Pantai Hospital Kuala Lumpur ( PHKL ) acknowledges the importance of and takes pride in the measures it has taken to ensure and improve valuebased care and patient health outcomes . The new healthcare delivery model of value-based care stresses a team-oriented approach to patient care whilst ensuring coordination and effective communication between patients and healthcare professionals in the hospital .

Value Driven Outcomes ( VDO ) is a fundamental concept for improving patient care while aiming to save costs . Reaching this goal requires several adjustments in the ways patients receive medical care , with its essential components centred on total patient wellness and preventive measures . Preventive screenings , overall wellness , and care quality are all taken into account , which ultimately leads to better healthcare outcomes .

Looking to make healthcare proactive instead of reactive , PHKL has initiated and successfully implemented VDO . Using targeted quality indicators as benchmarks , VDO was implemented for colonoscopy procedures performed at PHKL starting in 2019 when pre-set quality indicators were used to determine cost rationalisation .

Colonoscopy enables visual inspection by a medical examiner of the entire large bowel ( also called the colon or large intestine ). The procedure is a safe and effective means of evaluating the large bowel . A clear image of the

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inside of the bowels can be visualised through a video camera attached to the end of the scope . The camera connects to a computer that can store and print colour images selected during the procedure .

When cancer is discovered early , while it is small and has yet to spread , it frequently allows for additional treatment options . Some early cancers may have detectable signs and symptoms ; however , this is not always the case . As such , by applying the fundamental concepts of VDO in colonoscopy , we are able to detect early if there is a polyp , after which it can potentially be removed , and at once eradicate the potential cause of cancer , which then results in reducing the burden and cost for cancer treatment .

The majority of the clinical indicators used in PHKL ’ s colonoscopy procedures are found to be above the target standard and the IHH MY Mean .

PHKL clinical outcomes have consistently shown good improvement since the initiation of VDO .

The colonoscopy quality indicators and benchmarks or targets achieved by PHKL are :

Quality Indicators

Bowel Prep BBPS (> 6 total scores )

Caecum Intubation Rate ( CIR )

Mean Withdrawal Time ( min )

Poly Detection Rate ( ≥50yo )

Adenoma Detection Rate ( ≥50yo )

International PHKL Benchmark

95 % 96 %

95 % 98 %

> 6-10 min 9 min

40 % 53 %

25 % 26 %

The benefits of VDO at PHKL not only resulted in lower costs for patients but also provided higher patient satisfaction rates , better care efficiencies , reduced risks , and lower overall healthcare expenses .

PHKL is continuously finding ways to improve both its healthcare institution and the way it provides care to its patients . As it looks to the future , PHKL will continue to work on implementing more VDO initiatives across all its institutions and procedures , such as Total Knee Replacement ( TKR ), Anterior Cruciate Ligament Surgery ( ACL ), and Percutaneous Coronary Intervention ( PCI ).

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