Haiti Eye Care Symposium Mildred MG Olivier, M.D. Associate Professor Rosalind Franklin University of Medicine and Science May 18-20, 2012 AAO Haiti Task.

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Slide 2 Haiti Eye Care Symposium Mildred MG Olivier, M.D. Associate Professor Rosalind Franklin University of Medicine and Science May 18-20, 2012 AAO Haiti Task Force Member Slide 3 Financial Disclosure No financial interest in this talk Haitian-American First mission trip 1993 with John Mitchell to Mirbalais Slide 4 AAO Task Force for Haiti Recovery David W. Parke II MD, ex-officio Robert Butner, MD Claude Cowan, MD Mildred MG Olivier, MD Daniel LaRoche, MD Richard Lee, MD Stephanie Marioneaux, MD Nelson Marques, chair, Pan American Ophthalmological Foundation Kaz Soong, MD 100 percent of donations sent to Haiti Slide 5 Hospital Bernard Mevs Project Medishare Overview 50 bed trauma and critical care hospital Employs: 44 Haitian Nurses 22 Haitian Physicians 70 Support Staff and Administration Slide 6 Comprehensive Outpatient Services -General outpatient clinic with a pediatrician, two family medicine doctors, an OB/GYN, a dermatologist and HIV care -Wound care -Physical therapy -Surgical consultations -Urgent Care Center (24/7)* Slide 7 Emergency Services Staff and equipped to triage and stabilize critical patients Intensive care unit available to very critical patients Expanding access to critical and trauma care in Haiti through training staff at HBMPM (pilot) and to add other sites as this project develops sustainability Slide 8 Radiology Unique Radiology program including a 16-slice CT Scanner Slide 9 Surgical Expertise and Services 2 (soon to be 3) state of the art operating rooms Specialties include: General, Orthopedics, Ophthalmology, Obstetrics and Neurosurgery Slide 10 Funding and operational model Operations in partnership with Project Medishare Grants Food for the Poor American Red Cross Rotary International Knights of Columbus Lions Club (UK Carterton and Witney) Private donations Individual donors Patient revenues *New* Begin charging insurance and wealthier patients to subsidize free care Slide 11 Social Impact 60,000 patients seen a year INDICATOR Total Jan- March 2012 # of Inpatients Seen490 # of Outpatients Seen10118 # of Operations Performed 432 Slide 12 Current Ophthalmology Program Launch of outpatient and surgical program in May 2012 37 patients operated and 150 screened MOU with the Haitian Society of Ophthalmology State of the art equipment and supply donations from Alcon, physicians and other hospitals Slide 13 Partners and contributers Pan-American Association of Ophthalmology (PAAO) American Academy of Ophthalmology (AAO) Haitian Society of Ophthalmology (HSO) University of Miami Alcon Medical Missions International DSC Logistics and Direct Relief International American Glaucoma Society (AGS) Northwest Community Hospital and Sherman Hospital Slide 14 Vision "My hope is to have a full-functioning, sub-specialty eye clinic where continual skills transfer can be done. That way volunteer PAAO and AAO members can confer state of the art ophthalmological techniques to Haitian clinicians. We want to raise the bar for trainings Mildred M. G. Olivier, M.D. Slide 15 Current Operating Expenses Slide 16 Dr. Frantz Large President of the HSO Slide 17 Slide 18 AAO Mobile Units Slide 19 Slide 20 Just do it! Slide 21 ?? Mission Impossible?? Procure : Ophthalmic equipment Logistics : Pack equipment Transport to Port of Miami Ship to Haiti ?Boat? Air Budget : $0 Slide 22 The 6 Cs of Teamwork Compassion with Commitment Connections Communication Cooperation Courtesy & Respect Slide 23 Compassion with Commitment Goal : Provide equipment to broadly re-establish ophthalmic services in earthquake ravaged Haiti Identify the need: HSO, Volunteers Outline a strategy for procurement, packing & shipping Pro Bono Consult with Haitian Society of Ophthalmology re: distribution Picture of broken slit lamp & damaged building Slide 24 Connections AAO received offers of donated equipment- Jane Aguirre, VP of Global Alliances & Annamarie Hastings Social networking- Facebook: Earthquake survivors & friends, Gregory Mevs- Clinton Foundation; Food for the Poor, Fed Ex, patients Contacts Ophthalmic Equipment companies USAID, State Department NGOs Physicians for Peace, Partners in Health Slide 25 Communication Broadcast your challenge- friends, family, colleagues, patients, businesses Immediate follow up on all leads Negotiate : Humanitarian= pro bono TV Coverage ABC, WHRO, NBC Email Trail Slide 26 Media Coverage CBS ABC Nightline World News Tonight NBC WGN CNN Daily Herald Chicago Tribune Slide 27 Cooperation AAO Staff Refer donations to sub committee Catalog all pro bono donations & contact info. Follow up with Tax exempt donation letters Haitian Society of Ophthalmology Identify & respect their needs Keep them up to date They decide on distribution Slide 28 From My Home to Your Home Slide 29 Slide 30 What We Accomplished 5 complete rooms of ophthalmic equipment( Lombart Instrument) 14,000 pairs of reading glasses (Physicians for Peace) 8000 bottles of prescription eye drops( Allergan) SLT Laser Shipped by the Clinton Foundation Arrived April 2, 2010 in Port au Prince, Haiti Slide 31 Donations cont- Complete, 2 exam room satellite office (Drs. Cheryl Powell & Lori Moore) SLT laser (Dr. Mildred Olivier) 6 new Topcon Chairs 2 Slit lamps Slide 32 Total donations Potential for 10 rooms of equipment SLT and Yag Laser 11,000 bottles of prescription eye drops Phaco machine Ophthalmic Books and Surgical Videos Panoptic Ophthalmoscope and Lenses Provizion Camera with Computer Slide 33 Courtesy Thank everyone & thank them often Recognize hard work & generosity Formal thank you notes, mail, email, verbally Tax deductible letters confirming donations Slide 34 Thanks to Dr. Stephanie Marioneaux Dr. Brigitte Hudicourt WHRO- Barbara Hamm WHRO-Lisa Godley ABC-Barbara Ciarra Chicago- Dr. Mike Brennan Dr. David Parke Lombart Instrument MSI Dixie Crating Topcon Allergan Drs. Cheryl Powell & Lori Moore Agape Church AAO Task Force for Haiti Recovery Phillippe Chatelain Inspire Pharmaceuticals Kiwanis International AAO Staff Alcon Foundation Lisa Jones Johnson Gregory Mevs Physicians for Peace Clinton Foundation USAID/State Dept. Slide 35 AAO- Visiting Professor Volunteer List Subspecialty Representation Oculoplastics Glaucoma Pediatrics Training tech staff Slide 36 Canadian Ophthalmologist Training July 2010 Slide 37 HUEH Clinic and Post operative Area Luc Nozier Phaco India Beatrice Valerius Pediatric Bascom Palmer Mike Maingrette Phaco and Glaucoma- India and Bascom Palmer Don Hernshelown- Retina- North Carolina Regine Edward Phaco Argentina Bio Medical individuals Raymond and two others Slide 38 One or more operating rooms entirely devoted to eye care, An eye care clinic mainly aimed at the economically poor, but possibly with a part time profit use in order to help with the costs. A 24 hour emergency care unit. One major center for providing all levels of eye care education. A center for the formation and training or residents in Ophthalmology A center for sub-specialty training. A community eye care health center. A major clinical research center for eye care Slide 39 Bernard Mevs Eye Clinic Slide 40 Slide 41 Slide 42 Slide 43 List of Donations 4 chairs 1 lateral file cabinet 3 horizontal file 4 horizontal file 2 small bookcases 2 large cabinets 4 small cabinets 2 wheel chairs 3 small fridges 6 operating lights 1 blanket warmer on wheels 8 carts on wheels 2 sterilizers 3 medical beds 41 lockers 20 miscellaneous pieces of electronic equipment 3 TVs Goldman Humphrey Machine Corneal Endothelial Cell Count SD- OCT A Scan Slide 44 Total donations Potential for 20 rooms of equipment 2-3 SLTs and 2 Yag Lasers 15,000 bottles of prescription eye drops 14,000 reading glasses Phaco machine AMO, Infiniti Ophthalmic Books and Surgical Videos Panoptic Ophthalmoscope and Lenses Provizion Camera with Computer Slide 45 Dr. Hudicourt taking inventory of donated Instruments by Khosla Medical Instruments, brought by Dr. Laroche ITEMQUANTITY Iris Spatula2 Chopper1 Y shape nucleus manipulator 1 Mcpherson son forceps 6 Rotators6 Canula10 Simco canula4 Jewelers forceps10 Needle holders5 Curve scissors1 Blepharostates2 Utrata5 Baraquer blepharostats 10 Scalpel blades3 boxes, 75 blades 10-0 nylon Suturesome 8-0 vicryl Suturesome 9-0 nylon Suturesome 27 gauge cannulasSome Ahmed valves10 Slide 46 Future Site of Bernard Mevs Expansion???? Slide 47 Dr. Brigitte Hudicourt and Family Slide 48 Slide 49 Slide 50 Dinner Gathering with the Haitian Society of Ophthalmology at Papaye restaurant In Petionville, First time the group got together after the earthquake, Slide 51 Slide 52 Slide 53 Merci Ampil