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Cabinet Council Authorizes Equipment for the Ciudad de la Salud

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The Cabinet Council authorized the Social Security to proceed with the addendum for the construction and equipment for the Ciudad de la Salud for an amount of $36,786,886 balboas.

The addendum with the company Construcciones Hospitalarias, S.A., contemplates the integral services of technical studies, urban and architectural designs, elaboration and approval of plans, study of environmental impact category 2, construction, financing and equipment of the Ciudad de la Salud.

The work presents an advance of 52%, generates direct jobs for 770 people, and it is expected that in the coming months the work force will double when the construction works intensify.

Among the services that will be offered in the Ciudad de la Salud are Cardiology, Nephrology, Maternal-Neonatal, Radiology, Intensive Care, Sterilization, Blood Bank, among others.

This hospital center includes some 295 doctor's offices, more than one thousand beds, 39 operating rooms covered with nickel-chromium, laboratories, more than 3,500 parking spaces and a heliport, among other facilities.

In addition, within the Ciudad de la Salud the facilities of the National Oncological Institute (ION) will be housed, after which in June 2016 it will formalize the transfer to improve patient care. This work is waiting for endorsements to try to be ready at the beginning of 2019.

The ION would occupy 20% of the Ciudad de la Salud, in an area of 86 thousand meters including two buildings, 250 hospital beds, 10 operating theaters and 97 clinics.

https://www.presidencia.gob.pa/en/News/The-Cabinet-Council-authorizes-equipment-for-the-Ciudad-de-la-Salud

Edited by Keith Woolford
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  • Moderator_02 changed the title to Cabinet Council Authorizes Medical Equipment for the Ciudad de la Salud
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Progress on $300 million Project

In Panama, the transfer of the National Oncology Institute to the Ciudad de la Salud project facilities was approved, and the construction will require a $300 million investment.

Friday, November 2, 2018

From the press release of the Presidency of Panama:

The Cabinet Council approved the transfer of the National Oncology Institute (ION) to the Ciudad de la Salud project facilities.

The director of the Social Security Fund (CSS), Julio Garcia Valarini, explained to members of the Cabinet, the importance of this project, which will have an investment of over 299 million balboas.

The ministers of State gave their approval for the "design, construction and equipment project for the new National Oncology Institute, within the facilities of the Ciudad de la Salud Project."

Recently, the board of directors of the CSS approved this agreement between the ION, the Ministry of Health (MINSA) and the CSS, where it was agreed to transfer this center to the Ciudad de la Salud through Addendum No. 7 to the project under construction.

"It is necessary that this hospital is built completely new," said Garcia Valarini.

 

https://www.centralamericadata.com/en/article/main/Progress_on_300_million_Project

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Hospital City a 7-year $500 million boondoggle

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65% complete

Posted 14/09/2019

IN MAY 2012, construction of the so-called Hospital City began a $500 million project promoted by the Social Security Fund (CSS), presumably to expand and modernize the institution's medical services offer in a single location. The project was supposed to be delivered in 2015; the name was changed to Ciudad de la Salud, and seven years later the work has only a 65% progress.

The designated director of the CSS has promised to conclude the project, which throughout its execution has included the Faculty of Medicine of the University of Panama, the Gorgas Memorial Institute for Health Studies, and the National Oncological Institute.

 The truth is that the City of Health is a great commitment to the quality and coverage of hospital services. It is necessary that there is total transparency and external inspection to determine the feasibility of continuing the work.

It is a priority to validate the functional medical plan of this facility to determine if there are all categories of medical, technical and auxiliary personnel, which together with the administrative staff can actually operate this hospital properly. The great lesson of the mega project is that it cannot be improvised in such a delicate matter since the lack of planning and the arbitrariness of the authorities' behavior has left a multi million dollar investment in limbo. - LA PRENSA, Aug. 14

 

https://www.newsroompanama.com/opinion/hospital-city-a-7-year-500-million-boondoggle

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  • Moderator_02 changed the title to Ciudad de la Salud - A Never Ending Saga
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First heart surgery at City of Health

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Posted 06/09/2022

A 36-year-old patient with a congenital heart defect became the first to undergo heart surgery at the recently opened Cardiovascular and Thoracic Institute in the City of Health reports TVN.

According to Dr. Camilo Rodríguez, medical director of the City of Health, the patient's cardiac effect was closed by placing a biological patch to correct the poor blood communication, at the same time he explained that he had to be responsible to perform the first heart surgery, evaluating that the installed equipment worked properly and have the appropriate supplies; and with the "first successful surgery," it will be possible to gradually increase heart interventions, which will reduce the list of waiting patients.

For the development of all the preparation of the patient and the surgical process, "the teamwork of the health personnel of the Social Security Fund was key", highlighted Minnelly Diaz Surgical Nurse - Perfusionist.

At the Cardiovascular and Thoracic Institute, the specialty covers three types of diseases: lung, heart, and peripheral vascular disease, so since the inauguration of the ICT, on July 12, more than 30 fistula surgeries have been performed on patients with chronic kidney disease and seven lung operations.

https://www.newsroompanama.com/news/first-heart-surgery-at-city-of-health

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City of Health performs its first valve replacement procedure

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Posted 06/11/2022

Medical specialists from the Cardiovascular and Thoracic Institute, in the City of Health, performed transcatheter mitral valve replacement procedures for the first time in the country and in Central America and the Caribbean, in a public health institution.

Dr. Pedro Echeverría, a cardiovascular surgeon from this highly complex center, highlighted that these surgeries are part of the Heart Structural Medicine and Surgery Program carried out at the ICT, for those patients who are not candidates for conventional heart surgery.

He also highlighted that they are new-generation valves that are implanted in the mitral position. "It is one of the 4 valves of the heart, if it is damaged it causes very severe problems and rapid deterioration of this organ, so it is important to replace it when the patient begins to have problems with it".

According to the cardiologist, the procedure is done with a small incision in the groin, with ultrasound it is possible to puncture the femoral vein, and through it a system the thickness of a pencil is advanced, reaching the heart, and then passing from one cavity to another; The mitral valve is crossed through the catheter and the new one is implanted.

"With this type of procedure, the patient's chest is not opened, he does not have pain or discomfort," said Dr. Echeverría and clarified that these surgeries cannot be performed on all patients, since a series of procedures must be taken. measurements and sizes to determine if the implantation of a new valve does not interfere with the functioning of the heart. 

As background, he explained that these surgeries were previously performed on a patient who had undergone heart surgery 12 years ago, the mitral valve had been replaced, but due to a cerebrovascular event, she was considered at moderate to severe risk of complications if surgery was performed. open heart. Another case was a woman who suffered from breast cancer and whose mitral valve was implanted 14 years ago and must be replaced.

https://www.newsroompanama.com/health/city-of-health-performs-its-first-valve-replacement-procedure-1

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  • Moderator_03 changed the title to Ciudad de la Salud: City of Health
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City of Health 86% complete will employ 7,000

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Posted 25/11/2022

City of Health l86% complete will have 7,000 workers

Panama’s City of Health with a workforce of  3,000 is 86% complete and, it is estimated that when finished there will be 7,000 workers, including medical and administrative staff. 

On December 16, 2022, the Panamanian Consortium of Hospital Constructions, made up of Riga Services, SA, Construcción Management Group (CMG), and Administradora de Proyectos de Construcción, SA (Aprocosa), will deliver the conclusion of the second of five stages of the hospital which includes the outpatient clinic, the kitchen, the administrative building, the atrium, the reception for critical adults, the auditorium, and the central surgical block made up of 25 operating rooms, intensive care units, a patient recovery room, and a postoperative room.  Each of the operating rooms is designed with representative images of the country's tourist sites and a music system that has therapeutic effects on patients who undergo surgery.

The hospital kitchen, with an area of 2,900 square meters, has a comprehensive cold line system for food production.

THE COST 

The cost of the hospital project increased to $999 million after the approval of addendum number 7 for an amount of $661 million, which allowed the reactivation of the work and included (medical and assistance equipment and furniture) so that it is ready to start its operation.

Parallel to the delivery of the second stage of the works, comes the organization of the personnel for the commissioning.

The hospital will also have a hotel, with a capacity for 144 beds for relatives and patients from remote areas of the country..This is a fourth-level specialty hospital, that is, for patients with complex diseases, made up of several institutes, including the blood bank, transplant center, nephrology, and cardiovascular and thoracic, which is already in operation.

https://www.newsroompanama.com/health/city-of-health-86-complete-will-employ-7000

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Lack of supplies in  City of Health fingers “shameful” administrative  failures

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Posted 21/03/2023

The shortage of supplies in the City of Health is a living example of the lack of planning in which the transition between the health unit and the complex of the Social Security Fund has taken place, warns the president of the Association of Dentists and Related Physicians of the Social Security Fund (Amoacss), Fernando Castañeda.

According to Castañeda, there are complaints from unionized doctors of patients with referrals being sent to the Cardiovascular Institute, and the latter answer that they do not have supplies and that they should stay in the complex.

"The complaint that is circulating is validated by colleagues who tell us that they do not even have gloves, there is no surgical, to control hemorrhaging there is no silk either … unfortunate circumstances," he emphasized.

Castañeda stressed that this "should not be seen as Chinese tales" or attacks, but rather as an opportunity to improve what is happening.

For a doctor, this is an example of obvious administrative failure, even more so when it comes to supplies and it is the patients who pay the consequences of this disorder.

Regarding the regularization of operations in Ciudad de la Salud, Castañeda indicated that sometimes they point out things that are "unreal and inconsistent with reality."

On the other hand, he pointed out that the complaints are valid and are not meant to harm or campaign for anything other than to remember that the person responsible for not privatizing the CSS is the administration, which has to be efficient and demonstrate that the public service works. ; not be part of the inefficiency.

He pointed out that complaints of this type are "shameful and show that there is a lot of spectacles and little reality and consistency."

https://www.newsroompanama.com/news/lack-of-supplies-in-city-of-health-fingers-shameful-administrative-failures

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Cardiovascular surgeries suspended in City of Health

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Posted 22/03/2023

Surgeries in the Cardiovascular and Thoracic Institute in the City of Health, in Ancon have been suspended due to the lack of "vital supplies” says an internal memorandum dated March 17, addressed to all the specialist doctors of the cardiovascular surgery service,  

The memorandum did not specify what the missing supplies are but warned that extremely urgent vascular procedures and cardiac interventions were maintained.

The operation of  The City of Health was called into question with the memorandum, and the CSS responded through a short press release, that the program of elective cardiac surgeries continues.

In an explanatory note, the medical director of  the complex Jorge Ng Chinkee, reported that they are taking steps to comply, in a timely manner, with public procurement procedures to acquire everything necessary in a transparent manner and with competent suppliers.

The Cardiovascular and Thoracic Institute was inaugurated by President Laurentino Cortizo, on September 7, 2022, but it was put into operation on July 11.

The Cardiovascular and Thoracic Institute has six operating rooms, two of which are hybrids that, in the event of a complication during a procedure, allowing surgery to be performed without transferring the patient. In addition, it has three state-of-the-art angiographers, a tomograph, three hospitalization floors, and 300 beds.

The facility also handles operations for children born with congenital heart malformations.

Eleven years after being tendered in 2012 for $554 million, the CSS project, whose final cost will be over $1 billion, is expected to be completed by the end of this year.

Currently, the CSS administration is under public scrutiny, after the loss of 19,000 doses of fentanyl became known.

https://www.newsroompanama.com/news/cardiovascular-surgeries-suspended-in-city-of-health

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