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Medical Organization Structure and Services

Overview

The medical organizational structure and delivery of medical services within Central Health reflects the large geographic region and the population centers within the region as well as long established traditional medical referral patterns and service delivery arrangements.

The administrative headquarters of Central Health is located at Grand Falls-Windsor. The Vice President of Medical Services, Dr.Richard Lush, works from this location. The Vice President is one of 11 executive positions that report to the President and Chief Executive Officer. The Vice President, as the member of the Executive team, is responsible for all matters relating to medical services, attends Board meetings on a regular basis, and reports on medical services and related issues within the region.

Medical Staff Organization

The medical staff structure for Central Health for Central Health is comprised of VP Medical Services, Chief of Staff and Discipline Chiefs at each of our referral centres, and Senior Medical Officers at each of our rural sites.  Central Health has two referral centre Medical Advisory Committees and a Rural Medical Advisory Committee which meets 8 times per year.  There is also a regional Medical Advisory Committee and each referral centre has a Medical Staff Association.

Service Delivery Centres

Central Health operates 13 health facilities including two regional referral centers located in Gander and Grand Falls-Windsor.

The James Paton Memorial Regional Health Center (JPMRHC) in Gander is a secondary care facility serving the eastern part of the region. The facility has about 90 acute care beds and offers specialty services including anesthesia, general internal medicine, general surgery, neurology, obstetrics and gynecology, ophthalmology, pediatrics, pathology, psychiatry, and radiology. There are between 40 to 50 full-time physicians, General Practice, and Specialists providing services in Gander.

Located in Grand Falls-Windsor, the Central Newfoundland Regional Health Center (CNRHC), with about 130 acute care beds, is a secondary care facility serving the western part of the region. The facility offers a number of specialty services including anesthesia, general internal medicine, general surgery, neurology, obstetrics/gynecology, ophthalmology, pediatrics, pathology, psychiatry, urology, and radiology. There are between 45 to 55 full-time physicians, general practice, and specialists providing services in Grand Falls-Windsor.

In addition to 24 hour on-site emergency physician coverage, the secondary referral centers provide advanced diagnostic imaging, laboratory, and other investigative services.

The region has nine designated Category B emergency sites: Baie Verte, Botwood, Brookfield, Buchans, Fogo Island, Harbour Breton, Lewisporte, Springdale, and Twillingate. These sites have physician complements ranging from solo practice to six full-time positions and offer routine general practice services during regular working hours. Most sites have a medical clinic and a combination of acute/long-term care beds supported with a medical transfer system. As well, most sites offer basic diagnostic services. In total, the region typically has between 35 to 50 full-time General Practitioners providing services at our rural sites.

Central Health also has five dedicated long-term care facilities: Bonnews Lodge in Brookfield, Carmellite House in Grand Falls-Windsor, Lakeside Homes in Gander, North Haven Manor in Lewsiporte, and Valley Vista Seniors Complex in Springdale. The Dr. Hugh Twomey Center in Botwood and the Notre Dame Memorial Health Center in Twillingate are combined facilities with significant long-term care beds.

Quality

There is a strong emphasis on quality within Central Health. The organization has a designated member of the Senior Executive who is responsible for quality improvement and related initiatives and works closely with the Vice President of Medical Services to ensure physician involvement and input into quality initiatives and clinical patient safety issues. There are various initiatives within Central Health under the leadership of quality improvement teams.

Teaching

There is an affiliation agreement in place with Memorial University of Newfoundland’s Faculty of Medicine. Under this agreement, provision is made for medical students and residents to rotate as part of their clinical training throughout the central region. They are from such disciplines as family practice, orthopedics, general surgery, internal medicine, obstetrics, and anesthesia.