KPJ Healthcare Berhad - Annual Report 2018

144 KPJ HEALTHCARE BERHAD • Quality Indicators for Accident and Emergency Services Five (5) indicators have been identified and are being compiled and analysed. A&E QUALITY INDICATORS TARGETS QI 1 – Unplanned Re-attendance Within 24H Within 3 days Within 7 days 3% (MSQH target) 2 – 3% (International) < 5% (International) Q2 – Total Time in A&E Within < 4 hours (%) 95% patients leave within 4 hours (International) Q3 – Left Without Being Seen by a Doctor Percentage of patient leaving without being seen < 5% (International) QI 4 - Time to Assessment Patients assessed by SRN within ≤ 15 min (%) 95% patients assessed by SRN within ≤ 15 min (International) QI 5 - Time to Treatment Green Zone – Patients seen by doctor within ≤ 20 min (%) Yellow Zone - Patients seen by doctor within ≤ 30 min (%) ALL patients seen within 60 min 80% patients seen by doctor within ≤ 20 min (KPJ target) 95% patients to be seen by doctor within ≤ 30 min (KPJ target) 95% patients seen by doctor within 60 min (International) MEDICAL ADVISORY COMMITTEES REPORT • Clinical Protocols for Accident and Emergency Services Three protocols (Acute Myocardial Infract, Stroke and Dengue) have been developed and compliance will be monitored from 2019. • Early Warning Signs (EWS) EWS are tools used by hospital care teams to recognize the early signs of clinical deterioration in order to initiate early intervention and management, such as increasing nursing attention, informing the provider, or activating a rapid response or medical emergency team. Awareness among the care givers, identifying the tools to trigger EWS and formation of the Rapid Response Team (RRT) was the primary focus in 2018. New Services Hospitals may need to expand or introduce new services in line with new technology or meeting customers’ expectations and endeavour to provide a safe healing environment. These were some of the new services in progress: • Acute Stroke Centre KPJ is developing a new Acute Stroke Service that will initially start in one of the KPJ Klang Valley Hospitals. This centre will include comprehensive care of the stroke patient involving specialist doctors, interventional radiologists, physiotherapists, occupational therapists, dieticians and others. Currently several of our hospitals are able to provide thrombolytic therapy for the ischemic stroke patients. In 2019 the provision of ‘Neuro-interventional Mechanical Thrombectomy’ is anticipated. Once successful, it can be extended to other KPJ Hospitals in the Group having the required resources and capability to support the service. • Remote Health, Diagnostics and Monitoring System (RHDMS) The Remote Health, Diagnostics and Monitoring System (RHDMS) is a mobile “point of care” diagnostic coupled with monitoring application platform. It allows remote diagnostics with accuracy and the ability to assess multiple diseases and storing of data over a secure medical cloud. The target is to monitor Non–Communicable Disease and the Risk factors; blood pressure, sugar, following Malaysian Clinical Practice Guidelines. The six (6) month pilot study was completed in December 2018. The pilot project involved three (3) KPJ Hospitals, KPJ Damansara, KPJ Kajang and KPJ Puteri and involving 10 doctors and 59 patients. The doctors found that the patients were more regular with their medication and monitoring. One patient showed remarkable improvement in his HbA1C (a parameter used for blood glucose monitoring) after enrolment in the trial. • mQuit Smoking Cessation Program mQuit Smoking Cessation Program is a Public-Private Partnership Program to provide actionable support to potentially 4.8 million smokers in Malaysia to help them quit smoking. It provides three levels of support for smokers, namely; professional advice, materials to help quit smoking and enlisting the smoker’s own willpower. In 2018, seven (7) KPJ hospitals have been accredited as mQuit Training Centres by the Ministry of Health namely KPJ Ampang Puteri, KPJ Damansara, KPJ Selangor, KPJ Johor, KPJ Puteri, KPJ Sabah and Kuching Specialist Hospital.