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SERVICES

Circle Healthcare Sub-Acute Rehabilitation Hospital


We understand that transitioning into a sub-acute rehabilitation hospital can be unsettling, whether coming from an acute-care setting or the community, and we strive to make it as smooth as possible. From admission, we assist the patient in understanding their recovery process, and motivate them to achieve long-term wellness. As part of this process, and with the assistance of the patient, their families and their friends, we identify goals and objectives that need to be accomplished, all of which are designed by our team of healthcare professionals. This evidence-based interdisciplinary approach incorporates clinical and rehabilitative modalities, equipment, and resources, all focused on achieving optimal results.

The Circle Healthcare Sub-Acute Rehabilitation Hospital Group encompasses the ideals of absolute quality and professionalism, and our ethical and cost-effective care are the defining elements of world-class and superior Clinical Leadership.


Sub-acute and rehabilitative care is a relatively new "In-Patient" hospital, and specialised medical service offered in South Africa. It merges the sophisticated technology of a specialised hospital, and the proficient operation of a highly skilled nursing facility to reduce the cost of services, while maintaining an extremely high level of quality sub-acute and rehabilitative care that is not offered in normal general or specialised hospitals. Sub-acute and rehabilitative care is quickly emerging as one of the key solutions to reforming South Africa's expensive private hospital delivery system.


Circle Healthcare also has its own ambulance service called CHC 24/7. This service runs independently of the hospitals however it is integrated as a priority service.

WHAT SERVICES ARE OFFER

Circle Healthcare Sub-Acute Rehabilitation Hospitals specialise in the following services:

Speech therapy

Physical therapy

Infusion therapies

Post-operative care

Sensory stimulation

Respiratory therapy

Occupational therapy

Palliative care services

Comprehensive wound care therapies

Traditional/long-term care and short term-care

Sub-acute social services and activities programmes

Tailored rehabilitation programs with trained specialist staff

REHABILITATIVE CONDITIONS:

  • Brain and Spinal Cord Injuries,
  • Total Hip and Knee Replacement,
  • Cerebral Vascular Accidents (strokes),
  • Neuromuscular Disorders,
  • Amputations,
  • Degenerative Diseases (e.g. arthritis),
  • Neurological Disorders,
  • Quadriplegic / Paraplegic,
  • Multiple Trauma,
  • Speech,
  • Post Fracture,
  • Drug and Alcohol.

COMPLEX SUB-ACUTE MEDICAL SERVICES:

  • Respiratory / Pulmonary Disease Management, 
  • Cardio-Vascular Disease Management,
  • Metabolic Disease Management,
  • Oncology,
  • Specialised Wound and Burns Care,
  • Complex Post-Surgical Recovery,
  • Acute and Chronic Pain Management,
  • Total Parenteral and other types of nutritional feeds,
  • High Active Anti-Retroviral Therapy,
  • MDR and XDR TB Management.

OTHER SERVICES INCLUDE:

  • Psychiatry, 
  • Occupational Therapy,
  • Physiotherapy,
  • Biokinetics,
  • Nutrition,
  • Pathology,
  • Home Nursing Care,
  • Case Management,
  • Managed Health Care

SERVICE DESCRIPTION

Sub-acute and rehabilitative care is intensive "In-Patient" hospital care designed for patients who have an acute illness, injury or an exacerbation of a disease process.

It is an evidence-based treatment plan released immediately after, or instead of, acute hospitalisation, to treat one or more specific acute complex medical conditions, or to administer one or more technically complex treatments in the context of a person's underlying long term conditions and overall situation.

Generally the patient's condition is such that the care does not depend heavily on high technology monitoring, or complex diagnostic procedures. Sub-acute and rehabilitative care requires the co-ordinated medical services of an inter-disciplinary team, including various medical, nursing and therapy specialists, who are trained and knowledgeable, to access and manage specific conditions and perform rehabilitative procedures.

Sub-acute and rehabilitative care requires frequent (daily to weekly) recurrent patient assessments, evaluation and reviews of the clinical course and treatment plan for a time period (several days to several months), until the patient's condition is stabilised or a pre-determined evidence-based treatment course is completed.

Sub-acute care prides itself on intense nursing care that is cemented at its foundation by a dedicated team of medical specialists and physical therapists.

Every patient is assigned a team that consists of a case manager, a specialist physician, a clinical nursing sister that specialises in that particular injury or illness, a physiotherapist, occupational therapist and dietician. The treatment plan is then structured to suit the patient.
When any one of our hospitals receives confirmation that a patient is being transferred to us, our Case Manager immediately selects a treatment team in accordance with the patient's illness or injury. An evidence-based treatment plan is then carefully drafted while the patient is being moved to our facility by our in-house ambulance service.

The patient is accepted by the sister-in-charge who admits the patient into one of our wards, depending on their injury or illness. The patient is then assessed by the treating team who then forward treatment plans to the Case Manager.

The Case Manager then confirms the treatment plan, and the treatment commences immediately.

It takes a period of four to eight hours from the confirmation of a patient's transfer to the commencement of treatment, depending of course on the patient’s medical circumstances.

COMPETITIVE COMPARISON

Due to the young age of sub-acute care in South Africa, few competing sub-acute hospital groups exist. Private and government hospitals are our closest competition, and even then only in terms of the rehabilitation services they may offer. Due to the concept behind sub-acute care, our costs are far lower, therefore our rates are lower than hospitals. Considering the exorbitant cost of hospital care in South Africa, sub-acute care is an extremely appealing alternative. 

Due to the small size of the facilities, care takes place on a much more personal level. The atmosphere is far more relaxing and homely than hospitals, and all our staff are trained to show genuine compassion and care that is enhanced by their skill and commitment. While patients are admitted at our facilities, we want them to feel like this is their second home, a home away from home.

The above points are what we consider our key competitive edge over other similar facilities, and of course hospitals.

FULFILMENT

The key fulfilment will be provided by the principals of the business, with its core value being the professionalism provided by its experience and expertise. 

The care we provide to our patients reflects values and skills that are never compromised or complicated.

TECHNOLOGY

As a hospital group we pride ourselves on the latest technology to better assess and care for our patients. The technology includes state-of-the-art, bedside vital parameter monitors, spirometres, echo-cardiogram monitors, blood gases and oxygen monitors and respirators. 

To better manage our patients, we also utilise sophisticated medical software to keep track of all aspects of the patient's medical conditions and treatment plans. We have also rolled out e-Health systems across all our hospitals, and these systems are comprised of computer physician order entry systems, electronic medical record systems, electronic health record systems, and picture archiving and communications systems.

FUTURE SERVICES

We currently hold eleven provincial licences, which we in turn are converting into eleven national licences. We have successfully converted two to national licences so far, both for the Eastern Cape, with one being for East London and the other for Port Elizabeth. Representations are being made to convert a further two for the Western Cape and Gauteng respectively. Thereafter we will re-assess our position and make further representation to other provinces. Market research is currently being carried out by Statistics South Africa for us to determine whether we should open further facilities in other KwaZulu/Natal towns. The towns currently being researched are Pietermaritzburg, Port Shepstone, Escort and Ulundi. 

Our current value added system is being upgraded to provide mobile services. Our current external services are being extended to take our medical evaluation and assessment services to patients. Our current South African Police Services and Alexander Forbes contracts are being drawn up to include the entire country and an on-site clinical evaluation service.

External evaluation clinics will be set up at various centres to assess potential patients and also serve as occupational health clinics. These clinics will be used to conduct various disease screenings such as HIV/AIDS, Diabetes Mellitus, Hypertension and most commonly Burn Out Syndrome and Social and Employment Stress. These clinics will be franchised to Nursing Personnel wanting to start their own private nurse practitioner businesses. These clinics will be funded by:

i. Medical Aid patients wanting to pre-determine their medical status,

ii. Insurance companies wanting to pre-determine the medical status of their potential and current members,

iii. Companies wanting to provide treatment and determine the medical status of their current and potential staff,

iv. Provincial health departments wanting assistance in providing VCT services.

v. Circle Healthcare, together with its suppliers, will fund any member of the public that walk through our doors seeking the clinic's medical screening services. With the rapid and unprecedented rise of HIV/AIDS in our country, it should become a social and moral obligation for every company to assist in this fight. Many people are frightened to go to their doctor, local hospital or clinic for an HIV test due to the stigma associated with it. Visiting our clinics will be a warm and welcoming experience that will be met with confidentiality and compassion at a level of care that is far above expectation. A beautifully designed reception that is out of public view will create a sense of comfort that can't be felt in a hospital or doctor's waiting room.

“A business is successful to the extent that it provides a product or service that contributes to happiness in all of its forms.” – Mihaly Csikszentmihalyi

Most of Circle Healthcare's suppliers and customers have agreed to use the clinics as a benefit to their staff requiring occupational health care and medical screening services. The South African Police Services in Durban, and The Independent Newspaper Group, have gone as far as committing to provide office space within their buildings to set up such clinics.

Female empowerment, job creation and social responsibility are going to be a major part of building our screening and occupational clinics.

Address

4 Thelma Cresent
Orange Grove
Johannesburg
2192

Contacts

Email: info@circlehealthcare.co.za
Phone: (011) 4852918
Fax: (011) 640 1959