Effectiveness of a Two-Tier Family-Oriented Intervention in Enhancing the Family Functioning and Care Capacity of the Family Caregivers of Stroke Survivors: Protocol for a Randomized
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BMJ Open Is Committed to Open Peer Review. As Part of This Commitment We Make the Peer Review History of Every Article We Publish Publicly Available
BMJ Open: first published as 10.1136/bmjopen-2018-023070 on 15 October 2018. Downloaded from BMJ Open is committed to open peer review. As part of this commitment we make the peer review history of every article we publish publicly available. When an article is published we post the peer reviewers’ comments and the authors’ responses online. We also post the versions of the paper that were used during peer review. These are the versions that the peer review comments apply to. The versions of the paper that follow are the versions that were submitted during the peer review process. They are not the versions of record or the final published versions. They should not be cited or distributed as the published version of this manuscript. BMJ Open is an open access journal and the full, final, typeset and author-corrected version of record of the manuscript is available on our site with no access controls, subscription charges or pay-per-view fees (http://bmjopen.bmj.com). If you have any questions on BMJ Open’s open peer review process please email [email protected] http://bmjopen.bmj.com/ on September 29, 2021 by guest. Protected copyright. BMJ Open BMJ Open: first published as 10.1136/bmjopen-2018-023070 on 15 October 2018. Downloaded from 10-year Risk Prediction Models of Complications and Mortality of Diabetes Mellitus in Chinese Patients in Primary Care in Hong Kong study protocol ForJournal: peerBMJ Open review only Manuscript ID bmjopen-2018-023070 Article Type: Protocol Date Submitted by the Author: 19-Mar-2018 Complete List of Authors: -
Service Setting Briefing Social Work in Medical Setting (MSS& MSP) Rundown
Service Setting Briefing Social Work in Medical Setting (MSS& MSP) Rundown 3:30-4:30 • Mutual Introduction • Brief Overview of Social Work Services in Hong Kong Medical Settings • Exercise 4:30-4:45 • Do’s and don’ts in medical settings 4:45-5:00 • Useful Resources • Related Training and Orientation • Mid-Placement Sharing Where are you posted? • Adolescent Medical Centre, QEH • Patient Resource • Ap Lei Chau Clinic Centre, QEH • CancerCare & Support, • MSSU (HA), KH (+HK QMH Eye Hospital) • Community & Patient • MSSU (Psy.), PYH Resource Department, • MSSU (Psy.), YFSPC PYH • Health Resource Centre, YCH Where are you posted? Implication? Clustering of HA Service Hong Kong West Cluster • Grantham Hospital • MacLehose Medical Rehabilitation Centre • Queen Mary Hospital • The Duchess of Kent Children's Hospital at Sandy Bay • Tsan Yuk Hospital • Tung Wah Group of Hospitals Fung Yiu King Hospital • Tung Wah Hospital • Why should I be bothered by things happening in HA? • I’m a social worker doing social work in a medical setting only HA Strategic Plan 2017-2022 • Provide patient-centred care: ensuring patients have timely access to high quality and responsive services which place patients firmly at the heart of their care 1. Improving Service Quality 2. Optimizing Demand Management Hospital/Clinic = Secondary Setting => Meaning to me?? Improving Service Quality • Promote day services to reduce reliance on inpatient care • Strengthening service coordination and collaboration through the development of cluster/network-based service • Enhancing community-based care • Promote partnership with patients by empowering patients for self-care, engaging patients in shared decision-making about their care… Optimizing Demand Management • Raise the capacity of priority services of HA, particularly for high demand services having regard to the projected demand arising from a growing and ageing population… • Share out the demand with community partners, such as through public-private partnerships C.R.1 24/8/2018 Pt’s e. -
Report of the Steering Committee on Review of Hospital Authority
Report of the Steering Committee on Review of Hospital Authority July 2015 CONTENTS Glossary .................................................................................................................. iii Executive Summary ................................................................................................ v Chapter 1 Introduction ...................................................................................... 1 Chapter 2 Work of the Steering Committee ...................................................... 6 Chapter 3 Major Challenges Facing the Hospital Authority ............................ 9 Chapter 4 Management and Organisation Structure ....................................... 13 Chapter 5 Resource Management ................................................................... 26 Chapter 6 Staff Management .......................................................................... 42 Chapter 7 Cost Effectiveness and Service Management ................................ 59 Chapter 8 Overall Management and Control .................................................. 87 Chapter 9 Conclusion ...................................................................................... 96 Annex 1 Membership of the Steering Committee on Review of Hospital Authority ....................................................................................... 102 Annex 2 Report of the Public Engagement Programme ............................. 103 Annex 3 Clustering of Hospitals and Institutions ...................................... -
Annex 1 Expenditure Incurred by Each Hospital Cluster in Response to The
Annex 1 Expenditure incurred by each hospital cluster in response to the Winter Surge 2018-19 ($ million) HKE HKWC KCC KEC KWC NTEC NTWC Total C Personal Emoluments Doctor 7 5 28 14 13 15 16 98 Nurse 31 18 74 41 31 61 69 325 Allied Health 1 3 7 5 4 7 2 29 Professional Supporting Staff 11 8 22 15 8 17 22 103 Sub-total 50 34 131 75 56 100 109 555 Other Charges 16 13 64 39 64 33 37 266 Total 66 47 195 114 120 133 146 821 Note: (1) Other charges include around $78 million as the salary expenditure for agency staff. Abbreviations HKEC – Hong Kong East Cluster HKWC – Hong Kong West Cluster KCC – Kowloon Central Cluster KEC – Kowloon East Cluster KWC – Kowloon West Cluster NTEC – New Territories East Cluster NTWC – New Territories West Cluster - 1 - Annex 2 Average waiting time (in minutes) by triage category in the A&E departments of the Hospital Authority (HA) from November 1, 2017 to January 31, 2018 Triage 1 Triage 3 Triage 4 Triage 5 Cluster Hospital Triage 2 (Critical) (Emergency) (Urgent) (Semi-urgent) (Non-urgent) Pamela Youde Nethersole Eastern 0 5 16 106 130 Hospital HKEC Ruttonjee Hospital 0 6 18 84 137 St. John Hospital 0 7 13 24 28 HKWC Queen Mary Hospital 0 9 27 90 158 Kwong Wah Hospital 0 6 32 124 124 KCC Queen Elizabeth Hospital 0 8 35 178 216 Tseung Kwan O Hospital 0 8 25 125 147 KEC United Christian Hospital 0 9 30 191 252 Caritas Medical Centre 0 7 23 55 54 North Lantau Hospital 0 8 15 33 51 KWC Princess Margaret Hospital 0 7 21 98 135 Yan Chai Hospital 0 4 17 123 150 Alice Ho Miu Ling Nethersole Hospital 0 6 17 57 61 NTEC -
2020 September
www.hkcfp.org.hk THE HONG KONG COLLEGE OF FAMILY PHYSICIANS INSIDE THIS ISSUE Issue 199 September 2020 01 Message from the President 04 Board of Vocational Training and 10 Feature: COVID-19 Trilogy 16 Board of Education News Standards News • 我 書,故 我 在 2「新 冠 肺 炎 的 02 Message from the President (Con’t), 20 College Calendar 05 Specialty Board News 第 三 波 疫 情 」 College News: • Community Treatment Facility for 08 College News: HKCFP Trainees COVID-19 02 Quality Assurance & Research Fund 2020/ HKCFP • COVID-19 Total Patient Journey: Accreditation Committee News; Research Seed Fund 2020 From the Community to Community 03 HKCFP Council Announcement; 09 News Corner: Weight Reduction Treatment Facility (CTF) to Classified Advertisement Medication (Part I) Community Isolation Facility (CIF) Message from the President The daily newly confirmed cases of COVID-19 seemed by the test and after to be dropping down to double digits or even single confirmation, they would digit in recent couple of weeks. The social distancing be assessed and triaged rules are being adjusted and relaxed gradually. to receive isolation and Despite the relaxation of rules, it is still not the treatment at the Community time to let our guards down. Experts had predicted Isolation Facility (CIF) and that there would be subsequent waves later during Community Treatment the winter months. Good practice of personal and Facility (CTF). The pressure environmental hygiene should be maintained at all caused by the high demand times to prevent the spread of the virus. for in-patient services from hospitals can therefore be relieved. -
A General Brief About the Hospital Authority
Mission Statement 4. In keeping with its role, the Mission of the Hospital Authority is: · to meet the different needs of patients for public hospital services, and to improve the hospital environment for the benefit of patients; · to serve the public with care, dedication and efficiency, and to encourage community participation in the system, resulting in better care and more direct accountability to the public; · to provide rewarding, fair and challenging employment to all its staff, in an environment conducive to attracting, motivating and retaining well-qualified staff; · to advise the Government of the needs of the community for public hospital services and of the resources required to meet these needs, in order to provide adequate, efficient, effective and value for money public hospital services of the highest standards recognised internationally within the resources obtainable; and · to collaborate with other agencies and bodies in the healthcare and related fields both locally and overseas to provide the greatest benefit to the local community. Corporate Vision and Strategies 5. To realise its mission, the Hospital Authority has developed the following Corporate Vision: “The Hospital Authority will collaborate with other healthcare providers and carers in the community to create a seamless healthcare environment which will maximise healthcare benefits and meet community expectations.” 6. The Authority achieves this corporate vision by formulating a set of strategic directions every year through an extensive annual planning process, taking into account the funding position, societal expectations, Government’s healthcare policy, and the challenges in the internal and external environment. The 2 corporate vision and mission are turned into operational targets to meet the community needs for healthcare services. -
Clinical Data Analysis and Reporting System VRE Statistics Report
Clinical Data Analysis and Reporting System VRE Statistics Report New VRE cases (screening and clinical specimens) in HA hospitals (latest four weeks) As of 21-Sept-2015 Year-Week (specimen collection date) Cluster Hospital 2015-33 2015-34 2015-35 2015-36 Code Code 16-Aug-15 to 22-Aug-15 23-Aug-15 to 29-Aug-15 30-Aug-15 to 05-Sept-15 06-Sept-15 to 12-Sept-15 PYN 1 0 0 0 RH 1 0 0 0 TSK 0 0 0 0 HKEC TWE 0 0 0 0 CHC 1 0 0 0 WCH 0 0 0 0 SJH 0 0 0 0 HKEC Total 3 0 0 0 QMH 0 0 0 0 TWH 0 0 0 0 FYK 0 0 0 0 HKWC ML 0 0 0 0 DKC 0 0 0 0 GH 0 0 0 0 TYH 0 0 0 0 HKWC Total 0 0 0 0 QEH 0 0 1 0 BH KCC 0 0 0 0 KH 0 0 0 0 HKE 0 0 0 0 KCC Total 0 0 1 0 TKO 0 0 0 0 KEC UCH 0 0 0 0 HHH 0 0 0 0 KEC Total 0 0 0 0 CMC 0 0 0 0 KWH 0 0 0 1 NLT 0 0 0 0 PMH KWC 0 0 0 0 YCH 0 0 0 0 WTS 0 0 0 0 KCH 0 0 0 0 OLM 0 0 0 0 KWC Total 0 0 0 1 AHN 0 0 0 0 NDH 0 0 0 0 PWH 0 0 0 0 NTEC SH 0 0 0 0 TPH 0 0 0 0 CHS 0 0 0 0 BBH 0 0 0 0 NTEC Total 0 0 0 0 POH 1 0 0 0 TMH NTWC 1 2 1 6 CPH 0 0 0 0 SLH 0 0 0 0 NTWC Total 2 2 1 6 HA Total 5 2 2 7 Remark: With effective from 14/04/2014, all new cases identified by Target Screening on Admission and High risk group screening (Renal patients on haemodialysis) will not be presented separately, but to be included in this table. -
Event Detail (January) 01 Jan 2019 31 Dec 20
Start End CME Points Start Date End Date Event Name Organizer Venue Event Detail Time Time (Max) (January) Caritas Medical Centre American Heart Association Advance Caritas Medical Centre Resuscitation Training Centre, 5/F, Ms. Smile Pang / 01 Jan 2019 31 Dec 2019 Cardiovascular Life Support Provider 08:30 17:30 Resuscitation Training Centre Wai Oi Block, 111 Wing Hong 10.00 3408 6326 / (ACLS-P) Day 1 (Identical) (CMCRTC) Street, Shumshuipo, Kowloon, [email protected] Hong Kong Caritas Medical Centre American Heart Association Advance Caritas Medical Centre Resuscitation Training Centre, 5/F, Ms. Smile Pang / 01 Jan 2019 31 Dec 2019 Cardiovascular Life Support Provider 08:30 17:30 Resuscitation Training Centre Wai Oi Block, 111 Wing Hong 10.00 3408 6326 / (ACLS-P) Day 1 (Identical) (CMCRTC) Street, Shumshuipo, Kowloon, [email protected] Hong Kong Caritas Medical Centre American Heart Association Advance Caritas Medical Centre Resuscitation Training Centre, 5/F, Ms. Smile Pang / 01 Jan 2019 31 Dec 2019 Cardiovascular Life Support Provider 08:30 17:30 Resuscitation Training Centre Wai Oi Block, 111 Wing Hong 10.00 3408 6326 / (ACLS-P) Day 2 (Identical) (CMCRTC) Street, Shumshuipo, Kowloon, [email protected] Hong Kong Caritas Medical Centre American Heart Association Pediatric Caritas Medical Centre Resuscitation Training Centre, 5/F, Ms. Smile Pang / 01 Jan 2019 31 Dec 2019 Advanced Life Support Provider Course 08:30 17:30 Resuscitation Training Centre Wai Oi Block, 111 Wing Hong 10.00 3408 6326 / (PALS-P) Day 1 (Identical) (CMCRTC) Street, Shumshuipo, Kowloon, [email protected] Hong Kong Caritas Medical Centre American Heart Association Pediatric Caritas Medical Centre Resuscitation Training Centre, 5/F, Ms. -
Palliative Care Nursing Support in the Community
Palliative Care Nursing Support in the Community Ko Po Shan, Polly Nurse Consultant (Palliative Care), KEC Hong Kong Hospital Authority Strategic Service Framework Palliative Care (2017) (Hong Kong Hospital Authority) : All patients facing life-threatening and life-limiting conditions and their families/carers receive timely, coordinated and holistic palliative care to address their physical, psychosocial and spiritual needs, and are given the opportunities to participate in the planning of their care, so as to improve quality of life till the end of the patients’ life journey. 2 Strategic Service Framework for Adult Palliative Care 2017 Enhance Promote care Enhance Strengthen governance collaboration palliative care performance collaboration between in the monitoring of medical & palliative care ambulatory for oncology & non and continuous palliative care palliative care community quality specialist specialist settings to improvement through support shared care patients model 3 Service Model of Adult Palliative Care in HK Hospital Authority (HA) Cluster-based service with enhanced governance and collaboration between medical and oncology palliative care specialists Identification Coordinate Care in place of patients Advance palliative care with palliative with support care through care needs by from hospital to planning shared care parent teams community approach Palliative care as an integral part of the care continuum to support patients and their families/carers Underpinned by strengthened performance monitoring Strategic Direction -
Hospital Authority Special Visiting Arrangement in Hospitals/Units with Non-Acute Settings Under Emergency Response Level Notes to Visitors
Hospital Authority Special Visiting Arrangement in Hospitals/Units with Non-acute Settings under Emergency Response Level Notes to Visitors 1. Hospital Authority implemented special visiting arrangement in four phases on 21 April 2021, 29 May 2021, 25 June 2021 and 23 July 2021 respectively (as appended table). Cluster Hospitals/Units with non-acute settings Cheshire Home, Chung Hom Kok Ruttonjee Hospital Hong Kong East Mixed Infirmary and Convalescent Wards Cluster Tung Wah Eastern Hospital Wong Chuk Hang Hospital Grantham Hospital MacLehose Medical Rehabilitation Centre Hong Kong West The Duchess of Kent Children’s Hospital at Sandy Bay Cluster Tung Wah Group of Hospitals Fung Yiu King Hospital Tung Wah Hospital Kowloon East Haven of Hope Hospital Cluster Hong Kong Buddhist Hospital Kowloon Central Kowloon Hospital (Except Psychiatric Wards) Cluster Our Lady of Maryknoll Hospital Tung Wah Group of Hospitals Wong Tai Sin Hospital Caritas Medical Centre Developmental Disabilities Unit, Wai Yee Block Medical and Geriatrics/Orthopaedics Rehabilitation Wards and Palliative Care Ward, Wai Ming Block North Lantau Hospital Kowloon West Extended Care Wards Cluster Princess Margaret Hospital Lai King Building Yan Chai Hospital Orthopaedics and Traumatology Rehabilitation Ward and Medical Extended Care Unit (Rehabilitation and Infirmary Wards), Multi-services Complex New Territories Bradbury Hospice East Cluster Cheshire Home, Shatin North District Hospital 4B Convalescent Rehabilitation Ward Shatin Hospital (Except Psychiatric Wards) Tai Po Hospital (Except Psychiatric Wards) Pok Oi Hospital Tin Ka Ping Infirmary New Territories Siu Lam Hospital West Cluster Tuen Mun Hospital Rehabilitation Block (Except Day Wards) H1 Palliative Ward 2. Hospital staff will contact patients’ family members for explanation of special visiting arrangement and scheduling the visits. -
List of Medical Social Services Units Under Social Welfare Department
List of Medical Social Services Units Under Social Welfare Department Hong Kong Name of Hospital/Clinic Tel. No. Email Address 1. Queen Mary Hospital 2255 3762 [email protected] 2255 3764 2. Wong Chuk Hang Hospital 2873 7201 [email protected] 3. Pamela Youde Nethersole Eastern 2595 6262 [email protected] Hospital 4. Pamela Youde Nethersole Eastern 2595 6773 [email protected] Hospital (Psychiatric Department) Kowloon Name of Hospital/Clinic Tel. No. Email Address 5. Tseung Kwan O Hospital 2208 0335 [email protected] 2208 0327 6. United Christian Hospital 3949 5178 [email protected] (Psychiatry) 7. Queen Elizabeth Hospital 3506 7021 [email protected] 3506 7027 3506 5499 3506 4021 8. Hong Kong Eye Hospital 2762 3069 [email protected] 9. Kowloon Hospital Rehabilitation 3129 7857 [email protected] Building 10. Kowloon Hospital 3129 6193 [email protected] 11. Kowloon Hospital 2768 8534 [email protected] (Psychiatric Department) 1 The New Territories Name of Hospital/Clinic Tel. No. Email Address 12. Prince of Wales Hospital 3505 2400 [email protected] 13. Shatin Hospital 3919 7521 [email protected] 14. Tai Po Hospital 2607 6304 [email protected] Sub-office Tai Po Hospital (Child and Adolescent 2689 2486 [email protected] Mental Health Centre) 15. North District Hospital 2683 7750 [email protected] 16. Tin Shui Wai Hospital 3513 5391 [email protected] 17. Castle Peak Hospital 2456 7401 [email protected] 18. Siu Lam Hospital 2456 7186 [email protected] 19. -
Journey of a Hong Kong Public Teaching Hospital in Preparation Of
MEDICAL Journey of a Hong Kong public teaching hospital in PRACTICE preparation of hospital accreditation Alexander Chiu 邱 家 駿 WH Seto 司徒永康 Lawrence Lai 賴 褔 明 Hospital accreditation is a new concept for Hong Kong Hospital Authority hospitals. Queen Mary Hospital has been engaged as one of the hospitals in a territory-wide Pilot Scheme of Hospital Accreditation. In preparation for accreditation, Queen Mary Hospital has undergone the process of self-assessment, staff engagement, and service improvements which all require well-planned strategies to achieve successful outcomes. In this article, we highlight the journey of preparation and the staff engagement exercise we conducted to attain full accreditation. We also highlight the obstacles, conundrums, and pitfalls we encountered, along with successful overcoming strategies and countermeasures we adopted, and quandaries to be avoided. Throughout the preparation, the hospital’s senior executives insisted that achieving hospital accreditation was not the main focus, but rather an emphasis on how the Pilot Scheme would bring about organisational transformations in our culture, and thus foster quality, safety, effectiveness, and reliability of services. We hope our experience can provide a reference and be of value to other hospitals that will go through the journey in the future. Introduction In March 2008, the Food and Health Bureau of the Hong Kong SAR Government and Hospital Authority launched a Pilot Scheme of Hospital Accreditation (pilot scheme) in partnership with Australian Council of Healthcare Standards (ACHS). The latter is an independent, not-for-profit organisation established since 1974, dedicated to improving quality in health care. A total of five public and three private hospitals in Hong Kong participated in the pilot scheme.