ALERT Course Networking Day Tuesday 20 th October 2015

Transcription

1 ALERT Course Networking Day Tuesday 20 th October 2015 Holiday Inn, Birmingham Airport Assalamu alaikum (Peace be upon you) Harry Stevens MBE FAcadMEd Consultant Adviser in Educational Governance Hamad International Training Centre (HITC) Qatar

2 ALERT TM Course Networking Day Tuesday 20 th October 2015 ALERT (iindu) Qatar March 2014

3 We stride to ensure our patients are safe and receive the best care, always

4 Objectives Where is Qatar A little about Qatar and its Health Care structure Awareness of Number of Beds and Staffing levels The ALERT challenge for Qatar The Governance Structure

5 ALERTTM Course Networking Day Where is Qatar? Doha

6 Qatar as the GCC Regional ALERT Hub Saudi Arabia UAE QATAR GCC ALERT Hub Bahrain Oman Kuwait

7 Qatar Capital Doha Square miles Population 2.3 Highest per capita income in the world ( ) Climate: October 2015 Very Hot and Dry Health care Social Health Insurance (SHI) Hamad Medical Corporation (HMC) main public health provider HMC Hospitals 8 Private Health Care (some) Ambulance Service Wales Capital Cardiff Wales Very Cold And Wet NI NHS Wales 104 Wales some Ambulance Service

8 Qatari nationals number only 278,000, 12% of the total population in the country. 88% Expats of which: Indians & Nepalese 50% Others 50% UPDATED ON:

9 Population Age range Qatar Wales Over % 22.9% % Over % Younger more fit population

10 HMC Number of beds - % staff per bed Al Wakra Hospital 325 beds Hamad General Hospital 621 beds Heart Hospital 115 beds NCCR 76 beds Rumailah Hospital 664 beds Al Khor hospital 110 beds The Cuban Hospital 75 beds Women s Hospital 330 beds Total beds 2316 beds Health Care Staff (6.5) Doctors 2000 (0.9) Nurses 9000 (3.9) No HCSW

11 40 Different fully accredited Courses 1200 Courses Staff Trained each year

12 ALERT Challenges GCC Hub Collaboration 88% of the population young fit workers Multi cultural workforce Ownership Implementation Several influencers of Health Care systems Time scale Electronic patient records 9000 nurses and 2000 Doctors Qatarisation of ALERT

13 Deteriorating patient program Governance Leadership Response and Escalation Education and Training Evaluation HMC JCI Mandate Supreme Council Standards for Qatar Medical Director & Nursing Director ownership Top down Leadership QEWS Observation Charts Clinical Review Procedures Escalation and Response Procedures Staff buy in Education and Training Programme Implementation Programme Clinical Audit Research

14 Education and Training HITC Responsibility HITC Management structure AD Education AD Research AD Resuscitation and Clinical Skills AD Simulation Full range of Advanced Life Support and Clinical Skills Courses Education and Training Officers Links to clinical areas Seamless delivery of education and training Audit and Performance Department Research Department

15 Education and Training Fully funded 50 Resuscitation officers Mandatory attendance Trainers paid 2 year target Range of delivery: Bedside orientation e-learning ALERT IMPACT Rapid Response High Fidelity Simulation doctors and nurses to be trained over 2 years 300 courses per year 8 courses each week Plus Bedside, e-learning, IMPACT and RR HFS

16 5 Elements of the Qatar Early Warning System (QEWS) Policy and Governance Plan Observation Charts Governance Standard Calling Criteria Deteriorating Patient Response System Clinical Review Rapid Response Awareness Recognition & Response ILS,ALERT ALS Education Evaluation Key Performance Indicators Adapted from Between the Flags, Education Strategy& Implementation Guide 2012

17 Standard Calling Criteria Track and trigger tool The Standard Observation Charts currently developed: Standard Adult General Observation (SAGO) Chart Standard Maternity Observation Chart (SMOC) Standard Pediatric Observations Charts (SPOC) Standard Newborn Observation Chart (SNOC) Standard Adult Emergency Observation Chart Integration into Cerner

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19 Yellow Zone If your patient has any YELLOW Zone observations or additional criteria you MUST Call for a Clinical Review Initiate appropriate clinical care Inform the NURSE IN CHARGE that you have called for a Clinical Review Repeat and increase the frequency of observations REMAIN WITH YOUR PATIENT

20 MANDATORY escalation Red Zone If your patient has any RED Zone observations or additional criteria you MUST Call for a Rapid Response Initiate appropriate clinical care Inform the NURSE IN CHARGE that you have called for a Rapid Response Repeat and increase the frequency of observations Inform the Attending Doctor as soon as possible REMAIN WITH YOUR PATIENT

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23 Summary I hope this presentation has kept you ALERT? There is a lot of construction going on in Qatar to lay the foundations of safe and effective patient care!

24 Designing a Solution Prevention (excellent care) Clinical Review Education:. Compass ALERT BASIC Clinical Pathways Rapid Response Patient Condition OBSERVATION CHART ALS Adapted from Between the Flags, Education Strategy& Implementation Guide 2012 Time Death

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27 Harry Do you need the red zone too?

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