Dr Mary Browne, QPS Division lead for QA+I Resources, HSE
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This document summarizes Dr. Mary Browne's presentation at the National Primary Care Conference on quality improvement initiatives. It defines quality using dimensions from the Institute of Medicine and NHS Scotland, then outlines current pressures on healthcare systems like diminished resources, extra workload, and media attention. It stresses the importance of delivering safe, quality care through continuity of care, excellent access, highly trained staff, and quality improvement work. The presentation discusses approaching national quality standards, focusing on listening to staff and patients, assessing and measuring quality, and embracing transparency.
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The quality improvement programme aims to provide the highest quality mental health and community care in England by 2020 through two stretch aims: reducing harm by 30% each year and ensuring patients receive the right care, in the right place, at the right time. A central QI team coordinates the programme and builds improvement skills within the workforce. Improvement projects use the Model for Improvement and test changes using PDSA cycles. Measurement is key to tracking progress, and successful spread requires patience and not repeating the "seven spreadly sins". The partnership with IHI and BMJ Quality aims to make improvement methods accessible to inspire, innovate, improve and share work across the organization.
Question of Quality Conference 2016 - Patient Experience - Customer Insights
Whilst clinical outcomes are often regarded as the strongest marker of quality, it is not the only variable in a patient’s definition of a quality care experience.
In this session the definition of ‘quality’ to private patients will be explored using recent research on patient experience. The speakers will look at the different ways healthcare providers can effectively communicate their ‘quality’ offer to patients.
Hf intro Mark Johnston
An introduction to human factors - Mark Johnston
Human factors encompass all those factors that can influence people and their behaviour. In a work context, human factors are the environmental, organisational and job factors, and individual characteristics which influence behaviour at work in a way which can affect health and safety. A simple way to view human factors is to think about three aspects: the job, the individual and the organization and how they impact people’s health and safety-related behaviour
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The Best Technology for Professional Learning - Chris Graf
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UCLPartners Quality Forum presentation - 21 November 2014
UCLPartners Quality Forum presentation - 21 November 2014
Tools developed to help match capacity and demand for patient care
Tools developed to help match capacity and demand for patient care
Does patient engagement in patient safety and quality committees advance safe...
Does patient engagement in patient safety and quality committees advance safe...
Marie Kehoe O'Sullivan, Head of Standards and Methodology, HIQA
Marie Kehoe O'Sullivan, Head of Standards and Methodology, HIQA
This Conversation May be Recorded for Quality Purposes
This Conversation May be Recorded for Quality Purposes
Question of Quality Conference 2016 - Patient Experience - Customer Insights
Question of Quality Conference 2016 - Patient Experience - Customer Insights
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Grainne Flynn , Blood Sugar Trampoline:Patient Speaker
Grainne Flynn was diagnosed with diabetes in 1993 and began her journey of diabetes education and peer support that empowered her as a patient. She became involved in diabetes advocacy as a blogger, event organizer, and support group facilitator. Through education, family and peer support online and in support groups, she felt empowered in managing her diabetes.
Dr Neil Black , Consultant Physician
This document outlines a modified diabetes care model called the Portsmouth Model or "Super Six." It describes the different patient populations and types of care provided at the hospital, primary care, and diabetes support team levels. The hospital team focuses on acute, pregnancy/pre-pregnancy, active foot disease, advancing CKD/RRT, type 1 diabetes including insulin pumps, and complex type 2 diabetes patients. Primary care manages those at risk of diabetes, with controlled type 2 diabetes, and uncontrolled type 2 diabetes with guidelines. The diabetes support team cares for uncontrolled type 2 diabetes patients and type 1 patients who do not attend appointments are invited to an online community. Patient numbers are provided for each group.
Gerald Tomkin , Director of the Diabetes Institute Beacon Hospital
This document summarizes a presentation on diabetes, atherosclerosis, and cholesterol. It discusses how diabetes increases the risk of cardiovascular disease and mortality. It notes that achieving lipid targets substantially reduces cardiovascular risk, but that target achievement is still uncommon. New therapies that inhibit microsomal triglyceride transfer protein, apolipoprotein C3, proprotein convertase subtilisin/kexin type 9, and other targets may help lower lipids and reduce risk, but require further study of long-term safety and efficacy. The need to more intensively reduce risk factors to further lower cardiovascular event rates is emphasized.
Dr. Ronan Canavan , Clinical lead of the National Clinical Programme for Diab...
Ronan Canavan, a consultant endocrinologist, gave a presentation at the Future Health Summit on designing better diabetes care. The presentation discussed standards, an integrated care model, retinopathy screening and treatment, podiatry, education, and paediatrics. It reviewed a 1999 model of diabetes care and discussed progress made in the last 5 years, including establishing a clinical diabetes program, retinal screening, developing a model of care for diabetic foot care, and integrated diabetes nurse specialists. The presentation concluded by discussing how Ireland can be the best in areas like prevention, technology, and education.
Healthbridge
This document presents information on CliniBridge, a behavioral analysis software platform for clinicians that is integrated with a mobile platform for patients and caregivers. The platforms were pilot tested with Sussex Community NHS Trust and aimed to 1) avoid patient relapses and readmissions to meet funding targets, 2) allow patients to self-manage for improved outcomes, 3) increase the effectiveness of therapy, and 4) use silent data and intervention systems. The platforms were presented by Dervilla O'Brien, Managing Director and Co-Founder of CliniBridge.
Malcolm R. Kell, Breast Cancer Survivor
The document describes an app developed by Dr. Malcolm R. Kell and colleagues to help breast cancer survivors focus on physical activity, diet, and reducing their body mass index (BMI) after treatment. The free app allows users to select an exercise intensity, see how much exercise is needed over 10 weeks to lower BMI by 10%, update their BMI, and access simple recipes to support a healthy diet for weight loss. The goal is to provide breast cancer survivors a simple tool to promote healthy living and improved survivorship after breast cancer.
Control Drink
Serious problems require serious solutions. Alcohol misuse costs €57 billion annually and only 1 in 9 people who misuse alcohol receive treatment. A smartphone and web-based platform is proposed as an innovative, user-friendly, evidence-based, and cheaper way to provide personalized treatment at scale. The platform utilizes computerized cognitive behavioral therapy and text messaging, which studies have shown can be effective in treating alcohol misuse. It seeks to revolutionize the UK addiction treatment market and plans clinical trials in Ireland and the UK in 2016 before rolling out more broadly in Europe and the US.
Robert Kelly, Videodoc
Dr. Robert Kelly discusses pressures facing the Irish health system including resources, costs, quality, and efficiency. Barriers include doctors' limited time and resources, and patients' issues with access, time, mobility and costs. Telemedicine can help overcome these barriers by giving patients more convenient lower-cost access supported by information to high-quality care. VideoDoc is an Irish telemedicine platform provider that operates a virtual clinic model and enables doctors to integrate the platform into their practices to develop telemedicine solutions for patients. The platform aims to improve healthcare experiences and outcomes at affordable costs through more engaged patients.
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This document discusses the regulation of standalone software as a medical device. It begins by defining standalone software and noting the EU directive that amended the definition of a medical device to include software intended for medical purposes. It then covers how to qualify standalone software as a medical device and classify it. The document reviews essential requirements, harmonized standards, conformity assessment procedures including CE marking, and registration requirements. It provides advice for manufacturers on ensuring compliance and for users on reporting issues. The role of the Irish regulator HPRA in providing guidance and conducting oversight is also discussed.
Anastasia Dedyukhina , Consciously Digital
This document summarizes the effects of digital distraction on human behavior and brain function. It notes that people now spend 2-3 times as much time online as a decade ago and most check social media daily and switch between devices over 20 times an hour. This constant connectivity is changing how our brain functions, shortening attention spans and affecting memory. The ability to stay focused without distraction has become a rare "superpower." However, the document also sees opportunities to make sense of data and provide tips to use technology in a supportive rather than substitutive way.
Sasha Oliver, Avloni
1) The document discusses using neuroimaging and machine learning to detect dementia earlier by predicting which patients with mild cognitive impairment (MCI) will progress to dementia within a year.
2) The researchers have developed a model that can predict MCI to dementia progression with 75% accuracy by analyzing brain MRIs.
3) They are working to improve their model's accuracy and to predict the biological brain age and time to dementia for patients.
Jemma Gatliff, Keregen
Keregen Therapeutics is a UK-based early stage drug discovery and development company focused on developing precision medicines for Parkinson's Disease. They were founded in 2015 and are operating out of University College London and Stevenage Bioscience Catalyst. Keregen is developing first-in-class small molecule activators of the Nrf2 pathway as a disease-modifying treatment for Parkinson's with the goal of a safer oral therapy that can be taken once daily. The company has participated in accelerator programs, secured initial funding, hired new employees, and aligned with academia to access resources and personnel as they progress their lead candidate towards clinical trials.
Darren Cunningham, Inflection Bio Sciences
Darren Cunningham, CEO of Inflection Bio, presented an overview of the company's mission to develop new cancer treatments by targeting the PIM kinase pathway. Inflection Bio has a pipeline of targeted therapeutics for cancers like multiple myeloma, NSCLC, and hematological malignancies. Its lead candidates inhibit both PIM and PI3K/mTOR to address resistance to existing therapies. The company utilizes a network of research collaborators and has raised €2.2 million to advance its preclinical programs, with the goal of securing partners after Phase I trials.
Phision Theraputics
This document discusses developing more effective drug delivery systems for treating blindness linked to diabetes or aging. It describes Phision Therapeutics' work on developing novel small molecule drugs and biodegradable microcapsule formulations for sustained drug release over 4-6 months via microneedles, as an alternative to frequent eye injections. The founders aim to commercialize this technology to reduce the burden of treatment for patients and clinicians.
Niamh Malone , Brainey App
This document describes the development of the BraineyApp, a mobile application created by Niamh Malone to help with self-recovery and rehabilitation following acquired brain injuries like stroke or traumatic brain injury. The app provides a personalized recovery journey broken into weekly and monthly goals. It underwent user testing and focus groups. Funding is being sought to further develop prototypes with input from medical experts and technology companies to expand the app's reach and features to support recovery from various neurological conditions and surgeries.
Toby Basey-Fisher , CEO, Co Founder, Eva Diagnostics
Evadiagnostics provides a smart health solution that offers immediate blood testing and actionable patient information to help with triaging. Their clinically validated platform technology connects devices, software, and data to improve patient care through better planning and quality of care driven by new data insights. They were recently recognized as European winners for their award-winning team and significant health economic impact through health solutions that improve patient outcomes.
Ena Prosser, Fountain Healthcare Partners
This document summarizes information about a life sciences venture capital partnership. They have €170 million under management across two funds and invest in companies seeking €8-10 million or more that have large market potential and an acceptable level of risk. Their team includes experts across clinical, commercial, IP, manufacturing and legal areas. They take an active role in their investments and want to connect early with companies that have strong teams critical to success.
Cathal Friel, Raglan Capital
Raglan Capital is an investment firm based in Dublin that develops investment opportunities by identifying and sourcing proprietary projects. In recent years it has raised over $500 million for ventures in sectors like oil and gas, financial technology, online gaming, medtech, and life sciences. One of Raglan's recent successes was instrumental in the formation of Amryt Pharma, a rare disease drug company that listed on the London AIM exchange in April 2016 with a market capitalization of $50 million and $20 million in cash.
Kieran O’Connell , DIT Hothouse
Academic institutions in Ireland are driving support and innovation in several ways:
1) Through technology transfer offices and innovation centers that work directly with industry to identify needs and fund applied research projects to develop solutions.
2) By establishing research centers organized around key industry sectors like food and agriculture that are jointly funded and driven by partnerships between academia and industry.
3) By offering degree programs, facilities, expertise and other resources to support industry-identified priorities and challenges in areas like biomedical technologies and brewing/distilling.
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- 1. An Adventure in Quality Improvement Dr. Mary Browne Quality and Patient Safety Division National Primary Care Conference 2013
- 2. Defining Quality • Institute of Medicine – Safety, Effectiveness, Equity, Timeliness, Efficiency, Patient-centredness • NHS Scotland - Person-centred care, Safe care, Effective care
- 3. National Standards for Safer Better Healthcare Quality Dimensions Capacity and Capability Dimensions
- 5. Not starting from Scratch Delivering Safe, Quality Care Continuity of Care Excellent Access Highly trained, Supported Staff Quality improvement initiatives and work ICT Systems
- 7. Approaching the National Standards • Our National Quality Standards • Making the Standards work for you • Frame quality improvement work • Team work
- 8. “Here is Edward Bear, coming downstairs now, bump, bump, bump, on the back of his head. It is, as far as he knows, the only way of coming downstairs, but sometimes he feels that there really is another way, if only he could stop bumping for a moment and think of it.” Winne the Pooh A.A. Milne,
- 9. Quality Continuum Levels of Quality QA+I Resources: http://www.hse.ie/eng/about/Who/qualityandpatientsafety/Standards/qaandImprovement/qaanditool/qaanditoolpdfs.html
- 10. Where to focus? Listen to staff Foster development and growth Listen to and empower patients Assess and Measure Quality Person-Centred Care and Support Effective Care and Support Safe Care and Support Better Health and Wellbeing QI skills and knowledge Embrace Transparency
- 12. Thank You And will you succeed? Yes! You will, indeed! (98 and ¾ percent guaranteed.) Oh the places you’ll go, Today is your day! Your mountain is waiting. So…get on your way! Dr. Seuss