JOCHAM HOSPITAL PROFILE A CENTRE OF EXCELLENCE

Transcription

1 JOCHAM HOSPITAL PROFILE A CENTRE OF EXCELLENCE

2 BACK GROUND Jocham hospital is a modern health facility located at the north of Mombasa Island just after Nyali Bridge. The hospital opened its doors to the first patient on 15th May The hospital is a brainchild of Dr. J.M.Chamia, a leading medical specialist (Obstetrician/ Gynaecologist) who saw the need to bridge the gap between high cost hospitals and the lower health care facilities. He thus came up with this facility, that gives patients first class and quality care at affordable rates. It is mwananchi friendly because it bridges the gap between high cost hospitals and lower health facilities, at the same time offering quality and personalised services at an affordable rate.

3 We offer the following services: Consultation Special weekly clinics Emergency treatment and referral Pharmacy Laboratory Dental clinic Physiotherapy and occupational therapy Voluntary counselling and testing {VCT} and Comprehensive Care Centre {CCC} X-ray, Ultra sound and CT Scanning Male, Female and Paediatric wards Critical Care Centre Maternity wing Major and Minor theatres Jocham Funeral Home

4 Cont Jocham hospital is recognised within and beyond Kenyan coast as an advanced diagnostic and treatment facility staffed with highly qualified professionals. The staffs are courteous, considerate and helpful. Patients privacy, dignity and confidentiality are highly valued and respected. Patient care is our primary concern thus fulfilling our motto we care. Administration at jocham hospital is headed by the Chief executive officer, The director in charge of special programmes, Chief administrator, Matron, Chief Clinical officer, Chief Accountant and heads of departments.

5 HOSPITAL MOTTO: WE CARE. HOSPITAL MISSION: TO OFFER PERSONALISED AND QUALITY SERVICES TO OUR CLIENTS AT AN AFFORDABLE RATE. HOSPITAL VISION: TO BE THE LEADING HOSPITAL AT THE COAST OFFERING THE BEST AND ALWAYS EXCEEDING THE CLIENTS EXPECTATION.

6 HOSPITAL VALUES: TO PROVIDE QUALITY HEALTH CARE TO ALL. TO BE PROFESSIONAL AND ETHICAL. TO BE COMPASSIONATE. TO MAINTAIN HIGH INTEGRITY. TO BE SOCIALLY RESPONSIBLE. TO BE DYNAMIC IN HEALTH CARE PROVISION. HOSPITAL CORPORATE CULTURE WE ARE SPECIFIC ABOUT QUALITY AND WE TAKE PRIDE IN OUR REPUTATION IN PROVISION OF HIGH STANDARDS OF HEALTH CARE. WE GIVE PATIENTS PAROUMOUNT SATISFACTION.

7 NURSING CARE Jocham hospital is re-known for her quality nursing care and provision of excellent patient services in the coast region of Kenya. Professionalism is an aspect we pride ourselves in. We take great care in recruitment and retention of nurses who are one-on-one committed to patient s care that goes a long way to improving and maintaining the quality of the nursing care standards we have set over time. The nursing care department is the hospital s backbone in medical care giving patients a positive experience and a conducive environment for a quick recovery. Continuous improvement on medical care services and compliance to national and international standards and procedures in nursing has put the hospital in the regional map of medical excellence. To achieve that quality of care, procedures, policies and standards have put in place using national and international benchmarks. We have a Quality improvement team {QIT} mandated by the management to handle quality evaluation on monthly basis. This category of staff manages the outpatient, inpatient, theatres, infection control, quality improvement, counselling, social services, chaplaincy, diabetics and other support tasks. They are headed by the matron who has a deputy and departmental In-charges.

8 MEDICAL CARE Jocham hospital has the best pool of professional doctors. We have resident medical doctors and a wide pool of specialist doctors for consultations and specialised medical attention to our clients. The duty roasters are arranged in such a manner that any specialised attention has a specialist doctor on call twenty four hours, seven days a week {24/7}. The resident doctors and clinicians work in interchangeable shifts to make sure that their personal and official needs are balanced all times. This ensures that our patients tend to create a rapport with the doctors for maximum consumer satisfaction. Consultant doctors are all professionals in various medical fields like dentist, Paediatricians, Surgeons, General practitioners, gynaecologists/obstetricians, Physicians, Psychiatrists/Psychologists, ENT Specialists just but a few.

9 Cont The hospital runs special clinics on weekly basis. These are Gynaecological Clinic, Child Welfare Clinic, Antenatal Clinic, Family planning clinic, surgical clinic, and ENT {ear, nose, and throat} clinic. The hospital is well equipped with modern medical equipment all geared to providing quality services to clients at an affordable rate. To name just but a few of these equipment we have the CT Scanner, X-ray and Ultra Sound, Laboratory Diagnostic equipments, Blood bank, Major and Minor operation gears, Physiotherapy and Occupational therapy aids, Incubators and Body preservation facilities at the funeral home.

10 PHARMACY Jocham hospital pharmacy is managed by highly qualified personnel who give exemplary advisory services to both out-patient and inpatient. Those on prescription may also walk in and buy their desired medication at the right price and environment. The pharmacy offers patient support services which include drug information on prescription, toxicology/poison information and patient education.

11 LABORATORY Jocham hospital is a leading diagnostic laboratory service provider in the coast and other than serving the hospital s needs, we offer referral services for all tests to other health institutions in the region 24 hours daily. The department is subdivided into sections, specific to similar diagnostic laboratory tests. These include: * Histopathology/cytolology section. * Microbiology. * Biochemistry. * Serology * Parasitological * Haematology and blood transfusion {blood bank} and * Molecular diagnosis

12 VOLUNTARY COUNSELLING AND TESTING {VCT} AND COMPREHENSIVE CARE CENTRE {CCC} VCT for HIV at Jocham hospital involves two counselling sessions: * Prior to taking the test known as pre-test counselling and following the HIV test - post-test counselling * Counselling focuses on the infection {HIV}, the disease {AIDS}, the test, and positive behaviour change. We have partnered with prominent non governmental organisations and the public sector in educating the immediate community about HIV/AIDS.

13 PHYSICAL MEDICINE DEPARTMENT This is the assessment, treatment and prevention of illness, injuries, and disorders by use of physical means such as exercises, electrical agents, short tissue manipulation (manual therapy) rather than the use of drugs. It compliments other therapies and treatments. Jocham hospital physical medicine department comprises of the physiotherapy and occupational therapy. The two units are managed by qualified professionals to ensure accurate diagnosis and treatment of patients. They are also registered by the Kenya society of physiotherapists. The occupational therapy is under the umbrella of Kenya occupational therapy association. Occupational therapy is the treatment that focuses on helping people achieve independence in all areas of their lives can offer kids in all areas positive, fun activities to improve their cognitive, physical, and motor skills and enhance their esteem and sense of accomplishment e.g. hand rehabilitation, general functional rehabilitation, splinting, or fabrication of assistive aids, activities of daily living etc.

14 DENTAL CLINIC This is available on daily basis. It has modern and up to date equipment all managed by the most reputable dentists in the region. The following dental care procedures are available at jocham hospital dental clinic: * Tooth filling. * Replacement of missing teeth. * Immediate relieve of pain. * Treatment of bleeding gums. * Professional cleaning of teeth * Straightening of crooked teeth. * Tooth whitening and * Removal of bad teeth.

15 SPECIAL WEEKLY CLINICS This is an outpatient facility that comprises of various specialist clinics. We offer the following clinics: ENT {ear, nose & throat} clinic. Diabetic and hypertension clinic. Gynaecological clinic. Tuberculosis/ comprehensive Care centre Physician Orthopaedic surgery Child welfare clinic Paediatric clinic Psychiatrist clinic

16 RADIOLOGY DEPARTMENT Jocham hospital radiology department is modern, dynamic and a professional diagnostic centre. Equipments available are the X-ray, Ultra sound machine and CT scanner among others.

17 INPATIENT DEPARTMENTS The inpatient department is coordinated at the customer care desk located at the reception area of the hospital. The inpatient division consists of: - Wards - Operating theatres and - Maternity wing Jocham hospital has a 43 bed capacity allocated as follows: - Paediatric ward has 8 beds. - Female ward has 13 beds. - Male ward has 12 beds and, - Maternity wing 10 beds. The hospital is NHIF accredited with a rebate rate of Ksh. 1,500 per day that was effected from 1 st may 2008 up to date.

18 Cont All wards are headed by a Head of department and supported by senior nurses and cleaning staff with a one to one patient nurse allocation. Each bed is fitted with an oxygen supply and a bell to summon a nurse in case of an emergency. The beds have adjustable inclination knobs to suit individual and medically recommended resting position. Access to kitchen services, washrooms, and a relaxation garden is a necessary facility that the hospital has assured its patients. Accommodation facilities range from self contained private rooms, semi private {double bed} and the general ward bed {four beds cubicles} to enhance patients choice.

19 MATERNITY WING The maternity wing takes care of expectant mothers and their newborn babies. The ward comprises of maternity, labour room and nursery. We take good care of expectant mothers during pregnancy, labour and after delivery. Child welfare clinic and childbirth education classes are offered. Nursery is where the new born babies are admitted for close monitoring. The well babies room in with their mothers. We have education sessions for the mothers on baby bathing, breast feeding techniques, cord care and general baby care on daily basis. The unwell and premature babies requiring close monitoring and stabilisation from birth complications are admitted in the premature unit. Here we have specialised teams of neonatal nurses who monitor the baby either by nursing them in the incubator or cot. Jocham hospital gives the clients an opportunity to plan their deliveries through a maternity cover package which may be paid for in instalments until the delivery day.

20 MAJOR AND MINOR THEATRES Jocham hospital theatre is a double utility facility with advanced equipment and well trained staff to ensure that surgery procedures are carried out efficiently. The major and obstetrical theatres are open 24 hours a day and emergencies take priority over planned surgeries. The theatre staffs are provided with s special attire and high standard of hygiene is maintained. The major surgeries carried at jocham hospital vascular, ENT, orthopaedic, joint replacement, general surgery, gynaecological, neurological, kidney transplant, plastic surgery, ophthalmology, key hole {laparoscopic} surgery and maxillofacial surgery. Minor surgical procedures include minor gynaecological, orthopaedic surgeries like manipulation under anaesthesia and circumcision. Obstetrics operating room is located at a convenience of the labour ward and takes care of maternity cases. Emergency and planned caesarean sections are carried out here Jocham hospital critical care nursing ward comprise of the high dependency unit which takes care of both surgical and medical patients who are critically sick.

21 JOCHAM FUNERAL HOME The management of jocham hospital felt it prudential to include this service due to high level charges associated with similar private set up. To bridge this big gap, we came up with the idea of having a cost effective mortuary set up. The mortuary is well equipped with modern equipment for preservation, and has qualified personnel to take care of vital procedures. A body viewing and prayer shed is available. We arrange funeral services in accordance with the wish of families and the deceased. When the body is brought to the funeral home, they are embalmed to delay decomposition. Embalming procedure involves replacement of the blood of the decedent with a mixture of preservative chemicals and dyes, aspiration of the internal organs, and the setting of the persons features. If the deceased was disfigured in an accident or illness, our embalmer utilises retrospective technique to make the body presentable for an open casket service. There is a large area set aside for families to gather at a visitation. This area contains a space to display the deceased in the casket for their families to pay their respects. The following services are offered: * Preservation {embalming process}. * Post mortem. * Body reconstruction and beautification.

22 HOSPITAL MANAGEMENT Jocham hospital professes a simple organizational structure headed by the Chief Executive Officer who happens to be the Team leader, director in charge of special programmes, Chief Administrator, hospital secretary, Matron, Chief Clinical/ Medical officer, Chief accountant and Heads of Departments/ units. This structure of management was adopted to make sure that all information and directives flow efficiently. The finance department is mandated to handle finances and accounting functions of the hospital. This department oversees all admissions, transfers and discharges, procurement and stores, internal audit and information technology.

23 Cont The procurement and stores division is an integral part of Jocham hospital with the objective of creating, assuring and protecting value of the hospital while coordinating a steady flow of materials and services to ensure continuity of supply. It is centralised to ensure process optimization, uniformity, professionalism, collection of information regarding supplier performance and attainment of economies of scale associated with consolidated purchases. This and other policies ensure the hospital provides affordable services to all while breaking even. The marketing department coordinates marketing, public relations and customer service. This department makes sure that the existing and prospective clients get the right information by identifying the best communication channels possible and making sure that there is maximum client satisfaction. The security, transport and fire safety department is a well modernised facility that makes use of current innovations and quality equipment to ensure that our patients, staff, establishment and facilities are well protected.

24 SUPPORT SERVICES This carries with it the Internal Audit, Engineering and Maintenance, Laundry and House keeping, and the catering department. The Internal audit department provides quality auditing services that result in reduced costs, gains in operational efficiencies and strengthened internal controls to assist the hospital in the achievement of her goals and objectives. The medical engineering and maintenance department is responsible for coordination of projects for execution, calibration, of equipment, maintenance and repair. The laundry and house keeping department is charged with the responsibility of cleaning all linen and wears as a process of patient care, in readiness for re-use and carrying out repair work as may be necessary. The catering department provides patient meals every day; and very so often for staff and seminar/conference attendees and visitors. All meals are fresh cooked while observing high standards of hygiene. The gardener sees to it that all visitors stay under a clean and cool natural shade as they wait for the allocated time to the inpatients.

25 CONTACTS JOCHAM HOSPITAL P.O. BOX MOMBASA. TEL: / / / CELL NO: / FAX: PHYSICAL ADDRESS: NORTH COAST, KENGELENI- OFF MALINDI/MOMBASA ROAD. jochamhospital@yahoo.com/ info@jochamhospital.org WEBSITE:

26 HOW NHIF CLAIMS PROCESSING WORKS AT JOCHAM HOSPITAL 1. ADMISSIONS Client requested whether he/she is a contributor to NHIF If yes, give membership number or national ID number 2. CLIENT REFFERED TO NHIF/BILLING OFFICE The computer is linked to NHIF office. Billing clerk accesses the client s details If the is registered notify NHIF through the system. 3. AFTER NOTIFICATION The client is informed to bring a copy of national ID card and NHIF card before discharge.

27 NHIF CLAIMS STATISTICS FOR JOCHAM HOSPITAL CLAIMS: Average monthly number of claims paid 50 Average monthly amount paid ksh. 360,000. Average length of stay of patients 3 to 7days. HOSPITAL Bed capacity 44 beds Category private facility Contact type C Rebate rate kshs. 1,500 Effective date 1 st May 2008

28 4. ON DISCHARGE The bill is prepared. Cont NHIF rebate is deducted from the bill per the hospitalised days. The client is requested to sign the claim form 5. REQUIREMENTS ARE ATTACHED TO THE CLAIM FORM Hospital bill Discharge summary of the patient. Copy of national Identity card Copy of NHIF card.

29 Cont 6. The attachments are forwarded to medical records officer for disease coding on the claim form and the NHIF data base (system). 7. The hospital launches the claim for payment to NHIF. This is done on weekly basis (after every 7 days). 8. The hospital waits for payment.

30 Challenges encountered During emergency situations, there is no immediate information. This delays notification to NHIF that is supposed to be done within 24 hours of admission. Majority don not have NHIF cards. Many contributors do not up date the list of their dependants immediately. The current rebate of ksh. 1,500 is below the average consumption consideration the daily increase of many consumer goods. Consider increasing to Ksh. 2,500.

31 QIT Quality Improvement Team NHIF invited all hospitals in the region for a joint initial training. The attendance was 4 staff members per hospital and Jocham sent the required representation. All were advised to form a team with a representative from each department (JH complied and the team is currently in place). QIT meets on monthly basis in hospital board room(a programme incorporated by the office of the Chief Administrator). Representatives from NHIF have visits the hospital periodically to advice the QIT and the administration on lines of weakness and how to maintain the lead position in areas of strength.

32 The impact of QIT to the hospital Quality of services provided has improved over time. The hospital environment is kept tidy to the benefit of all stakeholders. Staff motivation levels have increased over time. Customer expectations are being met and exceeded as a result.

33 THANK YOU WAS PREPARED AND PRESENTED BY: JOCHAM HOSPITAL MARKETING DEPARTMENT