Page 5 - الحقيبة التدريبية لنموذج الرعاية ومسار الحوامل
P. 5
Last Phase Keep Well
• Establish a Multidisciplinary team • Set up a Keep Well function within the cluster, responsible for
• Initiate DNR usage in 1 hospital all Keep Well interventions
• Develop a centralized Palliative Care Unit in 1 hospital
• Develop 10-bed hospice in the cluster • Deploy 50 Health Coaches in 6 PHCs
• Train caregivers for all last phase patients treated at home • Develop and implement educational programs in ~120 schools
• Set up a Workplace Wellness unit within the cluster to
Chronic Care
coordinate with the National Body
• Strengthen screening programs for 10 chronic conditions in 6 PHCS
• Provide and coordinate care for 10 chronic diseases in 6 PHCs Planned Care
Urgent Care • Establish a OSC for lap. Cholecystectomy treating
Gallbladder Disease in 3 hospitals
• Develop 6 Urgent Care Clinics
• Implement stroke, trauma and ACS3 pathways as part of regional pilot • Establish a OSC for Abnormal Uterine Bleeding in 3 hospitals
• Establish A resource control center focused on inter-facility transfer • Establish a Pathway Optimization function working across all
hospitals with planned procedures capabilities focusing on
OR and Radiology
• Enhance one day surgery and establish minor surgery in
OPDs in 4 hospitals
• Design a committee to improve discharge management
serving 3 hospitals
• Establish wound care clinic in 4 hospitals for SSI, DSF and
Chronic Wound
Safe Birth
• Implement premarital screening clinics in 6 PHCs
• Manage low-risk pregnancies through an ANC in 6 PHCs
• Enhance Post-Natal Care Services in 6 PHCs
• Strengthen Well Baby Clinics in 6 PHCs
