Page 147 - ANUAL REPORT MOH 2017

PRIMARY EMERGENCY MEDICAL CARE
The provision of emergency services at primary healthcare facilities continued to put emphasize on
the importance of delivering quality services. The ambulance fleet was further strengthened with the
allocation of 175 new ambulances for health clinics. This is to ensure a modern fleet is available that
is reliable and prepared to meet the gruelling demands of a 24-hour emergency services. In 2017, 12
ambulances were delivered to Melaka (8) and Negeri Sembilan (4). The remaining 163 ambulances
will be distributed in 2018.

More than 350 health clinics were in Medical Emergency Coordinating Centres (MECC) network. Focus
on safety of health staff accompanying patients in the ambulance was issued to all the states in the
form of a circular Surat Pekeliling Ketua Pengarah Kesihatan Bilangan 5/2017 Keselamatan Anggota
Yang Mengiringi Pesakit Dalam Ambulans Kementerian Kesihatan Malaysia Rujukan KKM 600-30/12/30
Jld.2(213) dated 26 July 2017.

100 per cent of emergency cases were attended within less than one (1) minute during office hours.
The target for emergency response within 15 minutes after office hours was set at 95 per cent and
the achieved rate was 97.1 per cent in 2017. Currently, 533 clinics have been connected with the
Emergency Alert System. In 2017, 30,943 cases as compared to 20,328 cases in 2016 were attended
through this system. Training in Basic Life Support (BLS) for the Assistant Medical Officers (AMO) is
a Key Performance Indicator for the District Medical Officer of Health. The percentage of AMOs with a
valid BLS certificate increased from 89.4 per cent in 2015 to 97 per cent in 2017.

PRIMARY HEALTH CARE INFORMATICS

TELEPRIMARY CARE (TPC)

Teleprimary Care (TPC) is a Health Information System that connects primary and secondary healthcare
facilities. The backbone for this system is the TPC application developed by the Ministry of Health
Malaysia. The application caters to patient care from registration, consultation, order management,
referral and allocation of follow-up appointment at the ambulatory care setting. Since 2005, TPC is being
used in 89 primary health care facilities and specialist outpatient clinics in 6 hospitals. This accounts for
only 9 per cent of primary care facilities. TPC will be migrated to Teleprimary Care-Oral Health Clinical
Information System (TPC-OHCIS) in phases starting from 2018 onwards. Table 34 shows transaction
Summary of TPC from 2010 to 2017

Table 34
Transaction Summary of TPC (2010 to 2017)

Transaction Type
Year Total no. of new Total no. of medical
patients registered Total no. of visits records (Care plan)
2017 665,065 8,538,313 4,495,770
2016 633,410 6,638,760 5,689,326
2015 540,947 6,925,753 3,290,237
2014 708,487 7,224,046 2,474,012
2013 685,399 660,6017 2,332,243

146 ANNUAL REPORT 2017 MINISTRY OF HEALTH MALAYSIA