Department of Family Medicine

DEPARTMENT OF FAMILY MEDICINE

QUALITY OF CARE POLICY AND OPERATIONAL GUIDELINES

NHA/CD/QOCP/FAM/001

Dr. Nnenna Okafor

HEAD OF DEPARTMENT

1.0    INTRODUCTION

Family Medicine is the medical specialty that provides continuing, coordinated and comprehensive health care for all individuals in a holistic manner regardless of age, gender and affected organ or system in the context of family and community. It stands on the principles of comprehensiveness, continuity, coordination and accessibility.

In National Hospital, Abuja, the department serves as first contact point between the patient and the healthcare system and helps in the provision of care for an undifferentiated set of patients that present at the General outpatient department (GOPD), General Paediatric Out-Patient Department (GPOPD), staff clinic, private wing, non-trauma emergency and Special Treatment Clinic (STC).

The department has full accreditation for training of resident doctors in family medicine with both the West African College of Physicians and National Post Graduate Medical College of Nigeria.

1.1       Vision Statement

The department of family medicine is to serve as a flagship (ambassador) of the hospital to the undifferentiated patient accessing care in National Hospital, providing preventive, curative care and promotive health research and implementation of a holistic medical education programme for sustainable improvement of quality of health care.

1.2       Mission Statement

To train competent and highly qualified family physicians, provide compassionate, competent and efficient front-line care, and conduct relevant research while providing continuing and comprehensive care to individual and family as an integrated unit.

2.0       QUALITY ASSURANCE POLICY

The department of Family Medicine has put in place protocols and standard operating procedures (SOPs) for the different units of the department to ensure that mandatory standards of care and residency training programs are being met. This quality assurance policy is designed to analyse health care requirements of the different units of the department, determine ways of ensuring that the developed SOPs and protocols are implemented across the various units and have a system in place to audit the protocols for compliance and institute performance improvement plans when standards are not met.

This results in quality service delivery that combines patient-centred clinical methods and evidenced based practice to give quality satisfaction to our esteemed patients in the context of their family. 

3.0    STRENGTH OF THE DEPARTMENT

1. Family Practice at the National Hospital, Abuja is the major gateway to health delivery and its major strength is the patient-centred clinical model.
2. As Family Physicians, we are the doctors of first contact, providing continuous, comprehensive and coordinated care to individuals, families and populations, undifferentiated by age, gender, and disease or organ system.
3. Knowledge and skill to provide defragmented care which makes it easy to adapt to the unique needs of the patients ensuring holistic care to the undifferentiated patient.
4. Ability to coordinate and provide continuity of care to all patients from cradle to grave
5. Ability to conduct practice-based research that adds value to the existing body of knowledge available.
6. Adept managerial skills that combine evidenced based practices with humaneness in medical care.
7. Provision of health education, health promotion and disease prevention to every patient, in the spirit of community partnership
8. We cater to the healthcare needs of the individual, in a holistic manner, within the context of the family. We employ the biopsychosocial, non-reduction is systems approach in the management of our patients.
9. Family Medicine transcends specialties and integrates them in to a new whole, thus eliminating the disillusionment encountered by patients from fragmented and often impersonal are, where this specialty does not exist.
10. The entire staff of Department of Family Medicine, continue to work assiduously, motivating one another to provide an efficient, effective and affordable healthcare service that is of international standard; a source of pride to all Nigerians at home and abroad.

SERVI­CES PROVIDED

Clinical care

1. Geriatric care ­(> 60 years)
2. Care of hypertension, diabetes mellitus, arthritis and other co-morbidities associated with the elderly
3. Provides comprehensive geriatric assessments including home visits
4. Adult care (22-59 years)
5.  Provides comprehensive care irrespective of age and sex and organ system affected
6. Provides mental health assessment for clients from Federal Road Safety Corps
7. Provides staff support to the isolation unit of National Hospital, Customs hospital in Karu, NYSC Orientation Camp in Kubwa and other locations as required.
8. Care of the adolescent (16-21 years)

-Provides comprehensive health care, irrespective of age sex and organ system affected and caters to the peculiar challenges of the adolescent group.

D. Lifestyle clinic (for all age groups)

– Emphasis on patients with hypertension, diabetes, obesity and metabolic syndrome etc.

– Weight management, stress management, sleep management, substance abuse and addiction disorders

E. Paediatric care (<15 years)

                        – Provide well-child assessment clinic,

                        – Care of all paediatric medical problems

                        -Preventive care and health promotion services

F. Special treatment care (people living with HIV/AIDS)

-Provide general care, HIV care and counselling for people living with HIV/AIDS

G. Specialized comprehensive services

                        – provides highly personalised services for special clients and their families

H. Non-trauma emergency care to adults

-Provides resuscitative and first contact care to non-trauma emergency conditions

– Coordinate care of these patients to other specialists in the hospital as needed

Training and Research

                        -Provides residency training

– Provides clinical medicine training to house officers and undergraduate medical students

– Conducts research directly (or in collaboration with other institutions) and publish findings in reputable medical journals.

4.0       OPERATIONAL GUIDELINES

4.1 Consultation procedure

• Throughout clinic hours, consultations go on simultaneously in all the consulting rooms. In furtherance of continuity of care, which enhances the quality of healthcare delivery, individuals and families are encouraged to receive their healthcare needs with the same doctor.
• At all times, care given is under the supervision of the Consultant Family Physician.
• All consultations are subject to the laid down hospital procedures

4.2 consultation hours

• Regular consultation hours: 8:00am – 4:00pm
• Evening consultation hours: 4:00pm – 6:00pm
• Call duty hours: 8:00pm – 8:00am
• Weekends and Public Holidays: clinic starts 8:00am

N/B: The Department sees all follow-up patients strictly by appointment.

4.3 Non-trauma emergency

• All emergencies will be attended to either as they arrive or based on the severity of the clinical condition.
• The Patients are resuscitated and triaged to other specialists as appropriate.
• In suspected cases of out breaks or epidemics, patients will be isolated pending when the diagnosis is confirmed and also treated appropriately.

5.0    WEEKLY/PUBLIC HOLIDAY ACTIVITIES AND SCHEDULES

TIME	MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY
8:00am-9:00am	Consultation hours	Seminar/ residents presentation		Journal club/ research presentations	HIV care audit
9:00am-1:00pm	Consultation hours	Consultation hours	Consultation hours	Consultation hours	Consultation hours
1:00pm-2:00pm	BREAK
2:00pm-4:00pm	Morbidity review	Consultation hours	Academic session	Consultation hours	Consultation hours
4:00pm-8:00am	Evening clinic/Call duty	Evening clinic/Call duty	Evening clinic/ Call duty	Evening clinic/ Call duty	Evening clinic/Call duty

6.0 ORGANIZATIONAL CHART

7.0    HEALTH AND SAFETY POLICY

The health and safety of all staff of the Department of Family Medicine is a priority.

• Staff are expected to observe universal safety precautions at ALL times.
• Written copies of safety policy are easily accessible within the department.
• Post-exposure prophylaxis for infectious diseases will be offered where necessary.
• Where work-related hazards should be brought to the notice of supervisory staff as soon as noticed.
• Staff unable to work should report to the staff clinic for proper assessment
• Serious problem or complaint should be reported to management using the A.I.R*form

• MINIMUM STANDARDS POLICY

Every staff in the department of family medicine is expected to adhere to these minimal standards:

• Punctuality: staff should be at their duty posts latest by 8am daily
• Dressing: staff should be clothed in appropriated dressing.
• Privacy and patient confidentiality
• Follow department Standard Operating procedures (SOP) at all times
• Care for patient with empathy and patient-centred approach

9.0    LIST OF STAFF AND QUALIFICATIONS

The current members of staff of the department of family medicine and their specific qualifications are listed as follows.

S/N	CURRENT STAFF	QUALIFICATION	DESIGNATION
CONSULTANTS – 7 in Number
	Dr. Akin Moses	MBBS, FWACP, FMCGP	Chief Consultant
	Dr. Ify Monye	MBBS, FRCGP	Chief Consultant
	Dr. Udo E Atkinson	MBBS, FWACP	Chief Consultant
	Dr. Gbenga Ogunfowokan	MBBS, FWACP	Chief Consultant
	Dr. Abba Badamasi	MBBS, FWACP	Chief Consultant
	Dr. Dorothy Nwoko	MBBS, FWACP, MPH	Consultant
	Dr. Nnenna Okafor	MBBS, FWACP	Consultant
RESIDENTS – 35 in Number, Medical Officers – 6 in Number
	Dr. Abdussamad Nuru Ayinde	MBBS, FWACP	Post Part 2 Fellow
	Dr. Favour Oluwaseyi	MBBS, FWACP	Post Part 2 Fellow
	Dr. Oshodi Opeyemi	MBBS, FWACP	Post Part 2 Fellow
	Dr. Cyprian Ngong	MBBS, FWACP	Post Part 2 Fellow
	Dr. Gloria Yisa	MBBS, FWACP	Post Part 2 Fellow
	Dr. Ugochukwu Oka	MBBS	Senior Registrar
	Dr. Enwuchola Innocent	MBBS	Senior Registrar
	Dr. Christopher Asogwa	MBBS	Senior Registrar
	Dr. Osinachi Nnadi	MBBS	Senior Registrar
	Dr. Audu Bako Maryam	MBBS	Senior Registrar
	Dr. Olagunju Ibukun Omolara	MBBS	Senior Registrar
	Dr. Belema Ivy Hart	MBBS	Senior Registrar
	Dr. Okunbo Ruth Oyinmerealu	MBBS	Senior Registrar
	Dr. Adewusi Oluwakemi	MBBS	Senior Registrar
	Dr. Bolarinwa Emmanuel	MBBS	Senior Registrar
	Dr. Oyetunji Temitope	MBBS	Senior Registrar
	Dr. Rabi Isiaka	MBBS	Senior Registrar
	Dr. Halima Sadiya Al-Mujtaba	MBBS	Senior Registrar
	Dr. Maimuna Laraba Musa	MBBS	Senior Registrar
	Dr. Idris Jibril	MBBS	Senior Registrar
	Dr. Nneka Osadebay	MBBS	Junior Registrar
	Dr. Bosah Nwando	MBBS	Junior Registrar
	Dr. Ukpe Imaeka	MBBS	Junior Registrar
	Dr. Hassan Musa	MBBS	Junior Registrar
	Dr. Tamara Vivian Adaobi	MBBS	Junior Registrar
	Dr. Lisa Eigege	MBBS	Junior Registrar
	Dr. Clems-Anunwa Oby Joyce	MBBS	Junior Registrar
	Dr. Obanovwe Judith	MBBS	Junior Registrar
	Dr. Bajowa Ademola	MBBS	Junior Registrar
	Dr. Ajima Lawal Blessing Onize	MBBS	Junior Registrar
	Dr. Obianuju Ibeanusi	MBBS	Junior Registrar
	Dr. Tukur Jikamshi Maryam	MBBS	Junior Registrar
	Dr. Obisanya Olufemi	MBBS	Junior Registrar
	Dr. Usman Rashidat	MBBS	Junior Registrar
	Dr. Okocha Patricia	MBBS	Junior Registrar
	Dr. Nwankwo Chinazo	MBBS	Medical Officer
	Dr. Ogana Princess	MBBS	Medical Officer
	Dr. Adebayo Olumide	MBBS	Medical Officer
	Dr. Egburuajah Amara	MBBS	Medical Officer
	Dr. Banwat Joseph	MBBS	Medical Officer
	Dr. Emeka Valentine	MBBS	Medical Officer
Secretariat – 1 Secretary
	Baba Isa Tajo	Diploma –Public Admin	Department Secretary

Contact email: hod.familymedicine@nationalhospital.gov.ng