Tuesday, 5 July, 2022
E-paper

BSMMU: A Super Specialized Hospital and Multidisciplinary One-Stop Crisis Management Centre

Prof. Dr. Md. Sharfuddin Ahmed

BSMMU: A Super Specialized Hospital and Multidisciplinary One-Stop Crisis Management Centre
Prof. Dr. Md. Sharfuddin Ahmed

Introduction:

The Government of Bangladesh through the Ministry of Health and Family Welfare (MOH&FW) is going to establish the country’s first ever Super Specialized Hospital very soon. It is one of many mega projects of the government and a dream project of MOH&FW. This project is being funded by the Economic and Development Corporation Fund (EDCF) Korea, for a very low interest rate and satisfactory grace period.

On 13th September 2018, Honourable Prime Minister Sheikh Hasina laid the foundation of this Hospital with a vision “Special Healthcare for All”. The structure of the Super Specialized Hospital is being constructed by Hyundai development company, Korea and medical equipment will be supplied by Samsung C&T Corporation, Korea whereas design and supervision is being carried out by Sunjin Engineering and Architects, Korea from the beginning of the project. For overall management, BSMMU has been playing the leading role with significant guidance and direction from MOH&FW and Economic and Relation Division (ERD).

Under the project, a nine-storied hospital building with three basements is being built at  the BSMMU alongside procuring modern medical equipment and furniture for the hospital. The hospital will have 800 beds with 05 Specialised Centres which are:

•             Cardio and Cerebro Vascular Centre, (Stock Centre)

•             Hepatobiliary and liver Transplant Centre

•             Mother and Child Health Care Centre

•             Kidney Disease Centre and

•             Accident and Emergency Centre.

According to the need of the country, there will be provision for VVIP/ VIP cabins, isolated cabins, wards, surgical intensive care unit,(SICU) medical intensive care unit (MICU), coronary care unit (CCU), neonatal intensive care unit (NICU), and pediatric intensive care unit (PICU) etc.

Foreign and local specialized doctors and academicians will attend the hospital for special medical consultancy and surgical operations. For smoother operation and management of the hospital local physicians, doctors, medical stuffs and administrative personal is being trained by the expert from EUUI University, Korea.

Keeping in mind that the Specialized Hospital bears the name tag of Father of the Nation Bangabandhu Sheikh Mujibur Rahman, the university strongly wishes to fulfil the dream of the Father of the Nation for bringing adequate health care for all.

To date, we have come a long way in fulfilling his dreams; the nation enjoys a healthy motherhood, healthy children, healthy nutrition, sanitation, hygiene and what not, to    such an extent that many of our neighbouring countries feel envious. Yet then a lot of foreign currency is draining out every year from the country as many people travel abroad to attain specialized treatment.

The Specialised Hospital wishes to break that trend by ensuring latest medical services available for all people in the Super Specialized Hospital. After commencement of the Super Specialized Hospital roughly around 150 Crore BDT will be saved from treatment cost abroad every year.

We eagerly wish that through competency and capability Bangabandhu Sheikh Mujib Medical University Super Specialized Hospital will definitely continue to fulfil the role of number one public hospital in Bangladesh.

History of Super Specialized Hospital:

On 2nd February 2016 the Government of Bangladesh approved the Super Specialized Hospital of  Bangabandhu Sheikh Mujib Medical University (BSMMU) project with an outlet of Taka 1366.34 core, aiming to expand BSMMU’s scope of health services.

The approval come from a meeting of the Executive Committee of the National Economic Council (ECNEC) held at the NEC conference room with ECNEC chairperson and Prime Ministers Sheikh Hasina in the chair. Out of the total cost of the project taka 145.07 core will come from the state, taka 173.93 from the organization on fund while taka 1047.34 as project assistance from Korea Economic Development Cooperation Fund (EDCF). Ministry of Health and Family Welfare will implement the project.

The main objectives of the project are to established a ‘Centre-Based Healthcare Delivery System’ through modernization of medical care and management, improve the specialized health care service delivery as well as reduce the dependence on foreign countries ensuring medical treatment for critical patients in the country, introduce evidence - base medicine through clinical research and thus build effective reference linkage for improving the standards of health care services. For implementing the project a loan agreement has already been signed with the Korean side at an interest rate of 0.01% with a grace period of 15 years to be repaid in 40 years.

Facilities at Super Specialized Hospital:

The Super Specialized Hospital, considering its role and function, will have an advance information system named as Hospital Information System (HIS). To be standing as digitalised hospital, under this remarkable tool HIS, it will have cutting edge information systems like PACS (Picture Archiving and communication system), OCS (Order Communication System), advance EMR (Electronic Medical Reports), App-Based Interactive Platform, Integrated Appointment Management (app-based) etc. A functioning trend of Evidence Based Medicine (EBM) will insure through digital management of patient with the help of this fully automatic Hospital Information System (HIS).

These centres are as follows-

Accident and Emergency

Centre:

In Emergency and Trauma Centre it will hold 100 beds including 50 beds for observation. Trauma treatment room will be facilitated for operation theatre. 18 beds in addition to 8 bedded special child treatment room; modern equipment and diagnostic facilities e.g. CT Scans, x-rays and MRIs will be in uninterruptible service for faster and effective treatment.

Kidney and Urology Centre:

A kidney centre of 20 beds will be in excellent service where modern dialysis facilities and kidney transplant will be ensured.

Mother and Child Healthcare Centre:

This will accommodate diverse medical services consist of adequate ICUs, Labour Rooms, C section, Recovery Rooms etc. For PICU 10 Units and for NICU 10 units has been considered..

Cardio and CerebroVascular Centre:

In this centre a comprehensive treatment of Cardiac disease will be provided including Cardiology, Cardiac surgery, Pediatric Cardiology, Vascular Surgery and Stroke Centre.

Hepatobiliary & Liver Transplant, Hepatology and Gastrointestinal Centre:

In this centre comprehensive treatment of gastrointestinal and liver diseases will be provided including liver transplant.

Intensive Care Unit (ICU):

They are will be 100 bed ICUs; separate ICU for surgical and medical patients; 25 beds for surgical patients, 25 beds for medicine patients, 25 beds for cardiac patients and 15 beds for neonatal and 10 beds for pediatric patients.

This super specialized hospital will have 10 modular operation theatres where critical operation will be performed with modern tools and equipment.

In a nutshell with the establishment of this centre-based specialized hospital, it will be possible to deliver customised care to contribute more keenly in the National Health Policy. Everyday 3000-5000 new patients will be able to get treatment at the outpatient centres of the super specialized hospital and a total of around 22,000 indoor patients will get treatment every year.

Manpower management:

Once this Super Specialized Hospital initiates its operation, more work scopes and employment opportunities for the healthcare workers of all levels will be surely created. A total of 1,000 healthcare workers will have employment in the Super Specialized Hospital. Prior to establishment of the hospital, skilled man power from South Korea will be providing cares in the specialized hospital thus ensuring effective management and transfer of knowledge to the newly appointed manpower.

Among those 140 healthcare workers including 80 physicians, 30 nurses, 10 medical technicians and 20 administrators from BSMMU will be trained in South Korea. As a part of in-house training and other 480 healthcare workers will be trend in BSMMU. A total of 56 healthcare worker including 18 physicians, 18 nurses, 8 medical technicians and 12 managers from South Korea will be staying and giving their service in the Super Specialized Hospital after commencing its operation.

The Super Specialized Hospital will accommodate world class amenities and services. All the utility equipment and system will provide best medical experience to the patients and the visitors. Therefore, a team of strong skilled engineering power should be engaged for the maintenance of the hospital.

Aim of the hospital:

This Super Specialized Hospital will ensure highest quality of day and night medical treatment to its patients with the help of specialized doctor and technicians. Statistics say, at present most of the critical patients of our country go to foreign countries like India, Singapore, Malaysia, Thailand, Europe etc, as these are reputed for their better medical environment, treatment, and related facilities. Alternative to that, this Super Specialized Hospital will provide our patients with facilities of international standard at an affordable cost.

Hospital management:

There will be a separate management under the BSMMU administration. The detail organogram has been described in manpower section. Each centre will be managed by existing departments. All academic activities will be controlled by chairman of each department. Consultants (professor, associate professors and assistant professors) and residents will be deployed from the department. There will be round the clock duties for consultants/medical staffs and faculties.

Central management:

•             Each centre should have one central supervisor.

•             In each centre two receptionists should be there.

•             The centres will have allocated specific function to be performed there e.g., dialysis, kidney transplant, liver transplant etc.

•             A comprehensive guide to how multidisciplinary approach will be practiced can be formulated.

 

The writer is the Vice-Chancellor of Bangabandhu Sheikh Mujib Medical University