TOWARDS AN INTEGRATED CONCEPT OF HEALTH AND CARE SERVICES MODEL: VALUE DRIVEN TRANSFORMATIONS​

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Dr. Vanesa Quiroga
Head Of Care, Medical Oncology Departme​nt at Catalan Institut Of Oncology (Ico-Badalona), Spain

This model aims to ensure equity to all population covered by our Institution, regarding early clinical trials. We have experienced a significant increase in the number of trials and patients included, offering the possibility to administer therapies to cancer patients which are difficult to access through the standard public health system, such as novel immunotherapy or targeted therapies

Ms. Hui-Chia Chuang
Pharmacist at Taichung Veterans General Hospital, Taiwan

The COVID-19 pandemic has created dramatic challenges for healthcare systems around the world, including Taiwan (Republic of China, R.O.C.). To overcome critical medication shortages of refillable prescriptions for patients with chronic diseases, and to avoid cluster infections in hospital while waiting for the medicine, we here offered an outdoor drug delivery service and implemented a queue management system to minimize waiting time and keep social distancing. We aimed to share our successful experience of this model of pharmaceutical care

Mr. Jordi Salas
Director Territorial at Corporació Fisiogestión, Spain

The poster shows how the technological change from the analogue model of the home care rehabilitation service to a digital model has added value at the clinical home care model and the management model. In the field of clinical home care, the accessibility of the population to the system has been improved and the model has been adapted to the new clinical needs. In the field of management, there has been an optimization of resources and improvement in sustainability at the business level. The importance of this new model is it to be extrapolated to other fields of home care.

Ms. Rosa M Simón Pérez
Quality Manager at Consorci Sanitari Alt Penedès I Garraf, Spain

Our organization has been developing participatory strategic plans based on the Balanced Scorecard method. Some difficult problems related to this method were: Reach all levels of the organization. Establish a systematic review of the action plan. Achieving goals. Management proposed a method to improve Strategic deployment. HOSHIN KANRI was an innovative method of ensuring that strategic goals were deployed at all organization levels. Moving to this method helped us measure results, track, and make sure we were working on focused actions to close the gap to the goal. This new model included all the professionals to achieve the company’s goals.

Ms. Li Chin Shih
Pharmacist at Taichung Veterans General Hospital, Taiwan

From this study we found that “possible adverse drug events” were the most common by drug-related problems classification. Close monitoring of the elderly’s medication is important in reducing the potentially inappropriate medication use

Ms. Yu Hua Yan
Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), Taiwan

Health and care sustainability supported by applied research and innovation adoption.

Dr. Eugenia Sopena
Physician. Consultant Orthogeriatric Unit at Hospital Sociosanitari Francolí, Spain

Prospective comparative study of two patient cohorts in an orthogeriatric unit to approach the risk of delirium. The control group was treated with the standard therapy (paracetamol/metamizole, diazepam, and rescue with tramadol), and the experimental group was treated with paracetamol/metamizole and rescue with morphine, and preventive neuroleptics if high risk of delirium. Eighty-five patients were included. The mean duration of the delirium was shorter in the experimental group (6.6 vs. 3.8 days; p=0.031). In patients with a previous history of delirium, there was a lower incidence of delirium in the experimental group (80% vs. 17%; p=0.036).

Dr. Limya Alaradi
Coordinator Of Accreditation Programs In Primary Healthcare Sector Ministry Of Health, Kuwait

To date much of the work on healthcare accreditation has focused on the shift from treatment to prevention and the movement of care from hospital-based settings to primary care are key drivers for striving to hospital sector. The shift from treatment to prevention and the movement of care from hospital-based settings to primary care are key drivers for striving to implement accreditation in Primary Healthcare Centres (PHC). Accreditation is now very much linked to quality improvement. ❑There is currently an increase in investment towards primary care. MOH in Kuwait chose Accreditation Canada to develop and finalize PHC standards, and provide the health care centres, through education and training, with the capacity to successfully implement those standards.

Ms. Gemma Mas Dalmau
Nurse Support  Research at Fgs Hospital De La Santa Creu I Sant Pau, Spain

Estudio con el objetivo de conocer las creencias, actitudes y comportamientos de las enfermeras en relación a la enfermería basada en la evidencia.

Dr. Eva Gil
Adjunct Physician at Emergency Department Hospital De La Santa Creu I Sant Pau (HSCSP), Spain

Adults with Down syndrome (DS) represent a significant proportion of our society. Aging has bringing new medical problems. The Collaboration between Fundació Catalana Sindrome de Down and Hospital de la Santa Creu i Sant Pau has developed of a Healthcare Plan (HP) for Adults with DS, aimed at improving the health and well-being. The HP contains the preventive measures, the most current is COVID-19 vaccination and systematic review of diseases associated with trisomy in adult life. Integrated health programs adapted for persons with particular clinical conditions, such as DS , are able to provide better health outcomes and improved well-being.

Dr. Montserrat Daban
Scientific and International Relations Director at Biocat, Spain
LinkedIn l Twitter

The COVID-19 pandemics has uncovered strengths and weaknesses of healthcare ecosystems at global scale. Among the several aspects relevant for systems’ preparedness, biomanufacturing capacities are lately drawing special attention. This work is relevant to the overarching Congress theme in the sense that in terms of supply chain planning, vaccine creation and business decision-making, the pandemic of 2019 has pushed the biomanufacturing into new territories, with a strong impact on healthcare transformation. Some pain points should be solved to be more competitive. The analysis highlights limited connection between the Catalan Public Health System and the R&ecosystem in Catalonia. 

Ms. Claudia Casafont
Consultant Nurse at Hospital Clinic Barcelona, Spain
Twitter

An observational descriptive study about patients with dementia or cognitive impairment hospitalized requiring hip surgery from admission to a 3 month follow-up. Functional capacity, pain and other morbidity variables will be presented. Also, experiences of their informal caregiver and the associated costs of care.

Mr. Pere Pascal Riera
Business Transformation Services at Fundacio Unio, Spain
LinkedIn l Twitter

La Unio Catalana d’ Hospitals is a health and social care association that groups 120 providers based in the Catalan Region. About 15 years ago we started to share best clinical and process best practises based on key performance indicators (KPI’s) benchmarks. This has demonstrated to be a good way to share knowledge and learn the ones from the others. Now, with COVID and the deployment of virtual healthcare models we keep doing benchmarks based on KPI’s to identify the best practises in an more objective way.

Dr. ChengJung Wu
Chief / visiting staff at Department of Otolaryngology, Shuang Ho Hospital, Taipei Medical University, Taiwan

This research compared the frequency of in-class face-touching and smartphone-touching behaviors of medical students before and after the delivery of a health education reminder during the COVID-19 pandemic. A behavioral observation study was conducted involving medical students at Taipei Medical University. All medical students were required to wear a mask. Their face-touching and smartphone-touching behaviors were observed through videotape recording. The recording lasted for 2 h, comprising 1 h prior to the health education reminder and 1 h after the health reminder. Comprehensive health ed-ucation and reminders effectively reduce the rate of face-touching and smartphone-touching behaviors.

Dr. Maria Pueyo
Coordinator Of Avaluation In Assistencial Area at Catalan Health Service, Spain
LinkedIn

We describe the results of concentrating publically funded Abdominal Aortic Aneurysm treatment in high-volume centers. As more than 30 cases per year were considered necessary in order to ensure care quality and safety, only 9 hospitals were selected for AAA treatment. The concentration of AAA procedures implemented in Catalonia has had a positive impact on patient outcomes with a reduction in mortality. AAA repair concentration, together with similar concentration processes undertaken in recent years , are examples of how CHS uses available evidence to re-plan care provision in order to maximize health outcomes.

Dr. Meritxell Pérez González
Abs Palamós Director Ssibe at Fundació Hospital Palamós, Spain

In Primary Care, we are used to send patients to hospital specialists but not the other way around. We have developed a tool so the laboratory can interconsult with PC when and anemia is detected: they run complementary tests and send the results to the PC doctor. PC physician receives the medical order decide the most suitable solution for that patient and whether to treat with oral or endovenous ferrotherapy. We were already managing ev ferrotherapy in PC for years, administrated by our nurses. With this protocol we want to continue our previous workflow in an even more efficient way.

Mr. Francesc Moya
Information Systems Manager at Consorci Sanitari del Maresme, Spain
LinkedIn

Through the CSdM employee portal (2400 internal workers and external collaborators), it has been facilitated in a secure and confidential manner both from the workplace and from home: self-appointment for CRP screening and consultation of the result; self-appointment for vaccination; self-declaration of COVID-19 symptoms through online questionnaires, with proposed guidelines to follow depending on the answers and finally, voluntary participation in a serology study (informed consent, baseline and follow-up questionnaire, self-appointment for analysis and consultation of results). Result: flexibility to the needs of the employee and the organization, achieving 94% vaccinated employees and 80% participation in the study

Dr. Carolina Mazeda
Doctor at Centro Hospitalar Baixo Vouga, Portugal

Hospital stays after hip fracture surgery have shortened in the past 10 years. Conflicting findings about the association between the hospital stay length after hip fracture and the risk of short-term death after hospital discharge in the general population aged 50 years and older are reported in literature. COVID-19 pandemic has changed the dynamic of all healthcare system, leading to the restructuring of inpatients teams as well as the emergency department. Our work demonstrate that length of hospital stay can be reduced without affecting the patient’s outcomes.

Nurse Dirga Pradesa
Cardiac Cath Lab Nurse at Awal Bros Group Hospital, Indonesia

Door to balloon time < 90 minutes on Primary PCI patient is a mandatory achievement to have a good outcome for patients with coronary heart disease. The achievement will reduce the complication rate in postprimary pci patients and ultimately reduce the mortality rate. There’s a huge decrease of primary PCI patients after the pandemic. Health protocol and screening checks in this pandemic make it difficult to achieve door to balloon time < 90 minutes. Creating a strategic plan and identified risk are a key component for our hospital services

Dr. Roger Villuendas
Cardiologist. Arrhythmia Unit Coordinator at H. Germans Trias i Pujol, Spain
Twitter

During the COVID-19 pandemic, in-person healthcare has been restricted as part of social distancing measures. For this reason, we set up a drive-through pacemaker remote interrogation point outside the hospital building to keep up with the routine device follow ups while reducing the biological risks for patients and health care workers. This new care model breaks the walls of the hospital and integrates eHealth with the Internet of Things to improve patients’ safety toghether with great efficiency and user’s satisfaction.

Dr. Srilekha Palle
Director at INOVA Health System, United States

In response to the global pandemic, the Rehabilitation Department quickly identified the need to streamline & restructure departmental processes to support organizational efforts in decreasing average length of stay(ALOS) and thereby ensuring beds are available at all times for COVID 19 patients. It was determined that improved responsiveness to evaluations by Occupational and Physical therapists was paramount to initiating early mobilization & providing timely discharge information for use by the medical team. Streamlining processes including patient scheduling, order placement, and staffing as well as addressing the culture had a positive impact on the hospital metrics of ALOS and bed availability

Dr. Diah Ayu Puspandari
Director Center For Health Financing And Insurance Management, Faculty Of Medicine, Public Health And Nursing at Universitas Gadjah Mada, Indonesia

In 2014 along with the introduction of National Health Insurance, case based group (CBGs) payment system was applied in Indonesia. Since then, it was mandated as prospective payment for all hospitals. During the implementation it may potentially creates powerful incentives or disincentives affecting provider behavior to survive and sustain in terms of economic consideration. Hospitals need to adjust their strategy to respond with the existing payment system. But cost containment should not be the only aspect that need to be taking into account in setting the price in CBGs payment system, clinical outcome should also to be considered.

Ms. Georgina Martínez
Terapeuta Ocupacional at Hospital Campus Vall D’Hebron, Spain

A tool in the shape of a panel with easy-to-recognize pictograms glued to one side of the wheel chair indicating the sequence of rehabilitation activities was put into routine practice for acquired brain damage patients. Results speak of patients better understanding, thus, adherence to treatment as well as – subjectively measured- better care giver experience.

Ms. Ana Rodriguez-Ortega
Head Of Nursing Of Functional Units Of Oncology Care at Catalan Institute Of Oncology, Spain 
Twitter

International recommendations for cancer control support the organization of breast cancer care with a multidisciplinary approach in Breast Units (BU). Several international guidelines include nurse as essential part of BU and defined their model of care, management and functions. The objective of this study is to evaluate the nurse’s care model in order to improve the quality of care for patients with breast cancer. This study will allow detecting, and subsequently correcting, the nursing care model, to improve the quality of care offered to women with breast cancer.

Dr. Dharma Vazquez
Full Professor at UPR/MSC/GSPH, Puerto Rico

University lessons learned. Establish priorities to monitor and avoid violations of set guides by government and adhere to the plan. Continuous communication with stakeholders was essential. Fair distribution of vaccines required assessment of exposure risks among students and faculty per school and program, planning for appointments according to capacity, dissemination of the plan with its specific rationale and monitoring to assure compliance of the plan. Collaboration was coordinated with all the professionals of the schools of Dentistry, Medicine, School of Public Health, Health Professions, Nursing and Pharmacy, these professionals made it possible to vaccinate our university community.

Ms. Nuria Sala
Head Of Pharmacy Department at Althaia Hospital Sant Joan De Deu (Manresa), Spain
LinkedIn l Twitter

Nurses in hospitalization units have a computerized drug trolley, that allows them to administer the medication to patients. If the prescribed medication is not in the drug trolley, nurses have to request it by telephone or in writing to Pharmacy Department. A new tool called Farmaclic allows nurses to request this medication with a simple click, reducing continuous interruptions in the Hospital Pharmacy and the possibility of errors when requesting and dispensing the medication. Transforming nurse-pharmacy communication can reduce potential medication errors improving patient safety.

Nurse Montserrat Cantero Cano
Head Of Nurses at University Hospital Sagrat Cor, Spain

In hospitals, the current patient profile is getting older and pluripathological, which implies creating a new healthcare culture. During the hospital stay all the person’s needs must be addressed with a thorough and comprehensive assessment, teamwork, and empowerment of the patient in decision making. Frail older people are at greater risk of adverse outcomes during hospital stay, such as loss of function, incontinence, delirium, malnutrition, and other geriatric syndromes that need to be addressed through a comprehensive multidisciplinary approach in order to prevent patients from having a worsening quality of life conditions caused by hospital stay.

Mr. Joan Canovas
Technician at La Unió Catalana D’Hospitals, Spain

Home care is one of the most relevant issues in the future in the process of transforming the health care model to meet the needs of an increasing population. Bringing care to people’s homes is widely recognized as a priority, however this does not translate into setting objectives and goals achieved. A great variety of strategies have been identified and analyzed, but their common denominator is the need to integrate health and social services.

Dr. Carlos Peña-Salazar
Psychiatrist and neurologist at Parc Sanitari Sant Joan de Déu, Spain

Intellectual disability and psychiatric disorders people have a high complexity in diagnosis and treatment. Parc Sanitari Sant Joan de Déu offers specialized mental health care for them. The Hospitalization Unit Specialized in Intellectual Disability UHEDI has always been an innovative service (2002-2021), for the complex typology of patients, the specificity in care circuits, and its inclusion in health network but also linked to social. Over years, UHEDI has undergone relevant changes aimed to greater adaptation to patient needs: – Longer hospital stays, Integration wider network, New professional profiles, Differentiated service portfolios, Psychopharmacological/psychological treatments based on evidence, Spaces as therapeutic element

Dr. Elvira Torné
Health Services Planner at Servei Català De La Salut – Catsalut – [Catalan Health Service], Spain

This study is aligned with both Catalan and State-level health policies such as the Catalan Plan and the Health Ministry’s Strategy on Chronicity (2014). The process to define and re-plan Pain Units (PU) portfolio has enabled space for discussion among different disciplines involved. It will contribute to quality by establishing registers, accreditation standards, contracting, evaluation, and to improved services purchase. A consensus-based PU portfolio will favour equity, efficiency and care quality throughout Catalonia.

Mr. Josep Jiménez
Unitat D’Experiència Del Pacient Servei at Català De La Salut, Spain

Since 2003, the Catalan Health Service has been using a surveys plan to incorporate PREMs in the evaluation and improvement of the health care services. Specific questionnaires for inpatient hospitalization, emergencies, outpatient consultation and major ambulatory surgery were elaborated with participation of professionals and patients. They include items related to accessibility, staff-patient interactions, information, hospital structure and equipment, coordination and global satisfaction. Only small improvements had been appreciated, suggesting hospitals quality management strategies are not focused enough to user’s experience improvements. At present, the whole strategy is being revised in order to effectively make it a system transforming tool.

Prof. Natalja Fatkulina
Director of Institute of Health Sciences at Vilnius University, Lithuania
LinkedIn

Home care is one of the most relevant issues in the future in the process of transforming the health care model to meet the needs of an increasing population. Bringing care to people’s homes is widely recognized as a priority, however this does not translate into setting objectives and goals achieved. A great variety of strategies have been identified and analyzed, but their common denominator is the need to integrate health and social services.

Dr. Zhaleh  Abdi
Assistant professor at Assistant professor. Tehran University of Medical Sciences, Iran


The aim of this study was to find out the priorities for research that could improve service provision across public hospitals in Iran using CHNRI (Child Health and Nutrition Research Initiative) approach, which involves a range of stakeholders in priority setting process. By setting the priorities with patients, carers, health care professionals and managers, we tried to look at the issues that really matter to people who are receiving or delivering care in hospital wards. Following the prevalence of the Covid-19, our results were updated considering research questions that emerged following Covid-19 in hospital sector.

Dr. Shoma Desai
Director, International Patient Services at Cedars-Sinai Medical Center, United States

An overview of medical traveler trends at a large United States Academic Medical Center over a 4 year period. (The duration of the study period is not inclusive of the COVID-19 pandemic)

Mrs. Mayte Izco
Enfermera Clínica Hospital Clínic De Barcelona, Spain

In 2018, we stablished a standardized operating protocol in order to set the standards of the advanced practice nurse (APN) consultation in neonatal pediatrics. Indicators were defined that related to the healthcare activity, the specific activity and the competence development of the APN. The advantages of the APN include comprehensive care of the binomial newborn (NB) –family; health education for the neonatal care; professional support; research and team leadership.

Ms. Laura Guarga
Consultant at Catsalut, Spain
LinkedIn l Twitter

The experience on innovative access initiatives deals with challenges of incremental pharmaceutical expenditure, especially in therapeutic areas such as oncology, rare diseases and infectious diseases. Between 2014 and 2020 there were several pharmaceutical access initiatives in CatSalut and they were possible thanks tocentralised registries which measure the outcomes and monitor accountability. Sixteen pharmacological tariffs were enforced in different therapeutic areas, 7 RSA-economic were implemented in the rare diseases and oncology areas and 8 RSA-health were targeting the onco-haematology and neurology areas. Finally, 2 value based payments were developed by applying a discount based on the outcomes data of the RSA-health.

Dr. Misericordia Basora
Consultant at Hospital Clínic Barcelona, Spain
LinkedIn l Twitter

MAPBM (Maturity Assessment Patient Blood Management) concept was developed to map hospital’s PBM organization, PBM care delivery pathway, and PBM-related patient outcomes, according to a set of key performance indicators in the three PMB pillars. 1:optimization before surgery, such as the percentage of patients with preoperative anemia; 2:strategies to minimize blood loss, such as the percentage of patients treated with antifibrinolytics; and 3: adequacy of transfusion approaches, such as the percentage of patients transfused with single-unit ordering. These results were obtained in a five-year period. Monitoring its annual performance assist hospitals in improving PBM indicators to finally improve patient outcomes.

Dr. Jordi Adamuz
Nursing Research Department at Bellvitge University Hospital (Idibell), Spain
Twitter

Assessment of physiological, psychological, sociological, and spiritual patient needs promote to identify overall hospitalized patient conditions. Manifested patient assessment changes often provide early warning signs that patient condition is deteriorating; therefore, requiring prompt intervention to prevent an adverse outcome, decreasing morbidity and mortality risk. In the fast-paced, resource-challenged healthcare environment today, exhaustive assessment can pose a challenge for the healthcare provider but is crucial to safe, quality care.

Mr. Richard Stubbs
Chief Executive Officer Yorkshire & Humber Academic Health Science Network, United Kingdom
Twitter

The NHS response to Covid-19 has seen increased innovation. Prior to Covid-19, Wessex Academic Health Science Network worked with five acute trusts to undertake ‘Innovation Adoption Reviews’. These reviews helped trusts understand their current practice and experience of adopting innovation, what’s done well and how to improve. Key themes/findings from these reviews have been used to identify a set of positive influences on innovation adoption in trusts – characteristics and traits that help them identify and adopt more innovation, across more services and deliver their priorities, faster. This poster describes the themes from our work and the positive influences.

Mr. Alex Farré
Health Consultant at PDCA Operations, Spain
LinkedIn l Twitter

Hospitals are forced to put efficiency as variable to consider on a daily basis, mainly in areas with high resource consumption and high added value such as the surgical area. Based on methods inspired by Lean management in the industry, this poster explore the application of a recognized approach Overall Equipment Effectiveness (OEE) adapted to a healthcare environment, converting it to Overall Surgery Effectiveness (OSE) This global indicator is the base to align different collectives into a unique objective. It is the starting point to deliver sustainable improvements implementing Lean approach based on continuous improvement cycle (PDCA)

Mr. Estephan Arredondo
Director Of Tissue For Research Unit at Donation And Transplantation Institute (DTI Foundation), Spain
LinkedIn l Twitter

This project proves the significance of innovative tools development and how its correct implementation can improve the organ donor identification and management in hospitals with no quality programs defined. The tools introduced in here are focused on improving retrospective analisys , quality indicators in organ donation and facilitate knowledge exchange between healthcare professionals. This poster shows the implementation of innovative digital tools aimed to increase the organ donation and transplantation rates. Proving great value of telematic applications developed during COVID-19 context.

Dr. Patricia Fernandez-Llama
Staff Of The Hypertension And Kidney Damage Prevention Unit at Fundacio Puigvert, Spain

Chronic Kidney disease (CKD) is a public health issue due to its prevalence and its relationship with cardiovascular disease. We have developed a programme to improve the quality of care of patients with CKD. Various strategies have been developed such a continuous professional training by means of yearly meetings, short hospital training, clinical sessions and practical skills workshops covering basic aspects of nephrology and arterial hypertension, creation of care circuits and clinical consensus, medical consultation, and activities involving patients. We showed that our experience of a multidisciplinary integrated program improve the care of patients with CKD.

Dr. Ching-Feng Lin
Superintendent at Keelung Hospital, Ministry Of Health And Welfare, Taiwan

Hospitals not only provide disease treatment functions, but more importantly, disease prevention, health promotion dietary lifestyle education, which is the role of empowerment! As we all know, the hospital work is very heavy. How to efficiently integrate everyone’s resources, combine everyone’s strength, and achieve health promotion for the three target groups is very important. I hope that the model of our hospital can bring some inspiration to others.

Ms. Anna Fuster
Environmental Technician And Responsible For CSR at Consorci Hospitalari De Vic,Spain

Sustainability has always been a key issue in our corporate strategy. Our commitment to preserve the health of our people as well as our environment has placed us to lead the way to sustainability in our sector in Spain. We have integrated the sustainability action in the main strategic plan that covers environmental, social and governance aspects. On the environmental aspect we present our achievements in water management. We have a hemodialysis and ICU water recirculation system that allows us to save 30% of the water we consume using a simple reverse osmosis water purification system.

Dr. Elena Medarde
Head Of Research And Innovation at Consorci Sanitari De Terrassa, Spain
LinkedIn l Twitter

The study shows the relation between the nature of the innovations developed at hospitals and the internal management process, as well as the relation between the size of the hospital and typologies of innovations carried out. It was found that organizational and process innovations were the most common typologies developed by hospitals. The current challenge is to scale-up this innovation typologies and develop business models to spread them. The results have been demonstrated during the COVID-19 pandemic, where process and organizational innovations has been crucial to adopt new ways of working as well as to incorporate new ICTs at hospitals.

Ms. Silvia Sancliment
Nurse infection at Fundació Hospital Sant Joan de Déu, Spain

How nurse leadership contributed during the first stage of the pandemic in a county hospital.
There was a situation of chaos, fear, anguish, lack of knowledge …

High adaptative capacity to change have been the key factor that allowed to get out from the situation of having the high care load of 700 CoVID19 patients during the first wave, with a 120 beds availability, 35% of the healthcare workers off sick and lack of material.

Teamwork achieved the reorganisation of available spaces, the optimisation of material resources and the relocation of professionals in order to provide dignified and quality care.

Mr. Pau Gomar Sánchez
Human Resources Manager at Parc De Salut Mar, Spain
LinkedIn

Knowledge and its management are part of health institutions mission; it is an essential value for their sustainability and the quality of the service they offer. Knowledge management is emerging as a fundamental resource to increase adaptability, innovation and strategic advantage on organizations. Since 2018 the HR department of PSMAR has developed a global knowledge management model to the organization and is deploying it in a project guided by our strategic action lines.

Mr. Daniel Lopez Torres
Supervisor and process nurse at Quality, Process and Innovation Department at Vall d’Hebron Hospital, Spain
LinkedIn l Twitter

The stablisment of PIPPI CoP will bring healthcare stakeholders together for knowledge sharing and cross-border value-based procurement of innovative digital healthcare solutions. The creation of multi-SH platform has been used to establish, leverage and scale up a shared set of tools and practices for the benefit of patients, healthcare providers, technology providers and policy makers. The better understanding of innovation and value-based procurement enabled the elicitation of unmet needs to be further defined in the future by stakeholders.
In this poster you will learn more about the process of development of PIPPI CoP and its unmet need detection process 

Dr. Yadin David
Interim President at Global Clinical Engineering Alliance, United States
LinkedIn l Twitter

Dependence of healthcare services provisioning on health technology (HT) tools is at all-time high and expected to grow further. It’s critical that plans are adopted to optimally support capacity to manage needed resources to meet the challenges of the past 2 years. It was demonstrated that the world was ill- prepared nor equipped with programs to meet healthcare services’ needs as experienced during global devastation from COVID-19.  
From temporary care spaces to staff protection and patient’s airway & monitoring support – local/regional technology lack coordinated assets inventory, competent engineers’ network, access to tools & parts, and safe performance protocols.

Ms. Nuria López-Matons
Neuropsychologist at Grup Mutuam, Spain

People with multiple chronic conditions are patients who use the health system most. Because their frequent contact with the system, they are more likely to be affected by preventable health care quality and safety problems. Mutuam Residential Care Teams (EAR) are health care teams who provide specialized primary care services to residents in nursing home. This collaborative program of EAR in nursing homes improve the management of clinical situations in nursing homes and avoid transfers to emergency services that impact negatively on health conditions and quality of life.

Dr. Nuria Marti
Director of Innovation at Biocat, the Bioregion of Catalonia, Spain

Academic research centers and therapeutic developers around the globe are investigating the application of regenerative medicine technologies to treat COVID-19 in the short term and address related complications in the future. In addition, therapeutic developers continue to advance clinical programs in a wide variety of indications with unmet medical needs not related to COVID-19. Innovative translational research in this field helps develop regenerative processes towards the ultimate clinical goal, among others, of addressing unmet clinical needs of large patient groups.

Dr. Gina Adriana
Vice Chairman of Quality & Patient Safety Departement at Awal Bros Group Hospital, Indonesia
LinkedIn l Twitter

Pain management is needed to fulfill the patient’s right to be free from experiencing pain. The Patient’s 100% prevalence of experiencing pain after their surgery and prolonged pharmacology procedures in coping with patient’s pain becomes the main reason for non-pharmacological therapy. Non-pharmacological treatment will work as a companion to reduce patient’s pain, such as breathing relaxation technique, distraction, musical therapy, and child play therapy. Based on this innovation we can conclude that there’s a reduction of cost/cost-effective with an increase in quality of service and patient’s comfort

Ms. Umkulthum Salim AlBarwani
Clinical Pharmacist at Royal Hospital, Oman

During COVID-19 pandemic, the Healthcare workers participated in the Royal hospital service came from different Healthcare services. This led in high medication consumption due to lack of awareness of medication safety standards. Our targets as following 1. Reduction of 50% of all accumulated medication 2. Introduce medication safety awareness to > 20% of pharmacist and staff nurses working in Covid19 areas 3. Implementation clinical pharmacy services in covid19 areas We were able to save 57.6% from initial budget. 32.2% of COVID-19 staff covered by awareness sessions. The Clinical pharmacy service were able covered covid-19 critical areas and ambulatory

Ms. Montse Granados
Nurse at Hospital Universitari General De Catalunya, Spain
Twitter

Patient safety (PS) is influenced by knowledge, available resources and the context in which medical care is provided. A cross-sectional study was designed to examine the relationships between nurses’ perceptions of their practice environment, other working conditions and reported adverse events. Medical-Surgical Units, rotating in the same shift and a Favorable perception on work environment were associated with more reporting of adverse events.

Ms. Ana Ventosa
Special Nurse at Benito Menni CASM, Spain

Contributing to the reduction of falls has a direct impact in the health of the people receiving care. Introducing politics focused on patient safety implies developing strategies to reduce the risk that patients may suffer unnecessary harm and subsequent complications. In the field of Mental Health, with patients who are more vulnerable and at a higher risk, it may turn out even more invalidating. Hence, the results obtained are important for the implementation of future measures which will improve integral health care to these patients, allowing them to fulfill their individual process of recovery.

Dr. Naseem Abdalla
Consultant Family Physician at UAE Ministry Of Health And Prevention, United Arab Emirates

Premarital screening programs aim to support couples in making informed decisions when getting married by offering genetic and infection screening tests and counselling for any potential risks that the healthcare provider might foresee.According to local law, any couple with a desire to get married in the UAE, must get a pre-marital screening exam and certificate issued before the marriage.This screening focuses on detecting not only hereditary hemoglobinopathies but also on critical Sexually transmissible infections.To make our program efficient and effective, we implemented it in three gradual phases to provide appropriate screening, counselling,to make the process efficient and minimize any errors

Dr. Rosa M Montoliu-Valls
Clinical Information at Institut Català D’Oncologia, Spain

Twelve years ago, the Programme for the Compressive Care of People with Advanced Diseases was launched with the objective of contributing to the comprehensive care of patients in the end of life situations and their families, through attention to psychological, social and spiritual aspects. We aim to describe the profile of the patient treated, the vulnerability factors and the concerns of the patient as well as the profile of the relatives attended.

Dr. Konstantinos Petsios
Head of Research Unit at Onassis Cardiac Surgery Center, Greece
LinkedIn

Project CEREBRO introduces a value based approach to guide procurement decisions based on improved patient outcomes. It focused on the effective application of commonly agreed clinical protocols, the sharing of data and the measurement of clinical outcomes against predetermined benchmarks. Risk share agreements may be used as an alternative and innovative management tool aiming towards delivering better patient outcomes and controlling overall costs of care. Moreover, the implementation strategy guided our clinical teams to share goals and to focus on targeted progress. A strategic partnership, as described above, assists managers to support the creation of a value based healthcare environment

Dr. Marta Guzmán Fernández
Directora Médica Y Operaciones at Hospital Universitari General De Catalunya, Spain

The standardization of Quality management system in HUGC has favored and continues to be beneficial in the implementation of large projects, increasing efficiency and effectiveness, such as, decrease clinical practices that have not demonstrated efficacy and promote, deploy and manage the quality of care through safe practices with the continuous objective of being an excellent, quality and safe hospital. I will include what I have learned from the COVID-19 crisis.

Dr. John Ash
Assistant Professor And Program Director Of Healthcare Administration at Misericordia University, United States

The use of mobile integrated healthcare-community paramedicine (MIH-CP) can be integrated into existing chronic disease management initiatives as a means of reducing unnecessary hospitalizations and costs and improving quality of life (QOL). A pretest/posttest research design using secondary data obtained from a research partner using the MIH-CP intervention. The survey instrument was the Euroqol QOL survey (EQ-5D-3L) (N = 645). After data analysis, it was determined that hospital readmissions for chronic conditions decreased by 86%. There was a statistically significant predictive relationship that MIH-CP may increase the perceived QOL of participants. This research may be transformational in managing chronic conditions.

Dr. Helena Vallverdú
Surgical Head at Consorci Hospitalari De Vic, Spain

More than 50% of emergency patients did not require continuum electrocardiographic monitoring (CEM) after revision. No significative differences were found after the centralized CEM system. A reviewing protocol is necessary. Sometimes, professionals may neglect to turn off the function when a patient does not meet the criteria. Poorly use contributes to work saturation, more tests and more resource consumption in the ER. Monitored patients may be at risk when an initial assessment is consistent with CEM; however, it is safe to remove the CEM based on their clinical evolution.

Dr. Enric Limon
Coordinator Vincat Program at Institut Català D’Oncologia, Spain
LinkedIn


Health care-associated infections (HAIs) are an increasing challenge for the healthcare system. HAIs can happen in any health care facility, including hospitals, ambulatory surgical centers, end-stage renal disease facilities and intermediate and long-term care facilities. HAIs are a significant cause of illness and death and they can have devastating emotional, financial, and medical consequences on patients, therefore the importance of assessing the profile of patients at risk for a better future case treatment and management. Our results showed that high comorbidity index factors are associated with an increased risk for acquiring an HAI.

Dr. Mariona Pons-Vigués
Health Services Planner at Servei Català De La Salut – Catsalut – [Catalan Health Service], Spain
Twitter

The creation of the Garrotxa-Ripollès Territorial Service of General Surgery is a result of the Catalan Health Service (CatSalut) initiative to foster strategic alliances between health centres and services. Patients will be admitted to one hospital or another according to the complexity of care they require; this will mean re-planning patient flows and will enhance care continuum. The new territorial distribution is expected to increase effectiveness of the integrated hospital model: most population health needs will be resolved along the ‘basic hospital-reference hospital-high technology hospital’ as ‘care axis’, providing care in the centre that best meets each patient’s needs.

Dr. Elvira Bisbe
Consultant Senior at Hospital Del Mar, Spain
LinkedIn l Twitter

“Essencial” is an initiative which identifies low-value clinical practices and promotes recommendations on how to avoid them. The Agency for Health Quality and Assessment of Catalonia (AQuAS) coordinates this process in collaboration with scientific societies, the Catalan Health Department and the health professional community. The following recommendation has been elaborated “before programming an elective surgery, it’s important to rule out if the patient has anemia, if it is the case, it’s relevant to treat the anemia for ensuring safety clinical outcomes”. A regional implementation strategy will be launched on 2020 to disseminate the key messages of this recommendation.

Ms. Shuju Chang
Nurse at Changhua Christian Hospital, Taiwan

This disease causes neuromuscular dysfunction, restricts the patient’s activities, requires a long period of rehabilitation, causes psychological anxiety, and also brings a great burden to their own family and society. Therefore, nursing staff should be familiar with the focus of care and medical treatment. The team discusses the future treatment direction, under the cross-field professional common care, so that they can receive complete and continuous care in rehabilitation and medical treatment, so that patients and family members can get a perfect quality of care, thereby reducing the burden on society.

Dr. Anna García-Altés
Director Of The Catalan Health Observatory AQuas, Spain
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The Results Centre of the Catalan healthcare system measures and disseminates the results achieved by the different healthcare centers in order to improve quality of healthcare. It favors benchmarking between healthcare centers and share best practices with transparency. Since 2012, a yearly report is produced for hospitals, primary care, long-term care, mental healthcare, public health activities, and territory. For each report, around 60 quality indicators are measured, regarding effectiveness, appropriateness, efficiency, low value practices, etc. These reports are used among managers and clinical leaders. This initiative is aligned with the most advanced countries in terms of transparency and accountability.

Mr. Mohammad Mehdi Kiani
Researcher at Health Equity Research Center’s (HERC) and P.h.D. student of health policy at Tehran University of Medical Sciences (TUMS), Iran

The poster demonstrates the findings of the paper titled “The relationship between producing health and contextual factors across countries: A Panel Data Analysis” which has looked into the issue of contextual factors’ impact on health outcomes across the globe and highlighted the health gaps between countries of different income levels.

Ms. Elbie Vosloo
Chief Executive Officer at Worcester Hospital, South Africa
Twitter

A systematic review of the transformation process which include; Changing of the organizational design from a hierarchy to a matrix management structure while including all senior clinicians as part of the hospital executive management. Reduce the gap between so called administrative and clinical leadership. Sanitizing and aligning non-interoperable electronic systems to provide discipline specific information that leads to informed decision making, inspire innovation that ultimately leads to improved cost and quality efficiencies and general client satisfaction. The resilient team also contributed to an excellent approach to managing the COVID-19 pandemic

Dr. Maria-Josep Carreras
Oncology Pharmacist. Head of Oncology Pharmacy Section, Vall d’Hebron University Hospital, Spain
Twitter

The cost of therapy for solid tumors have been analyzed (2014-2018) in Vall d’hebron University Hospital. Data from the electronic medical records, prescription, preparation, dispensing and economic softwares in healthcare patients and clinical trial patients, has been integrated (Pharmacy Pharmacy Analytics Manager PAM® platform). The cost of cancer treatment (CT) has been a progressive increase in recent years. The clinical research with specialties provided by clinical trials has meant a direct pharmacological cost savings of 69.893.155€ between 2014-2018. The clinical trial drugs have accounted for 49.8% (69.893.155€/140.321.743€) of the total medication used for CT in the last 5 years.

Dr. Filipe Martins
Medical Consultant at Centro Hospitalar Trás-Os-Montes Alto Douro, Portugal

U.C.A.M is the first Ambulatory Clinic in Portugal that closely articulates with primary care. Integrated in the Internal Medicine department it provides evaluation of patients after discharge from the ER or hospital ward and a new innovative articulation with primary care physicians. In this new project we assess patients that need a prompt internal medicine evaluation but do not qualify as emergency department cases. Therefore we offer acute care, diagnostic evaluation and treatment for medically complex patients within 7 days of referral. This poster describes our workflow during the first year of operability.

Prof. Ying-Ying Yang
Chief Of Department Of Medical Education at Taipei Veteran General Hospital, Taiwan

Through transforming written instructions-based cardiorespiratory training into smartphone augmented reality (AR) app-based. Patients are more easily and precisely involve in the training of post-operation cardiorespiratory function. In surgical department, AR group patients had more increase in vital capacity from baseline as well as higher satisfaction [meet their medical need] compared with baseline at the post-operation and follow-up stages. Therefore, we had promoted this program to other hospitals. In addition to implement at orthopedic department, we had shared this AR app service system on the google app store or apple store and provide the service to more population in need.

Prof. Adelaida Zabalegui
Vice Director Of Nursing at Hospital Clinic Of Barcelona, Spain

Managing efficiently on the necessary transformations in the Healthcare System is a priority for current governments. Knowing how many advanced practice nurses (APN) are in Catalonia and their scope of practice will facilitate the foundations for effective workforce planning in a dynamic context where nursing will play a key role. We will present the results of our study IPA-CAT: characteristics of advanced practice nurses at all levels of care in Catalonia, ratios, ambits of care and scope of practice of these APNs.

Early bird rates until 31 August