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BUILDING WORLD-CLASS ALLIANCES IN HEALTHCARE. A Bridge to Better Healthcare Services Ahmed Ghali MD Assistant General Manager Dar Al Fouad Hosp. Dar Al Fouad Hospital.
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BUILDING WORLD-CLASS ALLIANCESIN HEALTHCARE A Bridge to Better Healthcare Services Ahmed Ghali MD Assistant General Manager Dar Al Fouad Hosp.
Dar Al Fouad Hospital is a private healthcare facility located in 6th of October City, West of Cairo, 32 km’s away from down town. The total area of the hospital is 42,000 meters, with the premises occupying 24,000 meters. The premises are comprised of a ground floor, beside two levels on top.
The current capacity of the hospital is 144 beds qualified with all necessary medical an nursing requirements.
Mission Our mission is to serve the community through providing high quality medical services at an affordable price.
Vision Our vision is to GROW In-house: by inaugurating a new building in 6th Oct main campus. Locally: by acquisition of the new East Cairo Dar ALfouad Hospital (2015). Regionally: byopening satellites in the Gulf region, north Africa and sub-Saharan Africa. Kuwait branch is functioning.
DRIVING FORCES: Cardiology Cardiothoracic Surgery Liver Transplant Oncology Orthopedic Surgery
Collaboration with Cleveland Clinic Foundation In 1990’s the concept and vision of DAF owners was to establish a world class service for the cardiac and cardiothoracic surgeries for Egypt and Middle East region For more than 15 years, Cleveland Clinic Foundation (CCF) has been ranked as the first hospital in the USA in the fields of Cardiology and Cardiothoracic Surgery. In 1999, a collaboration agreement was signed between DAFH and CCF. This agreement ensures continuous technical, medical, and administrative support to be provided by the CCF as well as exchange programs for physicians and personnel for training. It also allowed CCF to have a Board seat in DAFH. This was the first affiliation contract done by CCF outside the states and in the middle East Region
Collaboration with Cleveland Clinic Foundation In 2006, the collaboration agreement was revalidated between DAFH and CCF for 10 years including the new extension in east Cairo.
Partenership with CCF Benefits: Guided Daf in setting a world class system for work in all hospital departments Continuous staff development and training Continuous audit on the outcome of care considering CCF as the benchmark . This helps our hospital in continuous improvement
Liver Transplant agreement with KYOTO University In 2001, an agreement was signed with KYOTO University, Japan for collaboration in liver transplant. Several surgeons were invited to Kyoto to attend this program Japanese team were involved in our first cases of the program in Dar Al-Fouad.
What does quality mean in healthcare? Quality is doing the right things right, first time and every time To ensure: 1-The best possible outcome for patients 2-Satisfaction for all our many customers 3-Retentions of talented staff 4-Sound financial performance
Why did DAF seek for Accreditation? Accreditation is not an end in itself, but rather it’s a way to improve quality. It is a tool to assist the hospitals in improving the system framework of all the hospital functions in an integrated well organized manner Accreditation is a strong marketing tool
Why Did we choose JCI Accreditation? “JCI Accreditation is a well established non profit organization that assess the level of performance in relation to established standards and to implement ways to continuously improve the healthcare system” JCI is considered one of the toughest accreditation agencies that stress on patient safety and processes of care
Essential elements of a successfulstrategy Include developing the right culture, attracting and retaining the right people, devising and updating the right in-house processes, and giving staff the right tools to do the job. External influences, such as local market competition, and public or private health quality initiatives and standards also have an impact.
Key challenges Before the First Accreditation A- The main challenge was the staff resistance to change especially: 1) To Teamwork: volleyball team not a golf team. 2) To be System managers. 3) To Develop standard procedures. 4) To Deliver care as an integrated team. Change the concept of physician centered to patient centered care. Accepting the idea of continuous performance evaluation.
Key challenges Before Accreditation Staff Turnover due to the fact: Preparing for accreditation and delivering optimum quality of care required more effort at work Staff Communication especially among physicians. It was noticed that patients managed by more than one specialty their steps of care could be inappropriate due to lack of communication. .
2011- 2014 2008 -2011 2005 - 2008
Accreditation Rewards Clients are more satisfied Larger share of the market Pride of the employees in their workplaceRetention of excellent human resources Safer environment Less risk less liability Quality culture Continuous improvement Efficient operationsCost savingsincreased profitability
After the First Accreditation Before 2008 JCI accreditation, there were challenges mainly in the form of reluctance of staff to comply fully to the standards. Action Taken By the hospital Engaging and empowering the staff Stressing on the importance of continuous quality management Regular Quality meetings for all the hospital staff demonstrating areas of good practice and areas that require improvement
We found 10 Success Characteristics that are associated with high performance • Strong Leadership • Great Organizational Support • Focus on Staff (Professionals) • Education and Training of Staff • Interdependence of Care Team • Performance Result Focused • Process Improvement Focused • Patient-Centered (Patient Focus) • Community and Market Focus • Information & Information Technology Orientation
We learned over the 15 years Keys to Success Leadership Support Start small; use several tests of change Involve staff to obtain their buy-in Make it a win-win situation Reward and recognize staff for their input Provide ongoing feedback Always make patient safety the priority! Never give up; there is no obstacle that cannot be overcome!!!
