ACTIVITY ONE: PROVIDING A HIGH VOLUME OF HIGH-QUALITY TRAUMA CARE.
Road accidents in Cambodia are increasing by almost 30% each year, and for this reason the cases presented at the World Mate Emergency Hospital are also increasing by 30% per year. Today road accidents claim more victims in Cambodia than HIV, Malaria and TB combined.
In addition to road accidents involving pedestrians, bicycles, motorcycles, cars, trucks, buses and other common vehicles, there are many other types of trauma victims who are also cared for at the hospital. Common sources of trauma include household injuries, accidents related to falls from trees and other structures, industrial accidents in factories, accidents involving agricultural equipment, trauma from domestic violence (including gun shots and knife wounds), land mine injuries that are often very complex, and unfortunately an even higher number of accidents related to unsupervised children and young people who find, open and then ignite unexploded ordinance left over from the war.
There are very few trauma centers in Northwest Cambodia, and even fewer that can accept complicated cases. For this reason the 110-bed World Mate Emergency Hospital receives more than 1,000 trauma victims per month, and more than 250 of these patients require a complex surgical procedure, in-patient care and some form of rehabilitation.
Many of the patients who are hospitalized at the World Mate Emergency Hospital arrive with a life-threatening condition. Because the hospital has only 110 beds and a limited amount of resources, the total patient volume has to be controlled by following a patient admittance policy that gives the highest priority to the patients with the most life threatening conditions.
ACTIVITY TWO: CONTINUOUS IMPROVEMENT.
The management team of the World Mate Emergency Hospital is constantly striving to find the right balance between the quantity of patients who can be cared for on any given day, and the amount of training that can be provided to the staff members delivering that care. This is especially true in a busy trauma hospital. Careful attention is given to how many hours each staff member spends providing patient care, and how many hours the same staff member spends on training and being trained. Continuous improvement in the pursuit of medical excellence is a key part of the culture.
The average level of education provided to medical professionals in Cambodia, both during their university studies and in the field, is very low. For this reason it is very difficult to hire well trained doctors and nurses from the community. Instead, new staff members at the World Mate Emergency Hospital need to receive additional training for one to three years to maintain the high standard of practice maintained at the hospital. This training is provided by both foreign and local medical professionals, and by both employees and volunteers. Every doctor and nurse on staff at the World mate Emergency Hospital is required to spend time every week receiving both classroom instruction and on-the-job training.
In addition to recruiting long-term foreign medical professionals, the management team is also setting up a network of qualified short-term medical volunteers who can visit the World Mate Emergency Hospital on an annual basis to teach specific modules of training. Experienced medical professionals who are interested in participating in this program are encouraged to contact the management team.
ACTIVITY THREE: PROVIDING EQUAL CARE AND SUPPORT TO THE POOR.
In most parts of the Cambodian healthcare system, patients receive care based on their ability to pay for that care. If a patient is poor, or when a patient runs out of money, they are often left alone or transferred across to a lower cost, lower quality facility. At the World Mate Emergency Hospital, we are devoted to doing exactly the opposite of this.
This is, of course, only made possible through the generous funding that is provided every year by the World Mate organization in Japan. However, the needs in Cambodia far exceed the amount that one organization can provide. To maximize the impact of the World Mate Emergency Hospital, efforts are being made to attract additional resources to the hospital.
The World Mate Emergency Hospital works to attract additional resources in the form of grants, in-kind donations of supplies and medicines, the development of individual donors (including funds raised through charity concerts, for example), and the recruitment of long-term medical professionals who are willing to volunteer for a period of time. Throughout 2013 the hospital has been fortunate to receive grants from several organizations, in-kind donations worth tens of thousands of dollars, and dozens of medical volunteers willing to provide care and training, either for free or for a small stipend.
Another source of funding is locally collected donations. The country of Cambodia is growing at 6-9% each year, and an increasing percentage of the population – approximately 25% – have the ability to travel and pay for their medical care. As the only hospital in the region providing complex trauma care, both the rich and the poor arrive and can expect to be cared for when they suffer an accident.
STATISTICS FROM THE WORLD MATE EMERGENCY HOSPITAL (DECEMBER 2013)
Originally Opened: March 1998
Total In-Patient Beds: 110 (Surgical ICU 10, Medical ICU 10, Three In-Patient Wards 90)
Total Employees: 190 (Foreign Medical Professionals 3, Foreign Administrator 1, Foreign English Teacher 1, Doctors 7, Nurses 78, Pharmacy 1, Radiology 6, Laboratory 1, Housekeeping 35, Security 23, Administration 5, Finance 3, Procurement/Warehouse 3, Maintenance 7, Physiotherapy 5, Cooks 5, Gardeners 4, English Program 2)
Total Trauma Patients Served: 1,250 per month (a run rate of 15,000 per year as of Dec. 2013)
- 250 of these per month are in-patients who received major surgery, stay for two weeks and have rehabilitation
- 1,000 of these per month are out-patients who receive minor procedures and first aid
- Overall 45% of the patients are men, 30% women and 25% are children.
Historically: Since 1998 the hospital has served more than 240,000 trauma victims and performed more than 48,000 major surgeries. These trauma patients are victims of road accidents, land mines and other accidents.