Journal of Rehabilitation Medicine: Special Issue 50-4bokBW | Page 50

352
J. P. Engkasan et al.
DEVELOPMENT OF ICF-BASED
STANDARDS AND ICF-BASED DATA
COLLECTION TOOLS
ICF Core Sets: Standards for ”what to
document”(11)
The situation analysis showed that for 2 indica-
tions there is no currently available ICF Core Set:
amputee rehabilitation in specialized outpatient
rehabilitation, and paediatric specialized reha-
bilitation both in the post-acute and outpatient
context.
A PRM consultant of the department of reha-
bilitation medicine at UMMC (CTY) together
with the general coordinator (SA) will therefore
cooperate in the final studies toward developing
the ICF Core Set for Amputee Rehabilitation
under the auspices of the International Society of
Prosthetics and Orthotics (ISPO) (49).
By the same token, the department will support
the ICF Research Branch in its effort to develop
a preliminary version of an ICF Core Set for
Pediatric Rehabilitation based on current expe-
riences with the development of ICF Core Sets
for children and youth with cerebral palsy (52).
Country modification of the ICF Clinical Tool
for Malaysia
The situation analysis also showed that there
is a need for a clinical data collection tool that
is simple and can be used across rehabilitation
services in Malaysia. Therefore it was decided
to develop a translation of the ICF Clinical Data
Collection Tool for Bahasa Malaysia based on an
established protocol (13, 15). Since most health
professionals speak English or Bahasa Malaysia
with patients who are native speakers of Tamil
and Mandarin, it was not considered a necessity at
this point to develop a language version in Tamil
and Mandarin. If necessary a Tamil and Mandarin
version can be developed later.
To increase user acceptance, it was decided to
use the name ”ICF Clinical Tool” rather than ”ICF
Clinical Data Collection Tool” (13, 14).
Country modification of the Work Questionnaire
(WORQ) for Malaysia
With respect to vocational rehabilitation there
was a decision to consider the use of the work
questionnaire (Work Rehabilitation Questionnaire
(WORQ); http://myworq.org/) (26) developed in
collaboration with the International Labor Orga-
nization (ILO) and the ICF Research Branch. In
www.medicaljournals.se/jrm
the near future it will be possible to report data
collected with WORQ for the ICF categories of
the Derived ICF Set for the WORQ (28, 40) in
44 categories, which include the 13 categories
of the Brief ICF Core Set for Vocational Reha-
bilitation (40) using transformation tables that
will be developed for Malaysia based on Rasch
methodology (11, 53, 54). As the WORQ can be
both expert- and self-administered it allows for
follow-up of patient’s functioning after a stay at
SOCSO vocational rehabilitation through postal
questionnaires. The development of a translation
of the WORQ for Bahasa-Malaysia and the deve-
lopment of country modification of the English
reference version and the Chinese-Mandarin
reference version for Malaysia can follow an
established protocol and will be supported by the
ICF Research Branch and the lead developer of
the WORQ (Professor Reuben Escorpizo).
CAPACITY BUILDING
The situation analysis showed that SOCSO had
the most in-depth ICF training of its staff. UMMC
had ICF training for its leaders, as did MOH. It
was therefore decided to implement a systematic
training programme for the ICF and CQM-R.
As a first step a train-the-trainer workshop will
be given by the coordinator of the ICF Research
Branch (Melissa Selb). It is intended to involve
trainers representing the various rehabilitation
professionals across the 3 partner organizations
to ensure target group-specific training.
The second step foresees the development of a
training programme for CQM-R developed jointly
by the 3 partners of CQM-R Malaysia and the
ICF Research Branch. Through the development
of joint training materials and regular training for
new staff a coherent implementation of CQM-R
Malaysia can be assured.
ALIGNMENT OF CQM-R WITH OTHER
EFFORTS TOWARDS IMPROVING QUALITY
IN HEALTHCARE IN MALAYSIA
The situation analysis highlighted the role the
Malaysian Society for Quality in Health (MSQH)
should play in the implementation of CQM-R
Malaysia. MSQH is recognized as the national
accreditation body and standards for healthcare
facilities and services. MSQH is dedicated to
improving the quality of Malaysia’s healthcare
through voluntary accreditation. Specific to Re-
habilitation Medicine Services (Service Standard
17 in MSQH 5 th Edition draft), the quality indi-