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Kowloon West Cluster (KWC)

Kowloon West Cluster Report

Number of general outpatient clinics23

Throughput

Number of beds 6,652

Patient discharges* 381,842

A&E attendances 621,547

Specialist outpatient attendances (clinical) 1,674,173

General outpatient attendances 1,656,204

Full-time equivalent staff 15,683

* Total inpatient, day patient discharges and deaths

KWC implemented a number of initiatives to relieve manpower strain, meet growing service demand and also uphold service quality and patient safety.

Nursing manpower of KWC was substantiated with additional nurses recruited and also 100 registered nurses trained in CMC nursing school joining our nursing workforce. Manpower of allied health professionals was strengthened and additional patient care assistants were recruited to enhance multi-disciplinary care and rehabilitation services.

Kowloon West Cluster Report: Photo 1 To improve accessibility to public healthcare, NLTH extended its clinical services in the third quarter of 2014, including 24-hour A&E service, inpatient service with 20 convalescent and rehabilitation beds, specialist outpatient service, allied health service, day rehabilitation and ambulatory services. Besides, the YCH Community Health and Wellness Centre commenced services in

February 2015, through general and specialist outpatient clinics and the Paediatric and Adolescent Ambulatory Centre. The KCH planning team was set up in April 2014 to coordinate the overall planning and commissioning of hospital redevelopment.

PMH added operating theatre sessions and OLMH added computed tomography examinations to meet growing service demand. Designated beds were assigned for patients on mechanical ventilation in KWH, and chronic ventilator-assisted children in CMC. Stroke service was enhanced in PMH with the set-up of a Transient Ischemic Attack Clinic. Service for renal patients was expanded with extra quotas for hospital haemodialysis, home haemodialysis, and home automated peritoneal dialysis.

Waiting time for outpatient services was managed with new resources through triage of new cases booked at specialist outpatient clinics to Family Medicine Specialist Clinics. The waiting time for orthopaedic specialist outpatient clinics across KWC was shortened. More episodic quotas were added to GOPCs to improve public access.

To cope with pressing need for mental health services, KWC extended the case management model for severe mental illness to Mongkok, Tsuen Wan and North Lantau. There were further improvements on recovery-oriented treatment programmes for KCH inpatients and psychiatric outpatient services for child and adolescence.

Kowloon West Cluster Report: Photo 4

KWC adopts modern technology and new clinical practices in pursuit of continuous quality improvement and patient safety. A barcode-based tracking and archiving system was rolled out in anatomical pathology laboratories to ensure correct identification of specimens. Matrix-assisted laser desorption / ionisation time-of-flight (MALDI-TOF) mass spectrometry, which could expedite the microbiological identification for timely diagnosis and treatment, was installed in PMH.

The service standard of Theatre Sterile Service Unit (TSSU) in YCH was enhanced. Surgical instrument tracking system was implemented in PMH, CMC and NLTH to improve sterilisation in surgical operations. Minimally invasive surgery technique was used in hysterectomy surgeries for suitable gynaecological patients. Paediatric clinical pharmacy service was implemented in CMC and YCH in September and October 2014 respectively for improved medication safety. The hospital accreditation programme by the Australian Council of Healthcare Standards continued. PMH successfully completed organisation wide survey and YCH completed gap analysis in November 2014.