Day 1 :
Ministry of Health, Bahrain
Ahmed Husain Ebrahim is currently working as the Head of Rehabilitation in Bahrain’s Ministry of Health. His areas of interest and professional expertise encompass quality of life, strategic management in healthcare and medical tourism development.
Medical tourism, a rapidly growing market, has been recognized by many countries as a potential sector for economic diversification. Although Singapore stands out as one of the top destinations of medical tourism, investigation regarding its competitiveness has been limited and narrow in scope. This case study takes a qualitative approach to identify and analyze the factors that keeps Singapore, as a competitive medical tourism destination. Based on a holistic approach, this study has shown that integrating diverse strategies for medical tourism development with sound government policies and proactive management practices have led to significant positive outcomes towards mutual success of tourism, healthcare and other economic sectors of Singapore. Additionally, the study provides strategic insights to drive lasting improvements in both public and private sectors of aspiring countries through efficient management and intelligent utilization of resources within and outside the medical tourism sector. Based on this study, medical tourism competitiveness can be defined as the ability to strategically plan, set viable policy goals, establish effective multi-stakeholder partnerships, maintain an attractive environment and ensure that all of these capabilities are harmonized to optimize the delivery of medical services that rank high on parameters of quality, innovativeness, affordability and safety. The content of this definition is relevant to Singapore's medical tourism experience analyzed in this study. Policy makers, interested in medical tourism development, need to put into account not only a synchronized pattern of actions needed between government agencies and relevant private stakeholders to improve the performance of the sector, but to ensure that long-term measures undertaken by the public sector are viable and can diversify the tourism sector. Additionally, there must exist a robust public interest to create an environment that empowers private enterprise. This absolutely necessitates integrated strategic planning, a successful execution strategy and continuous improvement and development solutions.
Pondicherry Institute of Medical Sciences, India
Rebecca Samson is a peer team member for the National Assessment and Accreditation Council and on the board of faculty selection for various institutions/universities. She has also presented numerous papers and given keynote addresses and has organized workshops and conferences at state, national and international level. She has authored three books besides being Editor of two journals, developed four manuals in clinical nursing and has received seven awards from various organizations including the prestigious-National Florence Nightingale award from President of India in 2016 and the recent one as Best Educationist in 2017.
Statement of the Problem: Testing of an integrated model of nursing education, clinical practice and management through nursing research. Despite education and practice being viewed as inseparable concepts, an education-practice gap still exists in nursing. Bridging the nursing education, practice and management through nursing research will build a positive work culture among educators and practitioners which would lift up the standard of patient care. The purpose of this study is to strengthen the quality of patient care through integration of nursing education, service, management and enhancing evidence based nursing practice (EBP).
Methodology & Theoretical Orientation: The objectives of the study were to assess the existing nursing service in the hospital, to develop a model with integrated approach, to test the integrated model for its effectiveness and to stabilize the pattern of integrated practice based on the results of the study. An integrated framework was utilized to focus on the interaction between the administrators and the nursing personnel to understand the relationship and the context in which the integrated model works for better quality patient care.
Findings: Implementation of integrated model in nursing brought out the following important outcomes. Improved patient care, emotional safety for nursing personnel, earlier identification of changes in patient’s condition, reduced workload for clinicians as they care for the same patients, better communication among disciplines and with physicians.
Conclusion & Significance: The organization felt a need for continuing this integrated model to implement evidence based practice through nursing research. The institution has become a role model for many other medical college attached hospitals in South India and in particular Puducherry and Tamil Nadu.
Dubai Health Authority, UAE
Kadhim Alabady is a Fellow of the Royal College of Physicians and Surgeons of Glasgow. He has completed his Doctorate degree in Public Health and Epidemiology, Master’s degree in Clinical Epidemiology (MSc), Master’s degree in Public Health (MPH), all from The Netherlands universities with broad experience driving research and development (R&D) strategies and operations. He has been registered as an Epidemiologist Grade A with The Netherlands Epidemiological Society. He has numerous publications in the UK in mental illnesses, cancer, cardiovascular diseases, diabetes, dementia, autism, COPD, population health, road casualties and others.
Background & Aim: The workplace stress survey was conducted online between March 1 to April 30, 2016 among adults aged 18+ years who work for Dubai Health Authority are either employed full-time or part-time employed. The survey conducted by Public Health and Safety Department as part of DHA 2016-21 Strategy Initiative (3.2 develop and implement a strategy for Occupational Health and Therapy/under Public Health and Safety program).
Method: The design of the survey is cross-sectional studies that provides a snapshot of the frequency of a work stress and related characteristics without retrospectively or prospectively follow up investigations. Participation in the workplace stress survey was completely voluntary. Individuals have the right to participate and freedom to refuse. The survey questionnaire based on a questionnaire developed by The American Institute of stress (AIS) Workplace Stress Survey. Respondents for this survey are given the opportunity to complete the survey in English and Arabic version. The two versions were identical. The results from the two datasets were combined into one database for the analysis. Results were calculated as needed by age band, sex, occupation, sectors, etc.
Results: The response rate based on DHA employee’s registry for 2014 estimated to be around 10.9%. Around 389 employees who work as clerks or in similar jobs that might have on access to computer and therefore cannot participate in the survey. The workplace stress survey responders were more likely to be female. Over 70% of the respondents were females (881, 73.3%) compared to 321 (26.7%) were males. Overall, majority of responders can handle stress at work. 76.9% of respondents can handle stress in work, 15.9% of them can handle stress well and 61% moderately well. Only 22.8% of participants have some difficulties by encountering problems that need to be resolved. Males have slightly higher rate than females for encountering problems that need to be resolved but not statistically significantly difference. A relatively large percentage of people working in administrative jobs who were encountering problems that need to be resolved but the results show that nurses are the best in dealing with stress then physicians. Employees aged 25-49 years have the highest rate of encountering problems that need to be resolved. Further analysis shows that people aged 45-49 have the highest rate than other age categories of this group or to the overall group, all survey respondents.
Conclusion & Recommendations: The next step is to review program and policy options that might be applied within Dubai Health authority (DHA) to identify effective prevention approaches and programs to target high risk employees. Implementing measures to prevent work-related stress can benefit employees and the workplace by creating a safe and healthy working environment. Create a work environment that promotes employees well-being.
Health Care Informed, Ireland
Sweeney John Sweeney Y is the Director of Research and Development with the Irish Health Services Accreditation Board. He is Lecturer of the Royal College of Surgeons in Ireland. He has acted as the Technical Advisor to the International Society for Quality in Healthcare (ISQua) on external evaluation. In 2012, he was appointed as an International Society for Quality in Healthcare (ISQua) Expert and in 2013 he was elected to the Board of ISQua.
Fundamentally the process of accreditation has not changed since its emergence in the 1960’s in the US, that being a ‘Stop-Start’ process where organizations pour enormous resources into on-site surveys, only to tread water between these visits and allow the implementation requirements to build up. Monitoring compliance via on site snap shots is supported by some accreditors by required reporting and submissions but is this enough to ensuring continual assurance of patient safety? The research shows several difficulties in this approach not least of which is the lack of sustained improvement in patient safety. This presentation identifies that the cost of the current models are often unsustainable due to the significant costs experienced by both the accreditor and as a result, the accredited organization because of the need for so much onsite surveys. Change the concept of accreditation, from snap shot review, to continuous access monitoring by the accreditors and the model opens up huge potential to have a more effective and efficient, impact on patient safety. This paper presents a proposal to make this a possibility by allowing the accrediting body access to the organizations own internal systems to externally view big data in real time. Access provides the accreditor with a window into the soul of the organization, allowing for continual monitoring as deemed required. Continuous organizational access by accrediting bodies and similar external regulators is the next major step forward for patient safety evaluation. It is recognized that to achieve this, a change is required in the relationship between the accreditor and the accredited–with organizations required to show an open hand with evaluators working towards a more supportive role to assist organizations to get it right in real time