UHWIUHWIBIENNIUM BUDGET BIENNIUM BUDGET

2013-2014 / 2014-20152013-2014 / 2014-2015

Dr. Trevor McCartneyDr. Trevor McCartneyDeputy Dean F.M.S. – UWI-Mona Deputy Dean F.M.S. – UWI-Mona

Medical Chief of Staff - UHWI Medical Chief of Staff - UHWI Acting C.E.O. – UHWIActing C.E.O. – UHWI

Presentation to thePresentation to theUWI Technical Advisory CommitteeUWI Technical Advisory Committee

February 15, 2013February 15, 2013

St. Vincent and the GrenadinesSt. Vincent and the Grenadines

The University Hospital of the West Indies envisions itself as a dynamic, environmentally safe, adequately equipped organization with trained and highly motivated staff dedicated to promoting teaching, research and the delivery of the highest quality health care to meet the needs of the region.

From its inauguration, the function of the hospital was identified as being a center of excellence as a teaching hospital for research and for secondary and tertiary level medical care which is not available elsewhere in Jamaica and neighboring Caribbean territories.

These Budget Estimates for 2013 – 2015 were prepared with this in mind and the acknowledgement of the challenging economic and financial circumstances of the Government of Jamaica and other contributing Territories.

Expenditures will be controlled by the implementation and use of new technology including reengineering of existing operations.

The need to continue the rehabilitation of the sixty-four year old physical plant and the need to replace obsolete equipment.

The increased demand on services.

The past fiscal year has seen the hospital experiencing a significant financial burden due to a number of factors:

1. The need to increase Security through the introduction of technology and an increase of the security staff.

2.Increase in the cost of supplies due to the continued devaluation of the Jamaican dollar, particularly the Medical & Pharmaceutical supplies which are mostly imported.

3.The need for emergency funding not supported by the budget to provide repairs and maintenance of outdated equipment.

Actual

2010

Actual

2011

Actual

2012

Projections

2013

10%

Percentage

Change

2011 v

2012

Total number of patients seen in

A&E

46,195 47,548 49,470 54,417 4.0%

No. of patients seen in the Outpatient Department

90,092 91,990 96,497 106,147 4.9%

Number of Surgical

Procedures:Main Operating Theatre

3,713 3,732 3,361 3,697 -9.9%Minor Operating Theatre 3,120 2,935 3,471 4,165 18.2%Number of Deliveries 2,316 1,979 2,078 2,286 4.6%Mortality Rates 5% 5% 5% 5% -Number of patients in Tony Thwaites Wing

1,750 1,571 1,973 2,170 25.6%

Number of admissions to hospital

17,604 16,776 16,445 18,090 -1.9%

Number of X-rays done:Inpatients 13,645 12,715 13,746 15,120 8.1%Outpatients 10,979 11,711 14,109 15,520 20.5%Casualty 18,036 18,413 17,938 19,732 -2.6%

Bed Capacity 582 582 582 582 -

The renovation of 18 wards.

Replacement of unserviceable equipments, including: Operating tables Ultra sound

machines Ventilators Anaesthetic

machines Stretchers Beds

The purchase of three (15 seater) buses, one of which is dedicated to Community Services in the Psychiatry Department.

The completion of Phase I and Phase II of the triage area in A&E

The signing of four major service contracts namely, the Security, Portering/Janitorial, Laundry and Ground Maintenance Contract.

The completion of the backlog of the Audited Financial Statement. The Audit is now current.

Establishment of a private Obstetrics Unit. This will be done in phases, the first of which will see the introduction of a private antenatal and postnatal ward.

The expansion of the Physiotherapy Department

Refurbishing Nuclear Medicine with the assistance of IAEA and the Government of Jamaica.

Construction of a Paediatric Dialysis Unit (NGO/UHWI)

The phased replacement of two boilers.

Upgrade of the morgue.

The purchase of Computer Software Equipment to improve the efficiency of the hospital’s operations, which include the integration of Clinical areas.

A New (5) Room Operating Theatre suite with equipment

The commencement of this project will see the phased construction of a five (5) room major operating suite which is scheduled to be completed by 2015.

CAPITAL EXPENDITURE

ESTIMATES2013/20

142014/20

152015/20

16($M) ($M) ($M)

PRIORITY PROJECTS      

1. Upgrading and refurbishing Physiotherapy Dept. 98.000

-

-

2. Refurbishing Nuclear Medicine 25.000

-

-

3. Construction of a Paediatric Dialysis Unit (NGO/UHWI) 15.000

-

- 4. Boilers 19.000 19.000 19.000

5. Upgrading of Morgue 3.000 141.250

- 6 .Motor Vehicle 31.509 20.000 -7. New (5) Room Operating Theatre with Equipment 292.600 292.600 292.6008. Computer Software/Equipment 372.083 372.083 372.083

9. Upgrade Chemotherapy Unit 65.000

-

- 10. Construction of a Adolescent Psychiatric Unit 40.000 75.000  11.Plant & Machinery 4.867 5.354 5.88912.Office Equipment/Furniture & Fittings 3.092 6.000 5.788TOTAL PRIORITY PROJECTS 969.151 924.354 708.427

  ACTUAL APPROVED BUDGET BIENNIAL ESTIMATES

BUDGET LINES 2011/2012 2011/2012 2012/2013 2013/2014

% Increase/ (Decrease) 2014/2015

% Increase/ (Decrease)

EXPENDITURE            

               

STAFF COST

4,416.943 4,331.263

4,389.495

5,052.447 15.1

5,172.649 2.4

OPERATING COST

1,879.010 1,739.797

1,410.505 2,743.174 94.5

3,017.491 2.5

CAPITAL EXPENDITURE

77.363

-

- 969.151 0.0

1,651.690 70.4

TOTAL EXPENDITURE

6,373.316

6,071.060 5,800.000 8,764.772 51.1

9,841.829 12.3

    ACTUAL APPROVED

BUDGET BIENNIAL ESTIMATES

BUDGET LINES2011/20

122011/201

22012/201

3 2013/2014

% Increase/ (Decrease)

2014/2015

% Increase/ (Decrease)

REPAIRS & MAINTENANCE

218.835 200.000

162.146

240.719 48.5

264.790 10.0

MEDICAL & PHARMACEUTICAL SUPPLIES

789.439 634.517

514.422

868.383 68.8

955.221 10.0

SERVICE CONTRACTS

356.902 400.000

324.292

656.283 102.4

721.911 10.0

UTILITIES

412.823 400.000

324.292

635.677 96.0

699.245 10.0

OFFICE EXPENSES

9.820

5.280

4.281

10.802 152.3

11.882 10.0

OPERATING EXPENSES

91.191 100.000

81.072

331.310 308.7

364.441 10.0

TOTAL OPERATING COST

1,879.010

1,739.797

1,410.50

5

2,743.174 108.7

3,017.491 2.5

  ACTUAL APPROVED BUDGET BIENNIAL ESTIMATES

BUDGET LINES 2011/2012 2011/2012 2012/20132013/2014

% Increase/ (Decrease)2014/2015

% Increase/ (Decrease)

               SUPPORTED BY:                   

MINISTRY OF HEALTH CONTRIBUTION

3,927.726 3,584.321

3,400.000 5,144.045 51.3

5,835.644 13.4

MINISTRY OF EDUCATION CONTRIBUTION

1,134.300 1,212.344

1,150.000 1,739.898 51.3

1,973.821 13.4

CONTRIBUTING GOVERNMENTS

256.933 474.395

450.000 680.829 51.3

772.365 13.4

 

5,318.959 5,271.060

5,000.000 7,564.772 51.3

8,581.829 13.4

INCOME

1,054.357 800.000

800.000

1,200.000 50.0

1,260.000 5.0

 

6,373.316

6,071.060 5,800.000 8,764.772 51.1

9,841.829 12.3

Ministry of Health = $5,144 Billion

Ministry of Education = $1,740 Billion

Contributing Governments = $681 Million

The UHWI budgetary request to be consider for the period 2013/2014 is JA$8,764.772B.

Supported by:

Ministry of Health (JA) 5,144.045Ministry of Education (JA) 1,739.898Contributing Governments 680.829Total Government Contributions

7,564.772

Patient Fees 1,200.000

Total Budget 8,764.772

The estimates of Expenditure were thoroughly considered and are based on the realities of the global economic climate and status of the Caricom States.

Budget geared towards maintenance of accreditation by C.A.A.M-HP and the continued high standard of health care expected from a University Hospital.