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Agenda

CONFERENCE DAY ONE
Tuesday 01 December 2015

Day One | Day Two


08:50 OPENING | Opening remarks from the Chair

Carmen Williams, Audit Coordinator, Monash Health

Practical Implementation of Clinical Audit and Evaluation across the Metro South Health Service in Queensland

The below case study will illustrate in three key parts the evolution of the Clinical Services Excellence Team across the Metro South Health Service, Queensland.


09:10 PART 1- Coordination of a Health Service Audit and Evaluation Program

  • An overview of the Metro South Health Service
  • CSET structure (including the Clinical Analyst Role) & CSET Vision
  • Development and standardisation of Audit Tools across a Health Service

Kylie Sellwood, CNC Audit and Evaluation, Clinical Service Evaluation Team, Clinical Governance Unit, Metro South Health Service


09:50 PART 2 - Coordination of a Facility Based Audit Program

  • Negotiating a facility based audit schedule
  • Dissemination of audit results, and engagement of multidisciplinary staff across a facility

Grant Ramke, CNC Audit and Evaluation, Clinical Service Evaluation Team, Clinical Governance Unit, Metro South Health Service


10:30 Morning refreshments and networking


11:00 PART 3 - Establishing a Clinical Audit Foundational Skills

Development Workshop across the Metro South Health Service and Future Directions of the Clinical Services Evaluation Team (CSET). The aim of the course is to increase the knowledge of multidisciplinary frontline clinicians in the components of clinical audit (data collection, data analysis and report writing). This knowledge is adaptable to both the requirements of the NSQHS standards as well as quality improvement initiatives within the local units.

Lauren Canfell, Clinical Analyst CSET, Metro South Health Service


11.40 CASE STUDY | Driving Improvement in Clinical Audit at Monash Health

  • The implementation of a sophisticated audit framework has enabled Monash Health to comply with the National Standards and provide data to inform and drive quality improvement activities.
  • The audit framework includes simple audits that are performed locally with results available instantly leading to front line staff engagement and improvements.

Carmen Williams, Audit Coordinator, Monash Health


12.20 Lunch and networking break


13.20 Becoming an ‘Intrapreneur' - Applying Lean Methods to the Quality Improvement Cycle

  • If you are trying to implement improvement in uncertain conditions, you may be an ‘Intrapreneur'
  • Applying the Lean Start-up framework of Eric Ries (2011) to present case studies of implementing improvement in an environment of relentless change
  • Discussing learnings and lessons from the accreditation journey at Royal Perth Hospital

Samantha Rankin, Staff Development Educator - Clinical Audit, Royal Perth Hospital, Western Australia


14:00 CASE STUDY | Leveraging Available Resources for Clinical Auditing in a New Tertiary Hospital

  • Strategies to build data collection into everyday practice
  • Collaboration with external organisations
  • Leveraging resources for clinical auditing through collaborations with departments and service streams

Catherine Li, Performance Review and Audit Coordinator, Fiona Stanley Hospital, WA


14:40 CASE STUDY | Using Auditing to Meet Many Needs ‘WIFT' What is in it for them? St Vincent's Private Hospital, Sydney

In a small 270 bed organisation we used all opportunities such as internal and external research teams, internal and external auditors and joined unlikely teams such as Infection Control and WHS to gain information they both could use to meet accreditation needs.

Edel Murray, Quality Coordinator, St Vincent's Private Hospital, Sydney


15:20 Afternoon refreshment break and networking break


15:40
INTERACTIVE WORKSHOP | Mindset for Success in Clinical Audit

Implementing change and in particular audit frameworks can be hard work so it is essential that we optimise our mindset to enable success. Have you wondered what successful people have in common? This thought provoking, interactive session will teach you how successful people think so you can have more success in your role and in your life.

Through scenarios and group discussions, we will develop an understanding of the mindset that unites our workplace and our life.

Carmen Williams, Audit Coordinator, Monash Health


16:40 CLOSING PANEL DISCUSSION | How to Overcome Barriers to Data Quality by Making Data Collection a Part of Core Processes?

Facilitated by: Carmen Williams, the Audit Coordinator, Monash Health
Grant Ramke, CNC Audit and Evaluation, Clinical Service Evaluation Team, Clinical Governance Unit, Metro South Health Service
Kylie Sellwood, CNC Audit and Evaluation, Clinical Service Evaluation Team, Clinical Governance Unit, Metro South Health Service
Samantha Rankin, Staff Development Educator - Clinical Audit, Royal Perth Hospital, Western Australia


17.20 Closing remarks from the Chair


17:3
0 NETWORKING DRINKS | Informa invites all speakers and delegates to an informal drinks reception to discuss the day's issues and network with their peers

CONFERENCE DAY TWO
Wednesday 02 December 2015

Day One | Day Two


09:00 OPENING | Opening Remarks from the Chair

Susan Blackbourn, General Manager Quality, Mercy Health


09:10 KEYNOTE ADDRESS | Clinician Engagement in Busy Clinical Environments- Strategically Embedding National Standards

The task of getting busy clinicians to buy into organisational standards, which seem to be several steps away from their immediate priorities of patient care is the more difficult area to get compliance with, much as it's everybody's business.

Associate Professor Rebecca Kimble, Chair State wide (Qld) Maternity and Neonatal Clinical Network, Director Queensland Clinical Guidelines, Director Obstetric Services, Royal Brisbane and Women's Hospital


9:50 Auditing - Inside and Outside the Box

  • How to develop your own audit tools for little or no cost
  • Using risk ratings to develop tolerance levels for audit measures
  • Using risk ratings to automatically determine re-audit frequency
  • Integrating internal audit processes into a quality audit system

Susan Blackbourn, General Manager Quality, Mercy Health


10:30 Morning refreshments and networking break


11.00 Reducing Variability and Duplication - Does an Organisational Clinical Audit Framework Work?

  • Reasons for development of an organisational Clinical Audit Framework
  • Overview of the Clinical Audit Framework document - Purpose and outcomes of auditing, scope, governance and accountabilities, and evaluation
  • Development of an organisational Clinical Audit procedure outlining the process of audit methodology, the audit approval process, the audit cycle, and reporting structure
  • Use of an organisational Clinical Audit Reporting template to standardize the reporting format for audit results and action plans, saved in the EQuIP National Standards Evidence Portal accessible via the intranet as evidence of compliance with the organisational Clinical Audit Framework
  • Implementation - Monitoring compliance

Stella Kravtsov, Quality Improvement Consultant - Clinical Audit and Accreditation, Melbourne Health


11:40 INTERACTIVE HYPOTHETICAL SCENARIO SESSION | How Audit Outcomes can be used to Improve Practice

Our experienced panel of experts will delve into some challenging hypothetical scenarios giving their insights on how audit outcomes can be used to improve practice.

Facilitated by:
Susan Blackbourn, General Manager Quality, Mercy Health

PANELLISTS:

Catherine Li, Performance Review and Audit Coordinator, Fiona Stanley Hospital, WA
Matthew Soo, Director Risk Management, Northern Health
Samantha Rankin, Staff Development Educator - Clinical Audit, Royal Perth Hospital, Western Australia


12.20 Lunch and networking break


13:20
CASE STUDY | WebQI : Web Based Clinical Audit Data Collection, Analysis and Reporting for Clinicians

A case study and demonstration from 4 years usage at Monash Health ENT surgery.

Dr Bryn Lewis, Principal Software Development Consultant, Intelligent Software and Systems
Tania Duncan RN, MN, Clinical Data Manager, ENT/Department of Head and Neck Surgery, Monash Health


14.00 CASE STUDY | The Collaborative Partnership Approach with Risk and Speciality Medical and Nursing experts in the area of Infection Prevention and Control (Standard 3 - NHQHS).

The case study will focus on lessons learned from risk-based auditing aseptic technique.

  • What does risk-based clinical auditing mean?
  • What does it take to be ready?
  • Real examples from Eastern Health Service in Victoria
  • What are the benefits & challenges?

Brenda Birch, Principal Enterprise Risk and Assurance Advisor, Eastern Health
Mary O'Reilly, Director ID & IPAC, EH; Executive Clinical Director ACS, Ambulatory and Community Services, Infectious Diseases & IPAC, Eastern Health
Leanne Houston, Eastern Health Infection Prevention & Control Coordinator, Infection Prevention & Control (EH), Eastern Health


14.40 Afternoon refreshments and networking break


15:00
CASE STUDY | Developing an Audit Schedule to Support Accreditation Compliance and Performance

  • Getting the governance right for a risk-based audit schedule
  • Example of Northern Health's Master Audit Schedule in Excel that meets the needs of users at all levels of the organisation
  • Communication strategies to prepare departments for accreditation

Matthew Soo, Director of Risk Management, Northern Health, Victoria


15.40 CLOSING PANEL DISCUSSION | Overcoming Dis-Engagement-How Do We Cultivate a Top-Down and Bottom-Up Approach?

Facilitated by: Susan Blackbourn, General Manager Quality, Mercy Health
Associate Professor Rebecca Kimble, Chair Statewide (Qld) Maternity and Neonatal Clinical Network, Director Queensland Clinical Guidelines, Director Obstetric Services, Royal Brisbane and Women's Hospital
Matthew Soo, Director of Risk Management, Northern Health, Victoria
Catherine Li, Performance Review and Audit Coordinator, Fiona Stanley Hospital, WA


16:20 Closing remarks from the Chair


16.30 Close of conference

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