taklimat penswastaan perkhidmatan sokongan...

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


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


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


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.


Scope of service


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.


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.


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.


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


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


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


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


∗ 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