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A.G.
Holley Hospital
A.G. Holley Hospital of the 21ST
Century
Mission
GOAL: To be a center of excellence
for the treatment of TB and HIV. METHOD:
To provide State of the Art diagnostic and therapeutic care to those individuals who
have failed traditional outpatient therapy.
A.G. Holley is the only public health hospital in Florida.
It’s current mission is to provide successful treatment of tuberculosis for patients
who have failed therapy in community settings. Today, A.G. Holley cures over 90 percent of
its patients that previously had less than a 50 percent chance of cure by traditional
means. The intricacies of the new therapies for HIV now being developed predict that
appropriate management of these patients will be of utmost importance to the public’s
health. The more complex cases of HIV with their attending psychological and social issues
will necessitate a more intense center of treatment. As TB cases decrease, the A.G. Holley
facility must position itself to have the flexibility, expertise and facilities to meet
the needs that will come with the future.
The design and use of the hospital must accomplish the following:
- Expand hospital mission to address future specialized diagnosis
and treatment of communicable diseases consistent with the changing public health
environment.
- Finish 4th floor patient care renovations to maintain a proper patient care environment
that will provide a flexible capacity for a minimum of 50 to a maximum of 77 patients.
- Renovate and utilize non-patient care space to provide a capacity for public health
teaching and research.
- computerize all departments to ensure maximum revenue generation, cost control and
overall operating efficiencies.
- Maintain a legal consultation capability to assist communities, health care
professionals in the area of involuntary examination and treatment statutes.
- Develop an outpatient capacity to assist local communities in the treatment of
communicable diseases.
- Utilize current administrative services capabilities to support other D.O.H. entities
within the region.
- Utilize existing buildings to provide a source of revenue that will offset the cost of
ongoing grounds and building maintenance.
Direction of Departments
Medical Department:1.
Provide State of the Art TB/HIV in-house therapy.
2. Apply State of the Art diagnostic modalities to TB/HIV.
Psychosocial Department: 1. Expand psychosocial program to deal with psychological and social needs of HIV
infected individuals.
2. Hire full-time psychiatrist.
3. Develop and maintain a drug-free and smoke-free environment. (Develop smoking cessation
program for staff and patients).
Legal Department: 1. Provide expert legal
consultation to private and public healthcare facilities, judges and legislators.
2. Continue to maintain jurisdiction over FS392.
3. Continue to update FS392 as needed.
Pharmacy Department:
1. Develop State of the Art inpatient and outpatient pharmaceutical services for TB and
HIV patients.
Outpatient Department: 1. Develop
Outpatient Department to provide resources that currently do not exist in local
communities, i.e. expert consultation, diagnostic testing, monitoring and pharmacologic
intervention.
2. Statewide physician consultation services: Provide expert physician consultation to
counties that do not or cannot provide this for themselves.
Education Department: 1. Continue State of the
Art Grand Rounds for both TB and HIV.
2. Continue to provide training courses for all levels of health professionals in the
state (both private and public) in TB and HIV education.
3. Continue the TB Hotline.
4. Continue the Clinical Case Conferences.
5. Develop the newsletter.
6. Continue fellowship programs in nursing, social work, dietary, pharmacy, and physician
training programs.
Administration Department: 1. Maximize
reimbursement and decrease expenditures while still providing State of the Art patient
care.
2. Develop wing for private patients.
3. Regionalization of Hospital.
Laboratory: 1.
Work with State Lab to develop and provide necessary diagnostic and monitoring tools to
the clinician, i.e. therapeutic serum drug levels for both TB and HIV drugs and phenotypic
and genotypic sensitivity patterns for both TB and HIV.
2. Work with State Lab to develop State of the Art diagnostic, genetic testing and
therapeutics
Research: 1. Coordinate with State Lab
and Bureau of Disease Intervention, statewide research projects in TB and HIV.
2. Acquire grants to fund research.
3 Develop research coalitions with the medical schools in the state. STAFFING:
1. Improve recruitment and retainment of current staffing.
2. Have adequate number of FTE positions to meet needs of patient care.
FACILITY:
1. Rebuild 4th floor to provide modern hospital facility for patient care.
2. Maintain strong infection control program.
3. Develop 3rd floor for new HIV treatment center.
4. Modernize ventilation systems.
5. Enlarge and improve staff offices.
6. Automate hospital operations.
7. Modernize communication systems.
8. Create area for outpatient services.
PUBLIC RELATIONS:
1. Continue to educate the community, judges and law enforcement in issues pertinent to TB
and HIV.
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