Head of Department  Pn. Kamarunnesa binti Mokhtar Ahmad
Phone  603-26155555 ext. 5120
Fax  603-26155140
Email  This email address is being protected from spambots. You need JavaScript enabled to view it.

The Pharmacy Department of Hospital Kuala Lumpur (HKL) was established to provide optimal pharmaceutical care to cater for the needs of all patients as well as to support the objectives and mission of HKL. With more than 350 members stationed in 19 units distributed throughout the hospital, the department aims to deliver a wide scope of quality services while simultaneously dealing with over 5000 prescriptions daily from inpatient and outpatient settings. Services offered include clinical pharmacy services such as Parenteral Nutrition, Therapeutic Drug Monitoring, Cytotoxic Drug Reconstitution, Patient Counseling, Adverse Drug Reaction monitoring, as well as Drug Information centre services.

In regards to management, the Pharmacy Department plays a major role in the procurement, storage and distribution of drugs and non-drugs (e.g. medical equipment and consumable items) in the hospital.

VISION

To provide excellent pharmaceutical services.

MISSION

To provide excellent pharmaceutical services through efficient drug management along with a dedicated team that exhibits care, teamwork and professionalism.

OBJECTIVES
• To provide an efficient and effective pharmaceutical service to the patients and clients of the hospital.
• To provide clinical pharmaceutical services, so that the quality of patient care can be upgraded.
• To strengthen the procurement and supply system for drugs and medical items/equipment to the hospital and polyclinics.
• To ensure all pharmacy staff received training and continuous learning.
• To foster harmonious intra- and inter- relationships within the department and with other departments in the hospital.

VALUE-ADDED SERVICES

1. Appointment-Based Medicines Dispensing System (SMART- Sistem Mendispen Secara Temujanji)
SMART is a dispensing system implemented in 2007 at the Main Outpatient Pharmacy in which patients will be given a SMART card where an appointment date is fixed for patients to obtain their next medicine supply. Patients’ medicines will be packed prior to their appointment date and it will be collected via a designated counter at the outpatient pharmacy. Hence, with SMART, patient waiting time has been reduced tremendously.

2. Medicine Through Postal Service (UMP- Ubat Melalui Pos)
UMP  is a collaboration between MOH and Pos Malaysia Berhad. This service was started in 2010 at Outpatient Pharmacy whereby the follow-up medicine will be posted to the location of their choice with minimal postal charge paid directly to Pos Malaysia Berhad. The objectives of this service are:

• To reduce patient waiting time at the pharmacy counter
• To ensure patient will get their balance medication supply
• To increase patient compliance to medications

 

3. Drive-Thru Pharmacy
Drive-Thru Pharmacy is a value-added service provided to patients with repeat prescriptions. The benefits of this service include:

i) To reduce waiting time at pharmacy counter
ii) Flexible time for medication collection
iii) Avoid parking issues

4. Drug Information Centre (PRIC & NPCC)

The Pharmacy Resources & Information Centre (PRIC) was established in HKL for the purpose of providing fast, accurate, reliable and most importantly evidence-based drug information to healthcare professionals and members of public pertaining to drug information, therapies, pharmacoeconomics as well as education; in an unbiased manner in order to maintain rational drug therapy. Following the expansion of manpower and subsequent relocation to the first floor of Wisma Rekod in 2008, a National Pharmacy Call Centre (NPCC) was launched by the Pharmaceutical Services Division in 2010 for the sole purpose of enabling members of the public to obtain drug information, operating 8.00am-5.00pm daily not including weekends and public holidays. This centre is easily accessible at a toll free line 1800 88 6722.

MEDICATION THERAPY ADHERENCE CLINIC

The following Medication Therapy Adherence Clinics (MTAC) were set up by HKL to help enhance patients’ adherence towards medications in a long term basis:
1. Respiratory Medication Therapy Adherence Clinic
2. Peadiatric Asthma Medication Therapy Adherence Clinic (PAMTAC)
3. Cardiac Rehabilitation Medication Therapy Adherence Clinic (CRMTAC)
4. Diabetes Medication Therapy Adherence Clinic (DMTAC)
5. Peritoneal Dialysis (PD) Medication Therapy Adherence Clinic (PDMTAC)
6. NephroTransplant Medication Therapy Adherence Clinic
7. Paediatric Retroviral Disease Medication Therapy Adherence Clinic (PRVD MTAC)
8. Geriatric Medication Therapy Adherence Clinic (GMTAC)
9. Warfarin Medication Therapy Adherence Clinic (WMTAC)

1. Respiratory Medication Therapy Adherence Clinic
Respiratory Medication Therapy Adherence Clinic, formerly known as Asthma Medication Therapy Adherence Clinic (AMTAC) is a pharmacist-managed clinic aimed at improving patient asthma control by enhancing compliance and improving inhaler technique. Thus, it indirectly improves patients’ Quality of Life (QoL). Started in the year of 2009 in HKL, AMTAC is a clinical pharmacy service under the directive and supervision of Pharmaceutical Services Division which sees the expansion of clinical role of pharmacists in the out-patient setting.

The clinic is conducted by dedicated pharmacists who help asthma patients to gain better knowledge and understanding of their medications, and therefore, improving patients’ adherence to the medication regimen. The pharmacist does pharmacotherapy review of the patient, identifies pharmaceutical care issues, provides solution to drug-related problems, educates patient, and monitors the therapeutic outcome to ensure therapeutic goal is achieved.

2. Peadiatric Asthma Medication Therapy Adherence Clinic (PAMTAC)
PAMTAC was introduced in Jun 2009 as part of the services provided by Pediatric Pharmacy. Its policy is to provide service for all patients currently managed in the PAMTAC; and other patients whom are referred to this clinic by other healthcare professionals.

The pharmacist running the PAMTAC has multitasking duties throughout the clinic for example assessing patients and addressing their needs, documenting actions and plans, giving appropriate education to patients/caregivers, and completing follow-ups.

Objectives:

• To educate patients/caregivers about asthma and its complications, the use of medications and self-care devices to increase patients’ adherence towards medication.
• To provide continuous individualized patient counseling.
• To reduce the emergency room visits of patients and decrease the total healthcare cost of paediatric asthma treatment.

3. Cardiac Rehabilitation Medication Therapy Adherence Clinic (CRMTAC)
CRMTAC is the first of its kind and has been set up in Hospital Kuala Lumpur since 2009. An approximate of 15-20 patients visits the Cardiac Rehabilitation Clinic every Thursday and they are followed up for duration of two years after in-patient discharge. These patients are automatically recruited into the pharmacist-managed CRMTAC for optimization of post-myocardial infarction pharmacotherapy. The clinic is staffed by ward pharmacists who undergo intensive one-month training on cardiac rehabilitation. Among the activities involved are assessing medication adherence, providing drug information, identifying and solving pharmaceutical care issues (including recommending dose adjustment, alternatives and monitoring parameters), educating on cardiac rehabilitation (including smoking cessation and other non-pharmacological measures), screening prescriptions, dispensing one-month supply of medications in the clinic and counseling on medication regimes.

4. Diabetes Medication Therapy Adherence Clinic (DMTAC)
DMTAC is a pharmacist-managed clinic aimed at improving medication adherence and glycaemic control in order to prevent diabetes related complication in diabetes patients.

This clinic which is in collaboration with the Physician’s Diabetes Clinic (Medical Department) and Out-Patient Clinic (Out-Patient Department) is conducted by dedicated pharmacists who help diabetes patients have better knowledge and understanding of their medications thus improving their adherence to the medication regimen.

The pharmacist does pharmacotherapy review of the patient, identifies pharmaceutical care issues, provides solution to drug related problems, educates the patient and monitors the therapeutic outcome until the therapeutic goal is achieved. The patient for DMTAC program is recruited at the Physician Clinic (first visit) and followed up on a monthly or two monthly intervals at the Out-Patient Pharmacy (second and subsequent visits).

Since its commencement in 2008, the DMTAC pharmacists have helped many Type 2 Diabetes patients achieve optimal adherence to medication therapy as well as improvement in glycaemic control.


5. Peritoneal Dialysis (PD) Medication Therapy Adherence Clinic (PDMTAC)
PDMTAC was introduced by the Pharmacists in the Urology and Nephrology department in April 2010. This service is extended to adult patients on Continuous Ambulatory Peritoneal Dialysis (CAPD) and Automated Peritoneal Dialysis (APD). The clinic is located on the third floor of Specialist Complex & Ambulatory Care Centre (SCACC), and is scheduled on every Thursday from 9.00am-12.00pm. Our main objective is to provide continuous pharmaceutical care to patients on dialysis in addition to preventing drug related problems. During each clinic visit, patient’s adherence towards medication will be assessed, followed by medication counselling. This clinic acts as a platform for the pharmacist to increase patient’s drug and disease knowledge and understanding, hence enabling them to fully optimize the benefit from the treatment offered.

6. NephroTransplant Medication Therapy Adherence Clinic
NephroTransplant MTAC formerly known as renal transplant MTAC was introduced by Urology and Nephrology Pharmacy in April 2008. New adult patients who underwent renal transplant will be recruited. The MTAC service is scheduled from 9.00am-12.00pm every Wednesday at the Nephrology Clinic, located at the third floor of SCACC. Patients will be advised on their immunosuppressive drugs and other related agents, together with their possible side effects, while focusing on the importance of medication compliance. With the right advice on both therapy and medication, the outcome of this MTAC is not only to help patients understand their condition, medications, related side effects, importance of compliance, but also to prolong graft survival.

7. Paediatric Retroviral Disease Medication Therapy Adherence Clinic (PRVD MTAC)
PRVD MTAC was set up in March 2008 by Paediatric Pharmacy, Paediatric Institute, Hospital Kuala Lumpur. Its policy is to provide service for all patients currently managed in the PRVD MTAC and other new cases referred by Infectious Disease team.

The objectives of PRVD MTAC are to optimise the benefits of Highly Active Antiretroviral Therapy (HAART) and other therapy related to HIV patient, to help patient /caregiver to recognize and manage adverse effects due to HAART, to serve as an information resource for patients, their caregivers and healthcare providers (i.e. doctors and allied health personnel) and to collaborate with paediatricians and other healthcare professionals in pharmacotherapy management of paediatric HIV patients.

8. Geriatric Medication Therapy Adherence Clinic (GMTAC)
GMTAC is a pharmacist-managed clinic aimed at geriatric patients in order to improve therapeutic care and patients’ quality of life. The objectives of this clinic is to improve patients’ compliance with medications, to provide pharmaceutical care for geriatrics patients so that the effectiveness of the medication can be optimized and the adverse reactions can be minimized, to educate patients and their care taker on the management of their medications, to foster co-operation between medical professionals and other healthcare professionals in optimizing patient care and to improve patient’s lifestyle quality.

Among the services provided in GMTAC include counseling and education on the management of medications to patients and their care taker, monitoring of patients’ medications and identification any pharmaceutical care issues, monitoring effectiveness of patient’s treatment and dispensing of medications to patients.
9. Warfarin Medication Therapy Adherence Clinic (WMTAC)
WMTAC was established in April 2008. Anticoagulation with blood thinners is recommended for the management of several disorders and conditions including: deep vein thrombosis, pulmonary embolism, atrial fibrillation and prosthetic heart valves. Warfarin, an oral blood thinner, has a very narrow therapeutic index meaning that too much or too little can lead to serious consequences. As a result, this medication requires precise management, including periodic blood testing. If therapeutic intensity if not well maintained, there is a high possibility of an adverse outcome, such as major bleeding or blood vessel blockage caused by a particle breaking away from the site of a blood clot. Careful management of anticoagulation clinic has been shown to improve patient safety by reducing serious complications.

The Department of Pharmacy is dedicated to provide comprehensive training and education for a future of excellence in pharmacy service.

1. On The Job Training


Training positions are provided for:-

a. Provisionally Registered Pharmacists (PRP)
b. Students of pharmacy diploma from MAHSA, UiTM, MSU (Management of Sains University) and College Sains Kesihatan Bersekutu
c. Students of pharmacy degree from the University College of Sedaya International and International Medical University during their attachment in HKL in accordance to their syllabus.

2. Continuous Education Programmes


A regular Continuous Pharmacy Education (CPE) session is organized on Thursday afternoon 12pm to 2pm, presented by pharmacist and product specialist from drug company. Topics involved are about latest updated on disease management and drug information.

The CPE is organized for all pharmacists, pharmacists' assistants and PRPs to assist them to reach the requirement annual minimum Credit points of Continuing Professional Development (CPD) program. The CPD and Penilaian Tahap Kecekapan (PTK) assessment are integral with the objective to provide a comprehensive mechanism to evaluate its personnel and empowering individuals to manage their knowledge and competence and hence produce the type of employees the Sistem Saran Malaysia (SSM) programmed and the government hope for.

The Department of Pharmacy has created a intranet system to closely monitor CPD credit points achieved by each pharmacy's staff.

3. Public Education Sessions

This Division participates in public education programmes which include talk on health topics, group counselling, distribution of reading materials and teaching sessions with pharmacists.

a) Talks on "Hypertension" are held biweekly at "Bilik Pendidikan" in the Outpatients Department.
b) Talks on "Diabetes" are held bimonthly at the same venue.
c) Talks on "Asthma" are held weekly at the same venue.
d) Group Counselling sessions are held monthly for cardiac patients. These form part of the Cardiac Rehabilitation Programme.

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