Page 331 - ANUAL REPORT MOH 2017

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Online Healthcare Service Workshop 1/2017

Group Discussion Session Private Agency Dialog Session with Director
General of Health

Source: Health Informatics Centre, Planning Division, MoH

2. PLANNING AND IMPLEMENTATION OF MoH TELECONSULTATION (TC) SERVICE WAY
FORWARD
MoH TC Project commenced in 2009 and was one of seven (7) Telemedicine Flagship projects managed
by eHealth Planning Section, which was known previously as Telehealth Division. It provides platform
for doctors to obtain specialist consultation via 60 static workstations in 44 MoH hospitals for four (4)
disciplines, which are Cardiology, Dermatology, Neurosurgery and Radiology. Three (3) issues identified
in the TC service study conducted in 2016:
i. TC hardware is obsolete and beyond economic repair
ii. Mobility issue whereby users prefer social media such as WhatsApp, which is mobile and allows
real time exchange of patient’s information, hence current static TC system is no longer relevant.
iii. TC is no longer required in Dermatology

Telehealth Steering Committee in its second meeting of 2016 had instructed eHealth Planning Section
to plan and implement short-term measures and long-term plan for TC service. The following are
activities done in 2017:

a. MOBILE TC PROOF OF CONCEPT (POC)
The objective of POC is to identify a better, safer and more efficient alternative to WhatsApp to avoid
risks associated with WhatsApp such as medical error resulted from cross communication, data leakage
and medico-legal issue due to inability for the specialist to make complete clinical documentation for
future references. Case selected for POC was ST elevation myocardial infarction (STEMI) case between
Serdang Hospital as the Hub and Putrajaya Hospital as the Spoke within Serdang STEMI network. Four
(4) cases including two (2) mock cases were referred during three (3) months period of testing, which
was from 17 April to 14 July 2017. Conclusion of the POC is that implementation of tested mobile TC
application is possible after resolution of issues such as enhancement of channel creation and alert
notification as well as licensing issue. Poor network coverage in critical areas such as in Emergency
Department and Intra-cardiac Laboratory is facility readiness issue identified in the POC.

330 ANNUAL REPORT 2017 MINISTRY OF HEALTH MALAYSIA