Al Gharbia Hospitals

SEHA HealthSystem facilities in Al Gharbia provide much-needed healthcare resources to some of the most inaccessible parts of the UAE.


Background

Al Gharbia Region comprises six hospitals and four primary healthcare centers serving the Gharbia Region and the remote western areas of Abu Dhabi. Two are as far away as 350 km from the UAE capital, and the closest are still 160 km distant from Abu Dhabi city.

Madinat Zayed Hospital
Located in Madinat Zayed, about 160 km from Abu Dhabi city, Madinat Zayed Hospital is the referral hospital in the region and the largest in Al Gharbia Region, providing medical services to its host town and surrounding catchment areas.

Originally built in 1982 as a 50-bed community hospital, it served the population of Madinat Zayed until 2000 when the ‘new’ hospital was inaugurated. It is now a 138-bed secondary hospital with some tertiary services such as neonatology, cardiology, maxillofacial surgery, gastroenterology, and nephrology and dialysis.

The hospital is currently undergoing major extension and expansion.

A new Accident and Emergency Department, Obstetrics and Gynecology Ward, Royal and VIP Wards, Dialysis Unit, and Dental Center are planned to be operational next year. A new Endoscopy Unit is also planned.

Madinat Zayed Hospital has five general wards, two isolation wards, one labor ward, ICU with eight beds, a long-stay ward, four operating rooms, and a special-care baby unit.

Professional staff comprises 106 doctors, 17 specialist surgeons, and 212 nurses. Equipment includes high-resolution CT scan, fully automated blood chemistry analyzer, fibro-optic endoscopes, laparoscopes, stroboscopic unit for vocal cord study, audiology workstation, acoustic brain stem audiometry, and specialized instruments for microscopic as well as endoscopic ear surgeries. A mobile mammogram unit is already installed and will soon be operational.

The hospital provides round-the-clock accident, trauma, and emergency services as well as other routine services. Average daily attendance is about 300 outpatients and 40 inpatients. About 90 surgical operations are carried out every month, as well as handling 40 to 50 childbirths.

Ghiathy Hospital
The 30-bed Ghiathy Hospital, located 250 km from Abu Dhabi, is the only secondary care facility in this remote area, providing medical services for the people of Ghiathy, Bida Mutawa, and Seer Bani Yas. Built in 1982, the hospital offers basic emergency services as well as specialized medical care in internal medicine, pediatrics, obstetrics and gynecology, general and orthopedic surgery, dermatology, ophthalmology, and dialysis. ENT service is planned imminently.

The hospital manages about 47,500 patients annually, cared for by a team of 22 doctors, two surgeons, 48 nurses, and 20 technicians and paramedics. About 570 operations are carried out every year.

Facilities include emergency services, endoscopy, ultrasonography, and physiotherapy as well as 11 specialist clinics.

Marfa Hospital
Marfa Hospital is a 40-bed rural community secondary hospital located 160 km west of Abu Dhabi city. Built in 1999, it provides emergency services as well as specialized medical care in internal medicine, pediatrics, obstetrics and gynecology, general and orthopedic surgery, dialysis, mother and child healthcare, and ENT. Dermatology and ophthalmology services are planned next year.

Professional staff comprises 20 physicians and surgeons, 49 nurses, and 26 technicians and paramedics.

The Emergency Unit receives about 65 patients daily, while Ob/Gyn manages 10-15 deliveries monthly. Some 15-20 operations are conducted every month.

Al Sila Hospital
The 36-bed Al Sila Hospital is about 360 km west of Abu Dhabi city and 20 km from the border with Saudi Arabia, and serves as the main provider of medical care at the primary level for the community of Baya’a Al Sila and its immediate surroundings, comprising roughly 12,000 people.

Services include medical and general surgery, operating theater, dental care, outpatient department, maternal and child health, preventive medicine, school health, diagnostic and imaging services, and a 24-hour emergency department and pharmacy.

The total staff number 16 doctors, 40 nurses, 17 allied health, and 15 administrative personnel.

On average, about 2,500 patients are treated each month at the main hospital and 11 specialist clinics. In 2010, 260 surgery cases were dealt with.

Dalma Hospital
Dalma Island lies about 30 km offshore to the extreme west of the UAE, and is only 45 km2 in area. Dalma Hospital is the island’s only healthcare facility, providing emergency, acute, and wellness services to the 10,000 residents.

Built in 1984, the hospital has 38 beds, allocated across the emergency room, male and female wards, isolation rooms, intensive care, nursery, operation and delivery rooms, and outpatient clinics.

Services include general medicine and surgery, nephrology, pediatric medicine, ob/gyn, maternal and child health, and radiology.

Professional staff comprises 11 doctors (including two surgeons), 27 nurses, and 16 paramedics and technicians. Together, they care for more than 1,000 patients in an average month, as well as roughly 1,400 outpatients.

For services not available at Dalma, such as orthopedic, ophthalmology, and ENT, a formal arrangement has been established with Madinat Zayed Hospital to provide coverage at Dalma on specific days. Cooperation with Madinat Zayed also extends to a continuing educational program for Dalma’s nursing staff.

Liwa Hospital
Liwa Hospital is located in Liwa City, 195 km from Abu Dhabi city, and was inaugurated in July 2004. The 40-bed hospital provides emergency as well as outpatient services in general medicine, pediatrics, and mother and child healthcare.

Professional staff comprises six doctors, two dentists, 19 nurses, and 15 medical technicians who care for 30-35 patients daily.


Achievements in 2010

  • A customer service program is being phased in over two years.
  • Opened two new clinics at Madinat Zayed Hospital, one specializing in Endocrinology and Diabetes and the other in Gastroenterology.
  • Standard policies and procedures have been established for Al Gharbia Hospitals, ensuring they meet JCIA and HA-AD standards.
  • Patient volume at the new Al Dhafra Family Medicine Clinic has grown to more than 100 visits per day. Most are new patients, meaning that they have previously been receiving healthcare services from another organization.
  • Mobile mammography will allow life-saving screening for breast cancer to be made more accessible to the residents of the Al Gharbia region.
  • Preparation of the CT room at Dalma Hospital was completed. Once the CT is installed in 2011, it will provide possibly life-saving diagnostic services to residents of Dalma Island.
  • A mock JCI accreditation survey for Madinat Zayed Hospital (MZH) was the final major step before JCI inspection. Achieving MZH accreditation will be the precursor to incorporating the same standards of quality and safety at all GMR hospitals.
  • Improvements in customer service at MZH resulted in the highest patient satisfaction scores of any SEHA BE, and later the highest patient satisfaction scores of any hospital, public or private, in Abu Dhabi.
  • A new video conferencing system in the Gharbia Medical Region will allow communication and meetings to take place without participants having to travel from remote facilities such as Dalma Island, Al Sila, and Al Ghiathy.

2010 actual end-of-year totals

Inpatients
Average daily census (occupied beds) 73
Occupancy % 29.7%
Inpatient beds in use 26,694
Admissions 7,171
Discharges 7,158
ALOS (occupied bed days per discharge) 3.7
IP Surgery cases as % of admits 21.5%


Other utilization indicators
Birth 843
Surgery cases IP 1,538
Surgery cases OP 10
Surgery cases (IP and OP) 1,548



Staff (FTEs)
Total 1,186
Doctors 219
Nursing 408
Paramed 235
Administration/support 324



Outpatients
Primary healthcare visits 18,550
Hospital clinic visits 202,009
Emergency room visits 101,954