Blog & Journal


Revolution in Surgery & Hospital Instruments

kavinmartiz October 12, 2021

Tirana, 07/06/2016 – In the University Hospital Center, “Mother Teresa” was presented today the Service of providing new surgical instruments and innovative management of their sterilization, which marks a new era in the Albanian surgery service, guaranteeing the highest standards of international methods and best practices.

This important project, the fruit of public-private partnership-oriented in the management of infectious risk in operating rooms, enables the radical improvement of sterility in operating facilities, and consequently the expansion of the range of surgical interventions in our public hospitals.

This new program, which in the near future will be extended to all cities of the country will replace the old, depreciated autoclaves, which to date have not been able to provide maximum standards of sterilization, endangering the safety of life of the patient and the spread beyond the permitted norms of nosocomial infections. Whereas, thanks to this partnership, in just 18 months, 555 surgeons in 153 operating rooms will offer the same high quality and performance.

The Prime Minister Edi Rama, accompanied by the Minister of Health Ili Beqaa, the Italian Ambassador Alberto Cotillo, leaders of this new Service, visited today the premises of the hospital center “Mother Teresa”, where the central sterilization center is located and met with surgeons various services, who are carrying out their mission in brand new conditions.

In its entirety, the project envisages the supply of all hospitals in the country with new modern, qualitatively diverse and abundant surgical instruments; qualitative sterilization of surgical instruments; providing soft disposable auxiliary materials for the medical team and operating room bed; disinfection of the operating room at the end of the day; processing of hazardous waste and their conversion into urban waste; providing personalized set according to any type of surgical intervention.

These instruments are grouped according to 13 surgical sub-specialties and in 71 different sets.

Hospitals will also be supplied with about 96 thousand instruments according to about 6 thousand types of instruments. About 3,000 sets will be ready at any given time in all hospitals of the country.

Among other things, another support sterilization plant will be added to the central sterilization plant throughout the country.

Heads of surgery services at QSUT, such as dr. Mentor Petrella, head of the Neurosurgery service; Arbenz Gate, rector of the medical university; Edvin Profit, head of the cardiology service; Arvin Debra, head of the general surgery instruments service; and Dristan Alishan, head of the Pediatric Service expressed this system is a very important innovation for Albanian medicine, which increases the quality of interventions and increases safety for the patient’s life.

Speech of the Minister of Health Ili Beqaa at the inauguration ceremony of the start of the activity of the Public-Private Partnership Program of new sterilized surgical instruments organized at QSU “Mother Teresa”:

Let me begin my speech in a slightly unusual way, thanking Prime Minister Edi Rama.

He is the one who has insisted on the consideration and use of spaces that enable public-private partnership. To bring the necessary private funding in a tight public finance context, to bring contemporary international professional expertise, to bring efficient management models.

Further, I want to thank those who conceived this initiative and worked to make it a reality, Deputy Minister Clodion Repay, prof. dr. Arbenz Gate, dr. Petro Mersin in.

I who were skeptical at the beginning of the idea and who bluntly told me their doubts. With their disbelief they helped us to make a full and excellent public communication. Thanks to the Italian companies Serves Italia, Jet, Tensioned and Investigable who are offering their best with this innovative and ambitious project.

Special thanks to Mr. Marcus Schmid and the prestigious company KLS Martin Group. Mr. Schmid believed that KLIS Martin products could come to Albania.

It has been four e first 161 interventions were performed. I am conv the s of the project, of the radical improvement of sterility in our operating environments, of the expansion of the range of surgical interventions in our public hospitals. Thanks to this project, the investment that we are starting in general surgery at SQUAT and are not a little but full 12 million euros, will be more effective.

Even the investment of 5 million euros, already contracted, for the Trauma Hospital will be more effective. Even the prostheses that we will offer for free, this year we are procuring 1 million dollars of prostheses, will be placed in conditions of high sterility. I know surgeons have had reservations about me in these three years. The particular emphasis on public communication on cardiovascular and tumor diseases may have created the feeling of inattention. Sorry for the lack of modesty, I am neither a doctor nor a surgeon, but if there is one already crowned initiative that deserves to be called Renaissance, it is the one we are gathered for today.

This is a full-blown Renaissance of Albanian Surgery.

This is next generation surgery.

Today, we have the right to say out loud that we are at the forefront compared to private hospitals. We attended the presentation, important figures will speak today, but for me as a minister, for the reforms that we must continue to carry out, this project, thanks to the information system it brings, will help in two directions that I want to share with you.

It will help us to quickly determine the appropriate DRGs for surgical interventions. DRGs are essential to implementing hospital autonomy. It will help us assess the individual productivity of each surgeon in order to implement the differentiated remuneration of physicians.

Speech of the Prime Minister Edi Rama at the inauguration ceremony of the start of the activity of the Public-Private Partnership Program of new sterilized surgical instruments organized at QSU “Mother Teresa”:

It is truly an extraordinary operation in the health system, the operation that we are assisting today, to share with the public another step of strategic importance in view of the rebirth of the Albanian health system, the modernization of the hospital service and the coping with dignified standards of duty. , to provide public health service.

According to the World Health Organization, surgical operations have become the largest source of disability and mortality in the world. In many poor countries, but also in many developing countries, the safety of surgical care is not recognized as a public health concern, because it is a standard that requires significant costs. The number of surgical operations in the world is estimated to be around 250 million per year, or 1 operation for 25 people. In Albania, every year about 50 thousand surgical interventions are performed, of which, half of them is performed here at the University Hospital Center “Mother Teresa”.

We have found an existing inventory of surgical instruments that would not be admitted to any hospital in Europe and that in a normal country would all go for scrap. An inventory that, in addition to being very old, not at all diverse and far from the capacity to enable modern surgical intervention techniques. Also, the instruments inherited from many years do not provide maximum sterilization safety, based on the report of the Institute of Public Health, and actually provoke the spread beyond the allowed norms of nosocomial infections and endanger the safety of patients’ lives.

There is another clue that is creepy. According to the WHO, half of the world’s cases, when complications or health problems are verified as a result of surgical interventions, are preventable. Well, one of the aspects of our program to revive the health system in Albania has been to increase the quality of Service in surgery and security in its provision, starting from the supply of all hospitals in the country with modern surgical instruments and qualitative.

Today, we had the privilege to pay another visit, accompanied by the leaders of the company that has undertaken to perform this Service on behalf of the Albanian state, where we saw not only new instruments, in the sense of newly produced, but also the latest technology last.

It will take us 18 months to extend this Service throughout Albania. We start in this hospital, where half of the surgical interventions are performed and in a relatively short time, we cover all the needs for surgical instruments of this hospital and in 18 months every operating room in the Republic of Albania will be served by this base, and every surgeon group of doctors will have these instruments available.

In addition to the supply is quality sterilization of these surgical instruments. Here we saw a spectacular sterilization infrastructure, providing soft, disposable auxiliary materials for the medical team and operating room. – I thank the hosts who had found for my foot, not very normal in size, the right materials to put on shoes and make the visit. – Or disinfection of the operating room, at the end of the day and the processing of hazardous waste and their conversion into urban waste

All this is a revolution within the system, which comes as a result of a procedure “cursed”, “criminalized” and accused and even turned into a denunciation to the prosecutor, the Public-Private Partnership, which here is trivialized with the shameful word “Concession” and has been turned by the ignorant and those who argue their ignorance into a foreign show. In fact, it is only through the Public-Private Partnership that we can develop a modern, reliable, and sustainable health system. Not us who are a country with a country with a modest income for the needs of a non-modest health, but of European standards to be funded, but also countries much more developed than us, neighboring Italy, which in the health system is one of the most advanced countries in Europe, or friendly Turkey, which is known for a revolution in the field of transformation of health care infrastructure and so on, other countries have returned to the Public-Private Partnership, or what is considered in our country as foreign show with the word “concession”, to provide with out-of-time costs, services that are now received.

If we were to finance this project with the money of the state budget, we would not be able to extend it to 18 months in the whole territory, but it would take us maybe 18 years. Not only that, but we would not have at our disposal all the human capital that our private partner in this revolutionary operation has made available. It is a process that is not just about tools, it is also about people. Under the leadership of specialists, provided by a foreign and reputable private partner, our people are trained, and in a reasonable period of time, they become the administrators of the whole system from the point of view of human resources.

These models of Public-Private Partnership are models of success, stimulated at all levels, by governments, international financial organizations and by the need to give more and more public services the effectiveness of a private service. But in this case, immediate funding and knowledge is obtained from the private sector, while the Service is public, and the public does not pay a single penny more for this Service. So, they are models in favor of the public interest and in defense of every right that citizens have to receive quality services.

How is the formula of this partnership?

The private partner will realize all the investment that the state cannot make and up to 18 months, the investment will be made. While there will be another reinvestment in the last three years of the contract, which extends to 14 million euros. An amount that if you look at the budget items we have for health, it would be impossible to find otherwise. Thanks to this partnership, what has come today in the largest hospital in Albania and what will be in 18 months, present in all hospitals in Albania, is the German excellence in surgical instruments and the Italian excellence in sterilization and Service. What more should we ask for!

In addition to the administration of the central sterilization plant, 17 other support plants of this central plant will be established throughout the territory of the Republic of Albania. Thanks to this partnership, in 18 months, 555 Albanian surgeons in 153 operating rooms will have at their disposal German excellence and Italian excellence, in terms of sterilization instruments and procedures.

We saw how the whole procedure takes place and in fact, from the moment the operation ends, when the instruments are retrieved by the service person, until the moment when another operation begins, everything is under control, in a process that makes available to surgeons and the team of surgery, new sterilized package, ready to do next surgery

In the first 6 months, this project will be completed in the “Mother Teresa” hospital, in the second 6 months in the hospitals of Tirana and in the third 6 months in all other hospitals.

If you want a side-impact, 100 new people will be hired, who will be trained and turned into specialists with a European certificate of service capacity.

In addition to this project, the plant with steam sterilization of surgical instruments, inaugurated in 2011, will be put into operation, through a financing of 1.3 million euros from the Bank of the Council of Europe and to date, out of use, non-operational. In fact, there is no way to operate such a system, built as a kiosk that is not connected to roads, water, light and nothing else. This too will be included within this system and will become operational.

I want to underline with a lot of sincerity a fact. We know very well, and I am aware of how many shortcomings health still has. We know very well, and I am aware of how much there is still to be done, that every person who enters the threshold of a hospital, starting from the “Mother Teresa” hospital to the smallest and most remote hospital from here , nodes. We know full well that what remains to be done is far more than what has been done.

Just as everyone should know that changes in health are difficult changes. Changes that cost money, take time, and above all, as all health care reforms have shown and as all efforts to further reform healthcare, whether in Italy or France, have met with resistance. But one thing is for sure, what we have done for health in these 32 months has not been done in 20 short years.

Not only has it not been done in 20 short years, but even more important is that in these 32 months, we have been able to make available the reform, more resources, more funding, thanks to public-private partnerships and above. We have not wasted any penny of the public and we have not used the budget money to lay and renovate the tiles and to steal money, making tenders.

What remains is still very much and difficult. If you ask me how satisfied I am, from the current situation, you will get a very honest answer; I am more dissatisfied than dissatisfied, but not because what we have done does not deserve to be praised, but because what we have to do is still much more.

For this reason, we will continue resolutely on this path, we will keep all the mud that belongs to us, every day, we will hear all the accusations that will fall on us, every day, we will coexist with the daily criminalization of every idea, project, public-private partnership, or reform operation. After all, what matters to us is what the public will receive in exchange for all this great effort and in the health system, what they will receive in exchange for all this effort, but also human costs, – in the simplest sense of the word, for all of us who have to endure all sorts of slander and accusations, – every person who comes here as a patient and who deserves to be served as a person with equal rights to everyone living in the European space.

I am very grateful to the Italian ambassador for his presence here. I know it is not a very positive day, but not for his fault and the Italian government, but for the remnants of our state, which is not yet a state with serious institutions. His presence here, for an investment of an Italian private enterprise, is a clear expression of the determination to move forward to a great relationship, in which, we have much to gain and much to learn from our dear friends and close Italians. I am also grateful to the company executives and speakers. There is c than this, Germans with Italians, and Albanians between them, it is something that happens very rarely, but I am sure it is something destined to produce only success.

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