Welcome to Gleneagles Kuala Lumpur
Gleneagles Hospital Kuala Lumpur (GKL) is one of the leading private hospitals in Malaysia's metropolitan capital of Kuala Lumpur and is a 376-bedded hospital that offers patients a comfortable ambience with outstanding medical care. A part of IHH Healthcare, GKL has grown into a highly respected and reputable healthcare service provider in Malaysia and the Southeast Asian region; providing excellent professional healthcare services to local and international patients.
Our commitment to excellence is evident through continuous enhancements to our hospital facilities and investments in cutting-edge technology, setting us apart in the industry. GKL is committed to the provision of safe and quality healthcare and is proud to have a team of highly qualified and experienced medical professionals, consultants, and nurses who go the extra mile to ensure an exceptional patient experience.
GKL is also home to some of the most advanced medical technologies and procedures available such as:
Gamma Knife Radiosurgery – A breakthrough in the medical field; as way to treat not only brain tumours but also vascular malformations and functional disorders through a minimally invasive way. The treatment procedure is simple, painless, straightforward and provides better outcomes as compared to traditional brain surgery.
Da Vinci Si Surgical System – A surgical platform designed to enable complex surgery by using a minimally invasive approach. Powered by robotic technology, Da Vinci Si surgical system allows surgeons to perform intricate surgeries with utmost meticulousness.
Download our E-Corporate Brochure here: https://online.flippingbook.com/view/176133662/
Since 1996, GKL has provided high-quality healthcare, complemented by friendly and professional staff. As we strive to deliver excellent healthcare and patient services to our community, a good measure of our performance is recognised in the form of awards and accreditation by third-party institutions.
GKL was one of the first private hospitals in Malaysia to be accredited by the US-based Joint Commission International (JCI); while locally we are accredited by the Malaysian Society for Quality in Health (MSQH).
In addition, other recent notable awards that attest to the quality of care at GKL include:
Top 250 World’s Best Hospital 2024
#1 World’s Best Hospital 2024 - Malaysia
Hospital of the Year in Malaysia by GlobalHealth Asia-Pacific 2024
Malaysia Technology Excellence Awards 2024Robotics - Healthcare
Customer Value Leadership Award 2023
Global Health Asia Pacific Awards 2023Hospital of the Year in Malaysia by GlobalHealth Asia-Pacific 2023
Customer Care Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Endocrinology Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Gastroenterology Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
ICU Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Neurology Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Prostate Care Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Reader’s Digest Trusted Brand 2023
Malaysia Health & Wellness Awards 2022
Corporate Social Responsibility
Malaysia Technology Excellence Awards 2023
Medical Technology (Healthcare)
Healthcare Asia Awards 2023
Service Innovation of the Year – Malaysia
Corporate Social Responsibility
IHH Summit 2022
IHH GCEO Clinical Award for Clinical Effective 2022
Global Health Asia Pacific Awards 2022
Hospital Of The Year In Malaysia 2022
Value Based Hospital Of The Year In Asia-Pacific 2022
Endocrinology Service Provider OF The Year In Asia-Pacific 2022
Bariatric Service Provider Of The Year In Asia-Pacific 2022
Global Health Asia Pacific Awards 2021
Value Based Hospital Of The Year in The Asia-Pacific 2021
Diabetes Service Provider Of The Year In Asia-Pacific 2021
Endocrinology Service Provider Of The Year In Asia-Pacific 2021
Global Health Asia Pacific Awards 2020
Bariatric Service Provider Of The Year In Asia-Pacific 2020
At Gleneagles Hospital Kuala Lumpur, we are committed to conducting business with the utmost integrity, with a zero-tolerance policy for bribery and corruption.
Our anti-bribery and corruption guidelines (available here) outline the principles that guide our actions and decisions.
These guidelines serve as a resource for our employees, partners, suppliers, and stakeholders, providing clear guidance on identifying, preventing, and reporting instances of bribery and corruption. By adhering to these principles, we contribute to fostering a culture of trust and integrity within our organisation and beyond.
We encourage all individuals associated with Gleneagles Hospital Kuala Lumpur to familiarise themselves with these guidelines to promote a culture of ethical conduct and compliance.
Elevating Healthcare through Value-Driven Outcomes (VDO)
At Gleneagles Hospital Kuala Lumpur, we believe in delivering healthcare that truly matters. Our commitment to clinical excellence is exemplified through our Value-Driven Outcomes (VDO) initiatives. Aligned with international standards, our healthcare professionals drive interventions and enhance treatment value for our patients. Leveraging data, we ensure accountability and transparency, offering confidence that Gleneagles Hospital Kuala Lumpur delivers unparalleled value-for-money services.
Objectives:
- Measuring Outcomes that Matter to Patients
At Gleneagles Hospital Kuala Lumpur, our VDO initiative places a paramount focus on outcomes that truly impact our patients. We diligently measure and analyze the results that matter most to individuals, ensuring that their healthcare journey is centered around achieving meaningful and personalized goals.
- Using Data to Promote Value Improvement
Data is the cornerstone of our commitment to excellence. Gleneagles Hospital Kuala Lumpur harnesses the power of data to inform and drive interventions that enhance the overall value of our treatments. This data-driven approach allows us to adapt and continuously improve, ensuring that our patients receive the most effective and personalized care.
- Embarking on Cost Analysis to Reduce Wastage
Recognizing the importance of responsible resource allocation, our VDO initiative includes a comprehensive cost analysis to identify and minimize wastage. By optimizing our resources, we aim to provide high-quality healthcare that is not only effective but also efficient, maximizing the value for both patients and the healthcare system.
Knee surgery, particularly Total Knee Replacement (TKR), is a complex procedure, especially for those suffering from knee osteoarthritis. At Gleneagles Hospital Kuala Lumpur, we recognize the challenges and prioritize the patient's voice in our approach to outcomes. We meticulously evaluate each TKR surgery at 3-month and 6-month intervals, utilizing the Knee Society Score (KSS) to measure and compare results against Minimal Clinically Important Difference (MCID) and Substantial Targets.
This precision-driven approach ensures that the impact of TKR transcends the surgical realm, resulting in significant improvements in both quality of life and mobility. This exemplifies our commitment to comprehensive and transformative orthopaedic care.
Patient’s Journey
Patient visits doctor to determine if TKR is recommended. | Patient is referred for same-day pre-operative physiotherapy. | PROMs (KSS) survey and pre-operative physiotherapy are conducted for the patient in rehab. | Patient undergoes surgery in GKL | Physiotherapy is administered for the patient during admission until discharge. | The patient attends physiotherapy sessions for three months. *3 months post-surgery PROMs (KSS) survey is conducted again to assess the patient's progress. | The patient continues physiotherapy sessions for an additional three months. *6 months post-surgery PROMs (KSS) survey is conducted to monitor the patient's progress. |
Patient Reported Outcome Measures (PROMs) Survey
Through our Patient Reported Outcome Measures (PROMs) Survey, we carefully measure our patient’s perception of health and functional well-being post-TKR surgery. PROMs are standardized questionnaires completed by patients, providing insights into health perception and functional well-being. The hospital conducts these surveys before and after treatment to understand any changes in the patient’s condition and quality of life. Working closely with patients and clinicians, PROMs give us a full picture of our patients' health and identify opportunities for continuous improvement.
Minimal Clinically Important Difference (MCID)
When it comes to knee surgery, Gleneagles Hospital Kuala Lumpur uses a benchmark called Minimal Clinically Important Difference (MCID). Our aim is for patients to see a minimum score increase of 9 points at 3 months and 40 points at 6 months post-surgery.
One notable achievement is reaching a 100% rate in the MCID benchmark within 3 and 6 months post-surgery, underscoring substantial improvements in pain reduction, daily function, and overall quality of life.
KSS Reference:
2011 Knee Society Scoring System© (2011KSS)
The Knee Society (https://www.kneesociety.org/the-knee-society-score)
MCID Reference:
Van der Wees, P.J., Wammes, J.J.G., Akkermans, R.P. et al. Patient-reported health outcomes after total hip and knee surgery in a Dutch University Hospital Setting: results of twenty years clinical registry. BMC Musculoskelet Disord 18, 97 (2017). https://doi.org/10.1186/s12891-017-1455-y
Lizaur-Utrilla, A., Gonzalez-Parreño, S., Martinez-Mendez, D. et al. Minimal clinically important differences and substantial clinical benefits for Knee Society Scores. Knee Surg Sports Traumatol Arthrosc 28, 1473–1478 (2020). https://doi.org/10.1007/s00167-019-05543-x
https://d-nb.info/1212656903/34
Anterior Cruciate Ligament Reconstruction (ACLR) is a surgical intervention aimed at replacing a damaged ligament, requiring a delicate blend of precision and excellence. At Gleneagles Hospital Kuala Lumpur, our commitment extends beyond technical proficiency to encompass stringent adherence to quality indicators.
Our 2023 performance statistics not only reflect exceptional results but also demonstrate our unwavering focus on patient safety. By surpassing international benchmarks in key areas such as prophylactic antibiotic administration, blood transfusion rates, complications, readmission prevention, and post-operative rehabilitation, we continuously strive to assure our patients of a level of care that goes above and beyond established standards.
Patient’s Journey
Patient visits doctor to determine if ACLR is recommended. | Patient is referred for same-day pre-operative physiotherapy. | PROMs (KSS) survey and pre-operative physiotherapy are conducted for the patient in rehab. | Patient undergoes surgery in GKL | Physiotherapy is administered for the patient during admission until discharge. | The patient attends physiotherapy sessions for three months. *3 months post-surgery PROMs (KSS) survey is conducted again to assess the patient's progress. | The patient continues physiotherapy sessions for an additional three months. *6 months post-surgery PROMs (KSS) survey is conducted to monitor the patient's progress. |
ACLR Surgery Outcomes: Insights from 2023 Data Analysis
ACLR International Benchmark Reference:
Annals of Medicine and Surgery: Analysis of postoperative complications following elective arthroscopic surgeries of the knee- a retrospective cohort study
The Knee: Complications following anterior cruciate ligament reconstruction in the English NHS
Knee Surgery, Sports Traumatology, Arthroscopy: Inpatient admission following anterior cruciate ligament reconstruction is associated with higher postoperative complications
Knee Surgery, Sports Traumatology, Arthroscopy: Procedure length is independently associated with overnight hospital stay and 30-day readmission following anterior cruciate ligament reconstruction
Arthroscopy, Sports Medicine, and Rehabilitation: Operative Time Less Than 1.5 Hours, Male Sex, Dependent Functional Status, Presence of Dyspnea, and Reoperations Within 30 days Are Independent Risk Factors for Readmission After ACLR
Hysterectomy, a surgical intervention for uterine removal, constitutes a pivotal decision in women's health. At Gleneagles Hospital Kuala Lumpur, we comprehend the gravity of this choice and provide tailored care for conditions like uterine fibroids, endometriosis, abnormal uterine bleeding, and gynaecologic cancer.
Our dedication to excellence is underscored by our 2022 and 2023 statistics, showcasing minimal complication rates, successful laparoscopic procedures, and unwavering adherence to international safety benchmarks.
Inclusion factors for hysterectomy are as follow:
- Total Abdominal Hysterectomy
- Subtotal Abdominal Hysterectomy
- Hysterectomy and removal of adnexa
- Vaginal Hysterectomy including laparoscopically assisted
- Robotic Hysterectomy
- 3D Laparoscopic Hysterectomy
- Laparoscopic Hysterectomy/Laparoscopic Hysterectomy + or +/- salpingo-oophorectomy
- Laparoscopy and Therapeutic procedures including laser, diathermy and destruction e.g., endometriosis, adhesiolysis, tubal surgery and non- cancerous solid tumours
Hysterectomy Outcomes: Insights from 2022 and 2023 Data Analysis
Hysterectomy International Benchmark Reference:
Blood Transfusion given: https://www.hindawi.com/journals/ogi/2018/3802532/
Conversion to laparotomy: https://www.jmig.org/article/S1553-4650(15)01667-2/fulltext, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772131/
Complications: https://www.ajog.org/article/S0002-9378(16)30437-9/fulltext#secsectitle0075
Ontario – Quality-based Procedures Clinical Handbook for Hysterectomy by Ministry of Health & Long-Term Care
Laparoscopic Cholecystectomy, the surgical removal of the gallbladder, is one of the many procedures where we implement our Value Driven Outcome (VDO) approach. At Gleneagles Hospital Kuala Lumpur, we ensure that this minimally invasive procedure is performed with the utmost precision and care. By utilizing advanced laparoscopic techniques, we minimize patient discomfort, reduce recovery times, and enhance overall surgical outcomes.
Our adherence to stringent quality indicators allows us to maintain high standards of care and achieve superior clinical results. Patients undergoing Laparoscopic Cholecystectomy at GKL can expect a seamless surgical experience with a focus on safety, efficiency, and effective pain management.
Inclusion factors of Laparoscopic Cholecystectomy are as follow:
- Elective Laparoscopic Cholecystectomy
Exclusion factors of Laparoscopic Cholecystectomy are as follow:
- Emergency (empyema and gangrenous gallbladder)
- Open Cholecystectomy
- Patient under 18 years old
Laparoscopic Cholecystectomy: Insights from 2023 Data Analysis
Reference
- EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones European Association for the Study of the Liver (EASL)
- NATIONAL INSTITUTES OF HEALTH Office of Medical Applications of Research Gallstones and Laparoscopic Cholecystectomy
- Association of American Physicians and Surgeons
- Association of Surgeons of Great Britain & Ireland
- SAGES : https://www.sages.org/safe-cholecystectomy-program/
- National Institute for Health and Care Excellence (NICE)
Colonoscopy is an essential procedure for maintaining digestive health and preventing serious conditions. At Gleneagles Hospital Kuala Lumpur, our experienced gastroenterologists use advanced techniques to examine the inner lining of the colon and rectum. This procedure helps detect polyps, tumors, and other abnormalities early, allowing for prompt intervention.
We prioritize patient safety and comfort at every step of the process. Our dedicated team ensures a sterile and controlled environment, adhering to stringent safety protocols to minimize any risk of infection or complications. Regular colonoscopies are key to early detection and treatment, providing you with peace of mind and better health outcomes.
Commitment to International Quality Benchmarks
At Gleneagles Hospital Kuala Lumpur, achieving international benchmarks for several important quality indicators underscores our dedication to providing top-tier colonoscopy services:
- Cecal Intubation Rate
The cecal intubation rate refers to the percentage of colonoscopies reaching and visualizing the whole cecum and its landmark. A complete bowel examination is a prerequisite for thorough and reliable inspection of the mucosa in search of suspicious lesions. A low cecal intubation rate is commonly associated with increased risk of interval colorectal cancer. An incomplete colonoscopy causes an increase in treatment cost and patient comfort as the examination needs to be repeated [1].
- Adequate Bowel Preparation Rate
Past studies have demonstrated that the quality of bowel preparation affects the cecal intubation rate and detection of adenoma (benign tumours). An inadequate bowel preparation causes increased costs and patient inconvenience as the procedure needs to be rescheduled to a later date. An adequate bowel preparation rate is defined as achieving a Boston Bowel Preparation Rate Scale (BBPS) score of ≥ 6, with each segment of the bowel (ascending, transverse and descending) registering a score of ≥ 2 [1].
- Adenoma Detection Rate for patients ≥ 50 years old
The aim of colonoscopy is to reduce the complications and death from colorectal cancer via early detection of tumours at an earlier and more treatable stage and through removal of pre-cancerous adenomas [2]. Adonomas are non-cancerous (benign polyps) that have the potential to develop into cancerous adenomas (adenocarcinoma) [3]. Hence, the Adenoma Detection Rate (ADR) is utilized to gauge the sufficient inspection at screening or diagnostic colonoscopy in patients aged 50 and more. ADR is defined as the proportion of colonoscopies that detect at least one histologically confirmed colorectal adenoma or adenocarcinoma [1,2].
Inclusion factors of Colonoscopy are as follow:
- Colonoscopy procedures (fiber optic colonoscopy plus/ minus excision/ destruction lesion and colonoscopy with polypectomy)
- Patients who are going through gastroscopy and colonoscopy in the same session
- Elective/ daycare colonoscopies
Exclusion factors of Colonoscopy are as follow:
- Inpatient referrals
- Emergency Colonoscopy
- Patients less than 18 years old
- Patients with hemicolectomy
- Absconded/ AOR (“at own risk’) discharge
Colonoscopy: Overview of 2023 Data Analysis
Reference
- Kaminski MF, Thomas-Gibson S, Bugajski M, Bretthauer M, Rees CJ, Dekker E, Hoff G, Jover R, Suchanek S, Ferlitsch M, Anderson J. Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. United European gastroenterology journal. 2017 Apr;5(3):309-34.
- Corley DA, Jensen CD, Marks AR, Zhao WK, Lee JK, Doubeni CA, Zauber AG, De Boer J, Fireman BH, Schottinger JE, Quinn VP. Adenoma detection rate and risk of colorectal cancer and death. New england journal of medicine. 2014 Apr 3;370(14):1298-306.
- UpToDate. Patient education: Colon polyps (Beyond the Basics). [Online].; 2019 [cited 2022 August. Available from: https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
In the pursuit of healthcare excellence, Gleneagles Hospital Kuala Lumpur places a distinct emphasis on a fundamental yet crucial aspect—hand hygiene. More than just a regulatory requirement, our commitment to maintaining the highest standards of cleanliness by embracing the principle of "clean hands save lives."
Through the diligent efforts of our infection control nurses, who conduct random observations during their daily rounds, we ensure that hand hygiene practices are upheld across diverse staff members, spanning nurses, doctors, allied health, and housekeeping personnel, particularly in patient wards. With an unwavering dedication to this core principle, our hand hygiene data consistently surpasses industry benchmarks, reflecting our steadfast commitment to creating a safe and hygienic environment for the benefit of our patients and the entire healthcare community.
Hand Hygiene Outcomes: Insights from 2021 to 2023 Data Analysis
Average Yearly Compliance Rate
2021 - 94.8%
2022 - 96.0%
2023 - 95.8%
*benchmark at 90%
Gleneagles Hospital Kuala Lumpur (GKL) is one of the leading private hospitals in Malaysia's metropolitan capital of Kuala Lumpur and is a 376-bedded hospital that offers patients a comfortable ambience with outstanding medical care. A part of IHH Healthcare, GKL has grown into a highly respected and reputable healthcare service provider in Malaysia and the Southeast Asian region; providing excellent professional healthcare services to local and international patients.
Our commitment to excellence is evident through continuous enhancements to our hospital facilities and investments in cutting-edge technology, setting us apart in the industry. GKL is committed to the provision of safe and quality healthcare and is proud to have a team of highly qualified and experienced medical professionals, consultants, and nurses who go the extra mile to ensure an exceptional patient experience.
GKL is also home to some of the most advanced medical technologies and procedures available such as:
Gamma Knife Radiosurgery – A breakthrough in the medical field; as way to treat not only brain tumours but also vascular malformations and functional disorders through a minimally invasive way. The treatment procedure is simple, painless, straightforward and provides better outcomes as compared to traditional brain surgery.
Da Vinci Si Surgical System – A surgical platform designed to enable complex surgery by using a minimally invasive approach. Powered by robotic technology, Da Vinci Si surgical system allows surgeons to perform intricate surgeries with utmost meticulousness.
Download our E-Corporate Brochure here: https://online.flippingbook.com/view/176133662/
Since 1996, GKL has provided high-quality healthcare, complemented by friendly and professional staff. As we strive to deliver excellent healthcare and patient services to our community, a good measure of our performance is recognised in the form of awards and accreditation by third-party institutions.
GKL was one of the first private hospitals in Malaysia to be accredited by the US-based Joint Commission International (JCI); while locally we are accredited by the Malaysian Society for Quality in Health (MSQH).
In addition, other recent notable awards that attest to the quality of care at GKL include:
Top 250 World’s Best Hospital 2024
#1 World’s Best Hospital 2024 - Malaysia
Hospital of the Year in Malaysia by GlobalHealth Asia-Pacific 2024
Malaysia Technology Excellence Awards 2024Robotics - Healthcare
Customer Value Leadership Award 2023
Global Health Asia Pacific Awards 2023Hospital of the Year in Malaysia by GlobalHealth Asia-Pacific 2023
Customer Care Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Endocrinology Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Gastroenterology Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
ICU Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Neurology Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Prostate Care Service Provider of the year in Asia-Pacific by GlobalHealth Asia-Pacific 2023
Reader’s Digest Trusted Brand 2023
Malaysia Health & Wellness Awards 2022
Corporate Social Responsibility
Malaysia Technology Excellence Awards 2023
Medical Technology (Healthcare)
Healthcare Asia Awards 2023
Service Innovation of the Year – Malaysia
Corporate Social Responsibility
IHH Summit 2022
IHH GCEO Clinical Award for Clinical Effective 2022
Global Health Asia Pacific Awards 2022
Hospital Of The Year In Malaysia 2022
Value Based Hospital Of The Year In Asia-Pacific 2022
Endocrinology Service Provider OF The Year In Asia-Pacific 2022
Bariatric Service Provider Of The Year In Asia-Pacific 2022
Global Health Asia Pacific Awards 2021
Value Based Hospital Of The Year in The Asia-Pacific 2021
Diabetes Service Provider Of The Year In Asia-Pacific 2021
Endocrinology Service Provider Of The Year In Asia-Pacific 2021
Global Health Asia Pacific Awards 2020
Bariatric Service Provider Of The Year In Asia-Pacific 2020
At Gleneagles Hospital Kuala Lumpur, we are committed to conducting business with the utmost integrity, with a zero-tolerance policy for bribery and corruption.
Our anti-bribery and corruption guidelines (available here) outline the principles that guide our actions and decisions.
These guidelines serve as a resource for our employees, partners, suppliers, and stakeholders, providing clear guidance on identifying, preventing, and reporting instances of bribery and corruption. By adhering to these principles, we contribute to fostering a culture of trust and integrity within our organisation and beyond.
We encourage all individuals associated with Gleneagles Hospital Kuala Lumpur to familiarise themselves with these guidelines to promote a culture of ethical conduct and compliance.
Elevating Healthcare through Value-Driven Outcomes (VDO)
At Gleneagles Hospital Kuala Lumpur, we believe in delivering healthcare that truly matters. Our commitment to clinical excellence is exemplified through our Value-Driven Outcomes (VDO) initiatives. Aligned with international standards, our healthcare professionals drive interventions and enhance treatment value for our patients. Leveraging data, we ensure accountability and transparency, offering confidence that Gleneagles Hospital Kuala Lumpur delivers unparalleled value-for-money services.
Objectives:
- Measuring Outcomes that Matter to Patients
At Gleneagles Hospital Kuala Lumpur, our VDO initiative places a paramount focus on outcomes that truly impact our patients. We diligently measure and analyze the results that matter most to individuals, ensuring that their healthcare journey is centered around achieving meaningful and personalized goals.
- Using Data to Promote Value Improvement
Data is the cornerstone of our commitment to excellence. Gleneagles Hospital Kuala Lumpur harnesses the power of data to inform and drive interventions that enhance the overall value of our treatments. This data-driven approach allows us to adapt and continuously improve, ensuring that our patients receive the most effective and personalized care.
- Embarking on Cost Analysis to Reduce Wastage
Recognizing the importance of responsible resource allocation, our VDO initiative includes a comprehensive cost analysis to identify and minimize wastage. By optimizing our resources, we aim to provide high-quality healthcare that is not only effective but also efficient, maximizing the value for both patients and the healthcare system.
Knee surgery, particularly Total Knee Replacement (TKR), is a complex procedure, especially for those suffering from knee osteoarthritis. At Gleneagles Hospital Kuala Lumpur, we recognize the challenges and prioritize the patient's voice in our approach to outcomes. We meticulously evaluate each TKR surgery at 3-month and 6-month intervals, utilizing the Knee Society Score (KSS) to measure and compare results against Minimal Clinically Important Difference (MCID) and Substantial Targets.
This precision-driven approach ensures that the impact of TKR transcends the surgical realm, resulting in significant improvements in both quality of life and mobility. This exemplifies our commitment to comprehensive and transformative orthopaedic care.
Patient’s Journey
Patient visits doctor to determine if TKR is recommended. | Patient is referred for same-day pre-operative physiotherapy. | PROMs (KSS) survey and pre-operative physiotherapy are conducted for the patient in rehab. | Patient undergoes surgery in GKL | Physiotherapy is administered for the patient during admission until discharge. | The patient attends physiotherapy sessions for three months. *3 months post-surgery PROMs (KSS) survey is conducted again to assess the patient's progress. | The patient continues physiotherapy sessions for an additional three months. *6 months post-surgery PROMs (KSS) survey is conducted to monitor the patient's progress. |
Patient Reported Outcome Measures (PROMs) Survey
Through our Patient Reported Outcome Measures (PROMs) Survey, we carefully measure our patient’s perception of health and functional well-being post-TKR surgery. PROMs are standardized questionnaires completed by patients, providing insights into health perception and functional well-being. The hospital conducts these surveys before and after treatment to understand any changes in the patient’s condition and quality of life. Working closely with patients and clinicians, PROMs give us a full picture of our patients' health and identify opportunities for continuous improvement.
Minimal Clinically Important Difference (MCID)
When it comes to knee surgery, Gleneagles Hospital Kuala Lumpur uses a benchmark called Minimal Clinically Important Difference (MCID). Our aim is for patients to see a minimum score increase of 9 points at 3 months and 40 points at 6 months post-surgery.
One notable achievement is reaching a 100% rate in the MCID benchmark within 3 and 6 months post-surgery, underscoring substantial improvements in pain reduction, daily function, and overall quality of life.
KSS Reference:
2011 Knee Society Scoring System© (2011KSS)
The Knee Society (https://www.kneesociety.org/the-knee-society-score)
MCID Reference:
Van der Wees, P.J., Wammes, J.J.G., Akkermans, R.P. et al. Patient-reported health outcomes after total hip and knee surgery in a Dutch University Hospital Setting: results of twenty years clinical registry. BMC Musculoskelet Disord 18, 97 (2017). https://doi.org/10.1186/s12891-017-1455-y
Lizaur-Utrilla, A., Gonzalez-Parreño, S., Martinez-Mendez, D. et al. Minimal clinically important differences and substantial clinical benefits for Knee Society Scores. Knee Surg Sports Traumatol Arthrosc 28, 1473–1478 (2020). https://doi.org/10.1007/s00167-019-05543-x
https://d-nb.info/1212656903/34
Anterior Cruciate Ligament Reconstruction (ACLR) is a surgical intervention aimed at replacing a damaged ligament, requiring a delicate blend of precision and excellence. At Gleneagles Hospital Kuala Lumpur, our commitment extends beyond technical proficiency to encompass stringent adherence to quality indicators.
Our 2023 performance statistics not only reflect exceptional results but also demonstrate our unwavering focus on patient safety. By surpassing international benchmarks in key areas such as prophylactic antibiotic administration, blood transfusion rates, complications, readmission prevention, and post-operative rehabilitation, we continuously strive to assure our patients of a level of care that goes above and beyond established standards.
Patient’s Journey
Patient visits doctor to determine if ACLR is recommended. | Patient is referred for same-day pre-operative physiotherapy. | PROMs (KSS) survey and pre-operative physiotherapy are conducted for the patient in rehab. | Patient undergoes surgery in GKL | Physiotherapy is administered for the patient during admission until discharge. | The patient attends physiotherapy sessions for three months. *3 months post-surgery PROMs (KSS) survey is conducted again to assess the patient's progress. | The patient continues physiotherapy sessions for an additional three months. *6 months post-surgery PROMs (KSS) survey is conducted to monitor the patient's progress. |
ACLR Surgery Outcomes: Insights from 2023 Data Analysis
ACLR International Benchmark Reference:
Annals of Medicine and Surgery: Analysis of postoperative complications following elective arthroscopic surgeries of the knee- a retrospective cohort study
The Knee: Complications following anterior cruciate ligament reconstruction in the English NHS
Knee Surgery, Sports Traumatology, Arthroscopy: Inpatient admission following anterior cruciate ligament reconstruction is associated with higher postoperative complications
Knee Surgery, Sports Traumatology, Arthroscopy: Procedure length is independently associated with overnight hospital stay and 30-day readmission following anterior cruciate ligament reconstruction
Arthroscopy, Sports Medicine, and Rehabilitation: Operative Time Less Than 1.5 Hours, Male Sex, Dependent Functional Status, Presence of Dyspnea, and Reoperations Within 30 days Are Independent Risk Factors for Readmission After ACLR
Hysterectomy, a surgical intervention for uterine removal, constitutes a pivotal decision in women's health. At Gleneagles Hospital Kuala Lumpur, we comprehend the gravity of this choice and provide tailored care for conditions like uterine fibroids, endometriosis, abnormal uterine bleeding, and gynaecologic cancer.
Our dedication to excellence is underscored by our 2022 and 2023 statistics, showcasing minimal complication rates, successful laparoscopic procedures, and unwavering adherence to international safety benchmarks.
Inclusion factors for hysterectomy are as follow:
- Total Abdominal Hysterectomy
- Subtotal Abdominal Hysterectomy
- Hysterectomy and removal of adnexa
- Vaginal Hysterectomy including laparoscopically assisted
- Robotic Hysterectomy
- 3D Laparoscopic Hysterectomy
- Laparoscopic Hysterectomy/Laparoscopic Hysterectomy + or +/- salpingo-oophorectomy
- Laparoscopy and Therapeutic procedures including laser, diathermy and destruction e.g., endometriosis, adhesiolysis, tubal surgery and non- cancerous solid tumours
Hysterectomy Outcomes: Insights from 2022 and 2023 Data Analysis
Hysterectomy International Benchmark Reference:
Blood Transfusion given: https://www.hindawi.com/journals/ogi/2018/3802532/
Conversion to laparotomy: https://www.jmig.org/article/S1553-4650(15)01667-2/fulltext, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772131/
Complications: https://www.ajog.org/article/S0002-9378(16)30437-9/fulltext#secsectitle0075
Ontario – Quality-based Procedures Clinical Handbook for Hysterectomy by Ministry of Health & Long-Term Care
Laparoscopic Cholecystectomy, the surgical removal of the gallbladder, is one of the many procedures where we implement our Value Driven Outcome (VDO) approach. At Gleneagles Hospital Kuala Lumpur, we ensure that this minimally invasive procedure is performed with the utmost precision and care. By utilizing advanced laparoscopic techniques, we minimize patient discomfort, reduce recovery times, and enhance overall surgical outcomes.
Our adherence to stringent quality indicators allows us to maintain high standards of care and achieve superior clinical results. Patients undergoing Laparoscopic Cholecystectomy at GKL can expect a seamless surgical experience with a focus on safety, efficiency, and effective pain management.
Inclusion factors of Laparoscopic Cholecystectomy are as follow:
- Elective Laparoscopic Cholecystectomy
Exclusion factors of Laparoscopic Cholecystectomy are as follow:
- Emergency (empyema and gangrenous gallbladder)
- Open Cholecystectomy
- Patient under 18 years old
Laparoscopic Cholecystectomy: Insights from 2023 Data Analysis
Reference
- EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones European Association for the Study of the Liver (EASL)
- NATIONAL INSTITUTES OF HEALTH Office of Medical Applications of Research Gallstones and Laparoscopic Cholecystectomy
- Association of American Physicians and Surgeons
- Association of Surgeons of Great Britain & Ireland
- SAGES : https://www.sages.org/safe-cholecystectomy-program/
- National Institute for Health and Care Excellence (NICE)
Colonoscopy is an essential procedure for maintaining digestive health and preventing serious conditions. At Gleneagles Hospital Kuala Lumpur, our experienced gastroenterologists use advanced techniques to examine the inner lining of the colon and rectum. This procedure helps detect polyps, tumors, and other abnormalities early, allowing for prompt intervention.
We prioritize patient safety and comfort at every step of the process. Our dedicated team ensures a sterile and controlled environment, adhering to stringent safety protocols to minimize any risk of infection or complications. Regular colonoscopies are key to early detection and treatment, providing you with peace of mind and better health outcomes.
Commitment to International Quality Benchmarks
At Gleneagles Hospital Kuala Lumpur, achieving international benchmarks for several important quality indicators underscores our dedication to providing top-tier colonoscopy services:
- Cecal Intubation Rate
The cecal intubation rate refers to the percentage of colonoscopies reaching and visualizing the whole cecum and its landmark. A complete bowel examination is a prerequisite for thorough and reliable inspection of the mucosa in search of suspicious lesions. A low cecal intubation rate is commonly associated with increased risk of interval colorectal cancer. An incomplete colonoscopy causes an increase in treatment cost and patient comfort as the examination needs to be repeated [1].
- Adequate Bowel Preparation Rate
Past studies have demonstrated that the quality of bowel preparation affects the cecal intubation rate and detection of adenoma (benign tumours). An inadequate bowel preparation causes increased costs and patient inconvenience as the procedure needs to be rescheduled to a later date. An adequate bowel preparation rate is defined as achieving a Boston Bowel Preparation Rate Scale (BBPS) score of ≥ 6, with each segment of the bowel (ascending, transverse and descending) registering a score of ≥ 2 [1].
- Adenoma Detection Rate for patients ≥ 50 years old
The aim of colonoscopy is to reduce the complications and death from colorectal cancer via early detection of tumours at an earlier and more treatable stage and through removal of pre-cancerous adenomas [2]. Adonomas are non-cancerous (benign polyps) that have the potential to develop into cancerous adenomas (adenocarcinoma) [3]. Hence, the Adenoma Detection Rate (ADR) is utilized to gauge the sufficient inspection at screening or diagnostic colonoscopy in patients aged 50 and more. ADR is defined as the proportion of colonoscopies that detect at least one histologically confirmed colorectal adenoma or adenocarcinoma [1,2].
Inclusion factors of Colonoscopy are as follow:
- Colonoscopy procedures (fiber optic colonoscopy plus/ minus excision/ destruction lesion and colonoscopy with polypectomy)
- Patients who are going through gastroscopy and colonoscopy in the same session
- Elective/ daycare colonoscopies
Exclusion factors of Colonoscopy are as follow:
- Inpatient referrals
- Emergency Colonoscopy
- Patients less than 18 years old
- Patients with hemicolectomy
- Absconded/ AOR (“at own risk’) discharge
Colonoscopy: Overview of 2023 Data Analysis
Reference
- Kaminski MF, Thomas-Gibson S, Bugajski M, Bretthauer M, Rees CJ, Dekker E, Hoff G, Jover R, Suchanek S, Ferlitsch M, Anderson J. Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. United European gastroenterology journal. 2017 Apr;5(3):309-34.
- Corley DA, Jensen CD, Marks AR, Zhao WK, Lee JK, Doubeni CA, Zauber AG, De Boer J, Fireman BH, Schottinger JE, Quinn VP. Adenoma detection rate and risk of colorectal cancer and death. New england journal of medicine. 2014 Apr 3;370(14):1298-306.
- UpToDate. Patient education: Colon polyps (Beyond the Basics). [Online].; 2019 [cited 2022 August. Available from: https://www.uptodate.com/contents/colon-polyps-beyond-the-basics
In the pursuit of healthcare excellence, Gleneagles Hospital Kuala Lumpur places a distinct emphasis on a fundamental yet crucial aspect—hand hygiene. More than just a regulatory requirement, our commitment to maintaining the highest standards of cleanliness by embracing the principle of "clean hands save lives."
Through the diligent efforts of our infection control nurses, who conduct random observations during their daily rounds, we ensure that hand hygiene practices are upheld across diverse staff members, spanning nurses, doctors, allied health, and housekeeping personnel, particularly in patient wards. With an unwavering dedication to this core principle, our hand hygiene data consistently surpasses industry benchmarks, reflecting our steadfast commitment to creating a safe and hygienic environment for the benefit of our patients and the entire healthcare community.
Hand Hygiene Outcomes: Insights from 2021 to 2023 Data Analysis
Average Yearly Compliance Rate
2021 - 94.8%
2022 - 96.0%
2023 - 95.8%
*benchmark at 90%
Contact Information
Gleneagles Hospital is part of IHH Healthcare, one of the world’s largest healthcare groups.
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