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
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10th International Mission As we host our third international mission in the GC4 facility (and 10th in Guwahati overall), a great group of dedicated volunteers from India and abroad has joined our core team. This combined team has delivered a fantastic performance, expanding our care and providing countless additional avenues for training and education. The exchange between full time staff and visiting volunteers has been impressive, all working together to provide safe surgeries and beautiful results for our children. 1,000th Patient: The number of underserved children that receive quality long-term care is constantly increasing. The total number of children in Assam that have received surgeries by Operation Smile will soon surpass 4000, and the committed GC4 facility has ensured that this will continue towards a cleft free state. Next week, we will complete our 1,000th case at the new facility!
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Staff: A core mission of this project is to create a center that provides true excellence in comprehensive cleft care, located in a region with intense need. Our Team is the heartbeat of this initiative, and works tirelessly to fulfill our ambitions. International specialists are working side by side with Indian counterparts to provide personal and patientcentered care, and our awesome administrative staff guides patients through the treatment process. We are continuously recruiting and training local providers and staff, to increase our capacity in order to achieve a fully sustainable system of care in the region. Education: Education and training are central to providing quality care and expanding our mission. Our staff has completed the first round of BLS, ACLS, and PALS training. Most of our staff (medical and nonmedical) is now trained in basic life support techniques, and 43% of all healthcare providers at our center now hold PALS accreditation.
Additionally, students and educators from India and abroad rotate through GC4 on a regular basis and bolster our community of learning.
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Patient Counselor Program: 87% of the population of Assam resides in rural and isolated regions, prompting us develop our team of Operation Smile Patient Counselors. Selected from our most committed student volunteers, these young men and women are traveling throughout the state to increase our penetration into rural communities, helping patients break through the barriers to them obtaining treatment. This is vastly improving our ability to identify, educate, and organize surgery for our patients. Patient Follow Up Program: Our recently revamped follow-up campaign is demonstrating substantial increases in patients returning for evaluations and future treatments. September is not yet complete, and we have seen 333 patients so far.
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Also exciting is our initial effort to take follow-up camps out into rural communities. On September 12th and 13th we completed our first district based follow up camp, where doctors and Patient Counselors examined 141 patients in Morigaon, who would not have otherwise received these evaluations. Our speech therapist initiated our district based therapy program, seeing 43 patients for vital education and teaching another 94 village-based Resource Teachers in basic techniques of therapy in order to provide ongoing care. Additional local follow up camps are being scheduled in October and November.
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Division of Research and Outcomes:
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Our goal is to define and improve the quality of our own performance, and ultimately to contribute to the knowledge, standards, and practices of cleft care worldwide. Six recent research fellows from abroad have greatly pushed forward our data collection, and an Institutional Review Board has been created in India to oversee and guide our projects.
Operation Smile India Institutional Ethics Committee Policies and Procedures Manual
GC4 Gets a Facelift: ! Our Team is constantly working to improve the function and appearance of the physical space that is GC4. It is a modern and remarkable facility, and was recently decorated to reflect its focus on care of pediatric patients. Wherever children look, they are now greeted GC4 PATIENT WARD IMPROVEMENT PLAN with images that reinforce an environment of safety, care, and fun. Goal: Transformation of Operation Smile GC4 patient ward into a beautiful, child friendly, and efficient space to facilitate excellence in patient care as they proceed through their surgical journeys. !
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Adapted from The Guidelines for Preparing Standard Operating Procedures for IECs
The patient ward must support the surgical facility running a n d three H u mtables a n R full e s e time. a r c h (28 b y Total t h e Beds) Indian Council of Medical Research o 12 pre-op + 12 post-op patient beds (including two monitored beds) ! Layout that separates division between pre-op and post-op patients o 4 beds for patients requiring longer inpatient stay or readmission Education area with TV and multimedia capacity to facilitate and1enhance GC4 postoperative education protocols for improved patient and family understanding and proper care after surgery. o Will also function for patient education on nutrition, speech, and dental care programs o Will be available for patient entertainment outside of education activities ! Cartoons and movies for patents and families ! Play area for toys and child life activities ! Storage of education and child life materials Nursing and Pediatrician station and counter space Adequate storage space for all patient care and nursing materials Renovated toilets for patients and staff Controlled entry points and complete separation from other MMC facilities The patient care ward must be beautiful, comfortable, and cater to Pediatric patients in a manner that will compliment our mission of extraordinary care throughout the treatment process. This will combine with the GC4 surgical facilities to set the standard for excellence in care to underserved cleft patients. Access Doors
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