Medtronic Inc, the world's largest medical technology company, commits to provide direct support to MOH health departments and to enhance capacity of cardiology and neuro/spine surgery services in Amman, Jordan. Medtronic will achieve this through hospital process enhancement programs at Al Bashir hospital. Bases on its analysis at the hospital, Medtronic will provide medication and medical equipment such as cardiac stents (used to improve blood flow and help prevent the arteries from bursting), multichannel ECG recorders (used to detect abnormal heart rhythms and to investigate the cause of chest pains or palpitations), bone drills (used to repair broken bones and which can save bones that may otherwise have required amputation), as well as trainings on their use. Medtronic will also renovate the ER triage area at Al Bashir Hospitals and offer fellowship programs in medicine (mainly neuro/spine, cardiology, and endocrinology)
Al Bashir hospital is the largest hospital in the public and private sector in Jordan in terms of beds with a capacity of 1,115 beds. Located in the low-income and densely-populated Ashrafieh area of eastern Amman, Al Bashir provides medical care to government employees, their dependents, underprivileged families in Amman, and patients who are referred from 18 health care centers from all over Jordan as well as from the refugee camps, transported by international NGOs. Al Bashir is a teaching hospital which trains Jordanian and Arabs medical students, nurses and medical professions. Due to its location and capacity, there has been a 20% increase in the number of patients admitted, which is heavily affecting its efficiency and quality of care. Additionally, the lack of staff due to the loss of skilled specialists who leave to work in private hospitals in the Golf region, is also contributing to overcrowding and a decline in care, particularly at the outpatient clinics and ER department. On average, there are 1,700 patients visiting the ER daily and between 6,000 and 7,000 patients visiting the outpatient clinics daily.
For the past three years, Medtronic's Hospital Solutions, a division within Medtronic, has worked in partnership with over 100 health care providers across Europe and the US to improve the quality of care and efficiency of service, expand patient access and boost cost-effectiveness by leveraging its broad set of specialist resources with a range of health and management professionals from a variety of disciplines.
Capitalizing on its global experience, Medtronic has developed a suite of tools, methodologies and best-practice process models allowing healthcare providers to rapidly diagnose their performance, identify areas of improvement in clinical and non-clinical areas, and execute fast-cycle changes. Seasoned Medtronic professionals will work with hospital teams in Jordan to provide direct execution support as well as coaching, mentoring, and training to help Jordanian healthcare professionals deliver changes to their hospital processes, ultimately benefiting the hospital for the long term.
Medtronic Inc, Medtronic Philanthropy, and AmeriCares will support Jordan's National Resilience Plan as the guiding strategy for the commitment.
The senior Medtronic Hospital Solutions consultants assigned to the project, a total of 22 consultants from Europe, will rotate every 2 weeks at Al Bashir hospital to work closely with the hospital staff and officials to assess gaps and bottle necks. The consultants will determine a customized program to improve efficiency and consequently aid Al Bashir hospital to cope with the growing number of patients that they receive. The first group arrived in Amman on August 11 and will remain until August 22 for in-depth observation. The enhancement program will start in August 2014; by mid-September, a detailed road map will be in place and it will require 9 months to be implemented.
The Medtronic Foundation will partner with the emergency response and global health organization AmeriCares to provide direct support to meet the heightened demand for health services in Jordan. AmeriCares will focus on addressing the increased demand of medication in the Jordanian host communities and will work with its local partner, the Jordan Health Aid Society (JHAS), which it has supported for more than a year with multiple shipments of medicines and medical supplies. JHAS runs a primary health care clinic in the Za'atri refugee camp, home to more than 80,000 Syrian refugees and the largest camp in the region. JHAS also provides free medical services to Syrian refugees settled in urban areas and to the local host communities in the cities of Ramtha and Mafraq.
AmeriCares has worked with JHAS on an assessment of their medical needs to support Syrian refugees as well as the host population Based upon the needs, AmeriCares will leverage its partnerships with pharmaceutical companies to procure in-kind donations. If the organization is unable to secure supplies through donations, it will procure the supplies through other channels. Funding permitting, AmeriCares will also identify and address other gaps that JHAS might have to meet the medical needs of Syrian refugees and the Jordanian host populations that are aligned with the Government of Jordan's identified health needs in the National Resilience Plan.
The provision of stenting products, ECG recorders, bone drills, etc. will be provided to JHAS to facilitate customs and the deployment to appropriate sites. The delivery is estimated within 3-4 months from the time the assessment of Al Bashir hospital is completed (which may take up to 3 months).
The implementation of the Fellowship programs will be coordinated through the Ministry of Health and based on the recommendations of the Hospital solution consultants.
By May 2015
- Needed medicines will be deployed to Jordan
- Basic diagnostic equipment & IT solutions will be delivered to Al Bashir Hospital (ER department and outpatient clinics) and other hospitals in Jordan based on immediate hospital needs following our initial assessment
- Efficiency programs developed to support al Bashir hospital
- Creation of a proper triage area at the ER at Al Bashir hospital will be completed
- Fellowship program, primarily focusing on cardiology, endocrinology and spine/neuro specialists
- Computerized scheduled system will be installed at the outpatient clinic at Al Bashir hospitals
There are currently nearly 600,000 registered Syrian refugees in Jordan, which constitutes 10% of the Jordanian population. This refugee influx into Jordan has heightened demand for health services and overwhelmed the capacity of the Jordanian healthcare sector to deliver quality services. There are deficiencies in the supply and availability of medications as well as health equipment and there is a dearth of specialist physicians in health facilities. In addition, there are significant financial pressures and shortages, such as overcrowded facilities, limited bed capacities, increased pressure and workload on health professionals across all levels of health services, pressure on health information systems, budgetary and financial burden and resource allocation, shortage of medicine and medical supplies, and an increased burden of communicable diseases patients, as well as a high risk of disease outbreaks.
The Jordanian Ministry of Health (MOH) has maintained its policy of free access to all health services for registered Syrians living outside of refugee camps. Today, more than 80% of Syrians can freely access and use Jordanian MOH services. In 2013, according to the Joint Rapid Health Facility Capacity and Utilization assessments, more than 45,000 Syrians utilized MOH health services on a monthly basis, and Syrian patients with chronic disease used over 30% of the country's annual supply of chronic disease medications. In Irbid and Mafraq, Syrian patients represent 10% of the total patients with the number reaching as high as 18% in some locations. The Syrian refugee cancer load represents a 14% increase in Jordan's total cancer disease burden. The Ministry of Health, per the 2013 National Resiliency Plan drafted by the Government, has incurred million in additional costs, which is a twofold increase in the span of one year.
Consequently, Jordan's medical supply chain needs support, the overburdened healthcare infrastructure needs maintenance, replacement and expansion, the National Health Information System requires strengthening and investment in human resources. The education of doctors and nurses is critical.