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Sunday, September 26, 2010
Saturday, August 7, 2010
Aweil, South Sudan: Seasonal Emergencies and Reproductive Health
RECONSTITUTING BODIES, RECONSTITUTING LIVES
Dr. Joe Mamlin consults with medical staff and a patient at the Moi Hospital in Eldoret, Kenya. Photo: Karl Grobl
The initial partnership agreement has led to a host of programs that have impacted hundreds of thousands of Kenyans and the Americans who come into contact with them. In 1990 three medical students and a handful of residents participated in the partnership program’s exchange. Since then, more than 800 have participated, says Einterz, associate dean for international programs at the IU School of Medicine and the Indianapolis-based director of the IU-Kenya partnership.
Several other universities have joined the IU-Kenya partnership, both independently and through the ASANTE Consortium (America/sub-Saharan Africa Network for Training and Education in Medicine). Other partners include Brown University, University of Utah, Duke University, University of Toronto, and the resident training programs in Portland-Providence, Ore., and Lehigh Valley, Penn.
“It has grown quite a bit over the past 15 years,” says Einterz, who served as the program’s first physician-in-residence. “We have invited other universities to join with us in Kenya in large part because we envision a rich network of medical schools linking with counterparts in Africa. We love to see other U.S. medical schools developing partnerships with Moi University.”
Then there’s AMPATH (Academic Model for the Prevention and Treatment of HIV/AIDS), the rural AIDS program inspired by Daniel Ochieng’s recovery that IU started as an extension of the initial partnership agreement. Its three vital components are care programs that foster HIV treatment and prevention, research programs that enable development of “best-practices” strategies for prevention and treatment, and education programs for health professionals and outreach workers.
AMPATH treats more than 33,000 people each year and feeds more than 30,000, adding about 2,000 new patients per month. It is the largest and most comprehensive HIV-control system in all of Africa. Through its extension programs, AMPATH has created pediatric facilities for children, done HIV-prevention outreach, fostered agricultural training and created factories to further sustainable living options, and built shelters for women and children with AIDS.
Ochieng himself is actively involved with AMPATH, running the patient-adherence outreach program and happily married to another former patient treated for AIDS at the clinic.
Government funding for AMPATH came in the form of an emergency AIDS-relief program known as PEPFAR, the President’s Emergency Plan for AIDS Relief, a U.S.-sponsored grant for large populations. The program has been sustained by numerous other grants, foundations, and individual donations. Today it has expanded to 18 sites, extending from Kenya’s Rift Valley to the Uganda border, and is on track to treat 50,000 people a year by the end of 2007.
Citing the widespread influence of AMPATH and Mamlin’s role in the program, two Hoosier professors, Scott Pegg of IUPUI and David Mason, PhD’78, of Butler University, have nominated AMPATH for the 2007 Nobel Peace Prize. The professors suggested in their letter to the Norwegian Nobel Committee that it would be “perfectly fitting to recognize [Mamlin] as a co-recipient of the peace prize.”
Challenges unique to the African medical system have inspired innovative treatment solutions. In America, says Mamlin, a doctor writes prescriptions and sends patients on their way.
“Forget that in Africa,” he says. Treating HIV among the poor people of western Kenya, Mamlin says, “extends beyond offering drugs to reconstitute the damaged immune system to offering solutions that reconstitute people’s lives.
“You have to care about the food of their children. And find a way to pay the rent if they have any hope of going back to work. And create an infrastructure so they can heal themselves. The list goes on and on.”
AMPATH has its own farms with support from the World Food Programme, a United Nations agency, headed until April by former IU trustee Jim Morris, BA’65, that supports economic and social development. Mamlin says the program’s distribution system “would be the envy of Wal-Mart.” Its food program is the first in the world to offer full food support along with HIV care — for the patient’s entire family.
“You can’t just feed the patient,” says Mamlin. “Can you imagine having an impoverished mama with HIV who has no food, and you give her food and say, ‘This is for you, not your children’? We feed everyone in the house so that everyone comes up together.”
AMPATH’s services extend beyond treatment to prevention. The program will screen 30,000 pregnant women for HIV this year, cutting the transmission rate of the virus from 50 percent to less than 5 percent. Programs are also being developed around each of AMPATH’s health centers, which offer orphans a place to sleep, clothing, and food, as well as a chance to continue their education and acclimate themselves into society.
“Otherwise, it’s going to be another wave of disaster — this large number of young people growing up who never had any boundaries or training or schooling,” says Mamlin.
Several other universities have joined the IU-Kenya partnership, both independently and through the ASANTE Consortium (America/sub-Saharan Africa Network for Training and Education in Medicine). Other partners include Brown University, University of Utah, Duke University, University of Toronto, and the resident training programs in Portland-Providence, Ore., and Lehigh Valley, Penn.
“It has grown quite a bit over the past 15 years,” says Einterz, who served as the program’s first physician-in-residence. “We have invited other universities to join with us in Kenya in large part because we envision a rich network of medical schools linking with counterparts in Africa. We love to see other U.S. medical schools developing partnerships with Moi University.”
Then there’s AMPATH (Academic Model for the Prevention and Treatment of HIV/AIDS), the rural AIDS program inspired by Daniel Ochieng’s recovery that IU started as an extension of the initial partnership agreement. Its three vital components are care programs that foster HIV treatment and prevention, research programs that enable development of “best-practices” strategies for prevention and treatment, and education programs for health professionals and outreach workers.
AMPATH treats more than 33,000 people each year and feeds more than 30,000, adding about 2,000 new patients per month. It is the largest and most comprehensive HIV-control system in all of Africa. Through its extension programs, AMPATH has created pediatric facilities for children, done HIV-prevention outreach, fostered agricultural training and created factories to further sustainable living options, and built shelters for women and children with AIDS.
Ochieng himself is actively involved with AMPATH, running the patient-adherence outreach program and happily married to another former patient treated for AIDS at the clinic.
Government funding for AMPATH came in the form of an emergency AIDS-relief program known as PEPFAR, the President’s Emergency Plan for AIDS Relief, a U.S.-sponsored grant for large populations. The program has been sustained by numerous other grants, foundations, and individual donations. Today it has expanded to 18 sites, extending from Kenya’s Rift Valley to the Uganda border, and is on track to treat 50,000 people a year by the end of 2007.
Citing the widespread influence of AMPATH and Mamlin’s role in the program, two Hoosier professors, Scott Pegg of IUPUI and David Mason, PhD’78, of Butler University, have nominated AMPATH for the 2007 Nobel Peace Prize. The professors suggested in their letter to the Norwegian Nobel Committee that it would be “perfectly fitting to recognize [Mamlin] as a co-recipient of the peace prize.”
Challenges unique to the African medical system have inspired innovative treatment solutions. In America, says Mamlin, a doctor writes prescriptions and sends patients on their way.
“Forget that in Africa,” he says. Treating HIV among the poor people of western Kenya, Mamlin says, “extends beyond offering drugs to reconstitute the damaged immune system to offering solutions that reconstitute people’s lives.
“You have to care about the food of their children. And find a way to pay the rent if they have any hope of going back to work. And create an infrastructure so they can heal themselves. The list goes on and on.”
AMPATH has its own farms with support from the World Food Programme, a United Nations agency, headed until April by former IU trustee Jim Morris, BA’65, that supports economic and social development. Mamlin says the program’s distribution system “would be the envy of Wal-Mart.” Its food program is the first in the world to offer full food support along with HIV care — for the patient’s entire family.
“You can’t just feed the patient,” says Mamlin. “Can you imagine having an impoverished mama with HIV who has no food, and you give her food and say, ‘This is for you, not your children’? We feed everyone in the house so that everyone comes up together.”
AMPATH’s services extend beyond treatment to prevention. The program will screen 30,000 pregnant women for HIV this year, cutting the transmission rate of the virus from 50 percent to less than 5 percent. Programs are also being developed around each of AMPATH’s health centers, which offer orphans a place to sleep, clothing, and food, as well as a chance to continue their education and acclimate themselves into society.
“Otherwise, it’s going to be another wave of disaster — this large number of young people growing up who never had any boundaries or training or schooling,” says Mamlin.
President SBY will scrutinize U.S. Hospital Ship USNS Mercy T-AH19 The Co Bithday Banda Sail 2010
President Susilo Bambang Yudhoyono (SBY) will review the largest hospital ship Navy of the United States (U.S.), USNS Mercy T-AH19 to be anchored at the Ambon, Maluku. The presence of a proud American ships in Ambon other not to participate enliven Banda Sail 2010 event which was held from July 27 until August 8.
"At the peak of an event held on August 3, 2010, all hospital ships from five countries will be anchored at the Ambon's main port, the port Yos Sudarso. And that's when the President will tour around the ship for inspection, "said Secretary of the Coordinating Ministry for People's Welfare Association Oseanologi sekaligusb Chairman Prof. Dr. Indroyono Soesilo Indonesia, in Jakarta, Thursday (27 / 5).
Ship USNS Mercy is scheduled to arrive in Ambon on July 29, 2010.
According to Prof. Indroyono, the ship will participate in the program Baskara Jaya Surya Operations in Maluku, which is part of a series of events Sail Banda in 2010. Besides Americans, there's also a hospital ship KRI dr Soeharso Indonesia itself, a unit of landing ship tanks (LST) of Singapore, and two units of heavy landing craft (LCH) Australian owned. Besides America, Australia and Singapore, Malaysia and New Zealand will be planned that will also participate.
Emergency Hospital: 1920
Georgetown's ED Earns High Marks from Patients
The Level I, 18-bed ED offers a full range of emergency services for pediatric and adult patients. As part of its service-excellence initiative, Georgetown has made a hospital-wide effort to assess patient satisfaction, using the PRC Patient Satisfaction Monitoring System. The Georgetown ED now rates among the top 10% nationally for patient satisfaction. "The PRC data clearly demonstrates that patients rate us very highly for ED services," says John DeSimone, MD, clinical chief, Emergency Medicine.
Process, Process, Process
That satisfaction begins with ED registration. When the department began collecting data a year ago, patient satisfaction was in the 30th percentile. Now satisfaction is in the 98th percentile. Similarly, patients rate the ED in the 90th percentile for promptness of evaluation of medical condition on arrival.
The large increase in patient satisfaction is a result of the hard work of everyone in the ED. The staff has worked together to revamp the registration and evaluation process to expedite patient care. First, they changed the type and quantity of information that is required upon registration. Second, registration personnel begin to collect information as soon as patients enter the department.
Depending on patient flow and acuity, registration then is finished at triage or bedside. The result is elimination of a bottleneck. Not surprisingly, total patient time in the ED has been improved as well. Now about 65% of patients leave the ED in three hours or less. This is especially noteworthy since the patient volume has increased significantly, climbing from about 22,000 two years ago annually to 30,000 today.
New Services
The department also has added hazardous materials (hazmat) areas to care for patients in the event of biological or chemical terrorism. There now is a fixed hazmat area within the ED, with expansion into an adjacent area outside the hospital to handle multiple casualties. A new decontamination unit can decontaminate up to 160 people an hour. As part of the hospital-wide Emergency Preparedness Plan, emergency staff members receive inservice training about how to evaluate and treat disaster victims.
Integration
As volume has increased, so has staffing. The ED now has more physician coverage. In addition, the department's medical staff is integrated with its counterpart at Washington Hospital Center.
In a joint initiative between Georgetown's emergency and pediatric departments, two new pediatricians are joining the medical staff in July. They will help care for children in the ED as well as pediatric inpatients, working eight hours a day, seven days a week.
"This demonstrates that we are serious about taking care of kids at Georgetown," Dr. DeSimone says. "The intent is to optimize the care for children throughout the hospital."
Physician Outreach
The department places a strong emphasis on working closely with physicians. "We want to keep clear communication channels with community physicians," Dr. DeSimone adds. "Collaboration improves patient care."
Physicians are encouraged to call the ED when a patient is en route
to discuss the incoming patient with the ED physician. Physicians also can call Physician Access, a Georgetown service that coordinates referrals of acute and non-acute patients from outlying hospitals. The "one call does it all" service can help arrange transportation by a MedStar Transport Services' helicopter or ambulance.
Top 5 must-have features for your hospital’s website
If the site is connected with the hospital patients at home, surely it will be the best website of a hospital. This would mean your hospital services are one click away and at your desktop.
First of all, for all those paitents under follow up treatment get a section devoted in giving their follow up history published, accessible from home. Let this feature be more interactive by adding some tools of communication that get the doctor connected to respond any inquiry – instant. All the diagnosis reports, prescriptions and history be kept to each patient profile.
The next feature could be for those patients who generally have a planned medication and treatment. Store all the information for them to decide why they should not go to other hospital and why thinking on deciding to go another hospital is too bad for them. This section must contain information that guide those patients of planned medication and treatments.
Get a feature introduced in your site to hold a hand with those patients who had been to the hospital and for sure not going to come back very soon. Yes, hold a connection with those sound and good health people before they fall sick. Illustrate them your doctors, technicians, equipments pool facilities broadly and make them confident on the hospital.
Financing options should be structured and presented as such that it covers all most all popular webbased payment methods and financing options. How about getting all the medical financers in a common platform at your site. You be secured, patients be secured.
Dominate the contents with more visual presentations of the hospital along with some other regular hospital websites sayings. What did the competitor say in his website? Respond to it as well.
It is just a complete business plan for a hospital in web. The site need be to a medium of communication and should be accessed as such that it reaches the most remote patient instantly. Think all persons related to the hospital as a community and the website is set to establish a medium of being connected. People love to be taken care off, the site must address all of it.
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