KPJ Healthcare Berhad - Annual Report 2018

OUR BUSINESS & STRATEGY OUR PERFORMANCE AND OUTLOOK OUR RESULTS OUR GOVERNANCE APPENDICES ABOUT THIS REPORT 141 KPJ HEALTHCARE BERHAD www.kpjhealth.com.my The Committees of GMAC and their roles are as follows: Clinical Governance Policy Committee (CGPC) CGPC was formed in 2002 to develop policies relating to clinical practice, patient care, safety and quality improvement. These include: • Establishment of evidence based practice; • Assessment of new innovative and emerging technologies; and • Compliance to national regulatory requirements and adoption of national/international practice guidelines. It also reviews and advises GMAC on incident reports, clinical indicators, and complaints as well as deals with requests for clarification from Medical Directors, Consultants, Hospital Management, and staff. Clinical Governance Action Committee (CGAC) CGAC formed in 2002, is the committee that is responsible for monitoring progress of implementation of policies or programs approved by GMAC. The committee also identifies problems that are hindering implementation of the agreed policies or programs. All the agreed policies or programs are analysed, evaluated and monitored in order to ensure quality in clinical care. CGAC oversees the implementation and monitoring of the annual clinical survey, highlighting to the Group lessons learnt from hospital mortality and morbidity review, and monitoring clinical performance indicators among others. CGAC also recommends training and development of hospital clinical staff. Clinical Risk Management Committee (CRMC) The overall objective of CRMC established in 2003, is to promote safety and excellence in patient care. Its responsibilities include: • Identify, prioritize and manage risk arising from clinical care; • Ensure effective and efficient use of resources through evidence-based clinical practices; and • Protect the health and safety of the patients, healthcare providers and visitors. CRMC aims to reduce the clinical risk to a minimum by improving the quality of care received by patients and to ensure the maintenance of a safe environment for our patients, healthcare providers and visitors. MEDICAL ADVISORY COMMITTEES REPORT Clinical Ethics Committee (CEC) The committee was formed in 2011 and the objective of CEC is to assist consultants, patients and family as well as hospital staff to resolve clinically related ethical issues such as refusal of treatment, and end-of-life requests. The outcome should lead to the best interest of the patient. The committee also developed guidelines on ethical issues relating to patient care. Research & Quality Innovation Committee (RQIC) The committee was established in 2010 to facilitate research within the KPJ Hospitals for Clinicians and KPJ staff who would like to conduct research involving clinical, quality, safety and/or healthcare related matters. Initially, the committee was known as Research and Development Committee and was renamed in February 2018 to promote the establishment of quality assurance and improvement programmes in the hospitals. The committee also oversees the process of research governance. The committee meets (physically or by circulation of papers) only whenever there is a need to review research proposals. In 2018, the Committee received proposals for four (4) research projects and three (3) were approved by GMAC as shown below: • A National Survey on Prophylactic Antibiotics against Infective Endocarditis (I.E.) Following Invasive Dental Procedures: Professional Opinion from Malaysian Oral and Maxillofacial Surgeons, Cardiologists, Microbiologists, Family Medicine Specialists and Forensic Pathologists Personnel; • Perception of Consultant on IV-to-Oral Switch in Antibiotic among Private Healthcare Practitioners; and • Retrospective Comparison Study Between Vancomycin Individualized Pharmacokinetic Dosing versus Conventional Dosing Among Patients in Malaysian Private Hospital. Research Ethics Review Committee (RERC) The RERC was set up in 2011 to review all proposals that are submitted to the Research and Development Committee (R&D) to conduct research in the KPJ Group of Hospitals. The RERC shall review both the scientific merit and the ethical acceptability of the research proposal. The committee is responsible to safeguard the rights, safety and well-being of the research subjects. The committee only meets when a review is required otherwise discussions and approval are by circular resolution.