Islamic Hospital Guidelines

7/23/2019 Islamic Hospital Guidelines

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9th International Seminar & WorkshopDewan Sholat Bawah. Sultan Salahudin Abdul AzizSyah Mosque. Selangor. Malaysia, 14-15 June 2013

SPIRITUAL SUPPORTS IN PATIENTS CARE


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OUTLINEMajor 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


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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 a t 7th in ternat ional seminar & w orksh op" und ers tanding & appl ica t ion of qur 'anic pr inc ip les and values in

health care" - Decem ber 15-17th, 2011 - Ku alalum pu r, Malays ia.By Dr Om ar Hasan Kasu le Sr MB Ch B (MUK), MPH (Harvard), DrPH

(Harvard)


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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

2.1 Maqasid & Qawaid 2.2 Islamic Concepts Of Medicine

2.3 Islamic Medical Ethics & Physician Etiquette 2.4 Quality In Islam

2. Principles Of Health Services In Islam


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2.1 UNDERSTANDING OF FUNDAMENTALS OFLAW IN MEDICINE (MAQASID & QAWAID)

For any medical procedure to be ethical, it must conformto and not violate any of the 5 maqasid arranged in orderof priority: diin, life, family, mind, and wealth

The 5 principles of medical care are: intention, certainty,

harm, difficulty, and custom.

Paper presented at 8th in ternat ional seminar & worksh op - Maqasidand Qawaid As-Shariah in Evid ence-Based-Medicin e 12 September

2012 K hal id Al Wal id Mos que K ualalump ur, Malays ia.By Dr Om ar Hasan Kasu le Sr MB ChB (MUK), MPH (Harvard), DrPH

(Harvard)

2.1 Maqasid & Qawaid2.2 Islamic Concepts Of Medicine

2.3 Islamic Medical Ethics & Physician Etiquette 2.4 Quality In Islam



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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

2.1 Maqasid & Qawaid 2.2 Islamic Concepts Of Medicine2.3 Islamic Medical Ethics & Physician Etiquette 2.4 Quality In Islam



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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

2.1 Maqasid & Qawaid 2.2 Islamic Concepts Of Medicine

2.3 Islamic Medical Ethics & Physician Etiquette2.4 Quality In Islam



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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

2.1 Maqasid & Qawaid 2.2 Islamic Concepts Of Medicine 2.3 Islamic Medical Ethics & Physician Etiquette 2.4 Quality In Islam



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3. IBADAH FRIENDLY HOSPITAL Concept Of Ibadah In Islam

Ibadah should be understood in a more broad manner not onlyprayer/fasting/zakat/haj but in everything we do provided the niat is an ikhlasand for Allah.Thus treating patients and making pts happy is ibadah.Staff ofIslamic Hospital must understand and yakin that whatever they do must betaken as ibadah thus widening their understanding of Islam as a complete wayof life.

Paradigm change -all for Allah- Mardhatillah Definition Of Ibadah In Islam

A concept whereby the Hospital is geared towards providing the best facilities tohelp patients/relatives and staff to perform their ibadah especially solat.

Requirement In Successful Implementation Of Ibadah FriendlyHospital 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


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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


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4.1.1 Usrah

4.1.2 Tamrin (Retreat)

4.1.3 Solat Reminder 4.1.4 Opening & Closing Daily Activity

4.1.5 Quranic Daily Motivation 4.1.6 Orientation For Ibadah Friendly

Hospital : Aim 4.1.7 Ibadah : Especially Solat For

Employee 4.1.8 Training For Handling Of Jenazah 4.1.9 Tilawah Alquran 4.1.10 Continous Medical Education (CME) 4.1.11 Continous Nurse Education (CNE) 4.1.12 Performance Related Pay Using KPI

(Key Performance Indicators) Based

On Islamic Concept

4.1.13 Concepts Of Charging Patient InIslamic Hospital

4.1.14 Zakat & Infaq As FinancialPerformance Indicators For IslamicHospital

4.1.15 Syariah Board In Islamic Hospital

4.1.16 Islamic Value In Formulation ForMedical Staff By Laws

4.1.17 Islamic Value In Formulation ForGeneral Staff Scheme Of Services

4.1.18 Staff Attire

4.1.19 Industrial Relationship

4.1 INTERNAL CUSTOMER (EMPLOYEE & OWNER)

4. Practical Impelementation 4.1 Internal Customer4.2 External Customer



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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 : 4.1.14.2 External Customer



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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 ofcommitment for Islam / Ahsan

Minimal 2 days - 1 night Programs include-Jemaah prayers/Recitation of al mathurat

/ Tahajud / Qiyamulail / Group discussion / Physicalactivities with group binding message




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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 (Applicationof concept of rukhsah .

SOP by nurses / staff / religious officers / doctors-inpatientswho are well enough to pray-jamaq qasar / taqdim /ablution / tayammum

Patients and staff planning for long operation / timing ofelective operation .




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4.1.4 OPENING & CLOSINGDAILY ACTIVITY

Remind staff to open and close their daily activities by thename of Allah Doa matsurat in every morning and afternoon broadcast

to the patient room on request

Pray for patients in every morning and afternoon - broadcastto the patient room on request Handover procedure for medical and nurse officers, contain

pray, briefly nasihah / motivation and patients condition.




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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




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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.




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4.1.7 IBADAH : ESPECIALLY SOLAT FOREMPLOYEE

Encourage staff especially male to perform their prayers in

jemaah at mosque / musolla / dedicated place forcongretional prayer

Clear SOP for male staff to perform their prayer in jemaahprayer as soon as possible.

Well informed on concept of Rukhsah and the need to takecare of their solat in the best manner possible.

Female staff should help male staff in performing their jemaah prayers.




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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.




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4.1.9 TILAWAH AL-QURAN

Special assessment for staff on their knowledge of reciting AlQuran

Tajwid Class (basic/normal) on regular basis Tadarus in ramadhan - compulsory in groups-usrah

Encouragement for staff to become Hafiz / Hafezah.




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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




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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




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4.1.12 PERFORMANCE RELATED PAY USINGKPI (KEY PERFORMANCEINDICATORS) BASED ON ISLAMICCONCEPT

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)




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4.1.13 CONCEPTS OF CHARGING PATIENTIN ISLAMIC HOSPITAL

Hospital is a social and business entity There is no social class in islam, all human beings are equal




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4.1.14 ZAKAT & INFAQ AS FINANCIALPERFORMANCE 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 inislamic hospital Design balanced scorecard for islamic hospital Know how to calculate zakat for hospital




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4.1.15 SYARIAH BOARD IN ISLAMICHOSPITAL

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




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4.1.16 ISLAMIC VALUE IN FORMULATIONFOR MEDICAL STAFF BY LAWS

Components :Covenants of the the Doctors - prerequisiteCovenants of the hospitalsIslamic Ethics Maqasid As Syariah, Qawaid As Syariah, Conduct of agood muslimGeneral clinical responsibilitiesEscape / termination clause : By term; By default; By consensus




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4.1.17 ISLAMIC VALUE IN FORMULATIONFOR GENERAL STAFF SCHEME OFSERVICES

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




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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 atminimum 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 ofbody 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




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4.1.19 INDUSTRIAL RELATIONSHIP

Syariah compliant industrial relationship




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4.2.1 SHOLAT REMINDER FOR PATIENT

4.2.2 QIBLAH DIRECTION SIGNBOARD

4.2.3 PROVIDING SHOLAT OUTFIT FORPATIENTS & RELATIVES

4.2.4 MANUAL GUIDELINE FORPATIENTS

4.2.5 ONLINE CONSULTATION

4.2.6 SPIRITUAL RECORD

4.2.7 DOA POSTER FOR VISITOR

4.2.8 SYARIAH COMPLIANT INHOUSETELEVISION PROGRAM

4.2.9 INPATIENT RECEPTION

4.2.10 HANDLING COMPLAINT

4.2.11 RELIGIOUS OFFICER

4.2.12 CLINICAL PROCEDURES

4.2.13 NURSING PROCEDURES

4.2 EXTERNAL CUSTOMERS :PATIENT & FAMILY




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4.3 INTERMEDIATE CUSTOMER :SUPPLIER & THIRD PARTY PAYOR

HALAL CERTIFICATION IMPLEMENTATION OF ISLAMIC CODE IN DEALING WITH

INTERMEDIATE CUSTOMER




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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


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6. MARKETING

Shariah compliant marketing


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7. FINANCE & ACCOUNTS

Shariah compliant finance & accounts


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8. MEDICAL LEGAL ISSUESMedical 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 8 th in terna t ional seminar & wo rksho p - Maqasid and Qawaid As-Shar iah in Evidence-Based- Medicine 12 September 2012

Khal id Al Wal id Mosque K uala lumpur, Malays iaBy Moh d Jo han Lee , LLB (Hons ) & MCL, International Islamic University Malaysia, MA, Kings

Collage Lon don , Phd. candid ate, Monash Univers i ty Aus tral ia , Partner, J . Lee & Ass oci ates,Malaysia.


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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


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Documents

Islamic Hospital Guidelines