Canterbury Health System Quality Improvement Awards 2018

The winners of the Canterbury Health System Quality Awards 2018

The winners of the Canterbury Health System Quality Improvement Showcase 2018

The 2018 Supreme Award winners accepting their award for the Focus on eyes: Delivering patient treatment on time project

The Canterbury Health System Quality Improvement Showcase recognise, reward and publicly acknowledge excellence in quality improvements and innovations. The Awards are open to all Canterbury DHB staff and providers whose services are funded by Canterbury DHB.

This year’s Awards, held on 6 December, featured speeches, presentations, and an exhibition of all 48 poster entries. Entries came in from organisations across the Canterbury Health System, covering topics ranging from radiology, improving mental wellbeing, reducing appointment and waiting times, streamlining services, and more.

To see photos of the event, view the photo gallery.

To view 90-second overview videos created by the winners, click on the links embedded in the project titles below.

Award winners

Improved Health and Equity for All Populations

Winner: Motivating conversations: Developing a motivational interviewing education module for primary care professionals using a continuous quality improvement approach (Population Health and Access Service Level of Alliance, Canterbury Clinical Network)

This project aimed to achieve increased interpersonal communication skill levels between patients and primary health care providers by designing an education programme, ‘Motivating Conversations’, that was peer-led, brief, and focused on the practical development of motivational Interviewing skills. Over 220 primary health care professionals attended Motivating Conversations between 2017 and mid-2018, and Motivating Conversations has maintained a high level of satisfaction among the participants and use in their workplace.

Runner-up: Sparklers: Helping tamariki live brighter (Community and Public Health)

Aiming to support tamariki to look after their own wellbeing, build positive mental health, and cope with life’s challenges, Sparklers was collaboratively developed over two years as a free online wellbeing resource for school years 1-8. Evaluations have shown that the resource has been highly valued by school staff and other professionals, providing a common wellbeing language across students, school staff and other professionals, and normalised talking about and promoting positive mental health and wellbeing for the schools involved in the evaluation.

Best Value for Public Health System Resources

Winner: The customised variant testing service: A family-specific genetic testing service in New Zealand (Hospital Support and Laboratories/Canterbury Health Laboratories/Genetics)

This project introduced a local customised service which allowed genetic testing of families with any known genetic variant at Canterbury Health Laboratories (CHL). The average turnaround time for CHL services is 22 days, as opposed to three to six months for overseas laboratories, with a cost of around $355.00, compared with $270.00 – $1600.00+ for overseas laboratory services ─ reducing anxiety for parents and their families, as well as saving money.

Runner-up: Where are my pumps?! Reducing the time spent looking for clinical equipment using wifi asset tracking and an easy-to-use website (Medical Physics & Bioengineering, Clinical Engineering Emergency Department)

The Emergency Department’s (ED) supply of infusion pumps often end up scattered around the hospital as their patients are transferred to wards. The aim was to provide a system enabling non-techie users to instantly find their clinical equipment, increasing the number of pumps available in ED, and decreasing the amount of time staff spend looking for them through wifi and an easy-to-use website.

Improved Quality Safety and Experience of Care 

Winner: Focus on eyes: Delivering patient treatment on time (Ophthalmology Service)

Responding to concerns about national Ophthalmology overdue follow-up times for people diagnosed with eye disease, the Canterbury Eye Service ran over 100 outpatient clinics, including at night, weekends and during last year’s Christmas break ─ reducing an overdue Ophthalmology follow-up waiting list of 3,347 patients down to 719 in one year.

Runner-up: It's radiation therapy but not how you know it: Volumetric modulated arc therapy for breast cancer (Radiation Oncology)

The Radiation department at Christchurch Hospital treats approximately 240 breast cancer patients a year. The experience of patients receiving radiation therapy could be improved by reducing treatment times. This project aimed to successfully plan and treat a patient that required treatment to the breast, axillary nodes and internal mammary chain nodes with volumetric modulated arc therapy (VMAT). Through document reviews, education and meeting patients, using VMAT has reduced the daily appointment time by 50 percent, meaning that 12.5 hours of both patient time and treatment machine time is being saved.

Improved Work-life

Winner: Excellence in palliative care: A new approach to supporting aged residential care facilities (Nurse Maude Hospice Service)

The Palliative Aged Residential Care Service was formed with the appointment of seven clinical nurse specialists who worked closely with facilities to identify and fulfil learning needs. In addition to staff education and collaboration, these nurses liaised with general practice and families to create a non-referral based service and a seven day a week support rostered service. As a result, 95 percent of aged residential care facilities were contacted each month and education has been held at 97 percent of facilities. Staff have provided positive feedback on how education has improved confidence and clinical practice. This is supported by audits result showing appropriate referrals for residents with complex needs.

Runner-up: Streamlining the vascular ward round: A time-out structure (Ward 10, Vascular Surgery Department)

A time-out model, loosely based off the World Health Organization’s Surgical Safety Checklist, was developed to improve workflow, hand hygiene, and communication without increasing administrative time. As a result, there was a significant improvement across a broad variety of subjective and objective measures post-introduction of the time out and no increase in time per consultation. The time-out structure is currently used in daily practice and will continue based on the encouraging results of the audit.

Consumer Council Award

Reducing the Triple Whammy: Small group education to improve patient safety and reduce harm in primary care (Pegasus Health)

The Triple Whammy is a potentially dangerous combination of drugs which can cause acute kidney injury and significant patient harm. Beginning in 2011, education messages alerting clinicians to watch for the Triple Whammy were delivered through relevant rounds of the regular peer-led Small Group programme run by the Pegasus Clinical Quality and Education team, and again in 2013. By the end of 2017, data showed that the number of patients on the Triple Whammy combination had fallen from 3054 in 2010 to 1821, a reduction of around 40 percent.

People’s Choice Poster Award

Winner: Radiology one-stop-shop for MRI general anaesthetic: A comprehensive solution (Radiology Department)

The aim of this project was to have a one stop shop for children and families, to reduce the number of stakeholders, improve communication and reduce delays and reduce the movement of patients around the hospital. Changes were made to streamline pre-admission, patient care during treatment and recovery, thereby valuing both patient and staff time. Patients only visit Radiology and are discharged from recovery having seen all key staff.

Supreme Award

Winner: Focus on eyes: Delivering patient treatment on time (Ophthalmology Service).

 

Page last updated: 14 December 2018

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