KPJ Healthcare Berhad - Annual Report 2018

OUR BUSINESS & STRATEGY OUR PERFORMANCE AND OUTLOOK OUR RESULTS OUR GOVERNANCE APPENDICES ABOUT THIS REPORT 139 KPJ HEALTHCARE BERHAD www.kpjhealth.com.my MEDICAL ADVISORY COMMITTEE REPORT Within its framework are policies and processes that ensure patient safety, continuous improvement in quality of care and clinical effectiveness leading to a better patient experience and outcome. In the KPJ group, responsibility for clinical governance lies with Group Medical Advisory Committee (GMAC) while at the individual hospital it is with the hospital’s Medical and Dental Advisory Committee (MDAC). The establishment of the hospital MDAC is mandated by the Private Healthcare Facilities and Services Act and by our own By-Laws. Decisions of the hospital’s MDAC are discussed at the hospital meetings including at the Hospital Board. The Group MAC functions in an advisory capacity and it has a few committees to look at different aspects of clinical governance. These committees report to the GMAC which in turn reports to the Board of Directors. Management of Clinical Governance - Clinical Governance Committees CL INICAL GOVERNANCE I S THE CENTRAL P I LLAR OF ANY HEALTHCARE ORGANI SAT ION WHICH A IMS TO PROV IDE QUAL I TY PAT I ENT CARE . Group Medical Advisory Committee (GMAC) Hospital Board Hospital Board Of Management Hospital Medical And Dental Advisory Committee Clinical Committees Hospital Committees Medical Directors’ Meeting 1. Clinical Governance Policy Committee (CGPC) 2. Clinical Governance Action Committee (CGAC) 3. Clinical Risk Management Committee (CRMC) 4. Research & Quality Innovation Committee (RQIC) 5. Clinical Ethics Committee (CEC) 6. Research Ethics Review Committee (RERC) KPJ BOARD 1. Credentialing & Privileging, Peer Review, Ethics, Education & Audit 2. Hospital Infection & Antibiotic Control 3. Health Information Management 4. Mortality & Morbidity Review 5. Pharmacy & Therapeutics 6. Surgical & Medical Intervention 7. Risk, Quality & Safety 1. Patient Complaints & Resolution 2. Consultant- Management Meeting THESE ARE THE COMMITTEES OF GMAC: Clinical Governance Policy Committee (CGPC) Clinical Governance Action Committee (CGAC) Clinical Risk Management Committee (CRMC) Clinical Ethics Committee (CEC) Research & Quality Innovation Committee (RQIC) Research Ethics Review Committee (RERC) 1 2 3 4 5 6