The Health August/September 2020 | Page 5

| Cover Story | august-september, 2020 | The Health 05 was called "Mak Cik Kiah" (MCK 19). It was the first Malaysian-made robots for such a purpose. Two months later it developed “Pak Salleh”, an autonomous spray disinfection robot to perform automated disinfection. This project was a collaboration with the Ministry of Science, Technology and Innovation (MOSTI), the Malaysian Technology Development Corporation (MTDC) and Megajadi Hygiene Solutions Sdn Bhd. But Dr Hanafiah acknowledges that transformation towards a smart hospital will not be easy. He is mindful of the costs to fully migrate into a paperless hospital, especially in light of the current economic crisis caused by the pandemic. “We are leveraging the current strengths of legacy systems, focusing on digital conversion of workflows that lend the most benefit to the overall service and hopefully solve some of the persisting pain points in the service provision. “Moreover, it is not just about digital platforms with users. We are keen to build and expand on our digital identity and community. “This is a big challenge, of course, and we are just at the beginning, trying to chart the best way forward.” Creating value for stakeholders HCTM is not profit-driven as it is a public teaching hospital. The ecosystem approach looks at the relationship of stakeholders and beneficiaries as well as analysing the potentials and limitations to come out with the best value-added system. “To me, the critical element is value. We must provide value for our stakeholders, and that is by maximising these three value chains; patient care, data and content,” said Dr Hanafiah. “We must provide the best care for our patients. Our practice must be up to date and professional. It must be affordable. The system must be efficient. We must be the preferred hospital, and for that to happen, the staff must be happy. They must be friendly,” he further noted. Besides providing the best system, HCTM also strives to deliver on a sustainable ecosystem. But of course, healthcare expenses take no small measures. It is not cheap. With the current global economic downturn, there is a need to reduce wastage and doing this equals to taking everything into account. It is to ensure the hospital can generate income to sustain the services and wages. The hospital also aims to obtain a larger budget to pay the staff’s overtime allowances, provide food in OT for on-call staff, award promotions to those who deserve it, provide free parking for staff and assisting those in difficulties. Dr Hanafiah firmly believes the wellbeing of the staff equates to the wellbeing of patients. The patients are placed as a priority. To provide adequate care for patients, HCTM introduced a more exact pathway for clinical governance, working towards obtaining healthcare accreditation, national benchmarking and shifting HCTM’s work culture. “To be competitive, we must be open. We must not be afraid to benchmark against the best. Our strategy is to collaborate with partners locally and internationally. Governmental and non-governmental organisations and of course the public,” he stated. The hospital also spent RM40 million to replace old equipment, repair and repaint the wards and hospital building, improve its lobby and enhance the hospital’s landscape to help the patients to destress. It is also planning for new Emergency Services, Operating Theatre (OT) and Intensive Care Unit (ICU). It is also working on opening its long due additional parking lots, a new administrative building and its latest executive suites. There will also be a Royal Suite. On financial challenges, Dr Hanafiah said HCTM had boosted its business team and for two years in a row generated over DIGITAL HEALTH: HCTM aims to become a leading smart hospital. AT YOUR SERVICE... Mak Cik Kiah serves Covid-19 patients. COVID-19 BUSTER... Pak Salleh is a robot that dispenses liquid disinfectant. RM100 million annually (previously RM60 million) to help cover the deficit from its budget. It’s also building a strong rapport with the Ministry of Health (MoH) and its other sister university hospitals. Building a research centre of excellence UKM is a research university. It carries the name of a national university and has a huge responsibility to ensure it takes that mandate well. The hospital and medical faculty have also been the biggest producer of specialists for the country since the 1980s. Its professors and lecturers are key opinion leaders. The potential for HCTM UKM to build a centre of excellence is high. Dr Hanafiah sees the need to capitalise on this matter. He said: “We need to strengthen our centre of excellence and build a new culture. We need to facilitate research and help researchers to obtain grants. “For that, we are opening our new Clinical Trial Ward and work with our collaborators. We also have international adjunct professors at the university that may assist our young lecturers in doing research.” Dr Hanafiah said the introduction of THIS will spur the university’s research capacity by pulling in local and international talents. With HCTM’s patients numbering over 800,000 annually, they will not run short of sample materials. THIS will also see paper files replaced with electronic medical records. The system will put into the storage of all hospital information system, including the radiology PACS system, the pharmacy system and the Caring Hospital Enterprise System (CHETS), which is a newlyimplemented system. MSQH accreditation At present, HCTM is in the process of obtaining the MSQH accreditation. The MSQH Hospital Accreditation Program (HAP) is a voluntary, independent programme supported and administered by healthcare professionals; organised under the auspices of the Malaysian Society for Quality in Health (MSQH), a non-governmental organisation and not-for-profit. HCTM took steps to galvanise the staff from its management level and at the operational level since the end of 2019 (during the fourth quarter). All key departments were asked to initiate a pre-survey exercise to identify weak points. It is being carried out incrementally. The committee that executes these tasks is headed by HCTM’s Deputy Director, Prof Hanita. As these efforts are in progress, Dr Hanafiah said it aimed to complete them by next year. — The Health