Collaboration With Host National Society and HUEH

Haiti Eye Care SymposiumMildred MG Olivier, M.D.Associate ProfessorRosalind Franklin University of Medicine and ScienceMay 18-20, 2012AAO Haiti Task Force Member

Financial DisclosureNo financial interest in this talkHaitian-American First mission trip 1993 with John Mitchell to MirbalaisAAO Task Force for Haiti RecoveryDavid W. Parke II MD, ex-officioRobert Butner, MDClaude Cowan, MDMildred MG Olivier, MDDaniel LaRoche, MDRichard Lee, MDStephanie Marioneaux, MDNelson Marques, chair, Pan American Ophthalmological FoundationKaz Soong, MD100 percent ofdonations sent toHaiti

Hospital Bernard Mevs Project MedishareOverview50 bed trauma and critical care hospitalEmploys:44 Haitian Nurses22 Haitian Physicians70 Support Staff and Administration

Comprehensive Outpatient ServicesGeneral outpatient clinic with a pediatrician, two family medicine doctors, an OB/GYN, a dermatologist and HIV careWound care Physical therapySurgical consultationsUrgent Care Center (24/7)*

Emergency ServicesStaff and equipped to triage and stabilize critical patientsIntensive care unit available to very critical patientsExpanding access to critical and trauma care in Haiti through training staff at HBMPM (pilot) and to add other sites as this project develops sustainability

RadiologyUnique Radiology program including a 16-slice CT Scanner

7Surgical Expertise and Services2 (soon to be 3) state of the art operating rooms

Specialties include: General, Orthopedics, Ophthalmology, Obstetrics and Neurosurgery

Funding and operational modelOperations in partnership with Project MedishareGrantsFood for the PoorAmerican Red CrossRotary InternationalKnights of ColumbusLions Club (UK Carterton and Witney)Private donationsIndividual donorsPatient revenues *New*Begin charging insurance and wealthier patients to subsidize free care

Social Impact

60,000 patients seen a yearINDICATORTotal Jan- March 2012# of Inpatients Seen490# of Outpatients Seen10118# of Operations Performed432Current Ophthalmology Program

Launch of outpatient and surgical program in May 201237 patients operated and 150 screened

MOU with the Haitian Society of Ophthalmology

State of the art equipment and supply donations from Alcon, physicians and other hospitalsPartners and contributersPan-American Association of Ophthalmology (PAAO) American Academy of Ophthalmology (AAO) Haitian Society of Ophthalmology (HSO) University of Miami Alcon Medical Missions International DSC Logistics and Direct Relief International American Glaucoma Society (AGS) Northwest Community Hospital and Sherman Hospital

Vision"My hope is to have a full-functioning, sub-specialty eye clinic where continual skills transfer can be done. That way volunteer PAAO and AAO members can confer state of the art ophthalmological techniques to Haitian clinicians. We want to raise the bar for trainings

Mildred M. G. Olivier, M.D.Current Operating Expenses

Dr. Frantz LargePresident of the HSO

AAO Mobile Units

Just do it!

?? Mission Impossible?? Procure : Ophthalmic equipment

Logistics: Pack equipment Transport to Port of Miami Ship to Haiti ?Boat? AirBudget: $0

The 6 Cs of TeamworkCompassion with CommitmentConnectionsCommunicationCooperationCourtesy & Respect

21 Compassion with CommitmentGoal: Provide equipment to broadly re-establish ophthalmic services in earthquake ravaged Haiti Identify the need:HSO, VolunteersOutline a strategy for procurement, packing & shipping Pro BonoConsult with Haitian Society of Ophthalmology re: distributionPicture of broken slit lamp & damaged building

ConnectionsAAO received offers of donated equipment- Jane Aguirre , VP of Global Alliances & Annamarie Hastings

Social networking- Facebook: Earthquake survivors & friends, Gregory Mevs- Clinton Foundation; Food for the Poor,Fed Ex, patients ContactsOphthalmic Equipment companies

USAID, State Department

NGOs Physicians for Peace, Partners in Health

CommunicationBroadcast your challenge- friends, family, colleagues, patients, businessesImmediate follow up on all leadsNegotiate : Humanitarian= pro bonoTV Coverage ABC, WHRO, NBCEmail Trail

Media CoverageCBSABCNightlineWorld News TonightNBCWGNCNNDaily HeraldChicago Tribune

CooperationAAO StaffRefer donations to sub committee Catalog all pro bono donations & contact info.Follow up with Tax exempt donation letters

Haitian Society of OphthalmologyIdentify & respect their needsKeep them up to dateThey decide on distribution

From My Home to Your Home

What We Accomplished5 complete rooms of ophthalmic equipment( Lombart Instrument)14,000 pairs of reading glasses (Physicians for Peace)8000 bottles of prescription eye drops( Allergan)SLT Laser

Shipped by the Clinton Foundation Arrived April 2, 2010 in Port au Prince, Haiti

Donations cont-Complete , 2 exam room satellite office (Drs. Cheryl Powell & Lori Moore)SLT laser (Dr. Mildred Olivier)6 new Topcon Chairs2 Slit lamps

Total donationsPotential for 10 rooms of equipmentSLT and Yag Laser11,000 bottles of prescription eye dropsPhaco machineOphthalmic Books and Surgical VideosPanoptic Ophthalmoscope and LensesProvizion Camera with Computer

CourtesyThank everyone & thank them oftenRecognize hard work & generosity Formal thank you notes, mail, email, verbally

Tax deductible letters confirming donations

Thanks toDr. Stephanie MarioneauxDr. Brigitte HudicourtWHRO- Barbara HammWHRO-Lisa GodleyABC-Barbara CiarraChicago-Dr. Mike BrennanDr. David ParkeLombart InstrumentMSI Dixie Crating TopconAllerganDrs. Cheryl Powell & Lori MooreAgape Church

AAO Task Force for Haiti RecoveryPhillippe ChatelainInspire PharmaceuticalsKiwanis InternationalAAO StaffAlcon FoundationLisa Jones JohnsonGregory MevsPhysicians for PeaceClinton FoundationUSAID/State Dept.

AAO- Visiting ProfessorVolunteer ListSubspecialty RepresentationOculoplasticsGlaucomaPediatricsTraining tech staff

Canadian Ophthalmologist TrainingJuly 2010

HUEH Clinic and Post operative AreaLuc Nozier Phaco IndiaBeatrice Valerius Pediatric Bascom PalmerMike Maingrette Phaco and Glaucoma- India and Bascom PalmerDon Hernshelown- Retina- North CarolinaRegine Edward Phaco ArgentinaBio Medical individuals Raymond and two others

One or more operating rooms entirely devoted to eye care,An eye care clinic mainly aimed at the economically poor, but possibly with a part time profit use in order to help with the costs.

A 24 hour emergency care unit.

One major center for providing all levels of eye care education.

A center for the formation and training or residents in Ophthalmology

A center for sub-specialty training.A community eye care health center.A major clinical research center for eye careBernard Mevs Eye Clinic

List of Donations 4 chairs1 lateral file cabinet3 horizontal file4 horizontal file2 small bookcases2 large cabinets4 small cabinets2 wheel chairs3 small fridges6 operating lights 1 blanket warmer on wheels8 carts on wheels2 sterilizers 3 medical beds41 lockers20 miscellaneous pieces of electronic equipment3 TVs

Goldman Humphrey MachineCorneal Endothelial Cell CountSD- OCTA Scan

Total donationsPotential for 20 rooms of equipment2-3 SLTs and 2 Yag Lasers15,000 bottles of prescription eye drops14,000 reading glassesPhaco machine AMO, InfinitiOphthalmic Books and Surgical VideosPanoptic Ophthalmoscope and LensesProvizion Camera with Computer

Dr. Hudicourt taking inventory of donated Instruments by Khosla Medical Instruments, brought by Dr. LarocheITEMQUANTITYIris Spatula2Chopper1Y shape nucleus manipulator1Mcpherson son forceps6Rotators 6Canula10Simco canula4Jewelers forceps10Needle holders5Curve scissors1Blepharostates2Utrata5Baraquer blepharostats10Scalpel blades3 boxes, 75 blades10-0 nylon Suturesome8-0 vicryl Suturesome9-0 nylon Suturesome27 gauge cannulasSomeAhmed valves 10Future Site of Bernard Mevs Expansion????

Dr. Brigitte Hudicourt and Family

Dinner Gathering with the Haitian Society of Ophthalmology at Papaye restaurantIn Petionville, First time the group got together after the earthquake,

Merci Ampil THE END52