Virtual Lightning Talks: Leadership and teamwork models for service delivery centered around health practitioners and patients

11 November, Thursday, 12:30 – 14:00

Hear about innovative programs, projects, and good practices from various organizations thru these lightning talks. Presentations include:

Ethical management model in a health institution
Presented by: Dr. Ana Rodríguez
The Institut Català d’Oncologia integrates Corporate Social Responsibility (CSR) into its management in order to improve the quality of life of employees, the communities in which it develops its activity and society as a whole.
The COVID-19 pandemic has shown that CSR is more necessary than ever, because it highlights the need to transform organizations and their relationship with stakeholders.
Their ethical management model can serve as an example for other health centers to move towards transparent organizations with comprehensive and equitable care that seeks the best possible personal treatment through alliances and provides support to improve quality of life.

A sustainable path forward – Lessons from the field in well-being
Presented by: Elisa Arespacochaga
Burnout is not new, however COVID-19 has highlighted the challenges faced when administrative burden, sub-optimal communications systems, and uncoordinated teams collide with an extended crisis. In addition, the traumatic impact of COVID-19, has amplified the need for support. This presentation will share organizational steps for addressing well-being and the role of leadership to scale across institutions. Additionally, the strategies for creating personal supports and scaling interventions in light of the COVID-19 pandemic will be discussed.

Ensuring the health system sustainability: Tackling low-value clinical practices in Catalonia (Essencial)
Presented by: Johanna Milena Caro Mendivelso
This initiative is innovative, appropriate and relevant because it is an intervention for enhancing people-centered integrated healthcare, improving evidence-based performance quality of the healthcare system, allowing the optimization of the resource allocation and protecting the sustainability of the Catalan universal healthcare system. The preliminary analysis of five low-value clinical practices (out of 78 published) at the Catalan primary level, has pointed out a relevant reallocation resource, giving the opportunity for reinvestment on higher value practices. Moreover, there is also a relevant clinical impact for patients as reducing adverse events related to overuse.

Establish a clinical audit system to improve the quality of disease care in a Medical Center in Central Taiwan
Presented by: Dr. Shih-An Liu
In 2017, the Center for Quality Management (CQM) initiated the internal Clinical Auditing system, and sketched a blueprint for “quality management of disease treatment and nursing care”. The presenter hopes that clinical physician can use evidence-based medicine and guidelines to approach selected topics, to establish standardized treatment models, and set to create clinical pathways. Through clinical audit, they aim to understand the differences between clinical practice and empirical evidenced-based medicine. They further analyze the causes of the gap and initiate improvement processes. Finally, they would like to promote the ability of medical professionals as well as to enhance multidiscipline cooperation.

Cognitive bias awareness, coding, and debiasing as a serious safety event reduction strategy
Presented by: Dr. Brian Wagers
Participants will learn what a cognitive bias is and how the presenter’s organization used awareness of these phenomena and debiasing strategies to decrease the number of  serious patient safety events that occurred at their institution. This led to a record number of days between serious patient safety events and thus decreased harm for patients.

Deployment of the Safety strategy in the Vall d’Hebron University Hospital
Presented by: Dr. Jesus Martinez Perez
The methodology for a cultural change towards a front-line professional leadership linked to the Safety strategy deployment of the Institution has led to exceed the KPI target increasing the safety incident reporting rate (IRR) more than a 400% and developing more than 30 improvement projects as corrective measures in six months.

Interdisciplinary cancer units: Clinical microsystems to improve results
Presented by: Dr. Jordi Trelis
There is enough scientific evidence that interdisciplinary teamwork in cancer allows better decisions to be made and better health outcomes.
Catalan Institute of Oncology (ICO), as a high reliability organization, it has developed clinical microsystems called Functional Unit of Oncology Care (UFAO), whose mission is the diagnosis, staging of the disease and the design of the most appropriate therapeutic strategy for each patient.
The objective of the presentation is to present a model that combines patient-centered care with interdisciplinary care and how these two actions can affect health outcomes.

Empowerment of the families in a pediatric home hospitalization program for acute and exacerbated chronic patients
Presented by: Ane Achotegui
Pediatric home hospitalization has characteristics that require caregivers to have extensive knowledge of both the health-disease process and the care it requires. Early recognition of alarm signals, correct use of devices, self-administration of treatments and trust in the healthcare team are essential for the success of the program. Empowerment and self-care are key concepts of the service.
In this presentation, you will learn about the training process that the nurses of the San Joan de Déu Hospital carry out with the patients and their families or caregivers before moving them home, as well as the monitoring that is performed. 

Integration of a psychogeriatry unit in a hospital intermediate care unit- when the sample is n = 1 ACP model
Presented by: Dr. Esther Celda
The knowledge of the biography, preferences and values of each patient together with a careful multidimensional assessment allow addressing behavioral disorders beyond the disease and its phases.
The person-centered model with the integration of patients with dementia in a conventional care unit can be extended to permanent living spaces of patients such as residences avoiding differentiated spaces and insulating environments that affect people’s quality of life. The need for specific psycho geriatric units is questioned.
In 2020 and throughout the pandemic, the care model was maintained by adopting the appropriate measures with common sense. Overall mortality did not increase. 

The Catalonia Patient Expert Program (PPE-CAT®) in Chagas Disease: A pioneering experience addressing comprehensive care involving affected people
Presented by: Isabel Claveria Guiu
The methodology used shows that implementing programs that promote self-care and autonomy of people with chronic illnesses gives them tools to manage the physical-psycho-social impact of the disease. Also, the EP plays a key role as a multiplier of knowledge and sensitizer of screening for Chagas disease, both in the country of residence and in the country of origin. This implication gives the EP a social recognition and strengthens the sense of group of the collective.

How listening acutely to patients catalysed the conceptualisation of a patient centric Disease Specific Center
Presented by: Dr. Dilip Panikar
Traditionally, the onus of navigating through the process of fighting a complex disease lies with the patient – from finding the right doctor/s to understanding the disease. The initiative of putting together a disease specific center, created an environment where the patient has easier access to a pool of experts, has a better understanding of the disease and is guided through pre-and post- hospitalization phases.
The theme primarily revolves around how the voice of the patient can influence and break traditional methods of delivery of patient care.