.
Continuity of Care: BCM at Institut Jantung Negara (National Heart Institute)
BCM CGC BB_with Cert Logo_V2-6

[BCM] [NHI] [E3] [BIA] [DP] [CBF] [1] Emergency and Inpatient Cardiac Care Services

In the healthcare sector, the uninterrupted delivery of essential medical services is not just a priority—it is a matter of life and death. For the Institut Jantung Negara (IJN), Malaysia’s premier heart institute, maintaining continuity in critical business functions is central to ensuring patient safety, clinical excellence, and operational resilience.

As a nationally and regionally recognised centre for advanced cardiovascular and thoracic care, IJN operates with the highest standards of preparedness to safeguard its core services during disruptions.

One of the most crucial areas requiring rigorous business continuity planning is Emergency and Inpatient Cardiac Care Services.

New call-to-actionThis function encompasses a complex network of time-sensitive and resource-intensive processes, including emergency interventions, intensive care, cardiac imaging, surgical procedures, and interdisciplinary coordination.

A disruption at any point in this chain can have catastrophic implications for patient outcomes and institutional credibility.

This chapter outlines the key Sub-Critical Business Functions (Sub-CBFs) that support this high-level function and highlights IJN-specific examples to contextualise their importance in sustaining life-saving cardiac care.

Moh Heng Goh
Business Continuity Management Planner-Specialist-Expert
BL-OR-3-5 Blog Under ConstructionNew call-to-action

[Business Impact Analysis] [Detailed Business Processes] [CBF-1]

Bann_BCM_BIA_Detailed Business Processes

Detailed Business Processes

CBF-1: Emergency and Inpatient Cardiac Care Services

Introduction

In the healthcare sector, the uninterrupted delivery of essential medical services is not just a priority—it is a matter of life and death.

For the Institut Jantung Negara (IJN), Malaysia’s premier heart institute, maintaining continuity in critical business functions is central to ensuring patient safety, clinical excellence, and operational resilience.

As a nationally and regionally recognised centre for advanced cardiovascular and thoracic care, IJN operates with the highest standards of preparedness to safeguard its core services during disruptions.

One of the most crucial areas requiring rigorous business continuity planning is Emergency and Inpatient Cardiac Care Services.

This function encompasses a complex network of time-sensitive and resource-intensive processes, including emergency interventions, intensive care, cardiac imaging, surgical procedures, and interdisciplinary coordination.

A disruption at any point in this chain can have catastrophic implications for patient outcomes and institutional credibility.

Purpose of Chapter

This chapter outlines the key Sub-Critical Business Functions (Sub-CBFs) that support this high-level CBF-1 and highlights IJN-specific examples to contextualise their importance in sustaining life-saving cardiac care.

Institut Jantung Negara (IJN) serves as Malaysia’s premier heart specialist institution, providing advanced cardiovascular and thoracic care.

Among its most critical operations is CBF-1: Emergency and Inpatient Cardiac Care Services, which is essential in delivering time-sensitive, life-saving treatments to patients suffering from acute and complex heart conditions.

Any disruption to this function can result in severe consequences, including loss of life and reputational damage.

The following table outlines the key Sub-Critical Business Functions (Sub-CBFs) under CBF-1, tailored to IJN’s operational structure and specialised capabilities:

Table 1-1: Sub-CBFs of CBF-1 Emergency and Inpatient Cardiac Care Services at Institut Jantung Negara

 

Sub-CBF Code

Sub-CBF Title

Description

IJN-Specific Example

CBF-1.1

24/7 Emergency Cardiac Response

Initial patient triage, resuscitation, and emergency cardiac treatment for walk-in and referred cases.

IJN’s Emergency Department responds to acute coronary syndrome (ACS) cases, including STEMI and cardiac arrest.

CBF-1.2

Coronary Care Unit (CCU) Management

Monitoring and treatment of critically ill cardiac patients in intensive and high-dependency settings.

The IJN CCU features advanced cardiac monitoring systems and provides intensive care for patients with post-myocardial infarction (MI) conditions.

CBF-1.3

Inpatient Ward Management

Ongoing medical care, medication management, and rehabilitation of patients admitted for cardiac conditions.

Includes specialised cardiac wards such as the Cardiothoracic Surgery Ward and Cardiac Medical Ward.

CBF-1.4

Cardiac Catheterisation & Intervention Services

Urgent diagnostic and interventional procedures, including angiography, angioplasty, and stenting.

Emergency PCI (percutaneous coronary intervention) for patients with ST-elevation myocardial infarction.

CBF-1.5

Cardiac Surgery (Elective & Emergency)

Includes emergency open-heart surgeries such as coronary artery bypass grafting (CABG) and valve replacements.

IJN performs emergency CABG for patients with triple-vessel disease and unstable angina.

CBF-1.6

Pre-operative and Post-operative Cardiac ICU Services

Stabilisation, ventilation, and post-operative care in Intensive Care Units for cardiac surgical patients.

The IJN’s dedicated Cardiothoracic ICU provides 24/7 monitoring support for patients following major open-heart surgery.

CBF-1.7

Cardiac Imaging & Diagnostics

Essential diagnostic services to support emergency diagnosis and treatment planning, such as ECG, echocardiogram, and cardiac MRI.

IJN utilises 3D echocardiography for rapid diagnostics in emergency cases.

CBF-1.8

Pharmacy and Emergency Medication Supply

Timely supply of life-saving cardiac medications, anticoagulants, and emergency drugs.

Rapid deployment of thrombolytic drugs for myocardial infarction cases.

CBF-1.9

Blood Bank and Transfusion Services

Ensures availability of compatible blood and components for cardiac surgeries and emergency transfusions.

On-site blood bank supports cardiac surgeries and manages emergency supply chains.

CBF-1.10

Interdisciplinary Emergency Care Coordination

Involves coordination between cardiologists, anaesthetists, surgeons, and nurses for complex and acute cardiac cases.

IJN’s Rapid Response Team coordinates multi-speciality interventions for acute aortic dissection cases.

 
Commentary

These Sub-CBFs form the core of IJN’s life-saving capabilities and are designed to function in a tightly integrated and coordinated manner. Their uninterrupted operation is essential for:

  • Preserving patient lives during cardiac emergencies.
  • Supporting IJN’s reputation as a regional centre of excellence.
  • Complying with international accreditation standards (e.g., MSQH, JCI readiness).
  • Meeting the Ministry of Health (MOH) expectations for national emergency referral management.

Effective business continuity planning for these functions includes redundant power systems for CCUs and ICUs, disaster recovery for electronic medical records (EMR), backup supply chains for critical medications, and trained surge staff to manage mass casualty or outbreak scenarios.

Summing Up ...

Emergency and Inpatient Cardiac Care Services lie at the heart of IJN’s mission to deliver timely and high-quality cardiovascular treatment.

The ten Sub-CBFs identified in this chapter represent a tightly interwoven system where medical, logistical, diagnostic, and pharmaceutical elements must operate seamlessly, even in the face of crises.

Ensuring the continuity of these processes requires more than just contingency plans; it demands an integrated, proactive framework grounded in clinical expertise, technological reliability, and multidisciplinary coordination.

By identifying these Sub-CBFs, IJN not only strengthens its preparedness against potential disruptions but also reinforces its commitment to patient safety and institutional resilience.

The insights presented here serve as a foundation for developing targeted continuity strategies, recovery solutions, and resource prioritisation to ensure that IJN remains operationally robust, regardless of the challenges it may face.

Email to Dr Goh Moh HengAuthor's Comment: This is one of the 14 blogs required to support the identification of one of IJN's critical business functions, CBF-1 Emergency and Inpatient Cardiac Care Services. 

Based on our initial identification of CBFs as shown in Chapter 10 of eBook 1 "Understanding Your Organisation", Institut Jantung Negara will be required to develop 10 CBFs for its BCM project.

 

Continuity of Care: BCM at Institut Jantung Negara (National Heart Institute)
eBook 3: Starting Your BCM Implementation
MBCO P&S RAR T1 RAR T2 RAR T3 BCS T1  CBF
             
CBF 1: Emergency and Inpatient Cardiac Care Services
DP BIAQ T1 BIAQ T2 BIAQ T3 BCS T2 BCS T3 PD
             

More Information About Business Continuity Management Courses

To learn more about the course and schedule, click the buttons below for the  BCM-300 Business Continuity Management Implementer [BCM-3] and the BCM-5000 Business Continuity Management Expert Implementer [BCM-5].

New call-to-action New call-to-action Register [BL-B-3]*
New call-to-action New call-to-action New call-to-action
FAQ [BL-B-3]

Please feel free to send us a note if you have any questions.

Email to Sales Team [BCM Institute]

 FAQ BL-B-5 BCM-5000
New call-to-action New call-to-action New call-to-action
 
 
 
 

Comments:

 

More Posts

New Call-to-action