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Public Health Leadership

Katie Hoo Dialysis Unit at Spanish Town.

Under the clinical direction of Dr. Roger N. Smith, Head of Department and Consultant Nephrologist since July 2009. Leading the state-of-the-art dialysis facility, establishing public care safety benchmarks, and managing complex renal-triage protocols.

Dr. Roger Smith explaining dialysis setups to Health Minister Dr. Christopher Tufton at Spanish Town Hospital
Dr. Roger Smith (centre) explaining setups to Health Minister Dr. Christopher Tufton. Photo by Dave Reid / JIS

Hospital directory

Department Unit
Katie Hoo Dialysis Unit
Spanish Town Hospital
Burke Road, Spanish Town, St. Catherine
Hospital telephone
Role & Authority
Consultant Nephrologist & Head of Department,
South East Regional Health Authority (SERHA)
Access mode
Public health referrals, hospital admissions, and urgent wait-listed clinical intake.
Clinical Setup & Oversight

The Katie Hoo Unit Setup & Protocols.

In July 2009, Dr. Roger Smith took over as the Clinical Director of the newly established unit. He coordinated the final setup, establishing all operating protocols, patient selection criteria, and creating the specialized renal outpatient clinic to serve St. Catherine.

Quality Assurance & Risk Control

As an active member of the Spanish Town Hospital Quality Assurance Committee, Dr. Smith directs critical safety and efficiency evaluations:

  • Readmission Analysis: Evaluating and reducing ongoing clinical readmission rates.
  • Compliance Analysis: Assessing patient compliance to complex medication and dialysis frequencies.

Established Protocols & Waitlisting

Pioneered standard operating policies designed specifically to maximize patient survival outcomes under local operational constraints:

  • Resource-Scarce Protocol: Standard procedures for managing wait-listed dialysis candidates.
  • Patient Selection Guidelines: Clean, transparent metrics to ensure fair clinical treatment distribution.

Public Nephrology Outreach

In addition to hospital department oversight, Dr. Smith is active in regional patient care development. He successfully conceptualized and established a new local Renal Clinic at the Annotto Bay Hospital, expanding specialized clinical access into northern rural parishes.