Acute hospitals annual report 1992

Transcription

1 Acute hospitals annual report 1992 Item type Authors Publisher Report Western Health Board (WHB) Western Health Board (WHB) Downloaded 28-Apr :19:52 Link to item Find this and similar works at -

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3 Bord Slainte an Iarthair Western Health Board Your Ref : TO: Telephone : Galway (091) Fax : (091) EACH MEMBER OF THE BOARD. Headquarters, Merlin Park Regional Hospital, Galway, Ireland. 1st June, RE: GENERAL HOSPITAL CARE- ACUTE HOSPITALS. Item Number 4 - Agenda for Board Meeting, 8th June, Dear Member, Herewith, the Annual Statistical Report for the Board's Acute Hospitals for the year ended 31st D ecember, A total of 47,8 12 persons were treated as in-patients in 1992 while the level of out-patient attendances increased to 250,820 during the year. These figures indicate an increasing demand for hospital services. Considerable pressure was imposed on staff and facilities to cope with this demand during a time of reduced resource availability. 1 should like to take this opportunity to record my appreciation of the services given during the past year by all the staff in this Programme. Yours sincere! y, E. Hannan, Chief Executive Officer. m f.

4 TABLE OF CONTENTS Page No. Introduction 1 University College Hospital, Galway 9 Merlin Park Regional Hospital 30 Mayo General Hospital 47 County Hospital Roscommon 62 District Hospitals 79

5 BORD SLAINTE AN IARTHAIR WESTERN HEALTH BOARD ANNUAL R EPORT FOR 1992 GENERAL HOSPITAL CARE PROGRAMME Introduction The General Hospital Care Programme provides secondary and tertiary care to the Western Health Board area and beyond. Services are provided through the Galway Regional Hospitals of University College Hospital and Merlin Park, Mayo General Hospital, at Castlebar, and the County Hospital Roscommon. In addition, four District Hospitals at Ballina, Bel mullet, Swinford and Clifden operate in close liaison with the larger acute Hospitals. This Programme also embraces the Ambulance Service and patient transport which is the subject of a separate Annual Report. The year 1992 proved to be extremely difficult for the General Hospital Care Programme with pressure on beds increasing at an unprecedented rate. The percentage increases in admissions in 1992 as against 1991 were as follows:- University College Hospital % Merlin Park Regi onal Hospital % Mayo General Hospital % Roscommon County Hospital % This resulted in an overall increased in activity of 7.54% for the Programme. Similar trends were experienced by Out-Patient Departments with an overall increase of 2.46% in outpatient activity. Despite this unprecedented increase in activities, excess expenditure was kept to a minimum with the variance on the nett budget being 1.89%. This was achieved through increased income generation, Value for Money Initiatives and control of the pay-budget through the Whole Time Equivalent System. Appreciation is due to all the staff of the General H ospital Care Programme for their diligence in maintaining a quality service despite the ever increasing pressures and other difficulties encountered.

6 FINANCIAL ANALYSES:- In 1992, for the first time, the Department of Health acknowledged that University College Hospital, Galway, and Mayo General Hospital were under-funded and adjusted the budget to a small degree to acknowledge the Casemix for those Hospitals. Expenditure for the General Hospital Care Programme amounted to 71.98lm gross in Pay accounted for 71.73% of the total expenditure. Income generated totalled 7.479m which was ahead of the budget target. Fl NANCIAL SUMMARY: GENERAL HOSPITAL CARE PROGRAMME: CATEGORY ACTUAL BUDGET %VARIANCE '000 '000 PAY I, % NON-PAY 20,346 18, % GROSS 71,981 69, % INCOME 7,479 6, % NET 64,502 63, % ABSENTEEISM: Absenteeism for the General Hospital Care Programme averaged at 2.52% compared to the Health Board average of 2.95%. The efforts of the Hospital Administrators, Matrons and the Staff are acknowledged in maintaining this exceptionally low rate of absenteeism. 2

7 GENERAL HOSPITAL CARE ACUTE HOSPITALS<ACTIVITY 1971 & 1992 & BUDGET ALLOCATIONS 1971 & 1992 v.> BED ALLOCATION NO. IN- PATIENTS AVE. DURATION OF STAY %OCCUPANCY NO. OUT-PATIENTS 1AIE ATTENDANCES STAFF- NURSING NON NURSING TOTAL GROSS EXPENDITURE OOO's ,745 16,991 5,394 2, , HXUO% 90.20% 73.02% 79.00% 80.17% 103, , ,114 43,542 24, , ' ,889 1,695 11, , , % 8,792 7, > ' ,602 3, ,812 30, n.30% 60.00% ,740 3, ,922 60,091 13,354 1,800 73,31T , , ,505 1,667 4, I 3,234 Notes: (/) U.C.H.G. COMPLEMENT FOR /992 EXCLUDES 43 PSYCHIATRIC BEDS. (2) MERLIN PARK COMPLEMENT FOR /992 EXCLUDES 30 PSYCHIATRIC & 87 GERIATRIC BEDS. (3) CASTLEBAR GENERAL HOSPITAL COMPLEMENT FOR 1992 EXCLUDES 44 PSYCHIATRIC BEDS.

8 GENERAL HOSPITAL CARE ACUTE HOSPITALS ACTIVITY 1991 & 1992 & GROSS EXPENDITURE 1991 & "' SITY. 'rou ~G ~E,,...: :.. : r':n...:..u ;.;; nt;.:::' ~ /V.I, :?' og ~ ~,,, ''"''' -. '' 'oo.. c.r-':...,.. ::.. r.:..,.,...,...;c,-~- -...,,.,,,,.,.,,:,;.i'''''j~'~''*''*'*'' u lver.,,... c:,,.,..,.,, Mc::n't.fn -r.'ann::, Rr;:;ulvn'AL:. :c" MA~ C:NERAL.,,.,..,.:,.::,:.:..,,,,.. vo..:ommon:.cvjnty'..,,,,,,,,.,,,total ~ ~,,,,,,.,,,.,,,,,,.,,~"~~'''''''' t~osm.4t,::jr:::;::thu::i:::,.::::;''~f:~:.:: ::.:: ::::i JJ6setrlli1i.~~:~:;::;:::;:Wfi~:;;:.::,.:,:: r:, : H':f1i ;;;iffospfbit i ;.8Y:m*,l H.:'.'.::.,: :.:ti'' i.~ijos#ifjc::,::::r.~::::::::: :-:::.:-m:l'::::;:::-: ~.:.:.! ::w:r::~~: r, ;:;.;:::;) ;,::.:;::;~[~;.~tw: &:>. I BED ALLOCATION NO. IN-PATIENTS 23,745 22,567 5,394 5,381 14,924 12,703 3,749 3,348 47,812 46,220 AVE. DURATION OF STAY %OCCUPANCY 100.2QOAl Al 73.02% 74.34% 80.17% A: n.30% A: ril 86.16% NO. OUT-PATIENTS 103,404 98,471 13,664 13,746 22,114 21,779 11,740 18, , ,891 AlE ATTENDANCES 43,542 42, ,421 16, ,354 6,501 73,317 65,649 STAFF- NURSING '1 87 1,182 NON NURSING ,317 1,287 TOTAL ,505 2,468 GROSS EXPENDITURE OOO's 35,889 31,262 11,373 11,107 13,396 12,014 4,513 I 3,840 I 65,171 I 58,223.

9 BORD SLAINTE AN IARTHAIR WESTERN HEALTH BOARD CENSUS OF POPULATION - YEARS 1986 AND 1991 AGE GROUPS GALWAY MAYO ROSCOMMON TOTALS.. Ul Age Group Cbll.rige 1986 '1991 Cb1t0ge Change 1986 % 1991 % Chmge :- :c / D / f ! I TOTALS : I

10 WESTERN HEALTH BOARD BIRTH STATISTICS UNIVERSITY COLLEGE HOSP CASTLEBAR G. H ROSCOMMON CO. HOSPITAL \ BALLINA D.H BELMULLET D.H CLIFDEN D.H PORTIUNCULA TOTAL ~

11 WESTERN HEALTH BOARD WESTERN HEALTH BOARD AREA HOSPITALS -..J _,..._, (/) (I) Iu 1- c 0:: 0 -(I) Ol :J. 0 O.r:::. zc 3.4 ~ ~ I E=:-' 1i * ~ ~ ~ ~ ~ '* ~ I o U.C.H.G. + C'BAR G.H. o ROSC. C.H. D. PORTIUNCULA x B'MULLET D.H.

12 WESTERN HEALTH BOARD TOTAL BIRTHS 8.2 ~ ~ 00,..., (J) m Iu t- c n::: 0 - m m :J. 0 o.r: zt:, ~~----~--~----~--~----~--~----~--~----~--~~ YEAR

13 UNIVERSITY COLLEGE HOSPITAL, GALWAY. 9

14 UNIVERSITY COLLEGE HOSPITAL, GALWAY Expenditure at University College Hospital amounted to m in Pay accounted for 71.1 % of total expenditure. The Whole Time Equivalent staff complement for the Hospital was Absenteeism averaged 2.06 in Income collected by the Hospital amounted to 4.030m. FINANCIAL SUMMARY. CATEGORY ACTUAL BUDGET % VARIANCE '000 '000 PAY 25,517 25, % NON-PAY 10,372 9, % GROSS 35,889 35, % INCOME 4,030 3, % NET 31, , % 10

15 UNlVERSITY COLLEGE HOSPITAL, GALWAY. DEVELOPMENTS OUT-PATIENTS DEPARTMENT: Work commenced on the provision of a new Out-Patients Department in January, 1991, and it was completed in January, The total cost of the project, including building conversion, equipment and furnishings was 500,000. The provision of this Department has allowed for: - (a) The dignity and privacy of patients to be respected. (b) An increase in Out-Patient activity (almost 5%). (c) Improved Clinic Scheduling, thus reducing waiting times for patients at clinics. The Department comprises:- Ground Floor First Floor Second Floor E.N.T. and Ophthalmology Clinics. 7 Consulting Rooms. I 0 Consulting Rooms. The facility was officially opened by Councillor P. McCormack, T.D., Mayor of Galway, at a ceremony held on 26th A pri I, EQUIPMENT: (a) INSTALLATION OF ANAESTHETIC EQUIPMENT: Old and obsolete equipment was replaced to maintain a quality service and to ensure the safety of patients. (b) REPLACEMENT OF HOLTER CARDI AC MONITOR SYSTEM: Replacement of this equipment was critical to enable the Consultant Medical Staff to provide an adequate Cardiology Service. (c) PROVISION OF NEW MAMMOGRAPHY MACHINE: Breakdown of old machine - Grant from the Department of Health. (d) P R 0 V I S I 0 N 0 F U L T R A - S 0 U N D S C A N N E R F 0 R OBSTETRIC/GYNAECOLOGY DEPARTMENT: This equipment was purchased in January, 1992, with all modern diagnostic facilities and Colour Doppler. 11

16 MAINTENANCE: (a) Replacement of Windows: Windows on the Ground Floor were replaced as part of the Backlog of Maintenance allocation received from the Department of Health. (b) Eneq~y Mana&ement System: A grant was received from the Department of the Environment to provide an effective Energy Management System for the hospital. DIAGNOSTIC SERVICE ENHANCEMENT: Medical Laboratory Services were enhanced to provide for the introduction of an Ante-Natal Blood Group testing service and to faci litate the provision of services for Merlin Park Regional Hospital from the University College Hospital site. INFORMATION TECHNOLOGY: An integrated Laboratory Information System has been installed in each of the five Departments of the Laboratory. 12

17 UNIVERSI TY COLLEGE HOSPITAL. GALWAY MANAGEMENT ADVISORY STRUCTURE \...) PROGRAMME MANAGER GENERAL HOSPITAL CARE 1< ~ I ~ > Hospital Management Team <------~ Chairman, H.M.A.C. Matron, Administrator Hospital Management Advisory 1< ~ Committee ~ > Consultant Medical Staff Committee Single/Group Discipline Committees DEPARTMENT TEAM LABORATORY DEPARTMENT DEPARTMENT DEPARTMENT DEPARTMENT TEAM TEAM TEAM TEAM RADIOLOGY SURGICAL MEDICAL OBS/GYNAE DEPARTMENT TEAM O.P.D. DEPARTMENT TEAM OTHERS

18 UNIVERSITY COLLEGE HOSPITAL GENERAL HOSPITAL CARE IN PATIENT STATISTICS 1992 CATEGORY BEDS I MAXIMUM I ACTUAL BED DAYS BED DAYS DISCHARGES t~li}~~~~~ J'~~,;!EJ~ ~" - ~ GENERAL MEDICINE CARDIOLOGY DERMATOLOGY HAEMATOLOGY NEUROLOGY GENERAL SURGERY UROLOGY IPLASTIC SURGERY ENT OPHTHALMOLOGY PAEDIATRICS MATERNITY GYNAECOLOGY DAY UNIT SUB-TOTAL PSYCHIATRY I ,011 37, ,660 7, , ,562 7, ,196 3, ,762 34, ,248 11, ,392 3, ,790 7, ,145 3, ,410 11, ,454 13, ,850 8, ,776 2, , , ,738 15,692 3,412 ':l~i 9sJ;t'* trli~' r~s ;~ ' <~:f~~:~ 'll 1 ;":~,~~~~ :::,; fa~;46 ~ ')')::;::::::::;;. 1Q,t :::=~.: 157.as :' :.H::=r 14;96 ~ :m,t,~jii~ i~l, l 2, ,859 2,869 23,7 45 r=r' '':{:=rth O:q~p2!Yof ::: 'fllllii:=.n;;;. ::ft:~\;::l 661 [~;wili!e~~~1~~~~fr.fj TOTAL I , , ~::==\:\,,,,<,,:,;:t\ : 9~~ 999~ : >===:=: q::t: tir ~4' ~9.3 :::1 WARD C LOSURES ST. MONICA'S: 496 BED DAYS ST. P A TRICKS 251 BED DAYS ST. CATHERINE'S 4 30 BED DAYS ST. CATHERJNE'S 286 BED DAYS DAY SURGICAL 2080 BED DAYS ST. ENDA'S 1666 BED DAYS PAEDIATRIC UNIT: 234 BED DAYS ""- ST. ANTHONY'S c_:r_ r. ~D..A.D n ' 434 BED DAYS BED DA.X.S

19 UNIVERSITY C(J LLEGE HOSP ITAL GA LWAY AVERAGE DURATION OF STAY 8 ~ VI >- ~ (/) LL. 0 z 0 ~ C( ::> 0 w ~ I [)(YJ IYXJ IXXJ fxxj IXXJ rxxj fxxj I X X I I I I I I I I I I I YEAR

20 UNIVERSITY COLLEGE HOSPITAL GALWAY % OCCUPANCY 110 ~ ~ \ >- ~ (/) LL 0 z 0 ~ n::: ::> 0 w ~ O 1 rx.x1 rx 1 x1 rx 1 x 1 rx 1 x1 r x 1 x1 r x 1 x 1 1 rx.xj rx 1 x YEAR

21 IUNIVERS.rTY COLLEGE. HOSPITAL GALWAY General Hospital Care IN PATIENT WAITING LIST at 31st DECEMBER 1992 CATEGORY NUMBER LONGEST WAITING TIME GENERAL SURGERY MONTHS PLASTIC SURGERY YEARS X UROLOGY YEARS VASCULAR SURGERY MONTHS CARDIOLOGY YEARS X E.N.T YEARS OPHTHALMOLOGY YEARS X. 17

22 UNIVERSITY COLLEGE HOSPITAL GALWAY General Hospital Care GEOGRAPHICAL DISTRIBUTION INPATIENT 1992 LOCATION NUMBER LOCATION NUMBER WESTERN HEALTH BOARD OTHER E.C. COUNTRIES GALWAY 18,688 MAYO 2,781 UNITED KINGDOM 75 ROSCOMMON 1,282 HOLLAND. 3 FRANCE 9 SUBTOTAL 22,751 GERMANY 16 ITALY 1 SPAIN 1 OTHER COUNTIES SUBTOTAL 105 CARLOW 2 CAVAN 3 CLARE 1,006 CORK 21 DONEGAL 64 DUBLIN 71 KERRY 9 OTHER COUNTRIES KILDARE 6 KILKENNY 6 LAOIS 2 CANADA 4 LEITRIM 51 POLAND 1 LIMERICK 55 U.S.A. 24 LONGFORD 27 AU STRALIA 3 LOUTH 5 SOUTH AFRICA 1 MEATH 7 MONAGHAN 5 SUBTOTAL 33 OFFALY 45 SLIGO 153 TIPPERARY 20 WATERFORD 6 WESTMEATH 116 WEXFORD 3 WICKLOW 7 SUBTOTAL 1,690 NORTHERN IRELAND ANTRIM 8 ARMAGH 6 DERRY 3 DOWN 7 FERMANAGH 1 TYRONE 2 SUBTOTAL 27 TOTAL 24,606 18

23 !UNIVERSITY COLLEGE HOSPITAL GALWAY OUTPATIENT ACTIVITY General Hospital Care OUT PATIENT CLINIC PLASTIC SURGERY ,244 2,517 3,712 G NITOURINARY - 1,988 1,890 1,767 1,510 1,729 VASCULAR SURGERY - 1,545 1,682 1,694 3,345 1,819 GENERAL SURGERY 7,226 7,184 6,944 6,781 4,627 6,655 GENERAL MEDICAL 4,628 5,061 4,468 4,602 4,667 1,162 R SPIRA TORY ,499 1,803 1,860 1,895 COELIAC (ADULTS) D RMATOLOG Y 1,569 1,575 1,438 1,558 1,731 1,806 GAST RO NT ROLOGY 2124 DIABETIC NDOCRINOLOGY 1037 NEUROLOGY 1,417 1,360 1,507 1,517 1,620 1,688 MUL TIPL SCLEROSIS EPILEPSY HA MATOLOG Y 1,813 2,359 2,172 2,404 2,801 2,989 M DICAL+RH UMATOLOGY CARDIOLOGY 1,662 2,094 2,292 2,399 3,006 3,055 PACEMAKER CLINIC N. T. 2,520 3,031 3,361 3,644 4,245 4,540 OPHTHALMIC 3,647 4,325 4,280 4,529 4,303 4,237 VARICOSE VEINS PA DIA TRICS 3,166 2,977 3,254 3,559 3,797 4,101 OPHTHALMIC (PA DS) UROLOGY (PA DS) ORTHOPAEDIC (PA DS) CEREBRAL PALSY PSYCH/A TRIC 3,869 4,025 4,500 4,463 4,834 5,633 ANTENATAL 8,318 7,539 7,376 7,854 8,595 8,619 GYNAECOLOGY 3,288 3,631 3,798 4,104 3,978 4,620 POSTNATAL ENDOSCOPIES 1,253 1,302 2,429 1,196 2,050 2,573 COAGULATION ACTIVITY 1,578 1,102 1, SUB TOTAL CLINICS 49,923 54,304 56,799 59,551 62,550 67,297 OTHER ACTIVITIES DENTAL PHYSIOTHERAPY 12,080 14,917 15,800 2,581 2,605 3,049 X-RAYOPD 21,596 25,968 28,075 30,848 32,204 31,904..G , SUB-TOTAL 84,602 96, ,959 93,881 98, ,404 ACCIDENT +EMERGENCY 30,779 34,993 40,971 40,867 42,727 43,542 TOTAL 115, , , , , ,946 EXTERN CLINICS PSYCH/A TRIC B 'SLO ST. LUK S CLINIC GROSS TOTAL 116, , , , , ,101 19

24 !UNIVERSITY COLLEGE HOSPITAL GALWAY General Hospital Care OUT PATIENT WAITING LIST at 31st DECEMBER 1992 CATEGORY NUMBER LONGEST WAITING TIME GENERAL SURGERY YEARS PLASTIC SURGERY YEARS UROLOGY YEARS VASCULAR SURGERY YEARS CARDIOLOGY MONTHS DERMATOLOGY 73 3 MONTHS ENDOCRINOLOGY MONTHS GASTROENTEROLOGY YEARS GENERAL MEDICINE & 73?.h~WEEKS RESPIRATORY NEUROLOGY MONTHS E.N.T YEARS OPHTHALMIC YEARS PAEDIATRIC MONTHS PAEDIATRIC UROLOGY MONTHS 20

25 General Hospital Care UNIVERSITY COLLEGE HOSPITAL GALWAY OPERATIONS 1992 THEATRES MAJOR MINOR EMERGENCY TOTAL MAJOR MINOR GENERAL 3,461-1,1 26-4,587 DAY WARD - 2, ,541 E.N.T. 1, ,841 OPHTHALMIC OBS & GYNAE 1, ,181 CASUALTY DENTAL (CASUAL TV) DENTAL (DAY SURGERY) TOTAL 6,337 5,178 1, ,736 21

26 General Hospital Care UNIVERSITY COLLEGE HOSPITAL GALWAY X-RAY DEPARTMENT 1992 CATEGORY NUMBER OF NUMBER OF PATIENTS PATIENTS MAIN X-RAY WARDS 12,596 12,866 CASUALTY 20,906 20,631 O.P.D. 6,044 6,253 EXTERN 4,420 4,625 SUBTOTAL 43,966 44,375 C.A.T. SCAN 1,783 2,115 ULTRASOUND 2,050 2,406 NUCLEAR MEDICINE 974 1,059 MAMMOGRAPHY * TOTAL 49,607 50,350 NUMBER OF EXAMINATIONS MAIN X-RAY 54, ,952 ULTRASOUND 2,733 3,200 MAMMOGRAPHY * C.A.T. SCAN 2,120 2,515 NUCLEAR MEDICINE 974 1,059 TOTAL 61 ' '121 * NO MAMMOGRAPHY SERVICE AVAI LABLE UNTIL JULY 1992 WHEN NEW EQUIPMENT CAME ON STREAM 22

27 General Hospital Care UNIVERSITY COLLEGE HOSPITAL GALWAY PERIPHERAL CLINICS 1992 SPECIALTY LOCATION NUMBER OF CARDIOLOGY MERLIN PARK REGIONAL HOSPITAL 4 SUBTOTAL 4 DERMATOLOGY GENERAL HOSPITAL CASTLEBAR 344 GENERAL HOSPITAL SLIGO 364 DISTRICT HOSPITAL BALLINA 355 CO. CLINIC ROSCOMMON 546 SUBTOTAL 1609 E.N.T. GENERAL HOSPITAL CASTLEBAR 2074 CO. CLINIC ROSCOMMON 821 PORTIUNCULA HOSPITAL BALLINASLOE 270 SUBTOTAL 3165 GYNAECOLOGY CO. CLINIC ROSCOMMON 229 SUBTOTAL 229 PAEDIATRICS DISTRICT HOSPITAL CLIFDEN 120 CO. CLINIC ROSCOMMON 169 SUBTOTAL 289 RESPIRATORY MERLIN PARK REGIONAL HOSPITAL 594 GENERAL HOSPITAL CASTLEBAR 120 SUBTOTAL 714 UROLOGY GENERAL HOSPITAL CASTLEBAR 282 CO. CLINIC ROSCOMMON 257 SUBTOTAL 539 TOTAL

28 UNIVERSITY COLLEGE HOSPITAL GALWAY General Hospital Care CARDIOLOGY DEPARTMENT 1992 SERVICES NUMBER TOTAL PATIENTS ADMITIED 530 MYOCARDIAL INFARCTION 206 THROMBOLYSIS THERAPY 56 E.C.G 'S 7840 EXERCISE TESTING 566 ECHOCARDIOGRAM INC. COLOUR DOPPLER HOUR E.C.G.RECORDING HOUR B.P. MONITOR RECORDING 97 PACEMAKER CLINIC CHECKS 232 ROUTINE CARDIAC CATHETERIZATION 434 CORONARY ANGIOPLASTY 16 VALVULOPLASTY 6 PERMANENT PACEMAKER INSERTION 74 24

29 General Hospital Care UNIVERSITY COLLEGE HOSPITAL GALWAY GASTROENTEROLOGY DEPARTMENT 1992 EXAMINATIONS GASTROSCOPIES UPPER POLYPECTOMIES UPPER EDER PRESTON DILATATION MALONEY DILATATIONS INJECTION OF OESOPHAGEAL VARICES E.R.C.P. PAPPILLOTOMIES BILIARY STENTS COLONOSCOPIES COLONIC POLYPECTOMIES FLEXIBLE SIGMOIDOSCOPIES ACHALASIA DILATATIONS LASER JEJUNAL BIOPSIES HYDROGEN BREATH TESTS SAVARY GILLARD DILATATIONS SUBTOTAL NUMBER 1, ,264 RESPIRATORY BRONCHOSCOPIES 449 TOTAL IN ADDITION 79 NEW PATIENTS AND 424 REVIEW PATIENTS WERE SEEN AT THE COELIAC CLINIC 2,713 25

30 UNIVERSITY COLLEGE HOSPITAL GALWAY General Hospital Care PHYSIOTHERAPY DEPARTMENT 1992 GENERAL: OUT-PATIENTS PATIENTS 1,386 UNITS 11,952 IN- PATIENTS MATERNITY UNIT: OUT - PATIENT PATIENTS 5,643 UNITS 40,440 PATIENTS 1,353 UNITS 989 IN- PATIENTS PAEDIATRIC UNIT: OliT -PATIENTS PATIENTS 1,598 UNITS 1,880 PATIENTS 240 UNITS 4,410 IN- PATIENTS LIFTING & HANDLING COURSES PATIENTS 256 UNITS 2,845 TRAINEES 70 UNITS 236 TOTAL OliT - PATIENTS PATIENTS,3,049 UNITS 17,587 TOTAL IN- PATIENTS PATIENTS 7,497 UNITS 45,165 GRAND TOTAL PATIENTS 10,546 UNITS 65,752 26

31 General Hospital Care!UNIVERSITY COLLEGE HOSPITAL GALWAY DIETETICS DEPARTMENT IN- PATIENT 1,079 1,130 1,161 OUT-PATIENT 774 1,129 1,126 TOTAL 1,853 2,259 2,287 BIRTHS 1991 YEAR U.C.H.G. W.H.B ,405 6, ,320 5, ,461 5, ,426 5, ,613 5,755 E.E.G. DEPARTMENT IN-PATIENT OUT -PATIENT TOTAL 1,380 1,475 PSYCIDATRIC UNIT ECT'S ADMINISTERED

32 UNIVERSITY COLLEGE-HOSPITAL GALWAY MEDICAL LABORATORIES DEPARTMENT TESTS N HAEMATOLOGY 251, ,218 HISTOPATHOLOGY 161, , , , , ,095 MICROBIOLOGY 432, ,712 BIOCHEMISTRY 1,500,956 1,624,954. IMMUNOLOGY 24,028 26,088 TOTAL 2,371,328 2,573, , ,351 1,893,641 1,993,877 26,091 28,382 2,922,240 3,053,300

33 GENERAL HOSPITAL CARE UNIVERSITY COLLEGE HOSPITAL SPECIAL CARE BEDS 1992 N \Q CATEGORY BEDS AVAILABLE BED DAYS BED DAYS DISCHARGES o/o AVERAGE USED OCCUPANCY BED STAY INTENSIVE CARE CORONARY CARE PREMATURE BABY % % A TOTAL % 5.82

34 MERLIN PARK REGIONAL HOSPITAL. 30

35 MERLIN PARK REGIONAL HOSPITAL Expenditure at Merlin Park Regional Hospital amounted to m m accounted for 72.99% of total expenditure. Pay The Whole Time Equivalent staff complement for the Hospital was 493. Absenteeism averaged 2. 74% in Income collected by the Hospital amounted to 1.494m. FINANCIAL SUMMARY. CATEGORY ACTUAL BUDGET %VARIANCE '000 '000 PAY 8,302 8, % NON-PAY 3,071 2, % GROSS 11,373 11, % INCOME 1,494 1, % NET 9,879 9, % 31

36 MERLIN PARK REGIONAL HOSPITAL DEVELOPMENTS 1992 UNIT 1: Under the Programme for Economic and Social Development, a sum of 100,000 was received from the Department of Health for the development of services for the elderly. Unit 1, which had been closed for a number of years, was upgraded and painted and the Nephology Department which was previously based in Unit 4 was transferred to Unit 1 with effect from 27th July, UNIT 2: New windows were provided in the treatment rooms of the Out-Patients Department in Unit 2. UNIT 3: New windows and doors were provided in Unit 3 from the Backlog of Maintenance Allocation received from the Department of Health. UNTT 4: New windows and doors were also provided in Unit 4 from the Backlog of Maintenance Allocation received from the Department of Health. The Unit was also upgraded and new furnishings were provided in order to faci litate the transfer of the Geriatric Assessment Unit to Unit 4 with effect from 5th Augu st, 1992, providing 10 additional Geriatric Assessment beds. The transfer of the Geriatric Assessment Unit to Unit 4 also facilitated an increase of 18 beds for long stay geriatric patients in Units 5 and 6. UNIT 5: A new entrance door and window was provided in Unit 5 and external painting of the Unit also took place. UNIT 6: A new entrance door and window was also provided in Unit 6 and this Unit was also painted on the exterior. HOSPITAL GROUND: A new Nurse-call system was installed in Hospital Ground. Hospital Two A new Nurse-call system was installed in Hospital Two. 32

37 THEATRE: A new Anaesthetic Monitoring Machine was purchased for the Theatre. E.C.G DEPARTMENT: A new E.C.G. M achine was purchased for this Department. KITCHEN/STORES/ PHARMACY: Major repairs were carried out to the roofs of the Kitchen, Stores and Pharmacy. Some of this work was funded from the Backlog of Maintenance Allocation received from the Department of Health and the balance was funded from our own resources. A new oven was also purchased for the Catering Department. ENTRANCE: The entrance to this hospital which also is the entrance to the Board's Headquarters was upgraded. The above works at a total cost of 335, have improved the services for patients and staff at Merlin Park Regional Hospital, Galway. 33

38 MERLIN PARK REGIONAL HOSPITAL DEVELOPMENTS 1992 w ~ Project Expenditure Unit 1 Upgrading, external painting and re-opening 168, Unit 2 Provision of new windows in Treatment Rooms of Out-Patients Department 3, Unit 3 Provision of new windows and doors 17, Unit 4 Provision of new windows and doors 16, Upgrading of Unit and provision of new furnishings (beds, bed tables, baths, etc) 59, Unit 5 Provision of new entrance door and window 2, Date Completed July 1992 June 1992 October 1992 October 1992 July 1992 June 1992 I External Painting 4, September 1992

39 MERLIN PARK REGIONAL HOSPITAL DEVELOPMENTS 1992 w U1 Project Expenditure Unit 6 Provision of new entrance door and window 2, External Painting 4, Hospital Ground Provision of new Nurse Call System 3, Hospital Two Provision of new Nurse Call System 3, Theatre Provision of Anaesthetic Monitoring Equipment 7, E.C.G Department Provision of new E.C.G. Machine 4, Kitchen/Stores/Pharmacy Repairs to Roof 14, I! Date Completed June 1992 September 1992 July 1992 April 1992 December 1992 September 1992 October 1992 Provision of new oven in Kitchen 7, Entrance Upgrading of Entrance to Hospital and Headquarters 14, I TOTAL I 335, I February 1992 December 1992 I

40 MERLIN PARK REGIONAL HOSPITAL. GALWAY MANAGEMENT ADVISORY STRUCTURE PROGRAMME MANAGER GENERAL HOSPITAL CARE < 1...) "" I I I I HOSPITAL MANAGEMENT ADVISORY COMMITTEE HOSPITAL MANAGEMENT < ~ TEAM COMMITTEE CONSULTANT MEDICAL ~--->1 STAFF COMMITTEE I DEPARTMENT TEAM SURGERY I I I DEPARTMENT DEPARTMENT DEPARTMENT TEAM TEAM TEAM MEDICINE RADIOLOGY ANAESTHESIA

41 MERLIN PARK REGIONAL HOSPITAL GENERAL HOSPITAL CARE IN PATIENT STATISTICS 1992 CATEGORY BEDS I MAXIMUM I ACTUAL I DISCHARGES :. :. (] BED DAYS BED DAYS ~~-~:fi,]!: t~ '..;) --.) GENERAL MEDICINE I!NEPHROLOGY GENERAL MEDICINE/ RHEUMATOLOGY GERIATRIC SSESSMENT ORTHOPAEDIC I I I I 35 I I 9119 I ,oo6 1 10, , , ,782 I ,894 29,384 2,931. SUB-TOTAL ,615 55,219 5,394 GERIATRIC- LONGSTA Y ,443 33, TOTAL I ,058 88,962 5,458

42 MERLIN PARK REGIONAL HOSPITAL GALWAY % OCCUPANCY EXC. GERIATRIC 70 '..-..) 00 ~ (f) 60 l.j z 0 40 ~ lr ::J 0 w ~ I XXI l XXI IX XJ f XXJ IXX l f XXJ fxxj! XXI I YEAR

43 ~ 1- w 0 \0 MERLIN PARK R~GIONAL POOl (/) 9 10 ~- ll 0 8 z 7 ~ 0::: :::> 6 0 w 5 ~ AVERAGE DURATION OF STAY EXC. GERIATRIC HOSPITAL, GALWAY 0 I [XXJ ryxj lxxj r XXJ IXX J fxxj r XXl! XX I I YEAR

44 MERLIN PARK REGIONAL HOSPITAL General Hospital Care GEOGRAPHICAL DISTRIBUTION INPATIENT 1992 LOCATION NUMBER LOCATION NUMBER WESTERN HEALTH BOARD OTHER E.C. COUNTR,IES GALWAY 3,762 MAYO 1,040 UNITED KINGDOM 39 ROSCOMMON 332 ITALY 1 FRANCE 10 SUBTOTAL 5,134 GERMANY 7 HOLLAND 1 SPAIN 1 OTHER COUNTIES SUBTOTAL 59 CAVAN 2 CLARE 87 CORK 6 DONEGAL 16 DUBLIN 32 KERRY 4 OTHER COUNTRIES KILDARE 3 KILKENNY 1 U.S.A. 16 LAOIS 3 AUSTRIA 2 LEITRIM 4 AUSTRALIA 1 LIMERICK 6 LONGFORD 10 SUBTOTAL 19 LOUTH - MEATH 2 MONAGHAN 1 OFFALY 5 SLIGO 11 TIPPERARY 10 WATERFORD 2 WESTMEATH 32 WEXFORD 5 WICKLOW - SUBTOTAL 242 NORTHERN IRELAND 4 TOTAL 5,458 40

45 MERLIN PARK REGIONAL HOSPITAL General Hospital Care OUTPATIENT ACTIVITY OUT PATIENT CLINIC RENAL ,080 1,157 1, RHEUMATOLOGY , CARDIOVASCULAR ORTHOPAEDIC - 8,138 9,150 9,434 10, SUB-TOTAL 0 9,639 10,596 11,201 13,015 13,664 PLASTER ROOM 574 5,520 6,090 6,281 6, X-RAY 958 8,334 9,309 10,009 15, ~ PHYSIOTHERAPY 1,288 1,694 1,910 1, DAY CASES 1,073 1,442 1,647 1, SUB-TOTAL 1,532 16,215 18,535 19,847 25,758 24,828 U.C.H.G. CLINICS RESPIRATORY CARDIOLOGY GROSS TOTAL 1,532 26,566 29,937 31,957 39,504 39,090

46 General Hospital Care MERLIN PARK REGIONAL HOSPITAL OUT PATIENT WAITING LIST AT 31st DECEMBER 1992 CATEGORY NUMBER LONGEST WAITING TIME ORTHOPAEDIC GALWAY YEARS MAYO YEARS ROSCOMMOt/ YEARS TOTAL 2729 RHEUMATOLOGY YEARS IN PATIENT WAITING LIST AT 31st DECEMBER 1992 CATEGORY NUMBER LONGEST WAITING TIME ORTHOPAEDIC 563 MARCH 1990 RHEUMATOLOGY 4 NOVEMBER 1992 GERIATRIC ASSESSMENT 9 I-2 WEEKS 42

47 jmerlin PARK REGIONAL HOSPITAL OPERATIONS 1992 THEATRES MAJOR MINOR TOTAL ORTHOPAEDIC PERIPHERAL CLINICS 1992 SPECIAL TV LOCATION NUMBER OF ATTENDANCES ORTHOPAEDIC GEN.HOSP. CASTLEBAR 1306 CO. CLINIC ROSCOMMON 741 DIST. HOSP. BALLINA 204 SUBTOTAL 2251 NEPHROLOGY GEN. HOSP. CASTLEBAR 89 TOTAL

48 MERLIN PARK REGIONAL HOSPITAL General Hospital Care X-RAY DEPARTMENT 1992 CATEGORY NUMBER OF PATIENTS MAIN X-RAY 21,015 ULTRASOUND 343 NUCLEAR MEDICINE 355 SPECMLPROCEDURES 62 TOTAL 21,775 NUMBER OF EXAMINATIONS 25,204 NO. FILMS USED 40,100 44

49 I '~ General Hospital Care!MERLIN PARK REGIO NAL HOSPITAL I,~ PHYSIOTHERAPY DEPARTME NT CATEGORY OUT-PATI ENTS ; GENERAL PATIENT s UNITS 1,694 1,910 4,114 4,028 1,92a 5,291 2,015 5,805 IN-PATIE NTS PATIENT s 20,543 17,476 15,899 15,872 UNITS 34,924 30,325 30,597 29,633 TOTAL PATIENT s 22,237 19,386 17,827 17,887 UNITS 39,038 34,353 35,888 35,438 " HAEMODIALYSIS DEPARTME NT IN-PATIENTS TREATED 6,194 5,644 5,240 5,356 HOME TREATMENTS TOTAL 6,350 5,800 5,384 5,356 DIETETICS DEPARTMENT IN-PATIENT ,536 ~, OUT -PATIENT TOTAL 1,249 1,292 2,090 :'~ - ~ J :., 45

50 GENERAL HOSPITAL CARE MERLIN PARK REGIONAL HOSPITAL SPECIAL CARE BEDS 1992 ~ 0\ CATEGORY BEDS MAXIMUM BED DAYS ACTUAL DISCHARGES % AVERAGE BED DAYS OCCUPANCY BED STAY INTENSIVE CARE % 1.44 TOTAL %

51 MAYO GENERAL HO SPIT AL. 47

52 MAYO GENERAL HOSPITAL, CASTLEBAR Expenditure at Mayo General Hospital, Castlebar amounted to m. Pay accounted for 74.2% of total expenditure. The Whole Time Equivalent staff complement for the Hospital was 490. Absenteeism averaged 3. 71% in Income collected by the Hospital amounted to 1.227m. FINANCIAL SUMMARY CATEGORY ACTUAL BUDGET %VARIANCE '000 '000 PAY 9,940 9, % NON-PAY 3,456 3, % GROSS 13,396 12, % INCOME 1,227 1, % NET 12,169 11, % 48

53 MAYO GENERAL HOSPITAL DEVELOPMENTS A new Physiotherapy Department was provided in the area formerly used as the Kitchens. The new development includes six examir:ation cubicles, two Paediatric Room s and a Gymnasium. 2. All windows in the ward areas in the old part of the hospital were replaced as part of the Minor Capital Allocation received from the Department of Health. 3. Re-routing of the main heating system was commenced to reduce energy costs. 4. Upgrading of main corridor areas in old part of the hospital. 49

54 MAYO GENERAL HOSPITAL. CASTLEBAR MANAGEMENT ADVISORY STRUCTURE PROGRAMME MANAGER GENERAL HOSPITAL CARE 1< ~ VI 0 1 r > Hospital Management Team <----i Chairman, H.M.A.c. Matron, Administrator Hospital Ma nage ment Advisory 1< ~ committee ~ > Consultant Medical St aff Committee Single/Group Discipline Committees DEPARTMENT TEAM LABORATORY DEPARTMENT DEPARTMENT DEPARTMENT DEPARTMENT TEAM TEAM TEAM TEAM RADIOLOGY SURGICAL MEDICAL OBS/GYNAE DEPARTMENT TEAM O.P.D. DEPARTMENT TEAM OTHERS

55 MAYO GENERAL HOSPITAL GENERAL HOSPITAL CARE IN PATIENT STATISTICS 1992 CATEGORY BEDS I MAXIMUM I ACTUAL I DISCHARGES BED DAYS BED DAYS I:_II,I{JD!I MEDICAL 73 26,645 24,807 4,436 VI - SURGICAL 65 23,406 20,072 4,485 1 obstetric 40 14,600 9,619 1,802 GYNAECOLOGY 12 3,828 2, ,140 8,516 2, ,619 65,435 14,231 IATRIC 44 16,060 16, TOTAL ,679 81,648 14,924 * 532 of these bed days relate to day patients in m edical assessment unit WARD CLOSURES GYNAE: 12th JULY- 15th AUGUST 19th DECEMBER- 31st DECEMBER D. BLOCK: 19th DECEMBER- 31st DECEMBER

56 MAYO GENERAL HOSPITAL % OCCUPANCY EXC. PSYCHIATRY 100 ~ ~ Vl tv >- ~ (/) l.j.. 0 z 0 ~ er :::> 0 w ~ I f XXI!X X I lxx I l XXJ IX XJ C XXJ f XX J lxxi I YEAR

57 MAYO GENERAL HOSPITAL AVERAGE DURATION OF STAY EXC. PSYCH. 7 ~ ~ >- ~ (/) LL. 0 4 z VI 0 w ~ 0.:: ::> 3 0 w ~ I!XXI lxxi lxxi!xxi!x XI!XXI lxxi!xxi I YEAR

58 MAYO GENERAL HOSPITAL General Hospital Care GEOGRAPHICAL DISTRIBUTION INPATIENT 1992 LOCATION NUMBER LOCATION NUMBER WESTERN HEALTH BOARD OTHER E.C. COUNTRIES GALWAY 66 MAYO 13,695 UNITED KINGDOM 85 ROSCOMMON 132 FRANCE 11 GERMANY 6 SUBTOTAL 13,893 ITALY 3 SWEDEN 1 DENMARK 1 OTHER COUNTIES SUBTOTAL 107 CARLOW 1 CAVAN 4 CLARE 2 CORK 11 DONEGAL 4 DUBLIN 44 OTHER COUNTRIES KERRY 2 KILDARE 9 KILKENNY 3 AUSTRALIA 4 LAOIS 2 CANADA 1 LEITRIM 4 U.S.A. 17 LIMERICK 5 AUSTRIA 1 LONGFORD - LOUTH 2 MEATH 6 SUBTOTAL 23 MONAGHAN - OFFALY 2 SLIGO 77 TIPPERARY 5 TOTAL 14,233 WATERFORD 2 WESTMEATH 5 + PSYCHIATRIC ADMISSIONS 691 WEXFORD 2 WICKLOW 3 SUBTOTAL 195 NORTHERN IRELAND 15 TOTAL 14,924 54

59 !MAYO GENERAL HOSPITAL General Hospital Care VI V1 OUTPATIENT ACTIVITY lout PATIENT CLINIC SURGICAL GERIATRIC SIGMOIDOSCOPY VARICOSE VEINS FRACTURE MEDICAL WARFARIN E. C. G. ANTENATAL GYNAECOLOGY PAEDIATRICS ORTHOPAEDICS DERMATOLOGY NEPHROLOGY UROLOGY ST. LUKES E.N.T. RESPIRATORY SUBTOTAL CASUALTY TOTAL ,028 4, ,211 6,217 5,

60 MAYO GENERAL HOSPITAL General Hospital Care IN PATIENT WAITING LIST at 31st DECEMBER 1992 CATEGORY NUMBER LONGEST WAITING TIME GENERAL SURGERY 245 APRIL 1992 GYNAECOLOGY 33 DECEMBER 1992 OUT PATIENT WAITING LIST at 31st DECEMBER 1992 CATEGORY NUMBER LONGEST WAITING TIME GENERAL SURGERY 820 JUNE 1991 UROLOGY 242 DECEMBER 1989 DERMATOLOGY 140 JANUARY 1991 PAEDIATRICS 37 OCTOBER 1992 ORTHOPAEDICS 780 MAY 1989 E.N.T. 600 SEPTEMBER 1991 GYNAECOLOGY 185 JUNE 1992 RESPIRATORY 26 JULY

61 MAYO GENERAL HOSPITAL GENERAL HOSPITAL CARE OPERATIONS 1992 THEATRES MAJOR MINOR TOTAL GENERAL 1,055 1,759 2,814 E.N.T OBS!GYNAE CASUALTY DENTAL ORTHOPAEDIC PLASTIC SURGERY TOTAL 1,055 2,170 4,280 57

62 General Hospital Care MAYO GENERAL HOSPITAL I X- RAY DEPARTMENT 1992 CATEGORY NUMBER OF EXAMINATIONS MAIN X-RAY 40,453 ULTRASOUND 1,953 SPECIAL PROCEDURES 6,426 TOTAL 48,832 NUMBER OF PATIENTS EXTERNAL 21 '156 INTERNAL 10,448 TOTAL 31,604 58

63 lmayo GENERAL HOSPITAL General Hospital Care I PHYSIOTHERAPY DEPARTMENT CATEGORY OUT -PATIENTS PATIENTS 887 1,049 1,600 1,989 GENERAL UNITS 4,930 5,931 10,023 13,108 IN-PATIENTS PATIENTS 2,177 2,204 1,802 2,094 UNITS 11,880 12,673 10,995 12,350 TOTAL PATIENTS 3,064 3,253 3,402 4,083 UNITS 16,810 18,604 21,018 25,458 BIRTHS YEAR NO. OF BIRTHS GEN. HOSP. W.H.B. CASTLEBAR ,583 6, ,409 5, ,442 5, ,435 5, ,318 5,755 59

64 GENERAL HOSPITAL CARE j.--m-a_y_o_g_e_n_e_r_a_l_h_o_s_p_it_a_l ---.~ DIETETICS DEPARTMENT IN- PATIENT 1,679 1,151 1,255 PSYCHIATRIC UNIT E.C.T'S ADMINISTERED

65 MAYO GENERAL HOSPITAL General Hospital Care MEDICAL LABORATORIES TESTS HAEMATOLOGY 61,962 68,027 BLOOD TRANSFUSION * 29,045 25,127 BACTERIOLOGY 148, ,464 HISTOLOGY 11,178 9,935 BIOCHEMISTRY 192, ,102 TOTAL 443, , ,932 68,939 12,479 13, , ,412 9,453 11, , , , ,313 IN THE BLOOD TRANSFUSION SERVICE CHANGED THEIR MEASUREMENT TO CANADIAN UNITS WHICH ARE APPROXIMATELY DOUBLE THE FORMER UNITS OF MEASUREMENT. 61

66 ROSCOMMON COUNTY HOSPITAL. 62

67 ROSCOMl\10N COUNTY HOSPITAL Expenditure at Roscommon County Hospital amounted to 4.513m in Pay accounted for 76.02% of total expenditure. The Whole Time Equivalent staff complement for the Hospital was 178. Absenteeism averaged 2.78 in Income collected by the Hospital amounted to 0.398m. FINANCIAL SUMMARY. CATEGORY ACTUAL BUDGET % VARIANCE '000 '000 PAY 3,431 3, % NON-PAY 1, % GROSS 4,513 4, % INCOME % NET 4,115 4, % 63

68 ROSCOMMON COUNTY HOSPITAL DEVELOPMENTS 1992 DEPARTMENT OF PSYCHIATRY Acute Psychiatric Unit On the loth February, 1992, the Acute Psychiatric Unit was opened with a total of 30 in-patient beds. Thirty-two Nursing Staff and five Attendant Staff, together with three Consultants, four Senior House Officers, one Psychiatric Social Worker, one Occupational Therapist, and two Clerical Staff moved from St. Patricks Hospital, Castlerea. The Acute Unit now occupies the Ground Flor of the Hospital. Addiction Treatment Unit The Addiction Treatment Uni t was also put into operation on the loth February, 1993, with two Addiction Counsellors working in this Uni t. The Addiction Treatment Unit was formerly the Gate Lodge, and is providing a 28 day Programme for patients from the Acute Unit with addiction problems. The Uni t also caters for out-patients and follow-up programmes. CONSULTANTS' OFFICES All Consultants' Offices were refurbished and relocated on the first floor of the hospital, in the former St. Agnes' Ward, thus making these offices adjacent to the Medical and Surgical Wards and Theatre. ADMINISTRATIVE AND ACCOUNTS OFFICE The new Accounts Office was relocated and refurbished and now occupies a larger space for the Administration Staff, in the old Oratory. A hatch was erected for security reasons and also to give a better and more private service to customers. CARP ARK The Carpark within the hospital grounds was extended at the Staff Residence to cater for the growing demand on space due to the increase in Staff numbers because of the opening of the Acute Psychiatric Unit, the Addiction Treatment Unit and to cater also for visitors etc. COUNTY CLINIC The County Clinic was refurbished to provide a larger Dental Clinic. Work is still in progress in relation to providing more suitable Waiting areas, Consultation Rooms, Examination Rooms etc. 64

69 CONFERENCE ROOM The Conference Room, which was the former Accounts Office, is now remodelled and redecorated to provide accommodation for Meetings and Interviews etc. All the above developments have greatly enhanced the image of the County Hospital, to staff, patients and visitors. It has boosted the morale of staff, and all the changes which have occurred have improved the hospital. Almost all the work done has been carried out by the Maintenance Staff of the County Hospital, and under the guidance of the Maintenance Supervisor, to a very high standard and is commented on favourably by visitors and patients alike. 65

70 ROSCOMMON COUNTY HOSPITAL DEVELOPMENTS 1992 Project Actual Expenditure Department of Psychiatry:- Building Contract: 269, Furnishings: 86, Date Occupied 0\ 0\ Move In:- Acute Unit and Addiction Treatment Unit 15, loth February, 1992 Addiction Treatment Unit Buildings and Furnishings 22, Consultants' Offices 1, Administration and Accounts Office and Oratory 1, Carpark 8, County Clinic 50, Conference Room June, 1992 May, 1992 August, 1992 December,

71 ROSCOMMON COUNT HOSPITAL MANAGEMENT ADVISORY STRUCTURE PROGRAMME MANAGER GENERAL HOSPITAL CARE Hospital Management Team 0\ -...] Hospital Management Advisory Committee I I I DEPARTMENT TEAM DEPARTMENT TEAM DEPARTMENT TEAM DEPARTMENT TEAM SURGERY MEDICINE RADIOLOGY ANAESTHESIA

72 ROSCOMMON COUNTY HOSPITAL GENERAL HOSPITAL CARE IN PATIENT STATISTICS 1992 CATEGORY I BEDS I MAXIMUM I ACTUAL I DISCHARGES BED DAYS BED DAYS 0\ 00 GENERAL MEDICINE GENERAL SURGICAL

73 ROSCOM MON COUNTY HOSPITAL % OCCUPANCY 100 ~ ~ \ \0 ~ (/) ll 0 z 0 ~ 0::: :::J 0 w ~ I l XXI! X XI! XXI!XXI!XX I lxxi lxxi! XXI I I I I I I I I I I YEAR

74 ROSCOMMON COlJNTY HOSPITAL AVERAGE DURATI ON OF STAY 10~ ~ >- ~ (/) lj.. 0 z 0 ~ 0:: :> 0 w ~ I! XX I! XX I!XX I!X XI! XXI! XXI!XXI! XXI I I I I I I I I I I YEAR ~ C73. C

75 COUNTY HOSPITAL ROSCOMMON General Hospital Care GEOGRAPHICAL DISTRIBUTION INPATIENT 1992 LOCATION NUMBER LOCATION NUMBER WESTERN HEALTH BOARD OTHER E.C. COUNTRIES GALWAY 213 MAYO 21 UNITED KINGDOM 10 ROSCOMMON 3265 FRANC 5 SUBTOTAL 3499 SUBTOTAL 15 OTHER COUNTIES CAVAN 3 CLARE 2 CORK 2 DONEGAL 1 DUBLIN 7 KERRY 4 OTHER COUNTRIES KILDARE - KILKENNY - LAOIS - CANADA 2 LEITRIM 48 LIMERICK 1 SUBTOTAL 2 LONGFORD 129 LOUTH 1 MEATH - MONAGHAN 1 OFFALY 1 SLIGO 8 TIPPERARY - WATERFORD - WESTMEATH 17 WEXFORD 1 WICKLOW - SUBTOTAL 226 NORTHERN IRELAND ANTRIM 3 ARMAGH - D RRY - DOWN 3 FERMANAGH - TYRON 1 SUBTOTAL 7 TOTAL l

76 1ROSCOMMON COUNTY HOSPITAL General Hospital Care -J N OUTPATIENT ACTIVITY OUT PATIENT CLINIC MEDICAL UROLOGY SURGICAL ORTHOPAEDIC E.N.T. PAEDIATRIC GYNACOLOGY DERMATOLOGY CHILD GUIDANCE VARICOSE VEINS TRAUMA CLINIC PSYCHIATRY SUB-TOTAL ,953 2, ,136 1, , ,905 7,395 16, ,000 3,206 3,407 3, ,793 1,971 1,616 1,896 1, ' 303 9,289 9,348 9,947 2, ,976 17,369 18,560 11,740 CASUALTY TOTAL 5,986 7,395 22,201 6,012 6,516 6,501 13,354 22,988 23,885 25,061-25,094

77 !ROSCOMMON COUNTY HOSPITAL General Hospital Care OUT PATIENT WAITING LIST at 31st DECEMBER 1992 CATEGORY NUMBER LONGEST WAITING TIME GENERAL SURGERY 164 AUGUST, 1992 UROLOGY 31 FEBRUARY, 1992 DERMATOLOGY th JANUARY, 1989 PAEDIATRICS - - ORTHOPAEDICS 320 DECEMBER, 1990 E.N.T. 148 MAY, 1992 VARICOSE VEINS 10 NOVEMBER, 1992 MEDICAL 82 AUGUST, 1992 IN PATIENT WAITING LIST AT 31st DECEMBER 1992 CATEGORY NUMBER WAITING LONGEST TIME MEDICAL SURGICAL 12 3 MONTHS 73

78 General Hospital Care!ROSCOMMON COUNTY HOSPITAL OPERATIONS 1992 INTER- THEATRES MAJOR MINOR MEDIATE TOTAL GENERAL DENTAL TOTAL PHYSIOTHERAPY DEPARTMENT CATEGORY OUT- PATIEN PATIENTS GENERAL UNITS IN- PATIENT PATIENTS UNITS TOTAL PATIENTS UNITS *IN 1991 THE METHOD OF CALCULATION OF UNITS WAS REVISED 74

79 General Hospital Care ROSCOMMON COUNTY HOSPITAL X-RAY DEPARTMENT CATEGORY NUMBER OF NUMBER' OF PATIENTS PATIENTS MAIN X- RAY 8, ULTRASOUND SPECIAL PROCEDURE 1,123 1,118 TOTAL 9,882 10,557 TOTAL NUMBER OF EXAMINATIONS 14,

80 General Hospital Care /COUNTY HOSPITAL ROSCOMMON DIETETICS DEPARTMENT IN- PATIENT OUT- PATIENT TOTAL BIRTHS YEAR NO. OF BIRTHS ROSCOMMON W.H.B. CO. HOSP , , , , ,755 76

81 General Hospital Care COUNTY HOSPITAL ROSCOMMON MEDICAL LABORATORIES TESTS -J -..J HAEMATOLOGY AND BLOOD TRANSFUSION 9,972 10,185 10, BACTERIOLOGY 2,486 2,490 2, BIOCHEMISTRY 27,043 48,698 69, TOTAL 39,501 61,373 82, ,

82 GENERAL HOSPITAL CARE ROSCOMMON COUNTY HOSPITAL...,J 00 SPECIAL CARE BEDS 1992 CATEGORY BEDS MAXIMUM BED DAYS ACTUAL DISCHARGES % AVERAGE BED DAYS OCCUPANCY BED STAY CORONARY CARE /o

83 DISTRICT HOSPITALS. 79

84 SWINFORD DISTRICT IIOSPITAL Expenditure at Swinford District Hospital amounted to 0.877m. Pay accounted for 85.1% of totaj expenditure. Income collected by the Hospital amounted to 90,000. FINANCIAL SUMMARY ACTUAL BUDGET %VARIANCE CATEGORY '000 '000 PAY % NON-PAY % GROSS % INCOME % NET % 80

85 BALLINA DISTRICT HOSPITAL Expenditure at Ballina District Hospital amounted to 1.134m. Pay accounted for of total expenditure. Income collected by the Hospital amounted to 86,000. FINANCIAL SUMMARY. CATEGORY ACTUAL BUDGET % VARIANCE '000 '000 PAY % NON-PAY % GROSS I, 134 1, % INCOME % NET 1,048 1, % 81

86 BELMULLET DISTRICT HOSPITAL Expenditure at Bel mullet District Hospital amounted to 0.848m. Pay accounted for 79.13% of total expenditure. Income collected by the Hospital amounted to 36,000. FINANCIAL SUMMARY. CATEGORY ACTUAL BUDGET % VARIANCE '000 '000 PAY % NON-PAY % GROSS % INCOME % NET % 82

87 CLIFDEN DISTRICT HOSPITAL Expenditure at Clifden District Hospital amounted to 0.386m. Pay amounted to 85.49% of total expenditure. Income collected by the Hospital amounted to 55,000. FINANCIAL SUMMARY. CATEGORY ACTUAL BUDGET % VARIAt1CE '000 '000 PAY % NON-PAY % GROSS % INCOME % NEIT % 83

88 ]!GENERAL HOSPITAL CARE u!district HOSPITALS I ACTIVITY ~ I HOSPITAL IBED COMPLEMENf I AVAILABLE BED DAYS BED DAYS USED PUBLIC NON TOTAL PUBLIC NON TOTAL PUBLIC NON PUBLIC PUBLIC PUBLIC I BALLINA I BELM!JLLET I 4 1 I I I I 9 SWINFORD I 40 I Ol 40 I I - I I CLIFDEN I 28 I I I 730 I I 8510

89 CAPITAL.ALLOCATION lgg~. Backlog of Maintenance 150,000 (All Hospitals) Replacement of Anaesthetic Equipment - 250,000 University College Hospital, Galway. Replacement of Mammography Facility, 65,000 University College Hospital, Galway. Replacement of Urgent Medical 80,000 Equipment, University College Hospital, Galway. TOTAL: 545,000 85