London Press-KFSH

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King Faisal Specialist Hospital and Research Centre The Medical Departments Health Outreach and Business Affairs KFSHRC – Telemedicine Program KFSHRC: The Profile

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King Faisal Specialist Hospital Personnel Total staff of 6,946, comprising 63 different nationalities. The Medical Staff 389 Consultants 14 Associate Consultants 97 Assistants 3 Clinical Assistants 101 Fellows 88 Residents 692 TOTAL The Nursing Staff Totals 1,942 (18% Canada, 11% US) Nursing Affairs includes the following departments: Critical Care Nursing, Maternal Child Nursing, Surgical Nursing, Oncology/Medical Nursing, Infection Control, Ambulatory Care Nursing, Nursing

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King Faisal Specialist Hospital The King Faisal Specialist Hospital and Research Centre has been awarded full accreditation status, with flying colors, for a period of three years by the Joint Commission International Accreditation (JCIA). The JCIA is the world premier healthcare accrediting agency based in Chicago, Illinois, U.S.A. The King Faisal Specialist Hospital and Research Centre, Riyadh, is one of only four hospitals in the world to be accredited outside of the United States of America.

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Total number of patients admitted per year Average daily inpatient census Average bed occupancy rate Average length of bed stay Total number of operating cases per year Average number of operating cases per workday Average annual open-heart surgeries Average annual cardiac catheterization Average annual renal transplants Average annual bone marrow transplants Total number of deliveries per year High risk deliveries Normal deliveries Total radiological examinations per year Total laboratory tests per year (clinical and anatomical) Average Outpatient encounters per year (excluding Emergency Room visits) Average Emergency Room encounters per calendar day 21,123 552 88% 9.0 days 8,981 36 1,120 2,920 44 96 1,357 40% 60% 185,823 5,759,526 516,875 124 The King Faisal Specialist Hospital and Research Centre is a 663-bed tertiary care facility. There are 18 Medical Departments, each with its own Chairman. The names of these departments are set out in the accompanying Organizational Structure. King Faisal Specialist Hospital

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King Faisal Specialist Hospital Organizational Structure

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King Faisal Specialist Hospital Medicine Dentistry Emergency Medicine Obstetrics & Gynecology Orthopedic Surgery Urology Anesthesiology Clinical Services Administration Family Medicine & Polyclinics Ambulatory Care Services Nursing Affairs Centre for Healthcare Innovation The Medical Departments Cardiovascular Diseases Oncology Pediatric Hematology / Oncology Neurosciences Surgery Radiology Medicine Medical Genetics Otolaryngology, Head and Neck Surgery Pediatrics Pathology & Laboratory

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King Faisal Specialist Hospital Medical & Clinical Operations • Patient Affairs Division • Clinical Practice Monitoring Program, & Business Development • Department of Pediatric Hematology /Oncology • Bed Expansion Project • Expansion in O.R. Level 2 • The Day Procedure Center • Center for Healthcare Innovation • The Section of ENT • First Medical Genetics Department • The Staff Development Office • The MCO International CollaborativeOffice • Smart Satellite Regional Centers • Quality Resources Management

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King Faisal Specialist Hospital The Department of Oncology consists of • Adult Hematology and Bone Marrow Transplant (BMT) • Medical Oncology • Radiation Oncology • Palliative Care Medicine The Oncology Data Unit provides support for research projects and serves as a hospital base for cancer and bone marrow transplant registry. In October 2000, the former Section of Pediatric Hematology/Oncology became a Department in its own right to provide services both at King Fahad National Centre for Children’s Cancer and Research (KFNCCC&R) and KFSH&RC for children with cancer and hematological disorders.

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King Faisal Specialist Hospital The Department of Cardiovascular Diseases consists of 4 clinical sections: • Cardiac Surgery • Cardiac Intensive Care • Pediatric Cardiology and • Adult Cardiology Support sections include the Perfusion Team, Clinical Research Unit, Patient Coordination and secretarial staff. The Department directly manages the Cardiac Catheterization Lab, Non-Invasive Cardiology Lab, Cardiac Surgery ICU, Cardiac Operating Room, Coronary Care Unit, Cardiovascular Telemetry Unit, and Medical Cardiology Unit. An Animal Lab located in the Research Centre is dedicated to cardiovascular research.

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King Faisal Specialist Hospital The Department of Neurosciences provides a tertiary care service encompassing • Neurology • Neurosurgery • Pediatric Neurology • Psychiatry • Neuropsychology • Neurophysiology

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King Faisal Specialist Hospital The Department of Surgery is composed of seven clinical sections: • General • Pediatric • Plastic • Renal Transplant • Ophthalmology • Thoracic • Vascular Surgery

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King Faisal Specialist Hospital The Department of Radiology provides complete subspecialty radiology services to King Faisal Specialist Hospital and Research Center and King Fahd National Children’s Cancer Centre through the Division of Abdominal Imaging and Intervention, Section of Pediatric Radiology, Section of Chest Radiology, Section of Bone Radiology, Section of Neuroradiology, and the Section of Nuclear Medicine. The Department supports its own residency program, fellowship programs, technologist training program, and is actively engaged in clinical research.

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King Faisal Specialist Hospital Medical Genetics • Training and fellowship programs. • Establish and supervise strategic national programs in genetics for the country. • Registry of genetic disorders. • Ethical, legal and social issues. • Improve and regulate genetic research based on the country’s need.

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King Faisal Specialist Hospital Medicine 1. Multisection patient care is delivered daily in areas like intensive care unit, transplantation program, hemodialysis, peritoneal dialysis, and endoscopy . 2. Infectious Diseases combines clinic (HIV patients) and Hyperberic Oxygen Therapy. 3.Assessment and care of patients with thromboembolic diseases. 4. Geriatrics evaluation of ambulatory care patients. 5. A high standard in diagnostic and therapeutic procedures using unique endoscopic expandable metal stenting for malignant esophageal strictures, TIPS procedure for variceal bleeding, mechanical lithotripsy for large biliary stones and pancreatic lesions, esophageal manometry for various anorectal disorders. 6. A leader in anti-viral therapy that heavily involves various therapeutic and current regimens for chronic hepatitis viruses B&C..

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King Faisal Specialist Hospital Neck and Throat Department Section of Otology and Communication Disorders Section of Pediatric Otolaryngology and Laryngotracheal Reconstruction. Section of Neurotology and Skull Base Surgery. Section of Rhinology and Anterior Skull Base. Section of Oncology Head and Neck Surgery. Section of General ENT.

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King Faisal Specialist Hospital Pediatrics comprises eleven subspecialties: • General Pediatrics • Endocrinology/Diabetes • Neonatology and Perinatology • Pediatric Allergy and Immunology • Medical Genetics • Pediatric Gastroenterology and Nutrition • Pediatric Infectious Diseases • Pediatric Nephrology • Pediatric Pulmonary Medicine • Pediatric Intensive Care • Pediatric Rheumatology

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King Faisal Specialist Hospital The Department of Pathology & Laboratory Medicine provides services that encompass the full spectrum of clinical laboratory testing and blood component manufacturing at King Faisal Specialist Hospital & Research Centre. It also continues to support developments at King Faisal Specialist Hospital & Rsearch Centre-Jeddah and a widening consultative service to other hospitals in the Kingdom and even beyond.

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King Faisal Specialist Hospital The Department of Dentistry comprises the following subspecialties : • Endodontics • General Dentistry • Oral & Maxillofacial Surgery • Orthodontics • Pediatric Dentistry • Periodontics and Prosthodontics

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King Faisal Specialist Hospital Emergency Department 21 treatment beds Visits totaled 44,000 for 1421. Daily census ranged from 90 to 200 patients. 67% Adults and 33% Pediatrics 70% established tertiary care patients, 14% are employees and dependents, 11% VIP’s and 6% are new patients. 16 Emergency Medicine Consultants, 5 Pediatric Emergency Medicine Consultants and 1 Resident. The Nursing staff is comprised of 40 Staff Nurses, a Nurse Clinician and a Head Nurse.

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King Faisal Specialist Hospital The Department of Obstetrics and Gynecology consists of 3 sections namely, Section of Gynecologic Oncology Section of Perinatology Section of Reproductive Medicine

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King Faisal Specialist Hospital Orthopedic Surgery Department provides both inpatient and outpatient care for the treatment of tertiary orthopedic problems referred from throughout the Kingdom. The Department consists of two sections: Adult Orthopedics and Pediatric Orthopedics.

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King Faisal Specialist Hospital The Department of Urology Is one of the leading centers for the diagnosis and management of all genito-urinary diseases, providing tertiary care for complex urologic problems referred to our hospital from almost all medical centers in the Kingdom of Saudi Arabia and the Gulf with results matching those of the leading urologic centers in the west. The Department of Urology onsists of two sections Adult Urology Pediatric Urology..

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King Faisal Specialist Hospital The Department of Anesthesiology consists of 36 consultants together with the Anesthesia Auxiliary support staff. The Department is divided into sections of general, cardiovascular, pediatric and obstetric anesthesia, as well as a Pain Service. Anesthesia is provided not only in the operating rooms of KFSH&RC but also in numerous remote locations such as the radiology suite and the labour floor.

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King Faisal Specialist Hospital Family Medicine is responsible for the healthcare needs of the Hospital’s 18,000 employees and eligible dependents. It provides an efficient and caring primary care facility. Health care is total and involves a dedicated medical and nursing team. However, the rising patient population due to the increase in dependents continues to put an enormous strain on the Family Medicine resources. This results in numerous clinic visits, many investigative procedures, expensive medications and referrals. Additionally, Family Medicine has a significant space problem due to the growing numbers, which affects the smooth running of the clinic.

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King Faisal Specialist Hospital Ambulatory Care Services works primarily through coordination and facilitation of services to outpatients. The Medical Director Ambulatory Care Services is responsible for oversight of any matter related to the quality of patient care in the ambulatory setting (outpatient), the approval of new clinics, clinic changes and rescheduling of patients.

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King Faisal Specialist Hospital

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King Faisal Specialist Hospital

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King Faisal Specialist Hospital Nursing Affairs provides nursing care for • Critical Care • Medical/Surgical • Maternal Child • Oncology • Children’s Cancer Centre • Ambulatory/Emergency patients, inpatient & outpatient.

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King Faisal Specialist Hospital The Clinical Services Division consists of 18 departments that provide expertise on different patient care areas. A matrix relationship exists between Clinical Services Division and various medical departments. Thirteen (13) of the Clinical Services departments report concurrently to respective Medical Chairmen for the medical and technical aspects of their services, and to Clinical Services for administrative aspects.

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Health Outreach & Business Affairs

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King Faisal Specialist Hospital Established in August 1995, HOBA has become a mechanism for evaluating the needs of the participating regional hospitals, identifying the available resources and services of King Faisal Specialist Hospital and Research Centre (KFSH&RC), and establishing an infrastructure, through clinic visits and education of the participating Regional Hospitals, in order to standardize medical care delivery. The HOBA Program is based on 3 major components: (1) Health Outreach Program (2) e-Health Centre (3) Business Program. Health Outreach & Business Affairs

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King Faisal Specialist Hospital A. Health Outreach Program 1- Regional Affairs: Established a network between KFSH and some 18 major referral hospitals Over the past three years, more than 1900 visits by consultants from KFSH & RC have taken place, to hold clinics, evaluate services, or perform technical procedures. More than 150 surgical procedures were performed at regional hospitals by KFSH & RC staff. 2- National Programs: A major objective of the mission of the Health Outreach Program is to promote the standardized management of certain tertiary care health problems common to the Kingdom of Saudi Arabia. Some 17 national programs have been established to achieve this objective. 3- Continuing Professional Education and Training: The Continuing Professional Education and Training Section of the Health Outreach Program provides continuing education programs to physicians, nurses and allied healthcare providers throughout the Kingdom of Saudi Arabia. Some 130 workshops and symposia have reached in excess of 6000 health professionals from 10 regions around the Kingdom.

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King Faisal Specialist Hospital B. E-Health Centre 1 -Second Opinion Consultations: The E-Health Centre has continued to support second opinion consultation with several major North American healthcare institutions. 2 -Teleradiology: Teleradiology services, the first phase of the Telemedicine Network. Four regions ere connected for teleradiology supply, namely: Eastern Province, Najran, Madinah and Qassim. Most radiology investigations can now be done at local hospitals and forwarded to KFSH & RC for professional interpretation. 3 -Tele-Education: The E-Health Centre has been very active with different components of CME: lectures, seminars and courses broadcast from several North American Institutions with an average of one event every ten days. .

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The Saudi Telemedicine Network KFSHRC – Telemedicine Program

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King Faisal Specialist Hospital & Research Centre Business Program Healthcare Reference Laboratory

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KFSHRC – Telemedicine Program Clinical Training CME Community Administrative

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King Faisal Specialist Hospital

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King Faisal Specialist Hospital

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Healthcare Automation Automation started in the Hospital in 1976 about one year after its opening in 1975. 4700 Mainframe programs covering Hospital Information System. Client-Server applications including: - Ambulatory Care- Cardiac Cath Lab- Organization and Management- ENT Clinic- MSICU- Cardiovascular- Dendrite- Physical Therapy- Incoming/Outgoing Mail- Pediatrics- Social Services- Outpatient & Inpatient Pharmacy - ORSOS - Full Laboratory Services - Cancer Registry - ANSOS - Recovery room Statistics - Utilities and Maintenance - Transportation - Infection Control - Nursing Education - Endoscopy - Medicine Department- Hemodialysis - Quality Assurance - Blood Bank - ID Badges

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Healthcare Automation INSTALLED SYSTEMS HARDWARE IBM ES 9121-311 Processor IBM MP 2000 Model 216 2 DIGITAL ALPHA 3000/600 38 INTEL SERVERS About 4,000 PC’s/Terminals SOFTWARE MVS and DB2 OS/390 Magic Operating System OPEN/VMS CICS, COBOL UNIX N.T. Windows 95 Windows 98

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Healthcare Automation INSTALLED SYSTEMS

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Healthcare Automation Systems Integration Seamless application to application connectivity on different H/W and S/W platforms.