Policies and Procedures
Policies and procedures are documented in comprehensive MS ISO 9001:2000 standard operating procedure manuals as well as MSQH accreditation standard, which are updated from time to time. These policies and procedures help to ensure management directives are carried out and necessary actions are taken to address risks. All hospitals in the Group except the newly acquired hospitals such as Kuching Specialist Hospital, Damai Specialist Hospital and KPJ Kajang Specialist Hospital are ISO accredited whereas Ampang Puteri Specialist Hospital, Damansara Specialist Hospital, Ipoh Specialist Hospital and Johor Specialist Hospital are accredited with MSQH Accreditation certification. In fact, Ampang Puteri Specialist Hospital has been accredited for the third terms.
Segregation of Duties
The delegation of responsibilities to the Board, the Management and Operating Units are clearly defined and authority limits are strictly enforced. For capital expenditure exceeding RM50,000 the approval from EXCO must be obtained before the respective company can table it to their respective Board. All Executive Directors are authorized to approve purchases below than RM20,000 and the General Manager is authorized to approved expenses less than RM10,000. As a measure to curb and reduce the scope of fraud and error duties and tasks are segregated between different members of staff especially those in finance and purchasing.
Application Change Management
Various committees have been set up at functional units to monitor their own activities and report back to the main committee. Discussions were made among the nurses, pharmacies, consultants, accountants and other paramedics to streamline, standardize and strengthen certain operating procedures. Any major changes and significant issues are reported to the weekly EXCO Committee meeting or the monthly Group EXCO Committee meeting for further action. Monthly Hospital Management Meetings are also held to discuss issues on hospital administration and operation.
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