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ONE HOME ONE RESCUER
community empowerment?
community participation?
community rapport program?
Opportunity?
amal jariah?
Dr Arbain Lani
Jabatan Kesihatan Negeri Jpohor
FUTURE HEALTH –
eight goals of the health 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.
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".
3
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 MALAYSIA
03.04.2009
PM VISION
4+4:
I MALAYSIA
GTP (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 KRA 1 Health Sector Transformation
system & recreational infrastructure 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 KRA 2 Health Awareness &
lifestyle activities Healthy Lifestyle
Strategy 3 Empower the community to plan or KRA 3 Empowerment of Individual and
conduct individual wellness Community to be responsible for
programme (responsible for own their health
health)
6
Outcome, Strategy and KPIs for Health Sector KRA 1
HEALTH SECTOR KRA OUTCOME STRATEGY HEALTH SECTOR
OUTCOME KPI
I.Health Sector 1.DELIVERY 1.Streamline / realign healthcare delivery system 1. Integrated PHC plan by 2011
Transformation 1.1 Integrated public - (keywords: PHC as thrust, gatekeeping, zoning, referral 2. Integrated secondary care plan by 2013
Towards A More private health services system, preventive/ promotive, resource sharing,
Efficient & Effective delivery resource mobilization, appropriate technologies,
Health System In registered population, registered providers)
Ensuring Universal 1.2 Universal Access All population will get access to the basic
Access To Healthcare Equity of access – physical 2.Unified healthcare financing system PHC services by (2014)
ease of access (keywords: Safety net, financial risk protection, case 1.All PHC providers will be registered by
mix, benefit packages, provider-payment mechanism, 2011
social health insurance, co-payment, increase 2.All population will be registered to a
government contribution, equity in resource allocation, Primary Health Care Physician starting
equity in distribution of facilities, enforcement of PHFSA 2011
1998, cost structure information)
1.3 High quality and safe 1. Decrease mortality & morbidity of
care 3.Common quality and standard of care selected conditions
(keywords: Accreditation, credentialing, CPD, HTA,
practice guidelines, clinical governance, care, uniform
2. FINANCE standard of care, standardised regulations, laws and 1. Reduce Out Of Pocket ( OOP )
2.1Universal access enforcement)
Equity of access - financial
4.Adequate and competent workforce
2.2 Cost containment (keywords: number, mix, competency, performance 2. Reduce medical inflation rate
reward/ incentive , quality, distribution )
5.Strengthening healthcare legislation and enforcement
3. GOVERNANCE 1. Increase GDP in health
(keywords: review, revise act & regulation, codes of ethic
3.1 Sustainability of
& conducts, capacity )
healthcare delivery system
6. Strengthening implementation, monitoring and
evaluation system
3.2 Compliance to defined (keywords: competency in stewardship, real time, data 2. % of accredited facilities
quality and standard & information, research, evidence, informed decision,
capacity)
3.3 Responsiveness to 3. Waiting time for selected procedures
population needs 7.ICT as enabler
(keywords: prerequisites for integrated unified system )
7
Outcome, Strategy and KPIs for Health Sector KRA 2 & 3
HEALTH SECTOR KRA OUTCOME STRATEGY HEALTH SECTOR
OUTCOME KPI
II. Health Awareness & 1.Malaysians will be 1. Increase access to health knowledge 1. % health literacy
Healthy Lifestyle health literate (keywords: innovative, incentive, 2. Increase in the percentage
2.Malaysian practise empowerment, information sharing) of physical activity of
healthy lifestyle 2. Motivate individuals, family and community Malaysian adult
to acquire knowledge and skill 3. Reduce the prevalence of
(keywords: innovative, incentive) overweight and obesity
3. Increase opportunities to practice healthy among adult
lifestyle at workplace, schools, home etc. 4. Reduce the prevalence
4. Formulate and enforce public policy towards among adolescent smokers
healthy lifestyle
III. Empowerment Of Individuals, family and 1. Strategies to increase health literacy % of individuals able to make
Individual And community to have 2. Provision of health information, including decision on their own health
Community To Be adequate knowledge cost of care and governance policies
Responsible For Their and skills to make 2. Providing avenues for effective complaints
Health decision about their or enquiries regarding health providers
health 4. Mobilize civil society
( selfcare, choice of (NGOs, support groups, community leaders)
treatment / provider)
8
Staff public relationship
Seek to understand before being
understood
-----Steven
Covey
Staff Public Relationship
Informed person
Advocacy
Feedback
Partnership
CURRENT REALITY OF
EXPECTATIONS
and ACCOUNTABILITY
E
E+++++
KD-------KK---------HD----------HS-----HB--
----?
ABT
ABT ?
GP PH
HOSPITAL
INCIDENCE
INCIDENCES
H.METRO = Anak lemas dalam baldi
H. METRO = Bayi maut tertelan putting
U.Malaysia= Warga emas maut tercekik
rambutan (KTrg)
U.Malaysia =kanak-kanak mati tercekik
bebola daging (JB)
INCIDENCE
CENTRE OF EXCELLENCE
for
AMBULANCE COMMAND CENTRE
REMEMBER!
DEATH TIME : TERCEKIK = 5
MINUTES
DISPATCH TIME :AMBULANCE =5
MINUTES
WHAT WIIL YOU BRING TO HOSPITAL
? = BODY
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 RESCUER
( save lives, don’t panic)
A Hospital Pengarah project
1 Johor
3.2 million populations
Need commitments
Need preparations
Need actions NOT OIC OR NATO
Incremental 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
PLAN
Min one team per hospital
One plan
One time table
One area at a time
One target for hospital and community
One action to make change
Min one team per hospital
A team to train community to do basic
rescue activities
Components: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 plan
3.2 mil populations in 10 districts to
cover
Time no limit
Jk negeri and jk hospital
TRAINING
Target for the year
Gantt chart state and hospital
Monitor and evaluate
One area at a time
study the district
Estimate populations
Resource preparedness
Time planning based on resources : pop
vs yrs
Strategise the approach to community:
start small and managable
Approach
Pick one area in one mukim and cover all
mukims
Go as a small team or as hospital turun
padang
Dev rapport and understand grievance
Keep 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
H
H
H H
H
H
H
H
H
H
H H
H
H
H H
H
One target for hospital and
community
Save lives through community
participation and empowerment by
making them skillful and understand the
functions of the hospital.
It is a management tools
BENEFITS
Staff trained on rescues and on continually
refreshes their skill
New staff familiar with the community
orientation
Staff understand public what needs and constraint
Staff communication skills
Good rapport to the public
Facilitate in handling aduan and grouses
THE ONLY WAY HOSPITAL CAN GO TO
PUBLIC AND GIVE SOMETHING AT OUR
OWN CONDITIONS.
BENEFITS TO PUBLIC
Good perception to hospital
Confident to do simple rescue activities
go safe life
Good network to hospital and under the
hospital systems
Public is more open to suggestion and
participate in care mx
Understand of illness will imporve
cooperation in care and appreciate that
health is an assets
1H 1RESCUER
TEAM
H EDU TEAM
HEALTH SCREENING
TEAM
PUBLIC HAVE MORE
UNDERSTANDING IN
HOSPITAL
RAPPORT ADUN, PENGHULU,
KETUA KAMPUNG, PENDUDUK
REGISTRY OF
RESCUERS
HOSPITAL POPULATI HOUSE TEA ACTIVITIE RESCUE
ON S M S DONE R
(5/House TRAINE
) D
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
Make a difference
1 HOME 1 RESCUER
… save lives, don’t panic
1/15/2012 Quality Initiatives
