A recent IT disaster at the Sungai Buloh Hospital causing significant loss of patients’ data

A recent IT disaster at the Sungai Buloh Hospital causing significant loss of patients’ data raises a poser over the utility of an expensive information integration system adopted by the Ministry of Health.

Sources told The Edge Financial Daily that following a server crash on September 25, hundreds of patient records from among the hospital’s database of over 50,000 patients had been inaccessible.

The fully integrated system which is designed to allow doctors and specialists to communicate via the hospital intranet and have access to patient records such as X-ray images is known as the Total Hospital Information System (THIS). It is a computerised healthcare management system that links the various departments within the hospital.

The system, which is operated by Syarikat Permodalan Kebangsaan Bhd (SPK), also integrates with the finance and administration departments.

The two-year defect liability period has since expired and a new contractor, ISOFT, is now managing the system.

The core component of THIS is a patient-tracking system which doctors and staff members of Sungai Buloh say has been compromised.

THIS was introduced in stages in 26 government hospitals from 2001 at a cost of between RM80-RM100 million per hospital.

The Sungai Buloh Hospital was fully integrated in 2008. However the latest experience raises questions about the system’s durability and effectiveness.

It is understood that a number of other hospitals have also experienced server breakdowns but nothing as severe as the one experienced by Sungai Buloh.

Doctors also claimed that the absence of a back-up system aggravated the situation.

“At times we have to take pictures of the X-Ray and send the picture to our colleagues via WhatsApp,” said one senior staff member at the hospital, referring to the popular social media application.

The hospital was in the news last year when a fire in one of the operating theatres (OTs) caused a short circuit that affected the Uninterruptible Power Supply (UPS) system, which in turn caused all of its 12 OTs to shut down.

Just as during that episode, Sungai Buloh Hospital director Dr Khalid Ibrahim said that the latest incident was nothing to be concerned about.

“We were conducting maintenance work on our IT system and sometimes one system is shut down but the other systems are okay. It’s quite common and is not a major issue among us. There was no such thing as patients’ data getting lost.

“It was not a shut-down and the system didn't collapse,” he said.

The 620-bed Sungai Buloh Hospital is also the national referral hospital for orthopaedic, cataract and neurology cases, and is famed as the national leprosy treatment centre.

Dr Khalid also added that patients who came for treatment when the system was offline had their data recorded manually and once the system was online again, the doctors and medical personnel keyed in and updated their records.

“There was no loss… everything was completed within 24 hours,” said Khalid.

However another senior staff member had this to say: “When an IT system collapses in an IT hospital, it means we cannot access X-Rays, clinics cannot run and even OTs can’t run.”

He said there were still issues with the system which the hospital management have yet to sort out and some patients’ records remain inaccessible.

“They are lost in a cloud!” he said.

The ambitious project also requires all wards to be hooked up to computers, and doctors and specialists equipped with laptops to enable immediate access to patient records.

However a visit to the Sungai Buloh Hospital recently indicated that some of the hardware was not functioning. Several units had batteries that had not been replaced since 2006.

System to be upgraded

A Health Ministry official said they were aware of the problems plaguing THIS.

He said the main problem was that the system was old and needed upgrading.

"The Sungai Buloh hospital came online in 2008 and the operating system is probably from 2006. In IT terms, it can be deemed as obsolete. So the downtime is expected and we have been settling the issues one by one," he said.

The official said the ministry was now trying to find a more permanent solution to this problem.

"What we are looking at is how the system can cope in the long run and what can be done to improve it,” he said.

"The high cost of the system is of great concern to us," the official said.

He said plans to address these issues were in working papers for the 11th Malaysia Plan, which is due to be launched in 2015. – The Edge Financial Daily, October 21, 2014.