DIVISION OF MEDICAL DEVELOPMENT

  • Career development of UMMC appointed clinical staff in line with hospital requirements
  • Process applications for clinical attachment, shadowing programme, fellowship, and subspecialty training
  • Continuous Medical Education (CME) for House Officers
  • Clinical Orientation Programme for House Officers, Medical Officers and Clinical Masters trainees
  • Management of the Clinical Simulation Laboratory
  • Administrator for MyCPD and MMA CPD at UMMC level
  • Liaison for PRINT programme from Medical Research and Development Unit (MERDU), Faculty of Medicine
  • Administrator for Schoology online learning platform subscription
  • Administrator for Covid-19 Preparedness Certificate
  • Organise courses and workshops related to medical and professional development

DIVISION OF MEDICAL PRACTICE

  • Management of issues related to medical practice in UMMC which includes but not limited to gazettement, credentialing & privileging,Mortality and Morbidity, investigation of incidents/complaints and clinical ethics.
  • Conduct hospital-level Root Cause Analysis (RCA) for serious safety events and monitoring the implementation of quality improvement activities
  • Coordinate and monitor activities related to patient safety such as policy development, implementation of patient safety programs and data reporting for Malaysian Patient Safety Goals 2.0
  • Organise courses and workshops related to good medical practice, patient safety, medicolegal and clinical ethics in UMMC

DIVISION OF QUALITY MANAGEMENT

 

  • Coordinator for hospital certification and accreditation including:
    • Quality Management Systems (ISO 9001)
    • Information Security Management Systems (ISO/IEC 27001)
    • Laboratory Accreditation Scheme of Malaysia (SAMM/ISO 15189)
    • Malaysian Society for Quality in Health (MSQH)
  • Administrator for Quality Management System in UMMC which includes
    • Management of Quality Documents (Quality Manual, Quality Procedure, Work Instructions, Quality Forms)
    • Monitoring of Quality Objectives and Performance Indicators throughout the hospital
    • Carrying out Internal Audits and Management Review in accordance with ISO 9001
  • Implementation of quality improvement programs:
    • Initiatives adapted from the Agency for Health Research & Quality (AHRQ) such as Comprehensive Unit Based Safety Programme (CUSP), Re-enginered Discharge (RED) and Clinical Quality Indicators
    • Support and coordinate quality improvement projects at UMMC for local implementation and participation at various platforms
    • Monitoring and analysis of performances of quality objectives in UMMC
  • Organize courses and workshops related to accreditation standards, quality improvement and risk management