Medical  Programs  Goals  and  Strategic  Plan  

 

GC4 Update

September 2011

Namaskar

It is our pleasure to update you on the Guwahati Comprehensive Cleft Care Center. This unique public private

partnership is making daily progress towards achieving our goals of Increased Capacity, Decreased Costs, and a Cleft Free Assam. September has been another month full of progress and evolution at GC4, and we very much hope you enjoy this update.

--Team Guwahati

Scalable, Sustainable, and Cost-Effective Surgical Care  

June, 2014

 

GOAL  #1:  To  be   one  of   the  highest   volume   cleft   centers   in   the  world  with  anesthesia  and  surgical  outcomes  rival  those  in  the  developed  world.  

 

Total Surgeries May  2011-­‐May2014    

 

 

ü 100%  local  Leadership:  Surgery,  Anesthesia,  Nursing  ü 16  medical  staff  internationally  credentialed  with  OS  and  10  regionally  credentialed  

 ü 4  GC4  Surgeons  appointed:  

  Clinical  Assistant  Professors  of  Surgery    

ü International  Rotations  to  Centers  of  Excellence:  (Surgery  6;  AN  2;  Nursing,  Dental,  Child  Life,  Pt.  Care  1)    

ü Visiting  Professors  Program  hosts  top  international  authorities:    

Plastic  Surgery:  

Pediatric  Anesthesia:  

Dr. Bill Magee (Operation Smile, USA) Dr. Don Mackay (Penn State University, USA) Dr. Ron Zuker (SickKids Hospital, Canada) Dr. Greg Borschel (SickKids Hospital, Canada) Dr. Arun Gosain (Lurie Children’s Hospital, USA) Dr. Jan Lilja (University of Gothenburg, Sweden)

Dr. Peter Radell (Karolinska Hospital, Sweden) Dr. Chris Cressy (Karolinska Hospital, Sweden) Dr. Peter Frykholm (Karolinska Hospital, Sweden) Dr. George Politis (University of Virginia, USA)

Dr. Henry Kawamoto (UCLA, USA) Dr. EJ Caterson (Brigham and Women’s / Harvard, USA) Dr. Joe Williams (Atlanta Children’s, USA) Dr. Jesse Taylor (CHOP, USA) Dr. Detlev Erdmann (Duke University, USA) Dr. Krishna Rao (PS, Maaya Foundation, India) Dr. Sunil Richardson (PS, Richardson’s Hospital, India)

Dr. Peter Radell (Karolinska Hospital, Sweden) Dr. Chris Cressy (Karolinska Hospital, Sweden) Dr. Peter Frykholm (Karolinska Hospital, Sweden) Dr. George Politis (University of Virginia, USA)

p Advanced  Skills  Development  p Enhancement  and  Diversification  of  Surgical  Services  p Evolution  of  Medical  Leaders  p Surgical  Outcomes  Program  p Regional  Referral  Center  for  NE  India  p Increased  Outreach  Missions  from  GC4  

SURGICAL  EXCELLENCE  

 

GOAL  #2:  To  be  at   the   forefront  of   innovation   in  order   to  conquer   the  challenges  of   real  multidisciplinary  care  for  children  in  in  the  developing  world.  

 

Speech Therapy (2013-­‐2014)  

Patient  Education  Materials  Developed  § Home  Therapy  Manuals    § Home  Therapy  Videos    § Home  Therapy  Materials  Packages    

Dental and Orthodontics

§ Perioperative  services  and  counseling  to  100%  of  patients  and  families    § >  500  patients   have   “graduated”   from   the  GC4  nutrition  program  and  received  successful  operations.  

 

Expansion  and  Evolution  of  Services  § Orthodontics   program   initiated   with  local  cleft  orthodontist  

§ Nasoalveolar  molding  (NAM)  has  been  performed  >  50  patients    

Child Life and Nutrition  

p Speech   Therapy   Outreach   Centers,   with   GC4   speech   therapists  training  and  supporting  local  resource  teachers  as  ST  extenders.  

p Dental  Outreach  Program  for  treatment  and  patient  education  p Guwahati-­‐NAM  (G-­‐NAM)  device  prototyped  in  partnership  with  Croleon  

Innovation  Labs  in  Pune  to  provide  more  effective  presurgical  molding    p Advanced  skills  development  of  multidisciplinary  specialists  p Development  and  evolution  of  Orthodontics  Program.  p Pilot   project   funded   (USAID   and   Dimagi)   uses   cellphones   to   follow  

nutrition  patients  by  partnering  with  ASHA’s  to  collect  data  and  send  to  nutrition  team  at  GC4  for  monitoring.  

 

COMPREHENSIVE  CARE  

GOAL  #3:  To  be  a  center  of  education  and  training  that  will  serve  as  a  central  resource  for  human   resource   development   for   Operation   Smile   and   the   hub   for   an   ever-­‐expanding  network  of  centers  and  missions.      

 Education, Training, and Research Rotations at GC4

ü International  rotations  in  Surgery,  Anesthesia,  and  Nursing  formalized  and  accepted  for  credit  by  home  education  institutions.    Excellent  engagement  of  students  /  trainees  in  research.  

ü 41  visiting  professor  rotations  have  taken  place  at  GC4,  with  professionals  representing  20  institutions  from  5  countries.  

ü Advanced  skills  workshops  in  rhinoplasty,  velopharyngeal  insufficiency,  orthognathic  surgery,  difficult  airway.  

ü The  International  Conference  on  Comprehensice  Cleft  Care  was  held  in  Guwahati  in  November,  2013  and  included  professionals  and  stakeholders  from  22  countries.  

Cleft Surgery Training Program  

Child Life Training Program  

ü First  four  fellows  selected  (India,  DRC,  India,  Malawi).  ü Rotation  to  SickKids,  Penn  State,  and  Operation  Smile  HQ.  ü Full  curriculum  online  at  www.cleftacademy.com.  

*    

 

p Anticipated  launch  January,  2015  

p Anticipated  launch  October,  2014  

 

Gap Year Student Program  

p Anticipated  launch  January,  2015  

 

Cleft Anesthesia Training Program  ü First  fellow  (Bolivia)  to  begin  July,  2014.        ü Rotation  to  SickKids,  Penn  State,  Operation  Smile  HQ.  ü Full  curriculum  finished.  

ü 127  rotators  from  15  (+)  countries  have  come  to  GC4  specifically  for  participation  in  education,  training,  and  research  and  involving  all  medical  divisions.  

February 6-8, 2015

ü AHA training site ü 5 certified AHA

instructors ü 260  BLS  ü 60  ACLS  ü 135  PALS    

   

Cleft Nursing Training Program  

EDUCATION  &  TRAINING    

GOAL  #4:  To  be  a  center  of  research  that  takes  advantage  of   its  volume  and  expertise  to  offer  the  academic  literature  data  that  will  redefine  best  practices  in  care.  

 

§ Harvard  Global  Health  Institute  § Harvard  Dept.  of  Global  Surgery  § Brigham  and  Women's  Hospital  § Boston  Children’s  Hospital  § Karolinska  University  Hospital  § University  of  Southern  California  

§ Penn  State  University  § SickKids  Hospital  § Emory  University  § University  of  Pennsylvania  § Denver  Children’s  Hospital    § Universidad  Autónoma  de  

Barcelona  

ü Awarded   lead   articles   in   special   edition   of   the  Journal   of   Craniofacial   Surgery   (September,   2014)  focused  on  cleft  surgery  in  India.      

§ University  of  British  Colombia  § University  of  Vermont    § London  School  of  Economics  § Croleon  Innovation  Labs  § Operation  Smile  International  § Operation  Smile  India  

p Evolve  and  Enhance  Partnerships  p Dedicated  Research  Staff  p Grants  and  Funding  p Database  Optimization  p Surgical  Outcomes  Program  

 

RESEARCH  &  OUTCOMES  

ü Structured  Division  of  Research  &  Outcomes  ü OS  India  IEC  provides  ethical  oversight  

ü Research   collaborations   with   numerous  academic  partners:  

GOAL  #5:  To  use  advanced  medical  technologies,   IT  applications,  management  strategies,  and   resource  utilization   to  provide   the  best   treatment  available   to  the  highest  number  of  patients  possible.  

 ü Success  of  Public  Private  Partnership  Model  ü Innovative  Patient  Mobilization  Strategies  and  

Patient  Counselors  Program  

ü Comprehensive  Policies  &  Procedures    

ü Proven  Patient  Education  Programs  

ü Quality  Assurance,  Continuing  Medical  Education,  Morbidity  &  Mortality,    Journal  Club  

ü Productive  Organizational  and  Management  Structure  

ü Innovative  Patient  Care  Processes  have  provided  more  than  16,000  screening  examinations,  11,000  surgeries,  and  13,000  follow  ups  in  Assam  since  2009.  

ORGANIZATIONAL  OPTIMIZATION    

ü GCCCC  model  proven  to  be  very  cost  effective  while  investing  92%  of  expenditures  into  local  workforce,  infrastructure,  and  economy.  

p Telemedicine  for  global  teaching  in  cleft  care.  

p Enhanced  education  materials.  p Electronic  medical  record.  p Data  and  PIT  photos  to  iCloud.  p Social  media  to  engage  

partners  and  supporters.  p Expanded  and  enhanced  

physical  infrastructure  with  3rd  floor  addition.