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Quality Symposium 2010
The 2010 RNZCGP Quality Symposium was a forum for primary care sector leaders planning the future direction of patient care
Programme outline is available: Quality Symposium Programme 2010
• Friday Programme
• Saturday Programme
DAY ONE - Friday 12/02/2010
Presentations from day one of the Symposium were grouped under the theme, ‘Frontline primary care clinicians taking the lead to progress quality, safety and clinical improvement for the benefit of patients’ and included:
Audio Speech
Symposium opening
Dr Harry Pert, President, RNZCGP
Better Sooner More Convenient, and the implementation process
Audio Speech
Ashley Bloomfield, Acting DDG, Sector Capability & Innovation
NZ Primary Care - A success story
Audio Speech
OECD & Commonwealth Fund results for NZ primary care - where are the gaps?
Professor Peter Crampton, University of Otago, Wellington
A Quality Framework for Australian General Practice
Audio Speech
A discussion of work being done by the Royal Australian College of General Practitioners has done in the area of general practice quality improvement
Dr Chris Mitchell, President RACGP
The Quality Agenda in English General Practice
Audio Speech
Current initiatives for quality assurance and quality improvement – a ‘crowded field’; paying GPs for performance – the ‘Quality and Outcomes Framework’ and its impact; the King’s Fund Inquiry into General Practice in England; and where is the quality agenda going?
Dr Nick Goodwin, King’s Fund, UK
Audio Speech
Lessons from the UK experience of shifting services to the front line to deliver integrated and more personalized care in an area of technological change and increased costs. The polyclinic model integrates clinical and managerial leadership across primary care settings to enable care to be provided closer to patients. There are benefits for people with long-term conditions as care is integrated through rapid referral and sharing of expertise between teams.
Dr Candace Imison, Kings Fund, UK
Enabling Quality – quality and information update
Audio Speech
Dr Bev O’Keefe, GPLF
RNZCGP - Quality Agenda - update
Professor Tony Dowell
IPAC Information Agenda - update
Audio Speech
Fiona Thomson, IPAC
Comment – Practice based clinical governance, and the future of primary care information systems
Audio Speech
• How do we use next generation IT systems to improve quality outcomes?
• Managing the risks of implementing major IT change
• Some thoughts on the long term for primary care information systems
Dr Karl Cole, GP
Children are the future – The role of primary care in improving child health
Audio Speech
Chairs Dr Jo Scott-Jones & Vicky Noble
Child health – Children are the future and outcomes for NZ children are among the worst in the OECD
Audio Speech
Professor Innes Asher, Department of Paediatrics, Child & Youth Health
Integrated care and child health: lessons from the international experience
Audio Speech
• The International Network of Integrated Care
• Understanding the nature of integrated care
• Models and approaches to the organisation of integrated care
• Examples of two approaches for child health and their problems: the medical home (USA) and SureStart (UK)
• The role of the general practice in care integration
• Common challenges to successful care integration and implications for child health
Dr Nick Goodwin, Chair, International Network for Integrated Care
Child health – a quality issue (Fiona Thomson)
Child health – a quality issue (Ros Gellatly)
Audio Speech (Ros Gellatly)
Example of a practical activity that organizations in primary care can do to progress child health at a local or national level e.g. immunization, rheumatic fever
Fiona Thomson, operational & Dr Ros Gellatly, clinical governance
DAY TWO - Saturday 13/02/2010
Presentations from day two of the Symposium were grouped under the theme, ‘Primary Care adapting to meet new challenges in health and methods of working across primary care teams and interactive workshops’ and included:
Introducation - New approaches
Chair Dr Tane Taylor
Improving patient outcomes through Better @ Work
Audio Speech
Dr Kevin Morris, ACC
Evaluative quality assurance - a participative approach focusing on outcomes of value
This session introduces the concept and practice of evaluative quality assurance. Evaluative quality assurance begins by asking - what would quality look like if practice performance was defined by the extent to which the patient outcomes achieved by a practice represent quality and value for patients and their wider whanau and community? Evaluative quality assurance requires a focus on the quality of practice care, safety, responsiveness and commitment, as well as the outcomes of value to patients, their whanau and the wider community.
Evaluative quality assurance:
• Answers questions about the value that patients and their whanau gain from their experience of practice care, the usefulness and the contribution of this care to longer term outcomes such as improved quality of life etc.
• Explores qualitative and quantitative evidence about outcomes and the key processes which contribute to them.
• Enables a participatory approach, using systematic enquiry to reach robust judgments about quality and outcomes of value.
Kate McKegg
Towards Integrated Primary Care Organisations in England
• The challenge to health systems: why integrated primary care is needed
• Trends in general practice and primary care
• The current 'core activities' performed in English general practice - extending its role
• Emerging models of care: polyclinics, GP-led health centres, and federated practices
• The Integrated (Primary) Care Organisation
• The key challenges for the future: extending access; ensuring quality; meeting patient demands; supporting continuity; improving community health; managing demand and resources
Dr Nick Goodwin, Kings Fund UK
The Health Promoting Practices Framework builds on the Cornerstone quality accreditation to expand primary health care to include a health promotion and a population health perspective. It is based upon the Health Promoting Settings Approach, an approach to health promotion that has been extensively and successfully used internationally in a wide range of settings.
• Health promotion practitioners work with practice teams to decide on health priorities and work on these across the continuum from individual/family/whanau through to the promotion of public policy.
• The Health Promoting Practices framework has already applied this approach in pilot practices to smoke cessation, lifestyle elements of CV risk reduction, and Well Child.
• A key component is increasing the general practice team’s knowledge on how they can better manage social determinants of health for their patients, and in turn contribute to reducing inequalities in health outcomes.
• The practice is mentored to examine their enrolled population and to target those with highest health and social need.
Nicola Young
Interactive workshop
• Visions of integrated care
• Examples from CORNERSTONE assessment visits
• Primary care integration and community engagement: the kaupapa Maori approach
• Organised general practices: the well oiled business
• Practice based clinical governance: a bottom up method
Presentations followed by a workshop focused on what is needed to improve the quality of mainstream general practice in NZ.
• 690 general practices are now registered in the CORNERSTONE programme
• 500 practices have been assessed by CORNERSTONE assessors
Dr Jim Vause, CORNERSTONE Assessor, QAC, Te Akoranga a Maui, Turuki
An update on H1N1 in 2010 – assistance for the health workforce
Audio Speech
Steve Brazier, National Director Emergency Management, MOH
Significant Events Reporting – Reporting incidents to inform improvements and close the loop
A report on progress to develop a system for managing events and risk in primary care. ProCare, East Tamaki HealthCare and Pinnacle have been part of the development team to ensure the approach supports existing general practice and PHO systems that have been developed to meet requirements for CORNERSTONE.
A taxonomy used to identify each incident will enable unidentifiable information to be shared with the MOH Incident Management System (NZIMS) to support national learning and feedback within primary care.
(BACKGROUND - Pat Snedden, Chair QIC (Feb 2009), invited the College to take the lead and work with primary care organizations to develop a primary care approach to sharing outcomes with the NZIMS reporting system.)
Concept Development Team:
Associate Prof Susan Dovey, Maureen Gillon, Dr Chris Fawcett, Waveney Grennell, Richard Okeby, Vanita Hira (ProCare), Dr Richard Hulme (East Tamaki HealthCare), Hayley Lord (Pinnacle)
Dr Chris Fawcett
Risk Management Systems in general practices
Emergency & business continuity planning
Business continuity dispelling the Myths
• Launch of a new training module for risk management in general practice
• How is your practice prepared for major risk or emergency?
Interactive workshop – be prepared for fun and learning!
Support for general practices: What is out there and how can you use it?
Case studies will include:
Data disaster, practice relocation, emergency and business continuity planning, IT management, fire preparedness, pandemic update, local coordination, linkages with CORNERSTONE and Aiming for Excellence, Regional primary care emergency planners
Barry Simpson, Simon Barton, Chris Webber, Andy Wisheart, John Coleman, Karen Stephens, Phil Schroeder (GP, Canterbury Pandemic Planning Group)
Updated Tuesday 9 March 2010