MALAMULELE HOSPITAL PRESENTATION

1. MALAMULELE HOSPITAL PRESENTATION VHEMBE DISTRICT : THULAMELA MUNICIPALITY DATE: 7 APRIL 2006

2. TABLE OF CONTENTS • KEY MESSAGE • SITUATION ANALYSIS • CHALLENGES • RESOLUTIONS/RECOMMENDATIONS

3. 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 1:20: female ward Doctor: patient ratio is 1:47: male ward • In spite of the efficiency of the hospital, limited working space was identified as one of their major challenges.

4. Malamulele hospital grounds

5. Inside the private ward – promoting the hotel services concept KEY MESSAGE

6. SITUATION ANALYSIS

7. SITUATION ANALYSIS

8. Staff Morale

9. Client Satisfaction

12. OUT-PATIENT PROCESS MAP 10 - 15 mins Given slip & Yes Emer - Register in Registry collect referred to on - Second First gency ? Clerk OPD counter Yes Help Desk File Yes site poly - clinic 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 OPD nd 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 2 - Go to Dr 3hour admission Dedicated Doctor at OPD strengthen supervision Yes Admission required? Go to Pharm Patient & hand in Receive leaves script medication 1 No 2 - 3hour

13. Queue for Screening

14. Queues at doctors’ rooms

15. Furniture at clinics Furniture at clinics

16. The Pharmacy Dispensing process Malamulele Hospital Need for waiting area in pharmacy Enters Pharmacy through the door Leaves file in pharmacy counter Sits on the bench 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 Sign medicine chart and place file on the counter Second pharmacist Calls patient and record in stat form Put medicines packets in the file Gives patient Medicines and gives instructions Push the file to the second pharmacist

18. THANK YOU