Clinical Performance 2012


With emphasis on leadership, integration and performance-centric cultures, this program offers a mix of compelling case studies and comprehensive topical sessions that discuss innovative ways to achieve the goals set by the Ministry. The opening Keynote, Improving clinical outcomes through strategic leadership, will be addressed by Mr. Geraint Martin, CEO of Counties Manukau District Health Board. Kerrie Hayes, Director of Nursing and Midwifery, Capital & Coast DHB will deliver the consecutive address: Clinical Performance: A trajectory of people, work cultures and health goals.

In recognition of increasing value for integration across primary and secondary health-care organisations, we will pay special attention to the collaborative efforts between the PHOs and DHBs who are working closely at both regional and national levels, in an attempt to convert their shared visions into reality. In this space, we have assembled case studies presented by:

  • Waitemata DHB
  • Easthealth PHO 
  • The Midland Cancer network

Other case studies relating to targets will be presented by:

  • Auckland DHB
  • Middlemore Hospital/CMDHB

The conference will also address compounding issue of patient safety in hospitals. Dr. Janice Wilson, CEO of the Health Quality and Safety Commission will talk about the safety and sentinel reporting system- an initiative that will help hospitals considerably reduce the number of sentinel events occurring in a year. Additional sessions in this area include frameworks for the PHOs to adapt best practice patient safety cultures in primary settings and the WHO surgical safety checklist for the DHBs respectively.

Lastly, the sessions we have assembled this year will compel you to think and perhaps act differently. The conference will deliver a new capacity to share practical ideas, build supporting networks and empower you towards becoming better leaders. 



Developing Key Performance Indicators
30th August 2012, Crowne Plaza, Auckland  9.00 a.m – 5.00 p.m 

•  Stimulating the right KPIs
•  Accountability at frontline services: Embedding the concept of KPIs at frontline
•  Practical solutions to engage your staff in developing and improving on KPIs
•  How and why to involve the senior management/decision-makers?
•  KPIs from the patient’s perspective
•  Utilising the right data: Eliminating waste and inefficiency while recognising KPIs
•  Leading staff behaviour for ongoing improvement of the organisation
Mel Thornley, Managing Director, Thornley Group

Mel Thornley, Managing Director of Thornley Group, has over 20 years of experience in the implementation of Business Process Improvement. Thornley Group have worked with medical, manufacturing, food, financial and service organisations around New Zealand. Their expertise includes implementation of performance improvement strategies and their clients include The Royal New Zealand College of General Practitioners, Fisher & Paykel Healthcare and the New Zealand Defence Force.


Agenda: Day 1


Registration & Coffee


Opening remarks from the Chair

Robin Gauld, Professor Preventive & Social Medicine, University of Otago


CEO Keynote Address: Improving clinical outcomes through strategic leadership

Examine the value of great leadership on strategic management, corporate governance and clinical performance:
• The role of leaders in ensuring quality patient care
• How do we recognize and develop future leaders?
• Issues and challenges relating to recruiting clinical leaders: How do we overcome these hurdles?

Geraint Martin, CEO, Counties Manukau District Health Board


Keynote Address:Clinical performance: A trajectory of people, work cultures and health goals

Developing performance-centric cultures is vital to high performance. What does this really mean in practical sense and how can this be implemented holistically?
• Translating vision to reality: What does (or should) a high performance organisation look like? Does it reflect in the culture?
• "The tension in targets"
• Defining success: Patient perspectives on high performance hospitals
• Developing patient-centric frameworks for high performance

Kerrie Hayes, Director of Nursing and Midwifery, Capital & Coast DHB


Morning break & refreshments


Case Study: More heart and diabetes checks

What are the practical implications of the changes applied to the “better diabetes and cardiovascular services” and how are clinical leaders and practitioners embedding these changes?
• Noting key areas that have been affected positively due to the changes made
• Top tips from the target area champion

Dr. Brandon Orr-Walker, Clinical Head of Diabetes, Middlemore Hospital


The advantages and disadvantages of a target based health policy

• Discuss the possible consequences of the target policy on clinical performances
• A global perspective: Studying alternative ways of enhancing quality and performance.

Robin Gauld, Professor Preventive & Social Medicine, University of Otago
Dr. Tim Tenbensel, Head of Sections- Health Systems, University of Auckland


Panel Discussion: Is it possible to redesign our healthcare system in ways that will enhance clinical performance?

• Does the structure of healthcare system matter for clinical performance?
• Is the New Zealand healthcare system unnecessarily or appropriately complex?
• What lessons are available form other countries?
• Should we be looking to other countries for lessons or do we have great NZ examples that are not widely enough promoted?

Robin Gauld, Professor Preventive & Social Medicine, University of Otago
Facilitated by
Dr. Tim Tenbensel, Head of Sections- Health Systems, University of Auckland




Keynote Address: Zero Harm: The safety and sentinel reporting system

Fact: A total of 377 sentinel events occurred in public hospitals between 2011 and 2012 alone; at the rate of more than one every day of the year.
• Frameworks that support the aims of the sentinel reporting system
• The role of the HQSC in ensuring Zero Harm: how they collaborated with the DHBs in ensuring Zero Harm
• To err is human: But playing the blame-game is not the answer

Dr. Janice Wilson, CEO, Health Quality and Safety Commission


Case Study: Collaboration of Midland Cancer Network and the DHBs in the midland region

• Strategic and innovative plans designed by the network to reduce the incidence and impact of cancer in the midland region
• Their role in helping smokers quit or programs for early detection
• Reducing inequalities for people with cancer, and
• Strategies to continue to support the midland region DHBs with cancer treatments

Jan Smith, Network Manager, Midland Cancer Network


Afternoon break & refreshments


Patient safety in primary care: where do we start?

To date, most initiatives to improve patient safety have focussed on the health care delivered in hospitals, but research suggests patient safety in primary care also needs addressing. This paper discusses use of an adapted UK safety culture tool in New Zealand general practices to educate practice teams about the dimensions of patient safety and to facilitate team communication about patient safety incidents.

Katharine Wallis, Senior Research Fellow, University of Otago


Updates to the WHO patient safety checklist

• Examples of improvements seen in the overall safety culture in New Zealand
• The advantages of bringing a global standard of care to action in New Zealand and studying its impact on clinical performance
• Studying additional changes and updates made to the WHO checklist and understanding its implications on surgical and patient safety.

Ian Civil, Director of Surgery, Auckland DHB


End of day one and networking drinks

Agenda: Day 2


Welcome back from the Chair

Professor Peter Davis, Director, Centre of Methods and Policy Application in the Social Sciences (COMPASS)


Case Study: Primary Health Integration: Scope and necessity

• What are the future plans of ADHB and WDHB to continue to support their aims?
• Holistic approach for integration: Strengthening relationship across boundaries and bridging the gap

Dr. Stuart Jenkins, Clinical Director- Primary Care, Waitemata DHB


Meeting targets under condensed budgets

Shrinking budgets and rising costs pose an uphill battle for the DHB’s especially under tough economic conditions.
• How to meet health targets effectively and manage budgetary pressures?
• Linking financial performance to clinical outcomes for better understanding of reducing waste and inefficiencies
• How to manage budgets without having to compromise on quality?
• How to direct and prepare your workforce to perform under financial pressures?

Allan Cumming, Systems Improvement Manager, Southern DHB


Tea break & refreshments


Mini Workshop: Enhancing the capacity and capability of your workforce

Over the last few decades, New Zealand has gone from being one the most productive nations in the OECD to of the least productive. With continued financial constraints and uncertain economic times, this workshop will challenge the typical working environment to provide you with innovative ways to build a competent and productive workforce.
• The truth can hurt, so let’s ignore it
• The importance of ensuring buy-in and role-modelling
• Productivity vs. performance
• What comes first, staff engagement or performance?
• Staff Turnover – who cares!
• Kolbe profiling: What can we learn about individuals and professions?

Robert Berg, Manager Workforce and Strategy, Procare Health Ltd
Geoff Smith, Senior Manager People & Culture, Procare Health Ltd
Catherine Abel-Pattinson, Senior Manager Workforce & Strategy and Community & Funding, Procare Health Ltd




Improving elective care through ERAS programs

This session will help you apply strategies best suited for your hospital to promote better patient outcomes after a major surgery. Dr. Hill will illustrate how the ERAS can be used to improve quality of patient care, reduce risks, costs and length of stay.
• ERAS- What is it and what does it offer my hospital?
• How do I implement and sustain the program?

Dr. Andrew Hill, Clinical Director of Research, Ko Awatea


Case Study: Strategic approaches to enhance access to elective surgeries

• Essential leadership and tactical skills required to ensure the success of the strategies.
• How do they plan to stay consistent in the future?
• What are some of the challenges faced in ensuring better access to elective surgery and how to deal with them?

Andrew Connolly, General Surgeon/Head of Department, Middlemore Hospital


Afternnon break and refreshments


Case Study: Innovative approaches to reduce acute demand at hospitals

The Primary Options for Acute Care (POAC) is a relatively new initiative that provides solutions to assist in managing the acute demand of hospital beds in 3 regions.
• How has this initiative helped each of the DHBs involved?
• What is the framework designed to support the aims of the POAC?
• Clinical pathways under review for the future

Dr. Campbell Brebner, Clinical Director, EastHealth PHO


The role of IT in regional services planning

The regional services planning necessitates the DHBs to work together to plan and deliver better quality health services in order to make the best of the limited resources.
• What is the role of IT in Regional Services Planning?
• How can IT help the DHBs achieve better performance and provide quality healthcare?

Dr. Andrew Bowers, Medical Director of IT, Southern DHB


Closing remarks from the Chair and end of conference


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