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What is Hospital Accreditation Programme?
The MSQH Hospital Accreditation Program (HAP) is a voluntary, independent programme supported and administered by healthcare professionals; organised under the auspices of the Malaysian Society for Quality in Health (MSQH), a non-governmental organisation and not-for-profit.
The Hospital Accreditation Program of MSQH provides an effective means whereby health care facilities can assess their level of performance against applicable national standards, which have been developed by expert healthcare professionals and are accepted for nation wide application in Malaysia.
The MSQH 5th Edition Hospital Accreditation Standards provide a benchmark against which healthcare organisations can regularly assess their organizational/facility’s performance and continuously improve in an ongoing and reiterative basis.
The hospital accreditation survey visits organized by MSQH, made upon the request of a healthcare facility, provide opportunities for external peer review, mutual learning and education, validation of current performance assessment and sharing of best practices in the healthcare industry.
The emphasis and focus of the Hospital Accreditation Program is on continuous improvement, and the promotion and propagation of patient safety and quality culture in the healthcare facility or organization.
The MSQH Hospital Accreditation Standards have been reviewed and updated. The 5th Edition Standards have been approved for implementation in July 2017. These standards have taken into account the current requirements of the Private Health Care Facilities & Services Act 1998 and its corresponding Regulations 2006 and other related current regulatory requirements. These updated Standards have additional focus on requirements of WHO Patient Safety Initiatives, Malaysian Patient Safety Goals and measurement of outcomes of services delivered.
5th Edition MSQH Hospital Accreditation Programme
Performance measurement requires a reference standard. Therefore to measure the safety and quality of patient care, standards are required against which healthcare facilities can be compared.
The development of the MSQH Hospital Accreditation Standards is an evolutionary process, the standards are periodically reviewed and updated in the light of advances in healthcare and currently accepted practices as well as regulatory requirements.
MSQH standards are developed and edited in cooperation with professionals from public and private health care providers and consumers. Malaysian Hospital Accreditation Standards are grouped into six (6) major areas of concern. These areas of concern are:
- Organisation and Management
- Human Resource Development and Management
- Policies and Procedures
- Facilities and Equipment
- Safety and Performance Improvement Activities
- Special Requirements
Special requirements of these standards are the safety aspects that are not compromised. An organization that does not meet the safety requirements of the standards will not be accredited although it has met the rest of the standards. These standards provide the basis for organisational assessment of the delivery of safety and quality patient care and services, and the utilisation of available resources.
These standards are applicable to all types of hospitals - public and private, large and small, urban and rural. Today, many people are concerned about finding the best ways to meet their health care needs. When you use a facility accredited by the MSQH, you know its meets our rigorous standards.
Hospital-Wide Service Standard List
- GOVERNANCE, LEADERSHIP AND DIRECTION
- ENVIRONMENTAL AND SAFETY SERVICES
- FACILITY AND BIOMEDICAL EQUIPMENT MANAGEMENT AND SAFETY
- NURSING SERVICES
- PREVENTION AND CONTROL OF INFECTION
- PATIENT AND FAMILY RIGHTS
- HEALTH INFORMATION MANAGEMENT SYSTEM (HIMS)
Hospital Service Standard List
8. EMERGENCY SERVICES
9. CLINICAL SERVICES - NON-SPECIALIST FACILITY (FOR DISTRICT HOSPITALS)
9A. CLINICAL SERVICES - MEDICAL RELATED SERVICES
9B. CLINICAL SERVICES - SURGICAL RELATED SERVICES
9C. CLINICAL SERVICES - OBSTETRICS AND GYNAECOLOGY SERVICES
9D. CLINICAL SERVICES - PAEDIATRIC SERVICES
9E. CLINICAL SERVICES - CARDIOLOGY SERVICES
9F. CLINICAL SERVICES - ONCOLOGY SERVICES
10. ANAESTHETIC SERVICES
11. OPERATING SUITE SERVICES
12. AMBULATORY CARE SERVICES
13. CRITICAL CARE SERVICES - ICU/CCU/CICU/CRW/HDU/BURNS CARE UNIT
13A. CRITICAL CARE SERVICES - SCN/NICU/PICU/PHDW
13B.CRITICAL CARE SERVICES - LABOUR/DELIVERY SERVICES
14. RADIOLOGY/DIAGNOSTIC IMAGING SERVICES
15. PATHOLOGY SERVICES
16. BLOOD TRANSFUSION SERVICES
17. REHABILITATION MEDICINE SERVICES
17A. ALLIED HEALTH PROFESSIONAL SERVICES - PHYSIOTHERAPY SERVICES
17B. ALLIED HEALTH PROFESSIONAL SERVICES - OCCUPATIONAL THERAPY SERVICES
17C. ALLIED HEALTH PROFESSIONAL SERVICES - DIETETIC SERVICES
17D. ALLIED HEALTH PROFESSIONAL SERVICES - SPEECH-LANGUAGE THERAPY SERVICES
17E. ALLIED HEALTH PROFESSIONAL SERVICES - AUDIOLOGY SERVICES
17F. ALLIED HEALTH PROFESSIONAL SERVICES - OPTOMETRY SERVICES
17G. ALLIED HEALTH PROFESSIONAL SERVICES - HEALTH EDUCATION SERVICES
17H. ALLIED HEALTH PROFESSIONAL SERVICES - MEDICAL SOCIAL SERVICES
17I. ALLIED HEALTH PROFESSIONAL SERVICES - PSYCHOLOGY COUNSELLING SERVICES
17J. ALLIED HEALTH PROFESSIONAL SERVICES - CLINICAL PSYCHOLOGY SERVICES
18. PHARMACY SERVICES
19. CENTRAL STERILISING SUPPLY SERVICES (CSSS)
20. HOUSEKEEPING SERVICES
21. LINEN SERVICES
22. FOOD SERVICES
23. FORENSIC MEDICINE SERVICES
23A. MORTUARY SERVICES
24. STANDARDS FOR GENERAL APPLICATION - GENERIC
24A. STANDARDS FOR CLINICAL RESEARCH CENTRE
25. MEDICAL ASSISTANT SERVICES
9. CLINICAL SERVICES - NON-SPECIALIST FACILITY (FOR DISTRICT HOSPITALS)
9A. CLINICAL SERVICES - MEDICAL RELATED SERVICES
9B. CLINICAL SERVICES - SURGICAL RELATED SERVICES
9C. CLINICAL SERVICES - OBSTETRICS AND GYNAECOLOGY SERVICES
9D. CLINICAL SERVICES - PAEDIATRIC SERVICES
9E. CLINICAL SERVICES - CARDIOLOGY SERVICES
9F. CLINICAL SERVICES - ONCOLOGY SERVICES
10. ANAESTHETIC SERVICES
11. OPERATING SUITE SERVICES
12. AMBULATORY CARE SERVICES
13. CRITICAL CARE SERVICES - ICU/CCU/CICU/CRW/HDU/BURNS CARE UNIT
13A. CRITICAL CARE SERVICES - SCN/NICU/PICU/PHDW
13B.CRITICAL CARE SERVICES - LABOUR/DELIVERY SERVICES
14. RADIOLOGY/DIAGNOSTIC IMAGING SERVICES
15. PATHOLOGY SERVICES
16. BLOOD TRANSFUSION SERVICES
17. REHABILITATION MEDICINE SERVICES
17A. ALLIED HEALTH PROFESSIONAL SERVICES - PHYSIOTHERAPY SERVICES
17B. ALLIED HEALTH PROFESSIONAL SERVICES - OCCUPATIONAL THERAPY SERVICES
17C. ALLIED HEALTH PROFESSIONAL SERVICES - DIETETIC SERVICES
17D. ALLIED HEALTH PROFESSIONAL SERVICES - SPEECH-LANGUAGE THERAPY SERVICES
17E. ALLIED HEALTH PROFESSIONAL SERVICES - AUDIOLOGY SERVICES
17F. ALLIED HEALTH PROFESSIONAL SERVICES - OPTOMETRY SERVICES
17G. ALLIED HEALTH PROFESSIONAL SERVICES - HEALTH EDUCATION SERVICES
17H. ALLIED HEALTH PROFESSIONAL SERVICES - MEDICAL SOCIAL SERVICES
17I. ALLIED HEALTH PROFESSIONAL SERVICES - PSYCHOLOGY COUNSELLING SERVICES
17J. ALLIED HEALTH PROFESSIONAL SERVICES - CLINICAL PSYCHOLOGY SERVICES
18. PHARMACY SERVICES
19. CENTRAL STERILISING SUPPLY SERVICES (CSSS)
20. HOUSEKEEPING SERVICES
21. LINEN SERVICES
22. FOOD SERVICES
23. FORENSIC MEDICINE SERVICES
23A. MORTUARY SERVICES
24. STANDARDS FOR GENERAL APPLICATION - GENERIC
24A. STANDARDS FOR CLINICAL RESEARCH CENTRE
25. MEDICAL ASSISTANT SERVICES