Colorectal Cancer Screening and Management in AL Noor Hospital Airport Road - Assignment Example

Colorectal cancer screening and management in AL Noor Hospital Airport Road, Abu Dhabi UAE Financial Analysis of AL Noor Hospital –Airport Road, Abu Dhabi UAE The financial report of the end of year 2013 of AL Nor Hospital – Airport Road, Abu Dhabi UAE indicated not only strong results but also a well strategic progress positions that paved way for the operations of 2014. The table below illustrates the financial highlights for the company for financial tears 2012 and 2013 (Al Noor Hospitals Group, 2014). 2012 2013 change Revenue $324.4m $365m +12.5 Underlying Operating Profit (1) $61.7m $75.1m +21.6 Underlying EBITDA (1,2) $70.8m $82.8m +16.9 Net Profit $60.5m $61.7m +2.0 Proposed Dividends 9 pence for every share Brief overview of operations of the company The volume of the outpatients increased from approximately 1.5 m to 1.6m (11.1% increase) while that of inpatients increased from roughly 36,000 to 40,00 (13.7%)By the end of 2013 a net of 120doctors capable of generating revenue joined the company (an increase by 34%) of which 42 were from 2 acquisitions (Al Noor Hospitals Group, 2014). Question 1 In your training you have noticed many challenges and proposed recommendations for improvement in relation to colorectal screening and management. Bring together all your recommendations for improvement, and make detailed comments on what impact you think your recommendations would make towards improving the colorectal screening and management program Challenges to colorectal Cancer screening and management in AL Noor Hospital – Airport Road, Abu Dhabi UAE Colorectal cancer has emerged as one of the commonest forms of cancer not only in UAE but also in US and Europe. Quite a number of individuals are diagnosed with the conditions yearly with half of them die in the process. The condition is curable especially when detected early enough. The introduction of screening program has significantly helped improve not only the diagnosis but also surgery for rectal cancer. The challenges in colorectal cancer have significantly contributed to updated information on the emerging and new treatments. The screening optimal form is usually not clear. Despite the fact that fecal screening tests can be carried out at home at costs that are relatively lower, the contemporary versions do not have high sensitivity to precursors of cancer lesions (Lieberman, 2010). This calls for the test to be done severally. The elements of effective programs for cancer screening are due to the adherence of repeated negative tests. In addition, examination of the structure of the colon are invasive and may consequently result into early detection both cancer and cancer precursors. Fecal screening test involves the tests which detect fecal occult blood or even some specific DNA associated with colon neoplasia. Fecal Immunochemical test is an occult blood test that encompasses the use of antibodies that are specific to human blood components (Wilkes, 2011). The structural examination of the colon (CTC) is employed for the diagnosis imaging of colon. Evidence for the effectiveness of the CTC is indirect since it is largely dependent on the beneficial assumptions that stem from polyp detection. Patients having polyps are often examined for colonoscopy though it requires second bowel preparation. On the other hand, sigmoidoscopy, is endoscopic examination (directly) of the distal colon. It is usually associated with some relative discomfort. Capsule endoscopy testing is usually employed to visualize the upper track of gastrointestinal and small bowel. The instrument used is a capsule that is ingestible with video camera for taking photograph due to its ability to progress through the gastrointestinal tract. Thereafter, the captured images are transmitted to a device for recording enabling computer screen imaging. The challenge related to colon examination test involves the preparation of the bowel in an excellent manner and gastrointestinal motility impact on visualization, as well as accuracy (Wilkes, 2011). More importantly, it is unpleasant and may be uncomfortable to prepare for the bowel before conducting test though the use of sedative may help in minimizing these difficulties. Furthermore, individuals with low blood pressure and changes in the rhythms of the heart as a consequence of sedation during testing which may present serious problems (Al Noor Hospital, 2013). Proposed recommendations for improvement in relation to colorectal screening and management One of the recommendations is to intensify colorectal cancer awareness and education by the Al Noor Hospital Airport. The awareness campaigns and education should be geared towards highlighting the importance of not only screening regularly but also living healthily. The second recommendation for this medical institution should be increased recruitment of experienced doctors or even outsourcing of medical practitioners in the field of cancer conditions. In addition, doctors should be available for medical consultation, as well as information concerning colorectal cancer inclusive of the symptoms, treatment, and screening. This helps in ensuring that there is potential early detection of colorectal cancer symptoms as a prevention mechanism (Lieberman, 2010). At the premises of the hospital free body mass index test, as well as consultation in reference to dieticians should also be offered to encourage the population to regularly examine their health status especially on colorectal cancer (Al Noor Hospital, 2013). The advancement of technology in the medical field related to cancer diagnosis and treatment should be highly embraced. Besides, expansion of medical insurance covering cancer conditions can minimize psychological effects of colorectal cancer (Al Noor Hospital, 2013). Impact of the recommendations towards the improvement of the colorectal screening and management program The incorporation of the above recommendations is likely to increase the awareness on the importance of individuals being cognizant to the symptoms of colorectal cancer. It helps in increasing early detection of the condition hence increasing the chances of remedying the situation as well as minimizing the fatality related to colorectal cancer. The outsourcing modality and recruitment of experienced medical practitioners is ideal in improving the quality of services offered to patients at the hospital. Moreover, outsourcing may be helpful in improving the techniques used in diagnosis and care of patients ailing from the condition in discussion. On the other hand, provision of free consultation and free body mass index has the potential of encouraging the population to check their health status and cancer conditions. As for the education programs, it helps in impacting education to potential victims on issues related to colorectal cancer and provision of likely remedy in the event that the symptoms manifests themselves (Al Noor Hospital, 2013). Question 2 Reflect on your own experience in field practicum by choosing a particular public health problem which is colorectal screening and management. Structure your answer to contain the following a) Scope of the public health problem colorectal screening and management AL Noor Hospital Airport Road, Abu Dhabi UAE, UAE and GCC countries Some public issues contribute significantly to the mortality and morbidity in UAE. In 2010, cancer accounted for 10% of deaths in UAE. Unfortunately, cancer incidences are anticipated to double in comparison to the current condition by 2020. However, this condition, as well as other public health problems is compounded further by certain individual occupation, lifestyle, and environmental factors. Cancer conditions in UAE has characterized by dramatic social, economic, and demographic change that result both prosperity and increased life expectancy. Besides, the transition in epidemiology has resulted into increase in cases of communicable diseases inclusive of cancer which has emerged as the third leading cause of death in UAE. The predicted increase in cancer cases can be attributed to aging and exposure to risk factors associated with cancer condition. The colorectal cancer is common in both sexes (Health Authority, 2015). b) Based on your training, develop improvement strategies for the AL Noor Hospital Airport Road, Abu Dhabi UAE One of the development strategies for the company should involve increasing consultation activities within the hospital. This can be achieved by increasing resources such as medical practitioner in colorectal cancer condition as well as equipment for testing or diagnosing these conditions. In addition, cancer diagnosis equipment should be advanced according to the modern technological trends that have been proved to be effective. The hospital can also help in influencing policies concerning expansion of medical insurance and benefits to the population and employees of various firms to aid in reducing the high costs of treatment of colorectal cancer. Resources should also be channeled towards campaign, awareness, and education of the population with the aim of encouraging them to regularly go for colorectal cancer screening since it has been proved that when the conditions are detected promptly, their conditions can be remedied. Admittedly, education measures help in providing the public with adequate knowledge on the symptoms of the condition and the likely solutions in the event that any of the members of the public exhibit such conditions. c) Prepared operational plan for the implementation of the synthesized strategies Time Activities 1-3 month Establishment of consultation offices for colorectal activities. These offices will be set within various sections of the premise of the hospital. 4th month Recruitment and outsourcing preparation to help in the expansion of services related to the conditions in discussion. The outsourcing as well as recruitment should be based on meritocracy and experience to ensure that eventually the services offered are of high quality 5 to 6 month The management leasing with the relevant government stakeholders in examining an appropriate policy that will ensure that employees of various firms and the general public are provided with expanded medical insurance cover related to colorectal cancer. The next 1 month The management of the hospital evaluating the best mechanisms for providing awareness through education and campaigns. d) Alight your plan to one best practice to deal with this problem globally in relation to AL Noor Hospital Airport Road, Abu Dhabi UAE. As noted earlier rectal cancer is one of the leading causes of death in UAE though the figures are relatively low in comparison to countries in America and Europe. The universal global trend in aiding to solve this problem has been provision of expanded medical cover and education not to forget the awareness campaigns. For an instant, there has been significant success of colorectal cancer awareness through the events that Al Noor Hospital have been holding. These events have been characterized with provision of services such as free consultations concerning the condition (Health Authority, 2015). The importance of frequent screening has been vital during these awareness campaigns. In addition to the above mentioned measures, the company (AL Noor Hospital Airport Road, Abu Dhabi UAE) has been advancing cancer medical equipment they use to improve the quality medical services offered especially those related to colorectal cancer as well as other cancer conditions. Patients are also being encouraged to take precautionary measures on their eating habits since poor eating habits are also associated with this condition (Al Noor Hospital, 2015). References: Al Noor Hospital (2015). Colorectal Cancer Awareness Day at Al Aoor Hospital Airport Road Campus (March 26th, 2014). Retrieved on 4th June 2015 from: http://www.alnoorhospital.com/ColorectalCancerAwarenessDayAirport.aspx Al Noor Hospitals Group (2014). Strong results and strategic progress positions the Group well for 2014. Retrieved on 4th June 2015 from: http://www.alnoorhospital.com/Investors/Files/2013/FY%202013%20Results%20Release%20%28English%29.pdf Health Authority (2015).Screening and Early Detection. Retrieved on 4th June 2015 from: http://www.haad.ae/simplycheck/tabid/122/Default.aspx Wilkes, J. M (2011). Metastatic Colorectal Cancer: Management Challenges and Opportunities. Retrieved on 4th June 2015 from: http://www.cancernetwork.com/colorectal-cancer/metastatic-colorectal-cancer-management-challenges-and-opportunities Lieberman, D (2010). Progress and Challenges in Colorectal Cancer Screen and Surveillance. Retrieved on 4th June 2015 from: https://secure38.securewebsession.com/goodsamim.com/resprog/internalmedicine/Academic%20Half%20Day/April%202013/Colon%20Cancer%20April%2016%20Lecture%202.pdf Al Noor Hospital (2013). Safe in Our Hands. Retrieved on 4th June 2015 from: http://www.alnoorhospital.com/images/IR/Files/ALNH%20AFR%202013%20LR.pdf Read More