Reshaping healthcare delivery to a borderless system: Leading to outcomes which really matter to people

11 November, Thursday, 12:30-14:00

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

Repurposing of the Hospital-at-Home (HaH) unit towards an integrative assistance model
Presented by: Dr. Antònia Baraldés-Farré
It’s becoming more common the hospital admission of very elderly patients and patients with complex needs. The presenter’s institution decided to repurpose part of the activity carried out in the conventional HaH towards an integrated model (IHaH) aimed at the multidimensional treatment of the patient’s needs. The goal is to restore functionality after an acute event through a multidisciplinary intervention. Changing hospitalization to the homecare model during  convalescence and rehabilitation process can be a successful strategy, and provided benefits in terms of healthcare quality (better functionality at discharge) and of economic efficiency (shorter treatment period). Furthermore, the IHaH avoids other risks inherent to conventional hospitalization. COVID-19 crisis has supposed a definitive impulse to this care model, since the main objective was to get patients out of the hospital as soon as possible, and facilitate the treatment at home, with safety and comfortability.

Patient Safety Culture Assessment in the hospital care setting in the Eastern Mediterranean Region Countries: A Systematic Review and Meta-Analysis
Presented by: Dr. Hamid Ravaghi
There is a need to picture the current status of patient safety culture in the EMRO region, resulting to adopt appropriate and effective actions aimed to enhance patient safety in the region.  This systematic review aims to understand the overall perceptions of patient safety culture in the countries of the EMRO based on the findings of the Hospital Survey on Patient Safety Culture (HSOPSC). The review identified that a regional action on patient safety is needed to prioritize patent safety in health policies and to monitor the status of patient safety within the region regularly and systematically. It is also recommended that national policymakers develop some regulatory mechanisms to encourage staff to report the mistakes and to support the continuous learning from the previous mistakes.

CHECK COVID-19: An assessment model for evaluating COVID-19 management in a tertiary care hospital
Presented by: Dr. César Llorente Parrado
Check COVID-19 is an assessment tool to evaluate the development, implementation and impact of the preparedness and response plans against COVID-19 established in the hospital. Its main objective is to develop a systematic evaluation model in short cycles of continuous improvement, which allows identifying strengths and areas for improvement in an agile way. This model includes the following 3 elements:

  1. Self-assessment questionnaire, consisting of 30 standards subdivided into 97 measurement elements.
  2. On-site audits to verify the implementation of standards in the different areas of the hospital.
  3. Surveys: one to assess the degree of adherence of professionals to the protocols implemented in the hospital and another to assess patient satisfaction.

Check COVID-19 is being validated for its multicenter application in the Catalan Health Service, as a diagnostic tool for the hospital’s level of preparedness for possible future contingency situations caused by new pandemics or other crisis situation.

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.

Do patients have a “clinic eye”? Comparison among health centers in Catalonia according to user’s satisfaction
Presented by: Dr. Toni Iruela
Based on PLAENSA-2018, users of the primary health care teams of Catalonia make 2 groups, on the one hand the 30 teams with the highest score and the 30 teams with the lowest score. Different variables (general, adequacy, effectiveness, efficiency) obtained from the 2018 results center of these teams are studied. The results are compared between the two groups of teams. The teams best scored with satisfaction by patients also have better indicators of care quality. This work invites to make much more efforts to incorporate patients and thus contribute to advancing in achieving Berwick’s triple aim.