Putting people at the center of the healthcare system through governance, leadership, integration and co-production

11 November, Thursday, 12:30 – 14:00

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

The implication of an administration, aside from its official capabilities, to support medical services and the most fragile population
Presented by: Cédric Arcos
The « Région Île-de-France » health position from the beginning of the COVID-19 is a transformation for a regional government in a state where the government is responsible for all the health system. Thanks to partnerships with health associations, it gained a better understanding of the needs. This innovation for a French regional government is important because its aim is to create a new approach in which health is part of a global project, where prevention, education, regulation of hospitals, transport and territory development policy all contribute to a better protection for patients and citizens.

Exposing Obstetric Violence to improve rights-based and respectful maternal care in the Eastern Mediterranean Region (EMR)
Presented by: Merette Khalil
Obstetric violence is a form of gender-based violence against childbearing women which threatens the provision of high-quality, rights-based, respectful maternal care. COVID-19 has increased the incidence of obstetric violence across hospitals globally. Obstetric violence manifests in all health systems, regardless of income-levels and is likely prevalent in the EMR as maternal care in the region is highly technocratic and overmedicalized. This presentation centers women’s experiences of the seven categories of disrespect and abuse in childbirth to expose obstetric violence in the Region and to inform recommendations for policy and practice on improving rights-based and respectful maternal care.

KSA vision 2030 in leading the way for changes in humanistic leadership across the Kingdom of Saudi Arabia
Presented by: Dr. Sami Yousif
The presentation will focus on relationships between people and how important this is for leadership.  The key focus will be on humanistic leadership and how leaders need to adapt to this. Delegates will learn from the Saudi Arabia Healthcare Leadership Academy about the long-term 2030 transformation programme to reform healthcare across the Kingdom.  This will be based on a collective and accountable leadership framework and model.  Lessons learned from literature and from the Kingdoms response to COVID-19 will be shared in terms of policy, sustainability, and leadership requirements as one example of the need for change.

A social approach of health care institutions: 10 years of social contribution to local territory
Presented by: Marta Cardoner
Social projects of health care institutions: providing not only health services but also local social projects to help cover needs of socially excluded groups, has proved along 10 years to be a coherent way of integrating health institutions as part of local society. Also, it prevents these groups from incurring in major health problems. Health professionals feel personal satisfaction and corporate pride when working on social projects.

Development of an effective system of provision of services, the Mediker experience
Presented by: Dr. Aigul Kulmukhamedova
MEDIKER has created and is constantly improving its own corporate culture, reflecting the close relationship between the members of the group of companies. Today the company has introduced an integrated approach to health management: diagnostics – treatment – medical rehabilitation – prevention. They have 25 medical centers in the country, a network of their own dentistry and pharmacies, a distribution network for the supply of equipment, rehabilitation, industrial medicine in production, a stem cell bank and training center. The presenter will show the lessons that their company learned during the pandemic.

Humanization of healthcare spaces: Putting people at the center of healthcare transformation
Presented by: Esther Puig
The presenter’s organization is promoting the humanization of healthcare so their aim is to create a hospital that reflects their environment and community. To provide the best experience for their patients and clinical teams. Their project focuses on giving patients a voice in both care development and the designing of spaces and general atmosphere of the hospital itself.

A new ICU model: The architecture at the service of person-centered care and patient protocol
Presented by: Clara Rius
The patient protocol developed in the Infrastructure and Biomedical Engineering Department, reflects the need to involve patients and first-line professionals in the decision making of the works carried out in the department. The protocol was developed with the intention of avoiding the last-minute unforeseen events that arise in the works. For this, there is a classification of type of participation according to the contact that patients have in a specific area where renovation will be carried out.

Highly realistic clinical simulation to involve field professionals in decisions about work environments and processes
Presented by: Dr. José M Quintillá
Highly realistic clinical simulation has been widely used as an educational tool for training professionals in technical and non-technical skills. In the presenter’s Simulation Unit the concept is extended, using simulation also as a tool for analysis, design and decision making on work environments and processes. This service line of the Clinical Simulation Unit helps to narrow the gap between work-as-imagined and work-as-done. This presentation describes how, through simulation, front-line professionals contribute to making relevant decisions about the configuration of their workspaces and how to work in them.

Raising awareness to health professionals about emotional needs of families suffering perinatal loss through a short documentary
Presented by: Elisenda Campreciós
The loss of a child during pregnancy, or shortly after birth, is not a common occurrence, but it is a prevalent fact in our society. When this loss happens, life and death walk together.
The grief that parents experience following a perinatal loss is a devastating experience.
The presenter believes that the video named “When the illusion vanished” has contributed to help health care professionals to empathize and understand the need to be able to accompany these families with the appropriate care, respectful, empathetic attitude and professionalism so that they can start the path to a ‘healthy’ mourning.

Integrated Responsibility Centres: Illustrations of professionals’ initiative for improved performance and service response in a tertiary teaching hospital in Lisbon
Presented by: Maria João Freitas
Integrated Responsibility Centres (CRI) represent a specific management model within Portuguese NHS Hospitals. These are born from professionals’ initiative and commitment to achieve certain performance goals, responding to specific problems posed by demand pressure on services, most frequently resulting in extremely high waiting times for consultation or surgery and leading to poor evaluation results.
Teams organize themselves in a more flexible way, assuming a principle of intersubstitution, improved standards of service delivery and quality. Innovation and research are relevant axis, but the experiences of accountability, pay for performance and augmented staff autonomy are meant to be the transformational shift. 

Setting of multidisciplinary teams for inherited kidney diseases at Puigvert Foundation-Hospital Sant Pau
Presented by: Prof. Roser Torra
The presenter will review the utility of multidisciplinary teams for managing inherited kidney diseases. As these diseases are multisystem, it is mandatory to involve several different specialist, which may not always be easy. The presenter will highlight the role of the case manager nurse coordinating patient care and empowering patients. During last year, her role has been determinant by dealing with the COVID-19 pandemic and minimizing the impact on patients with inherited kidney conditions. 

Casuistics and comorbidity of the patient with COVID
Presented by: Dr. Natalia Allué
In COVID patients it is essential to identify the profile of the patient with the highest risk of complications or suffering a death in order to be able to establish measures from the first contact of the user with the healthcare device and prevent the complication. The aim is to describe the patients with 2019-nCoV disease discharged from Mollet Hospital, and identify the profile of the patient most susceptible to suffering a complication or death, according to comorbidity. This study is a pioneer at the national level in the identification of comorbidities and identification of the characteristics of COVID patients. 

Reducing the pediatric cardiac surgery waitlist at the national heart centre
Presented by: Dr. Ala Al-Lawati
Learn the steps the presenter took to reduce their overwhelming surgical waitlist in paediatric cardiac surgery using an innovative approach that utilized lean management principals and improved the system’s efficiency at various levels. You will also learn about their approach towards effective utilization of resources and the impact of introducing “Flow Management Services” in their centre.

Reducing length of stay of six cardiac lesions to meet the international standards
Presented by: Dr. Mohammed Al Ghafri
Lack of enough intensive care beds is major contributing factor for the long waiting cardiac surgical list. The aim of the authors was to reduce length of stay (LOS) in the unit in order to help decrease this waiting list. Initially, they searched the literature on the appropriate LOS benchmark for six cardiac lesions. Then they concentrated on implementing three main protocols; fast track extubation, optimization of analgesia and sedation and training nurses in the step-down. This reduction of the LOS contributed to the marked reduction of the waiting list from 260 patients on January 2018 to 50 patients on March 2021.

Support and information service for women with breast cancer during chemotherapy sessions
Presented by: Neus Domenech Oller
The CLOSE 2U project intelligently manages a set of 50 interactive videos, based on the patient’s history and initial questions, throughout the chemotherapy process. An algorithm has been generated, capable of collecting all of the patient’s personal data, at each moment in the process, and deciding which videos are ideal for each session, to provide support, information and personalized accompaniment at all times.
Another important aspect is the information obtained, which is used to optimize each treatment and carry out statistical studies of interest. 

Unitary action on World Diabetes Day in an urban territory
Presented by: Señora Zoe Herreras Pérez
This presentation will promote a unitary community intervention during the WDD in Primary Care Centres (PCC) and Hospital Diabetes Units (HDU) as benchmarks in an urban territory to sensitize the community/professionals about the importance of an early detection of type 2 diabetes (T2D) and evaluate risk (FINDRISK) obtained in community/professionals. It will also propose new strategies according to needs detected in the community.