Clinical registries seminar: monitoring and improving health outcomes

Friday 15th February 2013

About the seminar: This seminar will explore the many ways of using registry data and how it can impact quality of care. Using working examples, discussion will include how registries are used to monitor safety, and how to measure both the effective- ness and appropriateness of care. Further discussion will be focused on best approaches for the registry to communicate and feed the valuable information back to the clinical setting. Speaker and Facilitator details The seminar will close with a hospital’s perspective of using (in order of appearance) clinical registry data. Mr Neville Board leads the Information Strategy and Safety in Who should attend: eHealth programs at the Australian Commission on Safety and This seminar is relevant to: Quality in Health Care. His team is developing national indicators and datasets for health care quality measurement, a standard • Clinicians with an interest in developing a registry or “core” for hospital patient experience surveys, and national using registry data; arrangements for clinical quality registries. Concurrently, the group is developing standards for laboratory online order entry • Ethics committee members or HREC staff who review and results reporting systems for surveillance of Healthcare applications for registries; Associated (HAIs), and developing cumulative antibiogram standards to support the national approach to • Quality managers; antimicrobial stewardship. They have published guides for establishing hospital electronic medication management and • Researchers with an interest in developing a registry or discharge systems. Previously, he has worked in clinical, using registry data; informatics and healthcare management roles in and abroad. • Health Information Managers. Professor John McNeil is Head of the Department of Venue: The Alfred Medical Research and Education Epidemiology and Preventive Medicine, Monash University, Precinct (AMREP) lecture theatre, 75 Commercial Rd, , Australia, and Head of the School of Public Health The Alfred, Melbourne Vic 3004. and Preventive Medicine at the Alfred Hospital site. He is a Physician whose principal research interest is in the use of This is located at the closest intersection of Commercial and Punt Roads. drugs to prevent chronic disease. Professor McNeil’s department covers a broad range of research activities and hosts a number of Seminar date: Friday 15th February, 2013 national research centres. These include Australian coordinating Seminar time: 9:00am - 5:00pm centres for research in critical care and anaesthesia, several major clinical registries, cohort studies and large-scale clinical (Registration opens at 8:30am) trials. His department provides a skill base in epidemiology, Cost: biostatistics and data management that underpins the clinical and public health research activities of Monash University and $280 pp (incl. of GST) - Workshop only individual registration its major teaching hospitals. $195 pp (incl. of GST) - Seminar only individual registration Mr Neil Soderlund is a Partner and Managing Director in the $450 pp (incl. of GST) - Workshop AND seminar individual reg.* Sydney office of The Boston Consulting Group (BCG), having *NB: This is a reduced rate which cannot be processed joined the office in 2000. He has a medical degree (MBBCh), retrospectively. If you initially register in one event then wish to an MSc in economics from LSE and a DPhil in economics from register for the second event, you will pay the full individual fee, Oxford University. Neil has published over 40 articles in the separately. fields of health economics, econometrics, epidemiology and health care financing, and sits on a number of editorial boards. Further venue details, accommodation and parking Recent project experience includes; the development of an information can be found on our website at: integrated eHealth strategy for Australian federal and state governments, culminating in the establishment of the National http://www.med.monash.edu.au/sphpm/creps/seminars.html eHealth Transition Authority (NEHTA), as well as conducting a two year review of NEHTA’s progress; and the Strategic Review Enquiries to Catherine Pound on +61 3 9903 0891 or of the Australia Federal Department of Health. [email protected] Dr Sue Evans is Associate Director of the Centre of Research We are running a workshop on registries the previous Excellence in Patient Safety (CRE-PS) and Head of the Clinical day which you may like to attend... Registry Unit at Monash University. Sue has a keen interest in improving measurement of quality in health and manages a number of large clinical registries operating across . She Title: Developing and operating clinical registries: leads a number of research projects exploring how best to use workshop data to monitor quality of care. Venue: AMREP lecture theatre, 75 Commercial Rd, Professor Richard de Steiger is the Epworth Victor Smorgon The Alfred, Melbourne Vic 3004. Chair of Surgery, The University of Melbourne. He has been Seminar date: Thursday 14th February, 2013 a practicing orthopaedic Surgeon for twenty-two years with a Seminar time: 9:00am - 5:00pm special interest in hip and knee joint replacement surgery and (Registration opens at 8:30am) the management of young adult patients with osteoarthritis. He $280 per person (incl. of GST) has wide involvement in all forms of orthopaedic and trauma Cost: Please visit the website listed above to download the flyer. (continued overleaf) Clinical registries seminar: monitoring and improving health outcomes

Friday 15th February 2013 Speaker profiles

management. He has considerable experience in facilitating studies across numerous disciplines including studies combining engineering, public health and basic science. His current roles include; Professor of Surgery; Chairman of the Musculoskeletal Clinical Institute – Epworth HealthCare; Deputy Director, Australian Orthopaedic Association – National Joint Replacement Registry; Board Member of the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR). Associate Professor Belinda Gabbe is Head of the Prehospital, Emergency and Trauma Research Unit in the Department of Epidemiology and Preventive Medicine, Monash University. Belinda is an injury epidemiologist and a Chief Investigator of the Victorian State Trauma Registry, Victorian Orthopaedic Trauma Outcomes Registry, and the Bi-National Burns Registry. Her research focuses on the evaluation of trauma systems, trauma system improvements and measuring the burden of injury. A particular research focus is quantifying the outcomes of non-fatal injury and improving measurement of non-fatal injury burden. Associate Professor David Pilcher trained in respiratory and general medicine in the United Kingdom before coming to Australia to complete his Intensive Care fellowship in 2002. Dr Dave Pilcher has worked as an Intensive Care Specialist at The Alfred Hospital in Melbourne since 2006. He is Director of the ANZICS Adult Patient Database and Chair of the ANZICS-CORE and Australian and New Zealand Intensive Care Society Centre for Outcome and Resource Evaluation (ANZICS-CORE) Representative. He holds an Intensive Care Practitioner fellowship with Monash University. His research interests include organ donation, lung transplantation and the epidemiology of intensive care unit outcomes. Ms Renee Best is currently working within the School of Public Health and Preventive, Monash University, as the coordinator of the Breast Device Registry. Previous to this she consulted with Healthcare Management Advisors which involved evaluating federal and state government programs, conducting Hospital service plans, implementing workplace health promotion programs, and development of strategic directions for policy review. For four years Renee undertook research with Imperial College London. Professor Christopher Reid is a cardiovascular epidemiologist and Associate Director of the Monash Centre of Cardiovascular Research and Education in Therapeutics at Monash University. He holds a National Health and Medical Research Council Senior Research Fellowship in addition to being a Chief Investigator on both NHMRC Project and Program Grants focusing on cardiovascular disease prevention. His major research interests include clinical outcome registries, randomised trials, and epidemiological studies. He has been Study Director for the 2nd Australian National Blood Pressure (ANBP2) Study and currently a Chief Investigator for the Aspirin in Reducing Events in the Elderly (ASPREE) Study and the Australian arms of the HOPE-3, REACH and CLARIFY Registries. He is a Principal Investigator for the Victorian Cardiac Procedures Registry Project and the Melbourne Interventional Group (MIG) registries. He has over 300 publications including 180 peer reviewed journal articles, many of which are in leading journals including the New England Journal of Medicine, Lancet, JAMA and the BMJ. He acts as Chair of the Data Safety and Monitoring Committees of the HOLLT Trial and as statistical analyst for the AVERT, INIT2, AVOID, SMART and ALTEON Trials. He participates as a WHO consultant for prevention of cardiovascular disease in Mongolia, Vietnam and the West Pacific region. Associate Professor Stephen McDonald is based at the Royal Adelaide Hospital and is a senior consultant nephrologist at the Central Northern Renal and Transplantation Service, and clinical director of renal services for the Country Health LHN of SA Health. He is Executive Officer of the Australia and New Zealand Dialysis and Transplant Registry, and holds academic status as Associate Professor in the Department of Medicine of the University of Adelaide. His research interests include all aspects of the epidemiology of renal disease, chronic diseases and indigenous health, measurement of disease outcomes and use of surrogate markers of cardiovascular disease. His particular involvement revolves around the ANZDATA Registry, where he is the Executive Officer. This Registry is responsible for the collection, analysis and dissemination of information about treatment for end-stage kidney disease for Australia and New Zealand. Associate Professor Dominique Cadilhac is the Head of the Translational Public Health Research Unit at the Stroke and Ageing Research Group, Monash University. She is an expert in public health research related to stroke and cardiovascular disease, particularly in the areas of health service delivery models, economic evaluation, program evaluation and chronic disease prevention. She has worked directly with non-government organisations and government to develop policy for chronic disease prevention in Australia. She has a clinical background in nursing, MPH and PhD. Dominique has numerous articles in peer-reviewed journals and has contributed to book chapters and government reports, as well as clinical practice guidelines. Her team have published several consultancy (policy and/or program/economic evaluation) reports for non-government organisations. She has also contributed to more than 100 ‘quality of stroke care’ individual hospital reports to facilitate direct translation of evidence into practice. In 2010, she was awarded the 2010 Top Ranked National Heart Foundation Research Fellow for Victoria. She is one of the lead investigators who established the Australian Stroke Clinical Registry. Dr Chris Bain is inaugural Director of Health Informatics at Alfred Health in Melbourne. In this role he is responsible for the corporate reporting environment, including the Alfred Health Information Grid and its attendant services. His career interests reside in the area of management information provision and Management Information Systems for healthcare managers across the entire healthcare spectrum. Dr Bain is passionate for systems improvement in all healthcare settings and the requirement for health systems to integrate clinical care with data collection. He has been instrumental in developing systems to enable data to be extracted from multiple existing clinical information systems for use by clinical registries. He would like to extend this work to include liaising with vendor providers to see critical data fields incorporated into software for deployment at the Alfred Hospital and other hospitals using mainstream information packages. Dr Lee Hamley is responsible to the Chief Executive for the management of clinical governance, risk management and patient safety, the development of the clinical workforce across Alfred Health, professional medical issues, investigative services (pathology, radiology and nuclear medicine), pharmacy and the National Trauma Research Institute. Lee chairs the Alfred Health Infection Control Committee, Medical Appointments Committee and Credentialing Committee. Her external appointments include being a member of the Postgraduate Medical Council of Victoria, Accreditation Sub-Committee and chair of the Melbourne Metropolitan Medical Executives Committee. Mr Steven McConchie is the Group Director of Clinical Audit at Epworth HealthCare. Epworth has more than 1200 beds across acute, maternity and rehabilitation services. Many of these areas contribute to Clinical Quality Registries and their reports are used to drive improvement. Steven is a member of the National Core Indicators Working Party and has a particular interest in the development of effective and appropriate tools for measuring the quality of health care and has more than 20 years experience in clinical and management roles in health. He has been involved in the development, implementation and use of Clinical Quality Registries in both hospital and health department settings and will talk today about what makes registries useful to hospitals. Clinical registries seminar: monitoring and improving health outcomes

Friday 15th February 2013

Time Area covered Speaker and Organisation

0830 REGISTRATION

Session 1: Clinical registries Facilitator: Mr Neville Board

0900 - 0915 What are clinical quality registries? Prof John McNeil - Monash University

0915 - 0945 ACSQHC: leading the way nationally. How the Commission is Mr Neville Board - Australian Commission on Safety and Quality in facilitating clinical registry development Health Care eg. NIHIP arrangements, Operating Principles 0945 - 1015 Estimating the ‘size of the Prize’ from comprehensive Mr Neil Soderlund - Boston Consulting Group implementation of registries 1015 - 1030 Panel

1030 - 1100 MORNING TEA (30 minutes)

Session 2: Demonstrating improvements in quality care Facilitator: Dr Sue Evans

1100 - 1130 Monitoring safety of orthopaedic devices. Prof Richard de Steiger - Epworth HealthCare Experience from the Australian Orthopaedic Association – National Joint Replacement Registry 1130 - 1200 Measuring effectiveness of a trauma system. Dr Belinda Gabbe - Monash University Learnings from the Victorian State Trauma Outcomes Registry. 1200 - 1230 Measuring appropriateness within the ICU. Mr David Pilcher - The Alfred Hospital Learnings from the Australian and New Zealand Intensive Care Society’s registries. 1230 - 1245 Panel

1245 - 1330 LUNCH (45 minutes)

Session 3: Implementing the quality feedback loop to improve and drive change Facilitator: Ms Renee Best

1330 - 1400 An Australian cardiac procedures registry perspective Prof Christopher Reid - Monash University

1400 - 1430 Experiences from the Australia and New Zealand dialysis and A/Prof Stephen McDonald - University of Adelaide transplant registry 1430 - 1500 The Australian Stroke Clinical Registry experience Dr Dominique Cadilhac - Monash University

1500 - 1515 Panel

1515 - 1530 AFTERNOON BREAK (15 minutes)

Session 4: What do hospitals want from registries? Facilitator: Prof John McNeil

1530 - 1600 Meshing registries with clinical information systems Dr Chris Bain - Alfred Health

1600 - 1630 An executive perspective Dr Lee Hamley - Alfred Health

1630 - 1700 Quality leader’s perspective Mr Steven McConchie - Epworth HealthCare

1700 CLOSE Clinical registries seminar: monitoring and improving health outcomes

Friday 15th February 2013

REGISTRATION FORM - please complete all sections

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COST: (please tick or mark the appropriate box) $280 per person (incl. of GST) Workshop only individual registration $195 per person (incl. of GST) Seminar only individual registration $450 per person (incl. of GST) Workshop AND Seminar individual registration NB: This is a reduced rate which cannot be processed retrospectively. If you initially register in one event then wish to register for the second event, you will pay the full individual fee, separately. PAYMENT METHOD: Credit card Please visit the following website to pay online http://ecommerce.med.monash.edu.au/product.asp?pID=335&cID=8&c=152322 You will AUTOMATICALLY receive a tax invoice/receipt. On INVOICE Complete only if you wish to be invoiced Contact person ______Company ABN ______Phone ______Postal address ______

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NB: The registration process is complete once payment has been received and noted by Catherine, at which time a registration confirmation email will be sent to you.

Terms and Conditions: Refunds will NOT be given if inability to attend is advised two (2) days prior to the seminar. Requests for refunds at any other time will be considered on an individual basis. Please note, a colleague is always welcome to attend in your place. Enquiries and forms to Catherine Pound: Email: [email protected] / Ph: 03 9903 0891 Finance office use only M15001 / 3165959 CREPS Workshops