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Conference Timetable 2 March 2018 #RCPIquality Time Title Speaker 9:00 Opening address Dr Sinéad Murphy, Director of Education, RCPI 9:05 Welcome address Professor Mary Horgan, President, RCPI Chaired by Dr John Fitzsimons, Clinical Director, Quality Improvement Division, HSE 9:15 9:45 Setting standards for Primary Care do they make a difference? Patient safety creating the high performance environment Dr Stephen Clark, Board Member, ISQua; Group Chief Executive, Australian General Practice Accreditation Ltd Dr Alan Smith, Head of Quality, St Vincent s University Hospital 10:15 Questions and answers 10:30 Coffee break Chaired by Dr Peter Lachman, Quality Improvement Faculty Lead RCPI; CEO ISQua 11:00 New ways of looking at safety of healthcare Prof Jeffrey Braithwaite, Foundation Director, Australian Institute of Health Innovation/President elect of ISQua 11:35 Quality Comes From Within: Maximising the Contribution to Quality of You and Your Team John Slattery, Founder at Inspo 12:05 Questions and answers 12:20 Lunch and networking

13:20 Breakout Sessions 1. Engaging the Future of Improvement: Trainee Led Solutions This interactive session will explore and challenge current models of Quality Improvement empowerment and spread in Ireland. Delivered by doctors in training and RCPI Quality Improvement Scholars in Residence, this innovative workshop aims to draw on the experiences of those working in Irish Healthcare to help solve wicked problems and break down barriers to greater frontline and NCHD engagement in Quality Improvement science. This session will be chaired by Dr John Brennan, a recently qualified GP who completed the first QI scholar in residence programme in RCPI in 2016/2017. Also speaking: Dr Kirstyn James, Geriatric Medicine SpR Dr Kevin O Hare, Histopathology SpR Dr Sinead McGlacken Byrne, Paediatrics SpR 2. Between the Flags - Safety and Quality Lessons from the Beach to the Bed With Cliff Hughes, Professor of Patient Safety and Clinical Quality at Macquarie University. No one has drowned swimming between the red-and-yellow flags in Australia in almost 100 years. This session will explore a ground-breaking management/governance/ education solution that resulted in a whole of system culture change and saved over 1,200 lives in four years. 3. Enhancing Service Quality by Embedding a Relational Approach in Healthcare Services This session will be delivered by Dr Maeve Hurley, GP and CEO of Ag Eisteacht, a Cork based charity which she co-founded in 2001. Maeve will introduce the key messages from research on the impact of relationships on health outcomes. She will propose that relational health is all of our business, that all frontline workers in health, education, family support and justice have opportunities to further improve outcomes for the clients they work with, by attending to and wondering about the relationships that have shaped and are part of their lives. The session will give you an overview of the research evidence which links relationships and public health outcomes. There will be an opportunity to discuss the role of the physician in relational health, including the challenges and opportunities. 14:20 Coffee break

Time Title Speaker Chaired by Professor Conor O Keane, Director of Quality and Clinical Care, RCPI 14:50 Effectively leading for quality improvement? Look in the mirror. Ms Wendy Nicklin, President, ISQua 15:20 Safety at the Sharp End Dr Paul O Connor, Human Factors Psychologist and Lecturer in Primary Care at NUI Galway 15:40 The importance of unambiguous transfer of responsibility of care between teams Mrs Loretta Evans, mother of Colin Evans 16:00 Questions and answers 16:15 Winners of the inaugural Robert Collins Award to be announced 16:45 Reflections on the day s key messages Dr Peter Lachman, Quality Improvement Faculty Lead RCPI, CEO ISQua 16:55 Conference closing remarks Dr Sinéad Murphy, Director of Education, RCPI

Meet our speakers Prof Jeffrey Braithwaite, Foundation Director, Australian Institute of Health Innovation/President elect of ISQua Professor Jeffrey Braithwaite is President Elect of ISQua. He is also Foundation Director, Australian Institute of Health Innovation; Director, Centre for Healthcare Resilience and Implementation Science; and Professor of Health Systems Research, Faculty of Medicine, and Health Sciences, Macquarie University, Sydney, Australia. His research examines the changing nature of health systems, particularly patient safety, standards and accreditation, leadership and management, and the structure and culture of organisations and their network characteristics. Professor Braithwaite has published extensively (more than 630 refereed publications and 800 total publications) and he has presented at international and national conferences on more than 900 occasions. Dr John Brennan, GP and former Quality Improvement Scholar in Residence Dr John Brennan graduated from University College Dublin in 2011. He recently completed his training in General Practice on the HSE Dublin Mid-Leinster GP Training Programme. He currently works full time in General Practice in North Dublin City and South County Kilkenny. John was awarded a Diploma in Quality Improvement in Healthcare and Patient Safety with the Royal College of Physicians of Ireland (RCPI) in 2017. He has served as Quality Improvement Scholar in Residence with RCPI and International Society for Quality in Healthcare (ISQua) for 2016/17. He is a past Chair of the Irish College of General Practice (ICGP) Network of GP Trainees and was the trainee representative on the ISQua Education Committee and International Conference Organising Committee for 2017 and 2018. He is a previous UCD Sports Scholar and continues to play hockey with Pembroke Wanderers in Dublin

Dr Stephen Clark, Board Member, ISQua; Group Chief Executive, Australian General Practice Accreditation Ltd Dr Stephen Clark is an ISQua Board Member with over 28 years senior leadership experience. His governance experience includes roles such as Chair of Board, National President, Company Secretary and Board Member for more than a dozen companies since the mid-1990s focused mainly in health and education. He has also chaired a range of sub-committees as a non-executive director. He is Chair of council for the International Accreditation Programme of ISQua and is a Fellow of the Australian Institute of Management, Fellow of the Australian Institute of Company Directors, and a Fellow of the CEO Institute. He holds qualifications in Teaching, Psychology, Counselling and Special Education, as well as a Doctorate in Philosophy. Loretta Evans, Patient Safety Advocate Loretta Evans was a stay-at-home wife and mother of two children until 28 July 2005 when her youngest son Colin passed away in a Dublin hospital six weeks after major surgery. The operation had gone without incident and Colin was making an amazing recovery when, one week prior to his death, his consultant went on holiday and the family were plunged into a nightmare as Colin's condition began to deteriorate rapidly resulting in his death. Afterwards the family made a complaint regarding the standard of care Colin had received, which after three years, following an inquiry resulted in a new handover policy being implemented in the hospital dedicated to Colin's memory.

Dr John Fitzsimons, Clinical Director, Quality Improvement Division, HSE Dr John Fitzsimons is a Consultant Paediatrician at Our Lady of Lourdes Hospital, Drogheda and Clinical Director with the Quality Improvement Division in the HSE. John graduated from University College Dublin in 1996. He trained in paediatrics in Ireland, Australia and the UK. He was appointed as a consultant to Our Lady of Lourdes Hospital, Drogheda in 2010. He trained as a Patient Safety Officer with the Institute of Healthcare Improvement (IHI) and became a fellow of the Improvement Faculty at the NHS Institute for Improvement & Innovation in 2009. In September 2013 he commenced a half-time secondment as Clinical Director for Quality Improvement with the HSE s Quality Improvement Division. His clinical interests are in ambulatory paediatrics and childhood allergy. He is chair of the group that published the NCEC Paediatric Early Warning System Guideline in 2015. He is a course co-director for the HSE/RCPI Diploma in Leadership and Quality in Healthcare. Professor Cliff Hughes, Professor of Patient Safety and Clinical Quality at Macquarie University, Immediate Past President ISQua Professor Cliff Hughes is the Immediate Past President of ISQua. He is Professor of Patient Safety and Clinical Quality at Macquarie University. Previously he was the Chief Executive Officer of the Clinical Excellence Commission, NSW. This appointment followed a 25-year career as a cardiothoracic surgeon in Sydney. Professor Hughes has a particular passion for patient based care, better incident management, quality improvement programmes and the development of clinical leaders. Professor Hughes has been appointed to the Board of the Medstar Institute for Quality and Safety in Washington DC, USA. He is also an Advisor to the WHO Policy Roundtable on Quality in Health Services.

Professor Mary Horgan, President of the Royal College of Physicians of Ireland Professor Horgan is a Consultant Physician in Infectious Diseases and Internal Medicine at Cork University Hospital. She served as Dean of the University College Cork School of Medicine from 2013-2017. She took up the role of 142nd President of RCPI at the College's Annual Stated Meeting on 18 October 2017 and will serve a three-year term. Originally from Kerry, Professor Horgan graduated from UCD in 1986. She was awarded her MD in 1995, MRCPI in 1988 and FRCPI in 1997. She serves on the Board of the Health Products Regulatory Authority and the Mercy University Hospital, the Governing Body of UCC, formerly a Board Member of the Irish Blood Transfusion Service and previous Chair of the Council of Deans of Medical Schools of Ireland.

Dr Maeve Hurley, GP and CEO of Ag Eisteacht Maeve is CEO of Ag Eisteacht, a Cork based charity which she cofounded in 2001. Her area of specialist interest is relational wellbeing and the field of research and evidence which unequivocally demonstrates the critical role relationships play in determining health and well-being. Having studied medicine in UCC Maeve worked in General Practice in Cork and the UK. Whilst working in the UK as a General Practitioner Maeve undertook professional training in the field of relational well-being in order to enhance her work with patients. Maeve became a licensed trainer with One Plus One in the UK and delivered its Brief Encounters programme over many number of years. Today Maeve delivers the evidenced informed programme called ABLE nationwide, together with Ag Eisteacht s network of licensed trainers. The programme is based on Ag Eisteacht's extensive experience of delivering relational based training to practitioners in healthcare, social care, education, justice and business in Ireland since 2001. ABLE incorporates content from special matter experts which places the programme specifically in an Irish context, it reflects the findings from emerging research and takes cognisance of the invaluable feedback from frontline practitioners who attend training with Ag Eisteacht. It is also independently evaluated on an ongoing basis. As an experienced trainer and facilitator Maeve delivers strengths based training, focused on building practitioners knowledge, skills and confidence so they can adopt a relational approach to their work. She has also trained in Leadership (Leaders for Change, All Hallows College). Recently Maeve formed a working group of interdisciplinary experts with a mission to ensure that in health care, social care and education, person-to-person relationships are acknowledged and valued in every interaction, as a fundamental aspect of health and well-being. Maeve has been invited to participate in training modules at the Cork Specialist Training Scheme in General Practice, University College Cork and at South West Specialist Training in General Practitioner Training. Institute of Technology, Tralee. She is also due to contribute this year on the RCPI s Diploma in Primary Care Paediatrics.

Dr Kirstyn James, QI Scholar in Residence at RCPI Kirstyn completed her undergraduate medical degree in RCSI, graduating in 2009. She is currently on the RCPI Higher Specialist Training programme in Geriatric Medicine. Kirstyn is passionate about medical training and education and cochaired the Forum of Irish Postgraduate Medical Training Bodies Trainee Sub-Committee. She was awarded a RCSI StAR MD Scholarship in 2016 and is currently completing her MD. She is a current RCPI Quality Improvement Scholar in Residence. Dr Peter Lachman, Quality Improvement Lead Faculty for RCPI Dr Peter Lachman is the Quality Improvement Lead Faculty for RCPI and the National Quality Improvement Programme. From 2005-2006, he was a Fellow of Quality Improvement at the Institute for Healthcare Improvement in Cambridge, Massachusetts. His current position is Associate Medical Director (Patient Safety) and Consultant in Service Redesign and Transformation, Great Ormond Street Hospital for Children NHS Trust. He is also a Consultant Paediatrician at the Royal Free Hospital Hampstead NHS Trust and Designated Doctor for Safeguarding Children in Camden PCT. His current interests are in patient safety and in designing services that are safe and friendly at the same time. Improving the flow of patients in order to improve safety and decrease variation are central to his work.

Dr Sinéad McGlacken-Byrne, QI Scholar in Residence at RCPI Dr Sinead McGlacken-Byrne graduated from University College Dublin in 2012. She is a paediatric Specialist Registrar in Galway University Hospital, Ireland with an interest in paediatric endocrinology. Sinéad is one of the 2017/2018 Quality Improvement Scholars in Residence with the Royal College of Physicians of Ireland (RCPI) and the International Society for Quality in Healthcare (ISQua). She has a Master s in Clinical Education from NUI Galway and now tutors on their Master s programme. Sinead is also the recipient of a 2017 National Health Service Executive (HSE) Scholarship in Management and Leadership, and is completing an MSc in Health Services Management at Trinity College Dublin this year. Dr Sinéad Murphy, Director of Education and Professional Development, RCPI Dr Sinead Murphy is Director of Education and Professional Development of the Royal College of Physicians of Ireland. Dr Murphy s primary role is as an educator, and she also holds the position of Director of Paediatric Education at the UCD School of Medicine and Medical Sciences. A Consultant Paediatrician at Temple Street, Dr Murphy has consistently combined her role as a clinician educator with clinical positions at every level, allowing for seamless integration of these two interconnected roles. Dr Murphy studied undergraduate medicine in Trinity College Dublin in 1994, and went into Paediatrics straight from internship. She continued her clinical training at Great Ormond Street Hospital in London and at University College London, returning to Ireland in 2001. She received Fellowship of the Royal College of Physicians of Ireland in 2012. Dr Murphy has a special interest in childhood obesity and has carried out extensive research on this subject. More recently, she has been in the role of clinical lead on the paediatric childhood obesity service which was developed and is run by a multidisciplinary team in Temple Street.

Wendy Nicklin, President, ISQua Wendy Nicklin is the President of the International Society for Quality in Health Care (ISQua). She is a recognised healthcare leader in Canada. Wendy has extensive experience as a critical care nurse and in progressive leadership positions. She has participated in many quality initiatives, such as Canada's National Steering Committee for Patient Safety, and as a founding Board member on the Canadian Patient Safety Institute Board for eight years, working to contribute to its establishment and success. After over 11 years at the helm, Wendy recently stepped down from the position of President and Chief Executive Officer of Accreditation Canada. She led a significant renewal of the approach to and value of accreditation. Dr Paul O Connor, Human Factors Psychologist and Lecturer in Primary Care at NUI Galway Dr Paul O'Connor is a Human Factors Psychologist and Lecturer in Primary Care at NUI Galway. He has a wide range of experience in teaching and carrying out research on improving human performance and safety in high risk work environments (e.g. healthcare, military and commercial aviation, Naval special forces, nuclear power generation, offshore oil production). He has authored more than 60 publications on the topic of human factors and safety in high risk industries, including a co-authored book on nontechnical skills entitled Safety at the Sharp End. Dr O Connor s talk on 2 March will address what the military describe as the 'blue threat'. In healthcare this is the threat posed to patients due to their care, as opposed to the 'red threat' of the disease or condition from which they are suffering.

Dr Kevin O Hare, QI Scholar in Residence at RCPI Kevin O Hare is a fifth-year SpR in Histopathology. He is a QI Scholar in Residence at RCPI and is currently completing fellowship programme with ISQua. Kevin graduated from TCD in 2010 with degrees in Medicine and an intercalated degree in Biochemistry and Immunology. He first became formally involved in QI while working in St James s Hospital in 2015 through his involvement in the laboratory microsystems group with the aim of continual incremental improvement in the department and delivery of services. Since then he has continued his interest in QI through the Scholar in Residence at RCPI, fellowship programme with ISQUA and completion of a green belt in Lean Six Sigma. Current interests include efforts to make histopathology reports more patient-centred, improvements in education and training for trainee histopathologists and process improvement in the laboratory.

John Slattery, CEO of Inspo John Slattery is the CEO of Inspo. Through Inspo, which specialises in People Development Consulting, John has been working with companies across Ireland and the UK to optimise performance and quality. John has developed a unique framework that individuals across the organisations he works with can relate to and use to identify simple ways to make improvements in their levels of performance in work - which has led to a positive knock-on effect in the quality of their work. The application of the framework has seen companies across sectors such as Professional Services, Finance, Recruitment and Healthcare experience tangible improvements in levels of performance, retention, morale and quality. Prior to setting up Inspo in 2016, John Slattery first qualified as a Chartered Accountant in Professional Services firm, PwC. However following his passion, John transitioned into specialising in People Development, holding roles in this field locally and internationally with PwC. John will walk you through Inspo s framework for driving performance on 2 March, as well as sharing real examples of how the application of the framework across organisations has led to significant improvements in the quality of performance. John will also leave you with practical suggestions for how you and your team can maximise your contribution to quality. Dr Alan Smith, Head of Quality, St Vincent s University Hospital Dr Alan Smith is Director of Quality and Patient Safety at St Vincent's University Hospital, Dublin. Previously, Dr Smith held the role of BowelScreen Operations Director and Medical Director, Screening Policy at the National Cancer Screening Service. Prior to that he was Director of Performance Improvement at the HSE Special Delivery Unit. Dr Smith's talk on 2 March will examine the key element of organisational culture as the foundation upon which patient safety efforts rely. His talk will look at examples of high performance sporting cultures as the basis for proposing what could be achieved in an acute healthcare environment. Attendees will hear a different, provocative and thought provoking approach to one of the most topical items in healthcare in Ireland today.