Mindmaps and Meeting Notes; The Health Foundation Study Tour: Jönköping – Stockholm, Sweden 25-28 September 2011

In a collaboration between Par J. Hoglund (Resident, Postdoc in Quality Improvement, http://twitter.com/#!/doctor4quality) Paul de Roos (Resident in Neurology and Social Media Trainer and Expert,http://twitter.com/#!/paulderoos) we proudly present the mindmaps and some of the private meeting notes written by Paul de Roos.


					
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Social Media Reflections and Statistics; The Health Foundation Study Tour: Jönköping – Stockholm, Sweden 25-28 September 2011

In a collaboration between Par J. Hoglund (Resident, Postdoc in Quality Improvement, http://twitter.com/#!/doctor4quality) Paul de Roos (Resident in Neurology and Social Media Trainer and Expert, http://twitter.com/#!/paulderoos) we proudly present the reflection and statistics from the Health Foundation Visit in Sweden.

Reflections

Day 1: Welcome Session and Introduction to the Swedish healthcare system, including the Jönköping County Council health system

“Results are made bottom up but you cannot move without strong strategies (top down). You need both.”

“Democratic accountability is key at Jonkoping”

“Engaged scholarship” addresses gap Btwn theory & practice as a “knowledge production” problem rather than a “transfer” problem”

More reflections on day one can be found here: Reflections on Day One

Day 2: Site visits to Ryhov Hospital (dialysis, radiology, pediatrics, clinical training, OB&G)  and the Highland hospital in Eksjö, birthplace of the Esther network,

“105,000 incidents patient safety in Sweden per year each incident leads to 6 extra days inpatient admission on average”

“Radiology clinic Jönköping Works with TQM. First, non-private clinic, which is ISO certified”

“Eksjo- ‘we built our network together’. Didn’t need experts.”

Eksjo ward rounds-patient comes to room, all data (notes,ecg,films) on screen. www.lj.se/ronden

More reflections on day two can be found here: Reflections on Day Two

Day 3:  Hosted by the Karolinska Institute;Welcome and introduction to the Karolinska Institute, Patient co-production, Clinical Development utilizing Registers – the C.U.R. project Site visits: Karolinska Rheumatology Clinic and Simulation modeling of healthcare processes

“Of c200 RA patients only c15 can’t self manage with open access to clinic”

“use of health outcomes requires-national enablers (IT etc), clinician engagement, data richness, quality& sophistication of use”

“What would it take to make Quality Improvement as widespread & accepted as Evidence-based Medicine?”

More reflections on day three can be found here:  Reflections on Day Three

Mentions (@) and hastags (#) were removed in the excerpt above for the sake or readiblity to different user groups

Statistics

Twitter reflections and commentary posts were written continously during the tour by seven participants;  @doctorpreneur , @griffithsdavid  @hssood @kldewit from the Health Foundation group, @paulderoos @Doctor4Quality@quallimx from the Jönköping Academy and @sarariggare from the Karolinska Institute.

The meeting has gathered a substantial public exposure through Social Media. Several reflections on the meeting have had exposure to more than 10 000 people.  20 researchers, students and health care professionals, not on the tour, chimed in with questions and reflections. Participants were from the UK, Sweden, US (Dartmouth College) and Canada. One notable particant was professor @profchrisham,  CEO from King’s Fund, who shared his experience of Jönköping. A total of 138 Tweets were sent during the 3 days of the programme (the datathe full transcript)

The Health Foundation Study Tour: Jönköping – Stockholm, Sweden 25-28 September 2011

Background

The Health Foundation selected a group of 20 young UK medics with stellar academic and leadership track records to visit Sweden. They have the ambition and talent to help create and shape the future of British healthcare and have a deep interest in quality improvement, leadership, innovation, management and politics. The participants ranged from medical students to doctors/managers with up to a decade of work experience. The group was lead by Martin Marshall, Clinical Director and Director of Research and Development at the Health Foundation and Graham Rich, part time Director of Health Services at the Boston Consulting Group.

The intention of the tour was an opportunity to:

  • explore approaches to healthcare quality improvement with world class practitioners who are leaders in practice, policy and academia
  • learn about a healthcare landscape that adopts an integrated population based health and social perspective in planning and delivering care about the Swedish and UK Health System.

Programme

Day 1: Welcome Session and Introduction to the Swedish healthcare system, including the Jönköping County Council health system.

Day 2: Site visits to Ryhov Hospital (dialysis, radiology, pediatrics, clinical training, OB&G)  and the Highland hospital in Eksjö, birthplace of the Esther network, home to the patient-centred gastroenterology unit. That was followed up by an Evaluation and discussion of the site visits: “What are the implications of lessons learned today for the work of UK doctors interested in quality improvement and leadership?”

Day 3:  Hosted by the Karolinska Institute;

Welcome and introduction to the Karolinska Institute, Patient co-production, Clinical Development utilizing Registers – the C.U.R. project Site visits: Karolinska Rheumatology Clinic and Simulation modeling of healthcare processes

Participating Institutions

The mission of the JönköpingAcademyfor Improvement of Health and Welfare is to promote health and welfare by providing and helping put to good use knowledge on improvement and leadership within health and social care. The Jönköping Academy undertakes education and research through collaboration between university, health and social care partners. Decision-makers and staff in health and social care constitute the Jönköping Academy’s primary audience. The Jönköping Academyis operated jointly by Jönköping University, Jönköping County Council and the 13 municipalities in the County. It has a close collaboration with the Dartmouth Institute for Health Policy and Clinical Practice at Dartmouth Medical School in New Hampshire, US.

The Karolinska Institute is one of the world’s leading medical universities. Its mission is to contribute to the improvement of human health through research and education. Thee Karolinska Institute accounts for over 40 per cent of the medical academic research conducted in Sweden and offers the country’s broadest range of education in medicine and health sciences. Since 1901 the Nobel Assembly at the Karolinska Institute has selected the Nobel laureates in Physiology or Medicine.

The Health Foundation The Health Foundation is an independent charity working to continuously improve the quality of healthcare in the UK. The foundation is committed to improving the quality of healthcare. The Foundation wants the UK to have a healthcare system of the highest possible quality – safe, effective, person-centred, timely, efficient and equitable. The Foundation believes that in order to achieve this, health services need to continually improve the way they work. Working at every level of the healthcare system, the Foundation aim to develop the technical skills, leadership, capacity, knowledge, and the will for change, that are essential for real and lasting improvement.