Implementation and Evaluation Making a difference in your health service 4-5 April 2018 Aerial Function Centre, UTS City Campus, Jones Street, Ultimo The Maternal, Newborn and Women s Health Clinical Academic Group is pleased to be able to host the first Implementation and Evaluation Seminar for SPHERE. This unique 2 day event brings together leaders and international experts from: SPHERE - Sydney Partnership for Health, Education, Research and Enterprise Agency for Clinical Innovation, NSW King s College London and the Karolinska Institutet, Sweden Australian Institute of Health Innovation, Macquarie University, NSW Speakers include international leaders - Professor Jane Sandall (Kings College London and UTS), Professor Nick Sevdalis (King s College London), Dr John Ovretveit (Karolinska Institutet, Sweden) and Professor Jeffrey Braithwaite (Macquarie University, Sydney) as well as experts from UTS, ACI, WSU, UNSW, the NSW Ministry of Health and our LHDs South Eastern Sydney and South Western Sydney. The aim of the seminar The aim of the seminar is explore how to implement evidence into practice to improve outcomes and also to better understand the ways to evaluate the implementation process. The seminar will provide a combination of theory and real-life examples from NSW and internationally to show how implementation and evaluation can make a difference to your health services, whether you are a clinician, manager, policy maker, consumer or researcher. Topics will include: The need to translate evidence into practice Factors to consider in getting evidence into practice for clinicians, managers and researchers Ways to evaluate success and change using research frameworks Implementation theories, frameworks and strategies Types of study designs and approaches to implementation and evaluation Case study examples
We will focus on questions such as: Why doesn t the evidence always get put into practice? Why aren t all health services offering patients/consumers treatment and care informed by up-to-date guidelines and the latest knowledge? What can be done? How can we better implement evidence into practice and ensure the best outcomes for our community? What can you do as a clinician, manager, researcher or consumer? ABOUT THE SPEAKERS Professor Nick Sevdalis is a Professor of Implementation Science and Patient Safety, Director of the Centre for Implementation Science at King s College London, Chief Editor of BMJ Simulation & Technology Enhanced Learning and Associate Editor of Implementation Science. He is an international expert in this field and his research is focussed within the multidisciplinary space of implementation science, improvement science, and applied psychology. His research focuses on systematically analysing implementation gaps in the delivery of improvement interventions (including checklists, team skills development, and clinical pathway redesign) and developing practical methods to address them. Nick s research has been disseminated in over 270 peerreviewed publications and over 100 invited lectures worldwide, and has won over 25 national and international awards. Professor Jane Sandall CBE has a clinical background in nursing, health visiting and midwifery and an academic background in social science and is an Adjunct Professor, in the Faculty of Health, UTS, and has an Honorary Doctorate from UTS. Her research has mainly been in maternal health and reproduction, is interdisciplinary between the clinical and social sciences and involves a range of methods. It focuses on a) the implementation of health policy and effective solutions at a health system and service delivery level, and the impact on health outcomes and users' experiences, to improve quality and safety of care b) the social and organisational implications of the translation of innovative health technologies into health care. Jane is one of the academic leads for the King s Centre for Implementation Science and lead capacity building, where one of the first MSc programmes in Implementation and Improvement Science Research has been established. In maternity and women s health theme she is now looking at how changes in service delivery can improve quality of care for women at higher risk of pre-term birth, and with social complexity in collaboration with local stakeholders in South London. Dr John Ovretveit is the Director of Research, Professor of Health Improvement, Implementation and Evaluation, Medical Management Centre, The Karolinska Institutet, Stockholm, Sweden. His work is focussed on evaluation, quality and safety improvement, implementation science, health management policy and reforms, clinical coordination and integration of services. His work is based on the belief that organisation and management can bring out the best and worst in people, and that the right organisation design is critical for effective healthcare. A theme underlying his work is how practical research can contribute both to better care for patients and to "healthy work organisation" His current research examines implementation of management and organisation improvements, and clinical care coordination for safety and lower costs.
Professor Jeffrey Braithwaite is Foundation Director of the Australian Institute of Health Innovation, Director of the Centre for Healthcare Resilience and Implementation Science, and Professor of Health Systems Research, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia. He has appointments at six other universities internationally, and he is a board member and President Elect of the International Society for Quality in Health Care (ISQua) and consultant to the World Health Organisation (WHO). His research examines the changing nature of health systems, which has attracted funding of more than AUD $110 million. He is particularly interested in health care as a complex adaptive system, and applying complexity science to health care problems. Professor Braithwaite has contributed over 900 total publications and presented at international and national conferences on more than 900 occasions, including 90 keynote addresses. His research appears in journals such as The BMJ, The Lancet, Social Science & Medicine, BMJ Quality and Safety, and the International Journal for Quality in Health Care. He has received 39 different national and international awards for his teaching and research. NB: The seminar organisers reserve the right to alter the program slightly should that be necessary for whatever reason
IMPLEMENTATION AND EVALUATION: MAKING A DIFFERENCE IN YOUR HEALTH SERVICE Day 1: Wednesday 4 th April 2018 8.30am 9.00am Registration and refreshments 9.00am 9.15am 9.15am 10.00am Presentation: 40 mins 10.00am 10.50am Presentation: 40 mins Q&A: 10 mins 10.50am 11.20am 11.20am 12.00pm Presentation: 35 mins 12.00-12.30pm Presentation: 25 mins 12.30pm 1.30pm 1.30 2.30pm Presentations: 4x10 min Q&A: 20 min Welcome and introduction to the seminar Presenter: Chris Levi (SPHERE) and Caroline Homer (SPHERE, UTS) Why translate evidence into practice and how? Understanding the health landscape and health politics in NSW, nationally and globally Improving care and outcomes through closing the evidence/practice gap What translates into practice how to ensure scale-ability and sustainability What can clinicians, managers and researchers do to close the evidence-practice gap Speakers: Kerry Chant (Chief Health Officer NSW) Implementation Science: What it is, what it does and why we need it Understanding the field of Implementation Science, key terms, definitions and case studies Exploring similarities and differences between implementation science and clinical effectiveness research Defining key terms including implementation outcomes and strategies Exploring relationships between clinical and implementation outcomes for research and evaluation Speaker: Nick Sevdalis, Professor of Implementation Science and Patient Safety, Director of the Centre for Implementation Science at Kings College London Tea break (refreshments provided) Translating evidence into practice: challenges, opportunities, barriers and need to understand resilience Scaling up health systems improvement How context shapes effective implementation Applying a translational model of improvement strategies Implementing interventions to improve health system performance sustainability Speaker: Jeffrey Braithwaite, Professor of Health Systems Research, Faculty of Medicine and Health Sciences, Macquarie University Implementation for health practitioners and managers Implementation drivers organisation, competency, leadership and management Active implementation stages and processes Developing implementation teams Speaker: Prasuna Reddy, Professor of Mental Health and Implementation Science, UTS Lunch (provided) Case studies of success and areas for improvement: Stories from the frontline of translation The messy road to translation Starting with the science. Amanda Henry (UNSW, SESLHD, The George Institute) The implementation end of the road: Supporting innovative approaches to induction of labour. Blanka Blasko (SWSLHD) Implementing a new triage model in a Birth Suite: Managing change and challenges. Helen McCarthy (SESLHD) International evidence translation: The QASC Europe study. Sandy Middleton (ACU and St Vincent s Health Australia Sydney) Chair: Natasha Donnolley (SPHERE, UNSW)
2.30 3.15pm Group work Each table to discuss an area where they have tried to translate research into practice or implemented a guideline (delegates will be invited to submit a one page summary of their project/intervention before the seminar to assist the Faculty with planning and allocation of groups). The areas covered will include: What were you trying to implement, and what were the components of the intervention? Who were your key stakeholders and how did you decide who they were? What were your implementation strategies, and why did you choose them? How do you know what happened? How was it evaluated? How did you know your intervention was implemented as planned? What did not work, and how did you know? What will you do next? Facilitators: Virginia Schmied and James Kemp (SPHERE, WSU) 3.15pm 3.40pm Tea break (refreshments provided) 3.40pm 4.40pm Group work feedback with panel discussion Synthesize what worked and what did not and a plan forward Panel: Jane Sandall (KCL), Nick Sevdalis (KCL), Fiona Brookes (SPHERE and UTS) 4.40pm 5.00 pm Summary of the day and close Presenter: Professor Jane Sandall (KCL) 6pm Dinner (for those who have booked in advance) If you would like to attend dinner please contact Alyssa Wilson alyssa.wilson@unsw.edu.au before the 25 th March Day 2: Thursday 5 th April 2018 8.30am Welcome to Day 2 8.45am 9.30am Presentation: 40 mins 9.30-10.00am Presentation: 25 mins 10.00am 10.30am Presentation: 25 mins 10.30am 11.00am Evaluating your intervention/programme: Strategies and approaches to use Using logic models and Theory of Change Understanding measurement and evaluation Assessing implementation processes and outcomes Understanding the distinction between Patient; Service and Implementation outcomes Speaker: Jane Sandall CBE, Professor of Women's Health, King's College London Myths and barriers to implementation: Drawn from experiences in healthcare Breaking through the myths and barriers to bring about change The importance of teamwork between clinicians and managers Planning, implementing and sustaining change Speaker: Lea Kirkwood, Program Manager. Centre for Healthcare Redesign, ACI Opportunities in NSW through the ACI Graduate Certificate in Clinical Redesign Overview of the ACI training programs Examples of projects from the Graduate Certificate program in recent years Speaker: Lea Kirkwood (ACI) Tea break (refreshments provided)
11.00am 12.30pm Presentation: 80 mins Q&A: 10 mins 12.30pm 1.30pm 1.30pm 2.30pm 2.30pm 3.00pm 3.00pm 3.30pm 3.30pm 4.00pm Presentation: 25 mins 4.00pm-4.30pm 4.30pm 4.40pm Implementing and Evaluating Combining improvement and implementation strategies, challenges and opportunities to improve health services Adapting the evidence what is core and what can be adapted for your context? Speaker: John Ovretveit, Director of Research, Professor of Health Improvement, Implementation and Evaluation, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden Lunch (provided) Group work Participants from the same discipline or area join groups to look at the key areas for implementation in their context What evidence needs to be implemented? What are the top 3 priorities for your context now? How will these be addressed? How will the change be evaluated using the materials taught in the masterclass to think though these issues What help/support do they need methodologically? Logistically? Facilitator: James Kemp (SPHERE, WSU) and Caroline Homer (SPHERE, UTS) Group work feedback with panel discussion Panel: Jane Sandall, Nick Sevdalis, John Ovretveit Tea break (refreshments provided) The role of leaders and managers in getting evidence into practice Leading change management What can managers and service do to support effective translation? How can the barriers be overcome in a challenging environment with competing demands Speaker: Jo Travaglia, Professor of Health Services Management, UTS The way forward Speaker: Caroline Homer (SPHERE, UTS) Seminar closes
IMPLEMENTATION AND EVALUATION: MAKING A DIFFERENCE IN YOUR HEALTH SERVICE 4-5 April 2018 Aerial Function Centre, UTS City Campus, Jones Street, Ultimo Time 9.00am (registration from 8.30am) to 5.00pm COST: $165 (inc GST) for 2 days (covers room hire/catering) REGISTRATION https://shortcourses-bookings.uts.edu.au/clientview/course/2444/details/nmh18001-sphere- Implementation-and-Evaluation-Making-a-difference-in-your-health-service Enquiries Alyssa Wilson alyssa.wilson@unsw.edu.au
Venue: Aerial Conference Centre Level 7 Building 10 234 Jones St Ultimo Building 10