Statement of Purpose

The role of the Medical Coordination & Eligibility Department (MCED) is to define the policy of the King Faisal Specialist Hospital & Research Center- Jeddah, as it relates to the acceptance of patients for medical care.  Its mission is to ensure efficient processing of patients’ eligibility referrals, and ensure their smooth transition to the KFSH&RC-Jeddah health care system.

Scope of Work

4      To coordinate requests for treatment and the processing of royal orders and Ministry of Health (MOH) referrals 4      To coordinate with KFSH&RC departments 4      To coordinate with MOH & other hospitals 4      To coordinate with patients and/or relatives 4      To coordinate outreach visits

Definitions

4      Eligibility - the appropriateness of acceptance and retention of patients for medical care at the King Faisal Specialist Hospital and Research Center in Jeddah. 4      Tertiary Care - management of a medical condition that requires the skills and services of physicians with subspecialty training in medicine, surgery and/or clinical fields. 4      Guarantor or Sponsor - a person from a public/private institution who agrees in writing to pay the patient’s medical expense; for example: royal order, GMC financial letter. 4      Self-Pay/Credit Patient - a patient who is personally responsible for his/her medical expense.

Unique Care

4      The MCED is the sole department responsible for processing patients under royal order status and a one step access point has been established: o        Patients submit the needed documents to MCED o        Eligibility processes their papers through concerned departments o        The departments clarify medical needs accordingly o        If case is accepted for treatment, MCED opens a file and advises the patient regarding appointments and the approval period of the financial letter. 4      MCED is the sole department responsible for approving patient transfers from one specialty to another according to medical need. 4      MCED is responsible for evaluating and discharging patients from the health care system when treatment is completed, in order to facilitate acceptance of new patients. 4      MCED processes and coordinates all in/out Medivac transfers and discharges. 4      We have established direct communication with several medical committees and referring hospitals all over the western, northern and southern regions of Saudi Arabia. 4      MCED facilitates access to KFSH&RC-Jeddah by explaining policies and procedures, and distributing required information.

Innovation – New Services

4      New channels of communication opened with other health care institutes in terms of acceptance of patients 4      Regular reviews of the eligibility criteria for patient admission scheduled 4      Coordination of outreach visits to patients at other health care institutions prior to their transfer for service at KFSH&RC-Jeddah.

Collaboration

The MCED has established strong communication with other hospital departments such as Finance, Admission Services, Inpatient Officer Services & Discharge Planning to improve the following services: 4      Patient’s eligibility status 4      Financial charges in the Venus system 4      Discharge