To promote continuous learning and upgrading of knowledge,
the Group has a sponsorship program for eligible executives to
further their studies in various post-graduate program in
hospital management and clinical disciplines. In 2015, 4
executives obtained their Masters degrees from various
universities. Since this program was started in 2005, 86 staff
have benefited and obtained their Masters degrees.
Nurses, which represent around half of the Group’s total
workforce, are also encouraged to further their studies either
for the Degree in Nursing or Masters in Science (Nursing)
through collaboration with KPJUC, foreign universities or to
take up post-basic courses in OT, ICU, CICU, renal and
midwifery to enhance their knowledge and skills. The Group
also organises the KPJ Medical Conference, Medical Workshop
and Nursing Convention annually for the medical consultants,
nurses and allied health staff to deliberate and discuss medical
and clinical issues related to their practices to promote patient
safety and standardisation of clinical practices.
Currently, 16 hospitals in the Group have received their
accreditation certifications from the Malaysian Society for
Quality in Health (MSQH), out of which 4 hospitals namely KPJ
Johor Specialist Hospital, KPJ Seremban Specialist Hospital,
KPJ Ampang Puteri Specialist Hospital and KPJ Penang
Specialist Hospital, have also been certified by the Joint-
Commission International with the internationally recognised
and prestigious “JCI Accreditation”. It is the Group’s aspiration
that all hospitals in its network would be accredited upon
reaching operational maturity.
RISK MANAGEMENT FRAMEWORK
Group-Wide Objectives
The Board has established an organisational structure with
clearly defined lines of accountability and responsibility to
support the ideal control environment. The Audit Committee’s
responsibilities have been expanded to include the assessment
of risks that the Group faces in its operations.
The Group subscribes to the “Australian/New Zealand Standard
4360:1999 Risk Management” to guide its risk management
activities and adopted the “Australian/New Zealand Standard
HB228:2001 Guidelines for Managing Risk in Healthcare” as
its base framework in managing its business risks, comprising
as follows:-
• Patient Care
• Clinical Staff
• Employee
• Property
• Financial
• Corporate Governance
• Others
The Group has put in place an Enterprise-Wide Risk
Management (“ERM”) framework for managing risks associated
with its business and operations. The ERM framework features
a risk governance structure that comprises of 3 levels of
defence with clear lines of responsibilities and accountabilities
as follows:-
Level 1 - Hospital-level Management and Board
Level 2 – Clinical Services & Risk Management Services at HQ
Level 3 – Group Internal Audit at HQ
Risk Coordinators are appointed at each hospital to co-
ordinate and monitor the implementation of risk management
activities across all aspects of operations. All hospitals and
subsidiaries are required to identify and mitigate relevant risks
that may affect the achievement of the Group’s objectives and
report all significant risks arising from operations to their
respective Boards.
The Group coordinates its risk management activities through
a risk reporting & escalation framework called “Incident
Reporting & Root Cause Analysis”. This is to ensure that all
risk incidents are documented, investigated and root causes
are identified to prevent future recurrence and ensure patient
safety is given top priority.
187
KPJ Healthcare Berhad
Annual Report
2015
