taklimat penswastaan perkhidmatan sokongan...
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TAKLIMAT PENSWASTAAN PERKHIDMATAN SOKONGAN HOSPITAL
(PSH)
OLEH: Tauran Zaidi Bin Ahmad Zaidi
BAHAGIAN PERKHIDMATAN KEJURUTERAAN
KEMENTERIAN KESIHATAN MALAYSIA
18 September, 2014
PWTC
PRIVATISATIONHOSPITAL SUPPORT SERVICES (HSS)
- Current contract
∗ Biomedical Engineering Maintenance Services-BEMS
∗ Facility Engineering Maintenance Services-FEMS
∗ Linen and Laundry Services -LLS
∗ Clinical Waste Management Services-CWMS
∗ Cleansing Services-CLS
PRIVATISATION HOSPITAL SUPPORT SERVICES
Hospital Support Services
Biomedical Engineering Maintenance Services
Facility Engineering Maintenance Services
Linen and Laundry Services
Clinical Waste Management
Services
Cleansing Services
Privatisation of Hospital Support Services
Milestones
Privatisation of Hospital Support Services
Number of Hospitals
Concession Companies
•Faber Medi-Serve Sdn. Bhd.
•Radicare (M) Sdn. Bhd.
•Pantai Medivest Sdn. Bhd.
•Total
1997
•71
•37
•19
•127
2013
•80
•48
•22
•150
STATISTIK PSH 1997-2013
Maklumat
•Hospital Kontrak
•Hospital (bedded)
•Institusi
•Bilangan Katil
•Luas lantai (m2)
•Aset FEMS (unit)
•Aset BEMS (unit)
•Jumlah asetdiselenggara:
•Linen (kg)
•Sisa Klinikal (kg)
•Nilai Kontrak (RM):
1997
•127
•122
•5
•36,319
•4,297,523
•250,000 (anggaran)
•81,254
•331,254
•2,955,652.71
•2,000,000 (anggaran)
•400+ Juta
2013
•150
•140
•10
•39,728
•5,647,670
•431,887
•242,154
•674,041 (+103.48%)
•58,587,538.35
•14,710,977
•1.26 Billion
7
Privatisation of Hospital Support Services
Scope of service
Biomedical Engineering
Maintenance Services
Maintain and carry out a comprehensive planned preventive maintenance program for all medical
and laboratory equipment.
Provide effective and responsive maintenance, on call and emergency services on all medical
equipment.
Witness testing and commissioning as well
as safety and performance
characteristics test on all incoming new
equipment.
Establish and implement a fault
reporting work requisition and
feedback system.
Provide training on user maintenance and safe
and correct use of biomedical equipment.
Maintain Biomedical Engineering Workshops
Establish a computerized
documentation system including asset and inventory control
records
Establish a library of user and service
manuals.
Facilities Engineering
Maintenance Services
Maintain all engineering plant, systems, facilities,
non-biomedical equipment and civil engineering works.
Operate all engineering plant and installation.
Witness testing & commissioning of
plant and equipment
Establish and implement a fault reporting work
requisition and feedback system.
Conduct training on user maintenance, safe and correct use of facilities.
Perform fire drills annually.
Maintain Engineering Workshop
Ground maintenance and pest control.
Privatisation of Hospital Support Services
Scope of service
Linen and Laundry Services
Supply and deliver clean
and additional new linen to hospitals.
Provide dedicated soiled linen bags and
holders/trolleys.
Collect, transport and process soiled
linen.
Repair and replace
damaged linen.
Build laundry plants,
equipment and facilities.
Pay for utilities if tapped from
hospital.
Maintain central linen stores.
Weigh clean and soiled linen.
Privatisation of Hospital Support Services
Scope of service
Clinical Waste
Management Services
Collection, storage, transportation, treatment and
disposal of clinical waste.
Supply adequate blue and yellow bags,
storage containers, sharps containers and receptacles to
user departments at the source of generation.
Build, operate and maintain secured clinical waste storage facilities.
Supply, install, commission, operate and maintain central and on-
site clinical waste incinerators
Provide licensed dedicated transport vehicles and trolleys
for collection and transportation of clinical waste.
Tagging, weighing and registering of
waste bags.
Privatisation of Hospital Support Services
Scope of service
Cleansing Services
Scheduled general and specialised
cleaning according to procedures and
guidelines.
Collection of general waste as
scheduled through approved routes.
Continuous supply of toiletries – paper towels, toilet rolls, deodorizers, soap and dispensers.
Adequate supply of consumables –waste bins and
bags.
Build, operate and maintain covered
Central Waste Storage Facilities.
Privatisation of Hospital Support Services
Scope of service
Develop, install and maintain a Computerized Management Information System (CMIS).
Implement Quality Assurance Program (QAP).
Attain ISO 9000 accreditation within 5 years.
Employment to government staffs (2,681).
Purchase assets, inventories and consumables.
Other Requirements
1.Concession Agreement and1996
2.Technical Requirements and Performance Indicators
3.Master Agreed Procedures
4.Hospital Specific Implementation Procedures
5.Deduction Formula and Guidelines 2000
6. 3 Supplementary Agreements Signed in 2003
7.Variation Order Guidelines 2003
8.BER online CMIS Module Manual 2005
9.QAP online CMIS Module Manual 2006
10.Hospital Planned Preventive Maintenance (HEPPM) Guidelines 2008
11.Other related guidelines, standards and procedures
Documents...
Hospital and States Director, SIHAT,
Other Divisions in MOH
E-urushospitalServer
Internet
Firewall
Central Management Information System
u r u s h o s p i t a l
“ My vision is to be able to monitor and manage the project from anywhere, on
anything at anytime”
Milestone CMIS …
Biomedical Engineering Maintenance Services
Benefits of Hospital Support Services
Benefits of Hospital Support Services
Facilities Engineering Maintenance Services
20/29
WORKORDER
REQUISITION
Requisitionraised
Orderprintedandloadedinto planboard Tradesman takes
next order fromboard
EMERGENCIESAND BREAKDOWN
Users departmentreport fault bytelephone
Material costs
Parts drawn fromstoresand crossreference towork order
REPORT
Instruction toraise workorder
Timetableagreed withuser Dept.Instructions
to raise workorder
Finished workdetails fed into computer
WORKORDER
Tradesmancarries out work
Tradesman reportshours, machinecondition
Tradesman proceedsto job immediately
WORKORDER
Order raisedonce work in hand
FACILITY ANDBIOMEDICALENGINEERING
Computer reportPM routine due
Privatisation of Hospital Support Services* Facility & Biomedical Engineering
Maintenance Services
Linen and Laundry Services
Benefits of Hospital Support Services
22/29
OTSupply and collectspecial linen
Suitable supply vehicle
GENERAL HOSPITALSUPPLY* Cloth bags inward* Container* Collection trolley* Manpower to collect
Stock levelin WARDS
PharmacyLab
Trolley washing
Lead to sewer TROLLEY
SOLID LINEN
CENTRAL LAUNDRY
Washed to sewer
Located in majorHospital or outsidelocation
DISTRICT HOSPITAL
PURCHASE EXISTINGLaundry equipment linenTAKE OVER STAFF
SUPPLY* Clean linen* Delivery trolley* Manpower to deliver* Collection and
delivery timemutually agreed
* Repair linen
LINEN & LAUNDRY SERVICES
Privatisation of Hospital Support Services* Linen and Laundry Services
Clinical Waste Management Services
Benefits of Hospital Support Services
24/29
GENERAL HOSPITAL
DISTRICT HOSPITAL
CENTRAL STORAGE
HEALTH CENTRECLINICS
WARDS Supply of containersSupply of plastic bags
OT
Supply of transport trolley
Construction operation andmaintenance of central storagewith/without refrigeration
Supply of transport vehicle
Waste waterto sewer
Ash to landfill of localauthority
Construction operationand maintenanceof incenerator
INCINERATOR
CLINICAL WASTE MANAGEMENT
Privatisation of Hospital Support Services* Clinical Waste Management
Cleansing Services
Benefits of Hospital Support Services
∗ Jemaah Menteri has approved memorandum PSH on 12 Dec 2012.
∗ Increase competitiveness
Additional companies
∗ The new contract with improvement
∗ Extended services∗ Facility Management System
∗ Facility Engineering Maintenance Services
∗ Biomedical Engineering Maintenance Services
∗ Healthcare Waste Management Services –consist of Schedule waste (clinical waste, chemical waste, etc) , control solid waste & radioactive waste
∗ Cleansing Services
∗ Linen and Laundry Services
∗ Sustainability Program (Energy Management, IndoorAir Quality, 3 R Programme)
HSS- The Way Forward
∗ Introduction of KPI’s
∗ Improved technical documents - TRPI, MAP, KPI, Manpower Norm, spare parts, loaner equipment, tools & testing equipment, Variations
∗ Develop new Computerize Management Information System (ASIS – Asset & Services Information System)
∗ Minimum wages and local manpower
∗ Specialize sub-contractors and vendors
∗ Integrity clause
∗ Termination clause related with deduction
∗ Competent personnels – Facility Manager, Energy Manager, IAQ accessor
HSS- The Way Forward
MOH HSS Cabinet approval
– 12 Dec. 2012
BEAM FM Conference –11-12 Sept. 2013
MOH-Concessionaires Mgmt. Meeting – 7 Jan. 2014
Marriott
Hotel
Meeting
– 20 March 2014
1st IIUM Council Meeting
– 23 Apr. 2014
2nd IIUM
Council
Meeting
– 3 June
2014
Draft
Memorand
um CHFM
– June
2014
MOU
Signing
/MOH
Letter
– Sept.
2014
1st IIUM
CHFM
Training
– Oct.
2014
1st
IIUM
Batch
CFHM
– End
2015
SEKIAN,
TERIMA KASIH