9th International Seminar & Workshop

Dewan Sholat Bawah. Sultan Salahudin Abdul Aziz

Syah Mosque. Selangor. Malaysia, 14-15 June 2013

SPIRITUAL SUPPORTS IN PATIENTS CARE

OUTLINE
Major 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

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 at 7th international seminar & workshop

"understanding & application of qur'anic principles and values in
healthcare" - December 15-17th, 2011 - Kualalumpur, Malaysia.
By Dr Omar Hasan Kasule Sr MB ChB (MUK), MPH (Harvard), DrPH
(Harvard)

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. Principles Of Health Services In Islam

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

2.1 UNDERSTANDING OF FUNDAMENTALS OF

LAW IN MEDICINE (MAQASID & QAWAID)
For any medical procedure to be ethical, it must conform
to and not violate any of the 5 maqasid arranged in order
of priority: diin, life, family, mind, and wealth
The 5 principles of medical care are: intention, certainty,
harm, difficulty, and custom.

Paper presented at 8th international seminar & workshop - Maqasid

and Qawaid As-Shariah in Evidence-Based-Medicine 12 September
2012 Khalid Al Walid Mosque Kualalumpur, Malaysia.
By Dr Omar Hasan Kasule Sr MB ChB (MUK), MPH (Harvard), DrPH
(Harvard)

2. Principles Of Health Services In Islam

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

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. Principles Of Health Services In Islam

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

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. Principles Of Health Services In Islam

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

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. Principles Of Health Services In Islam

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

3. IBADAH FRIENDLY HOSPITAL

Concept Of Ibadah In Islam
Ibadah should be understood in a more broad manner not only
prayer/fasting/zakat/haj but in everything we do provided the niat is an ikhlas
and for Allah.Thus treating patients and making pts happy is ibadah.Staff of
Islamic Hospital must understand and yakin that whatever they do must be
taken as ibadah thus widening their understanding of Islam as a complete way
of life.
Paradigm change -all for Allah- Mardhatillah

Definition Of Ibadah In Islam

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

Requirement In Successful Implementation Of Ibadah Friendly

Hospital
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

4. PRACTICAL IMPLEMENTATION
Practical implementation to the hospital customers

Hospital customers devided into three categories,

those are :

Internal Customer

External Customer

Owner
Employee
Patient
Family

Intermediate Customer

Supplier
Third Party Payor

4. Practical Impelementation
4.1 Internal Customer
4.2 External Customer
4.3 Intermediate Customer

4.1 INTERNAL CUSTOMER (EMPLOYEE & OWNER)

4.1.1

Usrah

4.1.2

Tamrin (Retreat)

4.1.3

Solat Reminder

4.1.4

Opening & Closing Daily Activity

4.1.5
4.1.6

Quranic Daily Motivation

Orientation For Ibadah Friendly
Hospital : Aim
Ibadah : Especially Solat For
Employee
Training For Handling Of Jenazah
Tilawah Alquran
Continous Medical Education (CME)
Continous Nurse Education (CNE)
Performance Related Pay Using KPI
(Key Performance Indicators) Based
On Islamic Concept

4.1.7

4.1.8
4.1.9
4.1.10
4.1.11
4.1.12

4.1.13

Concepts Of Charging Patient In

Islamic Hospital

4.1.14

Zakat & Infaq As Financial

Performance Indicators For Islamic
Hospital

4.1.15

Syariah Board In Islamic Hospital

4.1.16

Islamic Value In Formulation For

Medical Staff By Laws

4.1.17

Islamic Value In Formulation For

General Staff Scheme Of Services

4.1.18

Staff Attire

4.1.19

Industrial Relationship

4. Practical Impelementation
4.1 Internal Customer
4.2 External Customer
4.3 Intermediate Customer

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

categories:
Staff usrah (2 weekly)
Naqib-naqibah (Monthly)
Doctors and families(Monthly)

4. Practical Impelementation
4.1 Internal Customer : 4.1.1
4.2 External Customer
4.3 Intermediate Customer

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 of
commitment for Islam / Ahsan
Minimal 2 days - 1 night
Programs include-Jemaah prayers/Recitation of al mathurat
/ Tahajud / Qiyamulail / Group discussion / Physical
activities with group binding message
4. Practical Impelementation
4.1 Internal Customer : 4.1.2
4.2 External Customer
4.3 Intermediate Customer

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 (Application
of concept of rukhsah .
SOP by nurses / staff / religious officers / doctors-inpatients
who are well enough to pray-jamaq qasar / taqdim /
ablution / tayammum
Patients and staff planning for long operation / timing of
elective operation .
4. Practical Impelementation
4.1 Internal Customer : 4.1.3
4.2 External Customer
4.3 Intermediate Customer

4.1.4

OPENING & CLOSING

DAILY ACTIVITY

Remind staff to open and close their daily activities by the

name of Allah
Doa matsurat in every morning and afternoon broadcast
to the patient room on request
Pray for patients in every morning and afternoon - broadcast
to the patient room on request
Handover procedure for medical and nurse officers, contain
pray, briefly nasihah / motivation and patients condition.
4. Practical Impelementation
4.1 Internal Customer : 4.1.4
4.2 External Customer
4.3 Intermediate Customer

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

4. Practical Impelementation
4.1 Internal Customer : 4.1.5
4.2 External Customer
4.3 Intermediate Customer

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 assyariah and their relevence
Workshop : Helping patients to perform ibadah : solat /
tayammum / fasting / recitation of Al quran.
4. Practical Impelementation
4.1 Internal Customer : 4.1.6
4.2 External Customer
4.3 Intermediate Customer

4.1.7

IBADAH : ESPECIALLY SOLAT FOR

EMPLOYEE

Encourage staff especially male to perform their prayers in

jemaah at mosque / musolla / dedicated place for
congretional prayer
Clear SOP for male staff to perform their prayer in jemaah
prayer as soon as possible.

Well informed on concept of Rukhsah and the need to take

care of their solat in the best manner possible.
Female staff should help male staff in performing their
jemaah prayers.
4. Practical Impelementation
4.1 Internal Customer : 4.1.7
4.2 External Customer
4.3 Intermediate Customer

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.

4. Practical Impelementation
4.1 Internal Customer : 4.1.8
4.2 External Customer
4.3 Intermediate Customer

4.1.9 TILAWAH AL-QURAN

Special assessment for staff on their knowledge of reciting Al
Quran
Tajwid Class (basic/normal) on regular basis
Tadarus in ramadhan - compulsory in groups-usrah

Encouragement for staff to become Hafiz / Hafezah.

4. Practical Impelementation
4.1 Internal Customer : 4.1.9
4.2 External Customer
4.3 Intermediate Customer

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

4. Practical Impelementation
4.1 Internal Customer : 4.1.10
4.2 External Customer
4.3 Intermediate Customer

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

4. Practical Impelementation
4.1 Internal Customer : 4.1.11
4.2 External Customer
4.3 Intermediate Customer

4.1.12 PERFORMANCE RELATED PAY USING

KPI (KEY PERFORMANCE
INDICATORS) BASED ON ISLAMIC
CONCEPT
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)
4. Practical Impelementation
4.1 Internal Customer : 4.1.12
4.2 External Customer
4.3 Intermediate Customer

4.1.13 CONCEPTS OF CHARGING PATIENT

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

4. Practical Impelementation
4.1 Internal Customer : 4.1.13
4.2 External Customer
4.3 Intermediate Customer

4.1.14 ZAKAT & INFAQ AS FINANCIAL

PERFORMANCE 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 in
islamic hospital
Design balanced scorecard for islamic hospital
Know how to calculate zakat for hospital
4. Practical Impelementation
4.1 Internal Customer : 4.1.14
4.2 External Customer
4.3 Intermediate Customer

4.1.15 SYARIAH BOARD IN ISLAMIC

HOSPITAL
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

4. Practical Impelementation
4.1 Internal Customer : 4.1.15
4.2 External Customer
4.3 Intermediate Customer

4.1.16 ISLAMIC VALUE IN FORMULATION

FOR MEDICAL STAFF BY LAWS
Components :
Covenants of the the Doctors - prerequisite
Covenants of the hospitals
Islamic Ethics Maqasid As Syariah, Qawaid As Syariah, Conduct of a
good muslim
General clinical responsibilities
Escape / termination clause : By term; By default; By consensus

4. Practical Impelementation
4.1 Internal Customer : 4.1.16
4.2 External Customer
4.3 Intermediate Customer

4.1.17 ISLAMIC VALUE IN FORMULATION

FOR GENERAL STAFF SCHEME OF
SERVICES
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

4. Practical Impelementation
4.1 Internal Customer : 4.1.17
4.2 External Customer
4.3 Intermediate Customer

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 at
minimum 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 of
body 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

4. Practical Impelementation
4.1 Internal Customer : 4.1.18
4.2 External Customer
4.3 Intermediate Customer

4.1.19 INDUSTRIAL RELATIONSHIP

Syariah compliant industrial relationship

4. Practical Impelementation
4.1 Internal Customer : 4.1.19
4.2 External Customer
4.3 Intermediate Customer

4.2 EXTERNAL CUSTOMERS :

PATIENT & FAMILY
4.2.1

SHOLAT REMINDER FOR PATIENT

4.2.2

QIBLAH DIRECTION SIGNBOARD

4.2.3

PROVIDING SHOLAT OUTFIT FOR

PATIENTS & RELATIVES

4.2.4

MANUAL GUIDELINE FOR

PATIENTS

4.2.5

ONLINE CONSULTATION

4.2.6

SPIRITUAL RECORD

4.2.7

DOA POSTER FOR VISITOR

4.2.8

SYARIAH COMPLIANT INHOUSE

TELEVISION 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. Practical Impelementation
4.1 Internal Customer
4.2 External Customer
4.3 Intermediate Customer

4.3 INTERMEDIATE CUSTOMER :

SUPPLIER & THIRD PARTY PAYOR
HALAL CERTIFICATION
IMPLEMENTATION OF ISLAMIC CODE IN DEALING WITH
INTERMEDIATE CUSTOMER

4. Practical Impelementation
4.1 Internal Customer
4.2 External Customer
4.3 Intermediate Customer

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

6. MARKETING
Shariah compliant marketing

7. FINANCE & ACCOUNTS

Shariah compliant finance & accounts

8. MEDICAL LEGAL ISSUES

Medical 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 8th international seminar & workshop Maqasid and Qawaid As-Shariah in Evidence-Based-Medicine 12 September 2012
Khalid Al Walid Mosque Kualalumpur, Malaysia
By Mohd Johan Lee, LLB (Hons) & MCL, International Islamic University Malaysia, MA, Kings
Collage London, Phd. candidate, Monash University Australia, Partner, J. Lee & Associates,
Malaysia.

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