MALAMULELE HOSPITAL PRESENTATION

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MALAMULELE HOSPITAL PRESENTATION

• VHEMBE DISTRICT THULAMELA MUNICIPALITY
• DATE 7 APRIL 2006

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TABLE OF CONTENTS

• KEY MESSAGE
• SITUATION ANALYSIS
• CHALLENGES
• RESOLUTIONS/RECOMMENDATIONS

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KEY MESSAGE

• Malamulele hospital is an effectively managed
  hospital with the staff establishment of 626 (398
  filled posts), serving a population of
  approximately 314 029 with 17 feeder clinics, 1
  health centre and 3 mobile clinics.
• There are 272 patient beds, however, the total
  utilization of beds is 256 (94).
• Doctor patient ratio is 120 female ward
• Doctor patient ratio is 147 male ward
• In spite of the efficiency of the hospital,
  limited working space was identified as one of
  their major challenges.

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Malamulele hospital grounds
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KEY MESSAGE
Inside the private ward promoting the hotel
services concept
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SITUATION ANALYSIS
PROCESS AND PHYSICAL ORGANIZATION DESIGN PEOPLE MANAGEMENT FINANCIAL AND PROCUREMENT
Small hospital with small volume of patients High standards of cleanliness Acceptable OPD but there is room for improvement In-patient occupancy rate of 78. The hospital has good infrastructure Lack of space for maintenance and clinical support services The span of control for Deputy Managers is too high. Job grades of health professional non-competitive Shortage of office space impacting on filling of posts at administrative level The vacancy rate of 37. Good Management-union relationship Good staff morale (rating of 3 out of 5). Effective implementation of Performance Management System which is modeled around the National framework. Good interpersonal relations between stakeholders. Unicare system less prone to manipulation. Debt recovery procedures not clearly defined / writing off. Revenue collection relatively good due to the private patient wards. 80 of the budget is utilized by personnel, despite 37 vacancy rate
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SITUATION ANALYSIS
PROCESS AND PHYSICAL ORGANIZATIONAL DESIGN PEOPLE MANAGEMENT FINANCIAL AND PROCUREMENT
Theatre arrangement combined (major and minor) Lack of facilities for staff. Lack of space for some services (Reproductive Health Services) Patients happy with the treatment however, Very unhappy with long waiting times at OPD and pharmacy. Non-integration between the hospital and clinics (PHC) HRD manager appointed in February 2006 to attend to critical skills identified in Finance, IT and the effective implementation of ABET program. Poor supervision, doctors and nurses. Very low fraud and corruption occurrences. Service excellence awards held on the 14 December 2005 Insufficient budget allocations Direct procurement and contracting of service providers by provincial office hampers service delivery and management of service level agreements.
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Staff Morale
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Client Satisfaction
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OUT-PATIENT PROCESS MAP
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-
15
mins
Given slip
Yes
Emer
-
Register in
Registry
collect
referred to on
-
Second
gency
?
First
OPD counter
Clerk
Help Desk
Yes
File
site poly
-
clinic
Yes
visit
Present
gives
and casualty
Queue
number
No
No
No
Register and
Register and
Gate way clinic Chronic patients collect
medication PHC Outreach program
pay at 2
OPD
nd
pay at 2
nd
OPD
10
-
15
counter
counter
Registration Functions in
mins
In one OPD to avoid
duplication
Vital data
collected
2
-
3hour
PHC
Consulted by
Queue for
Screening to start as patient come
problem?
Yes
Professional
screening
nurse
No
Queue to
Consult with
Go to
2
-
Dr
3hour
admission
Dedicated Doctor at OPD strengthen supervision
Yes
Admission
required?
Go to
Pharm
Patient
hand in
Receive
leaves
medication
script
1
No
2
-
3hour
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Queue for Screening
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Queues at doctors rooms
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Furniture at clinics
Furniture at clinics
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The Pharmacy Dispensing process Malamulele
Hospital
Need for waiting area in pharmacy
Enters Pharmacy through the door
Sits on the bench
Leaves file in pharmacy counter
Put file on the window
Is the Pharmacist busy
Knowledge Of where file placed
Yes
Yes
No
No
Patients to be given directions where the file
should be Placed
Pharmacist takes the file from the counter
One pharmacist can assist the patient up to the
end of the procedure to ensure that two patients
are assisted at a time
Ask other patients on the benches
Reads file and fill packets with medicines
File box needed to keep files which have been
completed rather than keeping files on the
counter as it causes confusion
Label medicine packets
Patient leaves the Hosp
Second pharmacist Calls patient and record in
stat form
Sign medicine chart and place file on the counter
Put medicines packets in the file
Gives patient Medicines and gives instructions
Push the file to the second pharmacist
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• THANK YOU