Mohd Farid Laporan Latihan Industri Sarjana Muda Sains Bioperubatan UKM Tahun 3 Sesi 2007/2008-Hospital Selayang Part I

Selayang Hospital

Selayang Hospital is a hospital with 960 inpatient beds and 20 clinical disciplines located in Selayang in the Gombak District, Selangor. This hospital provides secondary and selected national tertiary care services.

In the planning and implementation of Selayang Hospital, the Ministry of Health (MOH) has taken cognisance of the objective of Vision 2020 whereby Malaysia shall reach the status of a developed country by 2020, and of the MOH vision. This implies that Selayang Hospital is designed and equipped to meet world class standards.

Selayang Hospital has been designed, constructed and equipped for a Total Hospital Information System (T.H.I.S.) environment with the ultimate aim of paperless and filmless hospital operation. It is the first hospital in Malaysia and the world to operate with T.H.I.S. covering all aspects of its operation. In order to meet the objective of the state of the art facility, a highly qualified effective organisation, operation and management has to be ensured for the success of this hospital.

Selayang Hospital is a centre for Gastroenterology, Rheumatology, Hepatology, Hepatobiliary Surgery, Vitreoretinal Surgery, Colorectal Surgery, Microsurgery, and Renal Service. Being a referral hospital it provides specialist outpatient service for referred cases only. There is no walk-in outpatient service except for emergency cases seen in the Emergency Department. This hospital also focuses on ambulatory care service. For this Selayang Hospital has a dedicated multidisciplinary Ambulatory Care Centre consisting of day care surgery, medical day care, endoscopy and lithotripter service.

Hospital Location

Vision & Mission

~ Vision ~

The Selayang Hospital will be the role model  for future hospitals using appropriate medical technology, which is innovative, efficient and cost-effective, delivered in a customer-driven environment, friendly, caring, compassionate and humanistic.

~ Mission ~

• We will work as a team in partnership with the community to promote wellness, deliver high quality which is efficient and cost effective. 
• We are committed to create an ethical, disciplined and competent workforce. 
• We will strive to develop an innovative, knowledge-based, accountable and transparent organization

Goals & Core Values

Hospital Goals

Improving Health
Maintaining an ongoing concern with the health of the population and outcome of programs and services.

Improving Equity Of Access
Ensuring that access to comprehensive services is available on the basis of need.

Improving Quality Of Care And Service
Fostering best practice, providing the patient with a clear and easy pathway through the system and managing resources effectively.

Hospital Core Value

Caring Service	Delivering services to our customers in a courteous, respectful and responsive manner besides upholding human dignity.
Professionalism	Being ethical, committed, disciplined and competent.
Teamwork	Working together as a team for a united purpose.
Quality	Endeavoring to achieve the highest standards not only through efficiency and effectiveness but also in the quality of our thinking, the quality of our decision making, the quality of our response and the quality of everything we do.
Process Excellence	We recognise that in the ultimate delivery of any service, the excellence of processes is critical. Information technology will be harnessed to facilitate processes improvement.

Hospital Achievements

World's First Arm Transplant In A Neonate

A multidisciplinary team of doctors and paramedics created medical history by performing the World's First Arm Transplant on a baby, the youngest recipient reported. The 15-hour feat took place on 18th of May 2001. Since both donor and recipient were identical twins, toxic anti-rejection drugs were not required.

Renal Transplant Across The South China Sea

Selayang Hospital has been earmarked as a centre for solid organ transplants including renal transplant. The first cadaveric renal transplant in Selayang Hospital was performed on 27th December. The kidneys were harvested by our hospital urologists at Queen Elizabeth Hospital, Sabah and transplanted within 12 hours in Selayang Hospital.

Setting A New Standard In Dialysis In Malaysia

Selayang Hospital Dialysis Unit is the first unit in Malaysia to introduce regular service of haemodiafiltration with on line replacement. 

Another First

A Prospective Observational Study conducted at Selayang Hospital won the first prize when it was presented at the 16th Annual Seminar in Nephrology in Penang on May 2000 entitled Multiple use of reused dialyser - Is it safe and wise? 

International Meetings

The Department of Ophthalmology hosted a Live Surgery Session of the 13th International Meeting on Cataract Implant Microsurgery and Refractive Keratoplasty (ICIMRK) on 31st August 2000. It held for the first time at Selayang Hospital. We also hosted the 3rd International Telehealth Conference on 1st September.

National Meetings

Three National meetings which were successfully organised in Selayang Hospital include the one day Pre-7th Perinatal Congress Symposium on 'Perinatal Care the Cyberway' which was attended by various doctors and nurses from the Obstetric and Paediatric Departments nationwide, a seminar on Picture Archiving and Communication System (PACS) and Teleradiology which was organised by the team from Selayang Hospital and Kuala Lumpur General Hospital (GHKL) for Radiologists and Radiographers from the whole country and a two-day renal transplant course organised by the urology and nephrology teams which was attended by 220 doctors and nurses nationwide.

Teleradiology

Two connections were established between Selayang Hospital and GHKL; The first connection is between Emergency Department Selayang Hospital and Call Centre GHKL, primarily for Neurosurgical referral. The second connection is between Diagnostic Imaging Departments of both hospitals.

Innovation In Medical Reports Application

The Medical Record Department had created an application of "Process of Medical Reports and Medical Board". Now most of the government hospitals in Selangor and Johor Bahru, GHKL and Sultanah Aminah Hospital, are currently using this application. It generates statistical outputs that measure the number and types of medical report applications processed daily. The medical report analysis gives an overall insight as to the time taken upon completion of the medical reports by the department and individual doctors. 

Second Prize

Selayang Hospital won the second prize in the category of Public Building in the Selangor's Landscape competition which was held in conjunction with the Malaysian National Day celebration 2000.

Total Hospital Information System (THIS)

The Total Hospital Information System in Selayang Hospital is an integration of clinical, administrative and financial systems. The clinical is made up of Hospital Information System (HIS) and Picture Archiving Communication System (PACS). The HIS is made up of various applications (Person Management, Scheduling, Order Management, Clinical Documentation, PIS, LIS, RIS, and so on). The Administration & Finance system as back end is integrated with the HIS so that any chargeable procedures or tests performed on the patients will automatically trigger the generation of the bills. With PACS, the system is also interfaced with the various x-ray machines. So the challenge here is that the integration is so deep and extensive that it is not only between software applications but also between applications and modalities or equipment especially in the radiology, laboratory, intensive care and operating theatres where the system is interfaced directly into the equipment and what ever data or image produced by such equipment will go directly on-line into the system. This is the benefit of Total Information System.

In summary, patients' medical records, guidelines and clinical protocols are instantly available and can be assessed in one integrated workstation at any place and at any time in the hospital, provided that the user has proper authority to access the information. Being an electronic hospital that has taken the initiative to implement THIS, Selayang Hospital has become a showcase to the rest of the world

The Pathology Department

INTRODUCTION

The Pathology Department is situated at Level 4 and is accessible via the main entrance.

The Pathology Department provides medical laboratory services to screen, diagnose and monitor treatment and disease progress. The services offered support both patient and preventive health care.

The Pathology Department functions as a secondary care level with extended services for certain sub-specialties

VISION

The Pathology Department is to provide a comprehensive and quality diagnostic services which is efficient, cost effective and innovative in an information technology based environment.

MISSION

We will work as a team to provide an efficient, reliable and quality service towards achieving excellence in patient healthcare that is delivered in a caring and friendly environment

GOAL

To achieve quality and excellent service to all our customers.

VALUES

Quality, Professionalism, Teamwork, Caring Service, Process Excellence

OBJECTIVES

• To provide diagnostic and consultative services in Chemical Pathology, Haematology, Transfusion Medicine, Anatomic Pathology and Microbiology.
• To provide training in clinical, technical and analytical skills for the department personnel, trainees and personnel from other government hospitals, institute of higher learning and other government agencies.
• To provide consultative services to Ministry of Health concerning matters related to pathology services.
• To conduct and assist research and development in pathology and other relevant clinical areas of interest.

CLIENT CHARTER

• Every customer will be treated with care, consideration and dignity.
• Every customer will be given a clear and comprehensive explanation about the test requested when necessary.
• Every specimen shall be handled in a recommended manner.
• Every test shall be performed timely, carefully and accurately using proven and reliable methodology and utilizing where possible the latest technology available.
• Urgent (stat) tests shall be attended to and carried out immediately.
• All examination results shall be handled appropriately and kept confidential.

Standard Timeliness

Laboratory Turn Around Time (LTAT)for urgent (Stat) tests (Refer to Appendix [1] ) : within one hour

LTAT for routine tests performed daily all in within 4 hours:

• Chemical Pathology
• Haematology
• Blood Bank

LTAT for batch testing in:

• Microbiology
• Chemical Pathology
• Haematology

LTAT for microbiology tests:

• Cultures : 24 to 72 hours

Performance

• Participation in national and external Quality Assurance Program (QAP).
• Received accreditation certification from NATA for compliance in ISO 15189 in 2007.

Integrated Clinical Laboratory Service

The Pathology Department practices integration of Clinical Laboratory services. Integrated areas include the following:

Central Specimen Reception (CSR)

Main Laboratory – for routine and urgent Blood Bank, Haematology, Chemical Pathology and Clinical Laboratory analyses. It functions 24 hourly.

Scope of Service

Blood Bank

Blood Bank provides compatible and safe blood and blood products to inpatients. The screened blood stock is supplied by the National Blood Transfusion Centre.

Chemical Pathology

Routine Chemistry, Therapeutic Drug Monitoring, Endocrinology, Tumour markers, Lipids, Specific proteins, Clinical Toxicology

Haematology

Basic coagulation, routine haematology

Microbiology

Diagnostic Bacteriology, Immunology, Bacterial and Viral Serology, Mycology, Parasitology

Anatomical Pathology

Histopathology, Cytology and clinical autopsy

Forensic services

For medico legal cases the forensic pathologist from Institut Perubatan Forensik Negara will be consulted.

The Mortuary provides facilities for the following

Release of dead bodies

Conducting post-mortem

Temporary storage of dead bodies

CONTENT OF INTRODUCTION

NO	CONTENT	PAGE
1.	SELAYANG HOSPITAL	1
2.	LOCATION	1
3.	VISION & MISSION	2
4.	GOAL & CORE VALUES	2
5.	HOSPITAL ACHIEVEMENTS	3
6.	TOTAL HOSPITAL INFORMATION SYSTEM (THIS)	4
7.	PATHOLOGY DEPARTMENT	5
8.	INFORMATION	9