PHARMACY PROGRAMME STRATEGIC PLAN
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1 FOREWORD T he Ministry of Health is pleased to present the Pharmacy Programme Strategic Plan which sets into motion a four-year programme mapping the way forward. The plan outlines their strategic vision supported by the core thrusts, strategies and initiatives that are synergistically moulded in order to achieve the mission and vision of the Pharmacy Programme. The plan addresses the need to provide sustainable, high-quality pharmacy services in a complex and evolving environment. The plan clearly defines the direction of the Programme and sets priorities for action that can be implemented at national, regional and local levels. The Pharmacy services play an integral role in the healthcare service delivery system. It offers a wide range of services spanning from primary and secondary care and enforcement of law that includes, but not limited to pharmaceutical products and cosmetics. The Pharmacy plan also supports the pharmaceutical industry by providing the regulatory backbone to ensure further growth and expansion of this vital and dynamic sector. Greater collaboration and cooperation between the various healthcare stakeholders will boost the country’s economy and improve quality of life for all. I wish to sincerely acknowledge the dedication and effort of all who have participated in the development of this plan under the leadership of the Senior Director of the Pharmaceutical Services for the formulation of the 2017-2020 Pharmacy Programme Strategic Plan. I am certain that the success of the plan will have a positive impact on our robust healthcare system. Together we will strive towards improving the country’s healthcare needs. DATUK DR. NOOR HISHAM BIN ABDULLAH DIRECTOR GENERAL OF HEALTH MINISTRY OF HEALTH MALAYSIA
2 PHARMACY PROGRAMME STRATEGIC PLAN 2017-2020 FOREWORD T he Eleventh Malaysia Plan (2016-2020) has mapped the last leg of our path to reach Vision 2020. Accordingly, the Ministry of Health (MOH) has charted the way forward for the nation’s health services through the MOH Strategic Plan 2016-2020 as well as the Health Transformation Plan to support the national agenda in achieving better health for the nation. It is imperative for us to develop our strategic plan to guide the organisation towards achieving a common goal. With the overarching National Medicines Policy, key strategies are drawn up by analysing the current situation, our strengths and weaknesses and projecting the future needs. As part of the team that will carry out this mission, the Pharmaceutical Services Programme MOH is focused on intensifying customer engagement in order to reach a wider population and increasing public awareness on their roles and responsibilities towards health. From the organisation aspect, we will improve operational excellence where resources will be used optimally to ensure responsive, efficient service and effective policy implementation. The Pharmaceutical Services Programme is committed to stay ahead and keep up with changing times. Implementation of innovative pharmacy service delivery and the strengthening of ICT system readiness will create value for the customers and enhance the future delivery of healthcare to the nation. Innovation in pharmacy services will be supported mainly by initiatives in ICT-based systems such as PhIS, MyPharma-C and Quest 3+ by the National Pharmacy Regulatory Agency. Translation of research findings into the development of policy and practice are crucial for efficient organisation management and ensuring subsequent actions taken by the Programme are beneficial to the nation. We will also commit to boosting capability building by focusing on skills and knowledge enhancement in new areas as well as developing expertise in various pharmacy fields. I believe, with the collaborated effort from all, we will implement this plan successfully and overcome the challenges and issues in the future. Let us work together as a team to achieve better health for the nation. DR. SALMAH BINTI BAHRI, RPh 783 SENIOR DIRECTOR OF PHARMACEUTICAL SERVICES PROGRAMME MINISTRY OF HEALTH MALAYSIA
3 FOREWORD T he Pharmacy Programme Strategic Plan (2017-2020) is an important document that determines the direction of the Pharmacy Programme in carrying out its role in accordance with the aspirations of the government. This strategic plan is an initial step to ensure the development of Pharmacy Programme which is in line with the government and the ministry’s mission and vision in strengthening the health system transformation. The Strategic Plan focuses on four main aspects, namely strengthening the governance of Pharmacy Programme, strengthening service delivery through innovation and technology, strengthening the skills, expertise and human resource capacity, and enhancing cooperation with stakeholders and empowering communities on quality use of medicines. The strategies and initiatives outlined in this plan will also have an impact on the development of pharmacy services in the future. In carrying out this mission, every member of Pharmacy Programme should instil and uphold the shared values and leadership practices identified in this document. Finally, I would like to extend my earnest appreciation to all parties involved in the realization of this strategic plan. I hope that every member of the Pharmacy Programme is fully committed to the success of this plan. DR. RAMLI BIN ZAINAL, RPh 1045 DIRECTOR OF PHARMACY POLICY AND STRATEGIC PLANNING DIVISION MINISTRY OF HEALTH MALAYSIA
4 PHARMACY PROGRAMME STRATEGIC PLAN 2017-2020 INTRODUCTION The Pharmacy Programme of the Ministry of Health (MOH), established in 1951, is the lead agency that ensures the public gets access to safe, efficacious and quality pharmaceutical products, protecting their interest via enforcement of relevant legislations, and ensuring rational use of medicines by both healthcare providers and patients. The Programme consists of five main divisions headed by a Senior Director of Pharmaceutical Services. These five main Divisions are Pharmacy Policy and Strategic Planning Division, Pharmacy Practice and Development Division, Pharmacy Enforcement Division, National Pharmaceutical Regulatory Agency (NPRA) and Pharmacy Board Malaysia. Each division plays important roles in different aspects and approaches with the same objective that is giving the best professional pharmacy service to the public. Pharmacy Programme Strategic Plan 2017-2020 outlines the strategic directions of the Pharmacy Programme for a period of 4 years with four main focuses:
5 STRATEGIC PLAN ALIGNMENT This strategic plan was developed with a view to the future direction of Pharmacy Programme in aligning with the needs and the current situation of the government’s plans. The fundamentals of this strategic plan are based on: MNMP MOH Equitable access & rational • Strengthen delivery of use of safe, effective & healthcare (primary care) affordable medicines of good • Health system governance quality to improve health • Empowering community outcomes of the people • Intensify collaboration 11th MALAYSIAN HSTP PLAN • Revitalising capability building Achieving universal access to • Re-engineering organisations quality healthcare • Enhancing service delivery • Intensify collaboration • Enculturing corporate culture A B C D Strategic Thrust 2 of Health Services Ministry of Health Malaysian National 11th Malaysia Plan Transformation Plan (MOH) Strategic Plan Medicines Policy (MNMP), Improving well being (HSTP), Ministry of 2016-2020 2013-2020 for all Health, Malaysia • Strengthening the Malaysian National Medicines • Priority focus area • Developing talented healthcare service Policy (MNMP) objective is to is to achieve health workforce delivery especially in promote equitable access and universal access • Strengthening the primary healthcare rational use of safe, effective to quality healthcare health policies and • Strengthening health and affordable essential public organisational systems governance medicines of good quality to capacity and organisational improve health outcomes of the • Enhancing health capabilities nations. Five core components services delivery • Empowering in MNMP are: • Intensify health individuals, families, • Governance in Medicines collaboration the community • Access to Medicines • Inculcate corporate toward better health • Quality, Safety and Efficacy culture values awareness of Medicines • Intensify the • Quality Use of Medicines collaboration between • Partnership and the public, private and Collaboration for the NGO Healthcare Industry
6 PHARMACY PROGRAMME STRATEGIC PLAN 2017-2020 DIVISIONS’ OBJECTIVES NATIONAL PHARMACY PHARMACY PRACTICE & REGULATORY AGENCY DEVELOPMENT DIVISION we will we will • Ensure that products approved • Ensure continuous access to the quality, for the local market are safe and of safe and cost-effective medicines. quality and also ensure that natural • Strengthen the quality and rational use of products and cosmetics are medicines towards the better health. safe and of quality. • Enhance pharmaceutical care PHARMACY services in line with the good ENFORCEMENT standards and practices. DIVISION we will • Ensure all sales, supply, PHARMACY possession and advertising of BOARD OF MALAYSIA PHARMACY POLICY & STRATEGIC substances, products and we will cosmetics are in • Ensure the registration of pharmacists PLANNING DIVISION compliance with the and bodies corporate complies with we will legal provisions. Registration of Pharmacists Act 1951 • Develop policies for the and its regulations. pharmaceutical sector in line with the • Set the standard for conduct, ethics, needs of national healthcare. proficiency, education and training • Ensure excellent and efficient and Continuous Professional resources management. Development (CPD). RELATED SALE OF DRUGS ACT 1952 REGISTRATION OF PHARMACISTS ACT 1951 ACTS AND • Control of Drugs and Cosmetics • Registration of Pharmacists Regulations 2004 REGULATIONS Regulations 1984 POISONS ACT 1952 MEDICINES POISONS (SODIUM • Poisons Regulations 1952 (ADVERTISEMENT HYDROXIDE) • Poisons (Fees) Regulations 1983 AND SALE) ACT 1956 REGULATIONS 1962 • Poisons (Psychotropic • Medicine Substances) Regulations 1989 Advertisements SALE OF DRUGS Board Regulations (CERTIFICATE OF ANALYSIS) 1976 REGULATIONS 1997
PHARMACY PROGRAMME STRATEGIC PLAN 2017-2020 To enhance the nation’s health OUR VISION through excellence in the practice of pharmacy We aim to uphold legislations and improve policies to We aim to build capabilities and professionalism through ensure quality of pharmaceutical products and services talent development and workforce empowerment OUR MISSION We aim to ensure effective and responsive organisational We aim to intensify collaboration towards best practices system towards sustainable quality services and standards 4 STRATEGIC THRUSTS CUSTOMER ENGAGEMENT OPERATIONAL EXCELLENCE CAPABILITY BUILDINGS INNOVATION DRIVEN The element of an organisational Process of developing and strengthening The quality of the customer Translating ideas and innovations into leadership that applies a variety of experience that emphasises the the skills, abilities and resources that positive aspects of the interaction service that creates value for our principles, systems towards a organisations need to adapt and thrive with our organisation. customers. sustainable improvement of key performance matrix. in a changing environment. Improve accessibility of Implement innovative pharmacy pharmaceutical products service delivery Improve efficiency and optimise Enhance human resource Enhance multi sector ICT-based service innovation expenditure competency and performance engagement towards better health awareness Enhance research and Strengthen monitoring activities of Optimise human resource knowledge sharing unregistered products capacity to ensure continuous Enhance value proposition of Enhance business process and Strengthen governance and service delivery pharmacy services product safety regulatory control Enhance organisational efficiency SHARED VALUES PROFESSIONALISME INTEGRITY CUSTOMER CARE TEAMWORK EFFICIENT INSPIRE A CHALLENGE ENABLE OTHERS ENCOURAGE THE LEADERSHIP PRACTICES MODEL THE WAY SHARED VISION THE PROCESS TO ACT HEART 7
8 STRATEGIC THRUSTS AND PLAN OF ACTIONS 2017-2020 PHARMACY PROGRAMME STRATEGIC PLAN CUSTOMER ENGAGEMENT THE QUALITY OF THE CUSTOMER EXPERIENCE THAT EMPHASISES THE POSITIVE ASPECTS OF THE INTERACTION WITH OUR ORGANISATION Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 STRATEGY 1: Number of Engagement Enhance Multi Sector Engagement Towards Better Health Awareness Initiative 1: To conduct dialogue sessions Percentage of PBT covered Engagement with local council followed by joined operations 100% in reducing unapproved medical to withdraw illegal medicine advertisement advertisements OPS 3B Initiative 2: Engagement with local RTM’s radio Percentage of local RTM’s radio Engagement with local media in station through dialogue session station covered 100% reducing unapproved medical advertisement Initiative 3: This initiative is focusing Number of NGO/society/ Engaging NGOs/professional on engagement with NGOs/ government agency engaged society/ government agency to professional society/government (cumulative) 5 reach specific group towards agency as a collaborative effort to quality use of medicines (QUM) & educate and increase awareness on customer protection Quality Use of Medicines STRATEGY 2: This initiative aims to enhance the 1. Customer Perception on Enhance Value Proposition promotion of pharmacy services profession and service Increasing trend of Pharmacy Services 2. Service Uptake Rate Initiative 1: This initiative aims to promote the Improve community perception Increased community Enhance promotion of pharmacy availability of pharmacy services towards pharmacy services and awareness towards services in MOH facility in order to improve professional image pharmacy services service uptake
INNOVATION DRIVEN TRANSLATING IDEAS AND INNOVATIONS INTO SERVICE THAT CREATES VALUE FOR OUR CUSTOMERS Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 STRATEGY 1: Number of innovative pharmacy Implementation of services delivery implemented by 2 Innovative Pharmacy year 2020 Service Delivery Initiative 1: This initiative aims to increase Number of new centres Expansion of Integrated Drug patient access to their medicine established (increasing trend) Delivery System through value added service 45 centres and ensuring continuity of their medication supply Initiative 2: This initiative focuses on patients Percentage of medical wards Medicines Optimisation and their experiences with the implementing Patient Own 75% of medical ward in goals to help patients to improve Medications (POMs) Programmes State and Major Specialist treatment outcomes and avoid Hospital taking unnecessary medicines, 25% of medical ward in reduce wastage as well as improve Minor Specialist Hospital medication safety Percentage of facilities All State hospital implementing Program Bekas Ubat All Major Specialist Hospital 26 Minor Specialist Hospital 30% of Health Clinics STRATEGY 2: No. of ICT-based system 19 independent systems ICT-based Service developed developed Innovation No. of ICT-based system integrated 3 integrated systems 9
10 2017-2020 PHARMACY PROGRAMME STRATEGIC PLAN Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 Initiative 1: This initiative aims to improve Number of manual work process 14 identified manual Business Process Reengineering efficiency of service delivery through innovated processes transformed to (BPR) of manual work process to transformation of manual work online based service ICT-based process into online based services Initiative 2: This initiative focuses to integrate Integration of the system by year Integration of ICT-based systems 5 existing independent systems 2020 to improve systems efficiency and Integration of : optimise data sharing. 1. Mypharma-C + SPIKE 2. MyPharma-C + QUEST The systems are: project - MyPharma-C 3. QUEST + PhIS - SPIKE - QUEST - MERs - PhIS/CPS Initiative 3: Pharmaceutical Track & Trace 1st phase Pharmaceutical Track & 1st phase Pharmaceutical Implementation of System is an initiative to improve Trace System implemented by the Track & Trace System Pharmaceutical Track & Trace patient safety and optimisation of year 2019 implemented by the year System logistic management 2019 Initiatives 4: PhIS is a web-based drug Percentage of ARU 100% availability Optimisation of PhIS in MOH management system to be fully (Availability, Reliability and 95% reliability facilities utilised in all MOH facilities by the Utilisation) (Utilisation: incremental year 2020 trend 2018-2020) STRATEGY 3: Number of articles/technical 60 articles/technical Enhance Research and reports published reports Knowledge Sharing (incremental trend 2017-2020)
Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 Initiative 1: This initiative aims to encourage Percentage of pharmacy facilities Intensify research based on pharmacists/pharmacy assistants within MOH conducting research priority area identified to conduct researches based on 95% pharmacy facilities Pharmacy Programme Research conducting research Priority Framework (Standard, Year 2015:50%) Initiative 2: This initiative aims to intensify Number of research presented Intensify knowledge sharing knowledge sharing in research. 370 researches presented in research through multiple Researches are encouraged to be (incremental trend platforms presented in various platforms (local 2017-2020) and international level) STRATEGY 4: Number of private laboratories 5 private laboratories Enhance Business Process recognised recognised and Product Safety Initiative 1: This initiative aims to recognise Number of private laboratories Recognition of private private laboratories with the recognised laboratories (conducting test for capacities to provide testing for; 5 private laboratories traditional products) - Heavy Metal recognised - Microbial Contamination - Uniformity of Weight - Disintegration Initiative 2: This initiative will enable NPRA to Registration testing for traditional All registration testing Privatisation of pre-registration redeploy resources for new services products fully conducted by conducted by private testing for traditional product recognised private laboratories laboratories by year 2020 by 2020 11
12 2017-2020 PHARMACY PROGRAMME STRATEGIC PLAN OPERATIONAL EXCELLENCE THE ELEMENT OF ORGANISATIONAL LEADERSHIP THAT APPLIES A VARIETY OF PRINCIPLES, SYSTEMS AND TOOLS TOWARD THE SUSTAINABLE IMPROVEMENTOF KEY PERFORMANCE METRICS Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 STRATEGY 1: Implementation of Price Setting Both initiated and Improve Accessibility of mechanism and patient access implemented Pharmaceutical Products scheme Initiative 1: Price Setting for medicines will be Price Setting mechanism is Price Setting Mechanisms Implementation of Price Setting done through the development of implemented is implemented by 2019 mechanism a mechanism for price setting in Consumer Medicine Price cooperation with relevant authorities is published by 2019 Initiative 2: This programme is designed to Number of patient access scheme Improving access to affordable improve patient access to high cost (PAS) implemented 2 schemes implemented medicine through patient access medicines scheme (PAS) STRATEGY 2: Percentage of dossier received 10% of dossier received Improve Efficiency & with local PE study (10% by 2020) with local PE study Optimise Expenditure Initiative 1: This initiative aims to encourage Percentage of dossier received Utilisation of local pharmacoeconomic studies utilising with local PE study (10% by 2020) 10% of dossier received Pharmacoeconomic [PE] data local data through establishment of with local PE study in the selection of medicines for PE Centre formulary listing STRATEGY 3: No. of licences premise and media Strengthen monitoring platform monitored activities of unregistered products
Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 Initiative 1: DiPS: Didik, Pantau and Serbu is Percentage of targeted premises Reduction of targeted Expand the “Didik, Pantau and a systematic approach to reduce selling unregistered products premises selling Serbu (DiPS)” approach to the sales of unregistered products unregistered products by hotspot areas through awareness and surveillance 80% in year 2020 amongst retailers Initiative 2: A social media and instant The number of social media Monitoring sales of unregistered messaging (IM) platform is a platforms and IM platforms products and cosmetics in Web-based technology that enables monitored the social media and instant the development, deployment and 25 platforms monitored messaging platforms management of social media and instant messaging solutions and services STRATEGY 4: Establishment of NPRA as a Strengthen Governance & certified Conformity Assessment Regulatory Control Body (CAB) by 2018 Initiative 1: This initiative aims to enhance Certification as a CAB Certified as a CAB by Establishment of NPRA as a regulatory control and governance of Medical Device Authority certified Conformity Assessment NPRA in medical device by 2018 Body (CAB) Initiative 2: This initiative aims to enhance Vaccine testing method developed Three (3) vaccine testing Enhance Regulatory Control regulatory control in vaccine through method developed by of Vaccine in the Aspects of collaboration with identified partner 2018 Laboratory Testing in developing vaccine testing method STRATEGY 5: Establishment NPRA and LFM as Enhance Organisational Statutory Body Finalisation of Bill by 2020 Efficiency 13
14 2017-2020 PHARMACY PROGRAMME STRATEGIC PLAN Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 Initiative 1: This initiative focuses on Finalisation of bill Establishment of National enhancing NPRA efficiency through Finalisation of bill as a Pharmaceutical Regulatory establishment as statutory body statutory body by 2020 Agency (NPRA) as a statutory body Initiative 2: This initiative focuses on Finalisation of bill Establishment of Malaysia enhancing LFM efficiency through Finalisation of bill as a Pharmacy Board (LFM) as a establishment as statutory body statutory body by 2020 statutory body CAPABILITY BUILDING PROCESS OF DEVELOPING AND STRENGTHENING THE SKILLS, ABILITIES AND RESOURCES THAT ORGANISATIONS NEED TO ADAPT AND THRIVE IN A CHANGING ENVIRONMENT Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 STRATEGY 1: Capability building Framework Enhance Human Resource developed Framework completed Competency and by 2019 Performance Initiative 1: This initiative aims to develop a Capability building framework Develop capability building framework that offer an overview of developed Framework developed by framework (technical & the various career options along with year 2020 management) education and training
Strategy Initiative Strategy/Initiative Details Performance Indicator Target by Year 2020 Initiative 2: C&P is a program to credential 1. No. of identified areas of practice Expansion of credentialing and qualified individuals in identified established privileging (C&P) activity areas of practice C&P established for all Area of Practice: 2. No. of qualified pharmacists identified area of practice - Enforcement (Cyber Forensic) being credentialed - Clinical 30 qualified pharmacists - Pharmacy Practice credentialed - R&D - Regulatory Initiative 3: Subject Matter Expert is a form Establishment of Subject Matter Establishment of Subject Matter of recognition to an individual Expert (SME) Programme in SME program established Expert (SME) Programme in pharmacist who is an expert in a pharmacy by 2020 pharmacy services particular area/field Initiative 4: To conduct a special training with Number of officers undergo training Enhance officers’ capability accredited forensic agency and certified 100% officers certified in to carry out analysis of digital advanced level evidence (Cyber Forensic Laboratory) STRATEGY 2: Percentage of MOH facilities Optimise Human Resource achieved more than 80% posts 80% Capacity to Ensure filled Continuous Service Delivery Initiative 1: Identifying the staffing needs using Staffing guidelines developed Staffing guidelines Develop Staffing Guidelines based Workload Indicator for Staffing Needs developed by 2020 on facility workload (WISN) Initiative 2: To ensure number of facilities Percentage of facility achieving the Redeployment of pharmacy staff (hospital & health clinics) achieving agreed ratio or WISN ratio of 1 More than 75% of facility to achieve a balanced WISN ratio balance WISN ratio of 1 or agreed achieved the agreed ratio ratio or WISN ratio of 1 (WISN ratio of 1 indicates balanced workload and manpower) 15
16 PHARMACY PROGRAMME STRATEGIC PLAN 2017-2020 ACKNOWLEDGEMENT Pharmacy Policy and Strategic Planning Division would like to express gratitude and appreciation to the following participants for their support and contribution in the preparation of this document. The success and final outcome of this document required a lot of guidance and assistance from many people and we were extremely fortunate to have this all along until the completion of the document. • Pharmacy Practice and Development Division • Pharmacy Enforcement Division • National Pharmaceutical Regulatory Agency (NPRA) • Pharmacy Board Malaysia • Deputy Director (Pharmacy) State Health Department • State Pharmacy Representatives
18 PHARMACY PROGRAMME STRATEGIC PLAN 2017-2020 PHARMACEUTICAL SERVICES DIVISION Ministry of Health Malaysia Lot 36, Jalan Universiti 46350 Petaling Jaya Selangor T 03-7841 3200 F 03-7968 2222 www.pharmacy.gov.my
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