26-28 April 2017 ExCel London Event Guide Igniting Collective Excellence internationalforum.bmj.com @QualityForum #quality2017
Silver Sponsors
Table of Contents Registration sponsor International Improvement Science Networking Zone and session sponsor Welcome to the and Research Symposium sponsor International Forum 03 Hello Welcome On behalf of the Programme Advisory Committee, the Institute for Healthcare Improvement and BMJ, we wish 04 Practical Information you a very warm welcome to International Forum London 2017. We have a rich and inspiring programme in store for 05 you, representing the very best of new thinking from the International Forum App global quality improvement movement. 06 London 2017 Highlights
08 Keynote Speakers Session sponsors Over the next few days we will showcase the best in healthcare improvement from across the world and will reflect on the solutions for the challenges we face in the future. 12 Wednesday 26 April Programme Igniting Collective Excellence This is the theme of our time together in London. We will focus on how the power 14 of collaboration can inspire all parties, including patients, families, new healthcare Wednesday 26 April List of Speakers professionals and improvement leaders to deliver top quality, person-centred care in a sustainable framework. 16 Thursday 27 April Programme It is in partnership with relatives and patients that we define new systems of care built 18 around the patient’s perspective, using concepts such as resilience, reliability and Thursday 27 April List of Speakers wholeness. Our collaboration with relatives and patients empowers those individuals that need our services to work with us to transform our care and enable us to achieve a 20 completely new level of performance. Friday 28 April Programme
The conference is a festival of ideas and a celebration of transformative initiatives in 22 healthcare. Friday 28 April List of Speakers
We would like to personally thank everyone involved, including reviewers, speakers, 24 poster presenters, facilitators, sponsors and partners for their knowledge, commitment Featured Sessions and dedication in bringing this International Forum to you. 25 Networking Opportunities We hope you enjoy this International Forum and your stay in London, and that you leave ready to transform, innovate and inspire. 26 The Night Forum We also look forward to welcoming you later this year to International Forum Kuala Lumpur 2017 (24-26 August) and to the International Forum in Amsterdam next year (2-4 28 May 2018). Poster Sessions and Video Posters
30 Students and Junior Healthcare Abstract Reviewers Professionals Programme 32 We would like to thank our colleagues for their time spent reviewing poster and improvement science and research Sponsored Special Interest Sessions abstract submissions. 36 Floor Plan
Helen Bevan | Christopher Burton | Sonya Crowe | Pedro Delgado | Tim Draycott | Dougal Hargreaves | Joanne Healy 38 Emelie Heintz | Andreas Hellstrom | Göran Henriks | Elin Larsson | Ian Leistikow | Beth Lilja | Cristin Lind | Carl Macrae Lord Ara Darzi Jason Leitch Helen Bevan Sponsors and Exhibitors Co-chair of the London 2017 Co-chair of the London 2017 Co-chair of the London 2017 Shaun Maher | Ashley McKimm | Ramini Moonesinghe | Fiona Moss | Margaret Murphy | Eleanor Murray | Jo-Inge Myhre Programme Advisory Committee Programme Advisory Committee Programme Advisory Committee 42 Joseph Freer | Josephine Ocloo | Jennifer Perry | Kiku Pukk Härenstam | Martin Rejler | Anna Sarkadi | Johan Thor | Justin Waring Professor of Surgery, Institute National Clinical Director, The Chief Transformation Officer, Programme Advisory Committee of Cancer Research, Imperial Scottish Government; Scotland Horizons team, NHS England; Craig White | Sharon Williams | Thomas Woodcock | Ulrica von Thiele Schwarz College, London; England England 43 A Postcard to Your Team
3 internationalforum.bmj.com @QualityForum #quality2017 Practical Information International Forum App
Welcome Reception App features Please join us at the International Forum welcome reception. Attendees Maps My notes Thursday 27 April, 17:30-18:30 in the Exhibition Hall. The Welcome Reception will be followed by The Night Forum, taking place in three Discover who else is attending and View venue maps and floor plans to find Add session notes and email them to connect with them via in-app messaging. your way around. yourself for future reference. Please make venues, all walking distance from ExCel London. For further details, see page 26-27. Use ‘My Profile’ to add as little or as much sure to save your notes as you go to information about yourself as you wish. Activity feed avoid losing any. Pull down to refresh and stay up to date. Schedule Swipe up to browse through important Surveys View the full programme by day. Know announcements. Tell us what you think about individual If you have any questions or require any information, Assistance where to be and when to be there. Use sessions and the conference as a whole. please visit the registrations enquiries desk or ask a member of the ‘My Schedule’ to view the sessions you Exhibitors International Forum Team (they will be wearing green shirts) who will Handouts/Presentations have pre-selected. be able to assist you. Browse exhibitors and save a list of companies you want to connect with. Speakers Handouts and presentations made Registration enquiries is located in the Exhibition Hall, Level 0. If you Read biographies of our expert speakers Documents available by speakers can be found on have brought your pre-printed badge with you, you do not need to go and view which sessions they will be internationalforum.bmj.com/handouts- Download session handouts and email to the registration desk on arrival. involved in. london-2017 and also in the International them to yourself for use after the Registration will be open during the following times: Forum App. conference. • Wednesday 26 April 08:00-09:00 Pre-day attendees only • Wednesday 26 April 13:45-18:00 Attendees of Student & Junior Healthcare Professionals Orientation Accommodation • Wednesday 26 April 16:00-18:00 All International Forum attendees Agency contact details How to get the app • Thursday 27 April 07:30-19:00 All International Forum attendees If you have booked your accommodation • Friday 28 April 07:30-17:00 All International Forum attendees through The Turner Agency (TTA) and need any assistance they can be contacted directly Wifi Access Wifi is available in all areas. Badges will be scanned each day when you enter the conference. on [email protected] or call Please select network enter username forum2017 and password Please be aware that you must wear your badge at all times during the 01233 822 078 between 09:00 and 17:00. forum2017 when prompted. International Forum as it shows the days you are eligible to attend and guarantees you entry to the venue on those days.
Wifi Access is available in all areas. Please select network ExCeL_London. On the landing page you’ll be directed to, enter 1 2 3 username forum2017 and password forum2017. The International Forum live stream and International Forum App is available to all attendees. For further information please see page 5. YouTube channel
Poster Viewings have been grouped into themes and can be viewed With such a comprehensive programme in the Exhibition Hall, Level 0, during registration, refreshments and and so many speakers, it has always been a lunch on the two main event days, Thursday 27 - Friday 28 April. challenge to get to all the sessions you want to go to. In addition there are daily Poster Sessions on the two main event days (see full details on the daily programme pages). These sessions provide Similarly to previous years, all the a great opportunity to view posters and interact with the authors who presentations on the main stage will be took part in the research and design of the work on display. streamed live via Livestream.
Certificates of Attendance will be emailed to you two weeks after the Access the live stream on livestream.com/ event. All attendees will receive a general certificate of attendance. IFQSH/London2017. Download app Find event Accreditation The International Forum in London has been approved The stream is publicly available and there is Log in Search for IFQSH in the App With the app open, click on for a total of 24 CPD credits by the Royal College of Physicians (RCP) in no need to sign in. Once the London event is store or GooglePlay. Once event ID, enter IFQSHLon and England (Event code: 109885). open, enter log in details as downloaded, open the app. press Download. These streamed sessions will remain follows: Attendees wishing to claim RCP CPD credits should sign the green available after the International Forum and register by the registration desk each day. will also be published on the International Username: Forum YouTube channel (https://www. your email address youtube.com/QualitySafetyForum), where Password: you can also view hundreds of sessions from forum2017 previous years of the International Forum.
4 5 London 2017 Highlights Coming soon
Streams Building Capability and Leadership Quality, Cost, Value This year our programme is structured with five streams. These Population and Public Health streams capture the essence and Safety key priorities of today’s quality improvement movement. Person and Family-Centred Care An Open Access journal for NEW Breakfast sessions Patients involved Learning and Networking Visit the Networking Zone, our Make the most out of every day you Patients have been at the heart healthcare improvement work dedicated space for networking and spend at the International Forum by of designing and reviewing the shared learning, to meet colleagues joining some of the wide range of programme, ensuring a greater focus and reflect on the programme new breakfast sessions on Thursday on the patient and the personal story. sessions. 27 April. Taking place before the ‘Person and Family Centred Care’ See page 25. first keynote of the conference, is again one of our biggest streams these include 25-minute rapid fire this year, with patient speakers and Special Interest sessions style updates on exciting quality patient representatives continuing to challenge our thinking to keep patients A number of special interest improvement projects to get you breakfast sessions will run before BMJ Open Quality will provide energised before the keynote address. at the core of our mission. Patients can connect with each other on Twitter the first keynote on Friday 28 April. Get a practical view of how to tackle using #qfpatients. resources for quality improvement The Night Forum challenges and progress in local New for this year, The Night Forum is a settings. See page 32-34. projects and publish research, QI must-attend and fun networking event London Experience Days taking place across three venues on Our popular Experience Days take projects, healthcare improvement Thursday 27 April. The Night Forum place at local healthcare sites as part Poster sessions and videos begins with the International Forum of our Wednesday programme. They Join our interactive, facilitated initiatives and educational Welcome Reception from 17:30 in the give a detailed and inside view of the poster discussion groups to explore Exhibition Hall. We hope to see you all best quality and safety initiatives in some of the wide range of quality improvement work on display, there. See page 26-27. the UK healthcare system. A visit to improvement work. the Marriott International Hotel will including initiatives that are still in also give a perspective on achieving progress. Send us your video posters excellence in customer care from to reach a wider audience and view them in our new poster theatre in outside healthcare. See page 12. the Exhibition Hall. See page 28-29. 7th Annual International Friday morning opening Improvement Science and East London NHS Foundation Research Symposium Trust (ELFT) Quality Improvement Our seventh annual International works with arts partners who help Improvement Science and them develop creativity and joy at Research Symposium aims work. Your Friday morning warm-up to connect researchers and (before the first keynote of the day) healthcare professionals involves ELFT staff and service users, who are at the frontline of Paul Griffiths (Creative Leadership implementing evidence- Department at the Guildhall based improvement School of Music & Drama) and the interventions. amazing London 2012 Olympic Pandemonium Drummers. See page 13. Visit now to submit your paper bmjopenquality.bmj.com
internationalforum.bmj.com @QualityForum #quality2017 Keynote Speakers
Keynote 1 Keynote 2 International Quality and Safety - where are we now and where are we going to? Patient Innovators Thursday 27 April, 09:15-10:30 Thursday 27 April, 16:15-17:15
Donald M. Berwick MD, MPP Lord Ara Darzi Sara Riggare Yogesh Jain President Emeritus and Senior Fellow, Institute for Professor of Surgery, Institute of Cancer Research, PhD student, Karolinska Institutet and Selfcare Expert; Public Health Physician and Pediatrician, Jan Swasthya Sahyog Healthcare Improvement; Former Administrator, Centers for Imperial College, London; England Sweden (People’s Health Support Group), Chhattisgarh; India Medicare and Medicaid Services; USA Yogesh Jain, a public health physician, has an MD in Paediatrics Lord Darzi holds the Paul Hamlyn Chair of Surgery at Imperial Sara Riggare is a “digital patient” who wants to give people from the All India Institute of Medical Sciences, New Delhi, Donald M. Berwick, MD, MPP, FRCP, President Emeritus and College London, the Royal Marsden Hospital and the coming after her the map she didn’t have. She uses what she where he has also served as a faculty member. He has founded Senior Fellow, Institute for Healthcare Improvement, is also Institute of Cancer Research. He is Director of the Institute of has learnt from managing her Parkinson’s disease for over in 1999 and continues to run a community health programme, former Administrator of the Centers for Medicare and Medicaid Global Health Innovation at Imperial College London and an 30 years in her doctoral studies at the Health Informatics Jan Swasthya Sahyog (People’s health Support group), in rural Services. Honorary Consultant Surgeon at Imperial College Hospital Centre at Karolinska Institutet in Stockholm, Sweden, where Bilaspur, Central India, alongside like-minded health professionals. NHS Trust. she researches models and methods for digital selfcare A pediatrician by background, Dr. Berwick has served on the Over 3000 people from the most marginalised villages, home to in chronic disease, self-tracking, patient engagement/ faculty of the Harvard Medical School and Harvard School of Leading research aimed at achieving best surgical practice indigenous people, access these services for their major health participation/empowerment and patient innovation. Public Health, and on the staffs of Boston’s Children’s Hospital through innovation in surgery and enhancing patient care needs. Medical Center, Massachusetts General Hospital, and the safety and the quality of healthcare, Professor Darzi has Sara had her first symptoms of Parkinson’s disease in her Yogesh has been involved in addressing the technical, operational, Brigham and Women’s Hospital. He has also served as Vice Chair published over 950 peer-reviewed papers. In recognition early teens and advocates for patients’ right to access to economic and political issues that determine the health care of the US Preventive Services Task Force, the first “Independent of his achievements in the research and development of their own medical data. She is a highly appreciated speaker, for the rural poor through clinical care, careful documentation, Member” of the American Hospital Association Board of surgical technologies, Professor Darzi has been elected as both in Sweden and internationally and has a blog called: observational research studies, developing appropriate health Trustees, and Chair of the National Advisory Council of the an Honorary Fellow of the Royal Academy of Engineering, a “Not patient but im-patient” (www.riggare.se). Sara is an related technology, training, and lobbying - all based on the Agency for Healthcare Research and Quality. He served two Fellow of the Academy of Medical Sciences and a Fellow of advisor to the Swedish Medical Products Agency, advisor to continual learning from this community health programme. Yogesh terms on the Institute of Medicine’s (IOM’s) Governing Council, the Royal Society. the Swedish government’s coordinator for Life Science, and has been mostly addressing issues of access, cost and quality was a member of the IOM’s Global Health Board, and served Medtech Magazine named her the most influential person in in health care, whether it is developing a blueprint for Universal on President Clinton’s Advisory Commission on Consumer In 2002 he was knighted for services to medicine and Swedish medtech in 2015. Protection and Quality in the Healthcare Industry. surgery and in 2007 was introduced to the House of Lords as health care in India, or addressing specific control programmes Professor the Lord Darzi of Denham. He has been a member for tuberculosis, malaria, leprosy, chronic diseases that include Recognized as a leading authority on health care quality and of the Privy Council since June 2009 and awarded the Order the NCDs, childhood infections and technical aspects of women’s improvement, Dr. Berwick has received numerous awards for of Merit in January 2016. health. his contributions. In 2005, he was appointed “Honorary Knight Commander of the British Empire” by the Queen of England in Observing health and illnesses through the lens of hunger and recognition of his work with the British National Health Service. extreme poverty, he believes in the continued role of the state as the primary provider of social services and also that unbridled Dr. Berwick is the author or co-author of over 160 scientific articles privatization is not the way forward in the unequal world in which and five books. He also serves as Lecturer in the Department we live. Yogesh shares his experiences at provincial, national and of Health Care Policy at Harvard Medical School, and he’s an international forums in his mission to highlight the burden and elected member of the American Philosophical Society. causes of illnesses among the poorest in the world. Tim Omer Diabetes Advocate and Hacker; England Facilitator Facilitators Tim worked in the IT industry specialising in the implementation of business systems and processes that empower staff with the right technology. As a type 1 diabetic for over 22 years, Cristin Lind Margaret Murphy Anya de Iongh Tim has been passionate about using his diabetes technology and data to help him manage his condition. Working with the Patient & Family Leader/Patient External Lead Advisor, WHO Patients Self Management Coach and #WeAreNotWaiting movement of ‘Citizen Health Hackers’, who Partnership Facilitator, QRC for Patient Safety Programme Patient Leader are producing Open Source solutions and hacking existing Stockholm; Sweden medical devices to their needs, he is also producing a mobile- based Artificial Panaceas System and prompting discussions about this patient- led movement at talks and conferences.
8 9 2018–19 HARKNESS FELLOWSHIPS in HEALTH CARE POLICY and PRACTICE Keynote Speakers I know of no comparable experience to Call for Applications widen someone’s professional horizons Keynote 3 Keynote 4 in health care, combined with their Three curves and seven stories The Sky is not the Limit: Inspiration in Success ability to meet those new expectations. Friday 28 April, 09:15-10:30 Friday 28 April, 16:15-17:00 THE COMMONWEALTH FUND invites promising mid- Harkness Fellows have unparalleled career professionals—government policymakers, academic access to thinkers and doers at the researchers, clinical leaders, hospital and insurance managers, highest levels across American health and journalists—from Australia, Canada, France, Germany, care and health policy. Crucially they the Netherlands, New Zealand, Norway, and the United Kingdom—to apply for a unique opportunity to spend up to also have the time and flexibility to 12 months in the United States as a Harkness Fellow in Health explore their own direction, priorities, Care Policy and Practice. Established by The Commonwealth and views. More generally, living Fund in 1925, the Harkness Fellowships were modeled and working in the United States is a Derek Feeley Chris Hadfield after the Rhodes Scholarships and aim to produce the next President and CEO, Institute for Healthcare Former Military Test-Pilot, Astronaut fascinating contrast to life at home–not Improvement; USA generation of health policy leaders in participating countries. Chris Hadfield is a former military test pilot-turned-astronaut. least for the things it tells us about our Derek Feeley, President and CEO, Institute for Healthcare He was the first Canadian to command the International Fellows are placed with mentors who are leading U.S. own NHS. Improvement (IHI), previously served as IHI’s Executive Vice Space Station (ISS). He became famous for his use of social experts at organizations such as Harvard University, Stanford President from 2013 to 2015, during which time he had media whilst aboard the ISS, sending back videos and executive-level responsibility for driving IHI’s strategy in five images from the mission, including posting his performance University, Kaiser Permanente, and the Institute for Healthcare focus areas: Improvement Capability; Person- and Family- of David Bowie’s Space Oddity on YouTube. Improvement to study issues relevant to The Commonwealth James Mountford Centered Care; Patient Safety; Quality, Cost, and Value; and Fund’s mission to support a high performing health care the Triple Aim. Joining the Royal Canadian Air Cadets as a teenager, Chris (2005–06 Fellow) started flying at 15 before leaving the family farm to join the system—insurance coverage, access, and affordability; Director of Clinical Quality and Value Prior to joining IHI in 2013, Mr. Feeley served as Director armed forces. He flew fighters for the Canadian Air Force UCL Partners General for Health and Social Care in the Scottish and flight-tested the latest generation of planes, including health care delivery system reforms (e.g., bundled payments, Government and Chief Executive of the National Health advanced prototypes, as well as researching and studying accountable care organizations, innovative approaches to Service (NHS) in Scotland. In that role he was the principal aeronautics and aviation systems. care for high-need/high-cost patients); cost containment; advisor to the Scottish Government on health and health and other critical issues on the health policy agenda in both care policy and on public service improvement. He also Selected by the Canadian Space Agency, Chris served as a provided leadership to NHS Scotland’s 140,000 staff in their NASA astronaut for 21 years. He crewed the Space Shuttle the U.S. and their home countries. A peer-reviewed journal delivery of high-quality health and health care. In 2013, Mr. to dock with and build the Russian space station, Mir. He led communications with astronauts from Mission Control on 25 article or policy report for Health Ministers and other high- Feeley was made a Companion of the Order of the Bath by level policy audiences is the anticipated product of the Her Majesty, Queen Elizabeth II, in recognition of his services Space Shuttle missions and went on to be NASA’s Director to health and health care. in Russia. On his second space mission he performed two fellowship. Harkness Fellows have published their findings spacewalks, during which he was blinded by contamination. in top-tier journals, including: BMJ, Health Affairs, and On Chris’ third spaceflight, this time as pilot of the Russian New England Journal of Medicine. Soyuz, he took command of the ISS. His crew set records for scientific work completed, as well as doing an emergency The Commonwealth Fund brings together the full class of spacewalk to fix a serious external ammonia leak. He also APPLICATION DEADLINES actively engaged with the public back on Earth via social Fellows throughout the year to participate in a series of high- media; his images of the planet, updates on life on the level policy briefings and leadership seminars with U.S. health September 5, 2017: ISS, and videos became a phenomenon. Along with 1.5 care leaders. Building on their fellowship experiences, Harkness Australia and New Zealand million Twitter followers he became a YouTube star with performances of Jewel in the Night, the first original song Fellows have moved into senior positions within academia, ever recorded in space and released on Christmas Eve 2012, government, and health care delivery organizations, making November 13, 2017: and David Bowie’s Space Oddity which has received over 30 Jason Leitch valuable contributions to health policy and practice at home Canada, France, Germany, million views. and in the United States. National Clinical Director, The Scottish Government; After a 35-year military and civilian career, Chris retired from the Netherlands, Norway, Scotland service after he returned to Earth. He has received multiple EACH FELLOWSHIP PROVIDES UP TO U.S. $130,000 IN and the U.K. Jason Leitch is the National Clinical Director of the Quality national and academic honours from Canada and around SUPPORT, which covers roundtrip airfare to the U.S., living Unit in The Scottish Government Health and Social Care the world. His best-selling book An Astronaut’s Guide to Life Directorate. Jason is an Honorary Professor at the University on Earth reviewed his life and career and the useful lessons allowance, project-related travel, travel to fellowship seminars, VISIT of Dundee. He was a 2005-06 Quality Improvement Fellow learned in leadership, teamwork and achievement. He also health insurance, and U.S. federal and state taxes. A family commonwealthfund.org/fellowships at the Institute for Healthcare Improvement, in Boston, published a best-selling book of Earth images called You Are supplement (i.e., approximately $60,000 for a partner and two for more details and to apply. sponsored by The Health Foundation. Here, and a children’s book, The Darkest Dark. children up to age 18) is also provided to cover airfare, living allowance, and health insurance. CONTACT Robin Osborn, vice president and director, International Program in Health Policy and The Commonwealth Fund is a private foundation, established in 1918 and Practice Innovations, at [email protected] to based in New York, which aims to promote a high performing health care inquire about the program, eligibility, and system that achieves better access, improved quality, and greater efficiency, proposed projects. particularly for society’s most vulnerable. 10 Wednesday pril Streams for Quality, Cost, Value Population and Public Health Building Capability and Leadership Safety Person and Family - Centred Care 1: Experience Day 1: 2: Experience Day 2: 3: Experience Day 3: 4: Experience Day 4: 5: Experience Day 5: 6: Experience Day 6: 7: Experience Day 7: M1: International M2: Meas rin arm M3: Gettin ality M4: N S ales ast ondon Great Ormond oyal ree ospital Imperial olle e Marriott otels ealth Innovation Primary are Improvement esi nin improvement eepin patients at o ndation Tr st 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safety and hotel and hear from oin onald erwic , President merit s and Senior ellow at the Instit te pro ramme to ma e local comm nity T T professionals to ality improvement in the and estion three of Patient en a ement has for ealthcare Improvement, and members of the I I Open School improvement will share the wor transform care n lish N S Marriott Internationals been described as the hapter networ for this interactive, interprofessional networ in and b siness as s al they have been doin leadin mana ers bloc b ster dr of the learnin session across the or anisation across the partnership The effective Sponsored by N S Improvement abo t their o rney cent ry and health on the inte rated care en a ement of systems r ed to This pre conference pro ram will provide a platform for healthcare incentive scheme and healthcare professionals, en a e and involve st dents and niors from all disciplines to come to ether to explore on some of the especially doctors, in patients in all areas of safety and ality iss es in healthcare This free pro ram is intended for pro rammes profo nd chan e, healthcare So how are st dents, niors and fac lty dele ates s pportin this rom represents a challen e we doin o health pril st T T will be for most health care In this interactive session, N S professionals wor in with an leaders ctive Improvement share how we are nderstand how to do it alliance of providers en a ement is needed helpin providers to deliver and why If as in incl din the local GP for commitment to contin o sly improvin , safe, what matters to are ro p that chan es that ma e care hi h ality and compassionate patients was all that it recently was awarded better, safer, more care too , wo ldn t we be the contract for coordinated and there by now rin comm nity health consistently delivered In han in demands on health yo r c riosity and services their o rney to transform services mean chan in experience to oin s in care by implementin development needs for staff in In the afternoon we will an interactive wor shop the Vir inia Mason N S f nded services across come to ether to share where we will disc ss Prod ction System, n land Thro h o r national reflections from the how incl din , listenin leaders in this framewor for improvement and visits, hear abo t other and actin with patients or anisation have ained leadership development pro ect wor and abo t and carers affects the hearts and mind evelopin People Improvin how system power balance and involvement of clinicians are we will e ip and improvement is bein c lt re of healthcare framewor and enco ra e staff to deliver meas red and examine what it strate ies applicable to contin o s improvement in local ta es for patient other or anisations will health and care systems and ain en a ement to reshape be shared pride and oy from their wor patient care, health research, professional trainin and system improvement oin s in rapplin with wic ed problems facin tr e patient partnership