A. Project

1. What is the purpose of the Taklimat Penyumberluaran Pesakit Dari Hospital Kementerian Kesihatan Malaysia (KKM) Ke Kemudahan & Perkhidmatan Jagaan Kesihatan Swasta(KPJKS) webinar?

• The event aims to provide information and guidelines on the outsourcing of patients from Ministry of Health hospitals to private healthcare facilities (KPJKS)  for surgical, non-surgical, and diagnostic imaging services, as per the 2025 health budget. 

2. How does the Hospital Services Outsourcing Program align with the Ministry of Health’s objectives?

• The program focuses on reducing waiting times, alleviating congestion, and improving services at MOH facilities by outsourcing specific services to private healthcare facilities. 

3. What is hospital outsourcing, and how does it benefit the healthcare system?

• Hospital outsourcing involves partnering with external service providers to handle specific functions or processes within a hospital. This can lead to cost savings, increased operational efficiency, improved service quality, and access to specialized skills. In the context of this program, certain healthcare services will be outsourced to private facilities. 

4. Who is overseeing the outsourcing program, and how is it being implemented?

• Medical Development Division (Bahagian Perkembangan Perubatan) of Ministry of Health is overseeing the program and ProtectHealth Corporation Sdn Bhd, a company under the Ministry of Health, is the strategic partner implementing the outsourcing program. Allocations will be distributed to hospitals based on workload, needs, and waiting time to achieve the program’s objectives.

5. What are the key services targeted for outsourcing in 2025?

• The initial outsourcing focus for the year includes Cardiothoracic, Cardiology, Radiology & Imaging, Nephrology, Urology, Ophthalmology, General Surgery, General Paediatric, Nuclear Medicine, Radiotherapy, Transient Elastography – Fibro Scan, Bone Mineral Densitometry (BMD) – DEXA Scan services. This includes the following subservices: 

a. Cardiothoracic (CTC) Surgery

• Adult CTC 

• • Coronary Artery Bypass Grafting (CABG) 

• Paediatric CTC 

• •  Ventricular Septal Defect (VSD) Repair 

• • Atrioventricular Septal defect (AVSD) Repair 

• • Coarctation of Aorta (CoA) Repair 

• • Interrupted Aortic Arch (IAA) Repair 

• • Total Anomalous Venous Drainage (TAPVD) Repair 

• • Arterial Switch Operation (ASO) WITH Arterial Septal Defect (ASD) Repair 

b. Cardiology

• Cardiology Intervention
  • Percutaneous Coronary Intervention (PCI)
• Cardiology Investigation
  • Exercise Stress Test (EST)
  • Holter Monitoring 
  • Stress Echocardiography 
  • Transesophageal Echocardiography (TOE) 
  • Transthoracic Echocardiography (TTE) 

c. Radiology

• CT Scan 
• Cardiac CT 
• MRI 
• Cardiac MRI 
• Ultrasound

d. Nephrology 

• Arteriovenous Fistula (AVF) 

e. Urology

• Retrograde Intrarenal Surgery (RIRS)
• Percutaneous Nephrolithotripsy (PCNL) 

f. Ophthalmology

• Automated Visual Field Perimetry (AVFP) 
• Optical Coherence Tomography (OCT)

g. General Surgery 

• Colonoscopy  
• Open Inguinal Hernia Repair

h. General Paediatric

• Phototherapy for (Low Risk) Neonatal Jaundice 

i. Nuclear Medicine 

• Positron Emission Tomography (PET) Scan 

j. Oncology Radiotherapy

• Radiotherapy Treatment Three Dimensional (3D) Radiotherapy (RT)
  • Radiotherapy Treatment for Breast Cancer (Out Patient) 
  • Radiotherapy Treatment for Pelvic Cancer (Out Patient) 
• Radiotherapy Treatment Intensity modulated radiotherapy (IMRT) or volumetric modulated arc therapy (VMAT) 
  • Radiotherapy Treatment for Prostate Cancer (Out Patient) 

k. Hepato-Gastroenterology

• Transient Elastography – Fibro Scan

l. Internal Medicine

• Bone Mineral Densitometry (BMD) – DEXA Scan

B. Request for Proposal (FRP)

6. How can private and university hospitals participate in the outsourcing initiative? 

• Eligible private and university hospitals are invited to submit Requests for Proposals (RFPs) outlining their capabilities, expertise, and proposed service packages and fee. Detailed information on eligibility criteria and the RFP process can be found at www.protecthealth.com.my. 

7. What is RFP (Request for Proposal)? 

• RFP stands for Request for Proposal. It is a formal document that invites qualified private healthcare providers to submit detailed proposals outlining their capabilities, expertise, and proposed service packages and fee for consideration in the Hospital Services Outsourcing Program. 

8. How will ProtectHealth evaluate the proposals submitted through the RFP process? 

• Proposals will be evaluated based on predefined criteria, including experience, qualifications, proposed services, and cost-effectiveness. 

9. What is the expected impact of the Hospital Services Outsourcing Project in 2025? 

• ProtectHealth anticipates benefiting up to approximately 30,000 patients through the program in 2025. The initiative aims to enhance the delivery of healthcare services. 

10. What is ProtectHealth’s commitment to collaboration between public and private healthcare entities? 

• ProtectHealth is committed to fostering collaboration between public and private healthcare entities to ensure the successful implementation of the Hospital Services Outsourcing Program and enhance healthcare services for the community. 

11. What is the timeline for the RFP for Paediatric Cardiothoracic, Fibroscan and Deaxscan? 

• RFP Release: 20 May 2025
• RFP Briefing Day: 23 May 2025 (Friday): https://zoom.us/webinar/register/WN_Mer1xE1UTI6vWoZDkAM9dg 
• RFP Open Day: 26 May 2025 (Monday): https://zoom.us/webinar/register/WN_STRFm2MDQk-O0lYlpNwnpA 
• Provider’s Quotation Submission & appendix documents completed: 20 May – 03 June 2025
• Review and clarification process (if any) on quotations: 04 June – 13 June 2025 
• Provider registration, pre-qualification & contracting: July 2025 

12. When is the project scheduled to begin and end in 2025? 

• The project has commenced on 24th April 2025, and is expected to conclude by end of October 2025. 

13. Who is eligible to apply for participation in the Hospital Services Outsourcing Program? 

• Entities eligible to apply for involvement in the project are healthcare providers that possess the necessary qualifications and hold a valid license under Cawangan Kawalan Amalan Perubatan Swasta (CKAPS). The eligibility criteria encompass the ability to provide the specified services outlined in the project requirements. 

14. Is the application for participation in the RFP open to individual hospital branches, or is it exclusive to the headquarters (HQ) of healthcare institutions? 

• The RFP welcomes applications from both the headquarters (HQ) and individual branches of healthcare institutions. Entities can apply either through their central administration (HQ) or submit separate applications for each eligible hospital branch interested in participating in the project. The choice of application method, whether centralized or branch-specific, is at the discretion of the healthcare provider. 

15. Can a hospital apply for more than one service, or is the application restricted to a single service per hospital? 

• Applicants have the flexibility to apply for more than one service. Hospitals are not restricted to a single service; they can submit applications for multiple services based on their capabilities and interests. 

16. If the RFP process has been closed, can a provider still apply? 

• The possibility of applying after the RFP has been closed is considered minimal. It’s important to note that the RFP process for the project in 2025 is a one-time opportunity, and only those who have submitted applications during the open period are eligible for consideration. 

17. How should I organize and submit the Request for Proposal (RFP)? 

• The RFP should be meticulously organized in a clear and logical manner, with each section appropriately labelled. It is imperative to ensure that your submission is complete and addresses all the stipulated requirements outlined in the Request for Proposal (RFP). The proposal should encompass the following key details:

Submission Checklist:

Ensure the submission is sent via email to [email protected]. The submission must ADHERE TO THE FOLLOWING DETAILS: 

a. Email Subject  

• Individual submission is required for each service (separated email) 

• All email subjects MUST follow the format below:  

b. Cover Letter: From the panel provider specifying the services applied for in this RFP.

c. Request for Proposal (RFP): Softcopy (please include both MS Excel and PDF formats). Documents have to be secured with password and the password have to be email separately to [email protected] (Pn Maszuin Kamisan). 

 d. Copy of CKAPS Borang 4 or 7.

 e. Copy of Hospital SSM.

Please verify that your submission is complete by referring to the submission checklist. Late submissions may be deemed non-responsive, and ProtectHealth may not be obligated to further engage with your organization in the RFP process. 

Please refer to the workflow chart on the submission procedure. 

Note: All responses and supporting documentation shall become the property of ProtectHealth Corporation and will not be returned. 

18. Where should I submit the Request for Proposal (RFP)? 

• The RFP should be submitted via email to [email protected]. Ensure that the submission is completed before 4:00 pm on Tuesday, 03 June 2025, as per the specified deadline. Please follow the outlined instructions in the RFP documentation for a smooth submission process. 
• Kindly refer to the flowchart of FRP Submission here: FRP Flow Chart

1. How does the Hospital Services Outsourcing Program align with the Ministry of Health’s objectives?
   • The program focuses on reducing waiting times, alleviating congestion, and improving services at MOH facilities by outsourcing specific services to private healthcare facilities.

2. What is hospital outsourcing, and how does it benefit the healthcare system?
   • Hospital outsourcing involves partnering with external service providers to handle specific functions or processes within a hospital. This can lead to cost savings, increased operational efficiency, improved service quality, and access to specialized skills. In the context of this program, certain healthcare services will be outsourced to private facilities.

3. Who is overseeing the outsourcing program, and how is it being implemented?
   • Medical Development Division (Bahagian Perkembangan Perubatan) of Ministry of Health is overseeing the outsourcing program and ProtectHealth Corporation Sdn Bhd, a company under the Ministry of Health, is the strategic partner implementing the program. Allocations will be distributed to states and hospitals based on workload, needs, and requests waiting time to achieve the program’s objectives.

4. What are the key services targeted for outsourcing in 2024?

• • The initial outsourcing focus for the year includes Cardiothoracic, Cardiology, Radiology & Imaging, Nuclear Medicine and Nephrology services. This includes the following subservices:
  • Cardiothoracic (CTC) Surgery
    • Adult CTC
      • Coronary Artery Bypass Grafting (CABG)
      • Open-heart Valve Repair/Replacement
    • Paediatric CTC
      • Arterial Switch Operation
      • Interrupted Aortic Arch (IAA) Repair
      • Total Anomalous Venous Drainage (TAPVD) Repair
      • Coarctation of Aorta (CoA) Repair
      • Ventricular Septal Defect in (VSD) Closure
      • Patent Ductus Arteriosus (PDA) Ligation 
      • Artial Septal Defect (ASD) Closure 
      • Atrioventricular Septal Defect (AVSD) Repair 
  • Cardiology
    • Cardiology Intervention
      • Percutaneous Coronary Intervention (PCI)
    • Cardiology Investigation
      • Exercise Stress Test (EST)
      • Holter Monitoring
      • Stress Echocardiography
      • Transesophageal Echocardiography (TOE)
      • Transthoracic Echocardiography (TTE)
    • Paediatric Cardiology
      • Transcatheter closure of Patent Ductus Arteriosus
      • Transcatheter closure of Atrial Septal Defect
      • Transcatheter closure of Ventricular Septal Defect
      • Transcatheter stenting of Patent Ductus Arteriosus
      • Percutaneous transluminal ballon valvuloplasty (PTBV)
  • Radiology
    • CT Scan
    • Cardiac CT
    • MRI
    • Cardiac MRI
    • Ultrasound
  • Nephrology
    • Arteriovenous Fistula (AVF)
  • Nuclear Medicine
    • PET Scan

5. What is the expected impact of the Hospital Services Outsourcing Program in 2024?
   • Based on the needs and current delivery status of clinical, MOH selects MOH hospitals and allocate the number of patients that can be outsourced under HSOP. ProtectHealth anticipates benefiting approximately 30,000 patients through the program in 2024. The initiative aims to enhance the delivery of healthcare services.

6. What is ProtectHealth’s commitment to collaboration between public and private healthcare entities?
   • ProtectHealth is committed to fostering collaboration between public and private healthcare entities to ensure the successful implementation of the Hospital Services Outsourcing Program and enhance healthcare services for the community.

7. When is the project scheduled to begin and end?
   • The project is set to commence on July 2024 and is expected to conclude on October 2024.

8. How are patients outsourced in this program?
   • Patients are outsourced from MOH hospitals to Private Healthcare Facilities (Kemudahan Perkhidmatan dan Jagaan Kesihatan Swasta – KPJKS) and Private Medical Centres under University Teaching Hospitals (Pusat Perubatan Swasta di bawah Hospital Pengajar Universiti – PPS-HPU) through the digital system known as the Hospital Services Outsourcing System (HSOS).

9. How does MOH hospital identify patients eligible for referral to panel providers under HSOP?
   • Patients eligible for referral are identified based on the criteria set by HSOP, which include medical condition, treatment, and availability of services at panel providers.

10. How are appointments scheduled for patients referred to panel providers under HSOP?
    • Appointments for patients referred to panel providers under HSOP are scheduled by the panel providers following the referral process from MOH hospitals.

11. How can MOH hospital provide feedback about the services provided by panel providers under HSOP?
    • Hospitals can provide feedback directly with ProtectHealth or through the designated contact point for HSOP at the Ministry of Health.

1. What is the Hospital Services Outsourcing Program (HSOP)?
   • HSOP is an initiative by the Ministry of Health (MOH) to outsource specific medical services to private hospitals. It aims to improve access to healthcare services and reduce waiting times for patients.

2. Who can participate as a Panel Provider in the HSOP?
   • Private hospitals and public university hospitals that meet the eligibility criteria set by the MOH can participate as Panel Providers in the HSOP. Panel Providers are selected based on their capacity, capability, and compliance with MOH specifications ad standards.

3. What are the benefits of participating as a Panel Provider in the HSOP?
   • Panel Providers have the opportunity to contribute to enhancing healthcare accessibility and quality in Malaysia. Additionally, they benefit from patient referrals from MOH hospitals, which indirectly expands their patient pool.

4. What are the key services targeted for outsourcing?
   • The initial outsourcing focus for this year includes Cardiothoracic, Cardiology, Radiology & Imaging and Nephrology services.

5. How can private and university hospitals participate in the HSOP?
   • Private and university hospitals that are eligible and meet the criteria set by the MOH, including having the necessary facilities, equipment, qualified staff, and appropriate fees for service packages, can participate in the HSOP.

6. What is the process for a private and university hospital to join HSOP?
   • The hospital must submit an application for Request for Proposal (RFP) to ProtectHealth Corporation Sdn Bhd, which will evaluate the hospital’s eligibility. It should be noted that the RFP process has already been finalized.

7. How are patients referred to panel providers under HSOP?
   • Patients are referred by MOH hospitals based on specific criteria and guidelines set by MOH. The referral process is managed electronically through the digital system known as the Hospital Services Outsourcing System (HSOS).

8. How are payments handled for services provided under HSOP?
   • Payments are made by ProtectHealth directly to the panel provider based on the services provided and the agreed-upon rates.

9. How does HSOP ensure quality and safety standards are met by panel providers?
   • ProtectHealth conducts regular assessment and audits of participating private and university hospitals to ensure they adhere to quality and safety standards.

10. Will training be provided to Panel Providers participating in the HSOP?
    • ProtectHealth, in collaboration with Ministry of Health (MOH), will provide training to Panel Providers to ensure compliance with the HSOP guidelines and standards.

11. How can Panel Providers address issues or concerns related to the HSOP?
    • Panel Providers can address issues or concerns related to the HSOP by communicating directly with the ProtectHealth at email [email protected].

1. What is the Hospital Services Outsourcing Program (HSOP)?
   • HSOP is a Ministry of Health (MOH) initiative that allows public hospital patients to receive certain medical services at selected private and university hospitals to improve medical access and reduce waiting times at MOH hospitals.

2. How does HSOP benefit the public?
   • HSOP provides patients with faster access to medical services, reduces waiting times for procedures, and expands the options for healthcare providers.

3. What services are available under HSOP?
   • Services available under HSOP includes Cardiothoracic, Cardiology, Radiology & Imaging and Nephrology services.

4. How can a patient access services under HSOP?
   • Patients must be referred by a MOH hospital based on specific criteria and guidelines set by MOH.

5. Are there any charges for patients receiving services under HSOP?
   • Patients accessing services under HSOP may incur charges, which will be equivalent to the rates for services provided in MOH hospitals. These charges are payable at the Unit Hasil (Revenue Unit) at MOH hospitals.

6. How does HSOP ensure the quality of services provided by panel providers?
   • ProtectHealth and Ministry of Health (MOH) conducts regular assessments and audits of participating private and university hospitals (panel providers) to ensure they meet quality and safety standards.

7. Can patients choose which private hospital to go to under HSOP?
   • Patients are referred by consultant at the MOH hospitals to specific panel providers based on their medical needs and the availability of services at the hospital.

8. How are appointments scheduled for services at panel providers under HSOP?
   • Appointments for services at panel hospitals under HSOP are typically arranged by the panel providers following a referral from the MOH hospital.

9. How does HSOP ensure that patients receive timely and appropriate care at panel hospitals?
   • HSOP implements mechanisms such as service level agreements and monitoring systems to ensure that panel hospitals adhere to standards of care and provide timely and appropriate services to patients referred under the program.

10. Can patients provide feedback or raise concerns about their experience with HSOP?
    • Yes, patients can provide feedback or raise concerns to referral MOH hospitals and ProtectHealth through the designated channels, such as emails or feedback forms.