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Lamb Foggo UCC returns to normal weekday hours

Sunday 1 May 2022: Bermuda Hospitals Board today announces that from Monday 2 May, the Lamb Foggo Urgent Care Centre (UCC) will be returning to its normal Monday to Friday hours of 2pm to 10pm, following the implementation of temporary hours on weekdays due to staff pressures.

Weekend hours were not changed, and still remain at 9am to 9pm.

X-ray services at the UCC will restart later this month, and an update will be provided in due course.

The Integrated Care Clinic at the UCC will continue on its normal hours.

1 May 2022 Home Page, News

Public Advisory: Traffic diversions at King Edward VII Memorial Hospital Acute Care Wing on Tuesday 26 April 2022

Monday 25 April 2022: Bermuda Hospitals Board advises the public that there will be traffic diversions for those driving to the front of the Acute Care Wing on Tuesday 26 April 2022.

Cleaning of the outside of the hospital building necessitates use of a lift that will block the road at the main entrance.

Pedestrians and vehicular traffic will be redirected where necessary. For your safety and the safety of others, please use caution and adhere to the barriers, signage and directions given by staff at the scene.

Bermuda Hospitals Board apologises to the public for any inconvenience caused by the disruption.

25 April 2022 Home Page, News

KEMH Acute Care Wing traffic diversion from 18-22 April 2022

Sunday 17 April 2022: Bermuda Hospitals Board (BHB) advises the public that there will be traffic diversions for those driving to the front of the Acute Care Wing, including the Emergency Department entrance. The diversions will be in place from Monday 18 to Friday 22 April 2022.

Cleaning of the outside of the hospital building necessitates use of a lift that will block the road on the campus in the vicinity of the front of the building.

Pedestrians and vehicular traffic will be redirected where necessary. For your safety and the safety of others, please use caution and adhere to the barriers, signage and directions given by staff at the scene.

BHB apologises to the public for any inconvenience caused by the disruption.

14 April 2022 Home Page, News

BHB Primary Stroke Centre receives Distinction Award from Accreditation Canada

Monday 11 April 2022: Bermuda Hospitals Board (BHB) today announces that its Primary Stroke Centre, part of a clinical affiliation with Johns Hopkins Medicine International (JHMI), has received Stroke Distinction Award from Accreditation Canada for its Acute Stroke Services and its Inpatient Rehabilitation Services standards.

A letter from Accreditation Canada announcing the news reads: “Achieving Distinction indicates that your organization has demonstrated national leadership in the provision of high-quality stroke care. We applaud your success and urge you to celebrate this achievement.”

Accreditation Canada surveyors interviewed Bermuda Hospitals Board staff, stroke patients, their families and organisations BHB partner with from 28 February – 3 March 2022.

“We are delighted to receive distinction certification from Accreditation Canada for our Primary Stroke Centre,” said BHB CEO and President Dr Michael Richmond. “This is outstanding as our centre opened less than four years ago. It reflects the world-class expertise of our staff who achieved this while navigating the unique and challenging stresses of the COVID-19 pandemic.”

Dr Richmond continued: “Stroke distinction certification is the highest commendation a Stroke Centre can receive in the Accreditation Canada system and aligns with BHB’s vision to pursue excellence through improvement, to make Bermuda proud.”

The final report reads in part: “Overall the Stroke Distinction surveyors identified the following areas of success within the organization’s stroke services:

  • Leadership and Organization support
  • Knowledgeable and committed staff
  • Collaboration with Johns Hopkins [Medicine] International
  • Alignment of the Integrated Stroke program plan with the Strategic Plan
  • Community Partnerships
  • Communication and promotion of the stroke program”

BHB Medical Stroke Director Dr Francene Gayle said: “The COVID-19 pandemic definitely presented us with unexpected challenges but we forged ahead to achieve, and in some cases, surpass, our targeted goals. We are especially thrilled to have developed novel stroke systems of care which can become models for other community hospitals around the world.”

“It has been our pleasure to collaborate with BHB in developing the Stroke Centre. We are proud of this collaboration and BHB’s accomplishments as a Primary Stroke Centre with distinction, “ said Victor C Urrutia, MD, director of The Johns Hopkins Hospital’s Comprehensive Stroke Center and director of The Johns Hopkins Global Center for Organised Stroke Care.  “This truly demonstrates BHB’s commitment to a higher standard of clinical service for stroke care. Their cohesive team and consistent approaches are now certified, to the benefit of patients across the island.”

Stroke Centre History

In 2018 BHB recognising that stroke had become an epidemic on the island, took steps to address the problem. In July 2019, BHB launched its Primary Stroke Centre, part of a clinical affiliation with JHMI. Since that time, stroke patient outcomes have significantly improved. A more clearly defined process in managing stroke patients together with a robust national campaign highlighting the signs and symptoms of stroke and the importance of attending the hospital immediately, have led to the success.

At our peak, 14 percent of those who experienced a stroke were able to receive a clot-busting drug that increased their chances of fully recovering. (Not all stroke patients are eligible to receive the drug.)

Dr Gayle said: “This figure is impressive and is almost double the 7% average of primary stroke centres in the US.”

BHB’s Primary Stroke Centre has also made history with its first trans-oceanic mechanical thrombectomy case. In this instance, a local patient with a major blockage in a major artery was able to be diagnosed and air-ambulanced to The Johns Hopkins Hospital within 17 hours. The patient received the lifesaving thrombectomy surgery, and, is likely the first in the world to have experienced the trans-oceanic service.

Pictured above: BHB Stroke Centre Working Group with Accreditation Canada lead surveyor Dr Ali Hojjati (middle front) – March 2022

11 April 2022 Home Page, News

No through road traffic at King Edward VII Memorial Hospital on Friday 8 April 2022

Thursday 7 April 2022: Bermuda Hospitals Board advises the public that there will be no through traffic on the King Edward VII Memorial Hospital (KEMH) campus between Point Finger and Berry Hill Roads on Friday 8 April 2022.

Cleaning of the outside of the hospital building necessitates use of a lift that will block the road on the campus near the Botanical Gardens.

Pedestrians will not be affected.

Emergency vehicles and people attending the Emergency Department should use the Point Finger Road entrance. Ambulances will enter and exit on Point Finger Road.  Visitor parking lots will still be accessible from both Point Finger Road (Acute Care Wing) and Berry Hill Road (General Wing and Agape House). Traffic will not be able to travel between the General Wing lobby roundabout and Point Finger Road.

For your safety and the safety of others, please use caution and adhere to the barriers, signage and Point directions of the security officers.

Bermuda Hospitals Board apologises to the public for any inconvenience caused by the disruption.

7 April 2022 Home Page, News

BHB CT scan service has resumed

Thursday 3 February 2022: CT scan service at Bermuda Hospitals Board (BHB) resumed on Monday 31 January. BHB worked with the Brown-Darrell Clinic to deliver the service while repairs were carried out on its two machines last week.

“We thank Brown-Darrell Clinic for their assistance from Thursday 27 to Sunday 30 January,” said BHB VP Clinical Operations, Anthony Fitzgerald. “During those 4 days they did CT scans on 17 of our urgent Emergency Department patients.”

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3 February 2022 Home Page, News

Extended – week day evening hours only at the Lamb Foggo Urgent Care Centre

Wednesday 2 February 2022:  Bermuda Hospitals Board today announces that the change in hours at the Lamb Foggo Urgent Care Centre (UCC) will continue to the end of February at which time it will be re-assessed.

The UCC is currently open from 6pm to 10pm Monday to Friday and 9am -9pm on Saturday and Sunday. The move to evening hours only on weekdays, was to assist with ensuring adequate staffing levels are available in the Emergency Department at KEMH.

Dr Chikezie Dean Okereke, Chief of Emergency, comments: “The temporary change in the weekday hours implemented last month has helped. As we remain under the same pressures the decision was made to extend the current hours until the end of this month.”

Judy Richardson, Chief of Nursing, comments: “ The reduced UCC hours allow us to redeploy a full time nurse back to the ED which assists in delivering care where the most unwell people are in need.”

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2 February 2022 Home Page, News

BHB and Brown Darrell collaborate on CT service

Thursday 27 January 2022: Bermuda Hospitals Board today announced that it will be working with the Brown-Darrell Clinic to deliver a CT service while both its CT scanners undergo repairs.

Dr Daniel Stovell, Chief of Radiology, comments: “Many times patients who are scanned using a CT, such as stroke patients, can use alternative modalities, such as MRI. For patients whose only option is a CT scan, we are very grateful to the collaboration with the Brown-Darrell Clinic who will carry out the CT scan for us. If patients who attend Emergency require a CT, they will be transported by ambulance to Brown-Darrell, then return to KEMH where diagnosis and treatment will resume.

“We apologise for anyone who is impacted. It is very unfortunate that both CT scanners have been impacted at the same time and we are working closely with the manufacturer, GE. The parts will be on island this week and we expect the service to resume by next week.”

27 January 2022 Home Page, News

UCC temporary changes to evening hours only on week days

Wednesday 12 January 2022: Bermuda Hospitals Board today announces that there will be evening-only hours from 6pm to 10pm Monday to Friday at the Lamb Foggo Urgent Care Centre (UCC) from Thursday 13 January, to assist with ensuring adequate staffing levels are available in the Emergency Department at KEMH. The weekend hours will remain the same from 9am to 9pm.

Dr Chikezie Dean Okereke, Chief of Emergency, comments: “The temporary change in the weekday hours are due to a number of factors, including staffing issues, with some existing vacant positions and COVID-19 quarantine absences. We are extremely busy in the main Emergency Department at the moment. We are seeing many very unwell patients who need admission. This is not primarily driven by COVID-19 infections, but pre-existing medical conditions.

“We are struggling to get patients discharged in a timely manner from inpatient units, as they need community services, nursing home placements or family support. This has resulted in an increasing number of people waiting in the Emergency Department following admission, delays in timely assessment and management of the new patients attending and a high overall number of patients in the ED needing care. We are managing, but the reduced staffing numbers and the high acuity patients attending means that the Emergency Department service delivery is under a lot of pressure.”

Judy Richardson, Chief of Nursing, comments: “As community infections rise, so does the number of BHB staff who are impacted. BHB currently has nearly 150 staff off work due to positive results or as close contacts. While generally we have maintained services to date, the reduced UCC hours allow us to redeploy a full time nurse back to the ED which will assist in delivering care where the most unwell people are in need. We continue to review our situation as more people are impacted by positive cases. While hospitalised COVID patient numbers have been relatively low with omicron, they are rising, and with staff levels under pressure we may have to review the delivery of care in non-urgent outpatient areas should the situation continue to escalate.”

12 January 2022 Home Page, News

BHB updates community on Electronic Medical Record Programme

Wednesday 29 December 2021: BHB today updates the community on its Electronic Medical Record Programme, which aims to replace an old, outdated clinical system that is no longer supported by the company, with the Cerner Millennium electronic medical record (EMR).

The project officially kicked off in April this year, after a year-long delay due to the COVID-19 pandemic. First announced in the budget debate speech given by the Minister in March 2020, the integrated EMR at BHB will give each patient one record, no matter which BHB service they use, helping reduce duplication, delays and improve coordination of care, and access to full information for the patient and clinical team. It has the potential to have greater connectivity outside of the hospital.

Throughout 2021, about 350 staff members have been involved in the project in over 1,000 EMR workshops and meetings.

Michael Richmond, CEO & President, comments: “BHB staff and physicians have been working hard since April 2021 in order to implement our first integrated EMR. We appreciate that they have been keeping this project moving even as we have gone through the waves of the pandemic. The pressure of time is on us as our current clinical system, also from Cerner, is old and no longer supported. Implementing a full EMR as the solution will help us upgrade, and meet the standards of care expected in hospitals around the world. EMRs are a tool for staff to use in the delivery of care that puts the patient at the heart of all we do, it helps us in our mission to deliver the highest quality and safest care each day.”

Chief of Staff Dr Wesley Miller is one of the co-executive sponsors of the project. He explains: “Clinicians will use the EMR to write up their notes, review test results, make diagnoses, make referrals, prescribe medications and communicate with other people in the care team, or to other departments involved in a patient’s care. One patient, one record, wherever you go in BHB.

“It actively encourages safe care because of the safety alerts built into the system, which help clinicians make timely decisions. Someone with clinical indicators that suggest sepsis or stroke, for instance, can be immediately flagged: these are conditions in which a fast therapeutic response is critical to the outcome of patients. Medication alerts can be flagged that stop errors in doses or contraindications with other medications the patient is on.”

Bill Shields, Chief Financial Officer, is the other co-executive sponsor of the project: “We are so grateful to all the people working on this project to date as they managed the EMR commitment and the pandemic. Next year, starting in the Spring, over 1,000 staff in departments across BHB and all physicians who work within the hospital will be involved with training and testing, so the hardest part of the implementation is still ahead of us.

“We are aware that this is a big investment and would note that while we must replace an old clinical system, the EMR will replace many of our other systems, helping us integrate records with other actions such as scheduling, referrals, prescribing, and testing. Whilst the core cost of the implementation is about $30 million, when we go live we will save many millions of dollars in costs over time associated with the purchasing, updating and maintenance of many separate systems. The contract payment terms are over ten years. Of even more importance, however, is how the EMR will support our frontline staff as they strive to deliver the best care possible, and help BHB in its pursuit of excellence through improvement, to make Bermuda proud.”

Following an internal competition, BHB’s integrated EMR is now named ‘PEARL’ (Patients Electronic & Administrative Records Log) and will be used in all clinical, support and administrative areas across KEMH, MWI and Lamb Foggo Urgent Care Centre after it goes live next year.

PEARL’s history
Cerner’s Millennium was selected as BHB’s EMR in an RFP back in May 2019, after a vendor search and selection process that started in late 2018. A full business case to implement an EMR to replace the old clinical suite and improve the delivery of care at BHB was approved by the Board in November 2019. After the initial planned start in 2020 was postponed due to the pandemic, the EMR programme at BHB launched in April 2021. PEARL is expected to go live in fall/winter of 2022, following a major testing and training schedule for all staff.

29 December 2021 Home Page, News