Overview of NCEH Activities and Performance in 2020-2021
The Northern Community Eye Hospital (NCEH) provides comprehensive eye care services regardless of age, race, or financial status. The hospital's mission is to offer accessible eye care and education. With a team of 13 staff members, NCEH carries out various activities, including surgeries both at the hospital and outreach centers. The surgical department handles a range of procedures, and the hospital saw notable success in its inaugural year in 2020. Key surgical data and successes are highlighted as part of the hospital's operations and performance evaluation.
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REPORT ON NCEH ACTIVITIES 2/2020-9/2021
INTRODUCTION The Northern Community eye hospital was launched on 2nd February, 2020 and started full operation the next day 3rd February, 2020. MISSION To consistently provide comprehensive and good quality eye care to all patients, regardless of their age, race, tribe, religious and financial status in an easily accessible and affordable manner; also to provide general eye health education to the population and train eye care workers.
STAFF STRENGHT Northern Community Eye Hospital (NCEH) has a total staff of 13, with 10 full time and 3 part time employees. We have other staff outsourced as and when necessary on a daily basis.
ACTIVITIES CARRIED OUT DURING THE PERIOD UNDER REVIEW The hospital s activities are departmentalized into: OPD, Operation Theatre, Optometry, Procedure, Outreach (surgical/screening), Pharmacy.
SURGICAL ACTIVITIES The surgical department undertakes surgeries in two main ways: at the hospital and at outreach centres. At the hospital, all types of adult and pediatric surgeries are carried out. On outreach, cataract and a few pterygium surgeries are performed. In 2020 outreach was done only at Kintampo and Yeji only.
PERFORMANCE IN 2020 The year 2020 being the first year was meant to test the grounds, kick start and feel the level of acceptance by the population. At the end of the year, our successes were the following;
2 SURGICAL DATA IN NORTHERN COMMUNITY EYE HOSPITAL SICS with PC IOL at NCEH 421 ICCE with Iris Claw IOL 11 Pterygium removal 28 Evisceration 31 Oculoplastic surgeries 9 Glaucoma surgeries 3 AC washout 2 Chalazion surgeries (drainage) 8 Other surgeries 57 0 2 0
2 SURGICAL DATA C O N T I N Total number of surgeries at NCEH: 579 0 2 0 U A T I O N Of these, 75 were paediatric surgeries, all done in general anaesthesia Number of outreach surgeries: 65 Total number of surgeries: 644
2020 ACTIVITIES CONTINUED New patients visiting the clinic: 3340 Total patients visit 6784 Total eye glasses sold were 634 Out of these, paediatric eyeglasses were 54 312 lasers were performed, YAG PC and YAG PI. 265 other procedures were done including removal of foreign bodies, retro septal and subconjunctival injection, and others.
2021 ACTIVITIES: JANUARY TO SEPTEMBER 2021
Total number of surgeries at NCEH: 411 Of these, 76 were paediatric surgeries, all done in general anaesthesia Number of outreach surgeries: 308 Total number of surgeries: 795
New patients visiting the clinic: 2532 Total patients visit 4624 Total eye glasses sold were 512 Out of these, paediatric eyeglasses were 64 261 lasers were performed, YAG PC and YAG PI, Retina laser and SLT. 283 procedures were done including removal of foreign bodies, retro septal and subconjunctival injection, and others.
ACHIEVEMENTS and SUCCESSES IN 2021
During the period under review, NCEH established a working relationships with 3 other health facilities which increased the outreach centres from two previously to five. This is obvious in the increased number of cataract surgeries done on outreach from 65 in 2020 to over 300 in 3 quarters of the year. We obtained an Argon and an SLT laser thus expanding the scope of our services. Patients needing retina laser now do not need to go to Accra or to Kumasi. We obtained an anaesthesia machine thus being able to do surgery on babies younger than 2 years old and making all paediatric surgery safer.
We updated our EMR to include lasers and other procedures for easier data collection We updated our EMR to include diagnoses separately for future possible studies We introuced a credit system for patients who are not able to pay for our services fully.
First on the list is the increasing number of adult and nearly all paediatric patients who can not afford the cost of cataract and other eye surgeries. Delay in getting accredited by NHIA to accept insured client. Instruments breaking down Cost of supplies
The biggest of the lessons learnt is that provision of instant care builds confidence in both patients and the referring officers. At NCEH patients receive care the same day or latest wait for a day on arrival on referral. Especially children, this has increased the number of referrals from the previous 3-5 per month to about 5-10 per month. We give feedback on all referrals to the referring colleagues. This helps in continuity of care and boosts the working relationship.
PATIENT EDUCATION We have taken patient s education to another level. 1. Patient relatives are given the opportunity of watching cataract or other surgery on the monitor of the operating microscope, this takes away the fear that eyeballs are removed during cataract surgery. 2. They get their cataract in a plastic bag to show what we mean when we say cataract. 3. We have printed information on all the major conditions, we give this to patients based on the diagnosis and this helps them better understand their disease and makes them take responsibility in the treatment process. 4. Patient are also encouraged to google their condition by us writing down their diagnosis (ie those who can use the internet.) 5. Equally educative are the information on our website
We are constantly updating our EMR to suit our expanding services and to be able to serve our patients better. We send an automatic text reminder to each patient reminding them of their upcoming appointment. We keep all our data on Google drive and back it up on a weekly basis. We enter all our surgical data into an Excel sheet to analyze patient outcomes
TARGETS FOR 2022 Increase the number of patients we serve including OPD, in-hospital and outreach surgery Perform more community outreach Increase the number of eyeglasses and medicines we sell Getting accredited by NHIS More media presence to spread eye health information in the community
SUSTAINABILITY PLAN FOR NCEH NCEH is already sustainable except for services for non-paying patients Our income is from patients who pay for their care, and from the sale of eyeglasses and eye medications. We provide free OPD consultations for all who cannot pay and this is supported by our own IGF. As we grow, we hope we will be able to decrease our dependence on outside support even for non-paying patients, but support will always be necessary for the poorest members of society
