Iconic Groote Schuur Hospital lights up in orange for World Patient Safety Day

Iconic Groote Schuur Hospital lights up in orange for World Patient Safety Day

If you are driving past Groote Schuur Hospital in the next month and wonder why the building is bathed in orange light, it is because the hospital has embraced the call by the World Health Organisation to mark the month of September – and particularly World Patient Safety Day (WPSD) on 17th September – as a day dedicated to the safety of both patients and staff.

In this dark year of COVID19 we need some light. The theme for this year’s WHO World Patient Safety Challenge is the well-being and care of healthcare workers. To promote WPSD, all participating countries are asked to light up monuments or iconic buildings in their towns and cities across the world. Last last year COHSASA arranged to light up the statue of Nelson Mandela on the Grand Parade – have a look at our video https://www.youtube.com/watch?v=kQGWlofUOUU&t=20s.

The WHO WPSD theme is to ensure the well-being and care of healthcare workers. After all, if they are in bad shape, how can they attend to the needs of patients? It has been estimated that the mental toll on health professionals and all those working in the healthcare system has been extreme. A shortage of personal protective equipment, isolation, social distancing, staff shortage, the nearness of death, the loss of colleagues – all these have conspired to turn COVID19 into a war and it has taken the lives of nearly 300 South African health workers.

Plans are in place to create a psychological support network for healthcare workers where they will receive up to four free sessions of counselling, attend support groups and have various programmes in place to deal with the stress they have to manage every day.

COHSASA, together with the Clinix Group and IQHealth Consulting, has arranged a World Patient Safety Webinar on 29th September at 10h00. The topic cover the Mental Health and Psychological Care for Health Care Workers and features five expert panellists, moderated by COHSASA CEO, Jacqui Stewart. The views expressed in this webinar and the information gained could be of value. If you need more details, email queries@cohsasa.co.za.

 

 

Helderberg Hospice accredited for a 5th time

Helderberg Hospice accredited for a 5th time

Left Above: Jacqui Stewart (left), CEO of COHSASA  hands over accreditation certificate to a proud Helderberg Hospice CEO, Gail Sykes.

Right Above: The dedicated staff of the helderberg Hospice

Sheer grit and determination of staff at the Helderberg Hospice in Somerset West in the Western Cape was required, and delivered, for the facility to receive its fifth accreditation in the middle of a global pandemic. The accreditation means that the hospice meets robust international standards as determined by the Council for Health Service Accreditation of Southern Africa (COHSASA).

The CEO of COHSASA, Jacqui Stewart, is on record as saying that accreditation is not a sprint – it is a marathon. In the case of Helderberg Hospice, the journey has been 14 years from its first entry into the quality improvement and accreditation programme. Accreditation is not easy to achieve and it takes even longer to get to a point where quality improvement is embedded – in other words, it is simply a way of being in any institution.  From the time Helderberg Hospice entered the programme in May 2006, it has achieved a two-year full accreditation and four three-year accreditations. The current accreditation is valid until August 2023.

Commenting on their latest accreditation, CEO of the Helderberg Hospice, Gail Sykes said:

“Every staff member of Helderberg Hospice has been involved, to a greater or lesser degree, helping us attain our COHSASA accreditation.  Our organisation has followed the accreditation guidelines for many years and used it as a living template in order to ensure good governance and the best practices in every department.  We have always been of the opinion that it must work for us and not the other way around – we cannot afford to window-dress any situation and that has therefore never been the case.  The process itself is ongoing and we refer to the standards and resultant policies on a daily basis, ensuring that all protocols are followed.

“We must be one of the few organisations that had their final survey directly affected by the Covid-19 virus and resultant lockdown!  Our external survey was scheduled to start on 24th March 2020, so with the announcement of the complete lockdown due to commence at midnight on the 26th, our survey had to be postponed at the very last minute.  Accommodation and travel plans had to be changed and a new date requested. Our final survey eventually started on 14th July and we were all very pleased to finally reach a conclusion.

“We, as an organisation, are all very proud of our international COHSASA accreditation.”

CEO of COHSASA, Jacqui Stewart, commenting on conducting external surveys at this taxing time said, “We had to ensure that the environment would be safe for the surveyors.  The team at Helderberg was able to do this and the surveyors were able to see all that they needed to.  It is the only onsite activity that we have been able to do since March.  I congratulate the Helderberg Hospice team on their achievement, which is great for their patients”.

 

 

 

 

Good stories about Cape Town’s clinics

Much too often South Africans hear of horror stories about our public sector health facilities and the lack of care. So, during the health crisis brought about by the coronavirus pandemic and an influx of patients with suspected COVID19, it is refreshing that Council for Health Service Accreditation of Southern Africa (COHSASA) personnel and their relatives have had positive experiences when attending public health clinics in Cape Town, specifically Tafelsig Clinic in Mitchell’s Plain run by Cape Town City Health and Hanover Park Day Hospital run by the Western Cape Province.

The COHSASA team has happy memories of working with Tafelsig Clinic when it was participating in the COHSASA accreditation programme. (COHSASA is a quality improvement organisation that assists health facilities reach high standards of care). Tafelsig was accredited three times against internationally recognised standards.

Memories aside, it seems quite fair to speculate whether the good service this clinic provides is, in part, due to the fact that certain beneficial processes and policies were put in place during the COHSASA programme persist to this day.

Being involved in setting standards and monitoring quality improvements in health facilities all around Africa makes our staff super sensitive to the level of care received and the implications for quality care and patient safety.

So, it is good to hear that they have felt cared for and health staff have gone out of their way to ensure that patients are carefully checked and cared for. Of course, things do go wrong, and we know that but these stories may go some way to dispel the overarching negativity that we might be feeling about everything at the moment.

Our resident Travel Coordinator, Roselyne October observed this about the City of Cape Town’s Tafelsig Clinic, situated in Kilimanjaro Street in Mitchell’s Plain:

“My mom- in-law of 83 had a nagging cough and after a few days she was tested at Tafelsig Clinic. On arrival she was assisted with great care to fill out the form. They checked her weight, her blood pressure, took bloods and took her temperature and told she had to wait a few minutes. She said it was a bit sore and she became quite tearful but happy she did it for peace of mind. She has not received results as to whether she is COVID19 positive, but she is feeling much better and her cough is almost gone.

Even though she was scared I think the staff really did an outstanding job.

Thank you to Tafelsig Clinic staff, I know during this period it’s not easy, but you really live out your oath daily for the community.”

Dr Paul Nkurunziza, acting Director for City Health, and his team commented:

“It is wonderful to read such a positive story. At City Health we take client satisfaction and the Batho Pele principles very seriously. It is heart-warming to see the Tafelsig management and team actually putting them into practice. It is also clear that our long association with COHSASA continues to bear fruit in the way our staff approach their work in general and their clients in particular. To Tafelsig Facility Manager and your team, we say ‘Well done! You have totally embraced the patient centred approach.’

Another COHSASA team member, Cheryl Adams, had this to say about her experience at Hanover Park Day Hospital.

“My mother and daughter are both patients at Hanover Park Day Hospital.  Since the beginning of the lockdown, the facility started delivering patients’ chronic medication at home, thus removing the need for patients to physically collect them.

“The normal procedure is for patients to see a doctor every six months for a script for the medication.  Due to the pandemic and lockdown, the scripts were extended from 6 months to 12 months.

“My mother has pulmonary hypertension and is required to have a blood test done every six weeks.  When she visits the facility, she is not expected to wait at reception.  She is allowed to go straight to the relevant department to draw blood and is in and out of the facility within half an hour.  The next day they call her to let her know the correct dosage of Warfarin that she should take. From a patient perspective, I’m impressed with the changes the day hospital implemented to accommodate and limit risk to patients.”

Dr Keith Cloete, Head of the Western Cape Health Department says: “It is heart-warming to us all when a member of the public takes the time and makes the effort to give recognition to our staff members. I am immensely proud of the frontline staff of the Western Cape Department of Health, that continue to serve our communities with humility, empathy and compassion, during this difficult time”.

 

 

 

Kingsbury Hospital has been accredited – what do they say about COHSASA?

Kingsbury Hospital has been accredited – what do they say about COHSASA?

Jacqiu Stewart, CEO of COHSASA hands over the accreditation certificate to Kingsbury Hospital Manager, Christine Malan.

The first Life Healthcare hospital in South Africa, the Kingsbury Hospital in Claremont, Cape Town, has been accredited for two years by the Council for Health Service Accreditation of Southern Africa (COHSASA). We spoke to the Hospital Manager, Christine Malan, to find out how and her team she experienced the COHSASA programme. Here are her answers to our questions – they reveal an honest response to our programme. No filters!

When did you first encounter COHSASA?

My first encounter was when Life Healthcare indicated that they are investigating obtaining accreditation from COHSASA.

 What was your initial response to the standards and the process you were facing?

 Initially it was a bit overwhelming, but as we became more comfortable with the layout and processes, we came to realise that it captures our daily processes and procedures.

Did you feel you received adequate support from COHSASA throughout the process?

Yes, definitely.

How do you think accreditation has helped you?

It has allowed us to view our way of work from a different angle, to find new approaches to problem-solving and find sustainable solutions to support continuous improvement.

 What benefits do you think you have got out of the process – both direct and indirect?

 Direct – The process challenged my way of thinking and reviewing processes.

Indirect – I have seen how some of staff have developed and  how they have stepped up to challenges that might have been outside of their normal scope of practice or function.

How do you think patients have benefitted from the quality improvement and accreditation process?

Any improvement to processes and quality will benefit our patients as our patients remain at the centre of everything we do.

 Although accreditation costs money and is regarded as an investment, do you think you ultimately saved money (over the long run) because of processes and policies that had to be in place?

 It is difficult to say without doing a return of investment calculation. We have BSI accreditation  (ISO 9001) which assisted with the planning and processes, but  at this early stage it would be difficult to calculate or comment on whether we will save money in the long run.

Do you think surveys should be unannounced?

Certain aspects of the surveys were unannounced like night visits. To me that was sufficient as we would still want staff to have a learning opportunity and ensure that appropriate resources are available to support an effective survey.

If you could change one thing about the COHSASA programme what would that be?

The frequency of the self-evaluations is very strenuous. That might be due to the current Coronavirus pandemic, but if these were twice a year instead of every 8 weeks, if would in my view allow for more in-depth evaluation and effective (cost and resources).

The entrance to the Kingsbury Hospital in Claremont Medical District, Cape Town.

Latest COHSASA accreditations

Latest COHSASA accreditations

Latest  hospital accreditations awarded by COHSASA

The first Life Healthcare hospital in South Africa, the Kingsbury Hospital in Claremont, Cape Town, has been accredited for two years by the Council for Health Service Accreditation of Southern Africa (COHSASA).

This means that the hospital meets over 3 800 rigorous criteria to provide safe, quality care to its patients. This is especially important during the current Coronavirus Pandemic where hospital systems are under strain, particularly in the Western Cape where there appears to be a higher caseload than in other provinces.

A COHSASA accreditation award means the healthcare organisation has entered a rigorous quality improvement programme and has been assessed against, and complies with, standards recognised by the International Society for Quality in Health Care (ISQua), the global body overseeing accreditation and quality improvement programmes in healthcare organisations in 70 countries around the world. COHSASA itself is accredited by ISQua as are its standards.

The healthcare facilities listed below have also been awarded accreditation by The Council for Health Service Accreditation of Southern Africa (COHSASA), a not-for-profit company (NPC) based in Cape Town.

Healthcare facilities that initially enter the programme and meet standards are awarded two-year accreditations and as the journey in improving quality continues, awards of longer duration are given. A four-year accreditation award from the Council should signal to patients that a facility has sustained an excellent level of standards over a commendable period.

The entrance of Kingsbury Hospital in Claremont Medical District.

Name of Facility Location Accreditation Award
Life Kingsbury Hospital Claremont, Cape Town Two Years’ Full Accreditation
Mediclinic Durbanville Durbanville, Cape Town Four Years’ Full Accreditation
Mediclinic Cape Gate Cape Town Three Years’ Full Accreditation
Nairobi Women’s Hospital, Adams Branch Nairobi, Kenya Three Years’ Full Accreditation
King Faisal Hospital Kigali, Rwanda Four Years’ full Accreditation

In the table above, it is thus possible to safely assume that the standards of quality and patient safety in both Mediclinic Durbanville and King Faisal Hospital in Rwanda have reached long-term and institutionalised levels. Mediclinic Cape Gate has been accredited a commendable three times since it opened. Nairobi Women’s Hospital, Adams Branch has been accredited for a second time and is the first hospital in Kenya to achieve COHSASA accreditation. The rest of the hospitals in this private Kenyan group are working towards accreditation.King Faisal Hospital is a public sector hospital in Rwanda, and this is the hospital’s sixth accreditation award.

All facilities that receive accreditation awards must undergo either a remote or onsite interim survey halfway through the period to ensure that standards are being maintained.

 

Should you get a COVID19 test or not?

Should you get a COVID19 test or not?

As the full impact of the lockdown announced by the State President, Cyril Ramaphosa, begins to take hold, many South African are wondering whether they should get tested for the Coronavirus and if so, how do they go about it. The Hospital Association of South Africa (HASA) has provided some useful website links for your use. Mark Peach, Executive of Public Affairs says:

“As we speak, the pathology labs are under tremendous pressure. So too, many hospitals. Understandably, many people are worried, and many are walking in to both and demanding testing. Many are asymptomatic and have not been exposed to anyone positive for the coronavirus. Consequently, supplies are under strain, staff are increasingly in distress, and hospital protocols are being disregarded. Can we start by getting this message out, that there is a protocol as to who should, and who should not be treated. That protocol is here, under the heading “Criteria for Person Under Investigation (PUI)”: http://www.nicd.ac.za/diseases-a-z-index/covid-19/. Also,

1. Please note the following freely available information and resources:
a. The NICD website (http://www.nicd.ac.za) and the Department of Health information portal at https://sacoronavirus.co.za/ are indispensable.
b. All the private hospitals have a range of information and communication tools (see http://www.netcare.co.za; http://www.lifehealthcare.co.za; http://nhn.co.za; http://www.mediclinic.co.za; http://www.lenmed.co.za), among others.
c. Mediclinic has an online personal risk assessment tool. Fill in the fields and find out in a minute whether a test is necessary. It is at https://www.mediclinic.co.za/en/corporate/corona-virus/covid-19-risk-assessment-tool.html. Please share this as widely as you can. An assessment preceding testing will reduce the pressure on path labs and hospitals. Let people know.
d. Discovery Health also has a highly informative and useful Covid-19 information hub at http://www.discovery.co.za as does GEMS at https://www.gems.gov.za/corporate/news-and-events/COVID—12-Coronavirus
3. As you know, our future success in managing Covid-19 depends on the success we have in enforcing and observing social distancing. I have made excellent infographics available at https://1drv.ms/u/s!Ao780VrDACpfZ3AdmUslCsuAF8Q?e=Z1aAUB that you can download and share. Included is a wonderful flow chart that deals with the management of fellow South Africans from identification, to diagnosis and through to discharge – this is indispensable for the physicians among you.”

What our clients say about us

What our clients say about us

A loyal client responds…

(Above)The South Coast Hospice team and below the late, beloved Dr Andre Nell who saw beyond the wheelchair.

One way to determine if you are meeting your client’s needs is to ask them!

COHSASA decided to find out what one of our most loyal clients, the South Coast Hospice, thought about quality improvement, accreditation and the COHSASA programmes and standards. This is a client that has achieved five full accreditation awards. See Table below.

Facility Name Award Status Award period Year Awarded Awarded On Year Expires Score External
South Coast Hospice Association Intermediate Level 2 2005 2005/03/18 2007 79
South Coast Hospice Association Full Accreditation 2 2006 2006/06/26 2008 99
South Coast Hospice Association Full Accreditation 3 2008 2008/09/12 2011 99
South Coast Hospice Association Full Accreditation 3 2011 2011/11/12 2014 99
South Coast Hospice Association Full Accreditation 4 2015 2015/05/15 2019 99
South Coast Hospice Association Full Accreditation 4 2019 2019/11/22 2023 97

We submitted pertinent questions to the Operations Manager, Shamila Clothier (viewed as a COHSASA champion who keeps policies and processes up to date) and CEO, Diane Van Dyk, to find out what they really think of COHSASA and its processes and standards and what benefits (if any) they derived from the process.

This is what they said.

When did you first encounter COHSASA?

The COHSASA Accreditation process was launched at the August 2004 Hospice Palliative Care Association of South Africa (HPCA) conference in Rustenburg. South Coast Hospice was part of the pilot project and we had our first COHSASA Accreditation survey in November 2004. We were first awarded an Intermediate Level award but after a focus survey, we were awarded full accreditation in February 2005. We had no prior knowledge of the standards we were to be measured against.

What was your initial response to the standards and the process you were facing?

 As we had been chosen as a pilot site, we had a lot of things in place already. However, the initial COHSASA standards that we were measured against were difficult. As part of the pilot development, the South Coast Hospice had been measured against conventional hospital standards. We were an 8-bed patient unit! It was clear the standards needed reviewing and made appropriate for hospices. A Standards Development Committee was established between COHSASA and the HPCA for just such a review.

Did you feel you received adequate support throughout the process?

 Yes. HPCA placed mentors in each Province in South Africa to guide the hospices in the accreditation process and how to interpret the standards.

How do you think accreditation has helped you?

 The accreditation process has helped us in maintaining high-quality standards in all areas of the hospice, from direct patient care to support services.

What benefits do you think you have got out of the process – both direct and indirect?

 Direct – The accreditation process makes us re-evaluate all areas of the hospice and then we can focus on quality improvement and assurance. As CEO, I also believe that the accreditation process acts as a great team builder as all departments are aware of working together to achieve high standards. It certainly allows us all to gain insight into what each department is doing and what they are striving for and this knowledge engenders mutual respect between departments.

Indirect: We have a quantitative evidence base to prove the quality of the hospice services to funders and potential funders.

How do you think patients have benefited from the quality improvement and accreditation process?

 The level of care and service is constantly under scrutiny in terms of satisfaction surveys, incident reporting, and file audits. These processes ensure that the patient is always receiving the best quality care.

Although accreditation costs money and is regarded as an investment, do you think you ultimately saved money (over the long run) because of processes and policies that had to be in place?

 Not really. The polices are constantly reviewed in terms of changes in legislation and the environment. The accreditation process does cost us money and we must fund-raise for this and include it in our budget. Also reviewing policies, printing and stationery does cost a lot of time and money. However, it is worthwhile investment, to ensure compliance and it also helps guide the process when new staff are recruited into the organisation.

 Do you think donors were more attracted to you because of your accreditation status?

YES, and NO. Some donors are impressed, and others are not really interested. We are of the opinion that the donors are not informed as to who COHSASA is. Some donors think that the COHSASA certificate is our registration certificate. South Coast Hospice over the years has had to really adapt to the changing times regarding funding and accreditation keeps us on track.  This is especially true when new staff come on board – it maintains the level of service that is expected from us.

 Do you think surveys should be unannounced?

 Pre-announcing the survey ensures that all team players are available for the survey. It also helps to prepare the staff for the survey.

If you could change one thing about the COHSASA programme what would that be?

The hospices must be given an opportunity to comment on the revised standards before they are implemented.

 

 

 

 

 

 

 

 

Latest COHSASA accreditations

Latest COHSASA accreditations

The healthcare facilities listed in the table below have been awarded accreditation by COHSASA.

A COHSASA accreditation award means the healthcare organisations have entered a rigorous quality improvement programme and have been assessed against, and comply with, standards recognised by the International Society for Quality in Health Care (ISQua), the global body overseeing accreditation and quality improvement programmes in healthcare organisations in 70 countries around the world. COHSASA itself is accredited by ISQua as are its standards.

Hospitals and clinics that initially enter the programme and meet standards are awarded two-year accreditations and as the journey in excellence continues, awards of longer duration are given. A four-year accreditation award from the Council should signal to patients that a facility has sustained standards over a commendable period.

Cure Day Hospitals, Somerset West recently accredited

Name of Facility Location Accreditation Award
Cure Day Hospitals Bellville Bellville, Cape Town, W. Cape Three Years’ Full Accreditation
Cure Day Hospitals Somerset West Somerset West, W. Cape Three Years’ Full Accreditation
Cure Day Hospitals Midstream Midrand, Gauteng Two Years’ Full Accreditation
South Coast Hospice Association Port Shepstone, KZN Four Years’ Full Accreditation
Mediclinic Brits Brits, North West Province Four Years’ Full Accreditation
Mediclinic Muelmed Pretoria, Gauteng Four Years’ Full Accreditation
Mediclinic Nelspruit Nelspruit, Mpumalanga Four Years’ Full Accreditation
Mediclinic Vereeniging Vereeniging, Gauteng Four Years’ Full Accreditation
New Vaal Colliery Health Centre Vereeniging, Gauteng Four Years’ Full Accreditation
Nigeria LNG Hospital Bonny, Rivers, Nigeria Three Years’ Full Accreditation

 

 

 

 

THE ISQUA Conference – An African Perspective

THE ISQUA Conference – An African Perspective

Dr Temitope.I. Bakare BDS, MPH, FMCFD (pictured here), is a Nigerian. She is a Quality Improvement Mentor (presently overseeing QI projects in two General Hospitals in Lagos State).  She is also a Consultant Family Dentist with a Masters in Public Health. She often felt frustrated at the majority of past public health conferences which focused on “Governance” because its implementation was way beyond her reach.

In June 2019 she encountered the COHSASA CEO, Jacqui Stewart, who gave a presentation at ISQua’s regional conference in Lagos on Patients’ Experience of Care. “Jacqui so inspired me with solutions she tendered which were low hanging fruits for the average frontline worker. I decided to take advantage of the wonderful concessions offered to delegates from LMICs and attended the ISQua conference in Cape Town”.

In January this year, President Muhammadu Buhari launched the second National Strategic Health Development Plan from 2018-2022 to attain the Universal Health Coverage in Nigeria. This included quality improvement strategies in six cluster areas of the country. Although, Lagos state was not included in the 1st phase, quality improvement trainings and projects had commenced across the board at the 26 General Hospitals since 2016.

Temitope says the ISQua conference had empowered her with feasible action plans she could easily execute back home. “The conference was such a well-organised and professionally rewarding experience for me.  ISQua must be commended for offering special rates to African delegates”.

The content of the conference was well-balanced and gave her some practical guidance on how to fix immediate problems in her clinical setting. To fix some of these would not cost anything! “The traditional African opening ceremony for her was a ‘wow’ experience with delegates in different traditional attires. This created a feeling of unity amongst the over 1000 delegates from 84 countries. “I learnt so much from both “The African Community of Practice and The Learning Journey Sessions” (which spanned three days) on Data, Co-production and Patient Safety”.

Take home points from these three Learning Journeys included: i) The need to resonate on the stories behind the data, ii) The need to synthesize “patients’ lived reality” with “health workers reality of care” and iii) being empowered to take up the safety challenge on medication without harm (especially in the areas of Poly pharmacy & Multi morbidity in her two facilities).  She also learnt about the amazing potential of digital platforms to enhance the efficiency of patient care especially the role of smart mobile phones in educating patients (PharmAcess & MDoc Sessions). The 4th pillar, used in strengthening the South African Health System, discussed in the plenary session by The Minister of Health, Dr, Zweli Mkhize, also struck a chord in her.

The need for neighbouring private companies around health facilities to step up with their Corporate Social Responsibility in strengthening the health system was noted. At the drive for patient safety, coordinated by WHO, the CEO of ISQua, Peter Lachman, advocated that to “sustain” patient safety, we, the health professionals needed to “engage” and also “nurture” networks with politicians, policy makers and clinicians in our local and international vicinities. He also emphasized that patients should be treated for health and not for disease. Knowing the context of a patient’s life would provide invaluable information for successful clinical outcomes. “I’m so impressed by ISQua and what it has to offer” Temitope says. “I have already started mobilising my colleagues to save for Florence 2020.”

To read more about Dr Temitope. I. Bakare’s experience on each of the conference days at ISQua2019 go to these links:

DAY 1: https://www.linkedin.com/pulse/isquas-36th-international-conference-innovate-implement-bakare

DAY 2: https://www.linkedin.com/pulse/conference-day-two-temitope-bakare

DAY 3: https://www.linkedin.com/pulse/isqua-conference-day-3-african-perspective-temitope-bakare

DAY 4: https://www.linkedin.com/pulse/day-4-isqua-conference-african-perspective-temitope-bakare

 

 

 

Golden Moments from ISQua 2019 in Cape Town

Golden Moments from ISQua 2019 in Cape Town

For three days, COHSASA personnel acquired a glimpse of the work being done internationally in the field of quality improvement and safety in healthcare when well over 1000 delegates from 84 countries gathered at the CTICC in Cape Town, for the annual International Society for Quality in Health Care Conference – a first for Africa. From the opening session, with wonderful drumming, singing and dancing to the closing session, it was a time of magic and learning. The general consensus: roll on next year when we can meet again in Florence!

Click here for extended videos:

Cultural Performance at ISQua’s 36th international conference in Cape Town.

https://vimeo.com/371829723/185d057d2e

Opening session of ISQua’s 36th annual conference in Cape Town, South Africa