CCMS Downtime – KKBM General Patient Flow
Area covered: Registration, Vitals & Appointment Counter, Outpatient Department, Fever Clinic etc.
CCMS/Systmone is inaccessible at service points. No internet or other causes that leads to CCMS unusable --> BCP Manager announces Downtime Activation.
Register Patient
Manual or backup electronic registration
Register patient details in Manual Registration Book or EPRS (Electronic Patient Registration System — legacy backup system).
Issue Manual Clerking Sheet
Patient basic details pre-filled
Issue Manual Clerking Sheet with patient basic details written on it.
Skip Checklist
Standard unit assignment checklist not required during downtime
No need to issue Checklist — the physical checklist normally used for unit assignment is skipped during CCMS downtime.
QMS Machine Status
Determine queue system availability
QMS Functioning
Continue using QMS calling system as normal. Staple QMS number onto the Manual Clerking Sheet for tracking.
QMS Not Functioning
Refer to the QMS Downtime Workflow.
Refer QMS Downtime Here
Assessment & Documentation
Manual clerking on paper
Medical staff conduct patient assessment and document all findings on the Manual Clerking Sheet.
History Taking & Clinical Notes
Standard clinical workflow on paper
- History taking & clinical notes written on Manual Clerking Sheet
- Plan next step: conditional path to procedure, x-ray, or referral
Conditional Steps
Depending on the clinical plan, one or more paths apply:
If Procedure Required
- Update procedure on clerking
- Direct patient to Procedure Room
- Lab: write type of test on clerking
If X-Ray Required
- Fill-up Borang Permohonan X-ray
- Update clerking sheet
- Refer patient to Room 7
If Referral Needed
- Prepare Emergency Referral Form (2 copies)
- Update clerking sheet
- Refer to Emergency Room 8
Appointment Counter
- Assign appointment date based
- Record appt in manual logbook
- Provide TCA card to patient
- Collect Manual Clerking Sheet
Post-Test/Procedure Review
After patient returns from investigation
- Review outcome
- Complete assessment
- Diagnosis & treatment plan
- Set appointment date (TCA)
- Write manual prescription
Pharmacy Processing
Manual dispensing workflow
- Refer to Prescription Handling Flowchart
- Collect prescription & Manual Clerking Sheet
- Pharmacist dispenses based on manual prescription slip
Record Collection
BCP records gathered for re-entry
All BCP records (clerking sheets, prescriptions, consent forms, logbooks) are collected by Unit BCP Coordinators.
System Restored
Data re-entry begins
Once CCMS is restored, data re-entry begins following unit-specific procedures.
Original flowchart image to be inserted here.
Suggested path: /img/bcp/general-patient-flow.png