Clinical Governance for the NZ Health Sector

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

In this presentation we define the components of clinical governance and the journey that every organisation should be undertaking to deliver better patient outcomes.
• 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

The Ministry requires DHBs to publically report their health target performance against other DHBs. Does this lead to transparency and better results as expected by the Ministry?
• 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

The 6 hour emergency department turn around targets set by the Government is a key goal that all DHBs are to achieve. Using Middlemore Hospital as an example, we examine the journey undertaken to reduce turnaround times and how these processes contribute towards better clinical governance overall.
• 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

The new proposed integrated family health centres are to provide better services by “devolving” secondary care into the community. This presentation covers our vision of the IFHC, examines the expected impact on the community, and how it fits within the overall 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

The concepts of quality and risk management are very often seen as part of ‘clinical management’ rather than part of clinician responsibility. In the last year or so, Waitemata DHB has altered its clinical governance paradigm striving to make these concepts part of clinician priorities and dialogue.
• 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

Clinical governance is about improving patient outcomes and streamlining the progress. In the current environment there has been an increased focus on ensuring you get value for dollar. In this workshop we explore how concepts and metrics from different industries can be brought to bear upon the health sector.
• 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

With shrinking budget and rising costs, DHBs face an uphill battle in delivering services for less. This case study examines how Counties-Manukau DHB adapted to budgeting pressures to deliver $15 million in savings by improving efficiency and changing staff behaviours.
• 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

Performance reports can only truly be effective if they are used as part of the quality improvement process rather than just to satisfy stakeholders. Using a number of real case studies, we examine how reporting can help contribute to better 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

Clinical leadership and accountability need to be concepts that are firmly rooted in the culture of an organisation. This presentation examines:
• 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)

Incident reporting and open disclosure is important because it is morally right and enables systemic issues to be detected and corrected. How can we ensure this doesn’t become a finger-pointing exercise and that clinicians and staff work together to create a no-blame culture?
• 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

Both General Practice NZ and ASMS agree that increasing cross sector collaboration is required in order to foster clinical governance and leadership. But what does this mean for organisations and patients?
• 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

In this panel discussion we examine what clinical governance means for PHOs, what core lessons can be learnt and the steps taken to integrate primary and secondary health care.
• 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

Patient safety is the epicentre of all risk management and must incorporate factors such as a culture of safety, strong leadership, measurement and evaluation of performance and incident management.
· 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

The new Quality and Safety Improvement Commission has recently been announced and will be sharpening its strategy. In this address, we examine:
• 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

The Quality and Improvement Committee note that 308 people treated in their hospitals were involved in an adverse clinical event that was actually or potentially preventable. How can you deal with an event and ensure lessons learnt don’t lose momentum?
• 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

A good clinical audit will provide recommendations that will boost performance of a health organisation rather than just a list of criticisms. This presentation examines the role clinical audits play in helping to improve and streamline the performance and management of staff to ensure a higher standard of patient safety.
• 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

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