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TeleRadiology Project at Helen Joseph & Rahima Moosa Hospitals: Workshop Report

This report provides an overview of the TeleRadiology system and the current status of the project at Helen Joseph & Rahima Moosa hospitals. It discusses the ICT needs, benefits, legal framework, stakeholders involved, and the future of TeleRadiology.

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TeleRadiology Project at Helen Joseph & Rahima Moosa Hospitals: Workshop Report

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  1. GAUTENG DEPARTMENT OF HEALTHCPSI HEALTH-SPECIFIC INNOVATIVE SOLUTIONS WORKSHOP24 NOVEMBER 2015DR. M.R. BILLA CEO: HELEN JOSEPH HOSPITAL

  2. Introduction • OBJECTIVE: • Provide an overview on the TeleRadiology system • Report on current status quo of the TeleRadiology project at Helen Joseph & RahimaMoosa hospitals

  3. TELE-RADIOLOGY PROJECT • Tele-Medicine can be defined as the exchange of health care information and the delivery of clinical health care at a distance. • Tele-Radiology- transfer of radiologic images such as CT scans, MRI or U/Sound across set destinations with the use of network matrix or other communication mediums. • Basically, enables vast medical communication between distant centres and clinicians

  4. ICT Needs for Teleradiology • Wide range of ICT media that can support the system • Implementation can be done through: • ADSL connection line (cost effective method) • ISDN connection (very unreliable & expensive) • Fibre optic connection transfer – very reliable • Micro-wave point to point connection • Strong ICT staff support • Data/Information safety – VPN & Firewalls

  5. Current Problem • Continuing shortage of equipment & staff (Radiology & Radiographers) – one radiologist on call for 2 hospitals • HJH CT Scanner Out-patients are done at Rahima Moosa Hospital (RMH) • Films get printed at RMH= HJH sends a box of films monthly – NO MORE with T/Radiology • X-ray get lost in the process of managing the patient = DILEMMA = Repeat the examinations = costs to the hospital

  6. BENCHMARK PROCESS • Visits to other institutions: • Locally: Private hospitals • Garden City Clinic • Tshepo-Themba Clinic • Milpark Hospital Nationally • Kwa-Zulu Natal (KZN): Inkosi Albert Luthuli Hospital • Literature reviews – Journal Articles & Review reports from other users

  7. Benefits • Can be integrated with any modality and any Radiology centre in the province • Offers clinical efficiency • Permits extensive multi-disciplinary interaction • Radiology context - Cost effective – no lost films & unnecessary radiation to patients • Fast tracks service delivery

  8. Benefits • Patient comfort – no need for moving patients around, e.g. Neurosurgery cases • Elevates the quality of services offered as all procedures are integrated when reporting is done • Reduce departmental running costs as there will be no printing of CT Scan films at RHM • Films will be printed on Paper Printer at HJH

  9. Legal Framework • Number of legislatures guide the process • Policy Acts such as: • POPI – Protection of Patient Information Act • PAIA - Promotion of Access to Information Act • Bandwidth allowance, locally & provincially • Safety & Regulatory policies such as HPCSA rules

  10. Stakeholders Involved • Helen Joseph CEO-Dr. M.R. Billa & Rahima Moosa CEO- Ms. S. Jordaan • Helen Joseph Management team • Gauteng Health Management – need to provide permission for the system • CPSI & Partners • ICT teams from HJH & RMH • Clinical Teams of both HJH & RMH • Radiography & Radiology teams of HJH & RMH

  11. Status of the Project • Conceptualising stage - Completed • Site visits done at HJH & RHM • Benchmark visits done provincially & nationally • The relevant equipment has been donated by CPSI • Application was made to Telkom for the ADSL line installation with Rahima Moosa & HJH hospitals • ADSL lines installed at both hospitals • The sending & receiving workstations installed in CT Scanner • Voice recognition system installed – for Radiology reports • Going live in mid- December 2015

  12. Future with Tele-Radiology • Future looks very bright because of: • Synergistic relationship amongst all stakeholders • Benefits of the system for patients and institutions are realistic • Connection with other referral hospitals

  13. Cont’

  14. CPSI DONATION OF TELERADIOLOGY EQUIPMENT TO HJH

  15. AGENDAGREEN AGENDA

  16. LEADERSHIP • The CEO office • Prioritizing Environmental Health • The Hospital Forum • The Hospital Committees

  17. WATER Joburg Water440092299 Jan-15 R 2,183,727.65 Feb-15 R 1,230,965.90 Mar-15 R 1,103,728.24 Apr-15 R 1,248,390.03 May-15 R 1,114,673.66 Jun-15 R 954,475.92 Jul-15 R 1,374,454.60 Aug-15 R 843,062.21 Sep-15 R -519,561.73 Joburg Water 440091023 Jan-15 R 39,175.40 Feb-15 R 30,784.36 Mar-15 R 34,393.77 Apr-15 R 36,999.78 May-15 R 68,913.74 Jun-15 R -35,859.52 Jul-15 R -84,803.82 Aug-15 R -83,919.00 Sep-15 R -83,064.00 Water Quality- Routine water sampling and testing at the Wits laboratory. Water Pipes- Routine inspections on water pipes to check for leaks. Water Bill- Monitoring our water expenditure on our budget.

  18. WASTE

  19. WASTE

  20. CHEMICALS

  21. ENERGY • Electricity220078727 Jan-15 R 2,880,499.70 Feb-15 R 172,998.77 Feb-15 R -205,007.10 Mar-15 R 675,429.26 Apr-15 R 3,749,909.81 May-15 R 1,359,308.48 Jun-15 R 1,324,945.41 Jul-15 R 1,912,306.02 Aug-15 R 1,978,335.74 Sep-15 R 1,892,340.75 Cleaner Boiler Fuels. Energy Awareness to employees- Switching off lights. Monitoring our Energy expenditure on our budget. COC-Electrical Installation

  22. TRAINING 434

  23. TRAINING 1193

  24. INNOVATION BETWEEN HELEN JOSEPH & CPSI Energy efficiency project: • Partnership initiated • R1,6m donated to Helen Joseph towards technical support and procurement of some equipment. • Project in progress

  25. FOOD HOSTESS PROJECT

  26. DRIVING FORCES • The need to improve the quality of food service. • The challenges that resulted in patients’ complaints were: • Non-functional equipment • Unskilled staff members • Inadequate resources • Low Staff morale • High plate waste • Lack of team work • Patients receiving wrong diets

  27. DRIVING FORCES • Cleaners responsible for serving food to patients • The patients were served water in used milk bottles.

  28. CHALLENGES

  29. CHALLENGES

  30. INNOVATION • Food service staff trained by FEDICS. • Previous system - took 2hours to dish up the food to all wards • Current system - takes 45 minutes. • New food trolleys, poly carbonate domes & bases procured – maintains food warmth. • All food service staff members who made direct contact with the patients • became more aware of the impact the presentation of food to the patients has • paid extra attention on making the food more presentable. • Client satisfaction survey conducted before the implementation of the project and after • Patients were very happy with the new system. • Project rolled out to seven (7) wards due to limited staff

  31. IMPLEMENTATION

  32. IMPLEMENTATION

  33. PLATE WASTAGE STUDY

  34. NEW FOOD TROLLEYS

  35. IMPLEMENTATION

  36. BENCHMARK SYSTEMS • Project benchmarking was done at Rahima Moosa • Identified items needed to start with the project • Manpower was a challenge • Therefore, limited roll-out to seven wards

  37. IMPROVEMENTS • Patients are served in a dignified manner • It ensures that patients are served the correct diets and in a proper manner. • The correct utensils are used • Staff serving the patients meals reports to Food Service department which makes it easier for the department to have direct control of resources. • The ward hostess are not going to be responsible for cleaning the ablution facilities they will only deal with food.

  38. OUTCOME – PATIENT SATISFACTION SURVEY

  39. SUSTAINABILITY • On-going training • Monitoring and Evaluation • WAY FORWARD • Awaiting approval for recruitment of staff to roll-out to the whole hospital

  40. THANK YOU

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