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Head Office and Cluster Reports

Hong Kong East Cluster (HKEC)

Hong Kong East Cluster

Number of general outpatient clinics12

Throughput

Number of beds 3,031

Patient discharges* 177,500

A&E attendances 243,850

Specialist outpatient attendances (clinical) 792,008

General outpatient attendances 587,953

Full-time equivalent staff 7,595.84

* Total inpatient, day patient discharges and deaths

HKEC appreciates dedication of staff on quality services amidst manpower constraint. Continued recruitment of additional nurses, frontline allied health professionals and patient care assistants relieved workload of the frontline. To retain staff, HKEC organised a series of staff engagement activities such as mentorship programme for nurses. These human resource measures successfully lowered attrition rate of all staff groups, except in the care-related supporting staff group. To further improve communication and collaboration with staff, the Cluster extended Crew Resource Management training to target staff groups and offered scenario-based simulation training.

Vision, Mission and Values

To cope with increasing demand in pressure areas, a series of initiatives were implemented in HKEC hospitals. Stroke service was enhanced in PYNEH with introduction of Transient Ischaemic Attack clinic service in July 2013 and implementation of 24-hour thrombolytic treatment for acute ischaemic stroke patients in March 2014. Renal service was expanded with Dialysis Day Centre and Renal Ward established in the fourth quarter of 2013. As for mental health services, patients in the psychiatric admission wards were provided with better environment and recovery oriented treatment programmes.

2,000 patients of RH benefited from the new Magnetic Resonance Imaging service since July 2013. Three additional endoscopy sessions per week introduced since October 2013 enhanced access to service. HKEC also provided additional haemoglobin (HbA1c) tests for diabetic patients and increased the capacity for anti-vascular endothelial growth factor treatment.

The Cluster implemented various initiatives to sustain a robust quality and safety system. Minimally invasive surgery technique was adopted in hysterectomy surgeries among over 85% of suitable gynecological patients to improve recovery. PYNEH performed

20 cases under the cross cluster Robotic Assisted Surgery (RAS) Collaboration Programme and contributed to staff training on RAS in HA. Timely treatment for patients was ensured with 70 additional predictive molecular tests provided for lung, breast and colorectal cancers since the first quarter of 2014. Requisition for the radio frequency identification (RFID) system in RH mortuary improved accuracy of body identification and flow control. To sustain safety culture, a number of Quality and Safety forums and training sessions were organised, covering safe mobilisation of fragile patients, procedural sedation safety, prevention of patient suicide, medication safety, use of physical restraint, and patients’ nutritional status.

Resources were deployed to key enablers of corporate priority, namely the roll-out of barcode top-up system for drug stock in all wards in RH, enhancement of non-emergency ambulance transfer service with waiting time shortened and punctuality improved, and a 42-bed general medical ward set up in RH.

PYNEH's introduction of ECMO therapy to patients in Hong Kong since 2009 was duly recognized by the judges of the Hospital Management Asia (HMA). Safe Implementation of ECMO Service through High Fidelity Simulation Training in Intensive Care Unit of PYNEH was awarded Excellence Award (Bio Medical Equipment / Facilities Improvement) in HMA in September 2013.