Page 37 - npqh NATIONAL POLICY FOR QUALITY IN HEALTHCARE : Bridging Silos, Accelerating Improvements 2022-2026

National Policy for Quality in Healthcare
Bridging Silos, Accelerating Improvements

National Nursing Audit (NNA) Improvement in Clinical Care
Year Introduced: 2003

» NNA (Medical) performance from 2017 until 2020:
- Three of the five elements (aseptic wound dressing, administration of intravenous
th
infusion and pain as 5 vital sign) met the target of 90%. However, another
two elements assessed namely administration of oral medication and blood
component transfusion were slightly below the standard of 100%.
» NNA (Public Health) performance from 2017 until 2020:
- Most of the elements monitored (10/12) has consistently achieved the target
with increasing trend over the years.
- Two elements which are administration of injectable immunisation and cold
chain system management were slightly below the standard.
- For element on management of malnutrition in children aged 6 months to 6 years,
despite low achievement in 2017, the indicator showed a considerable progress
and exceeded the target in 2020.
Pharmacy Value Added Service (VAS) Improvement in Clinical Care
Year Introduced: 2005
» The concept of VAS was initially started in 2005 with the implementation of Integrated

Medicine Dispensing System (Sistem Pendispensan Ubat Bersepadu -SPUB) which
allows patients to request a further supply of medicines at the nearest healthcare
facilities.
» The emerging concept was then evolved with the introduction of Pharmacy

Appointment System; Drive-Through Pharmacy; Medicines by Post (Ubat Melalui Pos,
UMP) and Locker4U.
» Over the last 5 years (2016 to 2020), the percentage repeat prescriptions dispensed

through VAS has increased from 18.3% (2016) to 34.4 % (2020).
» In response to combat COVID-19 outbreak, the MOH decided to bear the UMP delivery

charges from 5th April 2020 to 30th June 2020. Following the delivery charge subsidy
and various promotional activities, the use of UMP has increased rapidly, with 188,244
medicine’s packages in three months (April to June 2020) as compared to 254,530
packages for the whole year of 2019.
» In 2020, a total of 68 Local Follow-up Medicines Supply Centres (Pusat Pembekalan

Ubat Susulan Setempat - PPUSS) have been established to provide convenience and
better option for patients’ access to their medication through VAS.
Pharmacy Practice Internal Audit (ADAF) Improvement in Clinical Care
Year Introduced: 2007
» In 2007, ADAF implementation was conducted based on qualitative assessment of

facilities compliance level (good, moderate, poor).
» Starting in 2019, ADAF scoring system was introduced to improve and standardise

the assessment of facilities compliance levels involving 11 key areas.
» The recent guideline (Panduan ADAF 2020) was issued in 2020 following

improvements made to the scoring system.

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