MSVP ffice

Medical service vice provost (MSVP) office is a management branch office within the SPHMMC that answers directly to the provost of the hospital and is mainly responsible for the overall medical care that is provided within the hospital. MSVP has ten directorates under its wings including outpatient, inpatient, operation theater directorate, emergency and critical care, nursing and midwifery, pharmacy, biomedical engineering, infection prevention, laboratory and  quality  directorate. The office mainly works in overseeing, monitoring and assisting the ten directorates in their responsibilities and their working relation with the hospital departments and the entire community in order to make sure there is a smooth and comprehensive approach to the medical care service provided by the hospital. MSVP office is also responsible in initiating and overseeing Quality improvement projects that are undertaken by the hospital staff especially in terms of improving the work flow of the service and improvement in working procedures. It has also started working into creating a proper stage for displaying the numerous improvement works that are carried out by the directorates and departments under it by organizing quality summits, that allows the entire hospital community to be engaged into the improvement works and provide their diverse expertise in one place and provide that stage for the healthcare community from outside the hospital to be able to see the works undertaken. Cultivating problem solving culture and a sense of responsibility to the community we serve by working tirelessly towards not only providing service but quality health care service is the motto of the MSVP of st pauls hospital millennium medical college.

Best initiatives in medical service

The departments and directorates under the MSVP of SPHMMC have initiated and carried out different valuable initiatives over the years mainly aimed at improving the care we provide. Some of the best examples are as follows

NEST ( newborn examination, stabilization and treatment) room initiative

This project was initiated by the joint forces of the pediatrics and gynecology departments on Hamele 5, 2014E,C at SPHMMC labor ward to address the high demand on neonatal intensive care units, especially with avoidable admissions. This initiative aims at creating an observation and treatment protocol for neonates that are deemed at high risk but not necessarily meeting the admission criterias for NICU, so some workups are done at NEST rooms that are best used for proper and early decision making for the follow-up care. The best part of all this is the care is being provided without separating the neonate from their mothers.

NEST provides care for at least 7 to 9 babies each day, treatment being carried out by a staff of 2 nurses at a time on rotation with neonatal care experience and pediatric department residents available 24/7 at the room. During the year 2016 EC the team has accepted about  3,919 neonates that needed some level of care, which ordinarily would have been admitted to the NICU for work up and discharged over 3,408 babies directly after providing the necessary work up and care, while preventing their admission to the NICU.

Caregivers skill training (CST) for children with developmental disorders

By the department of psychiatry

The department of psychiatry at SPHMMC, especially the child and adolescent care unit, established this program taking into consideration the large gap in attention that is given to the overall mental health care of children and adolescents in our country. This issue is a huge problem as more than 50% of the country’s population is considered young.

The CST initiative has been carried out in SPHMMC psychiatry department for more 7 years now providing an out-patient service with the main aim of giving parents and caregivers of children with developmental disorders the ways to support their children the best way possible. This includes methods of communication and play, the ways of promoting adaptive behaviors and learning, techniques to reduce challenging behavior and ways of self-care.

The sessions have 3 home visits and 9 training sessions that are carried out over the course of 9 weeks and so far 12 groups have graduated from the training. There are three groups that are taking these sessions simultaneously at the current time with over 250 caregivers registered on the waiting list. The department of psychiatry at SPHMMC has been devoted to the continuation of this program by going as far as to incorporate it into its residency teaching curriculum.

Critical care excellence – well rounded care

By SPHMMC adult intensive care unit (ICU)

The adult ICU unit of SPHMMC have vowed to not only make the service that is provided by the unit the best possible care in the hospital and the country but to be a center of intensive care academia. The critical care service that is given at the hospital by the adult ICU team has shown tremendous improvement in the overall outcome of our patients lives. These improvements include very low icu acquired illnesses, alarm-free icu environment, effective data utilization, family engagement, compassionate nursing care. multi-disciplinary collaboration, decreased mortality rate and reduced length of stay. The unit is also making strides in the line of academia excellence by having developed the first fellowship curriculum in the adult intensive care unit; post graduate in respiratory therapy and critical care nursing, is also providing fellowship training in adult intensive care medicine, post graduate education in respiratory therapy and masters in critical care nursing. Research output in critical care medicine by the unit is an exemplary one too as the department has at least 10 research outputs per year while also mentoring and coaching of smaller ICUs in the country. The team aspires to continue their work and aims of becoming the first ECMO center in east Africa and increasing bed capacity to 50 beds. In terms of continuing academic excellence they hope to open specialty ICUs including neuro critical care and cardiac ICU.