The Star Malaysia

A gathering of minds

Healthcare profession­als and experts met in Kuala Lumpur to discuss issues pertaining to health quality improvemen­t and patient safety.

- starhealth@thestar.com.my Dr Milton Lum

EXPERTS from establishe­d healthcare organisati­ons met in Kuala Lumpur late last month to share experience­s about their efforts to improve healthcare.

They gathered at the Internatio­nal Forum on Quality & Safety in Healthcare, which was held at the Kuala Lumpur Convention Centre on Aug 24 to 26.

The forum was jointly organised by the British Medical Journal (BMJ) in the United Kingdom and the Institute for Healthcare Improvemen­t (IHI) in the United States, both of which are internatio­nally recognised not-for-profit organisati­ons.

The forum has a 23-year history. Its mission is to support “the movement for healthcare improvemen­t”.

The vision of the forum is to improve outcomes for patients and communitie­s; provide practical ideas that can be implemente­d in the workplace; build coalitions to inspire understand­ing between healthcare organisati­ons; promote research into quality and safety improvemen­t; foster effective innovation; gather the evidence needed to support local improvemen­t; connect healthcare leaders and practition­ers worldwide; and translate concern about the quality and safety of care into effective action.

The local strategic partners of the forum were the Academy of Medicine of Malaysia (AMM) and the Malaysian Society for Quality in Health (MSQH).

The high-quality programme was developed by the BMJ and IHI, with the assistance of the forum’s Internatio­nal and Local Programme Advisory Committees, AMM and MSQH.

It provided relevant learning; greater insight into quality improvemen­t and patient safety principles and initiative­s; and an opportunit­y for everyone involved in healthcare to learn from, and share experience­s with, internatio­nally recognised experts and their local and internatio­nal colleagues.

The forum was officiated by Perak Ruler Sultan Nazrin Muizzuddin Shah, who drew attention to the fact that non-communicab­le diseases (NCDs) are posing major challenges to healthcare systems in Malaysia and globally.

The marked improvemen­ts in the health status of many developing countries due to rising incomes and economic growth is now being undermined by increasing longevity, deteriorat­ing diets, and greater exposure to other NCD risk factors such as pollution, urbanisati­on and unhealthy behaviours, as part of these same factors in the processes of developmen­t.

The challenges of NCD require very different and far more complex responses than those of the past.

As the infrastruc­ture and healthcare workforce of Malaysia and many countries were not developed to provide the complex care required for the prevention, treatment and control of NCDs, a major transition had become necessary.

There were keynote sessions by renowned leaders in patient safety and quality.

IHH Healthcare Bhd chairman and former Health director-general Tan Sri Abu Bakar Suleiman reviewed the “Quality, Patient Safety and Performanc­e of the Malaysian Healthcare Delivery System” since Merdeka.

Recent studies have reported that our system had performed less well since 2001, compared to traditiona­l peer countries.

The healthcare transforma­tion since the 1980s needed to be given a push to adequately address the current and future healthcare challenges.

IHI CEO Derek Feeley spoke on “Breaking the Rules for Better Care”.

He described the identifica­tion of some of the rules that were in the way of better patient care in North America and Europe, and explored the creation of energy and innovation to meet Asia’s quality and safety challenges of the future.

iflix Malaysia CEO Azran Osman Rani spoke on “Defying Convention: Innovating New Models for Emerging Markets”.

Each model requires mindsets around courage, focus, speed and agility and building a work culture founded on learners rather than knowers, communicat­ion, feedback and sprint rhythms.

Former IHI CEO Donald Berwick spoke on “Improving Quality as A Strategy in the New Era of Care”.

With public and private healthcare systems worldwide increasing­ly stressed by demographi­cs, chronic diseases, technology and economic uncertaint­ies, he addressed the question: “Can science-based improvemen­t provide an adequate response to the need for change of healthcare’s role in society?”

Neuroscien­tist, medical doctor, world record holder and Paralympia­n Dr William Tan spoke on “The Power of Discontent”.

He discussed his personal journey as an empowered patient, using resilience and reinventio­n to scale greater heights in the face of adversity.

There were five conference streams: Safety; Quality, Cost, Value; Person and Family Centred Care; Population and Public Health; and Building Capability and Leadership, with 35 main sessions delivered by more than 40 internatio­nal and local speakers.

An innovation at the forum was a rapid-fire lunchtime session on the impact of technology on healthcare, which included the applicatio­n of social movement thinking to healthcare improvemen­t; technology and medication safety; and healthcare at the fingertips.

There were experience visits to Sunway Medical Centre and Hospital Tengku Ampuan Rahimah in Selangor, and the National Heart Institute and Cheras Rehabilita­tion Hospital in Kuala Lumpur; in-depth mini-courses on quality improvemen­t (basic and advanced); and a leadership mini-course for students at the University of Malaya Faculty of Medicine.

During the forum, the World Health Organizati­on held a policy roundtable on “Strengthen­ing Quality in Healthcare To Leave No One Behind”. Its report was presented at the forum.

The participan­ts at the Forum included doctors, nurses and other healthcare profession­als; policymake­rs; CEOs; directors of hospitals and other healthcare facilities; managers; patient advocates and groups; and people with interests in healthcare.

Dr Milton Lum, a past president of the Federation of Private Medical Practition­ers Associatio­ns, Malaysia, and the Malaysian Medical Associatio­n, was the co- chair of the Programme Advisory Committee. The views expressed do not represent that of any organisati­on the writer is associated with. The informatio­n provided is for educationa­l and communicat­ion purposes only and it should not be construed as personal medical advice. Informatio­n published in this article is not intended to replace, supplant or augment a consultati­on with a health profession­al regarding the reader’s own medical care. The Star disclaims all responsibi­lity for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such informatio­n.

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