Selayang in Selangor became the nation's first paperless and
filmless medical centre when it rolled out portions of IT
beginning Aug 2.
to the head of department of paediatrics Datuk Dr A. Jai Mohan,
Selayang Hospital offers arguably the most integrated total
hospital information system anywhere in the world.
Jai Mohan should know as he is the Health Ministry telehealth
steering committee advisor.
are already seeing a small number of patients by appointment
only,'' says the well-known telemedicine champion.
Hospital is expected to be fully functional next year.
health information system at Selayang integrates many different
components. Among them are a clinical information system,
laboratory information system, imaging information system,
critical care information system, personnel management system,
resource management and electronic commerce.
Selayang, which is currently running as a standalone entity,
will be linked to clinics in the vicinity of Putrajaya including
Hospital Putrajaya which will open next year.
to health ministry director-general Tan Sri Abu Bakar Suleiman,
seven new public hospitals will be computerised in stages.
Existing hospitals and rural health clinics will be incrementally
computerised over time.
will allow these hospitals and clinics to expand the ability
to share medical records seamlessly.
healthcare is fragmented and individual health records reside
in islands and investigations are often repeated due to lack
of access to previous records.
deputy director-general at the Ministry of Health Datuk Dr
Abdul Aziz Mahmood, the government is currently developing
prototypes at chosen hospitals and rural clinics.
pilot application is given clinical algorithms to be worked
on where levels of care - primary, secondary, tertiary and
home - are being taken into consideration to determine the
adds that the criteria for consultation is added as well.
The tests and experiments will hopefully yield a set of guidelines
to implement telemedicine throughout the country.
have to re-engineer our processes to include the way we work
so that IT can be maximised,'' he reiterates.
that are being re-engineered include client-flow, information-flow
and staff-flow to reduce redundant processes.
projects that include tele-primary care, tele-oncology, tele-nephrology
and tele-psychiatry have already been set up in almost all
health plan project will be gradually rolled out at Hospital
Kuala Lumpur, Hospital Kajang, Hospital Ipoh, Hospital Seremban
and neighbouring health clinics.
says Dr Jai Mohan, will increase seamless access to health
records and ultimately accords each individual with a lifetime
health record. Periodic examinations through a person's life
will enable education and training, screening, bracketing
key categories and intervention to reduce risk based on care
plans, he points out.
care plans will be drawn up by experts and guidelines will
be provided for practitioners to provide quality healthcare
and the Internet is associated with speed, it won't be long
after its implementation that patients will begin to expect
shorter queues at general hospitals.