[Business Impact Analysis] [Detailed Business Processes] [CBF-1]
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.
Author'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 |
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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 |
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