Togetheringothenburg in spirit and joining in virtually

It has been 10-years since I attended my first Forum in Prague in April 2006 and as I think back I can still feel the excitement of discovering a new community of kindred spirits from across the world that all hold a commitment and curiosity for how we can improve healthcare systems. What I learnt there honestly catalysed a whole new approach in my work in quality improvement in healthcare in South Africa and over the years provided more and more practical ideas, support and real-world application and learning.

Along the way I have been an enthusiastic admirer of the quality improvement work done in Sweden and can’t imagine how special being together in Gottanberg for the 2016 Forum will be. There has always been a distinctive humility in the Swedish delegates and leaders that made learning from them so easy, and I have no doubt that will permeate the event this year.

There is a lot to learn at this year’s forum about patients as partners – something I would like to follow closely and can’t wait to see how the pharmacy and nursing streams illuminate new approaches.

There were only 2 of us from South Africa in Prague in 2006 – this year there will be at least 15 SA delegates (3 of them from Netcare) attending together. Many of them will share abstracts of our work in QI and all of them will be soaking up ideas to apply and adapt for our health system improvement. Most people who share their work would never have anticipated that by submitting an abstract one could influence another health system so far away but we really do.

What I love most about the delegates at the Forum is there is a unique alignment of purpose, an exceptional drive for deep learning and an ever-present curiosity about what we need to do next.
Having learnt to tweet at the 2013 Forum in London (thanks to the Crash course in social media by @ck4q from Canada), I feel so blessed to be able to tweet on @inspired2leadSI and will be following on line as well as checking out some of my favourite bloggers and tweeters through social media.
My 2016 experiment will be how to be #togetheringottanberg from where I am.
So see you there.

Huge thanks to the organising teams, the delegates and speakers and the people of Sweden who are hosting this amazing event!

Dr Dena van den Bergh
Director: Quality Leadership

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Creating value for those who need us

The Nordic model of public financed and public driven systems has undergone dramatic changes during the last years. Due to recent policy changes the public systems have been opened for private investors and for-profit providers increased their market share in elderly care, social services and primary care in most of the Nordic countries.

Famna, the Swedish association for non-profit health care and social service providers, and Bräcke diakoni, one of the largest non-profit providers in Sweden convene a session at the Forum<>​ on how foundations, associations and patient organizations actively provide innovative person-centered care in the Nordic countries. Some of them collaborate in quality improvement programs or in provider/patient organization clusters, others create services and innovative approaches from collaborations between research and practice or directly when needs appear in every day work. All of them inspire and challenge existing health systems and they are driven by shared values of focusing on needs of patients and their families.

In a time when our societies are challenged by global conflicts, terrorism, millions of refugees and economic crises, we need all available ways to share ideas and to create will for change. The International Forum is such a meeting place, a global learning community united around the fundamentals of health care and social services as well as quality development: To understand the needs of those who need us.

Looking forward to seeing you in Gothenburg,

Thomas Schneider
Chief Quality Officer
Bräcke diakoni, Sweden

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Designing good life for persons whom also is patients!

Engaged people coming together spreading enthusiasm, sharing experiences and learning about new ways of doing good things in much better ways for patients and their families in healthcare. Thats why I’m looking forward to the upcoming conference in April.

One personal experience of my own is when a person came to me and said – “May I ask you if you really got an answer on your question?” It was a complete stranger from another country at that time whom approached me after a seminar at the IHI conference in Paris. That was the start of developing an still ongoing exchange of ideas and experiences which created totally new opportunities to engage many more people around and spreading good idéas.

So welcome to Gothenburg for a new chance to grow your network and learn much more about the theme Change, Save, Sustain in Partnership with Patients. The biggest challenges and opportunities for healthcare are probably still ahead of us!

Dag Ström
MD, Patient Safety and Patient Involvement Strategic Support

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The unexpected things

This years´ forum is upcoming. As always, it is with a sense of anticipation and excitement that you navigate the program, and try to decide which sessions to attend to.

To me, these meetings are a lot of things. The presentations of the invited speakers – always high class, both as regards presentation and message. The poster sessions – always an abundance of ideas and projects to get inspired by. All the work that has gone in to what is presented – almost always to the benefit of the patient. And the meetings – people from all over the globe meet and exchange views, results and ideas on how to improve.

But this years´ forum is somewhat different. It is held in Gothenburg and Swedish health-care will be unusually prominent in the program. It will give us opportunities to show our healthcare to the rest of the world, and to receive comments, positive or negative.

Whether these comments are positive or negative is really not the matter, they are valuable anyway. The positive comments we could use as confirmation that we are heading in the right direction. We have a lot of things to be proud of in Swedish healthcare.

But we also have a lot of things to improve, and here the more negative comments are perhaps even more valuable. The opportunity to benchmark and discuss our healthcare with international expertise is too good to be wasted. We can use the comments as a free to-do-list, and improve even further.

However, the things I personally look forward to the most, are the unexpected things. To learn about Aravind Eye Care System, or Cola Aid, or how Pakistani pharmacists could help Canadian physicians to improve medication compliance among immigrants, or how mobile phones are used in hypertonia care in Western Africa… When someone observe a problem that others also see, but after some good thinking, comes up with a completely different way to solve the problem… Those stories serve, perhaps better than most plans and programs, as inspiration. It can be done!

Pelle Gustafson
Chief Medical Officer, LÖF

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Capturing the moment – build network and friendship

In Partnership with Patients what raises this theme for curiosity in you?
I am special curious about 3 questions for the Forum

  1. How to support people to empowerment were everyone is engaged in improving their own health and in building a culture and practice of healthy living?
  2. How to integrate peer – to – peer support systems in every relevant initiative?
  3. How to support personcentred care with partnership and real co-design?

To make this happen what do we need to change, save and sustain in the way we work today? What experiences has others? And how can we find creativity and thinking outside the box with the digital opportunity as a complement?

I am special looking forward to the seminar Nurse as key  integrators  of patient and family care and the patient panel.

I will also be happy to share learning and insights from my experiences from working with quality improvement, management, coaching , big scale change, social movement in different context both regional, national and international. 10 years ago I got a fantastic opportunity to go to IHI as a 3-month fellow from that amazing learning journey I also learned the value of networking and build friendship with people from different countries. So my warm tip for everyone who participate at the Forum is capturing the moment – learn to know new people and stay in touch after the Forum.

Finally, from the opportunity to be part of the BMJ’S Strategic Advisor Board Group I know how deep the pre work has been to really meet the challenge of today and the ambition to create a inspiring and valuable meeting point in Gothenburg so I am looking forward to wonderful meeting point for learning and sharing!

Anette Nilsson
Development Strategist
Region Jönköping County

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We need a redesign of the system for health and social care

The post offices are gone, banks stop working with cash and we book our tickets on internet, but when it´s up to how we take care of old sick patients not much have changed. Transports with ambulance, waiting for hours in the emergency ward, stays in hospital and maybe in the end in a care home. Can the work be done in another way? How do other systems work? What have been tried and what is successful? Is it possible for elderly people to be more engaged in their own health-care? Can we use modern technology in a better way?

It´s not possible to go on working the way we do today if we want to keep the welfare for elderly people in the future. We have to work more preventive, detect diseases in an earlier stage, be more successful in coaching patients with chronic diseases, use rehabilitation as a strategy and be more courageous talking to patients in the end of life. We must find new ways of working outside hospital and in patients home.

And we must listen to patients and their relatives and learn to ask the question What matters to you?

We need a redesign of the system for health and social care to frail old people. At the same time as we work in a standardized way with evidencebased methods we must be flexible and see the individual needs, wishes and dreams.

In the IHI Forum I wish to meet colleagues who are struggling with the same problems as I do. Maybe sharing experiences can help us to create new ideas and prevent us from doing mistakes other already have done.

During the period 2010-2014 I was responsible for the national program Better life for old sick people. In IHI Forum I also want to present our results, how we in Sweden succeeded in implementing preventive ways of working in all communities and county councils, how we reduced pressure ulcers with 50% in care homes and how we reduced the prescription of unappropriate drugs to elderly patients with 23%.

We have experience of large scale change in complex systems!


Maj Rom
Project Manager
Health and Social Division
The Swedish Association of the Local Authorities and Regions

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Move Moving Movement

‘Move, moving, movement’ was the theme at National Forum in Orlando, 13 years ago. It was my first time attending the Forum for Quality and Safety, and it was a real highlight of my ‘conference life’. This was where I first learned that “every system is perfectly designed to get the results it gets.” Starting in Orlando, I’ve made it a priority to join the Forum, attending almost every International Forum since.

Being a leader in health care it’s important to join networks together with other leaders, to learn and to share knowledge. Both organisations and leaders need to have ideas and will, and to build understanding. But success is also about execution, about making things happen. The Forums are excellent arenas for every leader who wants to discuss and learn about all these aspects.

I’ve been President of the Swedish Association of Physiotherapists for more than three years. As Physiotherapists we try to live our vision. We know that physical inactivity is the 4th leading risk factor for global mortality according to WHO, causing an estimated 3.2 million deaths. And I have learned from lots of Forums that “every system is perfectly designed to get the results it gets”. If we want different results, we have to act in another way. That’s why we have started a global movement led by Physiotherapists.

I have a dream, that all over the world, when people meet for conferences, there would be no long sitting days. Every 20 minutes, it should be natural to stand up, to take a short break and move a bit. And we as physiotherapists should go in the front line, as natural leaders. When Swedish Physiotherapists arrange meetings and conferences, there are no more long sitting days. In a few years my dream is to see parliament members all over the world stand up for health.

If we want to transform health care we have to start with ourselves:

  • Transform yourself
  • Transform your team
  • Transform your organization
  • Transform your profession

I’m really looking forward to see you in Gothenburg in April and I hope you will join my vision. Let’s try to live our vision. Let’s meet to learn and share. And let’s start a movement whenever we meet. Move Moving Movement!

Stefan Jutterdal
Swedish Association of Physiotherapists

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Welcome to north-eastern Gothenburg and Angered Hospital!

At Angered Hospital we’re very excited and very much look forward to April 2016, to the Site Visit, and to receiving and welcoming you, our guests. We anticipate an interactive day dedicated to knowledge exchange and to showcasing some of our exciting projects.

For example, does your institution also utilise information and communications technology (ICT) to improve your healthcare delivery? Great! We’d love to learn more from you! During our Comic Health seminar we will tell you more about Comic Health: a web-based, interactive picture book with a media library containing images, text, and voice recitations, in 10 languages, that aims to facilitate the explaining of healthcare procedures – for children, adolescents, and adults. So if you’re also interested in ICT in healthcare, join our seminar and share with us your experiences while we demonstrate how we use Comic Health as an innovate tool for advancing health literacy. There will of course be opportunity for you to try the app.

So what drives our endeavour to work in a health-promoting and innovating manner? Needs! Our work is needs-based and driven by human rights principles, not least the principle of inclusion. Hence, another focus of our site visit will be to demonstrate how we may facilitate the process of improving healthcare services and addressing health inequalities by means of community-based participation. By developing models for community-based participation, we can work to ensure that healthcare services as well as research and development work originate in the needs of the population and that healthcare professionals, researchers, and community members collaboratively and equally participate in various processes aimed at improving healthcare and public health.

So, watch our video to learn more and come visit us in April so we can engage in interesting and reciprocal discussions dedicated to improving healthcare.

Best regards
Ann Ekberg-Jansson
Head of research, Angered Hospital

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See the welcome video here.


Welcome to the University of Gothenburg Centre for Person-centred Care

Welcome to the University of Gothenburg Centre for Person-centred Care,

part of the Sahlgrenska University Hospital Experience Day, M12. “Integrated Person-Centred Care Through Practice And Research”

Welcome to the University of Gothenburg Centre for Person-centred Care – GPCC!
We are very pleased to be able to receive you and to get the opportunity to tell you about our exciting and ground-breaking interdisciplinary research centre.

We conduct research on person-centred care in a wide variety of health care settings. Effects show significantly increased patient satisfaction and reduced costs. In addition, we translate our findings directly into implementation, innovation and educational courses & workshops in healthcare settings.

During your visit day to GPCC you will learn about major aspects of our work, such as theory, tools and techniques with some projects high-lighted. You will meet, amongst others; Patient Representative Håkan Hedman and Education and Implementation Manager, senior lecturer Catarina Wallengren. Some sessions will be in innovative formats such as workshop, role play and even an artist’s interpretation, all grounded in person-centred theory. As person-centred care is based on a partnership between patients/carers and professional care givers, we look forward to forming a partnership with you during your visit to us! The short film entitled “Partnership” will give you a taste of how we think and work.

Read more about us and our work at our web site.

Read more about our programme for the Experience Day here.

I am also pleased to announce that The Lancet has just published the Road Map for future EU health care produced by the EU-project we lead called We Care. Read more about that here.

Inger Ekman professor, centre director University of Gothenburg Centre for Person-Centred Care (GPCC)

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