Can the pilot project ease ED congestion in other hospitals?

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The Pilot Project's Potential to Ease ED Congestion in Other Hospitals

The Ministry of Health (MoH) has initiated a pilot project aimed at alleviating congestion in government hospital emergency departments, with early results showing a significant reduction in patient arrivals at the non-emergency (green zone) of one facility. This project involves relocating non-critical cases from hospital emergency departments to designated health clinics with extended operating hours. The MoH has observed a positive impact at Hospital Tengku Ampuan Rahimah (HTAR) and is now planning to expand this initiative to other health clinics across the country.
Reduction in Non-Emergency Patient Arrivals Observed

At Hospital Tengku Ampuan Rahimah (HTAR) in the Klang district, the pilot project saw the transfer of non-emergency operations from its Emergency Department to the Bandar Botanic Health Clinic (KKBB). This intervention, which began on March 25 with KKBB extending its operating hours until 9:30 pm daily, has led to a notable decrease in patient numbers. As of April 9, the average patient arrivals at the green zone of HTAR's Emergency and Trauma Department had decreased by 54%.
Correlation with Health Clinic Activity

The success of the intervention at HTAR is further evidenced by a corresponding increase in patient arrivals at the Bandar Botanic Health Clinic (KKBB) during its extended hours. This trend was particularly pronounced on weekends, indicating that patients with non-emergency conditions are utilising the alternative health clinic facility. This suggests a potential shift in patient behaviour when provided with accessible and extended care options outside the main hospital emergency setting.
Expansion to Additional Health Clinics Planned

Building on the initial success, the Ministry of Health has decided to broaden the scope of this pilot project. The ministry plans to extend operating hours at five other selected health clinics located in Gombak, Hulu Langat, Ipoh, Johor Bahru, and Kuala Lumpur. This expansion aims to replicate the observed congestion reduction in other areas by offering similar off-peak access to healthcare for non-critical cases.
Broader Strategies for ED Congestion Management

Beyond the pilot project, the MoH is implementing several other long- and medium-term solutions to address patient congestion in government hospital emergency departments. These initiatives include the implementation of the Madani Medical Scheme, a review of relevant acts, circulars, and guidelines, the adoption of lean management principles, and the expansion of virtual healthcare services. A communication strategy employing behavioural insights is also underway in collaboration with relevant government agencies to encourage patients with non-critical illnesses to seek treatment at health clinics.

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Can the pilot project ease ED congestion in other hospitals?

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