View
7
Download
0
Category
Preview:
Citation preview
Soroka Medical Center - "Calling Card"
Tertiary hospital
1043 beds
4200 employees
Operating affiliation with
the Faculty of Health
Sciences of Ben-Gurion
University of the Negev
Area: Approx. 70 acres (285 dunam)
Built-up area: Approx. 2,152,780 square feet (200,000 sq.
meters)
30 buildings
Emergency Medicine - About 234,000 visits to the ER
annually
Maternity delivery rooms - About 15,600 births annually
Ambulatory visits - About 600,000 outpatient visits annually
Surgical procedures - About 33,200 operations annually
Soroka Medical Center - "Calling Card"
A leading medical center
Providing exceptionally excellent
quality medical service, placing the
patient and his or her needs in the
center, and a model of medical
education and research
The Vision
Decision No. 2025 of the Government, Sept 23,2014
"A long term plan for the Development of the South“
"the government noted the Minister of Health and the Minister
of Finance announcement regarding the approval of 98 general
beds to Soroka Medical Center during the years 2014 - 2016. In
addition the government noted the message of the ministers
regarding the approval of 20 rehabilitation beds in Soroka.
All of the above in order to strengthen the hospital and
as a response to the growth of the population and the
medical needs of the residents of Beer Sheva and its
surrounding."
Soroka - Development and Future
Soroka during Operation Protective Edge
1263 injured - 777soldiers,
486 civilians
53 seriously/severely injured
More than 60 helicopter
landings with soldiers
evacuated from the fighting
in Gaza
About 150 surgical procedures for injured from Protective Edge
- 62% of them orthopedic surgery
Statistics
Quality while under fire
Six Domains of Quality
Safe - avoidance of unintended
patient harm
Effective - evidence-based
Patient centered - focused on
needs and rights of the
individual patient
Timely - avoidance of delays &
barriers to patient care flow
Efficient - elimination of waste
Equitable - fair access to
comparable health
source:
IOM, Crossing the Quality Chasm, 2001
"Preventing avoidable injury or damage caused by
the treatment itself"
1. Bombproofing and relocating unprotected units.
2. Rapid identification of unidentified
patients by means of a biometric
identification system in
cooperation with the IDF.
3. Preventing mistakes in blood
transfusions by assigning a specific
technician from the Blood Bank to
the Trauma Unit.
4. Treatment continuum:
Helicopter - Trauma Unit - ICU –
Hospital departments – Discharge
in coordination with the IDF.
5. Internal review and drawing conclusions during the military operation.
1. Safety
"Providing medical treatment based on scientific
medical knowledge"
1. Order and discipline in the
Trauma Unit - A trauma medical
team as case managers
2. Pre-planned orderly treatment
in Mass Casualty Events
3. Multidisciplinary treatment
of the injured
4. Senior surgeons, orthopedists,
and imaging specialists present
24/7
5. Identification of eye injuries and
notification to the IDF
2. Effectiveness
"Providing dignified service, exhibiting
sensitivity to the patient's preferences, needs
and values"
1. Working with the IDF Medical Corps liaison
2. Working together with the
families
3. Handling the myriads of
visitors from all over the
country
3. The patient in the center
"Preventing waste of resources"
1. Readying the hospital "Situation Room“
+ keeping an operations log
2. Regular assessments - twice daily –
of the situation + orderly protocols
(minutes)
3. Hospital management information
systems in wartime
4. Regulating the flow of patients –
Redirecting "classic" patients [abdominal pain, stones in the urinary
tract] from the Surgery ER to Internal Medicine in order to reserve the
surgical teams for treating the wounded.
5. 12-hour nursing shifts: ICU, OR, ER
4. Efficiency
"Reducing waste of time and preventing
endangering waits"
1. On-duty service 24/7 - surgery, orthopedic, imaging, OR teams
2. Immediate availability of blood products in the Trauma Unit
5. Timeliness
"Providing identical service to all patients,
without exception"
1. Continuing to offer responses to the residents of the south despite the
prolonged security situation
2. Continued attention to the quality indexes of Soroka, Clalit Health
Services and the Health Ministry
[*] National Core
Indexes
Period
July 7, 2013 to
August 13, 2013
Period
July 7, 2014 to
August 13, 2014
Numerator Denominator Score Numerator Denominator Score
Hip fracture - operated
on within 48 hrs. 21 24 100 32 35 100
PCI within 90 minutes of
arriving in the ER 16 20 94.1 21 22 100
6. Equality
3. Medical ethics - Ad hoc discussions by the ICU director, Trauma Unit
director and relevant department heads in the event of "difficult
decisions" [amputation instead of battling to save the at-risk limb;
determining 'end-of-treatment']
6. Equality
"Providing identical service to all patients,
without exception"
THANK YOU
Recommended