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9th International Seminar & Workshop

Dewan Sholat Bawah. Sultan Salahudin Abdul Aziz


Syah Mosque. Selangor. Malaysia, 14-15 June 2013
SPIRITUAL SUPPORTS IN PATIENTS CARE
OUTLINE
Major Topics :
1. CONCEPT OF HOSPITAL
2. PRINCIPLES OF HEALTH SERVICES
3. IBADAH FRIENDLY HOSPITAL
4. PRACTICAL IMPLEMENTATION
5. FACILITIES
6. MARKETING
7. FINANCE AND ACCOUNTS
8. MEDICAL LEGAL ISSUES
9. HOSPITAL AND DAKWAH WORK
1. CONCEPT OF HOSPITAL IN ISLAM
Evolution of the hospital in general
Evolution of the hospital in the muslim experience
The concept of islamization
Distinguishing characteristics of the muslim hospital
Islamizing hospital management

Paper presented at 7th international seminar & workshop


"understanding & application of qur'anic principles and values in
healthcare" - December 15-17th, 2011 - Kualalumpur, Malaysia.
By Dr Omar Hasan Kasule Sr MB ChB (MUK), MPH (Harvard), DrPH
(Harvard)
2. PRINCIPLES OF HEALTH SERVICES IN ISLAM
Preventive medicine has priority over curative medicine
Balance and equilibrium in treatment modalities
The state must ensure a minimum level of health care for
all citizens
The community is responsible for health care of the
disadvantaged members of society
Medicine is a human service and not a source of wealth

2. Principles Of Health Services In Islam


2.1 Maqasid & Qawaid
2.2 Islamic Concepts Of Medicine
2.3 Islamic Medical Ethics & Physician Etiquette
2.4 Quality In Islam
2.1 UNDERSTANDING OF FUNDAMENTALS OF
LAW IN MEDICINE (MAQASID & QAWAID)

For any medical procedure to be ethical, it must conform


to and not violate any of the 5 maqasid arranged in order
of priority: diin, life, family, mind, and wealth
The 5 principles of medical care are: intention, certainty,
harm, difficulty, and custom.

Paper presented at 8th international seminar & workshop - Maqasid


and Qawaid As-Shariah in Evidence-Based-Medicine 12 September
2012 Khalid Al Walid Mosque Kualalumpur, Malaysia.
By Dr Omar Hasan Kasule Sr MB ChB (MUK), MPH (Harvard), DrPH
(Harvard)
2. Principles Of Health Services In Islam
2.1 Maqasid & Qawaid
2.2 Islamic Concepts Of Medicine
2.3 Islamic Medical Ethics & Physician Etiquette
2.4 Quality In Islam
2.2 ISLAMIC CONCEPTS OF MEDICINE
Islamic medicine does not refer to specific treatment
modalities
Islamic medicine is not the same as traditional medicine
of any Muslim community
Islamic medicine is application of Islamic values,
paradigms, and laws in the practice of medicine
Any system of medicine can be Islamized to conform to
the values of Islamic Medicine

2. Principles Of Health Services In Islam


2.1 Maqasid & Qawaid
2.2 Islamic Concepts Of Medicine
2.3 Islamic Medical Ethics & Physician Etiquette
2.4 Quality In Islam
2.3 ISLAMIC MEDICAL ETHICS &
PHYSICIAN ETIQUETTE
The physician must :
Have values, competence, and responsibility
Treat the patient with respect and kindness
Respect the patients right to consent of the incompetent
Respect the patients right to disclosure and truthfulness
Respect the patients right to privacy and confidentiality
Respect the relation of fidelity towards the patient

2. Principles Of Health Services In Islam


2.1 Maqasid & Qawaid
2.2 Islamic Concepts Of Medicine
2.3 Islamic Medical Ethics & Physician Etiquette
2.4 Quality In Islam
2.4 QUALITY IN ISLAM
Ihsan, quality, is the third and highest fundamental of our
diin after Islam and iman
A Muslim is expected to perfect whatever he does, itiqaan
The concept of ihsan should be imbued in all operations
of the hospital

2. Principles Of Health Services In Islam


2.1 Maqasid & Qawaid
2.2 Islamic Concepts Of Medicine
2.3 Islamic Medical Ethics & Physician Etiquette
2.4 Quality In Islam
3. IBADAH FRIENDLY HOSPITAL
Concept Of Ibadah In Islam
Ibadah should be understood in a more broad manner not only
prayer/fasting/zakat/haj but in everything we do provided the niat is an ikhlas
and for Allah.Thus treating patients and making pts happy is ibadah.Staff of
Islamic Hospital must understand and yakin that whatever they do must be
taken as ibadah thus widening their understanding of Islam as a complete way
of life.
Paradigm change -all for Allah- Mardhatillah
Definition Of Ibadah In Islam
A concept whereby the Hospital is geared towards providing the best facilities to
help patients/relatives and staff to perform their ibadah especially solat.
Requirement In Successful Implementation Of Ibadah Friendly
Hospital
Clear vision and mission of the establishment of the hospital
Management fully committed to integrate the program in the running of the
hospital
A committee established to plan/execute and monitor/review
4. PRACTICAL IMPLEMENTATION
Practical implementation to the hospital customers
Hospital customers devided into three categories,
those are :
Internal Customer
Owner
Employee
External Customer
Patient
Family
Intermediate Customer
Supplier
Third Party Payor
4. Practical Impelementation
4.1 Internal Customer
4.2 External Customer
4.3 Intermediate Customer
4.1 INTERNAL CUSTOMER (EMPLOYEE & OWNER)
4.1.1 Usrah
4.1.13 Concepts Of Charging Patient In
4.1.2 Tamrin (Retreat) Islamic Hospital
4.1.3 Solat Reminder 4.1.14 Zakat & Infaq As Financial
4.1.4 Opening & Closing Daily Activity Performance Indicators For Islamic
Hospital
4.1.5 Quranic Daily Motivation
4.1.6 Orientation For Ibadah Friendly 4.1.15 Syariah Board In Islamic Hospital
Hospital : Aim 4.1.16 Islamic Value In Formulation For
4.1.7 Ibadah : Especially Solat For Medical Staff By Laws
Employee
4.1.17 Islamic Value In Formulation For
4.1.8 Training For Handling Of Jenazah General Staff Scheme Of Services
4.1.9 Tilawah Alquran
4.1.18 Staff Attire
4.1.10 Continous Medical Education (CME)
4.1.11 Continous Nurse Education (CNE) 4.1.19 Industrial Relationship
4.1.12 Performance Related Pay Using KPI
(Key Performance Indicators) Based
On Islamic Concept

4. Practical Impelementation
4.1 Internal Customer
4.2 External Customer
4.3 Intermediate Customer
4.1.1 USRAH (SMALL GROUP)
Tarbiyah is essential and required for staff / doctors of Islamic Hospital.
2 important programs are USRAH and TAMRIN (Retreat)
USRAH (definition) : small group of muslims (5-10), helping each other to understand and
apply Islam in their daily life.
A leader (naqib/naqibah) is appointed to lead and ensure the running of the usrah
Frequency : weekly or every 2 weeks/monthly
Compulsory - attendance and participation
Pillars of usrah : Taaruf, Tafahum, Takaful
Programs syllabus will be monitored and advised by religious officer appointed
3 categories:
Staff usrah (2 weekly)
Naqib-naqibah (Monthly)
Doctors and families(Monthly)

4. Practical Impelementation
4.1 Internal Customer : 4.1.1
4.2 External Customer
4.3 Intermediate Customer
4.1.2 TAMRIN (RETREAT)
Program dedicated to help staff / doctors understand Islam
as way of life
Topics covered include tauhidic paradigm / concept of
quality in Islam / concept of tauhid as a basis of
commitment for Islam / Ahsan
Minimal 2 days - 1 night
Programs include-Jemaah prayers/Recitation of al mathurat
/ Tahajud / Qiyamulail / Group discussion / Physical
activities with group binding message

4. Practical Impelementation
4.1 Internal Customer : 4.1.2
4.2 External Customer
4.3 Intermediate Customer
4.1.3 SOLAT REMINDER
General-in house Audio-TV / Radio-5 reminder before
prayer
Guidelines to assist patients , relatives and staff to follow
regarding ibadah during this dharurat periods (Application
of concept of rukhsah .
SOP by nurses / staff / religious officers / doctors-inpatients
who are well enough to pray-jamaq qasar / taqdim /
ablution / tayammum
Patients and staff planning for long operation / timing of
elective operation .

4. Practical Impelementation
4.1 Internal Customer : 4.1.3
4.2 External Customer
4.3 Intermediate Customer
4.1.4 OPENING & CLOSING
DAILY ACTIVITY
Remind staff to open and close their daily activities by the
name of Allah
Doa matsurat in every morning and afternoon broadcast
to the patient room on request
Pray for patients in every morning and afternoon - broadcast
to the patient room on request
Handover procedure for medical and nurse officers, contain
pray, briefly nasihah / motivation and patients condition.

4. Practical Impelementation
4.1 Internal Customer : 4.1.4
4.2 External Customer
4.3 Intermediate Customer
4.1.5 QURANIC DAILY MOTIVATION
Giving motivation in every morning, maximum 5 minutes
All Staff have schelude to be the motivator in their unit /
departement or hospital daily report
Opportunity for the participants (2 3 persons) for giving
their opinion about the topic of the motivation
Recite Quran as the source of the topic of the motivation

4. Practical Impelementation
4.1 Internal Customer : 4.1.5
4.2 External Customer
4.3 Intermediate Customer
4.1.6 ORIENTATION FOR IFH : AIM
Vision and mission of hospital by hospital director
Culture of hospital
Briefing on ibadah friendly hospital
Services available
Understanding the concept of Rukhsah
Understanding basic concept of Maqassid and Qawaid as-
syariah and their relevence
Workshop : Helping patients to perform ibadah : solat /
tayammum / fasting / recitation of Al quran.

4. Practical Impelementation
4.1 Internal Customer : 4.1.6
4.2 External Customer
4.3 Intermediate Customer
4.1.7 IBADAH : ESPECIALLY SOLAT FOR
EMPLOYEE
Encourage staff especially male to perform their prayers in
jemaah at mosque / musolla / dedicated place for
congretional prayer
Clear SOP for male staff to perform their prayer in jemaah
prayer as soon as possible.
Well informed on concept of Rukhsah and the need to take
care of their solat in the best manner possible.
Female staff should help male staff in performing their
jemaah prayers.

4. Practical Impelementation
4.1 Internal Customer : 4.1.7
4.2 External Customer
4.3 Intermediate Customer
4.1.8 TRAINING FOR HANDLING OF JENAZAH
Specific program for all staff to attend on ways of handling
jenazah wajib for all staff (2 reasons-knowledge /
remembering death)
SOP to be followed after death of patient in ward -
involving the religious / counselor or officer in charged.

4. Practical Impelementation
4.1 Internal Customer : 4.1.8
4.2 External Customer
4.3 Intermediate Customer
4.1.9 TILAWAH AL-QURAN
Special assessment for staff on their knowledge of reciting Al
Quran
Tajwid Class (basic/normal) on regular basis
Tadarus in ramadhan - compulsory in groups-usrah
Encouragement for staff to become Hafiz / Hafezah.

4. Practical Impelementation
4.1 Internal Customer : 4.1.9
4.2 External Customer
4.3 Intermediate Customer
4.1.10 CONTINOUS MEDICAL EDUCATION
(CME)
Islamic medico legal Issues
Integrated with Regular CME program-
Frequency-ideally weekly/minimum every 2 weeks
Under the responsibility of Medical Director
Cases discussed need to be selected in order to have Islamic
input

4. Practical Impelementation
4.1 Internal Customer : 4.1.10
4.2 External Customer
4.3 Intermediate Customer
4.1.11 CONTINOUS NURSE EDUCATION
(CNE)
Regular program supervised by head of nursing
Islamic principles are essential part of the continuous
program
Ideally weekly program / minimum 2 weekly

4. Practical Impelementation
4.1 Internal Customer : 4.1.11
4.2 External Customer
4.3 Intermediate Customer
4.1.12 PERFORMANCE RELATED PAY USING
KPI (KEY PERFORMANCE
INDICATORS) BASED ON ISLAMIC
CONCEPT
Remuneration system based on staff performance
Key performance indicators based on islamic hospital core
values
Islamic hospital core values should consider about aqidah,
ibadah and akhlaq
SOP of performance appraisal procedure (monthly)

4. Practical Impelementation
4.1 Internal Customer : 4.1.12
4.2 External Customer
4.3 Intermediate Customer
4.1.13 CONCEPTS OF CHARGING PATIENT
IN ISLAMIC HOSPITAL
Hospital is a social and business entity
There is no social class in islam, all human beings are equal

4. Practical Impelementation
4.1 Internal Customer : 4.1.13
4.2 External Customer
4.3 Intermediate Customer
4.1.14 ZAKAT & INFAQ AS FINANCIAL
PERFORMANCE INDICATORS
There are 4 perspective in balanced scorecard : financial,
customer, internal business process, learning & growth
Financial perspective is the most important & easiest
indicator for the hospital owner
Zakat and infaq as a main indicator in financial perspective in
islamic hospital
Design balanced scorecard for islamic hospital
Know how to calculate zakat for hospital

4. Practical Impelementation
4.1 Internal Customer : 4.1.14
4.2 External Customer
4.3 Intermediate Customer
4.1.15 SYARIAH BOARD IN ISLAMIC
HOSPITAL
Islamic Hospital should be in line with Syariah
It is necessary to establish a board to supervise the
management so the hospital will be in line with syariah
The board consist of islamic scholar, management and
medical officer who advising the Hospital owner

4. Practical Impelementation
4.1 Internal Customer : 4.1.15
4.2 External Customer
4.3 Intermediate Customer
4.1.16 ISLAMIC VALUE IN FORMULATION
FOR MEDICAL STAFF BY LAWS
Components :
Covenants of the the Doctors - prerequisite
Covenants of the hospitals
Islamic Ethics Maqasid As Syariah, Qawaid As Syariah, Conduct of a
good muslim
General clinical responsibilities
Escape / termination clause : By term; By default; By consensus

4. Practical Impelementation
4.1 Internal Customer : 4.1.16
4.2 External Customer
4.3 Intermediate Customer
4.1.17 ISLAMIC VALUE IN FORMULATION
FOR GENERAL STAFF SCHEME OF
SERVICES
Components :
Adherence to prevailing labor laws as the base.
Proof of competency by prospective staff - willingness to become madu
Undertakings of the employer - expression of the dakwah plan by the
dai
Termination : by default; by term ; by mutual agreement
Application of rules of natural justice

4. Practical Impelementation
4.1 Internal Customer : 4.1.17
4.2 External Customer
4.3 Intermediate Customer
4.1.18 STAFF ATTIRE
As attire represents the belief, culture and philosophy of any organization, the rules
pertaining to the uniform of care giver and its associates in Hospital shall be as
follows:
Extend of cover :Entire body except permitted parts to facilitate the care activities for females and at
minimum covering aurat for solat in case of males.
Thickness : Thickness of garment shall be thick and opaque so as not to display skin color and forms of
body beneath it.
Looseness : Not to be tight fitting
Colour appearance Demeanour
As a prevention from speaking invitingly, moving seductively, revealing and arousing sexual desire.
Differing between male and female clothing
Differ from clothing of unbelievers
In moderation and not be an expression high opinion of ones look

4. Practical Impelementation
4.1 Internal Customer : 4.1.18
4.2 External Customer
4.3 Intermediate Customer
4.1.19 INDUSTRIAL RELATIONSHIP
Syariah compliant industrial relationship

4. Practical Impelementation
4.1 Internal Customer : 4.1.19
4.2 External Customer
4.3 Intermediate Customer
4.2 EXTERNAL CUSTOMERS :
PATIENT & FAMILY
4.2.1 SHOLAT REMINDER FOR PATIENT 4.2.8 SYARIAH COMPLIANT INHOUSE
TELEVISION PROGRAM
4.2.2 QIBLAH DIRECTION SIGNBOARD
4.2.9 INPATIENT RECEPTION
4.2.3 PROVIDING SHOLAT OUTFIT FOR
PATIENTS & RELATIVES 4.2.10 HANDLING COMPLAINT
4.2.4 MANUAL GUIDELINE FOR 4.2.11 RELIGIOUS OFFICER
PATIENTS
4.2.12 CLINICAL PROCEDURES
4.2.5 ONLINE CONSULTATION
4.2.13 NURSING PROCEDURES
4.2.6 SPIRITUAL RECORD
4.2.7 DOA POSTER FOR VISITOR

4. Practical Impelementation
4.1 Internal Customer
4.2 External Customer
4.3 Intermediate Customer
4.3 INTERMEDIATE CUSTOMER :
SUPPLIER & THIRD PARTY PAYOR
HALAL CERTIFICATION
IMPLEMENTATION OF ISLAMIC CODE IN DEALING WITH
INTERMEDIATE CUSTOMER

4. Practical Impelementation
4.1 Internal Customer
4.2 External Customer
4.3 Intermediate Customer
5. FACILITIES IN ISLAMIC HOSPITAL
Form must follow function
Flow of functions
Qiblat Grid and signages.
Low and ease of future maintenance
Facilities for muslim & muslimah to perform their ibadah
Application and program in reminding patients to be near to
ALLAH SWT
6. MARKETING
Shariah compliant marketing
7. FINANCE & ACCOUNTS
Shariah compliant finance & accounts
8. MEDICAL LEGAL ISSUES
Medical Legal issues from Islamic Perspective : Any Difference?
The Position in Bolam Principle
The Position in Roger v Whitaker
Position Under the Shariah

Paper presented at 8th international seminar & workshop -


Maqasid and Qawaid As-Shariah in Evidence-Based-Medicine 12 September 2012
Khalid Al Walid Mosque Kualalumpur, Malaysia
By Mohd Johan Lee, LLB (Hons) & MCL, International Islamic University Malaysia, MA, Kings
Collage London, Phd. candidate, Monash University Australia, Partner, J. Lee & Associates,
Malaysia.
9. ISLAMIC HOSPITAL ROLE IN DAKWAH WORK
Platform to do dakwah work
Specific programs to encourage staff/doctors to be involved in
volunteer work
Allocation of fund for these activities