PMB Department of MedicineMini Strategic Plan

Dr Jim MullerHead of Department

Where are we now?

• FacilitiesGreys

TertiaryRegional

Edendale RegionalDistrictConvalescent

NorthdaleDistrict

Where are we now?

• FacilitiesLadysmith

Regional/DistrictNewcastle/Madadeni

Regional/DistrictPeripheral Hospitals

District

Where are we now?• Staff

ConsultantsPMB

7 full time (2 CMO; 1 PMO)8 part time

Ladysmith/Newcastle3 part time

RegistrarsPMB 4

Medical OfficersPMB

(18) full time(6) part time

InternsPMB 20

Where are we now?

• StaffTechnologists

Cardiac 1Neurology 1

TechniciansCardiac 3

Clerical StaffSecretary 1

Where are we now?• Services

TertiaryRenal Unit

Renal Clinic (211)Dialysis Unit (Chronics 459/Acutes 267)Renal Beds (63)

Cardiac UnitCardiac Clinic (1193)Cardiac Procedures (ECGs3458/Echoes180)Cardiac Beds (185)

Infectious Diseases Unit (CDC)CDC Clinic (3130)Infectious Diseases Beds (139)

Where are we now?• Services

TertiaryNeurology Unit

Neurology Clinic 4 months (161)Neurology Laboratory 3 months (81)Neurology Beds (47)

Oncology UnitOncology Beds (157)

Endocrinology UnitEndocrine/Lipid Clinic (168)

Gastro-enterology Unit Gastro-enterology Clinic (346)

Dermatology UnitDermatology Clinic (1685)

Where are we now?• Services

RegionalGreys

Medical Clinic (4179)Diabetic Clinic (730)Medical Beds (634)CCU (166)

Edendale Special Clinic 3 months (904)CDC Clinic (3846)Medical Beds 5B1/5F (1936)ICU (157)

Greys Clinics

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Greys Beds

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Admissions

Where are we now?• Services

District Edendale

MOPD (43560)Medical Beds B/C (1708)

NorthdaleMOPD/Room5 {3/12} (38069)Medical Beds {3/12} (2966)

ConvalescentEdendale

KwaHlengaBantu

Where do we want to go?• Expansion of Tertiary Services

Renal UnitNew Dialysis UnitFull time consultantSatellite Services Ladysmith/Newcastle

Cardiac UnitCardiac Cath LabPermanent pacemakersMore technical staffFull time Head of Department

Where do we want to go?• Expansion of Tertiary Services

Infectious Diseases UnitContinuum of Care/Service NetworkImplementation of ARV programGlobal Fund fundingTraining by rotationEncouragement of Research

Neurology UnitCreation of EstablishmentCreation of Registrar PostsStroke UnitSupport of Services (Epilepsy)

Where do we want to go?• Expansion of Tertiary Services

Oncology UnitDedicated Medical Officer/RegistrarCreation of Dormitory Facility

Endocrinology UnitDedicated BedsFull time consultant

Gastro-enterology UnitDedicated BedsFull time consultant

Where do we want to go?• Expansion of Tertiary Services

Dermatology UnitMedical School support with RegistrarsClinic at Edendale Full time consultant

Rheumatology UnitDedicated ClinicCombined Clinics

Haematology UnitEstablishment of UnitDedicated Clinic

Where do we want to go?

• Expansion of Regional ServicesFurther separation of services at EdendaleFull time consultant at LadysmithFull time consultant at Newcastle/Madadeni

Where do we want to go?

• Co-ordination of District ServicesCo-operation with Family MedicineDistrict Hospitals to establish specialised clinics in:

CDC (HIV)AsthmaHypertensionDiabetesEpilepsy

Where do we want to go?

• Support of PHC ServicesDevelopment of Protocols

• Interactive ProgramClinical AttachmentsHospital Visits

Where do we want to go?

• Expansion of TrainingExpand Registrar Program in PMBEstablish Satellite Programs in

Ladysmith/Newcastle/MadadeniParticipate in new undergraduate programOrganise trainee exchanges beyond our borders

• Expansion of ResearchJoint projects with medical schoolsJoint projects with overseas funders

Where do we want to go?• Public Private Partnerships

Medical Aid patientsScope for departmental private practicePostgraduate Centre at Greys

• HIV/AIDSScope for ARVs with NGO fundingContinuum of care Research baseTraining base

• Partnerships beyond our borders

How are we going to get there?

Partnership with medical schoolPartnership with ProvincePartnership with HPCSAPro-active stance on all issues

What is going to help us?Excellent facility at Greys

Good support from private sector in Pietermaritzburg

Support from and co-operation with medical school

Support from ISS and the SG

Large number of patients with a wide variety of pathologies

Good, enthusiastic trainees

What is going to hinder us?

Facilities at Edendale and some other hospitalsSlow development of ITLack of Clerical StaffLack of Medical Officer StaffLack of delegation of authorityBureaucracy – Establishment not finalisedInadequacy of support services (eg Pathology)

What is the Long Term Goal?

Co-ordinated and effective and efficient and user-friendly service to our clients in the Greys Tertiary Drainage Area from PHC to Tertiary Level and from Centocow to Vryheid