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Committees’ Report 2020 RESOLUTION 2

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Organisational Structure - COMMITTEE MEMBERS

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Goal 1 – Advocate and facilitate continuous improvement in quality
and safety for the provision of health services, including standards
development, education, performance assessment and accreditation

Committee Meetings in 2020

# Committee Meetings (6 meetings)
Committee Members 2019/2020
# 87th 88th 89th 90th 91st 92nd
Quorum Met (Committee Minimum of 8pax) 21/02 06/03 24/04 30/04 07/08 20/11

14 10 10 9 13 14

1 President & Chair 6√ √√√ √ √
Puan Norhaizam Mohammad

2 Deputy President 4√ √√√ - -
YBhg Lt Gen (R) Dato Dr Abd Razak Md Yusoff

Chief Executive Officer (Ex-Officio) √√ - - -
3 Associate Professor Dr M. A. Kadar Marikar (retired 30/6/20) 3 √
2- --- √√
Professor Dato’ Dr Hj Abdul Rahim Abdullah (wef 1/7/20)

4 Secretary 6√ √√√ √ √
Ms.Rachel Yew Hooi Choo

5 Treasurer 5√ √√ - √ √
YBhg Dato’ Mohamad Farid Salim

Ministry of Health Malaysia

(a) YBhg Dato’ Dr Norhizan Ismail (Main) √ --- - -
6 (b) Dr Nor’Aishah Abu Bakar (alternate wef 1/6/2020) 6 -
Vice Presidents (3) --- √√

(c) Dr Fazilah Shaik Allaudin (alternate retired 1/3/20) √ √- - - -

(d) Dr Kogulan Padama Padamakavander (alternate) - √√√ - -

Association of Private Hospitals of Malaysia √ - -√ √ √
7 (a) Ms. Erica Lam Sok Mui (Main) 4-
--- -
(b) Mr. Tom Lim (alternate)
-

Malaysian Medical Association 6√ √√√ √ √
8 (a) Dr N.Ganabaskaran (Main) - --- - -

(b) Professor Dato’ Dr M.Subramaniam (alternate) 4 -√- √ √

9 Ordinary Member 6 √√√ √ √
Dr Muhammad Nazri Aziz
5 -√√ √ √
10 Ordinary (5) Ordinary Member
Dr Norazlina Bachik

11 Ordinary Member
Dr Shuba Srinibasan

12 Ordinary Member 4 - -  
Dr Hue Teck Lee

13 Ordinary Member 4 √-√ - √
Encik Mohd Hareeff Muhammed

W W W . M S Q H . C O M . M YSTANDARDS MALAYSIA - --- -√
14 Ex Officio (a) Encik Shaharul Sadri Alwi (Main) 3  --- --
(b) Encik Husalmizzar Hussain (alternate retired 15/3/20)
- ---  -
(c) Encik Wan Rukiman Wan Mamat (alternate wef 16/3/20)

15 Patient Advocate 2- --- 
Mr Manvir Jesudasan

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KEY ACHIEVEMENTS

MSQH Accreditation Programme

MSQH is a recognised organisation and has Hospitals surveyed for the year 2020 are
earned a prestigious reputation as an reflected in Table (B). The MSQH Hospital
independent, healthcare accreditation Accreditation Standards 5th Edition was
provider for developing a successful model of awarded a full four-year ISQua accreditation
accreditation programmes for hospital, certification from June 2017 to June 2021. A
medical clinic, chronic dialysis and dental total number of 11 hospitals and 5
clinic. haemodialysis centres were surveyed.

The Society has commenced developing the A total number of 559 participants registered
hospital accreditation standards 6th Edition in for the 5th Edition hospital accreditation
September 2020 with 25 service standards trainings, 46 participants for medical clinics
deliberated from among 73 working group and 32 participants for chronic dialysis
members. During the year, MSQH was accreditation training programmes. The
awarded to develop a guideline on Centre of facilities and surveyors have continued to
Excellence for five (5) disciplines namely give ratings of more than 90% in their
cancer care, cardiology and cardiothoracic, satisfaction feedback over the hospital,
ophthalmology, orthopaedics and fertility. medical clinic, chronic dialysis and dental
The Society continues to collaborate with clinic accreditation surveys and trainings for
Standards Malaysia on incorporating MS ISO two years in a row.
17025 into its MSQH Hospital Accreditation
Programme since 2017.

Hospital Accreditation Programme
(A) Total Accreditation Trainings (5th Edition) - Summary: -

Year Public Private Total No. of Participants
Pub/Priv
2020 25 Workshops Onsite Webinar Total
2019 92 117 7 62 559
2018 24 36 209 226 356 141 831
2017 42 51 60 164 1378
93 453 505 100 2186

1214 -

1643 90

W W W . M S Q H . C O M . M YWith the current COVID-19 pandemic, all on-site surveys were put on hold from March 2020 to September

2020. As a result of this, hospitals due for survey during these periods have been given an extension of
the Accreditation Status between 3 to 12 months. This also implies that the implementation of the 5th
Edition Hospital Accreditation Standards need to go beyond July 2021.

The COVID-19 pandemic has prompted the Society to rapidly review its standard operating procedure
for conducting survey and training for the years ahead. The Society embarks into conducting a virtual
and/or hybrid survey in year 2021 as part of its business continuity solution and to ensure the
sustainability of its client’s accreditation award in any given times especially during the COVID-19
pandemic condition. In the event where an on-site verification is required or where there is shortcoming
in terms of technology, resources and/or constraints from the facility and services, a hybrid survey will be
an alternative choice. The virtual survey will be using online technologies namely video conferencing,
file-sharing and virtual visits. This practice will be the new norm in the MSQH survey management.

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(B) Accreditation Survey – 31st December 2020

Year Public Private Total Type
2020 (11)
2 6 8 Full
2019 (47) 2 1 3 Focus
18 10 28 Desktop SSS
2018 (33) 26 18 44 Full
Jul-Dec 2017 2 1 3 Focus
On-site Surprise
Total - 2 2 Surveillance
Full
20 11 31 Focus-4th Edition
1 1 2 Full
10 15 25
81 65 146

(C) Number of Hospitals with Current Accreditation Status

No. Description Total Govt Private Edition

1 Number of hospitals having current status (4 years) 22 14 8 4
2 No of hospitals having current status (1 year) - - -

3 Number of hospitals having current status (4 years) 99 52 47 5
4 Number of hospitals having current status (1 year) 3 3 -

(D) Hospital Accreditation Survey Trend Analysis (Full and focus)

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(E) Hospital Accreditation Survey – All Edition’s Status

All Editions as at December 2020

Description Private (APHM Members) Public

No (%) Beds (%) No (%) Beds (%)
2020 2019 2020 2019
2020 2019 2020 2019

A Total Healthcare Facilities 1421 1402 18,6721 17,6752 1444 1443 40,7474 41,9953
& Services (HFS) (All Beds)
66 122 37,371 37,547
B Grand Total Surveyed (46%) 65 13,716 13,695 122 (84%) (92%) (89%)
(B÷A) (46%) (73%) (77%) (85%) 3,376 4,448
76 23 (8%) (11%)
C Target HFS to be Surveyed (54%) 75 4,956 3,980 22 (16%)
[A–B]÷A (54%) (27%) (23%) (15%)

Legend / Sources
1 APHM member hospitals as at 31st December 2020

(Source: APHM & Individual member hospital’s website accessed 03/01/2021)
2 APHM member hospitals as at 30th June 2019 (Source: APHM Website accessed 04/04/2019)
3 Source: MOH Health Indicators 2017-page 125 (excluding Ministry of Defense’s hospitals)
4Source: “Senarai Hospital Kerajaan”, MOH website accessed on 31st December 2020

https://www.moh.gov.my/index.php/database_stores/store_view/3?mid=95 (excluding Ministry of Defense’s
hospitals)

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Surveyor’s Update | 2nd to 4th February 2020 | Ibis Hotel Kuala Lumpur

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MSQH HOSPITAL ACCREDITATION STANDARDS DEVELOPMENT 6TH EDITION
20th – 21st September 2020 | SERI PACIFIC HOTEL KUALA LUMPUR

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Medical Clinic Accreditation Programme
(A) Accreditation Training : -

Total

Year Public Private Organisation No.of
Participants
2016 to - -
2018 2 5 --
2019 1 -
2020 3 5 7 10
Total - 15
7 25

(B) Accreditation Survey - by Year

Year Public Private Total

2016 - 1 1
2017 - 3 3
2018 - 3 3
2019 1 1 2
2020 - - -

Total 3 8 11

(C) Medical Clinic Accreditation Survey Trend Analysis

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Chronic Dialysis Accreditation Programme

(A) Accreditation Training: -

Total

Year Public Private

Organisations No.of
Participants
2016 - - -
24 -
2017 2 22 - 61
22 -
2018 - - 1 28
57 n/a
2019 1 21
112
2020 1 -

Total 6 52

(B) Accreditation Survey (Private) - by Year

Year 2016 2017 2018 2019 2020 Total
Number 5 2 12 13 5 37

(C) Chronic Dialysis Accreditation Survey Trend Analysis

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Dental Clinic Accreditation Programme
(A) Accreditation Training: -

Total

Year Public Private Organisations No.of
Participants
2017 3 13 16
2018 1 3 4 22
2019 - 3 3
2020 - - - 6

4

-

(B) Accreditation Survey (Private) - by Year

Year Public Private Total

2018 - 2 2
2019 - 2 2
2020 - - -

(C) Dental Clinics Accreditation Survey Trend Analysis

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Membership

Type of 23rd AGM 22nd AGM 21st AGM 20th AGM 19th AGM
Membership 31/12/2020 31/12/2019 31/12/2018 31/12/2017 31/12/2016
1. Ordinary
1,032 1,290 1,198 1,118 932
2. Corporate 255 290 256 245 211

3. Associate 11 39 33 26 13
5 5 5 4 4
4. Honorary Life
105 104 97 81 78
5. Life
1,408 1,728 1,589 1,474 1,238
TOTAL

During the year, membership dropped from 1,728 to 1,408 (19%) members compared to year 2019. There
was a number of members who did not renew their membership despite renewal notice circulated in 2019
and 2020. The reduction of membership is partly due to the pandemic COVID-19 and the movement control
order which has disrupted business operations. It was also due to members who left the organisation.



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MMA HEALTH CARNIVAL 2020 | 18TH JANUARY 2020





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Goal 2 – Develop and strengthen collaboration and partnership with
stakeholders and accreditation organisations

The Committee continued to oversee the implementation of a range of new initiatives conducted by the CEO
and MSQH Executive Managers. These initiatives flowed on from the MSQH Strategic Plan and aim to
consolidate MSQH’s position as the leading healthcare accreditation provider in Malaysia, with engagement and
collaboration with national and international partners. Key to MSQH’s ongoing development is the building of a
range of strategic alliances and networks with key bodies, jurisdictions, public and private sector stakeholders
nationally and internationally.



KEY ACHIEVEMENTS

Strategic Alliances and Partnership

MSQH places strong emphasis on being a pivotal part of the healthcare accreditation industry through its partners
on the areas of patient safety and continuous quality improvement. MSQH continues to provide a partnership
approach with recognised institution and organisation with the aim to establish mutual understanding in the MSQH
and respective accreditation system and portrayed an attestation of conformity in the accreditation programmes.

❖ Collective partners between MSQH, APHM, MMA and MOH to promote quality in healthcare provided by
healthcare facilities and services in Malaysia

❖ Partner with Standards Malaysia to adopt the MS ISO 15189:2014 Medical Laboratory as a prerequisite
in the MSQH Hospital Accreditation Programme 5th Edition Standards;

❖ Expert member in the World Health Organisation Healthcare Patient for Patient Safety;
❖ Pilot study on patients for patient safety with Patient for Patient Safety Malaysia (PFPSM) in collaboration

with the Ministry of Health Malaysia and the World Health Organisation (WHO) Collaborative Centres;

❖ Collaborate with MHTC on the development of Centre of Service Excellence Guidelines, medical travel
standards and promotion of MSQH accreditation programmes;

❖ Reviewing abstracts for the ISQua International Conference since 2005 and BMJ International Forum on
Quality and Safety in Healthcare since 2017;

❖ Membership and ISQua surveyor in the ISQua External Evaluation Accreditation Council;
❖ Board Member of the Asian Society for Quality in Health Care;
❖ WHO Technical Consultant in Healthcare and Patient Safety;
❖ BMJ and ISQua Organising Committee Members;
❖ Partner with GHA on medical travel accreditation programme;

❖WCoWllaboWrativ.e MpartnSerQwithHEC.RCI onOeduMcatio.nMtrainYing programme

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Award Ceremony Hospital Selayang | 13th March 2020 | Hospital Selayang Auditorium

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ASQua Annual General Meeting 2020 | 24th July 2020 | Zoom Platform

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2nd WORLD PATIENT SAFETY DAY MALAYSIA 2020
VIDEO CONFERENCE | 17TH SEPTEMBER 2020

Launched of the second World Patient Safety Day in Malaysia with the slogan “Speak Up for Health Worker
Safety” and launched of pocket book on “Quick Guide on Prescription Safety” on 17 September 2020 via video
conference by YB Dato’ Sri Dr Adham Baba, the Honourable Minister of Health Malaysia witnessed by YBhg

Tan Sri Dato’ Seri Dr Noor Hisham Abdullah, Director General of Health Malaysia.

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Goal 3 – Undertake and promote research into quality and safety in
healthcare

Intra-edition data analysis was done on the 1st Edition Hospital Accreditation Standards as below:

1. Overall view for Service Standards’ Rating in 1st Edition MSQH Hospital Accreditation Standards
2. Distribution Pattern for Compliance with 1st Edition MSQH Hospital Accreditation Standards in Different

Domains
3. Overall view on compliance with Standard 1: Governing Body and Management in 1st Edition Hospital

Accreditation Standards
4. Overall view on compliance with Standard 2: Environmental Services in 1st Edition Hospital Accreditation

Standards
5. Overall view on compliance with Standard 3: Engineering Services in 1st Edition Hospital Accreditation

Standards
6. Overall view on compliance with Standard 4: Nursing Services in 1st Edition Hospital Accreditation

Standards
7. Overall view on compliance with Standard 5: Pharmacy Services in 1st Edition Hospital Accreditation

Standards
8. Overall view on compliance with Standard 7: Medical Records Services in 1st Edition Hospital

Accreditation Standards
9. Overall view on compliance with Standard 9: Pathology Services in 1st Edition Hospital Accreditation

Standards
10. Distribution of Compliance with MSQH 1st Edition Hospital Accreditation Standards by Hospitals of

Different Sizes (Number of Beds)
11. Distribution of Compliance with MSQH 1st Edition Hospital Accreditation Standards by hospitals of

Different Complexities
12. Difference Between the Compliance with MSQH 1st Edition Hospital Accreditation Standards in Urban

and Rural hospitals
13. Highly Correlated Service Standards in MSQH 1st Edition Hospital Accreditation Standards
14. Distribution of Surveyor Voting Score in Cycle 1, Cycle 2 and Cycle 3 Among Hospitals that have

Undergone at Least Three Cycles of MSQH Hospital Accreditation Survey for the Past 20 Years
15. Relationship Between MSQH 5th Edition Pharmacy Standards (SS18) Final Rating and Dispensing Error

Incidence
16. Relationship Between Type of Hospitals (Public vs Private) and Dispensing Error Incidence in 5th Edition

Hospital Accreditation Standards Performance Indicators.
17. Relationship Between Type of Hospitals (Public vs Private) and Compliance to Surgical Checklist in 4th

Edition MSQH Hospital Accreditation Standards
18. Relationship Between Type of Hospitals (Public vs Private) and Compliance to Criteria 5.2.1.5 (Infection

Nurse to Patient Ratio of 1:110)

W W W . M S Q H . C O M . M Y19. Relationship Between Editions (Edition 3 vs Edition 4) and the Compliance to Service Standards 5
(Prevention and Control of Infection) of MSQH Hospital Accreditation Programme.
20. Association Between “Compliance to MSQH 5th Edition Hospital Accreditation Standards” and the

“Hospital Performance”
21. Relationship Between MCHS Councilors and MSQH Surveyors Rating
22. Relationship Between Time of Entry into MSQH Hospital Accreditation Programme (Edition) and Overall

Compliance to the MSQH Hospital Accreditation Standards
23. Analysis of the Monthly Ministry of Health Updates

The statistically significant studies findings among all the studies mentioned above are:

1. In 1st Edition MSQH Hospital Accreditation Standards, Criteria in Domain 1 (Organisation and
Management) and Domain 3 (Policies and Procedures) could probably easier to comply and the rating
is more predictable as compared to Domain 2 (Human Resource Development and Management),

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Domain 4 (Facilities and Equipment), Domain 5 (Safety and Performance Improvement Activities) and
Domain 6 (Special Requirements). Statistical analysis (Kruskal Wallis test) shown significant difference
of Compliance Score between different domains.

2. Hospitals with number of beds between 100-299 perform better than hospitals with lower or higher bed
numbers. This finding coherent with the finding explained by E. Getzen in his book ‘Health Economics’.

3. In 1st Edition Hospital Accreditation Standards, the Service Standards that is highly and positively
correlated are: (a) Radiology and Emergency Service Standards; (b) Surgical and Emergency Service
Standards. The standards that is highly but negatively correlated are: Environmental Services and
Critical SCN Service Standards

4. There were great agreement between both Surveyor and Councillor in relation to giving appropriate score
to hospitals. However there were some disagreement seen away from score 16. Councillor tend to
modulate the score when the score is extreme (lower the councillor rating when surveyor rating is too
high and higher the councillor rating when surveyor rating is too low). Both Surveyor and Councillor tend
to help hospitals passing the borderline rating of 19.

5. There is a significant difference of compliance to MSQH standards between new-entry hospitals in the
1st Edition and the new-entry hospitals in the 2nd Edition. New-entry hospitals in the 2nd Edition comply
to MSQH standards better (scores 1.75% higher) than new-entry hospitals in the 1st Edition. There were
several explanation to this including (1) MSQH provides better education and support in 2nd Edition of
MSQH Hospital Accreditation Programme; (2) the standards were more comprehensible in 2nd Edition
Hospital Accreditation Standards ; and (3) Hospitals that undergone accreditation later (in 2nd Edition)
had more time to adapt and conform to the standards before initiating the accreditation process.

84% of Public Hospitals (n = 121) had underwent accreditation survey process for at least once in the last 20
years. However, only 55.4% (n = 67) public hospital were accredited in the year 2020. 53 public hospitals had
ended their accreditation commitment with MSQH. Central Government had done their best to encourage
accreditation. MoH allocated RM 5.72 mil in 2010 - 2013, RM10.99 mi in 2014 - 2018, and RM5.95 mil in
2018 -2021 for accreditation and training with MSQH. However, there are under-utilization of the fund when
the allocated budget was not being used up by Public Hospitals for MSQH Hospital Accreditation Programme
or MSQH Training Programme.

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Goal 4 – Promote best practices and dissemination of information in relation to
quality and safety in healthcare

KEY ACHIEVEMENTS

Resource Centre Materials
The Resource Center of MSQH has recorded a growth of approximately 3% in terms of the new in-house
resource materials since the last meeting’s report. Kindly refer to Table 1 below for details on the report for
the period 1st January to 31st December 2020.

TABLE 1 - Summary of Resource Centre Materials Inventory

CODE CATEGORIES QUANTITY
31/12/2020 31/12/2019

B BOOKS 111 109
BL BULLETIN / MAGAZINES / PERIODICALS 669 610
D/C CATALOGUES AND DIRECTORIES 478 478
C/S CONFERENCE / SEMINAR MATERIALS 220 219
QM/G QUALITY MANUALS / GUIDELINES 225 225
J JOURNALS 323 320
R REPORTS 159 158
S STANDARDS 14 14
L/P MEDIA 163 161
2362 2,294
TOTAL

Website Report

Total MSQH Visitors for Jan - Dec 2020

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W WͳͲͲͲͲ W . M SͳͲͶ͸ͻ Q HͻͶͷͺ . C O M . M Y ͳͲͶͷ͵
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ͺͻͶͺ ͹ͺͷ͵ ͹ͶͳͲ ͺͶͷͻ ͺͻͶͶ ͺʹͳʹ
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ͺͲͲͲ ͸͸͹͹

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Goal 5– Ensure the organisation’s financial sustainability, growth and
recognition

Key Achievements

5.1 Financial Performance

A detailed financial position with audited accounts for the year ended 31st December 2020 and budgets
for 2021 and 2022 are reported under Treasurer’s Report.

5.2 Human Resource

5.2.1 MSQH Employees
As at 31st December 2020, the Society has nineteen (19) full time staffs, two (2) part-time
Project Managers and a Non-Executive Technical Advisor employed with the Society. During
the year, Professor Dato’ Dr Hj Abdul Rahim Bin Abdullah was appointed as MSQH Chief
Executive Officer effective 1st July 2020. Associate Professor Dr M.A.Kadar Marikar was

W W W . M S Q H . C O M . M Yappointed as MSQH Non-Executive Technical Advisor effective 15th July 2020. Please find the
organisational chart on next page.

MSQH staffs have been working from home and on a rotation basis since March 2020.
Workplace health and safety of all employees are the Society’s main priority at all times. The
Society has successfully received the government’s PRIHATIN Wage Subsidy Programme in
2020 and this is reported under Treasurer’s Report for the year ending 31st December 2020.

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MSQH ORGANISATIONAL CHART

MALAYSIAN COUNCIL ON HEALTHCARE MSQH ADVISOR NON EXECUTIVE TECHNICAL ADVISOR
STANDARD (MCHS) ASSOC. PROF DR
MSQH COMMITTEE KADAR MARIKAR
PRESIDENT
MSQH SURVEYORS
PUAN NORHAIZAM MOHAMMAD

CHIEF EXECUTIVE OFFICER
PROF DATO’ DR HJ.

ABDUL RAHIM ABDULLAH

EXECUTIVE ASSISTANT
RAHMAH BT MOHD HARUN

PROJECT MANAGER

REBECCA RAJASVARI
JOHN VEERASAMY

EXECUTIVE MANAGER CORPORATE EXECUTIVE MANAGER
AFFAIRS, FINANCE & INTERNATIONAL TECHNICAL

RELATIONS NORAMIZA BT MD NASIR
SAIFULHAZMI SALIHIN

TECHNICAL ASSISTANT
HIDAYAT FATHI

ADMINISTRATION & HUMAN FINANCE SERVICES PUBLIC RELATIONS & INFORMATION ACCREDITATION ACCREDITATION MEDICAL CLINIC, CHRONIC ACCREDITATION STANDARDS
RESOURCE MARKETING TECHNOLOGY HOSPITAL HOSPITAL DIALYSIS TREATMENT & DEVELOPMENT, RESEARCH &
DENTAL CLINIC
RISK MANAGEMENT

ADMINISTRATION & FINANCE MANAGER PR & MARKETING IT MANAGER TECHNICAL OFFICER TECHNICAL OFFICER TECHNICAL OFFICER TECHNICAL OFFICER
HUMAN RESOURCE NOOR HALILAH OFFICER ROZANA MUHAMMAD AIMAN NUR AQILAH
BT YACOB NOR AZANI BT OSMAN
MANAGER BT FADZIL BIN ABD JALIL BT KAMARUDIN
RATNAH AMIRAH

BT RAHMAT

ADMINISTRATIIVE FINANCE PR & MARKETING IT ASSISTANT
ASSISTANT ASSISTANT OFFICER MUHAMMAD
NURUL ADHA NORHIDAYAH
BT MD YUSOF NUR SALSABILA RIDHWAN
SYAHIDA BT SHARIFF BT SELAMAT BIN AZAHAR

MAINTENANCE FINANCE IT ASSISTANT
CLERK CLERK

MOHMAD HATTA ANASRUL
W W W . M S Q H . C O M . M YBINDAUD
BIN AZHAR

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5.2.2 Staff Satisfaction Survey


5.2.3 Staff Retention Rate

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5.2.4 MSQH Surveyors

Majority of our surveyors continue to work part-time in health as professional specialists, doctors,
engineers, nurses, medical administrators and allied health professionals while contributing to the MSQH
mission on a voluntary basis. There is a total of 141 active surveyors (2019: 141 surveyors) working
part-time with MSQH for the hospitals, medical clinics, dental clinics and chronic dialysis accreditation
programme. Kindly refer tabular list below for the complete list of surveyors.

Surveyors – Hospitals (2019: 117 surveyors)

No. Speciality Name Privileged State
2014 Selangor
1 Anaesthetist Angeli Quah Aun Chyi, Dr. 2017 Perak
2010 Penang
2 Anaesthetist Azlina bt. Mohamad, Dr. 2012 Selangor
2014 Perak
3 Anaesthetist Jahizah Hassan, Dato' Dr. 2010 Kedah
2012 Penang
4 Anaesthetist Lim Wee Leong, Dr. 2017 KL
2017 KL
5 Anaesthetist Loke Yee Heng, Dr. 2014 Johor
2006 Penang
6 Anaesthetist Md. Mortadza Ramli, Dato' Dr 2012 Putrajaya
2012 Perak
7 Anaesthetist Patrick Tan Kee Seng, Assoc Prof Dr. 2018 Selangor
2013 KL
8 Anaesthetist Sharifah Suraya Syed Mohd. Tahir, Dato' Dr. 2011 Selangor
2008 Terengganu
9 Anaesthetist Siti Salmah bt. Ghazali, Dr. 1998 KL
2016 KL
10 Anaesthetist Tan Cheng Cheng, Dr. 2017 Penang
2018 Kedah
11 Anaesthetist Zainab bt. Abdul Ghaffar, Dr. 2000 KL
2008 Negeri-9
12 Anaesthetist Zalina Abd. Razak, Dr. 2004 Johor
2004 Kedah
13 Engineer Choon Kok Hoo, Mr. 2004 Penang
2014 Sarawak
14 Engineer Eng Ho Shin (Alfred), Ir 2011 Perak
2010 KL
15 Engineer Gnanasakaran, Ir. 2004 Perak
1999 Kelantan
16 Engineer K. Rishyakaran, Ir. 2004 Melaka
2015 Putrajaya
17 Engineer Md. Jukni Hussin, En.
1999 Selangor
18 Engineer Ng Kok Heng, Ir.
2014 Sarawak
19 Engineer Parasuramulu a/l Kanniah, Mr 2014 Kedah
2012 Penang
20 Engineer Wayne Chan Wah Cheong, Ir. 2012 Kedah
2014 Perak
21 Engineer William Woo Wooi Lim, Ir. 2019 Sabah
2018 Melaka
22 Engineer Yahaya b. Hassan, Ir. Ts. 2000 Selangor

23 Hospital Management Abdul Rahim bin Abdullah, Dr.

24 Hospital Management Arbain bin Lani, Dr.

25 Hospital Management Harif Fadzilah bin Che Hashim, Dr.

26 Hospital Management Hassan Merican b. Omar Naina Merican, Dr.

27 Hospital Management Jack Wong Siew Yu, Dr.

28 Hospital Management Jeyanthi Vengadasalam, Dr.

29 Hospital Management

W W W . M S Q H . C O M . M Y30 Hospital Management
Leela V. Sabapathy, Dr.
Lim Chie Kean, Dr.

31 Hospital Management Mary Abraham, Datin Dr.

32 Hospital Management Mohd Khalid Kassim, Dr. Hj

33 Hospital Management Mohd. Anis Harun@Haron, Dr.

34 Hospital Management Muhammad Abdul Kadar CK Marikar,
Assoc Prof Dr.

35 Hospital Management Ngian Hie Ung, Dr

36 Hospital Management Noor Zaini Morad, Dr.

37 Hospital Management Norsidah Ismail, Dato' Dr.

38 Hospital Management Selahuddeen Abd. Aziz, Dr.

39 Hospital Management Shamsanah binti Hanif, Dr.

40 Hospital Management Tan Bee Hwai, Dr.

41 Hospital Management Tan Hui Ling, Dr

42 Hospital Management Zaidah bt. Hussain, Dr.

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43 Hospital Management Zakaria b. Awang, Brig. Jen. Dato' Dr. 2017 Selangor
2006 Perak
44 Hospital Management Ziaudin Ahamed b. Abdul Kareem, Dato' Dr. 2012 Kedah
2016 Selangor
45 Nephrologist Ching Chen Hua, Dr. 2014 KL
2012 Terengganu
46 Nephrologist Chua Chin Teong, Prof Dr. 2003 KL
2001 Selangor
47 Nephrologist Rosnawati Yahya, Dr. 2014 Sarawak
2004 Pahang
48 Nephrologist Zaiha Harun, Dr. 2004 Selangor
2018 KL
49 Nursing Alice Pang, Mdm. 2019 Sarawak
2004 Penang
50 Nursing Alice Woon Ah Moi, Ms. 2000 KL
2008 KL
51 Nursing Chieng Sui Hoon, Mdm. 2009 Selangor
2004 Selangor
52 Nursing Dasimah bt. Ahmad, Mdm. 2011 KL
2009 Selangor
53 Nursing Irene Quah Sor Looi, Ms. 2007 Perak
2006 Perak
54 Nursing Jennifer Soon Mei Ling, Madam 2007 Melaka
2018 Negeri-9
55 Nursing Liew Sau Ii, Matron 2006 Selangor
2012 KL
56 Nursing Lim Suan Choon, Ms. 2012 Selangor
2000 Perak
57 Nursing Mah Lai Heng, Mdm. 2017 Kelantan
2012 Johor
58 Nursing Maygala Arumugam, Madam 2010 Sarawak
2017 Putrajaya
59 Nursing Noor Hayati Kamaruddin, Mdm 2012 Perlis
2009 Kedah
60 Nursing Nor Hayati bt. Takiman, Puan 2005 Negeri-9
2011 Selangor
61 Nursing Paramjit Kaur Surat Singh, Mdm. 2015 Penang
2012 Kelantan
62 Nursing Phan Yoke Chin, Matron 2019 Perak
2004 Melaka
63 Nursing Phoo Siew Kwok, Ms. 2017 Selangor
2013 Kelantan
64 Nursing Rajasvari Veerasamy, Ms. 2006 Perak
2017 Selangor
65 Nursing Sally Tan Chiew Hoi, Mdm 2010 Kedah
2014 Kedah
66 Nursing Sarasivathy a/p Eddiah, Madam 2008 Selangor
2008 Sabah
67 Nursing Tan Tang Peng, Mdm. 2017 Selangor
2008 Selangor
68 Nursing Wan Rusliah Md Daud, Mdm. 2012 Negeri-9
2002 Selangor
69 Nursing Wong Wai Mun, Ms.

70 Nursing Yew Oi Khuan, Mdm

71 Obstetrician & Gynaecologist Abdul Aziz b. Mahamad, Dr.

72 Obstetrician & Gynaecologist Ghazali Ismail, Dato' Dr.

73 Obstetrician & Gynaecologist Haris N. Suharjono, Dr.

74 Obstetrician & Gynaecologist Jamil b. Omar, Dr.

75 Obstetrician & Gynaecologist Mohd. Nizar Bidin, Dr.

76 Obstetrician & Gynaecologist Norlida Mansor, Dr.

77 Obstetrician & Gynaecologist Ravindran Jegasothy, Prof Dato' Dr.

78 Obstetrician & Gynaecologist Rusinahayati Mokhtarudin, Dr.

79 Obstetrician & Gynaecologist Salina bt. Sany, Dr.

80 Obstetrician & Gynaecologist Sukri Ahmad, Dr.

W W W . M S Q H . C O M . M Y81 Obstetrician & Gynaecologist Tan Chew Kang, Dr
82 Ophthalmologist Nor Aishah bt. Malek, Kol. (R) Datin Dr.

83 Opthalmologist Shamala Retnasabapathy, Dr.

84 Paeditrician Nik Nasiruddin Nik Leh, Dr.

85 Paeditrician Noor Khatijah Nurani, Dr.

86 Paeditrician Priya Lakshmy a/p Balasubramaniam, Dr.

87 Paeditrician Teh Keng Hwang, Dato' Dr.

88 Paeditrician Thiyagar Nadarajaw, Dr.

89 Paeditrician Yogeswery Sithamparananthan, Dr.

90 Pathologist Ahmad Toha bin Samsudin, Dr.

91 Pathologist Tuan Suhaila bt. Tuan Soh, Dr.

92 Pathologist Zubaidah Abdul Wahab, Dr.

93 Pharmacist Abdul Aziz Abd. Rahman, Assoc. Prof. Dr. Hj.

94 Pharmacist Chua Kee Long, En.

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95 Physician Chuah Siew Kee, Dr. 2005 Selangor
96 Physician Noor Hisham Mansor, Dr. 2010 Selangor
97 Physician Sia Koon Ket, Dr. 2008 Perlis
98 Physician Siti Zulfa bt. Zulkifli, Dr. 2017 KL
99 Physician (Emergency) Fatahul Laham b Mohamed, Dr. 2012 Kedah
100 Physician (Geriatrician) Yau Weng Keong, Dr. 2011 KL
101 Physician (Rehab) Siti Norzalilah Abd Majid, Dr. 2014 KL
102 Physician (Rehab) Theva Raj, Dr. 2005 Negeri-9
103 Physician (Respiratory) Razul Md Nazri Md Kassim, Dr. 2012 Kedah
104 Physician (Rheumatology) Nadiah Mohd Noor, Dr. 2015 Negeri-9
105 Psychiatrist Ahmad Qabil bin Khalib, Dr 2017 Sabah
106 Psychiatrist Norliza bt Chemi, Dr 2017 Selangor
107 Psychiatrist Suarn Singh, Dato' Dr. 2001 Perak
108 Radiologist Sazali Satari, Dr. 2012 Perak
109 Radiologist Sri Idayu Mohamad, Dr. 2012 Melaka
110 Surgeon (ENT) Faridah Hassan, Dr. 2009 Selangor
111 Surgeon (General) Abdul Jamil bin Abdullah, Dato' Dr. 2011 Terengganu
112 Surgeon (General) Andre Das, Dr. 2018 Selangor
113 Surgeon (General) Hasim b. Mohamad, Dato' Dr. 2001 Kelantan
114 Surgeon (Neuro) Badrisyah b. Idris, Prof. Dr. 2017 Selangor
115 Surgeon (Orthopaedic) Abdul Muttalib bin Abdul Wahid, Dr. 2012 Johor
116 Surgeon (Orthopaedic) Ahmad Sabri bin Omar, Dr. 2006 Kelantan
117 Surgeon (Paediatric Dentistry) Noraini Nun Nahar bt. Yunus, Dr. 2004 KL

Number of Surveyors by (State)

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Surveyors – Medical Clinics (2019: 7 surveyors)

No. Speciality Names Privileged State
2009 Sarawak
1 Family Medicine Specialist Norraliza Md. Zain, Dr. 2013 KL
2015 Putrajaya
2 Family Medicine Specialist Shamsul Bahary Muhamad, Lt. Kol. Dr. 2014 Selangor
2011 KL
3 Family Medicine Specialist Mohd. Fauzi Abu Bakar, Dr. 2017 Selangor
2009 KL
4 Hospital Management Zaidah Hussin, Dr.

5 Physician Harikrishna K. Ragavan Nair, Dr.

6 Physician Chuah Siew Kee, Dr.

7 Surgeon (Orthopaedic) Kok Choong Seng, Dr.

Surveyors – Chronic Dialysis (2019: 14 surveyors)

No. Speciality Names Privileged State
2015 Putrajaya
1 Medical Assistant Zulhelmi Abdullah, En. 2018 Selangor
2016 Perak
2 Medical Assistant Ramli Roslan, En. 2018 Sarawak
2018 Selangor
3 Medical Assistant Robert Agappan, Mr. 2019 Kedah
2016 Kedah
4 Medical Assistant Lau Hui Kwong, Mr. 2016 Selangor
2013 KL
5 Nephrologist Suryati Yakob, Dr. 2019 Pahang
2019 Perak
6 Nephrologist Leong Chong Men, Dr. 2016 Selangor
2019 Selangor
7 Nephrologist Ching Chen Hua, Dr. 2015 KL

8 Nephrologist Chua Chin Teong, Prof Dr.

9 Nephrologist Rosnawati Yahya, Dr.

10 Nephrologist Fariz Safhan Mohamad Nor, Dr.

11 Nephrologist Loh Chek Loong, Dr.

12 Nephrologist Zaiha Harun, Dr.

13 Nursing Chitra Ramasamy, Madam

14 Nursing Victoria Agnes Mary, Madam



Surveyors – Dental Clinics (2018: 3 surveyors)

No. Speciality Names Privileged State
2018 Selangor
1 Oral Maxillofacial Surgeon Sharifah Tahirah Al Junid, Dr. KL
2018 KL
2 Orthodontist Shalene Kereshanan, Col. Dr. 2018

3 Restorative Dentist V. Rathna Devi A. Vaithilingam, Dr.

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International Recognition

MSQH is an organisation that has achieved the internationally acclaimed accreditation award from the
International Society for Quality in Health Care (ISQua) for the following :-

1) Organisation and Surveyor’s Training Programme – December 2020 to December 2024
2) Standards – Hospital Accreditation Standards 5th Edition June 2017 to June 2021. ISQua has granted

a 12-month extension for the award until June 2022 in view of the COVID-19 pandemic.

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PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

Registration No: PPM-006-14-17101997

FINANCIAL STATEMENTS
31 DECEMBER 2020

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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

FINANCIAL STATEMENTS
31 DECEMBER 2020

CONTENTS

GENERAL INFORMATION Page
STATEMENT BY THE COMMITTEE -
STATUTORY DECLARATION 1
INDEPENDENT AUDITORS’ REPORT 2
STATEMENT OF INCOME AND EXPENDITURE
3-4
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STATEMENT OF FINANCIAL POSITION 6-7
STATEMENT OF CASH FLOWS 8
NOTES TO THE FINANCIAL STATEMENTS
9 - 20

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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

GENERAL INFORMATION

THE COMMITTEE : 1. PUAN NORHAIZAM MOHAMMAD (PRESIDENT)
2. LT GENERAL (R) DATO DR ABD RAZAK MD YUSOFF
(DEPUTY PRESIDENT)
3. ASSOCIATE PROFESSOR DR. M. A. KADAR MARIKAR
(CHIEF EXECUTIVE OFFICER) - RETIRED 30TH JUNE 2020
PROFESSOR DATO’ DR HJ ABDUL RAHIM HJ ABDULLAH
(CHIEF EXECUTIVE OFFICER) - EFFECTIVE 1ST JULY 2020
4. MS. RACHEL YEW HOOI CHOO (SECRETARY)
5. DATO’ MOHAMAD FARID SALIM (TREASURER)
6. DATO’ DR BAHARI DATO’ TOK MUDA HAJI AWANG NGAH
(VICE PRESIDENT - MOH) - RETIRED 12TH JANUARY 2020
DATO’ DR NORHIZAN ISMAIL (VICE PRESIDENT - MOH)
- EFFECTIVE 13TH JANUARY 2020
7. MS. ERICA LAM SOK MUI (VICE PRESIDENT - APHM)
8. PROFESSOR DATO’ DR M. SUBRAMANIAM
(VICE PRESIDENT-MMA) - EFFECTIVE 17TH NOVEMBER 2020
DR N. GANABASKARAN (VICE PRESIDENT-MMA)
- RETIRED 16TH NOVEMBER 2020
9. PUAN SHARIPAH ASIAH SYED JUNID ALJUNID
(MALAYSIAN NURSES ASSOCIATION) - EFFECTIVE 1ST JANUARY 2021
10. DR KAMAL AMZAN - EFFECTIVE 1ST JANUARY 2021
DR SHUBA SRINIVASAN - RETIRED 31ST DECEMBER 2020
ENCIK MOHD HAREEFF MUHAMMED
- RETIRED 31ST DECEMBER 2020
11. MS. JOY CHUA - EFFECTIVE 1ST JANUARY 2021
DR NORAZLINA BACHIK - RETIRED 31ST DECEMBER 2020

W W W . M S Q1123H.. DDRR.MHCUUEHOTAEMCMMKALD.EMENAZYRI AZIZ

14. ENCIK SHAHARUL SADRI ALWI (EX-OFFICIO - STANDARDS
MALAYSIA) - EFFECTIVE 03RD FEBRUARY 2020
DATUK FADILAH BAHARIN (EX-OFFICIO - STANDARDS MALAYSIA)
- RETIRED 31ST JANUARY 2020

15. MR MANVIR JESUDASAN (EX-OFFICIO PATIENT ADVOCATE)

INTERNAL AUDITORS : 1. MS. TAN SUET GUAN - EFFECTIVE 1ST JANUARY 2021
ENCIK. MOHD. JOHAR ISMAIL
- RETIRED 31ST DECEMBER 2020

2. PUAN MAISARAH HJ OMAR - EFFECTIVE 1ST JANUARY 2021
MR. KRISHNAN A/L MARIMUTHOO
- RETIRED 31ST DECEMBER 2020

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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

GENERAL INFORMATION

REGISTERED OFFICE : B.6-1, LEVEL 6, MENARA WISMA SEJARAH,
230 JALAN TUN RAZAK,
50400 KUALA LUMPUR,
WILAYAH PERSEKUTUAN,
KUALA LUMPUR.

AUDITORS : INPANA & ASSOCIATES (AF 0514)
568-9-19, 9th FLOOR, KOMPLEX MUTIARA,
3 ½ MILES JALAN IPOH,
51200 KUALA LUMPUR .

PRINCIPAL BANKER : CIMB BANK BERHAD
GROUND FLOOR, BANGUNAN COMMERCE LIFE,
338, JALAN TUANKU ABDUL RAHMAN,
50100 KUALA LUMPUR.

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INDEPENDENT AUDITORS’ REPORT
TO THE MEMBERS OF PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)
(Incorporated In Malaysia)

Registration No: PPM-006-14-17101997

REPORT ON THE FINANCIAL STATEMENTS

We have audited the financial statements of Persatuan Kualiti Kesihatan Malaysia (Malaysia Society For
Quality In Health) (MSQH), which comprise the balance sheet as at 31 December 2020, and the income
and expenditure account and the statement of cash flows for the financial year then ended, and a summary
of significant accounting policies and other explanatory notes, as set out on pages 5 to 20.

EXECUTIVE COMMITTEE’S RESPONSIBILITY FOR THE FINANCIAL STATEMENTS

The Executive Committee of the Society are responsible for the preparation of financial statements that
give true and fair view in accordance with Financial Reporting and the rules and regulations of the
Society and Societies Act, 1966 in Malaysia and for such internal control as the executive committee
determine are necessary to enable the preparation of financial statements that are free from material
misstatements whether due to fraud or error.

AUDITORS’ RESPONSIBILITY

Our responsibility is to express an opinion on these financial statements based on our audit. We
conducted our audit in accordance with approved standards on auditing in Malaysia. Those standards
require that we comply with ethical requirements and plan and perform the audit to obtain reasonable
assurance about whether the financial statements are free from material misstatement.

WAn aWudit iWnvolv.esMperSformQingHproc.eCdureOs toMobta.inMaudiYt evidence about the amounts and disclosures in

the financial statements. The procedures selected depend on our judgment, including the assessment of
risks of material misstatement of the financial statements, whether due to fraud or error. In making those
risk assessments, we consider internal control relevant to the Society’s preparation and fair presentation
of the financial statements in order to design audit procedures that are appropriate in the circumstances,
but not for the purpose of expressing an opinion on the effectiveness of the Society’s internal control. An
audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of
accounting estimates made by the Executive Committee, as well as evaluating the overall presentation of
the financial statements.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for
our audit opinion.

3

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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

STATEMENT OF INCOME AND EXPENDITURE
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

Note 2020 2019
RM RM

Revenue 3 1,134,484 4,394,166
(1,270,236)
Operating costs 4 (275,939)
Gross profit ___________________________ ___________________________
858,545
3,123,930
Other revenue 5 87,600 76,425

Human resources expense 6 (1,301,932) (1,549,301)

Marketing, promotional and 7 (73,413) (37,329)
publication expenses (49,902)
(702,119)
Depreciation of equipment 11 (55,327)
___________________________
Other expenses 8 (484,515)
Operating (loss)/profit ___________________________ 861,704
(969,042) 63,523

Finance income 9 79,709 (950)

FWinancWe cosWts . M S Q H . C O M9 . M Y (949) ___________________________
___________________________
924,277
(Loss)/Profit before tax (890,282) (2,382)
(31,298)
Zakat (1,594)
___________________________
Income tax expense 10 (7,093)
(Deficit)/Surplus for the financial year 890,597
___________________________

(898,969)

The accompanying notes form an integral part of the financial statements 86
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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

STATEMENT OF FINANCIAL POSITION AS AT 31 DECEMBER 2020

Note 2020 2019
RM RM

ASSETS 11 113,651 158,571
___________________________
NON-CURRENT ASSETS ___________________________
Equipment
32,816
CURRENT ASSETS 12 146,313 114,975
13 118,214 3,395,419
Trade receivables 14 2,344,810
Other receivables 1,206
Fixed deposits 1,206 49,463
Income tax recoverable 15 27,407
Cash and bank balances ___________________________
___________________________
3,593,879
2,637,950
___________________________
___________________________
3,752,450
TOTAL ASSETS 2,751,601

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The accompanying notes form an integral part of the financial statements
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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

STATEMENT OF FINANCIAL POSITION AS AT 31 DECEMBER 2020 - Continued

Note 2020 2019
RM RM

EQUITY AND LIABILITIES 425,718
3,727
CURRENT LIABILITIES 16 113,008
___________________________
Other payables 10 7,093
Income tax payable 429,445
____________________________
___________________________
120,101
297,364
____________________________
____________________________
NON CURRENT LIABILITIES 17 504,828
Deferred income ____________________________ 297,364
504,828
____________________________ ____________________________

TOTAL LIABILITIES 624,929 726,809

____________________________ ____________________________

EQUITY 3,025,641

Reserves 18 2,126,672 ___________________________
____________________________
3,025,641
W W W . M S Q H . C O M . M Y 2,126,672
____________________________ ____________________________

TOTAL EQUITY AND LIABILITIES 2,751,601 3,752,450

The accompanying notes form an integral part of the financial statements 88
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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

STATEMENT OF CASH FLOWS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

Note 2020 2019
RM RM

OPERATING ACTIVITIES (890,282) 924,277
(Deficit)/Surplus of income over
expenditure before tax 49,902
(63,523)
Adjustment for: 55,327
Depreciation of equipment (79,709) ____________________________
Profit earned on fixed deposits
____________________________ 910,656
Operating cash flows before working capital changes
(914,664) (11,662)
(4,764)
CHANGES IN WORKING CAPITAL: (113,497) 79,813
Increase in trade receivables (3,239)
Increase in other receivables ____________________________
Increase/(Decrease) in other payables (312,710)
974,043
Cash flows (used in)/generated from operations ____________________________ (2,382)
(36,087)
(1,344,110) 29,655

Zakat paid (1,594) ____________________________
Income tax paid (3,727)
Deferred income realised 207,464 965,229

Net cash flows (used in)/generated from ____________________________ ____________________________
operating activities
(1,141,967) (58,459)
63,523
____________________________
____________________________
PINuWVrcEhaSsTWeIoNfGeWqAuCipTm.IVeMnItTIESS Q H . C O M . M Y (10,407)
Profit earned on fixed deposits 79,709 5,064
____________________________
____________________________
Net cash flows generated from investing activities 69,302
970,293
____________________________
2,474,589
Net (decrease)/increase in cash and cash equivalents (1,072,665)
____________________________
CASH AND CASH EQUIVALENTS: 3,444,882
At beginning of the financial year 3,444,882
____________________________
At end of the financial year
19 2,372,217

The accompanying notes form an integral part of the financial statements
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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

1. PRINCIPAL ACTIVITIES

The Society is an internationally recognised Malaysian organisation for the promotion and
improvement of quality and safety in health.

The objectives of the Society in achieving its goals are as follows:

i. Advocate and Facilitate Continuous Improvement of Quality and Safety in the
Provision of Health Services, including standards development, education, performance
assessment and accreditation.

ii. Develop and strengthen collaboration and partnership with stakeholders and
accreditation organisations.

iii. Undertake and promote research into quality and safety in healthcare.
iv. Promote best practices and dissemination of information in relation to quality and

safety in healthcare.
v. Promote best practices and dissemination of information in relation to quality and

W W Wsaf.etMy in SheaQlthcaHre. . C O M . M Y

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Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

2. SIGNIFICANT ACCOUNTING POLICIES

(a) Basis of preparation

The financial statements of the Society have been prepared in accordance with Malaysian
Private Entities Reporting Standards (“MPERS”) and the requirements of the Societies Act,
1966 in Malaysia. The financial statements of the Society have also been prepared on a
historical basis and are presented in Ringgit Malaysia (RM).

(b) Equipment and depreciation

Equipment are stated at cost less accumulated depreciation and any accumulated impairment
losses if any.

Depreciation of equipment is provided for on a straight- line basis to write off the cost of each
asset to its residual value over the estimated useful life, at the following annual rates :

Furniture and fittings 10 %
Computers 33 %
Office equipments 7%
Renovations 10 %
Amortisation Information Systems 20 %

An item of equipment is derecognised upon disposal and the difference between the net
disposal proceeds and the net carrying amount is recognised in the income and expenditure
account.

(c) Impairment of assets

The carrying values of assets are reviewed for impairment when there is an indication that the
assets might be impaired. Impaired loss is recognised whenever the recoverable amount is less
than the carrying values of the asset. The recoverable amount is the higher of an asset’s net
realisable value and its value in use (by discounted future cash flows).

An impairment loss is charged to the income statement immediately. Any subsequent Increase

in the recoverable amount of an asset is treated as reversal of the previous impairment loss and

W W W . M S Q H . C O M . M Yis recognised to the extent of the carrying amount of the asset that would have determined (net
amortization and depreciation) had no impairment loss been recognised. The reversal is

recognised in the income statement immediately.

(d) Income tax

Current tax is the expected amount of income taxes payable in respect of the taxable profit for
the current year and is measured using the tax rates at scale rates. For the Society, tax expense
is relating to finance income earned on fixed deposits placement and subscriptions from non-
members, other income are not taxable.

(e) Inventories

Inventories are measured at the lower of cost or net realisable value based on the first-in
first-out principle. Net realisable value is the estimated selling price in the ordinary course of
business, less selling expenses.

10

Malaysian Society for Quality in Health | Annual Report 2020 91

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

2. SIGNIFICANT ACCOUNTING POLICIES - Continued

(f) Provisions

Provisions are recognised when the Society has present obligations as a result of a past event,
and it is probable that out flow of resources embodying economic benefits will be required to
settle the obligations and a reliable estimate can be made of the amounts of the obligations.

(g) Revenue recognition

Revenue received for accreditation such as survey certification, seminar and workshop are
recognised as income when received.
Fees received before commencement of the above will be recognised as deferred income and is
credited to the income account in the period the above training and/or survey takes place.

Subscription fees received are fees received from new and existing members. Membership fees
are renewed annually.

(h) Employee benefits

(i) Short - term employee benefits

W W W . M S Q H . C O M . M YSalaries and bonuses are recognised as an expense in the financial year in which the
associated services are rendered by employees.

(ii) Defined contribution plan
The society make contributions to the Employees’ Provident Fund (EPF) and social
security scheme (Socso). Such contributions are recognised as expense in the income and
expenditure account as incurred.

11 92
Malaysian Society for Quality in Health | Annual Report 2020

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

2. SIGNIFICANT ACCOUNTING POLICIES - Continued

(i) Financial instruments

Financial instruments are recognised in the statement of financial position when the Society has
become party to the contractual provisions of the instrument.

Financial instruments are classified as liabilities or equity in accordance with the substance of
the contractual arrangement. Interest, gain and losses relating to financial instruments classified
as liability are reported as expense or income.

(i) Cash and cash equivalents

For the purpose of the cash flow statement, cash and cash equivalents include cash on
hand and at banks and deposits at call, which have an insignificant risk of changes in
value.

(ii) Receivables

Receivables are carried at anticipated realisable value. Bad debts are written off in the
year in which they are identified. An estimate is made for doubtful debts based on a
review of all outstanding amounts at the year end.

W W(iWii) P.aMyableSs Q H . C O M . M Y

Payables are stated at cost which is the fair value of the consideration to be paid in the
future for services rendered.

12 93
Malaysian Society for Quality in Health | Annual Report 2020

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

3. REVENUE

2020 2019
RM RM

Subscription fees 103,304 90,085
3,834,475
Accreditation - Survey and certification 958,050
346,456
- Seminar and workshop - Hospital 22,690 20,800
8,000
- Seminar and workshop - Chronic Dialysis 8,840 72,000
4,800
- Seminar and workshop - Clinic 10,850 17,550

- Chronic Dialysis 24,000 ___________________________

- Clinic 6,750 4,394,166

- Dental workshop and survey -
___________________________

1,134,484

4. OPERATING COSTS

2020 2019
RM RM

Accreditation - Hospital certification 215,044
262,663
Accommodation and meals 21,168 680,255

Airfare and transport 27,852 2,481
WAcCcroWeudnictailtWoiorns,-s.uCrMlvineiycaScnedrtQtirfaicinaHtiinogn.allCowaOncesM . M Y 69,150
186,700 27,209
1,690
4,719
Seminar and workshop expenses - Hospital 4,679 8,715

Accreditation - Chronic Dialysis 10,566 ___________________________

Accreditation - Dental - 1,270,236

Training and development: surveyors/councilors 23,284
___________________________

275,939

13 94
Malaysian Society for Quality in Health | Annual Report 2020

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

5. OTHER REVENUE 2020 2019
RM RM
A. Conferences
QA convention - 68,540
Less: Convention expenses - (58,021)

B. Study Group Visits _____________________ ______________________
Less: Study Group Visits expenses
- 10,519
C. Others
Seminar: _____________________ ______________________
1ST Global Patient Safety Day Malaysia
Less: Seminar expenses - 8,455
- (6,386)
Administrative revenue
Socso wage subsidy _____________________ ______________________
Total Other Revenue
- 2,069

_____________________ ______________________

- 139,650
- (87,813)

______________________ ______________________

- 51,837

_____________________ ______________________

12,000 12,000
75,600 -

______________________ ______________________

87,600 76,425

W6. HWUMAWN RE. SMOURSCEQS EXHPE.NCSE O M . M Y 2020 2019
RM RM

Staff salaries, reward and bonuses: 1,146,616 1,345,629
Staff salaries and bonuses
Contributions to defined contribution 129,554 172,944
14,315 13,142
plan - EPF 8,916 8,340
Social security contributions - Socso 2,531 9,246
Medical expenses
Training and development ___________________________ ____________________________

1,301,932 1,549,301

14

Malaysian Society for Quality in Health | Annual Report 2020 95

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

7. MARKETING, PROMOTIONAL AND PUBLICATION EXPENSES 2019
RM
2020
RM 37,329

Advertisement and promotion 73,413 2019
RM
8. OTHER EXPENSES
15,625
2020 9,480
2,886
RM 38,670
18,396
A. Administration 43,605
15,509
Accommodation and meals 3,611 1,200
1,713
AGM expenses 19,913 21,211
205,056
Development of standards 30,746 15,000
4,136
Information system development 72,124 6,799
6,234
Insurance 20,248 14,860
77,733
ISQua accreditation fees 55,495
1,466
Maintenance of office 11,538 65,477
53,148
Other administrative expenses 1,200 34,789
16,706
Stamp duty -
6,000
Printing and stationeries 11,566 25,000

Rental of office premises 158,918 300
700
Research and development - 420

Penalties - ___________________________

Subscriptions 4,502 702,119

Training and development - Consumers -

Travelling 21,315

Utilities 65,919

WB. CWonferWence.aMnd MSeetQing H . C O M . M Y

APHM Annual Conference -

ISQua Annual Conference -

BMJ conference -

ISQua accreditation council meetings -

ASQua -

C. Statutory Fees 6,000
Audit fees -
Tax advisory fees
Statutory disbursements 300
Tax agent’s fees 700
SST charges 420

___________________________

484,515

15

Malaysian Society for Quality in Health | Annual Report 2020 96

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

9. FINANCE INCOME AND COSTS 2020 2019
RM RM
Finance income
Profit earned on fixed deposits 79,709 63,523

Finance costs (949) (950)
Bank charges

10. INCOME TAX EXPENSE 2020 2019
RM RM
Current income tax
Underprovision in previous financial years 6,639 3,727
- 27,571

___________________________ ____________________________

6,639 31,298

WIncoWme taWx is c.alMculatSed uQsingHthe .taCx raOtes aMt scal.eMratesYon the profit earned on fixed deposits

and subscription fees from non-members and associate members.

16 97
Malaysian Society for Quality in Health | Annual Report 2020

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

11. EQUIPMENT

Balance at Additions Balance at
1-1- 2020 (Disposals) 31-12-2020

RM RM RM

Cost 4,600 313,179
5,057 486,605
Furniture and fittings 308,579 114,709
750 113,441
Computers 481,548 - 211,469
-
Office equipments 113,959 _________________________
__________________________
Renovations 113,441 1,239,403
10,407
Information technology systems 211,469 _________________________
_________________________ __________________________
Balance at
1,228,996 31-12-2020

_________________________ RM

Balance at Charge for 295,077
the year 463,684
1-1-2020 RM 103,372
78,349
RM 4,451 185,270
20,818
Accumulated depreciation 2,058 _________________________
7,980
Furniture and fittings 290,626 20,020 1,125,752

Computers 442,866 __________________________ _________________________

Office equipments 101,314 2019
RM
Renovations 70,369
17,953
Information technology systems 165,250 38,682
_________________________ 12,645
43,072
1,070,425 55,327 46,219
_________________________ __________________________
___________________________
W W W . M S Q H . C O M . M Y 2020
158,571
RM

Net carrying amount 18,102
Furniture and fittings 22,921
Computers 11,337
Office equipments 35,092
Renovations 26,199
Information technology systems
___________________________

113,651

17

Malaysian Society for Quality in Health | Annual Report 2020 98

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

12. TRADE RECEIVABLES 2020 2019
Fees for Accreditation Survey and Training RM RM

146,313 32,816

____________________________ ____________________________

146,313 32,816

13. OTHER RECEIVABLES 2020 2019
RM RM
Deposits
Prepayments 78,302 78,302
Sundry receivables 23,645 12,673
16,267 24,000

____________________________ ____________________________

118,214 114,975

14. FIXED DEPOSITS 2019
RM
2020
3,395,419
W W W . M S Q H . C O M . M Y RM

Deposits with a licensed bank 2,344,810

The maturity of the deposits is on annually and monthly basis and the weighted average effective
interest rate per annum is between 3.1% to 4.05% (2019 - 3% to 4.05%).

18 99
Malaysian Society for Quality in Health | Annual Report 2020

Treasurer’s Report RESOLUTION 3

Registration No: PPM-006-14-17101997

PERSATUAN KUALITI KESIHATAN MALAYSIA
(MALAYSIAN SOCIETY FOR QUALITY IN HEALTH) (MSQH)

(Registered in Malaysia under the Societies Act, 1966)

NOTES TO THE FINANCIAL STATEMENTS
FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

15. CASH AND BANK BALANCES

2020 2019
RM RM

Cash on hand 3,000 3,000
Cash at banks 24,407 46,463

___________________________ ____________________________

27,407 49,463

16. OTHER PAYABLES 2020 2019
RM RM
Accrued expenses
Sundry payables - PFPSM 30,210 254,908
Sundry payables - ASQUA 22,270 21,816
Accreditation expenses 3,949 3,409
56,579 145,585

___________________________ ___________________________

113,008 425,718

17. DEFERRED INCOME 2020 2019
RM RM
A. Accreditation - Survey and training
At 1 January 246,000 236,000
Received during the financial year 450,600 482,000

___________________________ ____________________________

Expensed during the financial year 696,600 718,000
(246,000) (472,000)

___________________________ ____________________________

W W W . M S Q H . C O M . M Y450,600 246,000
___________________________
____________________________
B. Subscriptions 51,364
At 1 January 31,158 31,709
Received during the financial year 38,937
___________________________
Expensed during the financial year ____________________________
82,522
(28,294) 70,646
(19,282)
___________________________
____________________________
54,228
51,364
___________________________
____________________________
As at 31 December 504,828
297,364

19

Malaysian Society for Quality in Health | Annual Report 2020 100