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InterHealth Canada -Turks and Caicos Islands Hospital Held BPSO Implementation Journey Conference

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#TurksandCaicos, June 5, 2023 – On Friday, May 26, 2023, InterHealth Canada Turks and Caicos Islands Hospital hosted a conference to showcase their implementation journey of the Best Practice Spotlight Organization (BPSO) programme at Beaches Turks and Caicos. The event saw healthcare professionals from across the industry come together face to face and virtually to discuss the implementation and impact of BPSO practices.

The BPSO is an international programme developed and led by the Registered Nurses Association of Ontario (RNAO) to guide healthcare organizations in creating a culture of evidence-based best practices.

The Turks and Caicos Islands Hospital commenced the BPSO programme journey in 2021 and has since improved on several already established critical best practices in pressure injury prevention, falls prevention and person and family-centred care aimed at advancing high patient satisfaction, patient safety, and clinical outcomes. Being recognized as a BPSO indicates a commitment by The Turks and Caicos Islands Hospital to continuously improve patient care by using the best available evidence.

The one-day conference featured a series of informative presentations by various healthcare professionals, in the persons of Mikette Been, Chief of Clinical Services, Michael Williams-Deputy Site Manager, Shantell Gardiner – Nurse Manager, Jolly Kurien – Nurse Manager; Sarah Henry – Emergency Specialist Nurse, Deniese White – Oncology Specialist Nurse who shared their BPSO implementation strategies and evidenced best practices at the Turks and Caicos Islands Hospital.

Susan McNeill, Associated Director, Guideline Implementation and Knowledge Transfer of RNAO and Douglas Moore TCI Hospital’s BPSO Consultant, presented the importance of BPSO programmes in organizations, the positive impact the programme has made in hospitals in Canada and the next steps for the Turks and Caicos Islands Hospital.

A panel discussion on nursing excellence followed presentations by the patient’s and nursing experience of the BPSO implementation.

The audience also had the opportunity to engage in lively discussions with the presenters, sharing their insights and perspectives on how the BPSO programme can drive improvements in healthcare delivery and emerging innovations in nursing education and practices.

Mikette Been, Chief of Clinical Services and BPSO Project Lead, said, “As the lead for BPSO implementation at the Turks and Caicos Islands Hospital, I have witnessed first-hand the journey we have experienced as we embraced the BPSO initiative. The BPSO implementation journey has been hard but rewarding, as hospitals must provide the best possible care for their patients and promote nursing excellence and leadership. It requires commitment from all stakeholders, including leadership, frontline staff, and patients. When fully implemented and sustained, hospitals can see vast improvements in patient outcomes, quality of care, and overall safety and nursing satisfaction.”

We are proud to have hosted this conference, and we were very grateful for the attendance and support of the Minister of Health, Hon Shaun D. Malcolm and our partners from the Ministry of Health and the private sector. We had the opportunity to share our experience with almost 200 attendees, which included our patients. The nurse speakers were amazing, and we are very proud of our BPSO knowledge experts. One of the highlights for me was our patient speakers, Ms Cindy Missick and Mrs Stephanie Johnson, who spoke passionately and shared their inspirational journeys,” said Dr Denise Braithwaite-Tennant, Chief Executive Officer  (CEO)of The Turks and Caicos Islands Hospital.

The Turks and Caicos Islands Hospital plan to continue implementing more best practice guidelines to advance the quality of care for patients and programs that support nursing excellence and leadership,”added CEO Denise Braithwaite-Tennant.

In attendance were The Minister and Health and Human Service, Hon. Shaun Malcolm, who provided opening remarks, The Chief Nursing Officer Jackurlyn Sutton and other high-ranking Government officials from the Ministry of Health and Human Services and the private sector.

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Caribbean News

Health City Surgeon Provides Hope for Critically Ill Cardiac Patients

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KINGSTON, Jamaica (August 10, 2023) – There is hope for patients suffering from critical cardiovascular issues in the Caribbean, reports one of the region’s leading cardiac specialists.

Addressing the 36th Caribbean Cardiac Society Conference last month in Kingston, Jamaica, Dr. Binoy Chattuparambil, Senior Consultant, Cardiovascular & Thoracic Surgery and Clinical Director at Health City Cayman Islands, highlighted the life-saving ECMO or extracorporeal membrane oxygenation process, a form of life support for patients, successfully and consecutively performed at the Caymanian facility.

“There is no reason for patients with reversible cardiac diseases (to) die because you can put them on ECMO and the technology is very good and our understanding (of it also) is very good,” Dr. Binoy told his peers, explaining that ECMO provides time for the body to rest and recover by doing the work of the heart and lungs.

Having saved countless lives with this technology at the Cayman Islands hospital, the respected surgeon cited a case of a child who is doing well following treatment with ECMO and transfer to the United States for a heart transplant: “Whether it is reversible pulmonary reasons or cardiac reasons, just put them on ECMO and the recovery is usually very good and we can save lives.”

In 2017, the hospital became the Caribbean’s first regional center to provide the advanced form of life support (ECMO). The hospital also installs artificial hearts or left ventricle assist devices (LVAD) for chronic or advanced heart failure patients for whom a transplant is unlikely to be readily available in the mainland United States. Health City anticipates that transplant services will be available in the Cayman Islands in the near future following the establishment of transplant laws and regulations.

The theme of the Kingston conference was “Serving and Saving the Hearts of our People Today, Tomorrow and Beyond!” and Dr. Binoy presented on “Enhancing Cardiac Surgery in the Region – Updates and Perspectives”.

The surgeon expressed his joy at seeing greater collaboration between cardiac surgeons and cardiologists throughout the region. “Now I see my cardiologists more often in our hybrid cath lab rather than outside,” said Dr. Binoy, who established the adult and pediatric cardiac programs at Health City Cayman Islands in 2014 and has overseen thousands of successful cardiac surgeries and procedures at the tertiary care hospital.

He revealed that there were no deaths or reinterventions from elective Coronary Bypass Surgery at Health City Cayman Islands and minimally invasive surgery has been successfully completed for most mitral valve defects. Additionally, aortic valve surgery has evolved over the past two decades from an open incision with a large scar to that of no incision and no scar.

Pulmonary thromboendarterectomy to treat chronic pulmonary thromboembolism is also another achievement at the Joint Commission International (JCI)-accredited institution. This procedure has been more frequently performed since the COVID-19 pandemic where patients often present with acute pulmonary embolism which can later present as chronic thromboembolic pulmonary hypertension.

In the specialized areas of pediatric and neonatal surgery, a variety of life-saving surgeries to correct defects in the heart, in collaboration with a pediatric interventional cardiologist, have been achieved at Health City Cayman Islands. Children from over 25 countries have been treated, including those families who have insufficient funds and are supported by various charities.

A broad spectrum of vascular surgery options with successful outcomes are also provided, including repair of major arteries in the chest and abdomen to treat aneurysms, and replacement of major arteries in the chest through minimally invasive or no-incision procedures.

Dr. Binoy concluded that Healthy City has “significantly contributed to the enhancement of the scope and landscape of cardiovascular surgery in the region”, and commended the Health City team for the excellent service that they have provided over the past nine years.

 

 

Photo Captions

Header: Dr. Binoy Chattuparambil addressing the cardiac conference in Jamaica.

Insert: Health City’s team at the conference included (from left): Sales and Marketing Specialist Ingrid Harris, Dr. Binoy and Rebekah Anne Brooks, Head of Marketing & Sales.

 

About Health City Cayman Islands

Health City Cayman Islands is a medically advanced tertiary hospital located near High Rock in the district of East End in Grand Cayman. The brainchild of internationally renowned heart surgeon and humanitarian Dr. Devi Shetty, it features a unique model of health care, built with a focus on the patient and rooted in innovative business models that allow the delivery of high-quality, affordable care. It is the largest hospital in the Caribbean to have earned the prestigious Gold Seal of Approval from Joint Commission International (JCI), the worldwide leader in accrediting the quality of health care. For more information visit www.healthcitycaymanislands.com.

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Caribbean News

Kidney transplant surgeries to be offered in St.Kitts and Nevis

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Rashaed Esson

Staff Writer

 

 

#St.KittsandNevis, August 5, 2023 – Kidney transplant surgeries will soon be offered in St. Kitts and Nevis as announced by Prime Minister Terrance Drew.

This development is a big one for the country’s health system and so it will provide kidney transplant services to citizens who are unable to travel overseas to acquire said services.  This was emphasized by Drew during the announcement at the Freedom FM’s Issues program held on Wednesday July 26th, 2023.

“These people are dying sooner than they should because they don’t have access to transplants.  I cannot allow our people to die when we have an opportunity to save their lives,” he highlighted.

Additionally, despite the country’s efforts to enhance health services for kidney patients, he urged residents to make better choices and take better care of their bodies adopting healthier habits such as frequent exercise, having balanced diets, maintaining blood pressure  and sugar levels etc.

But for those who fail to do so and fall victim to kidney ailments, he expressed that the aim is to have a something in place to help them.

“We want to make sure that they have an option for renal transplant and we are going to launch the renal transplant program.”

The kidney transplant surgeries will be provided at the country’s principal healthcare facility, the Joseph N France General Hospital.

In continuation, Drew further spoke to a team which will at some point in the near future, visit St. Kitts and Nevis from Canada to provide specialized training to the Haemodialysis Unit’s staff, to up the use of the recently acquired dialysis machines, further strengthening the nation’s fight against kidney diseases.

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Caribbean News

CARPHA Receives Automated Instruments to Assist in Gene Surveillance

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Port of Spain, Trinidad and Tobago, August 2, 2023 –  The Caribbean Public Health Agency (CARPHA) has received laboratory equipment to support genomic surveillance at its Medical Microbiology Laboratory for its  Member States.

The equipment was procured through the New Variant Assessment Platform, led by United Kingdom Health Security Agency (UKHSA).  This marks another milestone in CARPHA’s mission to strengthen its systems to better detect and respond to emerging diseases in the Caribbean region.

The items received are two liquid handling instruments namely, the Mosquito® HV, and the Dragonfly Discovery.

Dr. Joy St. John, Executive Director of CARPHA.  “Our overall collaboration with UKHSA has been very supportive to our work with our Member States. These devices have ensured further strengthening of CARPHA’s  gene sequencing capabilities, maintaining the cutting-edge array of laboratory services we provide to our Member States.”

“The acquisition of the instruments will serve to advance our laboratory productivity, shorten turnaround times, and reduce costs per sample.  Overall, the instruments will improve sample processing accuracy,” stated Dr. Michelle Hamilton, Head, Laboratory Services and Networks.

The Mosquito® HV is a highly accurate and precise multichannel pipetting system.  The Dragonfly Discovery enables innovative, low volume liquid dispensing that is compatible with a wide range of applications including molecular biology and genomics, and biochemical assays.

“Both devices will be used together to increase sequencing capacity by automating some of the preparation steps. These instruments will allow CARPHA to carry out multiple sample runs,  and switch between applications with minimal setup required,” explained Ms. SueMin Nathaniel, Manager of Laboratory Services at CARPHA.

The acquisition also included a supply of consumables. Laboratory staff at the CMML will receive training in the use of the instruments.

During the first half of 2023, CARPHA signed a Memorandum of Understanding with the UKHSA.  The agreement builds on a long-term collaboration to improve regional health security across the Caribbean. The MoU includes commitments to define strategies for combatting  infectious disease threats, non-communicable diseases, strengthening outbreak response, building laboratory and workforce capacity, and improving healthy safer tourism. There is specific emphasis on genomic surveillance of high priority pathogens which emerged as a new service during the COVID-19 pandemic.

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