ONE HOME ONE RESCUERONE HOME ONE RESCUER

community empowerment?community empowerment?community participation?community participation?community rapport program?community rapport program? Opportunity? Opportunity?amal jariah?amal jariah?

Dr Arbain LaniJabatan Kesihatan Negeri Jpohor

FUTURE HEALTH –FUTURE HEALTH –eight goals of the health eight goals of the health services: services: 

wellness; person-focused; informed person; self-help; care provided at home or closer to

home; seamless, continuous care; services tailored to individual or

group needs; and effective, efficient and affordable

services.

3

VISION 2020 States that "by the year 2020, Malaysia

is to be a united nation with a confident Malaysian

Society infused by strong moral and ethical

values, living in a society that is democratic,

liberal and tolerant, caring, economically just and equitable, progressive and prosperous, and

in full possession of an economy that is competitive, dynamic, robust and resilient".

SATU MALAYSIA RAKYAT DIDAHULUKAN. PENCAPAIAN DIUTAMAKAN.

ONE MALAYSIA. PEOPLE FIRST.

PERFORMANCE NOW

Y.A.B. DATUK SERI NAJIB BIN TUN ABDUL RAZAK

PRIME MINISTER OF MALAYSIA03.04.2009

PM VISIONPM VISION4 + 4 :I MALAYSIAGTP (Government Transformation

Program)MEB (Model Ekonomi Baru)RMK10

10MP STRATEGY & HEALTH SECTOR KEY RESULT AREAS

10MP STRATEGY HEALTH SECTOR KRAs

Strategy 1 Establish a comprehensive healthcare system & recreational infrastructure

KRA 1 Health Sector Transformation Towards A More Efficient & Effective Health System in Ensuring Universal Access to Healthcare

Strategy 4 Transform the health sector to increase the efficiency & effectiveness of the delivery system

Strategy 2 Encourage health awareness & healthy lifestyle activities

KRA 2 Health Awareness &Healthy Lifestyle

Strategy 3 Empower the community to plan or conduct individual wellness programme (responsible for own health)

KRA 3 Empowerment of Individual and Community to be responsible for their health

6

7

Outcome, Strategy and KPIs for Health Sector KRA 1

HEALTH SECTOR KRA

OUTCOME STRATEGY HEALTH SECTOR OUTCOME KPI

I.Health Sector Transformation Towards A More Efficient & Effective Health System In Ensuring Universal Access To Healthcare

1.DELIVERY1.1 Integrated public -private health services delivery

1.Streamline / realign healthcare delivery system(keywords: PHC as thrust, gatekeeping, zoning, referral system, preventive/ promotive, resource sharing, resource mobilization, appropriate technologies, registered population, registered providers)

2.Unified healthcare financing system(keywords: Safety net, financial risk protection, case mix, benefit packages, provider-payment mechanism, social health insurance, co-payment, increase government contribution, equity in resource allocation, equity in distribution of facilities, enforcement of PHFSA 1998, cost structure information)

3.Common quality and standard of care (keywords: Accreditation, credentialing, CPD, HTA, practice guidelines, clinical governance, care, uniform standard of care, standardised regulations, laws and enforcement)

4.Adequate and competent workforce(keywords: number, mix, competency, performance reward/ incentive , quality, distribution )

5.Strengthening healthcare legislation and enforcement(keywords: review, revise act & regulation, codes of ethic & conducts, capacity )

6. Strengthening implementation, monitoring and evaluation system(keywords: competency in stewardship, real time, data & information, research, evidence, informed decision, capacity)

7.ICT as enabler(keywords: prerequisites for integrated unified system )

1. Integrated PHC plan by 20112. Integrated secondary care plan by 2013

1.2 Universal AccessEquity of access – physical ease of access

All population will get access to the basic PHC services by (2014)1.All PHC providers  will be registered by 20112.All population will be registered to a Primary Health Care Physician starting 2011

1.3 High quality and safe care

1. Decrease mortality & morbidity of selected conditions

2. FINANCE2.1Universal accessEquity of access - financial

1. Reduce Out Of Pocket ( OOP )

2.2 Cost containment 2. Reduce medical inflation rate

3. GOVERNANCE3.1 Sustainability of healthcare delivery system

1. Increase GDP in health

3.2 Compliance to defined quality and standard

2. % of accredited facilities

3.3 Responsiveness to population needs

3. Waiting time for selected procedures

8

HEALTH SECTOR KRA

OUTCOME STRATEGY HEALTH SECTOR OUTCOME KPI

II. Health Awareness & Healthy Lifestyle

1.Malaysians will be health literate2.Malaysian practise healthy lifestyle

1. Increase access to health knowledge(keywords: innovative, incentive, empowerment, information sharing) 2. Motivate individuals, family and community to acquire knowledge and skill (keywords: innovative, incentive)3. Increase opportunities to practice healthy lifestyle at workplace, schools, home etc.4. Formulate and enforce public policy towards healthy lifestyle

1. % health literacy 2. Increase in the percentage of physical activity of Malaysian adult 3. Reduce the prevalence of overweight and obesity among adult 4. Reduce the prevalence among adolescent smokers

III. Empowerment Of Individual And Community To Be Responsible For Their Health

Individuals, family and community to have adequate knowledge and skills to make decision about their health ( selfcare, choice of treatment / provider)

1. Strategies to increase health literacy2. Provision of health information, including cost of care and governance policies2. Providing avenues for effective complaints or enquiries regarding health providers4. Mobilize civil society(NGOs, support groups, community leaders)

% of individuals able to make decision on their own health

Outcome, Strategy and KPIs for Health Sector KRA 2 & 3

Staff public relationshipStaff public relationshipSeek to understand before being

understood -----

Steven Covey

Staff Public RelationshipStaff Public RelationshipInformed personAdvocacyFeedbackPartnership

CURRENT REALITY OF CURRENT REALITY OF EXPECTATIONSEXPECTATIONSand ACCOUNTABILITYand ACCOUNTABILITYE

E+++++

KD-------KK---------HD----------HS-----HB------?

ABT ABT ?

GP PH HOSPITAL

INCIDENCEINCIDENCE

INCIDENCESINCIDENCESH.METRO = Anak lemas dalam

baldiH. METRO = Bayi maut tertelan

puttingU.Malaysia= Warga emas maut

tercekik rambutan (KTrg)U.Malaysia =kanak-kanak mati

tercekik bebola daging (JB)

INCIDENCEINCIDENCE

CENTRE OF EXCELLENCE for

AMBULANCE COMMAND CENTRE

REMEMBER!REMEMBER!DEATH TIME : TERCEKIK = 5

MINUTES

DISPATCH TIME :AMBULANCE =5 MINUTES

WHAT WIIL YOU BRING TO HOSPITAL ? = BODY

WHAT WE NEED ? WHAT WE NEED ? RESCUER ? FORENSIC OFFICERS ?

WE NEED CHANGE !

INCIDENCE—RESCUER- RESCUE– AMBULANCE

(on site & (activities)

skilled)

( buy this golden hours ----it may be our beloved ones)

“You convince the higher-ups of the need for change by doing it, not by brilliant Powerpoint presentations. Find common cause.Identify fellow freaks across your organization and work with them to make changes you can then show to the bosses after you have done it.”Source: Tom Peters

ONE HOME ONE RESCUERONE HOME ONE RESCUER( save lives, don’t panic)( save lives, don’t panic)A Hospital Pengarah project1 Johor3.2 million populationsNeed commitmentsNeed preparationsNeed actions NOT OIC OR NATOIncremental but sure. NO HHTA

“If I had to run a company on three measures, those measures would be customer satisfaction, employee satisfaction and cash flow.”Jack Welch, former CEO of GE

PLANPLANMin one team per hospitalOne planOne time tableOne area at a timeOne target for hospital and

communityOne action to make change

Min one team per hospitalMin one team per hospitalA team to train community to do

basic rescue activitiesComponents:Pakar,MO, PPP,

Nurse, PPK,Driver led by PH Start small =core and expand Train the team: skilled

knowledge,teamspirit, sense of belonging, communication/PR

Evaluate and expand

One planOne plan

3.2 mil populations in 10 districts to cover

Time no limitJk negeri and jk hospitalTRAININGTarget for the yearGantt chart state and hospitalMonitor and evaluate

One area at a timeOne area at a time

study the districtEstimate populationsResource preparednessTime planning based on

resources : pop vs yrsStrategise the approach to

community: start small and managable

Approach Approach Pick one area in one mukim and

cover all mukims Go as a small team or as hospital

turun padangDev rapport and understand

grievanceKeep in touch to the opinion leaders

of the community and rescuers YB,ADUN, PENGHULU, KK,HOD

Dev a register of trained rescuers Be professional

H

H

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HH

H

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One target for hospital and One target for hospital and communitycommunity

Save lives through community participation and empowerment by making them skillful and understand the functions of the hospital.

It is a management tools

BENEFITSBENEFITSStaff trained on rescues and on

continually refreshes their skillNew staff familiar with the community

orientationStaff understand public what needs and

constraintStaff communication skillsGood rapport to the publicFacilitate in handling aduan and

grousesTHE ONLY WAY HOSPITAL CAN GO TO

PUBLIC AND GIVE SOMETHING AT OUR OWN CONDITIONS.

BENEFITS TO PUBLICBENEFITS TO PUBLICGood perception to hospitalConfident to do simple rescue

activities go safe lifeGood network to hospital and

under the hospital systemsPublic is more open to suggestion

and participate in care mxUnderstand of illness will imporve

cooperation in care and appreciate that health is an assets

1H 1RESCUER TEAM

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SAFE AND MORE HEALTH CONSCIOUS COMMUNITY

WIDER NETWORK OF SERVICES MORE FRIENDS

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HOSPITAL POPULATION

HOUSES(5/House)

TEAM

ACTIVITIES DONE

RESCUER TRAINED

1 HSAJB 1.3J

2 HSIJB

3 HPERMAI

4 HPSF 415,447

5 H TANGKAK

6 HBP 427,862

7 HSEGAMAT 220,641

8 HKLUANG 330,833

9 HKTINGGI 255,824

10 HPONTIAN 181,416

11 HMERSING 89,466

12 HKULAI

JOHOR 3,459,378

”Excellence is not a skill. It is an attitude.” --Ralph Marston

Change Change

Make a Make a difference difference

1 HOME 1 RESCUER… save lives, don’t panic

04/21/23 Quality Initiatives