Abstracts 2023

Volunteer to Career

Attracting and retaining a skilled workforce is a key challenge facing not just ophthalmology, but also the wider global health sector. The enormous pressure on existing staff has only intensified in recent years.

Moorfields have been using volunteers to support paid staff in various roles for many years. During the Covid-19 pandemic the role of volunteers significantly increased as they helped with infection control measures and provided emotional support to patients experiencing exceptionally high levels of anxiety about attending a hospital during a pandemic, as well as about their procedures.

On creating a diagnostic safety program – one eye hospital’s experience

In this presentation we will describe the development of a diagnostic safety program in our hospital.
The program is based on development of clinical practice guidelines, morning handover with cross checking night diagnoses made by trainees, feedback to trainees on their diagnoses from the emergency department to clinic appointment, use of incident monitoring and patient feedback to identify recurrent diagnostic pitfalls and the development of a research program around diagnostic challenges.

Designing safe work spaces

The design phase of the Royal Victorian Eye and Ear Hospital’s Redevelopment commenced over ten years ago. Throughout the design phase there were particular priorities centred around the provision of high quality care for our patients in a state of the art, modern facility; of equal importance is the provision of a safe and healthy working environment for our staff.

Wilmer/Hopkins-QI Overview ~ Top impact projects

This presentation will provide a general overview of Hopkins structure for quality and safety and highlight several specific Wilmer (eye) examples of impactful QI initiatives and outcomes.

I-SHARE: Information sharing to enhance the patient experience

Survey data collected in 2020 & 2023 revealed patients did not feel well-informed about services prior to
appointments at the Eye Outpatients Department (EYEOPD). 50% of patients reported that they had never received supporting information about their eye condition and expressed interest in receiving this
information in a digital format. To address these concerns, a 12-month pilot of ‘GoShare’ was launched in
July 2023 to improve information sharing.

Designing Infrastructure to Drive Excellence in Patient Care – The Moorfields Oriel Experience

Quality and safety in health care delivery fundamentally depends on an organisation having a physical infrastructure and operational environment with clinical excellence and optimum staff welfare embedded in its DNA.

Progress in Healthcare requires focus on outcomes that matter to patients

Bio

Stefan Larsson, MD, PhD, is co-founder of the International Consortium for Health Outcomes Measurement (ICHOM). He is an independent advisor in health care and life sciences, and a senior advisor to Boston Consulting Group (BCG).  Previously, he worked for 24 years at The Boston Consulting Group (BCG) where he was the founder and first global leader of the firm’s health care payers and providers sector and its health care systems sector. 

WAEH Medical Outcome Indicator Set Data: Keratoconus

This presentation summarises the processes involved in the development of the first WAEH Medical
Outcome Indicator Set, for the corneal condition keratoconus. This set of Patient-Centered Outcome
Measures brought together patient groups and clinicians from around the world. This standardised
outcomes measurement will open new possibilities to audit and benchmark, to improve patient care.

Sustainability in Dutch health care

In my presentation, I would like to go from a national (Dutch) perspective on sustainability in (ophthalmic) health care to a more local approach on executing the plans within our eye hospital. Furthermore, I would like to show how we are implementing the Green Deal in our hospital, how we are organized, what goes well and what doesn’t.

We face a lot of different challenges, some we can easily tackle and some we don’t. I would like to share some of these challenges at the WAEH.

Same-day bilateral cataract surgery: towards an optimal implementation in the Netherlands

The Netherlands is a leading country in providing immediate sequential bilateral cataract surgery (ISBCS) as a treatment for cataracts. In a large study (coordinated by the University Eye Clinic Maastricht) involving 865 patients in 10 hospitals in the Netherlands, it has been shown that ISBCS and delayed sequential bilateral cataract surgery (DSBCS) did not differ in terms of effectiveness, visual outcomes, or refractive outcomes. Moreover, ISBCS was found to be cost-effective compared to DSBCS. This research has established a strong basis for the widespread adoption of ISBCS across the Netherlands. This presentation will focus on the results of the study and the implementation hurdles in adopting ISBCS, such as logistical barriers, financial implications, and coordination with relevant stakeholders.

Ambassador to the Victoria Cohen Eye Cancer Charitable Trust – Australasia

Georgia Hall was diagnosed and treated for choroidal melanoma in 2021 at Sydney Eye Hospital when she was 31 years old. She successfully received eye sparing plaque radiation therapy and now follows a rigorous scanning protocol at the Kinghorn Cancer Centre. Georgia is passionate about sharing her experiences to help raise awareness around eye cancers. In 2022 she became the Australasian Ambassador to the Victoria Cohen Eye Cancer Charitable Trust. The charity is a strategic partner of the World Association of Eye Hospitals and awards scholarships to aspiring ocular oncologists to support their training and educational needs for their fellowship. Further information can be found a www.vcecct.org. 

Professor Keith Martin

Ringland Anderson Professor and Head of Ophthalmology, University of Melbourne
Managing Director, Centre for Eye Research Australia

A shaky path: improving patientoutcomes & experiences

In 2015 The Rotterdam Eye Hospital started very modestly with the implementation of Value Based
Healthcare with the introduction of de CatQuest questionnaire for cataract patients. Eight years later VBHC is part of the strategic goals of the hospital. Five care paths are at different levels but all taking steps with the implementation of value based healthcare; developing medical outcome sets, analysing available data, improving patientexperience by innovation of patientinformation and implementation of shared decision making, training healthcare workers (including medical specialists) in improving communication skills for shared decision making.

Measurement of Quality of Life with Patient-Reported Outcome Measures for Patients with Vitreoretinal Conditions

Vitreoretinal eye conditions have a major impact on people’s quality of life (QOL). To quantify QOL, patient reported outcome measures (PROMs) should be used. These are standardized, validated questionnaires that elicit information from the patient about a given outcome. PROMs can be used for screening, symptom monitoring, needs assessment, patient-centered care, shared decision-making, and to evaulate treatment effectiveness. Current PROMs for retinal detachment, macular hole, epiretinal membrane, vitreomacular traction, and vitreous floaters have irrelevant or limited content, beacuse patients were not involved when creating the questions in the PROM. They are also rarely validated.

Ophthalmology is the second busiest outpatient specialty in the UK with 9 million outpatient appointments per annum for 1482 consultant ophthalmologists, 27% who are due to retire this year (Royal College of Ophthalmologists Workforce Census 2018). Ophthalmic professionals already work alongside ophthalmologists to help ease the burden, however there are a range of training initiatives which has necessitated the emergence of more than one education framework in an attempt towards
standardisation.

Philanthropy Based Funding – Very Valuable for Access to Care and Human Aspects of Rare Diseases – How Clinicians Contribute Actively

Presentation of the Importance of Phylanthropy as additional Funding source for a Foundation dedicated to Visual Health and Eye care with presentation of practical examples.

Patient Safety & Quality Management – An Integrated Iterative Process

Patient Safety & Quality Management – Advantages of An Integrated Iterative Process on a common Platform – Examples of measures taken in the operating theatre (checklist time out procedure) and in the Emergency Department (improved access).

Cataract Patient reported outcome measures (PROMS): Catquest, Priquest or CatPROM

The Sydney Eye Hospital is a quaternary referral unit for eye diseases located in the central business district of Sydney, Australia. On average, Sydney Eye Hospital currently performs over 295 cataract operations per month, with approximately 3,540 episodes of care annually.

Still thinking about it

1. A summary of results of the HR community of practices
2. Results of a employee/opthalmologistst work experience survey in relation to retention of our employees
3. “new” recruitmenttools to find the right employees

The Rothschild Foundation Hospital

About the Rothschild Foundation Hospital : Created in 1905 in the 19^th district of Paris, the Adolphe de Rothschild Foundation Hospital is a private health institution of collective interest (ESPIC) specialized in all pathologies of the head and neck for adults and children. This university hospital offers excellent care at a conventional rate (non-profit) and treats more 300,000 patients every year. 

Aier Eye Hospital Group: Rising from Integration and Collaboration

2023 marks the 21st anniversary for the estabilishment of Aier Eye Hosptial Group. Based on the orginal
intention of ‘commit to the cause of human eye health with love’ and the principle of ‘integrate various
resources to share the global ophthalmic wisdom’, Aier has gradually developed from one single eye care hospital in China to the world’s lagest eye hospital group over the last 21 years. In the future, Aier will forge ahead with the strategy of ‘Global Vision for your Vision’ to build a strong partnership with top ophthalmologists and institutions. By focusing on the development of cutting-edge technologies and clinical innovations, Aier aim to promote the application of research achievements to empower diagnosis and treatment, education and training, academic research and etc. at home and abroad.（Speech for approximately 30 minutes）

Sydney Eye Hospital Foundation-philanthropy in promotion of eye

How Sydney Eye Hospital Foundation future-proofed its own capacity and is partnering with the first hospital established in Australia, NSW’s world- class Sydney Eye Hospital, identifying opportunities, engaging community and thanks to donors – delivering for the institution and its patients. In 2020 the Foundation Board decided its fundraising needed a new, more dynamic, more visible marketing approach.

Artificial Intelligence in Clinical Trials for Regenerative Medicine

At a time when the presses are abuzz with the possibilities of AI, this talk provides a vision for what ma be possible if we combine AI technology with cutting edge diagnostics now under development and clinical trial design and implementation strategies. In that way, AI will not only strengthen the patientphysician partnership that is central to disease monitoring but also accelerate the development, regulatory approval, and clinical rollout of new treatments to preserve and regenerate vision.

Grateful Patient Fundraising – Working with Clinicians & Staff

Learning Objectives:
Understand the roles of clinicians: academic medical faculty, community physicians and staff in a medical setting related to philanthropy;

Maintaining a Positive Patient Experience in a fast-paced surgical environment

In the fast -pace world of health care delivery the expectations to meet targets and cut costs can at times dominate what is seems important when managing a hospital department.

A positive patient experience is underpinned with timely access to services, easy access to information and good communication with health care providers.

The Suprachoroidal Retinal Prosthesis

My presentation will describe our work to develop a retinal prosthesis for use in people with profound vision loss due to end-stage retinal dystrophies. This has been tested in two clinical trials and aids navigation and object localisation. I will present the results of this work and planned future directions for the devices.

Prior to his appointment, from 2017-2020 Euan was the inaugural CEO of Safer Care Victoria, the state’s lead agency for healthcare quality and safety. Before joining the government, Euan was an academic clinician. He was the Carl Wood Professor and Head of Department of Obstetrics and Gynaecology at Monash University and Head of Women’s and Neonatal Services at Monash Health.

As a senior clinical academic, Euan undertook a number of clinical governance and safety reviews of health services in Victoria, interstate and overseas. He has also undertaken reviews of university departments and research institutes in Australia, New Zealand and Europe.

Strengthening Eye Health through Collaboration for Philanthropic Assistance to Vulnerable Populations

Instituto Suel Abujamra, in collaboration with Renovatio, Instituto Verter, and GoodVision South America, has formed a strategic alliance called Juntos pela Visão (“United for Vision”). Over the past year, Instituto Suel has closely collaborated with these organizations on philanthropic initiatives throughout Brazil, raising funds from various stakeholders to provide comprehensive eye care to vulnerable and remote populations all over Brazil. The organization has received support from partners such as Bank of America, Santander, AT&T, and United Health Group, among others.

Oskar Nordahl

Chief Administrative Officer, St. Erik Eye Hospital, Sweden

In my presentation, I would like to share our thoughts and plans for creating a more sustainable hospital. In 2020 St. Erik moved from our old facilities to a brand new building. We did not only want to relocate, we wanted to challenge how we work and how this could be done with less impact on our environment and how our patients orientate themselves. Our staff are our most important asset, how can our sustainability work contribute to their health and well-being.

Tendai is an academic, a clinician and a researcher. In her academic role, she is the programme director at UCL Institute of Ophthalmology where she has been leading on the Clinical Ophthalmic Practice programme for nurses since 2019. Clinically, she has worked at Moorfields Eye Hospital as an ophthalmic emergency nurse practitioner since 2005. She is a currently in her final year of a doctorate programme at Middlesex University, London, UK. Her research interests are around workforce development, particularly focusing on education and training.

The Hon Mary-Anne Thomas MP Minister for Health, Minister for Health Infrastructure, Minister for Medical Research, Leader of the House 

Mary-Anne Thomas was appointed Minister for Health in June 2022, Minister for Health Infrastructure in December 2022 & Minister for Medical Research in December 2022. Mary-Anne also holds the position of Leader of the House since December 2022. Having previously served as Minister for Ambulance services from June 2022-December 2022, Minister for Agriculture & Regional Development from December 2020-June 2022.

Group based medical quality and safety control

Located in a large developing country, facing the problem of large number of grassroots eye diseases and limited resources, Aier has been continuously seeking for a successful way of eye health network management through its group based medical quality and safety control mechanism in mainland China.

Instruments outside of theatre- A Culture Change

Work commenced in 2018 at the Eye and Ear Hospital to progress the implementation of AS/NZS 4187: Reprocessing of reusable medical devices in health service organisations, and to meet the mandatory requirements of Standard 3 – Preventing and Controlling Healthcare Associated Infections of the National Safety and Quality Health Service Standards (NSQHSS).

Engagement with patients to improve patient experience and increase understanding of Glaucoma

Glaucoma focus group enables patients and their caregivers to empower themselves with knowledge to aid themselves to cope with this chronic eye disease. In 2022 and early 2023, three runs of Glaucoma Focus Group sessions in SNEC revealed that participants from focus group expressed that they benefited and gain knowledge from either the Zoom or face to face session. Each run consisted of an average of 4 to 5 participants. The evaluation data gathered from this focus groups lead to the development of specific glaucoma education videos to engage the newly diagnosed patients. Such digital enhancement, patients and caregivers can gain knowledge on their condition while waiting for consultation by scanning a QR code on the leaflet handed out to them or on the wall notice.

FedEye: A Scalable and Adaptable Federated Learning Platform for AI in Eye Health

The advancements in artificial intelligence (AI) and machine learning (ML) have brought about significant changes in healthcare. The success of machine learning in healthcare depends on the quality and quantity of data used to train models. However, the data are generated and saved at a variety of places, which are restricted to be shared, that limits the development of intelligent models.

How globalization and innovation are revolutionizing the global eye care system?

Aier is now the largest eye service provider in the world in terms of the scale of the network, with its presence in 3 continents and 9 countries. How does globalization help Aier to grow and what do we see in the future of global collaboration? Aier is building up an eye care ecosystem to encourage innovation. How innovation will shape our future growth paths?

Operating Theatre Game-based Pre-training in enhancing learning experience, knowledge and self-efficacy scores for novice nurses

Learning curve of novice nurses in the operating theatre are steep and nurses usually go through extensive training to be a competent peri-operative nurse. Innovation by incorporating serious gaming into learning will allow nurses to access virtual simulation at their own time. Experiential Learning Cycle Theory (Kolb, 1984) consisting of 4 stages was used to design and measure the study’s outcome.