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OBJECTIVES
PLANNED ACTIVITIES
In a few short sentences, tell us your objectives for this global grant.
The Department of Surgery of Quirino Memorial Medical Center envisions to be a center of excellence in surgery delivering state of the art surgical care molding future experts in the surgical field and . However, delivery of state of the art health care has been a challenge to us because of our lack of up-to-date technology. At present, our hospital has only 1 laparoscopic machine that is shared by 3 different departments: 1) Department of Surgery, 2) Obstetrics and Gynecology, 3) Department of Otorhinolaryngology, Head and Neck Surgery, making provision of minimally-invasive surgery to the indigent patients of Quezon City difficult. We plan to acquire another Laparoscopic Machine that would enable us to provide access up-to-date health care to the great number of patients in need.
Who will benefit from this global grant? Provide the estimated number of direct beneficiaries.
There would be 2 sets of beneficiaries from this global grant: the patients of Quirino Memorial Medical Center and the residents-in-training of Quirino Memorial Medical Center.
Quirino Memorial Medical Center is a tertiary hospital serving mainly the constituents of Quezon City. Quezon City is estimate to have a population of 2, 936, 116, with most having below average income. However, we also have patients coming in from nearby municipalities, such as Marikina and Antipolo, as well as provinces, like Laguna and Batangas, and more distant areas like Romblon and Oriental Mindoro. We are a 500-bed capacity hospital, but on average we have 1, 431 admissions per day, 247 ER patients per day, and 796 OPD patients per day. All of these patients will be potential beneficiaries of the project.
Average number of patients per day (Year 2016)
In patients 1,431
ER patients 247
OPD patients 796
In addition to the patients, the residents-in-training will also be beneficiaries of the project. As mentioned, there are 3 different departments that currently use the existing laparoscopic machine in the hospital; the Departments of Surgery, OB-GYNE, and ENT&HNS. The residents in these departments will benefit by gaining the opportunity to learn and practice their skills in minimally-invasive surgery-these skills will then be used to provide health care to the patients.
Which of the following activities will this global grant fund?
This global grant will fund mainly the acquisition of a new laparoscopic machine, hence, the daily schedule of operations of the department of surgery, and the departments of OBGYNE and ENT&HNS will greatly benefit. In addition, the new machine will be used primarily for poor communities in Quezon City and nearby towns, a joint humanitarian project of the Department of Surgery with the Rotary Clubs of Loyola Heights and Timog-QC together with their international partners . This project aims to provide free-of-charge minimally-invasive surgery (i.e. laparoscopic cholecystectomy, hernia, and colorectal surgeries)to indigent patients who will otherwise not be able to afford these procedures.
HUMANITARIAN PROJECT
Where will your project take place?
Community: Quirino Memorial Medical Center
City or Village: Quezon City
Country: Philippines
When do you anticipate your project will take place?
Within RY 2018-19
Outline your project implementation schedule.
ACTIVITY DURATION
1 Completion of Application 2 weeks
2 Local Approval of Application 2 weeks
3 Approval by TRF Coordinator 3 weeks
4 Receipt of funds 2 weeks
5 Ordering of laparoscopic equipment 1 week
6 Delivery of laparoscopic equipment 8 weeks
7 Turnover of equipment to Quirino Memorial Medical Center 2 weeks
SUSTAINABILITY
What community needs will your project address and how were these needs identified? Provide any relevant data or survey results.
The project will address the needs of patients Quirino Memorial Medical Center. For example, the Department of Surgery alone has performed 5,699 major, medium, and minor operations in 2016, 5038 total operations in 2015, and 4677 total operations in 2014. Of these total number of operations, 158 were done as minimally-invasive in 2016, 130 in 2015, and 75 in 2014. Minimally-invasive surgeries performed by the department include laparoscopic cholecystectomies, appendectomies, and colorectal surgeries. We are looking to improve these numbers and their outcomes with the addition of a new laparoscopic machine.
Year Total number of operations Total number of minimally-invasive operations
2014 4677 75
2015 5038 130
2016 5699 158
Detail how your project will address these community needs.
The project will address the needs of the community by providing access to minimally-invasive surgery to the indigent patients of Quirino Memorial Medical Center, who do not have the means for such.
In the Philippine setting, laparoscopic surgery is available mostly in private hospitals and accessed mostly by private patients. In the previous years, the Department of Surgery in Quirino Memorial Medical Center has been able to offer laparoscopic procedures to our patients. However, this has been greatly limited considering that the department has had to work around scheduling laparoscopic procedures with 3 different departments sharing 1 machine. By acquiring another laparoscopic machine, the Department of Surgery, as well as the 2 other departments will be able to schedule more laparoscopic procedures than before. Hence, we would be able to provide better outcomes to more patients, such as:
• Decreased hospital stay
• Shorter recuperation time
• Faster return to work
• Less post-operative pain
In addition to benefits to the patients, the project would also address the training requirements of the residents training in the Department of Surgery. The Department of Surgery is a fully-accredited training program under the Philippine Society of General Surgeons (PSGS). Based on the newly revised manual for accreditation of the Philippine Society of General Surgeons, residents-in-training are required to accomplish a number of laparoscopic procedures. Thus, another laparoscopic machine will enable the residents to learn and develop skills in minimally-invasive-surgery for their training.
How were members of the local community involved in planning the project? Does your project align with any current or ongoing local initiatives?
A joint project of the Department of Surgery with the Rotary Club, District 3780, aims to provide free-of-charge minimally-invasive surgery to indigent patients. This project would involve the aforementioned clubs who will be managing the grant and primarily be responsible in contract bidding and purchasing the laparoscopic machine. In addition to the Rotary Clubs, the local community will also be greatly involved because we would be tapping the local health officers and community leaders in organizing the community members who will become patients of the program. These local health officers and community leaders will be working with the local
Describe any training, community outreach, or educational programs, if applicable, and who will conduct them. How will recipients be selected?
The training program of the Department of Surgery of Quirino Memorial Medical Center will be the main recipient of the laparoscopic machine. The chairman of the department, Dr. Romeo Abary and the training officer, Dr. Joel Celaje IV, will spearhead the training of the 15 surgical residents in laparoscopic procedures. These 15 residents are automatically selected by virtue of their acceptance into the program of General Surgery. Moreover, the consultants along with the residents will be the main providers of health care to the patients who will then be under the MIS para sa Masa program.
Patient-recipients of the MIS para sa MASA program will be chosen according to financial need. All charity patients, from the Er, OPD, or those endorsed by the local government, who are residents of Quezon City who are contemplated to undergo a minimally-invasive procedure will be enrolled in the program.
AREAS OF FOCUS
Disease prevention and treatment
Which goals will your activity support?
Our activity will support the following goals:
1. Improving the capacity of local health care professionals
2. Preventing physical disability resulting from disease or injury
How will you meet these goals?
1. Improving the capacity of local health care professionals
Access to a laparoscopic machine will allow the surgical residents of Quirino Memorial Medical Center to acquire, develop, and polish skills in minimally invasive surgery. Indirectly, the addition of a laparoscopic machine will also allow OBGYNE and ENT&HNS residents to have more access to the existing machine
2. Preventing physical disability resulting from disease or injury
Access to a laparoscopic machine will allow patients of to avail of minimally-invasive surgeries (i.e. laparoscopic cholecystectomy, appendectomy, colorectal surgeries). By doing so, these patients may be able to undergo procedures that would enable them to get back to work sooner because of the associated decreased hospital stay and decreased post-operative pain. In addition, they will be able to avail of these procedures at fees subsidized by the hospital. This will greatly aid in preventing the people of the community from having disabilities due to diseases, because most of the time, these indigent patients forego surgical procedures thinking that they do not have the financial capabilities for these procedures or that they will not be able to work immediately after these procedures.
How will you measure your impact?
No. Measure Measurement Method Measurement Schedule Target
1 Number of medical and health professionals trained Hospital/Department records Every year 15
2 Number of recipients of disease prevention intervention Public records Every year 300
Who will be responsible for collecting information for monitoring and evaluation?
The residents-in-training are responsible for collecting information of all surgeries they have performed for the department census as well as for the Philippine Society of General Surgeons Resident's Logbook. These will be the basis for the monitoring and evaluation of the project.
Project Cost
The most popular laparoscopic equipment in the market are the ff brands:
Brand Price, USD
1. Olympus (Japan) - 300,000.00
2. Pentax - 300,000.00
3. Karl Storz (Germany) 300,000.00
4. Olive (USA) 88,000.00
We will be procuring the Olive brand which is compatible with those popular brand in the market in terms of quality, delivery and after sales service support.
Role of primary host club / members :
1. Regular monitoring/coordination with implementing institution
2. Project promotion via various media outlets/groups
3. Patient referral / background check service
4. Reportorial requirements
5. Liquidation and stewardship
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