Page 52 - Hospital Authority Annual Report 2019-2020

KOWLOON WEST CLUSTER (KWC) KOWLOON CENTRAL CLUSTER (KCC) KOWLOON EAST CLUSTER (KEC)
九龍西醫院聯網（九龍西聯網） 九龍中醫院聯網（九龍中聯網） 九龍東醫院聯網（九龍東聯網）
KWC has been serving the largest population among all clusters of HA. To meet the ever-growing healthcare demand, new beds were Facing the increasing service demand arising from growing and ageing population, KCC put forward a wide range of initiatives to augment its KEC is conscientiously heading towards the strategic roadmap
added to hospitals in the cluster to optimise its service capacity. service capacity. To relieve access block during the refurbishment period of KWH, a Fast Track Clinic in the ambulatory centre was established according to the Clinical Services Plan. This year, oncology service
to provide rapid assessment and treatment to reduce admission. was extended to TKOH. Additional surgical day beds, specialist
The capacity of clinical services in KWC was strengthened with the launch of a cluster-based 24-hour network on intravenous outpatient clinic attendances and general outpatient clinic quota
thrombolytic service for acute stroke. Neurologists from PMH, CMC and YCH were pooled to form a cluster neurology call roster during New beds were added in QEH and HKBH, on top of increased operating theatre sessions in HKBH and KWH to address demand for inpatient were provided in the cluster. Rehabilitation service was strengthened
non-office hours, supported by specialised nursing team at the site of the acute hospitals with common treatment protocol. Additional services and operations. HKCH has commenced inpatient services for paediatric nephrology, surgery and neonatal intensive care unit, as with extended coverage to weekends and public holidays for stroke
operating theatre sessions were opened for emergency, elective and ambulatory surgeries, and extra endoscopy sessions were added well as the formation of critical care transport team. Haematology services in the cluster were strengthened by providing clinical pharmacy patients, and the establishment of the Medical Rehabilitation Centre
in PMH, CMC and NLTH. service at QEH, and on-site consultation services at KWH. KWH at the same time implemented pharmacist clinic on anticoagulant therapy in TKOH to augment service capability. A team for providing 24-hour
management.
Public access to outpatient services of KWC was further improved Primary Percutaneous Coronary Intervention for eligible ST-Elevation
with extra general outpatient clinic quotas provided. Specialist In addition, general outpatient clinic services quotas were increased and additional hospital haemodialysis places were provided. Various Myocardial Infarction patients was also set up in KEC.
outpatient services in NLTH were strengthened with the diagnostic services were strengthened to meet service needs, which included the commencement of operation of the third MRI scanner in Facing the daunting challenge of escalating service demand, KEC
opening of gynaecology outpatient service and enhanced QEH. In KWH, additional attendances for CT scans were provided, and screening tests for the diagnosis of Inborn Error of Metabolism among continued to elevate service capacity by adding medical inpatient and extended care beds, and providing additional operating theatre and
paediatric outpatient clinic service. Day services were newborns were introduced. endoscopy sessions. Discharge management for patients requiring NEATS was also strengthened.
expanded with additional day chemotherapy attendances
in CMC. The clinical psychology service was commenced During the outbreak of COVID-19, QEH and KWH which are equipped with isolation wards shouldered the life-saving mission in receiving On quality and safety side, KEC commenced the Enhanced Recovery After Surgery programme and the Extracorporeal Membrane
considerable number of confirmed and suspected cases. Especially during the third wave of outbreak, colleagues of KCC faced daunting
in YCH. Besides, additional case managers to support Oxygenation service. Night-supervision in wards was enhanced. Meanwhile, KEC implemented the pharmacist clinic on anti-coagulant
mental health services in KCH were recruited. challenges. To expedite turnover of isolation beds in acute hospitals, WTSH and KH provided recovered patients with rehabilitation services. therapy management and improved medication safety through the inpatient drug distribution model.
Thanks to the concerted efforts and contribution of frontline colleagues, patients were treated with timely and appropriate care.
Rehabilitation service was extended to cover weekends KEC values innovation and technology, and is the first cluster to pilot the “Smart Hospital” concept in HA. Since the inception of KEC
and public holidays for patients with lower limb Capital projects in KCC are progressing. The foundation works of the new acute hospital in Kai Tak Development Area have commenced. OLMH Smart Hospital Committee in 2018, there have been over 70 smart initiatives put up by various disciplines of colleagues. The Smart
is under decanting stage, and service commissioning for KWH phase one is actively underway. Looking ahead, KCC will continue to dovetail with
fracture or arthroplasty at PMH with the provision of the 10-year Hospital Development Plan to optimise its service capacity, as well as the hospital facilities to cater for the needs of the community Hospital website was developed in 2019 to facilitate sharing of knowledge and ideas. Riding on opportunities of the hospital expansion
additional physiotherapy and occupational therapy in the long run. projects, KEC will continue to examine and expedite this spectrum through multidisciplinary collaborative efforts.
attendances. CMC also enhanced its orthopaedic
rehabilitation service by increasing allied health 面對人口增長及老化帶來的服務需求壓力，九龍中聯網推行了一 With the outbreak of COVID-19 in early 2020, followed by the activation of Emergency Response Level, KEC had stepped up its isolation
outpatient attendances. 系列措施提升服務量。為紓緩在廣華醫院翻新工程期間，病人滯留 facilities, enhanced infection control measures and assured conscientious deployment of staff and resources. Our professional team had
exemplified commitment and professionalism in safeguarding the community against the pandemic on one hand, and sustaining our
急症室等候入院的情況，醫院的日間醫療中心成立速治服務，提
The HA Infectious Disease Centre (HAIDC) at PMH received the first case of COVID-19 on 22 January 2020. Armed with experience emergency and majority of elective services on the other through teamwork and smart care initiatives. Their dedication was reckoned
accumulated from handling SARS and other infectious disease, years of planning and state of the art facilities, HAIDC team played 供快速醫療評估及治療，以減少不必要的入院。 with high regards by professional peers and the community.
a pivotal role in the combat of COVID-19. In accordance with the response plan of the Central Committee for Infectious Diseases 年內，伊院和佛教醫院增設病床；佛教醫院和廣華醫院亦增加手術 九龍東聯網按照聯網臨床服務計劃，按步就班地落實訂下的服務策略方針。聯網在年內推展腫瘤科服務至將軍澳醫院、增設外科日
and Emergency Response, HAIDC admitted the first batch of COVID-19 patients. The clinical experience gained was shared among 室節數，以應付住院及手術的需求。香港兒童醫院已開展住院兒童 間病床，並增加專科門診服務人次及普通科門診名額。聯網亦為中風病人擴展周末及公眾假期的康復服務，並於將軍澳醫院設立復
infectious disease experts in the territory, which has played a significant role in the formulation of treatment protocols. To handle the 腎科、外科和新生嬰兒深切治療部服務，並成立重症治療運送團 康中心，以提升復康服務的承載量。此外，聯網成立專責團隊，為心肌梗塞的病人提供24小時緊急冠狀動脈介入治療服務。
influx of travelers suspected to be infected with COVID-19 in the second wave of the pandemic, NLTH set up a temporary test center to 隊。聯網亦完善血液專科服務，包括在伊院加強臨床藥劑服務，及
provide virus tests for symptomatic travelers. 為應對需求日增的挑戰，聯網繼續加開內科住院及療養病床、提供額外手術室及內窺鏡服務節數，並為需要非緊急病人運送服務的
在廣華醫院提供診症服務。廣華醫院同時為正在服用抗凝血劑的病 病人加強出院服務。
九龍西聯網的服務人口是醫管局各聯網之冠。面對日增的服務壓力，聯網內多間醫院增設病床，提升服務量。 人提供藥劑師門診服務。 在質素及安全方面，聯網已推行「促進術後康復計劃」與人工心肺服務，並加強病房的夜間督導。聯網同時為正在服用抗凝血劑的病
年內開展了以聯網為基礎的24小時急性中風溶栓治療服務，集合瑪嘉烈醫院、明愛醫院及仁濟醫院的神經外科醫生組成非辦公 此外，聯網增加了普通科門診診症及醫院血液透析名額。多項放射 人提供藥劑師門診服務；以及採用住院藥物調配系統，提升藥物安全及管理。
時間的統一候召團隊，由每間急症醫院的專科護士團隊提供支援，並採納通用的治療規程。聯網亦已於瑪嘉烈醫院、仁濟醫院及 及診斷服務亦得以加強，其中伊院的第三部磁力共振掃描造影機
北大嶼山醫院增加每周的緊急、非緊急及日間手術的手術室節數，以及增加內窺鏡節數。 已投入服務；廣華醫院則提高了電腦斷層掃描造影的服務量，並為 九龍東聯網非常重視創意與科技的發展，亦是首個聯網引進「智慧醫院」的概念。自2018年「九龍東智慧醫院發展委員會」成立以來，
初生嬰兒提供篩檢測試，以診斷先天性代謝缺陷。 已收到逾70個由不同職系同事提交的智慧項目建議；而智慧醫院網頁於2019年建立，方便同事交流資訊及創意。聯網藉著醫院擴建
為方便市民求診，聯網增加普通科門診診症名額，以及在北大嶼山醫院加強兒童專科門診服務，並開展婦科專科門診。日間服務 工程帶來的新機遇，與跨專業團隊進一步研究和落實「智慧醫院」的可行方案，為未來服務發展開拓新的里程。
方面，明愛醫院增加日間化療中心的名額，而聯網臨床心理健康科已於仁濟醫院正式開展；葵涌醫院亦增聘個案經理，加強精神 在2019冠狀病毒病疫情期間，尤其當第三波疫情爆發時，設有
健康服務。 隔離病房的伊院及廣華醫院，接收了不少確診及懷疑個案， 踏入2020年初，2019冠狀病毒病肆虐社區。在「緊急應變級別」下，聯網增設隔離設施，加強感染控制措施，並審慎地調配人手
和資源作出配合。同事亦發揮專業精神，竭盡所能聯手抗疫，並透過團隊合作及智慧醫院項目繼續為社區提供緊急及大部分非緊急
聯網同時加強其復康服務，瑪嘉烈醫院增加物理治療及職業治療的服務人次，為下肢骨折及關節置換病人擴展康復服務至周末及 聯網同事面對很大挑戰。東華三院黃大仙醫院及九龍醫院 服務。團隊的努力不懈深受同儕及社區的肯定和讚賞。
公眾假期；又加強明愛醫院的骨科康復服務，增加專職醫療門診服務人次。 期間亦協助處理康復者，提供復康治療，以加快急症醫
院隔離病房的流轉。全賴前線同事群策群力，無私奉獻，
位於瑪嘉烈醫院的醫管局傳染病中心於2020年1月22日接收本港首位確診2019冠狀病毒病病人。憑藉處理 令確診病人獲得適切治療。 Hospitals 醫院 KWC 九龍西聯網 KCC 九龍中聯網 KEC 九龍東聯網
沙士及其他傳染病的經驗，配合多年的籌備及完善的設施，傳染病中心團隊在應對疫情中發揮關鍵作用。 Number of general outpatient clinics 普通科門診診所數目 16 13 8
配合醫管局傳染病及緊急應變中央委員會的應變方案，傳染病中心肩負重任接收全港首批確診病人， 聯網各項工程相繼進行，啟德發展區新急症醫院的地基 Throughput 服務量
工程已經展開；聖母醫院已進入遷移階段；而廣華
並與本港的傳染病專家分享所累積的臨床經驗，對制定治療方案起重要作用。而為處理第二波疫 Number of hospital beds 醫院病床數目 4 835 5 852 2 800
情中大量懷疑受感染的入境人士，北大嶼山醫院曾設立臨時檢測中心，為有徵狀入境人士 醫院正積極就重建計劃第一期投入服務進行 Patient discharges* 出院病人數目*
安排檢測。 籌備工作。展望將來，九龍中聯網將繼續 297 820 353 947 200 145
配合十年醫院發展計劃，擴展服務量及 Total A&E attendances 急症室就診總人次 453 578 285 204 266 486
優化醫院設施，以應付長遠的社區需要。 Total specialist outpatient (clinical) attendances
專科門診（臨床）就診總人次 1 336 415 1 465 849 843 745
CMC – Caritas Medical Centre 明愛醫院 HKBH – Hong Kong Buddhist Hospital 香港佛教醫院 KH – Kowloon Hospital 九龍醫院
KCH – Kwai Chung Hospital 葵涌醫院 HKCH – Hong Kong Children’s Hospital 香港兒童醫院 KWH – Kwong Wah Hospital 廣華醫院 General outpatient attendances 普通科門診就診人次 1 011 451 1 100 013 920 994
NLTH – North Lantau Hospital 北大嶼山醫院 HKEH – Hong Kong Eye Hospital 香港眼科醫院 OLMH – Our Lady of Maryknoll Hospital 聖母醫院 HHH – Haven of Hope Hospital 靈實醫院 Full-time equivalent staff 等同全職人員數目 13 139 17 515 9 140
PMH – Princess Margaret Hospital 瑪嘉烈醫院 BTS – Hong Kong Red Cross Blood Transfusion Service QEH – Queen Elizabeth Hospital 伊利沙伯醫院（伊院） TKOH – Tseung Kwan O Hospital 將軍澳醫院
YCH – Yan Chai Hospital 仁濟醫院 香港紅十字會輸血服務中心 WTSH – Tung Wah Group of Hospitals Wong Tai Sin Hospital 東華三院黃大仙醫院 UCH – United Christian Hospital 基督教聯合醫院（聯合醫院） * Total inpatient and day inpatient discharges and deaths 住院及日間住院病人出院人次及死亡人數
50 Hospital Authority Annual Report 醫院管理局年報 2019-2020