Soroka Medical Center - "Calling Card"

Tertiary hospital

1043 beds

4200 employees

Operating affiliation with

the Faculty of Health

Sciences of Ben-Gurion

University of the Negev

Area: Approx. 70 acres (285 dunam)

Built-up area: Approx. 2,152,780 square feet (200,000 sq.

meters)

30 buildings

Emergency Medicine - About 234,000 visits to the ER

annually

Maternity delivery rooms - About 15,600 births annually

Ambulatory visits - About 600,000 outpatient visits annually

Surgical procedures - About 33,200 operations annually

Soroka Medical Center - "Calling Card"

A leading medical center

Providing exceptionally excellent

quality medical service, placing the

patient and his or her needs in the

center, and a model of medical

education and research

The Vision

Decision No. 2025 of the Government, Sept 23,2014

"A long term plan for the Development of the South“

"the government noted the Minister of Health and the Minister

of Finance announcement regarding the approval of 98 general

beds to Soroka Medical Center during the years 2014 - 2016. In

addition the government noted the message of the ministers

regarding the approval of 20 rehabilitation beds in Soroka.

All of the above in order to strengthen the hospital and

as a response to the growth of the population and the

medical needs of the residents of Beer Sheva and its

surrounding."

Soroka - Development and Future

Soroka during Operation Protective Edge

1263 injured - 777soldiers,

486 civilians

53 seriously/severely injured

More than 60 helicopter

landings with soldiers

evacuated from the fighting

in Gaza

About 150 surgical procedures for injured from Protective Edge

- 62% of them orthopedic surgery

Statistics

Quality while under fire

Six Domains of Quality

Safe - avoidance of unintended

patient harm

Effective - evidence-based

Patient centered - focused on

needs and rights of the

individual patient

Timely - avoidance of delays &

barriers to patient care flow

Efficient - elimination of waste

Equitable - fair access to

comparable health

source:

IOM, Crossing the Quality Chasm, 2001

"Preventing avoidable injury or damage caused by

the treatment itself"

1. Bombproofing and relocating unprotected units.

2. Rapid identification of unidentified

patients by means of a biometric

identification system in

cooperation with the IDF.

3. Preventing mistakes in blood

transfusions by assigning a specific

technician from the Blood Bank to

the Trauma Unit.

4. Treatment continuum:

Helicopter - Trauma Unit - ICU –

Hospital departments – Discharge

in coordination with the IDF.

5. Internal review and drawing conclusions during the military operation.

1. Safety

"Providing medical treatment based on scientific

medical knowledge"

1. Order and discipline in the

Trauma Unit - A trauma medical

team as case managers

2. Pre-planned orderly treatment

in Mass Casualty Events

3. Multidisciplinary treatment

of the injured

4. Senior surgeons, orthopedists,

and imaging specialists present

24/7

5. Identification of eye injuries and

notification to the IDF

2. Effectiveness

"Providing dignified service, exhibiting

sensitivity to the patient's preferences, needs

and values"

1. Working with the IDF Medical Corps liaison

2. Working together with the

families

3. Handling the myriads of

visitors from all over the

country

3. The patient in the center

"Preventing waste of resources"

1. Readying the hospital "Situation Room“

+ keeping an operations log

2. Regular assessments - twice daily –

of the situation + orderly protocols

(minutes)

3. Hospital management information

systems in wartime

4. Regulating the flow of patients –

Redirecting "classic" patients [abdominal pain, stones in the urinary

tract] from the Surgery ER to Internal Medicine in order to reserve the

surgical teams for treating the wounded.

5. 12-hour nursing shifts: ICU, OR, ER

4. Efficiency

"Reducing waste of time and preventing

endangering waits"

1. On-duty service 24/7 - surgery, orthopedic, imaging, OR teams

2. Immediate availability of blood products in the Trauma Unit

5. Timeliness

"Providing identical service to all patients,

without exception"

1. Continuing to offer responses to the residents of the south despite the

prolonged security situation

2. Continued attention to the quality indexes of Soroka, Clalit Health

Services and the Health Ministry

[*] National Core

Indexes

Period

July 7, 2013 to

August 13, 2013

Period

July 7, 2014 to

August 13, 2014

Numerator Denominator Score Numerator Denominator Score

Hip fracture - operated

on within 48 hrs. 21 24 100 32 35 100

PCI within 90 minutes of

arriving in the ER 16 20 94.1 21 22 100

6. Equality

3. Medical ethics - Ad hoc discussions by the ICU director, Trauma Unit

director and relevant department heads in the event of "difficult

decisions" [amputation instead of battling to save the at-risk limb;

determining 'end-of-treatment']

6. Equality

"Providing identical service to all patients,

without exception"

THANK YOU