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The Ministry of Health, the largest provider of healthcare services in Malaysia, has always been concerned with healthcare quality issue. Its Medical program, headed by Deputy Director General (Medical), Datuk Dr. Noor Hisham, has a Section for Quality in Healthcare that is specifically tasked with overseeing and implementing the MOH’s Quality Assurance Program and its diverse Quality Improvement activities, under a variety of rubrics:
  • National Indicator Approach (NIA)
  • Hospital Specific Approach (HSA)
  • Key Performance Indicator (KPI)
  • Clinical Care Pathway
  • Clinical Risk Management (Incident Reporting, Patient Safety, Hospital Infection Control, Occupational Safety and Health)
  • Clinical Audit (Peri - Operative Mortality Review (POMR), National Adult Intensive Care Audit (NAICU), National Nursing Audit (NNA))
  • External Audit & Accreditation (MS ISO 9001:2000)
  • Corporate culture (Budaya Korporat)
  • Patient–Centred Service
  • Customer Satisfaction Survey
  • Customer Feedback

The latest initiative to join this veritable list is Clinical Performance Monitoring through the application of a Statistical Process Control technique, CUSUM. This initiative is targeting individual clinical services.

For each clinical service in the MOH provided by a particular clinical discipline, a patient registry is established to serve as the necessary information infrastructure to provide the functional capacity for data collection, analysis, reporting and dissemination. An online service CUSUM charting service is developed to enable individual clinicians to access his or her patients’ records in a patient registry and automatically produces CUSUM chart for selected procedures or care processes.

The Ministry of Health, the largest provider of healthcare services in Malaysia, has always been concerned with healthcare quality issue. Quality measurements in MOH are well developed and have encompassed both the broad indicator approach (such as the NIA) as well as a more focused approach targeting individual clinical services. For the latter, a patient registry is established dedicated to a particular clinical service to provide the necessary information infrastructure and the functional capacity for data collection, analysis, reporting and dissemination.

eCUSUM is an online service initiated by our Deputy Director General (Medical), Dato Noor Hisham, to support quality improvement strategy by individual clinical services. It aims to improve the current quality measurement and reporting by targeted clinical service that is supported by an established patient registry. The online service enables individual clinicians to access his or her patients’ records in a patient registry and automatically produces CUSUM chart for selected procedures.

CUSUM is a clinical performance monitoring tool designed to detect small changes in the treatment process. The chart will produce a signal indicating a shift in performance thus providing early warning to the clinician to take the necessary corrective action before patients are harmed by deteriorating performance. CUSUM is one among other statistical process control tools that are widely used in manufacturing industry and are increasingly being applied in healthcare too. For more details on CUSUM, please refer to published papers in Bibliography.

 
 


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