The ParkwayHealth Experience

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The ParkwayHealth Experience

• Organisation of clinic and work processes to
  manage flu and non-flu patients
• Lessons from Ex Sparrow Hawk
• By
• Dr Daniel Chan
• Medical Director
• ParkwayHealth Primary Care Network

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• Why did we do it ?

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Clinics

• 21 Jul 2006
• Harbourfront
• Corporate Office
• The Atrium
• 22 Jul 2006
• Boon Lay
• Staff involved

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Pre-Exercise - HQ / Ops

• Coordination with MOH
• Understanding the needs and requirements for the
  exercise
• Establishing SOP / Workflow in conjunction with
  MOH
• Clinic Operations

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Pre- Exercise Clinic Operations

• Establishment of layout of clinic
• Fever rooms
• Waiting areas in common premises
• Flow of patients
• Dispensing procedures
• Patient Mix
• Infection control measures
• Patients
• Staff
• Suppliers
• Vendors for Disinfection

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Pre-Exercise - Manpower

• Adequate Drs, Clinic staff
• Job scope
• Training and Education
• disease
• PPE usage
• Disinfection procedures
• Other admin matters
• Psychological preparation
• job scope, risk ,stress
• Welfare

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Pre-Exercise - Logistics

• Preparation of supplies and equipment
• PPE, Anti-virals, Disinfectant agents,
• temperature charts, visitor records
• Effective distribution of equipment and supplies

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Pre-Exercise Information flow

• Updating contact details of staff, key tel nos.
• Effective information flow between MOH, all
  divisions clinical and support
• Effective education of patients Public
  Relations

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Exercise HQ

• Main coordinator between MOH and clinics
• Focal point for clarification or queries by staff

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Exercise Clinics

• Able to function autonomously using SOP /
  Workflow
• Necessary equipment and supplies were provided
  and used
• Maintain realism without interfering
  significantly with normal clinic operations

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Exercise Clinics(21 Jul) ATB, HLC HBF

• Challenges
• Effective communication to patients
• Staff and patient usage of PPE
• Adherence to SOP
• Adaptation of clinic layout clearly defined
  areas with infection control purposes

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Exercise Clinics(22 Jul) BLB

• Challenges
• Surge of patients
• Simulation of different types of patients
  symptoms and temperament
• Effective functioning while using appropriate PPE
  patients and staff
• Adherence and adaptation of SOP/Workflow

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Post-Exercise - Conclusions

• Effective communication to all levels and
  facilities
• Clear SOP / Workflow
• Customised plans for individual clinics

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Post-Exercise - Conclusions

• Importance of preparation staff, clinic and
  equipment
• Interfacing with different agencies MOH,
  suppliers.

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Personal Lessons

• 1. Always be Prepared
• 2. Give feedback to MOH
• 3. Be United

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• Thank you

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• Questions