Virtual Paper Presentations: Improving value and performance of hospitals through research and evaluation

11 November Thursday, 11:30 – 12:30 

Learn and be inspired by brief presentations of innovative programs, projects, and good practices from various organizations:

Facing the COVID-19 pandemic emergency: The experience of two main hospital centers in Milan
Presented by: Dr. Samuele Rivolta
Lombardy has been one of the most affected regions by the first pandemic wave of SARS-CoV-2 in 2020. Hereby the presenters analyze two of the largest hospitals in Milan during this critical period (21/02/2020 – 31/05/2020). The elaboration of this study involved, on one hand, a qualitative analysis of the hospital response using the “WHO rapid hospital readiness checklist for COVID-19”. On the other hand, a quantitative analysis was carried out defining the results obtained in terms of output and outcome.

Emergency Room Overcrowding: A National Perspective
Presented by: Dr. Hossam Elamir
ED overcrowding and increased Length of Stay are key global issues for more than 30 years, as they have serious repercussions. Emergency Department is amongst the most crucial departments in the hospital. No measurements have been done to assess the situation nationally before. In addition, expanding emergency departments and adding more beds have never succeeded in eliminating wastes and targeting the root causes of the problem.
The presentation will share how the Ministry of Health in Kuwait is addressing the problem of Emergency Departments Overcrowding as a part of its national project to improve the patient flow in Emergency Departments by applying lean-based interventions. The presentation contains a descriptive analysis of the current situation with the identification of the causes of overcrowding in general hospitals. The presentation illustrates a high-level environmental scan for the proposed interventions. The presentation will touch on the COVID-19 crisis as related to the project.

Supporting decision-making: from health evaluation reports to an evidence-synthesis tool
Presented by: Dr. Lídia Blanco-Silvente
Hospitals use management tools to plan their investments. In that sense, evaluation reports focused on Healthcare Technologies Assessment (HTA) provide key findings and recommendations for decision-making, which emerge as sources to support decisions to acquire or update healthcare technologies. However, in some cases these reports are very detailed. The presenters will share a Synthesis product, which have been designed in order to summarize the most relevant information (evidence and recommendations), included in classic HTA reports. The Synthesis improves and facilitates the communication regarding the healthcare technology acquisition.

Transforming the model of clinical practice and quality management: The Vall d’Hebron University Hospital experience
Presented by: Dr. Soledad Romea
The model of quality and clinical practice management of the Vall d’Hebron University Hospital has proven to have a successful approach. The results are enclosed in the following dimensions: improvement of health outcomes, patient experience, coordinated care, teamwork, quality, culture of safety, efficiency and flow simplicity, adequacy of intensity of care and decision making based on the best available evidence.
Three big changes were carried out:

  1. Conversion into a matrix clinical process-oriented organization that combines knowledge (vertical vision) and patient flow and safety (horizontal vision).
  2. New methodology for improving processes and patient-relevant outcomes, based in scientific model and Quality Deming Cycle (Plan-Do-Check-Act) and integrating different tools (operational excellence, process management, design thinking, lean, sessions to collect patient experiences along their clinical pathways …) that led to an original methodology (Advanced Process Model).
  3. Approach to value-based health care and a culture of continuous improvement integrated into daily work.


Integrated Care Hospital at Home: A 3 years experience of a geriatric H@H based in Barcelona
Presented by: Prof. Marco Inzitari
The majority of older adults with complex care needs prefers to be treated at home, if feasible.
The presenters will share data accumulated from their 4 years’ experience of a geriatric integral and integrated Hospital at Home model, combining acute and rehabilitation care for older adults. Their interdisciplinary model (team including geriatrician, nurses, physical and occupational therapists, social worker and providing remote speech therapy if needed) is embedded in a geriatric intermediate care hospital and have attended 478 patients.
Building on previous research of their Group (6 international papers published since 2015), which showed comparable functional outcomes and home discharge with lower costs associated with this care model, they will show the results of this implementation experience with a relevant cohort of patients. They will also comment on barriers and facilitators of this model, and future developments.