Cardiothoracic Center Update: Resident Housing Completed & Funding Gap Closed!

The Cardiothoracic Center at Tenwek Hospital (CTC) will be a state-of-the-art unit to care for patients needing life-saving heart, esophageal, and lung cancer surgeries. The 175-bed CTC will house six cardiac operating rooms, a cardiac catheterization lab, an endoscopy suite with four procedure rooms, and a chapel.

Hospital leaders dedicate the recently completed Resident Housing.

The apartments for physician trainees are now open and occupied. The infrastructure upgrades required to build the CTC – including building excavation, electrical service, sewage treatment, and water purification – are well underway.

A funder has stepped forward to pledge all the remaining funds needed to complete construction of the CTC! Hospital leaders expect construction to begin in May and are seeking an exemption from the usual 16% government tax. Please pray with us for a favorable decision.

tenwek logo

Shem Tangus Appointed CEO of Tenwek Hospital

Shem Tangus, Tenwek CEO with Kyle McCarter, former U.S. Ambassador to Kenya.

Shem Tangus has been appointed Chief Executive Officer at Tenwek Hospital, effective February 1, 2021. He had been serving as the interim CEO since the end of 2019, following service as the hospital’s finance officer.

Mr. Tangus’s return to Tenwek is a homecoming. “My parents worked at Tenwek Hospital,” he explains. “My mother was a hospital chaplain for many years. I grew up at Tenwek – for me Tenwek is home.”

With a university degree in accounting, Mr. Tangus was recruited for the finance position at Tenwek and was excited by the opportunity to help the hospital navigate through operational challenges that result when many patients are unable to pay for their care. “I saw that God had prepared me in terms of my knowledge, expertise, and exposure to Tenwek.”

One of his first initiatives was to encourage enrollment in Kenya’s national health insurance plan, which pays a portion of patients’ medical expenses. This has raised the number of Tenwek patients covered by insurance from 40% to 75%. He also implemented an electronic payment system that eliminates clerical errors, instills confidence in patients, and ensures the hospital is paid promptly.

Even with improved revenue, however, the hospital collects only about 20% of what it is owed monthly. This makes the support provided by Friends of Tenwek both essential and rare.

“Donor support for a hospital is very unique,” says Mr. Tangus. “And it frees us to continue serving poor patients. Without our partnership with FOT we would not be able to do some of the things we are doing today.”

Mr. Tangus takes the leadership helm at a critical time. Construction for the Cardiothoracic Centre is about to begin; the installation of a comprehensive Health Management Information System is underway; new residencies in OBGYN and Neurosurgery are launching; recruitment for Kenyan consulting physicians in Obstetrics, Orthopedics, and Radiology has started; and the School of Chaplaincy awaits approval for its new curriculum. In the midst of addressing these strategic objectives, the hospital has been treating an increasing number of COVID-19 patients.

The faith Mr. Tangus grew up with guides his life as he strives to match Tenwek’s excellence in health care with its support operations. His parents are thrilled with his relocation to Bomet. His wife, Faith, a medical resident, is grateful to transfer her internship to the hospital. And their two children will grow up, as he did, calling Tenwek home.

 

 

 

COVID-19 Update: Courage in the Midst of Challenge

COVID-19 vaccinations arrive at Tenwek.

In mid-April, Tenwek Hospital saw an increase in the number of COVID-19 positive cases – from only five cases in January and eight in February, to 52 new cases in March, including 12 staff members or students. The COVID-19 Holding Area and Care Unit (CHACU) has been at full capacity consistently through April, with resumed use of the Lower Holding Area.

Respiratory therapist Annette Lievaart notes the installation of a new oxygen concentrator – funded by FOT – has been a lifesaver. While the COVID medical team is providing optimal care for complex patients, most patients who are placed on ventilators do not recover. “The moral toll of losing these patients is hard on the staff especially, as our COVID patients appear more stable before being placed on a ventilator – able to converse and ask questions,” explains Annette. “This gives us the opportunity to share Christ and pray with them, which we are thankful for. But deaths are still hard.”

Tenwek has not postponed regular services during the pandemic and long-term staff have served for over a year without the assistance of visiting staff. Less than 100 visitors served at Tenwek in 2020 – about one third of the number from the previous year. As a result, physician assistant Val Sleeth reports that both missionary and national staff are feeling stretched and weary. “There is still great fear and stigma surrounding COVID in our community … and a cultural fear around the vaccine. We are in the ‘third wave’ now, which is really the first serious wave for our community.”

Shem Tangus, Tenwek’s CEO, recently told hospital staff, “Our Spiritual Ministry theme this season is Courage, which is especially imperative at this time. Living in itself takes courage because we find ourselves facing trials and tribulations of every kind regularly. But courage is not the absence of fear, rather the judgment that something else is more important than fear. I pray that our service will be greater than fear.”

With travel restrictions being eased and testing more available, visits by short-term staff are beginning to resume at prepandemic levels. Sanitation and social distancing measures remain in place throughout the hospital and nearly 700 Tenwek staff have been vaccinated, as well as most missionary families. Travel to and from Nairobi for arrival and departure has not been impeded.

Service at Tenwek has never been more meaningful or needed. Learn more about a medical mission visit here

tenwek logo

Tenwek’s Latest Residency & Fellowship Graduates

Tenwek Hospital’s Residency and Fellowship programs address the critical need to train, disciple, and equip the next generation of African physicians to be the hands and feet of Jesus Christ throughout the continent. To fulfill this mission, Tenwek has strategic partnerships with the Pan-African Academy of Christian Surgeons (PAACS) and the College of Surgeons of East, Central, and Southern Africa (COSECSA).

Tenwek held its eighth PAACS commencement ceremony at the end of January.

The graduates are (L to R): Dr. Marvin Wekesa – Orthopedic Surgery; Dr. Fridah Orwa – General Surgery; Dr. Kimutai Sylvester – General Surgery; Dr. Sinkeet Ranketi – General Surgery; and Dr. Arega Fekadu Leta – Cardiothoracic Surgery.

Dr. Fekadu Leta is the first Cardiothoracic surgeon to graduate from the PAACS program at Tenwek and was the highest scorer for the Cardiothoracic Surgery fellowship exam administered by COSECSA.

Dr. Wekesa is the fourth graduate from the PAACS orthopedic residency program. Following graduation, he joined the faculty at Tenwek.

Tenwek’s Dr. Fridah Bosire earned the highest score in COSECSA’s General Surgery fellowship exam and was awarded the 2020 Gerald O’Sullivan medal. This annual award recognizes the surgical fellow who graduates at the top of the class at the annual COSESCA exams.

Congratulations to all!

HMIS Upgrade Project is Underway!

HMIS Upgrade Project is Underway!

The installation and integration of two new software systems to update and enhance how Tenwek manages electronic medical records, financials, and operations is underway. We praise God – to date, FOT donors have generously contributed $460,467 of the project’s $520,000 cost.

While Tenwek is committed to cover any balance, FOT’s goal is to raise the remaining $59,533 cost of the software. This will provide the hospital with greater flexibility and margin in its operating budget. As the project proceeds, FOT will continue to raise funds.

Hospital CEO Shem Tangus expressed his thanks to FOT donors. “We strongly believe that the new system will be essential in managing the day-to-day hospital operations including patient care management, financial management and human capital management. The new Health Management Information System will transform our operations and will help us provide more efficient and effective support to the clinical teams while they serve patients for the honor and glory of Christ. For this, we say thank you and we commit to be great stewards of this great gift.”

To make a gift to the HMIS project, use the button below to access a secure, online form.

 

January COVID-19 Update

The Republic of Kenya has now recorded nearly 97,000 COVID-19 positive test results, with over 1,600 fatalities. To date, the total number of COVID-19 cases diagnosed at Tenwek has reached 181. Twenty patients have died. Of the 39 staff members who have contracted the virus, all have recovered or are recovering, with most already able to return to work. Fifteen patients are currently receiving care in the 21-bed dedicated COVID Holding Area & Care Unit (CHACU), with some awaiting test results. Tenwek also has been able to conduct COVID-19 Antigen Rapid Testing for over 90 patients. This has permitted more prompt patient care planning.

The 21-bed CHACU has been fully occupied at times, with the Lower Holding Area also being used for convalescing patients. Despite success with home-based care, Tenwek leaders expect the number of cases requiring hospitalization to continue for some time. Please continue to pray for Tenwek’s patients and staff, and for their families. 

Staffing the CHACU requires a team of more than 35 people, which includes nurses, medical officers, clinical officers, housekeepers and other ancillary positions. This emergency has placed a significant strain on the hospital’s contingency resources. FOT’s Board of Directors has pledged to provide $60,000 over the next few months in support of staffing needs in the COVID-dedicated unit.

If you would like to make a gift in support of this urgent need at Tenwek, please use the button below to open a secure online form.

HMIS System Upgrade Will Improve Patient Care and Maximize Revenue

In 2013, with support from FOT, Tenwek introduced its first Health Management Information System (HMIS). This massive project created integrated electronic patient records; streamlined patient accounting; improved payroll processing and personnel records; and enhanced the hospital’s ability to monitor, assess, and forecast its financial information. As a result, Tenwek’s patient care and administrative operations were significantly improved.

Tenwek’s medical staff appreciates the opportunities provided by electronic patient medical records and administrators value the financial insights the integrated HMIS has provided. They are eager to implement an update that will further enhance care and improve processes.

The time and expense invested in building a network, installing workstations and training Tenwek staff to handle a computerized process laid the groundwork for future upgrades – and the future is now!

Tenwek is embarking on a new business model that will enable hospital administrators to conduct an accurate assessment of the profit and loss components of its medical services with analysis by cost-centers. Recognizing that “with no margin, there is no mission,” the new IT DOSE clinical system, in combination with Kinetics financial package, will provide more efficient delivery of patient care as well as clarity on how to maximize the hospital’s opportunities for revenue in order to cover services for needy patients.

The new HMIS is an essential element of Tenwek’s tomorrow. It will lay the groundwork for continued hospital growth and help build a more sustainable future.

Because this is a critical need – and can be effectively addressed even in the midst of the pandemic – the FOT Board is making it an immediate priority to raise $250,000 – approximately one-half of the system’s cost – as soon as possible. To make a gift in support of this critical initiative, please use the button below to access a secure, online form.

December COVID-19 Update

The Republic of Kenya has now recorded over 88,000 COVID-19 positive test results, with over 1,500 fatalities. To date, the total number of COVID-19 cases diagnosed at Tenwek has reached 171. Twenty patients have died and 38 staff members have contracted the virus. Eighteen patients are currently receiving care in the 21-bed dedicated COVID Holding Area & Care Unit (CHACU), with some awaiting test results.

The 21-bed CHACU has been fully occupied at times, with the Lower Holding Area also being used for convalescing patients. Despite success with home-based care, Tenwek leaders expect the surge of cases requiring hospitalization to continue for some time. Please continue to pray for Tenwek’s patients and staff, and for their families. 

Staffing the CHACU requires a team of more than 35 people, which includes nurses, medical officers, clinical officers, housekeepers and other ancillary positions. This emergency has placed a significant strain on the hospital’s contingency resources.
FOT’s Board of Directors has pledged to provide $60,000 over the next three months in support of staffing needs in the COVID-dedicated unit.

If you would like to make a gift in support of this urgent need at Tenwek, please use the button below to open a secure online form.

 

 

 

Pray for Tenwek Hospital

Many of you have asked about the impact of COVID-19 at Tenwek Hospital and how you can help. We recently received the following list of prayer requests from Tenwek Hospital’s Medical Director and Acting President.

Please join us in prayer for the needs listed below. We have opened an FOT “Prayer Room” where you can sign up for a slot of time to pray for Tenwek during September.

 

KINDLY JOIN US IN PRAYER FOR:
• Sufficient measures to curb the pandemic in Kenya to prevent hospitals, nation-wide, from becoming overwhelmed
• Adequate rest and peace for our entire Tenwek Hospital staff
• Ability and authorization to perform COVID-19 testing on-site at Tenwek Hospital
• National Health Insurance Fund recognition of Tenwek Hospital as a designated facility to deliver COVID-19 care, which will permit reimbursement for such care
• Adequate funds for the increasing staffing needs at Tenwek Hospital
• Ability to purchase sufficient numbers of N95 masks (about 1,000 per month) of adequate quality to appropriately protect staff members and patients
• Smooth and safe resumption of service by visiting physicians
• The Lord’s protection for our staff members from serious illness

 

Tenwek Hospital COVID-19 Update-September

So much has happened since April 2, when FOT’s President Dr. David Hoover sent out an appeal to assist Tenwek Hospital in its response to the COVID-19 pandemic. We are extremely grateful for the prompt and very, very generous response from FOT as “our friend indeed” during our “time of need.”

CHACU Dedicaton-located in the former Maternal Child Health

Through the donations from FOT partners and others, we were able to provide care to patients in the newly remodeled 6-bed isolation unit until the remodeled 21-bed COVID-19 Holding Area & Care Unit (CHACU) was ready “just in time” in mid-July. FOT’s donation of crucial funds allowed us to purchase and install the large oxygen generator to supply oxygen to each of the 27 beds. Three of the beds in CHACU can provide ICU level care, including ventilator support.

We praise God for His provision and protection during this season. He allowed us over four months for preparation between the first case in Kenya on March 13th and Tenwek Hospital’s first case on July 22nd. As a country, Kenya’s cases of COVID-19 have increased to over 30,000 with approximately 15,000 recoveries and nearly 600 deaths.

Prepared and Not Scared

The hospital staff members (over 900 strong!) have now been educated and re-educated on COVID-19, each with the appropriate training for their department. During those four months, the Tenwek Hospital staff cared for many patients who were suspected to possibly have COVID-19. These were serious “dress rehearsals” with 96 negative tests before the first positive test at Tenwek. We learned a lot from those valuable opportunities, and we refined our protocols for COVID-19 care.

Personal Protective Equipment (PPE) with gown produced by Tenwek Hospital tailoring, face shield constructed by Tenwek missionary families, and a purchased N95 mask.

In addition to developing Standard Operating Procedures, we learned how very important it was for us to have our five Tenwek Hospital counselors on-call 24/7 to serve staff members, patients and families.

Thus far we have diagnosed COVID-19 for 17 Tenwek Hospital patients, of which five unfortunately arrived late in their course of illness and passed away within three days of admission. All but two of the COVID-19 patients who received inpatient care at Tenwek have been discharged to home-based isolation care – including one mother with a new baby! Currently, two COVID-19 patients are being treated in-hospital, and there are no other patients in the CHACU who are awaiting COVID-19 test results. Praise God!

As of this date, Tenwek Hospital has obtained test samples for a total of 202 individuals, of which 163 were for patients and 39 were for staff members. We just received confirmation last month that after many years our Tenwek Hospital Laboratory is now ISO certified and we are considering the possibility that Tenwek Hospital could be an authorized COVID-19 testing facility. This would improve safe and efficient use of hospital resources, would improve healthcare worker availability, and would be a blessing to reduce the community spread of COVID-19 through prompt contact tracing.

We praise God that, as of today, we have no COVID-19 cases diagnosed among our Tenwek Hospital healthcare workers. Kindly join us in prayer that the Lord’s shield of protection would remain in place for our care givers to have no serious illness, physical fatigue, or emotional fatigue.

Impact of Travel Restrictions

Multiple long-term missionary physicians are away from Tenwek Hospital at this time, which unfortunately has coincided with visiting doctors not being able to come to serve at Tenwek Hospital. We are grateful that international travel has now resumed to Kenya and we are seeking responsible ways to best integrate visiting physicians into our staffing at Tenwek Hospital in a manner that minimizes risks to patients and co-workers. We also pray for favor as the expatriate Kenya Medical Licensing process has become much more expensive and complicated.

Tenwek Hospital runs the College of Health Sciences and the School of Chaplaincy. In accordance to the regulations passed to us from the Government, we have had to close these two institutions because of COVID-19 in Kenya. We recently launched e-learning to enable the students to learn even while they stay at home.

The generosity of our Friends of Tenwek partners is appreciated even more as we recognize the personal financial challenges that many individuals are facing around the globe. Thank you for standing with us…. even if we are 6 feet or thousands of miles away from one another.

Asante sana!
Thank you very much!

Dr. Steve Burgert
Medical Superintendent of Tenwek Hospital

Shem Tangus
Acting CEO of Tenwek Hospital

 “For God has not given us a spirit of fear, but of power and of love and of a sound mind.”
2 Timothy 1:7