Riki Carmi – Introduction to Rambam Health Care Campus

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History
ToLearnfrom the Past
and Stride into the Future
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The Rambam - Maimonides
(1135 -1204)
"‫"אין הפרדה בין הגוף לבין הנפש‬
“There is no separation between body and mind”
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Rambam Tree of Life
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History
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History
Building through History
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History
Continuing Growth
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Regional
The major tertiary health care center for
Northern Israel (population of 2 million),
offering advanced clinical care, education,
breakthrough research and innovative
biomedical technology development.
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Regional
Haifa
Haifa and its surroundings are known for their cultural and religious
pluralism.
The area’s residents – Jews, Christians, Muslims, Bahá'is, Druze – live
in close relative harmony.
Rambam contributes to Haifa’s and Northern Israel’s international
status as a hub for Israel's life-sciences industry.
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Facts & Figures | 2012
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985 hospital beds
• 36 inpatient wards
• 54 medical units
• 10 medical institutes
• 9 central laboratories
• 118,524 emergency department visits
• 80,736 annual admissions
• 596,176 outpatients visits
• 50,307 surgical procedures (30,449 pts)
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Facts & Figures | 2012
The Major Referral Medical Center for Northern Israel
4,556 employees:
1,005 physicians
1,542 nurses
917 allied health
1,092 household & administration
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Synergy for Success
Partners- Bringing Science to Life
Prof. Aaron Ciechanover, and Avram Hershko, Rappaport
Faculty of Medicine, Technion
Nobel Prize in Chemistry 2004
Ubiquitin Protein Degradation System
First scientific Nobel in Israel
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Synergy for Success
Partners-Technion Nobelists 2004-2011
Hershko & Ciechanover
Haifa, 2004
Dan Shechtman
Haifa, 2011
Rappaport, Beyar & Apeloig
Stockholm 2004
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Synergy for Success
Collaboration and Technology Transfer
Physicians
Scientists
Engineers
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Leading Clinical Areas
Medical Organization
Director, Medical &
Research Development
Division of
Medicine
Division of
Surgery
Division of
Obstetrics &
Gynecology
Core & Support
Services
OR &
Anesthesia
Emergency
Medicine
Units of
Intensive Care
Imaging
Division of
Psychiatry
Children's
Hospital
Laboratory
medicine
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Leading Clinical Areas
Emergency Medicine & Trauma
Department of Emergency Medicine
Level 1 Trauma Center & International Trauma School
Modern Fortified Shock Trauma Room
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Leading Clinical Areas
Trauma Center at Rambam
Percentage of severely injured patients compared to national average
Rambam
Trauma
National
Average
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Leading Clinical Areas
Trauma Center at Rambam
# of Casualties ISS >= 16 all Trauma Centers 2009 | Total n= 3161
Other Trauma Centers in Israel
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Leading Clinical Areas
Surgery
General Surgery
Orthopedics, Advance Skeletal Interventions
Chest Surgery
Dr. Robot Inaugurates Era of Robotic Prostate Surgery at Rambam
Da Vinci
Urology
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Leading Clinical Areas
Specialty Surgical Departments
Vascular Surgery, Endovascular Interventions
Head and Neck, Maxillofacial, ENT
Plastic and Reconstructive Surgery
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Leading Clinical Areas
Specialty Surgical Departments
Cardiac Surgery
Thoracic Surgery
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Leading Clinical Areas
Internal Medicine
Five Departments of Medicine
Major Interdisciplinary Centers:
Obesity, Diabetes, Genetics, Rheumatology,
Hepaotology
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Leading Clinical Areas
Medicine - Specialty Centers
Nephrology and Dialysis Center
Cardiovascular Health, Interventions
and Surgery Center
Northern Israel Cancer Center
Advanced Gastrointestinal Center
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Leading Clinical Areas
Advanced Brain Therapeutics
Neurology and Brain Sciences
Neurosurgery, Imaging and Navigation
Interdisciplinary Stroke Prevention and
Intervention
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Leading Clinical Areas
Cardiovascular Medicine
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Leading Clinical Areas
Women’s Health
Obstetrics
Gynecology
Fertility
Newborn
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Leading Clinical Areas
Intensive Care
Surgical
Medical Intensive Care Unit
Neurosurgery
Pediatric Intensive Unit
Coronary Care Unit
Stroke Unit
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Information Technology for Health
Fully Computerized Medical Records
System
Operating Room
Emergency Department
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Leading Clinical Areas
Ruth Children’s Hospital
Pediatrics
Hemato-Oncology
Pediatric Surgery
Pediatric Intensive Care
Pediatric Heart Center
Pediatric Neurology
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Leading Clinical Areas
Advanced Imaging
Genetics and Pharmacogenetics
Unique Histopathology Diagnostics
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Leading Clinical Areas
Dentistry Rambam School of Graduate
Department of Periodontology & Implant Dentistry
Department of Orthodontics & Maxillofacial
Anomalies
Department of Eendodontology & Dental Trauma
Department of Maxillofacial Rehabilitation
Pediatric Dentistry Unit
Oral Medicine Unit
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Research
Bringing Science to Life
Population Health,
Genetics & Personalized
Medicine
Stem Cells &
Regenerative
Medicine
Medical Device
Technology: Cancer
and Heart Disease
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Research
Personalized Medicine
Asthma, Cancer, Heart Disease, Stroke, Diabetes, Hypertension,
Parkinson’s, Alzheimer’s, Osteoporosis, Kidney Failure
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Population Based Gene Mapping
Research underway to target this gene product
in preventing and treating the worldwide challenge of
kidney and cardiovascular disease
Personalized Medicine
APO-test
Kidney transplantation.1
Nephrotoxins.2
Anti-hypertensives.3
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Research
Bringing Science to Life
Cardiac Tissue Engineering:
Rambam and Technion researchers combine cardiac stem cells and
polymer to generate artificial contracting cardiac sheets.
Dr. Dror Seliktar, Dr. Shulamit Levenberg, Prof. Joseph Itzkovitz, Prof. Lior Gepstein
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Research
Biological Pacemaker
Dr. Izhak Kehat, Prof. Lior Gepstein et
al, in Nature Biotechnology.
Rambam researchers inject
pacemaker cardiac cells derived from
human embryonic stem cells to an
animal with heart blockage. Normal
heart rate is restored.
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Research
Advanced Molecular Imaging - Cancer
Prof. Ora Israel’s hybrid PET/CT scanning method enables
early cancer detection and advanced therapy.
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Research
Advanced Molecular Imaging - Heart
Prof. Ora Israel 38
Teaching & Education
International Fellowship
Medicine Students: Internship
& Residency
Nursing School
International Trauma School
NATO School
Post graduate dental school
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Division of Oncology
Structure
Radiotherapy Ward - 20 beds
Chemotherapy Ward - 26 beds
Outpatient Clinics
Daycare - Chemotherapy
Radiation Unit & Physics Unit
Supportive Care - Palliative
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Division of Oncology
Statistics data 2011
Visits to the clinics - 29,390
New patients - 3,008
Visits to daycare - 21,165
New patients - 1,163
Beds in daycare - 12
Armchairs in daycare - 22
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Division of Oncology
Research
124 Active Clinical Research Projects
7 Research Coordinators
EORTC Group
Local & National Research
Pharmaceutical Companies
Collaboration
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Division of Oncology
Supportive & Palliative Care
Social workers
Dietitians
Psychologists
Doctors & Nurses - Hospice in the community
Multidisciplinary Complementary Medicine staff
- Working voluntarily
Visits - 507
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Division of Oncology
Hollistic Medicine & Services
Reiki
Shiatsu
Art Therapy & Music Therapy (string instruments)
Meditation and Affective Guided Imagery
Cranio-Sacral Therapy
Physiotherapy
Oil-Massage Therapy
Cosmetics & Wigs Service
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Division of Oncology
Radiation Unit
Visits - 53,878
Radiation Fields - 169,845
New Patients - 2,206
Simulations - 2,222
Working Hours: 8am-8pm (one shift)
Sunday–Thursday
On-call Emergency Response 24/7
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Division of Oncology
Equipment
3 Elekta Linacs
1 Varian Linac
1 CT Simulator (Phillips)
Mould Room (templates blocks)
Brachytherapy Unit
Prostate Iodine-125 implant Unit
ABC Device [Active Breathing Collaboration]
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Division of Oncology
Brachytherapy
CT Simulator
IGRT / xvi Linac
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Division of Oncology
Human Resources
3 Senior Doctors
5 Residents
20 Radiotherapy Technologists
5 Physicists
2 Dosimetrists
4 Nurses
2 Secretaries
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Division of Oncology
Technology
2D Planning
3D Conformal Planning
IMRT technique
VMAT technique (‘Rapid Arc’)
SBRT
IGRT(xvi)
Delta 4 - QA system for IMRT, VMAT, etc..
Gold Seeds - Fiducial Markers
Digital Image portal
Portal Film (hard copy)
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Division of Oncology
Specialized Radiotherapy
IORT in the Linac room
TBI - on a dedicated bed
TSEI - (for MF) the only center in Israel
Brachytherapy
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Gynecological
Pulmonary
Oral cavity
Other
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Division of Oncology
Cancer Center 2014-5 - The Vision
6 Linacs
2 Simulation rooms
2 Wards
Outpatient Clinic
Supportive Care and Facilities
Parking Area (for patients and staff)
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Second Lebanon War
Hospital Under Fire
August 13, 2006
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Second Lebanon War
Hospital Under Fire
August 13, 2006
60 rockets fell within ½ mile radius surrounding Rambam
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Second Lebanon War
Serving the Civilian Population
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Second Lebanon War
Hospital Under Fire
August 13, 2006
Rambam Bunkered Underground
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Second Lebanon War
Providing the IDF with Medical Security
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International Collaborations
Outreach Programs
Earthquake January 2010
Sergey Altunin helping in Haiti
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International Collaborations
Outreach Programs
Dr. Margalit Lorber
in Ethiopia
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Strategic Plan
Rambam New Campus - Building the Future
Biomedical Discovery Tower
Ruth Rappaport Children’s Hospital
Emergency Department
Cardiovascular
Hospital
Joseph Fishman
Oncology Center
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Strategic Plan
New Emergency Department
November 2009
© Aryeh Sharon, Eldar Sharon, Architects and City Planners ltd
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Strategic Plan
Sammy Ofer Fortified Underground Hospital
© Aryeh Sharon, Eldar Sharon, Architects and City Planners ltd
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Strategic Plan
Sammy Ofer Fortified Underground Hospital
Parking for 1500 Cars
Regional 2000 Bed Emergency Hospital
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Strategic Plan
Sammy Ofer Fortified Underground Hospital
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Strategic Plan
Ruth Rappaport Children’s Hospital
© Aryeh Sharon, Eldar Sharon, Architects and City Planners ltd
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Strategic Plan
The Ruth Children’s Hospital (Opening 2013)
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Strategic Plan
The Joan and Sandy Weill
Department of Pediatric Hemato-Oncology
The Israel Palestinian Friendship Center
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Strategic Plan
Biomedical Discovery Tower
Cardiovascular
Diseases
Diabetes and Metabolism
Translational Cancer
Research
Clinical Neurosciences
Genomic Medicine
Post graduate dental school
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Strategic Plan
The Joseph Fishman Oncology Center
Inpatient Oncology
Adjunctive and
Supportive Care
© Aryeh Sharon, Eldar Sharon, Architects and City Planners ltd
Day Clinic
Radiotherapy
Chemotherapy
Brachy therapy
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Strategic Plan
Rambam Health Care Campus January 2010
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Strategic Plan
Rambam Underground Hospital and West Wing
Construction
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Strategic Plan
Rambam Underground Hospital and West Wing
Construction
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Strategic Plan
Rambam Underground Hospital and West Wing
Construction
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www.rambam.org.il
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