Page 195 - ANUAL REPORT MOH 2017

LEAN HEALTHCARE INITIATIVE

As part of the transformation agenda in the public service delivery transformation, Ministry of Health
(MoH) continues to expand the Lean Healthcare initiative to 16 hospitals in 2017. These hospitals are
mainly Major Specialist Hospitals. Emergency Department (ED) and Medical Ward (MW) of these 16
hospitals were chosen as part of the Agile Approach. List of hospitals involved are as follow;
i. Hospital Bukit Mertajam
ii. Hospital Kepala Batas
iii. Hospital Seri Manjung
iv. Hospital Pekan
v. Hospital Segamat
vi. Hospital Kluang
vii. Hospital Sri Aman
viii. Hospital Bintulu
ix. Hospital Sibu
x. Hospital Kapit
xi. Hospital Port Dickson
xii. Hospital Sandakan
xiii. Hospital Keningau
xiv. Hospital Lahad Datu
xv. Hospital Tawau
xvi. Hospital Banting

Apart from ED and MW, MoH has also embarked on Hospital Kuala Lumpur transformation projects
includes Medical Record and Hospital Support Service. Both projects are piloted at seven (7) clinical
departments namely Emergency Medicine, Medical, Orthopedics, Ophthalmology, Neurology,
Nephrology and Pediatrics with the aim to improve work processes. These two projects are at its final
phase of analysis of the findings.

Other than that, two new projects involving work levelling at all specialist clinics in Hospital Sg Buloh
and optimization of operation theatre in Hospital Sultan Ismail were also started at the end of 2017.
These two projects are expected to complete in 2018.

The performances of ED and MW are graded according to the standard matrices that were developed
by Medical Development Division, which includes seven performance matrices. The 16 hospitals overall
performances are as below:

CASEMIX SYSTEM

Up-grading of Casemix System, MalaysianDRG aplication
• Development of new modules
Three (3) new modules have been developed in the MalaysianDRGV2 application, namely (i) Pay-For-
Performance (P4P), (ii) Malaysian Health Mortality Information System (MHMIS), and (iii) Executive
Information System (EIS) apart from the two (2) main Casemix System modules that are the clinical
and costing modules.

194 ANNUAL REPORT 2017 MINISTRY OF HEALTH MALAYSIA