Clinical Excellence | Gleneagles Hospital Penang
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Clinical Excellence
Gleneagles Hospital Penang
Clinical Excellence

Clinical Excellence

Value Driven Outcome

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Introduction

At Gleneagles Hospital Penang, we are committed to providing care that truly makes a difference care that’s high in quality, centered on you, and delivered with compassion. Gleneagles Hospital Penang has embraced the Value Driven Outcome concept since year 2019.

Our Value Driven Care approach means focusing on what matters most: better health outcomes, better experiences, and better value for every patient. By using our resources wisely and continuously improving how we care for you, we’re building a healthier, more sustainable future for our patients and community.

Clinical Excellence Value Thumbnail

What is Value Driven Outcome?

Value Driven Outcome (VDO) means providing high quality, safe, and patient-centered care while using our resource wisely. In simple terms: Better health results, better patient experience, and better use of resources.

Why It Matters:

Our VDO framework helps ensure that every patient benefits from:

  • Shorter recovery times and better health outcomes
  • Clear communication and compassionate care
  • Fair, transparent, and responsible use of healthcare resources
Patient
  • • Lower costs
  • • Better outcomes
Providers
  • • Patient satisfaction
  • • Improved efficiency
Payers
  • • Stronger cost controls
  • • Reduced risks
Society
  • • Reduced healthcare spending
  • • Improved overall healthcare

Our Focus:

High Quality Care

We use evidence based practices to ensure safe and effective treatment for every patient.

Patient Centered Experience

We listen to your needs, involve you in decisions, and make your comfort our priority.

Efficient Use of Resources

By reducing waste and optimizing care processes, we make healthcare more sustainable.

Continuous Improvement

We measure outcomes transparently and use data to improve care delivery.

Together Toward Better Value in Healthcare

At Gleneagles Hospital Penang, we’re working every day to deliver care that truly makes a different for you, your family, and our community.

VDO Procedures

At Gleneagles Hospital Penang, we provide a range of specialized procedures to help our patients recover, move better, and live healthier lives. Below are the procedures we would like to share with you.

All our procedures are performed by experienced specialists using advanced medical technology and evidence based practices. Our goal is to ensure safe, effective, and compassionate care every step of the way.

Introduction
What it is

A Colonoscopy is a procedure where a doctor uses a flexible tube with a camera to examine the inside of your large intestine (colon).

Why it’s done

It helps detect early signs of colon cancer, polyps, inflammation, or other digestive problems.

Benefits
  • Early detection and removal of polyps before they become cancerous
  • Helps diagnose digestive symptoms like bleeding or abdominal pain
  • Improves long long-term colon health
Colonoscopy Clinical Indicators

At our hospital, we follow strict quality measures to ensure your colonoscopy is safe and effective:

  • Complete Examination: Caecal Intubation Rate
    We ensure the scope reaches the start of your large intestine (caecum) for a thorough check.
  • No early Readmission for complications within 72 hours post-colonoscopy
    We aim for no hospital readmission within 72 hours after your procedure due to complications.
  • Safe Procedure: No complication during admission
    We work to prevent any complications during your hospital stay for the colonoscopy.
  • Effective Bowel preparation: Boston Bowel Preparation Score (BBPS) >= 6
    Your bowel needs to be clean enough for clear visibility, measured by a quality score of 6 or above.
  • Careful inspection: Withdrawal Time ≥ 6 min
    We spend at least 6 minutes carefully withdrawing the scope to thoroughly examine your colon.
  • Polyp and Adenoma Detection Rate ≥ 50 years old
    For patients aged 50 and above, we monitor how often polyps (growths) are found during screening and track the detection of adenomas, which are precancerous growths.

Our commitment is to provide you with the safest, most effective colonoscopy experience. If you have any questions, please discuss them with your healthcare provider.

Colonoscopy Updates

Introduction
What it is

Also known as angioplasty with stent, PCI is a minimally invasive procedure to open blocked or narrowed heart arteries.

Why it’s done

It helps restore normal blood flow to the heart, reducing chest pain and preventing heart attacks.

Benefits
  • Quick recovery compared to open heart surgery
  • Relief from chest pain (angina)
  • Improved heart function and quality of life
PCI Clinical Indicators

At our hospital, we ensure that patients undergoing PCI receive safe and effective care. Key quality measures we monitor include:

  • No specific cardiac readmission within 30 days
    Patients should not need to return to the hospital for heart related issues within 30 days after the procedure.
  • No In hospital mortality
    Our goal is zero mortality during the hospital stay for PCI.
  • Medication at Discharge
    Patient are prescribed Dual Antiplatelet Therapy (DAPT), Thienopyridines, and Statins prescribed at discharge to reduce future heart problems
  • Avoiding Emergency Surgeries
    No patients require emergency coronary bypass surgery (CABG) or repeat PCI after the procedure.
  • No Vascular Complication
    No major blood vessel problems should occur during or after PCI.
  • No Post-procedure neurological stroke
    Patients should not experience a neurological stroke related to the procedure.
  • No Post-procedure renal failure requiring dialysis
    Patients should not require dialysis due to kidney complications after PCI.

These measures reflect our commitment to providing safe, high quality heart care. Our team monitors every patient closely to ens ure the best outcomes.

PCI Updates
Patient Reported Outcome Measures – PCI Updates

At Gleneagles Hospital Penang, your experience and recovery after Percutaneous Coronary Intervention (PCI) are just as important as the procedure itself. We track Patient Reported Outcome Measures (PROMs) to understand how the treatment affects your heart health, daily life, and overall well being.

What Are Patient-Reported Outcomes?

PROMs are surveys or questionnaires you complete to share your own perspective on your symptoms, physical abilities, and quality of life after PCI.

What We Measure After PCI

Patients may report on:

  • Chest pain or angina relief – how symptoms have improved since the procedure
  • Physical activity and endurance – your ability to walk, exercise, and perform daily tasks
  • Emotional well being – anxiety, confidence, or stress related to heart health
  • Satisfaction with care – your experience with the procedure, hospital, and recovery support
Why It Matters

Your feedback helps us:

  • Monitor recovery and detect potential complications early
  • Tailor cardiac rehabilitation and lifestyle advice
  • Improve care and outcomes for future patients
Our Goal

By combining advanced PCI techniques with your feedback, we aim to reduce symptoms, restore heart function, and help you return to a healthy, active life with confidence.

PCI PROM SAQ-7

The SAQ-7 (Seattle Angina Questionnaire – 7 items) is a short questionnaire used to measure how angina (chest pain) affects your daily life, physical function, and quality of life after PCI procedure.

Patients complete the SAQ-7 before PCI and at follow-ups 1 month post-PCI, to monitor recovery. By comparing your scores over time shows whether your treatment has led to meaningful improvements in your symptoms and daily life. Minimum Clinically Important Difference (MCID) refers to the smallest change in your SAQ-7 score that is considered meaningful to you. If your score improves by at least the MCID, it means your recovery or treatment benefit is noticeable and meaningful in your daily life.

It is noted that the patients are experiencing improvements in their physical limitations and a reduction in angina frequency following the procedure. This reflects a significant enhancement in their quality of life post-procedure.

PCI PROM SAQ-7 Year 2023 – September 2025
Remark:
P.L= Physical Limitation, A .F= Angina Frequency, QoL = Quality of Life

Introduction
What it is

A Total Knee Replacement is a surgical procedure to replace a damaged or worn out knee joint with an artificial implant.

Why it’s done

It helps relieve pain, improve movement, and restore function in people with severe arthritis or knee injury.

Benefits
  • Significant pain relief
  • Better mobility and flexibility
  • Improved quality of life and independence
TKR Clinical Indicators

At our hospital, your safety and recovery are our top priorities. For patients undergoing TKR surgery, we carefully monitor several key areas to provide the highest quality care:

  • Timely Antibiotic Protection
    By giving antibiotic within an hour before surgery helps to prevent infections.
  • No Blood Transfusion given during Intraoperative or Post-surgery
    To perform the surgery and recovery smoothly without the need for a blood transfusions, reducing risks.
  • Safe hospital stay
    The patient does not experience any medical issues/ complications related to the surgery while admitted.
  • Avoiding Readmission for complications within 72 hours post-surgery
    We track and strive to prevent any hospital readmission within 72 hours after your surgery.

Our commitment is to support your healing journey from start to finish with safe, evidence based practices. If you have any questions, please speak to your care team.

TKR Updates
Patient Reported Outcome Measures – TKR Updates

At Gleneagles Hospital Penang, we believe that your experience and recovery matter just as much as the surgical result. That’s why we track Patient Reported Outcome Measures (PROMs) information you share with us about how you feel and function after your TKR.

What Are Patient-Reported Outcomes?

PROMs are direct feedback from patients about their health, without interpretation by doctors or staff. They help us understand your pain levels, mobility, daily function, and overall satisfaction after surgery at 3 months and 6 months post-operation.

What We Measure After TKR

We invite patients to share their experience through simple questionnaires at different stages of recovery. These often include:

  • Pain levels – how much discomfort you feel in your knee during rest and movement
  • Mobility and function – how well you can walk, climb stairs, and return to normal activities
  • Quality of life – how your knee replacement has improved your comfort, independence, and confidence
  • Satisfaction with surgery – your overall impression of the outcome and hospital care
Why It Matters

Your feedback helps us:

  • Understand what works best for patients
  • Continuously improve surgical techniques and rehabilitation programs
  • Support future patients with more personalized care and realistic recovery expectations
Our Goal

By listening to our patients and learning from their outcomes, we aim to ensure that every knee replacement leads to lasting relief, better movement, and a return to active living.

TKR PROMS Respondent (KOOS-12) 2023 – 2024

The Minimum Clinically Important Difference (MCID) is a benchmark used in healthcare to determine whether a change in your PROM score reflects a meaningful improvement in your daily life. Rather than looking only at numerical changes, MCID helps indicate whether you feel better whether that is less pain, improved mobility, or better function after TKR surgery. Reaching the MCID means your recovery progress is noticeable and clinically valuable.

For Total Knee Replacement (TKR), we will include the patient’s pre-operative score as a reference point to determine whether their PROM results show improvement at 3 months and 6 months post-operation, as outlined below:

  • KOOS Pain Score total score MCID is baseline + 13.5 points
  • KOOS Function Score total score MCID is baseline + 15.2 points
  • KOOS QoL (Quality of Life) Score total score MCID is baseline + 8.0 points
  • KOOS 12 total score MCID is baseline + 11.1 points
TKR PROMS KOOS-12 Year 2023 – 2024

Introduction
What it is

An ACL Reconstruction repairs or replaces a torn anterior cruciate ligament one of the key ligaments that stabilize your knee.

Why it’s done

It’s often needed after sports injuries or trauma that cause knee instability or difficulty with movement.

Benefits
  • Restores knee strength and stability
  • Enables a safe return to daily or sports activities
  • Prevents further joint damage
ACL Clinical Indicators

Your safety and recovery are our top priorities at GHP. For patients undergoing ACL surgery, we carefully monitor several key areas to provide the highest quality care:

  • Timely Antibiotic Protection
    By giving antibiotic within an hour before surgery helps to prevent infections.
  • No Blood Transfusion given during Intraoperative or Post-surgery
    To perform the surgery and recovery smoothly without the need for a blood transfusions, reducing risks.
  • Safe hospital stay
    The patient does not experience any medical issues/ complications related to the surgery while admitted.
  • Avoiding Readmission for complications within 72 hours post-surgery
    We track and strive to prevent any hospital readmission within 72 hours after your surgery.
  • Pre surgery and Post-surgery Rehabilitation
    Pre-and post-surgery rehabilitation is provided to restore knee function and mobility.

Our commitment is to support your healing journey from start to finish with safe, evidence-based practices. If you have any questions, please speak to your care team.

ACL Updates
Patient Reported Outcome Measures – ACL Updates

At Gleneagles Hospital Penang, we believe that your experience and after ACL Reconstruction just as much as the surgical procedure itself. That’s why we track Patient Reported Outcome Measures (PROMS) feedback directly from you about your knee function, pain, and overall well being.

What Are Patient-Reported Outcomes?

PROMs are questionnaires or surveys you fill out about your knee health, pain, and daily activities. They help us understand how surgery has impacted your life from your perspective.

What We Measure After ACL surgery

Typical PROMs may include:

  • Pain and discomfort – how your knee feels during rest, exercise, or daily activities
  • Stability and function – how well your knee supports walking, running, or sportss
  • Return to activity – your ability to resume normal sports or hobbies
  • Quality of life and satisfaction – overall improvement in confidence and daily living
Why PROMs Matter

Your feedback allows us to:

  • Track recovery and rehabilitation progress
  • Identify areas where care or physiotherapy can be improved
  • Help future patients understand realistic recovery expectations
  • Ensure your knee regains strength, stability, and function
Our Goal

By combining surgical expertise with patient feedback, we aim for successful ACL reconstruction outcomes – helping you return to an active, confident lifestyle safely and effectively.

ACL Data Analysis – IKDC 2024

The International Knee Documentation Committee (IKDC) score is a PROM that measures knee symptoms, function, and sports activity after ACL reconstruction.

The Minimum Clinically Important Difference (MCID) is the smallest change in your IKDC score that is meaningful to you as a patient. If your score improves by at least the MCID, it means your recovery has made a noticeable and valuable difference in your pain, knee function, or ability to return to daily activities and sports.

For Anterior Cruciate Ligament reconstruction (ACL), we will include the patient’s pre-operative score as a reference point to determine whether their PROM results show improvement at 3 months and 6 months post-operation, as outlined below:

  • MCID at post-operation 3 Month = +6 score
  • Substantial Target at post-operation 6 Month = +17 score
ACL-PROM IKDC Year 2023 – 2024
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