• Characteristics of an ideal audit
• Developing a better management plan
• Expanding accountability and clarifying responsibility of staff
• Creating an audit with recommendations that are adopted
Dave Evans, Director, International Certifications Limited
4.15
Closing remarks from the Chair and end of conference


