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FULL PAYING PATIENT SERVICES
             Full Paying Patient Services (FPP) has been introduced at the Ministry of Health Malaysia (MoH)
             selected hospitals since 2007. This service offers additional incentives to MoH specialists as part of
             a retention package to reduce the problem of government specialists’ migration to private hospitals.
             FPP patients treated by a selected FPP specialist will be charged fully without subsidies from the
             government. The revenue collected by the hospital through these services will be given to specialists
             registered under this service and the Government.

             Currently, 10 MoH hospitals have implemented this service. Hospital Selayang and Hospital Putrajaya
             as Pilots FPP Hospitals, with 8 Phase 1 FPP Hospitals (Hospital Ampang, Hospital Serdang, Hospital
             Sungai Buloh, Hospital Pulau Pinang, Hospital Queen Elizabeth II, General Hospital Sarawak Heart
             Center, Hospital Sultan Ismail, and Hospital Sultanah Aminah).

             After 10 years of implementation, data shows an increasing trend of number of patients and involvement
             of MoH specialists in FPP services. By December 2017, there were 342 registered FPP specialists
             compared to 71 FPP specialists in year 2009. There were 22,364 patients opting for this service in 2017
             which contributed to more than RM19 Million revenue from FPP Services from January to December
             2017.

             An evaluation of FPP services’ effectiveness had been carried out in 2017, whereby MoH will continue
             to improve the services through Action Research methodology before FPP services can be extended
             to other MoH hospitals


                                                      Figure 6
                                 FPP Patients Trend by Citizenship, Year 2008 to 2017


                                          Total FPP Patients (2008 – 2017)
                            25,000

                            20,000
                  Total Patient  15,000

                            10,000
                             5,000

                                0
                                    2008  2009   2010  2011   2012  2013  2014   2015  2016   2017
                    Total           702    818  1,176  2,452  3,084  3,302  3,642 14,098 20,080 22,364
                    Malaysian Citizen  593  725  1,079  2,329  2,833  3,101  3,448 13,251 18,255 20,446
                    Foreigner       109    93     97    123   251    201   194   847   1,825  1,918
             Source: Hospital Services Management Unit, Medical Development Division, MoH


             MEDICAL RECORD
             The Medical Record Sub-unit carries out medical record management in all Medical Records Department
             in MoH hospitals. This unit provides and coordinates medical records management practice policies.
             Among the guidelines that have been issued are:




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