Medina Neurological Program (MNP), interdisciplinary teams of neurologists, neurosurgeons, neuropsychiatrists, neuro-physiatrists and neuroradiologists are working in different specialized neurological programs. For the very first time in the world, MNP has introduced a new manner of organizing clinical services. Classic neurological disciplines are to be re-organized in pathology-based programs instead of specialty-based departmental or divisional organization. MNP is a multispecialty neurological program encompassing these highly specialized services:
A- currently:
1- Medina comprehensive neurovascular program
2- Medina comprehensive epilepsy program
3- Medina neurological restoration program
4- Medina neuromuscular and neuroimmunology program
5- Medina general neurology program
6- Medina general neurosurgery program
7- Medina spinal surgery program
8- Medina neuro-intensive care program
9- Medina neurological trauma program
10- Medina neurophysiology program
B- In the near future:
1- Medina neuro-oncology program
2- Medina neuro-genetics program
3- Medina cardio/neuro-vascular clinic network
4- Medina Cardiovascular and Neurovascular Research Center (MCNRC)
The MNP is directed by an interdisciplinary executive committee. Some MNP specialized programs have already been launched by task forces which, in turn, are supervised by the MNP executive committee, further programs are to be launched soon. The Medina region is a 589,000 km2 provence in AL-Hejaz, the western region of the Arab Peninsula. Its population is more than two million, and it is visited annually by more than ten million tourists from all over the world. MNP offers its world class services to medina citizens as well as its visitors using 22 interconnected centers which are distributed all over the Medina Region. These centers are organized in a hubs and spokes model to ensure not only a fair distribution of our services in the whole region but also a prompt response to emergency situations 24 hours a day for the whole year. To ensure the best possible up-to-date clinical practice, each MNP specialized program implements written evidence-based clinical protocols developed by a task force which was set up by the MNP executive committee. In April 2012, MNP general plan was put into action. Firstly, the first units of MNP's specialized programs were established in King Fahd Hospital in Medina city. By signing a memorandum of understanding with different departments, notably; neurosurgery, ICU, medicine, ER, and radiology, an interdisciplinary team was formed to operate these programs. From there, training of different pertinent teams on MNP clinical protocols, was started. Their performance will be assessed using the data collected, analyzed and used in quality management and clinical research. Secondly, hospitals in Medina city and the Medina Region were contacted by MNP in KFH to present these ideas and endeavors. As KFH is the only hospital in the region providing a public neurology service, those hospitals agreed to implement MNP clinical protocols under KFH MNP unit supervision. By doing so, MNP has moved to the second implementation stage of its general plan. The centers in Medina city and the Medina Region are to be linked using a tele-health program exploiting the high speed internet service available. At a later stage, primary health care (PHC) centers are to be connected with MNP specialized out-patient services to create a huge region-wide network facilitating the smooth referral of patients from PHC centers to MNP Hubs (tertiary care centers).
