In Deepak Doshi’s approach to patient quality and safety governance, worrying about KPIs is not a part of the scope. “KPIs will take care of themselves when you create the right culture and environment for staff”, he says. To many, this might seem daunting as everything generally starts with looking at data but at WMH, Deepak has demonstrated a transformation in mindsets and safety culture that tells us otherwise.

At WMH, collaborative discussions with senior clinical leads, supporting and listening to colleagues’ innovative ideas and promoting ‘Joy in work’ has contributed to a ‘culture of safety and quality’. This talk is an insight into the philosophy and approach underpinning open conversations around incidents alongside a strong top-down feedback loop to identify improvement opportunities. He’ll share:

• An insight into the Pyramid of Patient Safety Culture and why data is at the bottom
• Dissecting PREMs and patient feedback to ensure your facilities and services aren’t a source of friction
• Getting staff along the journey to approach a new way of approaching patient safety
• Why workforce wellbeing is liked to patient safety – how WMH is using digital technology to bring flexibility and lift staff morale

Assoc Prof Deepak Doshi

Chief Medical Officer
West Moreton Health

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Tim Jauncey

Staff Wellbeing Psychologist (Advanced)
West Moreton Health

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In 2018, THHS did not meet the National Safety and Quality Standards around use of restraints. As a result, a dedicated CNC role was created to drive organizational change and take a well governed, data-driven approach to uplift quality and safety standards around the use of restraints across THHS. Ross took lead on this and work done on quality and safety systems and governance even achieved recognition from the National Safety and Quality Standards Committee as best practice since. In this talk, Ross will take you through what it takes to build a robust, well governed safety and quality regime underpinned by principles of continuous improvement and data. He will share:

• The Six Core Strategies employed to achieve a reduction in use of restraints
• Developing a strong governance and incident triaging and reporting process to identify opportunities for continuous improvement
• Bringing clarity to roles, responsibilities and best practice behaviours to manage safety incident risks
• Incorporating demographic data into RISKMAN Triage Reports to identify trends in safety incidents for further staff training

Ross Nicholls

Clinical Nurse Consultant – Least Restrictive Practices
Townsville Hospital and Health Service

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• How did COVID impact clinical governance and quality assurance at your health service?
• How has your organisation measured patient experience of digital health care? Has your organisation learned and changed because of feedback from patients about their experience of digital health care?
• What needs to change to ensure Consumer Advisors / Consumer Representatives can contribute to a robust clinical governance in the expansion of digital health?
• Culture is an important part of clinical governance. How does increasing use of digital health influence culture? In positive ways? In negative ways?
• What opportunities have digital audit systems and data provided around innovating care quality and risk assurance practices?

Panellists:

Assoc Prof Deepak Doshi

Chief Medical Officer
West Moreton Health

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Dr Debra Tennett

Executive Director of Medical Services & Clinical Governance
South West Hospital and Health Service

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Shirley Thompson

A/ADON Patient Safety and Quality Improvement
Metro South Health

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Logan Emergency Department is the 4th busiest ED in AUS and yet only the 56th largest hospital in the country - this brings with it a constant struggle to manage care flow. Access is also challenge with over 106,000 patients being served around the year across 170 beds. Emma is leading the practice improvement effort at Logan ED with a focus on leveraging analytics and data to inform models of care and bring change to this situation. Her role is all about telling the Logan ED story through data solutions, dashboards and models which unite the understanding of risks, challenges, KPIs and metrics right from the executive leadership team to the nurse. In this talk, she’ll show us how she’s brought data to life to make a tangible impact on patient outcomes.

• A look at the dashboards and reports powering a clear, simple understanding of the Logan ED’s performance and “health”
• Changing the conversations around risk and safety – building awareness and driving models of care improvements through data-led insights and escalations of incidents
• Building a strong governance mechanism for trust in data assets and sources
• Upskilling staff to develop capability & skills – making business practice improvement a core skill for health staff

Emma Versluis

Business Practice Improvement Officer/Quality Clinical Nurse Consultant
Logan Emergency Department

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For consumer partnerships to make a true impact at a health service, a need to move beyond pockets of innovation is necessary. Metro South Health has recognized the importance and value of consumer engagement by undertaking a re-design of its clinical governance to include consumer partnering within its frameworks, policies and systems. In this talk, Jodie will take us through:

• What a true, top-down, organizational-wide commitment to consumer engagement looks like
• Bridging the gap between policy and bed-side to ensure patient-centred thinking becomes business as usual
• Remunerating and budgeting for consumer representatives 
• Improving the use and reporting of PREMs to bring ward-level improvements through a consumer-lens backed back data

Jodie Nixon

A/Manager Consumer Partnering | Clinical Governance
Metro South Health

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Australian Bureau of statistics figures confirm there are 274 doctors per 100,000 in remote/very remote areas compared with 433 doctors per 100,000 in major cities – the challenge of attracting and retaining trainees and medical workforce in rural and remote regions is the main factor preventing communities from accessing a high standard of comprehensive, quality care closer to home.

At Darlings Down HHS, Dan and his team identified an opportunity to solve a key bottleneck that exists around training and support of trainees. In this talk, Dan will take us through the Medial Outreach Education & Training (MOET) model that was created to improve infrastructure and partnerships to make sustainable care a reality across its four facilities that has driven positive results. He will share:

• Reflections on the tension and funding models between hospitals and primary care which challenge the rural workforce sustainability objective
• The value a training-led rather than the traditional service delivery approach brings to rural workforce development
• The role of collaboration amongst rural hospitals, small community hospitals, general practices and community-based health services such as pharmacies in supporting workforce sustainability

Dr Dan Halliday

Senior Medical Officer
Darlings Downs Hospital and Health Service

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Patient safety has developed from a find and fix reactive model towards an approach which focuses on human performance, aiming to understand how individuals adapt and respond in complex systems to ensure 'things go right'. In this talk, we’ll see Judi reflect on herexperience with employing clinical coaches at the point of care to govern patient safety and support staff to anticipate and proactively respond to emerging issues, particularly when complex practice situations change unexpectedly. She’ll highlight the lessons learned from introducing the coaches to the clinical environments and the benefits they were able to generate from a safety-culture standpoint.

• The linkage between clinical coaches and patient safety outcomes
• Backing clinician coaches impact with evidence to continue funding and sustaining value
• Why nurse education is a crucial cog to healthcare service sustainability

Australian Digital Health Agency has been undertaking a transformation off late to ensure the digital systems it supports the health system so that technical and non-healthcare focused engineers and teams are better equipped to related to healthcare and design solutions that are clinically sound. As a result, the organization has developed a new clinical governance framework which brings clinical governance, safety and quality principles closer to software and engineering teams and will result in the organization improving the preparedness of its digital systems for the needs of healthcare. 

In this talk, Liz will take us through this journey and document the frameworks and protocols that shall help ADHA uphold clinical governance responsibilities as a system provider to healthcare.

Liz Keen

Director Clinical Governance - Clinical and Digital Health Standards Governance
ADHA

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