00 PROSEDUR PENGURUSAN PENYELIDIKAN MS ISO 9001
Transcription
00 PROSEDUR PENGURUSAN PENYELIDIKAN MS ISO 9001
Prosedur Pengurusan Penyelidikan MS ISO 9001:2008 Prosedur Pengurusan Penyelidikan MS ISO 9001:2008 INSTITUT PENYELIDIKAN PERUBATAN KUALA LUMPUR PROSEDUR PENGURUSAN PENYELIDIKAN SISTEM PENGURUSAN KUALITI MS ISO 9001:2008 PPP/IMR Tarikh Kuatkuasa 5 Nov 2008 Institut Penyelidikan Perubatan Jalan Pahang, 50588 Kuala Lumpur Diluluskan Oleh Dr Shahnaz bt Murad Pengarah Institut Penyelidikan Perubatan Dikeluarkan Kepada: No Salinan Terkawal: ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur SENARAI KANDUNGAN Bhgn Perkara Mukasurat Rekod Pindaan 1 2 3 4 5 6 Objektif Skop Rujukan Definisi dan Singkatan Definisi Singkatan Tanggungjawab dan Tindakan Penerimaan dan Penyemakan Proposal Melalui Kaedah Manual Penerimaan dan Penyemakan Proposal Melalui Kaedah Pendaftaran Penyelidikan NMRR Mesyuarat JPP-IMR Untuk Penilaian Keseluruhan Proposal Melalui Penyerahan Secara Manual Atau Kaedah Pendaftaran NMRR Pemantauan Kemajuan Penyelidikan Pemantauan Penamatan Penyelidikan Pemantauan Selepas Tamat Projek Pemantauan Hasil Penyelidikan (Penerbitan/ Pembentangan/ Paten) Penutupan Fail Projek Rekod Pelaksanaan Senarai Lampiran Borang JTP/KKM-3ver1.1 Borang Semakan Proposal Baru Penyelidikan Ministry Of Health Grant Technical Evaluation Form Quarterly Financial Report Project Activity Report Milestone Achievement Report End of Project Report Laporan Pemantauan Hasil Penyelidikan Permohonan Menghadiri Seminar dan Membentangkan Kertas Saintifik serta Pembiayaan Permohonan Kelulusan Menerbitkan Hasil Penyelidikan Borang Soal Selidik Kepuasan Pelanggan 01 01 01 01 02 03 03 04 05 05 06 06 06 07 ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur REKOD PINDAAN Keluaran /Pindaan 1.1 Tarikh Keterangan Ringkas Pindaan 07/06/10 Pindaan ke atas keseluruhan Prosedur Pengurusan Penyelidikan hasil daripada semakan dan penambahbaikan dokumentasi ISO 9001:2008 Seksyen/ Mukasurat Terlibat Diluluskan Oleh Semua Pengarah IMR ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur 1. OBJEKTIF a) Untuk memastikan projek penyelidikan dijalankan mengikut peraturan yang ditetapkan oleh JPP-IMR berasaskan kehendak pelanggan (agensi peruntukan). b) Untuk memastikan proses pengurusan sesebuah projek penyelidikan dilakukan secara teliti dan teratur. 2. SKOP Prosedur ini digunakan sebagai panduan oleh semua penyelidik bermula dari proses penyediaan proposal sehingga penutupan projek. Ia juga digunakan oleh Urusetia JPPIMR untuk menguruskan projek penyelidikan di IMR. 3. RUJUKAN i. MS ISO 9001:2008 ii. Manual Kualiti iii. NIH Guidelines and Forms iv. MOSTI Guidelines and Forms v. Garis Panduan Penilaian dan Pemantauan Pengurusan Penyelidikan 4. DEFINISI DAN SINGKATAN DEFINISI Agensi Peruntukan : Agensi yang akan membiayai projek penyelidikan seperti NIH, MOSTI dan agensi lain. Ketua Penyelidik : Pegawai yang mengetuai Pasukan Penyelidik Pasukan Penyelidik : Terdiri daripada pegawai perubatan, pegawai penyelidik, kolaborator dan kumpulan sokongan yang dikenalpasti dalam cadangan projek penyelidikan Kolaborator : Institusi yang bekerjasama dengan ketua penyelidik JPP-IMR : Jawatankuasa yang dipengerusikan oleh Pengarah IMR dan ahli-ahlinya terdiri daripada beberapa orang pakar dalam disiplin tertentu yang dilantik oleh Pengarah Jawatankuasa Etika dan Penyelidikan Perubatan (MREC) : Jawatankuasa yang dipengerusikan oleh Timbalan Ketua Pengarah Kesihatan (Penyelidikan dan Sokongan Teknikal), KKM. Ahli-ahlinya terdiri daripada PengarahPengarah Institut di bawah NIH, pakar perubatan dan penyelidik dalam disiplin tertentu daripada KKM dan universiti, wakil Akademi Perubatan Malaysia, ahli farmasi, pegawai undang-undang, jururawat, juruteknologi makmal perubatan dan lain-lain lagi. 1-7 ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur Jawatankuasa Penjagaan dan Penggunaan Haiwan Makmal (ACUC) : Jawatankuasa yang terdiri daripada pegawai veterinar, pegawai perubatan dan pegawai penyelidik daripada Institut Penyelidikan Perubatan, universiti-universiti tempatan dan Jabatan Perkhidmatan Haiwan. SINGKATAN JPP-IMR : Jawatankuasa Penilaian Penyelidikan IMR Urusetia : Urusetia Jawatankuasa Penilaian Penyelidikan IMR NMRR : National Medical Research Register MREC : Medical Research and Ethics Committee (Jawatankuasa Etika dan Penyelidikan Perubatan) ACUC : Animal Care and Use Committee (Jawatankuasa Penjagaan dan Penggunaan Haiwan Makmal) NIH : National Institutes of Health (Institut Kesihatan Kebangsaan) KKM : Kementerian Kesihatan Malaysia MOSTI : Ministry of Science, Technology and Innovations 2-7 ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur 5. TANGGUNGJAWAB DAN TINDAKAN TANGGUNGJAWAB TINDAKAN Penerimaan dan Penyemakan Proposal Melalui Kaedah Manual Urusetia 1. Mengedar Borang Proposal melalui laman web IMR, e-mel atau hard copy untuk diisi oleh Ketua Penyelidik. 2. Menerima borang proposal daripada Ketua Penyelidik yang telah diluluskan oleh Ketua Pusat / Ketua Unit. Salinan secukupnya perlu disediakan oleh Ketua Penyelidik untuk diedarkan kepada anggota panel JPP-IMR. 3. Memberi nombor kod JPP-IMR kepada setiap proposal yang diterima. 4. Menyemak proposal mengikut Borang Semakan Proposal Baru Penyelidikan yang mengandungi perkara-perkara berikut: - Gantt Chart - Budget: Direct Project Funding - Budget: Disbursement Schedule - Funding Sources - Contractual Matters - CV of All Key Researchers 5. Mengedarkan salinan proposal lengkap kepada anggota panel JPP-IMR untuk dinilai sebelum mesyuarat JPP-IMR. Penerimaan dan Penyemakan Proposal Melalui Kaedah Pendaftaran Penyelidikan NMRR Ketua Penyelidik 6. Mendaftar sebagai penyelidik melalui laman web ‘www.nmrr.gov.my’ untuk mendapatkan ‘ID penyelidik’. Ketua Penyelidik 7. Menyediakan proposal penyelidikan mengikut format yang di tetapkan di dalam laman web tersebut. 8. Menghantar proposal bagi penilaian oleh panel JPP-IMR (Reviewer) secara on-line. 9. Menghantar e-mel ‘alert’ kepada Urusetia JPP-IMR untuk memulakan proses penilaian. Urusetia NMRR Urusetia 10. Memberi tugas kepada panel JPP-IMR (Reviewer) yang berkaitan bagi penilaian proposal penyelidikan. JPP-IMR 11. Menilai proposal melalui laman web NMRR sebelum mesyuarat JPP-IMR. 3-7 ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur TANGGUNGJAWAB TINDAKAN Mesyuarat JPP-IMR Untuk Penilaian Keseluruhan Proposal Melalui Penyerahan Secara Manual Atau Kaedah Pendaftaran NMRR Urusetia 12. Mencadangkan kepada Pengerusi JPP-IMR supaya penilaian proposal penyelidikan dimasukkan ke dalam agenda Mesyuarat JPP-IMR. 13. Menetapkan tarikh mesyuarat JPP-IMR untuk penilaian proposal. 14. Memaklumkan tarikh mesyuarat beserta jadual penilaian proposal kepada Ketua Penyelidik yang berkenaan dan semua ahli panel JPP-IMR. JPP-IMR 15. Menilai dan membuat keputusan mengenai proposal penyelidikan. Urusetia 16. Memaklumkan keputusan penilaian proposal kepada Ketua Penyelidik dengan keputusan seperti di bawah: Lulus: tiada pindaan Lulus dengan pindaan: pindaan perlu dibuat dalam tempoh masa yang ditetapkan Lulus bersyarat: perlu memenuhi syarat yang ditetapkan oleh JPP-IMR/NIH/KKM (contoh: kelulusan dari MREC) Tidak diluluskan 17. Memaklumkan tindakan pembetulan yang perlu diambil oleh Ketua Penyelidik. 18. Menerima proposal yang telah dipinda beserta maklumat pindaan / pembetulan dari Ketua Penyelidik. 19. Mengemukakan proposal yang telah dipinda beserta Ministry Of Health Grant Technical Evaluation Form yang telah dinilai oleh Pengerusi Panel JPP-IMR kepada Agensi Peruntukan untuk mendapatkan kelulusan melalui Pengarah IMR. Pengarah 20. Menerima keputusan daripada Agensi Peruntukan dan serahkan kepada Urusetia. Urusetia 21. Memaklumkan keputusan Agensi Peruntukan beserta dengan pecahan peruntukan kepada Ketua Penyelidik dan satu salinan dikemukakan kepada Unit Kewangan. Ketua Penyelidik 22. Semua urusan kewangan boleh dijalankan setelah surat pecahan peruntukan diedarkan kepada Ketua Penyelidik dan Unit Kewangan IMR. 4-7 ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur TANGGUNGJAWAB TINDAKAN Pemantauan Kemajuan Penyelidikan Urusetia 23. Memaklumkan kepada Ketua Penyelidik untuk menyediakan laporan Suku Tahunan dan Setengah Tahunan selewatlewatnya seminggu sebelum tarikh yang ditetapkan. Urusetia 24. Memantau kemajuan projek mengikut garispanduan yang ditetapkan oleh NIH (rujuk Quarterly Financial Report, Project Activity Report dan Milestone Achievement Report Guidelines and Form) atau Agensi Peruntukan melalui laporan-laporan berikut: (i) Laporan Suku Tahunan mengandungi: Quarterly Financial Report Tarikh Laporan: 31 Mac, 30 Jun, 30 Sep, 31 Dis (ii) Laporan Setengah Tahunan mengandungi: Project Activity Report Milestone Achievement Report Tarikh Laporan: 15 Jul, 15 Jan (tahun berikutnya) Ketua Penyelidik 25. Menyediakan laporan kemajuan penyelidikan dengan melengkapkan borang suku tahunan dan setengah tahunan dan serahkan kepada Urusetia. Urusetia 26. Menyemak laporan dan menganalisis data kemajuan projek dengan menggunakan kaedah yang bersesuaian. 27. Menyerahkan satu salinan laporan suku tahunan dan setengah tahunan kepada Agensi Peruntukan. Pemantauan Penamatan Penyelidikan 28. Memantau projek yang telah tamat melalui borang End of Project Report (rujuk End of Project Report Guidelines and Form). 29. Memaklumkan kepada Ketua Penyelidik sebaik sahaja projek tamat mengikut jadual untuk menyerahkan laporan tamat projek dalam tempoh 3 bulan selepas tamat projek. Ketua Penyelidik 30. Menyediakan laporan tamat projek dengan melengkapkan borang End of Project Report dan serahkan kepada Urusetia. Urusetia 31. Menyemak dan menganalisis data laporan tamat projek dengan menggunakan kaedah yang bersesuaian. 32. Menyerahkan satu salinan laporan tamat projek kepada Agensi Peruntukan. 5-7 ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur TANGGUNGJAWAB TINDAKAN Pemantauan Selepas Tamat Projek Urusetia 33. Memantau projek yang telah tamat (rujuk Garis Panduan Penilaian dan Pemantauan Pengurusan Penyelidikan) sehingga penutupan projek. Ketua Penyelidik 34. Menyedia laporan pemantauan selepas tamat projek dengan melengkapkan Laporan Pemantauan Hasil Penyelidikan dan serahkan kepada Urusetia bagi setiap setengah tahunan. Urusetia Tarikh Laporan: 15 Jul, 15 Jan (tahun berikutnya). Pemantauan Hasil Penyelidikan (Penerbitan/ Pembentangan/ Paten) 35. Menerima dan menyimpan satu salinan permohonan penerbitan yang telah diluluskan oleh Pengarah beserta manuskrip, pengesahan penerimaan daripada Editor Jurnal dan salinan artikel yang telah diterbitkan (Permohonan Kelulusan Menerbitkan Hasil Penyelidikan). 36. Menerima dan menyimpan salinan permohonan pembentangan yang telah diluluskan oleh Pengarah beserta abstrak, pengesahan penerimaan daripada pihak penganjur dan bukti kehadiran pembentang (Permohonan Menghadiri Seminar dan Membentangkan Kertas Saintifik serta Pembiayaan). 37. Menerima dan menyimpan salinan permohonan paten yang telah diluluskan oleh Pengarah dan pengesahan penerimaan paten. Penutupan Fail Projek Urusetia 38. Menutup fail projek setelah JPP-IMR berpuashati dengan hasil penyelidikan seperti penerbitan, pembentangan dan/atau permohonan paten. 39. Penutupan fail projek dilakukan setelah mendapat kelulusan dari panel JPP-IMR 40. Menghantar Borang Soal Selidik Kepuasan Pelanggan setelah penutupan projek kepada Agensi Peruntukan untuk penilaian. 41. Merekod dan membuat analisis kepuasan pelanggan setelah mendapat maklumbalas dari Agensi Peruntukan. 6-7 ‐Prosedur Pengurusan Penyelidikan‐ Institut Penyelidikan Perubatan Kuala Lumpur 6. REKOD PELAKSANAAN BIL. NAMA REKOD i. Proposal ii. Salinan proposal yang telah dipinda iii. Semakan Proposal Projek Baru iv. Keputusan Agensi Peruntukan v. Surat-menyurat berkenaan dengan keputusan Jawatankuasajawatankuasa penyelidikan vi. Quarterly Financial Report vii. Project Activity Report viii. Milestone Achievement Report ix. End of Project Report LOKASI TEMPOH SIMPANAN Bilik Ketua Penyelidik / Urusetia Bilik Ketua Penyelidik / Urusetia Bilik Urusetia 5 tahun selepas projek ditutup 5 tahun selepas projek ditutup Bilik Ketua Penyelidik / Urusetia Bilik Ketua Penyelidik / Urusetia Bilik Ketua Penyelidik / Urusetia Bilik Ketua Penyelidik / Urusetia Bilik Ketua Penyelidik / Urusetia Bilik Ketua Penyelidik / Urusetia 5 tahun selepas projek ditutup 5 tahun selepas projek ditutup 5 tahun selepas projek ditutup 5 tahun selepas projek ditutup 5 tahun selepas projek ditutup 5 tahun selepas projek ditutup 5 tahun selepas projek ditutup 7-7 Form JTP/KKM-3ver1.1 I. A. Project Identification NMRR Project ID : ---------------------------------------------------------------------------------------------------------------------B. Type of Grant (Please tick one only. Small research grants are for amounts not exceeding RM 10,000 each) Major Research Grant Small Research Grant ----------------------------------------------------------------------------------------------------------------------C. Project Title ----------------------------------------------------------------------------------------------------------------------D. Principal Investigator (Please indicate the name and identification card number of the principal investigator) -----------------------------------------------------------------------------------------------------------------------E. Department (Please indicate the name, address, telephone number and fax number of the Department in which the principal investigator is based. Where available, indicate the e-mail address of the principal investigator too) -----------------------------------------------------------------------------------------------------------------------F. Key words (Please provide a maximum of 5 key words that describes the research project. These key words shall be used in a database on research in the Ministry of Health) Page 1 of 12 Form JTP/KKM-3ver1.1 II. A. Objectives of the Project Objectives of the project (Please describe the measurable general and specific objectives of the project and define the expected results. Use results-oriented wording with verbs such as ‘to define …’, ‘to determine …’, ‘to develop …..’ ) -----------------------------------------------------------------------------------------------------------------------B. Research background of the project (Please indicate if the project is new, modification, or extension. Give a summary of your literature review and related research to indicate originality and feasibility of proposed research. If modification, indicate why modification is required. If extension, indicate findings of previous research project and why extension is required). Project Status (Please tick one) New Modification of previous project Extension of previous project -----------------------------------------------------------------------------------------------------------------------C. Type of Research (Please tick one only) o Scientific (basic) research o o o Technology development (applied research) Prototype development (design and engineering) Social / policy research -----------------------------------------------------------------------------------------------------------------------D. Field of Research (Please tick one only) o Biomedical o o o o o o o Clinical Public health Epidemiological Health systems Health economics Behavioural Others, please specify ……………………………………… -----------------------------------------------------------------------------------------------------------------------E. Ministry of Health 9MP Health Research Priority Areas being addressed (Please refer to the Ministry of Health Research Priorities for the 9th Malaysia Plan as in www.nih.gov.my) CAM Disease / Cross Cutting Group : Research Scope : Relative Rank : ------------------------------------------------------------------------------------------------------------- Page 2 of 12 Form JTP/KKM-3ver1.1 III. Benefits of the Project A. Direct customers / beneficiaries of the project (Please identify clearly, the potential customers / beneficiaries of the research findings and provide details of their relevance to the health services. If this is a directed / requested research, please name the health service provider involved) -----------------------------------------------------------------------------------------------------------------------B. Outputs expected from the project (Please refer to the outputs in the Guidelines and give further details. Your actual outputs at the completion of the project shall be compared with the outputs listed here. Any unjustified shortfall may be detrimental to your future application) -----------------------------------------------------------------------------------------------------------------------IV. Project Structure (Optional for Small Research Grants) A. Departments and research organizations involved in the project (Please identify all MOH Departments and other research organizations collaborating in the project and describe briefly the role / contribution to the project) Page 3 of 12 Form JTP/KKM-3ver1.1 B. Project team Name Department/ Organization Principal Investigator : Co-investigators : Support staff : Contract staff : (Indicate numbers) Total : Page 4 of 12 Estimated days on project Form JTP/KKM-3ver1.1 V. A. Research Approach Project Activities (Please list and describe the main project activities. The timing and duration of these activities are to be shown in the Gantt chart in Section VI) -----------------------------------------------------------------------------------------------------------------------B. Key milestones (Please list and describe the principal milestones of the project. The timing of milestones is to be shown in the Gantt chart in Section VI. A key milestone is reached when a significant phase in the project is completed.) -----------------------------------------------------------------------------------------------------------------------C. Risks of the project (Please describe the factors that may cause delays in, or prevent implementation, of the project as proposed above; estimate the degree of risk) Factors: Low Technical risk: Timing risk: Budget risk: Medium High ------------------------------------------------------------------------------------------------------------D. Duration (Indicate the planned starting date of the project and the elapsed time, in months, to complete the project. Do not include time for preparation of publication) Starting date: Duration (in months): ----------------------------------------------------------------------------------------------------------------------- Page 5 of 12 Form JTP/KKM-3ver1.1 VI. Project Schedule (Please prepare additional pages if necessary) Project Activities J 200_ F M A M J J A S O N D J Use () to indicate planned milestones. Page 6 of 12 200_ F M A M J J A S O N D Form JTP/KKM-3ver1.1 VII. A. Project Funding Direct project expenses (Please indicate the yearly costs for the project. The amounts should only include costs, which are to be requested from the MOH Allocation on Research Development. Use additional pages if necessary. Details and justification for each cost category should be prepared in the form shown in Appendix B.*Please refer to your Department’s Financial Unit in stating the allocation as OS-Objek Sebagai) Cost category OS21000 :Travel & Transportation (In Country) OS22000 : Travel & Transportation (Overseas) OS24000 : Rentals Total RM 200_ RM 200_ RM 200_RM OS25000 : Raw Materials OS27000 : Research materials and Supplies OS29000 : Special services OS29000 : Temporary & contract personnel OS35000 : Special equipment and accessories OTHERS (Please list as OS*) TOTAL B. Disbursement Schedule (Please indicate how the fund requested above in Section VII. A, will be allocated) Department/ Organization Total RM 200_ RM Page 7 of 12 200_ RM 200_ RM Form JTP/KKM-3ver1.1 C. Funding Sources (Please indicate all sources of funding for the project) Funding Sorces MOH Allocation on Research Development (this is the total RM amount requested for in Section VII.A above) Operating budget Other sources (please specify) Page 8 of 12 % of Total Funding Form JTP/KKM-3ver1.1 VIII. Contractual Matters (For Small Research Grant application, submit only information for the Principal Investigator and not collaborators) -----------------------------------------------------------------------------------------------------------------------Principal Investigator Name: Signature: Date: Head of Department of Principal Investigator Name: Signature and Official Stamp: Date: -----------------------------------------------------------------------------------------------------------------------Co-Investigator Name: Signature: Date: Head of Department of Co-Investigator Name: Signature and Official Stamp: Date: -----------------------------------------------------------------------------------------------------------------------Co-Investigator Name: Signature: Date: Head of Department of Co-Investigator Name: Signature and Official Stamp: Date: Page 9 of 12 Form JTP/KKM-3ver1.1 -----------------------------------------------------------------------------------------------------------------------Repeat for Co-Investigators, if necessary IX. CURRICULUM VITAE (Please prepare and submit a curriculum vitae of all key researchers for major research grant application. For small research grant application submit only the curriculum vitae of the principal investigator. The curriculum vitae should contain the following information below) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Name: I/C No. Age: Nationality: Name and address of Department / Institution: Title of Position currently held: Official telephone number: Official fax number: Official e- mail: Academic and professional qualifications: (List all qualifications in the following format: title,field, year, name and place of institution) Number of years of experience in the field related to this project. List all major research projects completed or involved in which are in the field related to this project (List the projects in the following format: title, year started, year completed, position held in project, major findings and outputs) Page 10 of 12 Form JTP/KKM-3ver1.1 APPENDIX A Summary of literature review and related research Page 11 of 12 Form JTP/KKM-3ver1.1 APPENDIX B (Please provide detailed breakdown and justifications for all project costs requested in Section VII. A. Use additional pages if necessary) Cost Category Total RM 200_ RM Page 12 of 12 200_ RM 200_ RM versi 2 URUSETIA JAWATANKUASA PENILAIAN PENYELIDIKAN INSTITUT PENYELIDIKAN PERUBATAN Jalan Pahang, 50588 Kuala Lumpur Tel : 03-2616 2492 Faks : 03-2616 2721 BORANG SEMAKAN PROPOSAL BARU PENYELIDIKAN MAKLUMAT PROJEK: Tahun : LOI/RP Kod JPP-IMR : Ketua Penyelidik: Unit / Pusat : Tarikh Mula : Tajuk Penyelidikan : SENARAI SEMAK: 1. Gantt Chart 2. Budget – Direct Project Funding 3. Budget – Disbursement Schedule 4. Funding Sources 5. Contractual Matters (signatures) a. Principle Investigators b. Head Department of PI 6. CV of all key researchers KOMEN DAN CADANGAN: Disemak dan disahkan; ....................................... (Nama & Cop Rasmi) Tarikh: Tarikh Tamat : RIP MINISTRY OF HEALTH RESEARCH GRANT TECHNICAL EVALUATION FORM A. NMRR ID : Project title: Project leader: Tel: B. Fax: Name of evaluator: Date of this evaluation: First Follow-up C. Summary of assessment (Please tick appropriate box. Also, provide additional comments in Section G. Numbers in parentheses refer to the corresponding section in the Application Form) Inadequate 1 1. Scientific merit of research objectives 2. Credibility of benefits assessment 3. Appropriateness of the project structure 4. Robustness of the technical methodology 5. Appropriateness of the risk assessment 6. Cost effectiveness of the approach 7. Overall assessment 2 Acceptable 3 4 Very Good 5 Note: A proposal should be rejected if either item 1 (scientific merit of research objectives) or item 4 score is less than 3 D. Decision (Please tick appropriate box) Recommended for funding Rejection of application recommended (Please list reasons for rejection and suggestions in Section F) MOH GRANT TECHNICAL EVALUATION FORM 1 E. Recommended Funding (Please provide below the recommended funding for the project) Cost Categories Recommended Funding (RM) 20__ 20__ 20__ 20__ 20__ Total OS21000 Travel and transportation OS24000 Rentals OS25000 Raw material OS27000 Research materials & supplies OS29000 Special services OSTemporary and contract personnel OS35000 Special equipment and accessories Others (Please list as OS) Total Funding F. Comments regarding assessment (Please provide below an explanation for any assessment made in Section C showing a rating below “acceptable”). Also provide reasons for proposal rejected and suggestions for improvement. ________________________________________ Signature & Chop of Director / Evaluator Date: MOH GRANT TECHNICAL EVALUATION FORM 2 G. MREC Decision Funding supported Funding rejected Total : RM___________ Reason/s : ………………………………………. MREC Chairman F. Funding duration : ____________ Date : ……………………….. Funding Approval Funding approved Total : RM___________ Funding rejected Reason/s : Funding duration : ____________ Date : ……………………….. ………………………………………. Deputy Director General of Health (Research & Technical Support) MOH GRANT TECHNICAL EVALUATION FORM 3 QUARTERLY FINANCIAL REPORT GUIDELINES AND FORM A. Purpose The purpose of the quarterly financial report is to allow the NIH Secretariat to monitor the actual/committed expenditures incurred by each approved project. B. Information required The project leader is required to indicate the cumulative actual/committed expenditure incurred up to the end of the quarter. Project leaders are reminded that deviation from the approved budget breakdown is not permitted unless with permission from the Deputy Director-General of Health (R&TS). Request for additional budget should be indicated with appropriate justifications. C. Responsibility It is the responsibility of the project leader to complete the quarterly financial report. D. Date of submission The quarterly financial report is to be submitted by 31 March; 30 June; 30 September; 31 December E. Submission procedure One copy of the report is to be submitted to the Head of Department. The Head of Department should compile reports of all approved projects in the Department and submit to the : NIH Secretariat, Ministry of Health Malaysia c/o Institute for Health Management Jalan Rumah Sakit, Bangsar 59000 Kuala Lumpur QUARTERLY FINANCIAL REPORT _______________________________________________________________________ A. Project Code: …………………………………… Project Title: ……………………………………………………………………… ……………………………………………………………………………………… ………………………………………………………………………………………. Name of Project Leader: ………………………………………………………. Telephone No.: ………………………… Fax no.: ……………………………... E-mail: …………………………………. Date: ………………………. Signature: …………………………… _______________________________________________________________________ _ B. Cumulative project expenditure up to end of quarter Year: ………………… Quarter (tick where appropriate): January April March June Category OS21000 : Travel and transportation (in country) OS22000 : Travel and transportation (overseas) OS24000 : Rentals OS25000 : Raw Materials OS27000 : Research materials and supplies 0S29000 : Special services OS29000 : Temporary and contract personnel OS35000 : Special equipment and accessories Others (Please list as OS) TOTAL July September Allocation (RM) October December Cumulative expenditure (RM) _______________________________________________________________________ C. Request for additional budget (Complete only if additional budget is required. State clearly the amount requested, breakdown into the above categories, and justification why additional budget required) PROJECT ACTIVITY REPORT GUIDELINES AND FORM A. Purpose The purpose of this project activity report is to allow both the project leader and the NIH Secretariat to monitor the progress of approved projects. B. Information required The project leader is required to report the progress of each activity scheduled for the reporting period. As far as possible, progress should be reported in measurable terms such as number of samples collected, number of analysis done, etc. In the event that any activity is behind schedule, the project leader is required to : provide reasons for any delays; and suggest adjustments to the original project schedule. C. Responsibility Each project leader is to complete this Project Activity Report and submit it together with the Milestone Achievement Report. The Head of Department is responsible to collect all reports for approved projects of the Department and submit them to the NIH Secretariat D. Frequency The Project Activity Report is to be submitted not later than 15 July (report for the period January - June) and 15 January (report for the period July - December of the previous year). E. Submission procedure One copy of the Project Activity Report is to be submitted to the Head of Department. The Head of Department will compile all reports from the Department. The compilation is then submitted to: NIH Secretariat Ministry of Health c/o Institute for Health Management Jalan Rumah Sakit Bangsar 59000 Kuala Lumpur PROJECT ACTIVITY REPORT _____________________________________________________________________ Project code: ……………………………….. Project Title: ………………………………………………………………………….. ………………………………………………………………………………………….. ………………………………………………………………………………………….. Name of Project Leader: ……………………………………………………………… Telephone no.: ……………………….. Fax no.: …………………………… E-mail: ………………………………. Date: ………………………. Signature: …………………………. _____________________________________________________________________ State actual progress for each research activity (refer to original project schedule). As far as possible, progress should be reported in measurable terms such as number of samples collected, number of analysis done, etc. Year: Period: Indicate current status of project: Abandoned Jan-Jun On-going Suspended Jul-Dec Terminated Completed If project is terminated/abandoned/suspended, state reasons: _____________________________________________________________________ Title of activity: Progress (state reasons for any delays): Note: Repeat this section for each activity scheduled for the period. Attach copy of original project schedule. Where necessary, include revised project schedule. MILESTONE ACHIEVEMENT REPORT GUIDELINES AND FORM A. Purpose The purpose of this project activity report is to allow both the project leader and the NIH Secretariat to monitor the overall progress of approved projects. B. Information required The project leader is required to indicate whether the milestones proposed in the original project plan are achieved. If any milestone is not achieved according to schedule, the project leader is required to: provide reasons for the non-achievement; and suggest adjustments to the project approach and schedule. C. Responsibility Each project leader is to complete this Milestone Achievement Report and submit it together with the Project Activity Report. The Head of Department is responsible to collect all reports for approved projects of the Department and submit them to the NIH Secretariat. D. Frequency The Milestone Achievement Report is to be submitted not later than 15 July (report for the period January - June) and 15 January (report for the period July - December of the previous year). E. Submission procedure One copy of the report is to be submitted to the Head of Department. The Head of Department should compile reports of all approved projects in the Department and submit to the : NIH Secretariat Ministry of Health c/o The Institute for Health Management Jalan Rumah Sakit Bangsar 59000 Kuala Lumpur MILESTONE ACHIEVEMENT REPORT (Repeat Sections B and C for each milestone that is due. Other Sections need to be completed once only) ____________________________________________________________________ A. Project number: ……………………………………………………………. Project title: …………………………………………………………………. ………………………………………………………………………………… ………………………………………………………………………………… Name of Project Leader: ……………………………………………………. Tel. no.: ……………………… Fax. no.: ……………………………… E-mail: ……………………… _____________________________________________________________________ B. Milestone achievement (Please attach a copy of the original project schedule) Name of milestone: …………………………………………………………… ………………………………………………………………………………… Planned milestone date: ……………………………………………………… Status: Achieved Not achieved (please sections C, D, E and F) complete Milestone description: ____________________________________________________________________ C. Reasons for non-achievement (Please give reasons for non-achievement of the milestone) ____________________________________________________________________ D. Suggested adjustments to the project approach (Please state the changes that are proposed) _____________________________________________________________________ E. Impact on project schedule (Please attach revised project schedule, if applicable) Revised date for this milestone: ……………………. New date of project completion:………………. Original date: ………………. ____________________________________________________________________ F. Impact on project budget (Please attach revised budget if necessary) Original approved budget: RM ………………………….. Revised budget: RM ………………………….. ____________________________________________________________________ Date: Signature: END OF PROJECT REPORT GUIDELINES AND FORM A. Purpose The purpose of the End of Project Report is to allow the NIH Secretariat and other MOH Departments to assess the findings of research project, their utilization (or potential utilization) and where possible, their impact. B. Information required The project leader is required to provide the following information: Project summary for compilation and dissemination; Extend of achievement of original objectives; Project outputs; and Utilization of findings and potential commercialization. C. Responsibility The project leader is to complete the End of Project Report and submit to the Head of Department. D. Date of submission The End of Project Report is to be submitted not later than 3 months after scheduled compilation of the research project. E. Submission procedure The Head of Department is to submit all End of Project Reports of the Department, to: NIH Secretariat Ministry of Health Malaysia c/o Institute for Health Management Jalan Rumah Sakit Bangsar 59000 Kuala Lumpur. END OF PROJECT REPORT _____________________________________________________________________ A. Project code: ……………………….. Project title: …………………………………………………………………… ………………………………………………………………………………….. ………………………………………………………………………………….. Name of Project Leader: ………………………………………………………. Tel. no: ……………………………… Fax no: …………………………. E-mail: ……………………………… Date: …………………. Signature of project leader: ……………………. _____________________________________________________________________ B. Summary for the Research Activity Annual Report (Please summarize the project objectives, significant results or findings achieved, and utilization/impact of results or findings) C. Funding Received (Please list all funds and source of funding used for the project) FUNDING SOURCE D. AMOUNT (RM) Achievement of objectives Original project objectives (Please state the general and specific objectives as described in the original project proposal) Objectives achieved (Please state the extent to which the project objectives have been achieved. Just like the objectives, the achievement must be stated in measurable terms) Objectives not achieved (Please state the objectives that were not achieved and give reasons for non-achievement) E. Utilization and impact of research findings (Where applicable, please describe the utilization (how, where, when, whom, etc.) of research results or findings. State the measurable impact arising from utilization of the research results or findings.) F. Indirect outputs 1. Number of publications: …………………… (Please list the publications using the format below.) You CH, Lee KY, Chev RY, Menguy R (1980). Electrogastrographic study of patients with unexplained masses, bloating and vomiting. Gastroenterology 79(2):311-314. NO. 1. TITLE 2. 3. 2. Number of unpublished reports: ………….. (Please list the reports using the format below.) Public Health Institute, Ministry of Health. National Health and Morbidity Survey (1986-1987): Purpose, scope and methodology. Malaysia, Kuala Lumpur, 1987. NO. 1. 2. 3. TITLE 3. Number of oral presentations at scientific meetings: ………………….. (Please list oral presentations using format below.) Mazlan AB, Kamal A, Susila R. Contribution of Health Research Towards National Health Development. Paper presented at the Health Research Seminar. Malaysia, Kuala Lumpur, July. NO. 1. TITLE 2. 3. 4. Number of poster presentations at scientific meetings: ………………….. (Please list poster presentations using format below.) Noraznawati I, Ho TM, Nathan S, Wan KL. Identification of recombinant clones of house dust mites, S. pontifica. Poster presented at 11th National Biotechnology Seminar, Malacca, November. NO. 1. TITLE 2. 3. 5. Training (Please list number of personnel trained for each category below.) CATEGORY NUMBER PERSONNEL TRAINED B.Sc or equivalent M.Sc or equivalent PhD or equivalent Short courses (No of courses: ………) Attachment training Others (Please specify) 6. Intellectual Property CATEGORY Patent obtained Patent pending Patent application to be filled Copyright NUMBER 7. Linkages (Please list the names of the linkages established) CATEGORY NAME Linkages with local research 1. institutions 2. 3. Linkages with foreign research 1. institutions 2. 3. Linkages with local industries 1. 2. 3. Linkages with foreign industries 1. 2. 3. 8. Commercialization (Please state whether the findings of this project have any potential for commercialization. If commercialization has already started, please describe any commercialization activities that had already been undertaken) versi 1 LAPORAN PEMANTAUAN HASIL PENYELIDIKAN INSTITUT PENYELIDIKAN PERUBATAN (Institute for Medical Research) Jalan Pahang, 50588 Kuala Lumpur MAKLUMAT PROJEK PENYELIDIKAN Kod JPP-IMR: NMRR: Tajuk Projek: Ketua Penyelidik: Tarikh Mula (mmm-yy) : Tarikh Tamat (mmm-yy): Jumlah Peruntukan (RM): HASIL-HASIL PENYELIDIKAN 1. PENERBITAN: You CH, Lee KY, Chev RY, Menguy R (1980). Electrogastrographic study of patients with unexplained masses, bloating and vomiting. Gastroenterology 79(2):311-314. No Tajuk Status 1. 2. 3. 4. 5. Status: DGA : DG Approval :setelah mendapat kelulusan Ketua Pengarah Kesihatan SUB : Submitted to Journal Editor ACC : Accepted / In-Press PUB : Published 1 versi 1 2. LAPORAN TEKNIKAL: Public Health Institute, Ministry of Health. National Health and Morbidity Survey (1986-1987): Purpose, scope and methodology. Malaysia, Kuala Lumpur, 1987. (ISBN No) No Tajuk 1. 2. 3. 3. PEMBENTANGAN LISAN: Mazlan AB, Kamal A, Susila R. Contribution of Health Research Towards National Health Development. Paper presented at the 2nd Health Research Seminar. Kuala Lumpur, 12- 14 July 2005. No Tajuk 1. 2. 3. 4. PEMBENTANGAN POSTER: Noraznawati I, Ho TM, Nathan S, Wan KL. Identification of recombinant clones of house dust mites, S. pontifica. Poster presented at 11th National Biotechnology Seminar, Malacca, 10 – 12 November 2005. No Tajuk 1. 2. 3. 2 versi 1 5. PATEN: Tajuk Paten: Tahun Paten: Status: Approval Names of Patents Holder [Inventor’s]: Disediakan oleh: Tandatangan Ketua Penyelidik; (Nama dan Cop Rasmi) Tarikh: 3 versi 2 PERMOHONAN MENGHADIRI SEMINAR DAN MEMBENTANGKAN KERTAS SAINTIFIK SERTA PEMBIAYAAN INSTITUT PENYELIDIKAN PERUBATAN (Institute for Medical Research) Jalan Pahang, 50588 Kuala Lumpur Arahan Kepada Pemohon 1. Borang ini mengandungi tiga bahagian: Bahagian A, Bahagian B dan Bahagian C. Untuk Bahagian A dan Bahagian B perlu dipenuhkan. Manakala Bahagian C hendaklah mendapat kelulusan Ketua Unit, Ketua Pusat dan Pengarah Institut Penyelidikan Perubatan. 2. Borang yang telah diisi dengan lengkap hendaklah dihantar untuk kelulusan Pengarah dan disertakan brosur seminar dan abstrak pembentangan. 3. Permohonan yang telah mendapat kelulusan Pengarah, perlu menghantar satu (1) salinan borang kepada Urusetia JPP-IMR. BAHAGIAN A I. MAKLUMAT BERKENAAN PEMOHON a. Nama Pemohon: b. Jawatan / Gred: c. Unit: d. Pusat: II. BUTIR-BUTIR PEMBENTANGAN a. Jenis Pembentangan: b. Tajuk: c. Nama dan Jabatan Penulis Bersama: d. Anjuran: e. Tarikh Persidangan: f. Tempat Persidangan: LISAN POSTER 1 versi 2 III. BUTIR-BUTIR PENYELIDIKAN a. Kod Projek JPP-IMR: b. Ketua Penyelidik: c. Peruntukan: d. Tajuk Penyelidikan: Jika penyelidikan yang tidak mempunyai kod JPP-IMR, sila nyatakan kod projek agensi berkenaan dan peruntukan seperti berikut : Kod Penyelidikan: Peruntukan: IV. BUTIR-BUTIR PEMBIAYAAN ANGGARAN KOS RM 1. Yuran Pendaftaran 2. Anggaran kos perjalanan 3. Anggaran kos hotel / makanan JUMLAH BAHAGIAN B Saya pernah menghadiri Persidangan/Seminar/Bengkel berikut dalam tahun ini di dalam dan luar negara i. Nama persidangan dll : Tempat : Tempoh : ii. Nama persidangan dll : Tempat : Tempoh : Tandatangan pemohon : (Nama & Cop Rasmi) Tarikh: 2 versi 2 BAHAGIAN C Ulasan Ketua Unit, Institut Penyelidikan Perubatan, Kuala Lumpur ...................................................................................................................................... Permohonan ini disokong/tidak disokong. Tarikh : ................................................... (Tandatangan & Cop Ketua Unit) Ulasan Ketua Pusat, Institut Penyelidikan Perubatan ....................................................................................................................................... Permohonan ini disokong/tidak disokong. Tarikh : ................................................... (Tandatangan & Cop Ketua Pusat) Ulasan Pengarah, Institut Penyelidikan Perubatan ....................................................................................................................................... Saya selaku Pengarah Institut Penyelidikan Perubatan dengan ini; a) meluluskan /tidak meluluskan permohonan ini. b) pembiayaan permohonan ini menggunakan peruntukan :_______________________ Tarikh : ................................................... (Tandatangan & Cop Pengarah) 3 versi 2 PERMOHONAN KELULUSAN MENERBITKAN HASIL PENYELIDIKAN INSTITUT PENYELIDIKAN PERUBATAN (Institute for Medical Research) Jalan Pahang, 50588 Kuala Lumpur Arahan Kepada Pemohon 1. Borang ini mengandungi tiga bahagian: Bahagian A, Bahagian B dan Bahagian C. Bahagian A dan Bahagian B perlu dipenuhkan. Bahagian C perlu mendapat kelulusan Ketua Unit, Ketua Pusat dan Pengarah Institut Penyelidikan Perubatan. 2. Borang yang telah diisi dengan lengkap hendaklah dihantar untuk kelulusan Pengarah dan disertakan satu salinan draf manuskrip. 3. Permohonan yang telah mendapat kelulusan Pengarah, perlu menghantar satu (1) salinan borang tersebut kepada Urusetia JPP-IMR. BAHAGIAN A I. MAKLUMAT BERKENAAN PEMOHON a. Nama Pemohon: b. Jawatan / Gred: c. Unit: d. Pusat: II. BUTIR-BUTIR PENERBITAN a. Nama dan Unit/Pusat/Institusi Pengarang-Pengarang: b. Tajuk Penerbitan: c. Nama jurnal/prosiding/monograf/buletin dan lain-lain penerbitan di mana kertas dicadang diterbitkan: 1 versi 2 BAHAGIAN B I. BUTIR-BUTIR PENYELIDIKAN a. Kod Projek JPP-IMR: b. Ketua Penyelidik: c. Peruntukan: d. Tajuk Penyelidikan: Jika penyelidikan yang tidak mempunyai kod JPP-IMR, sila nyatakan kod projek agensi berkenaan dan peruntukan seperti berikut : Kod Penyelidikan: Peruntukan: II. OBJEKTIF-OBJEKTIF PENYELIDIKAN a) b) c) d) e) 2 versi 2 III. CIRI-CIRI PENYELIDIKAN (tandakan [X] di kotak yang sesuai) a) Jenis Penyelidikan Biomedical Health systems Health behavioural Health economics Environmental Others : b) Bidang penyelidikan Perolehan pengetahuan baru Meningkatkan pendiagnosaan penyakit Meningkat rawatan penyakit Meningkat kawalan penyakit Meningkat pencegahan penyakit Others : c) Kumpulan yang boleh mengguna hasil penyelidikan Pegawai-pegawai Perubatan Penyelidik-penyelidik Pengarah-pengarah Program Pegawai-pegawai Makmal Other: PENGESAHAN: Bersama-sama ini disertakan satu salinan draf manuskrip untuk kelulusan menerbitkan hasil penyelidikan. Tandatangan pemohon : (Nama & Cop Rasmi ) Tarikh : 3 versi 2 BAHAGIAN C Ulasan Ketua Unit, Institut Penyelidikan Perubatan, Kuala Lumpur ...................................................................................................................................... Permohonan ini disokong/tidak disokong. Tarikh : ...................................................... (Tandatangan & Cop Ketua Unit) Ulasan Ketua Pusat, Institut Penyelidikan Perubatan ....................................................................................................................................... Permohonan ini disokong/tidak disokong. Tarikh : . ................................................... (Tandatangan & Cop Ketua Pusat) Ulasan Pengarah, Institut Penyelidikan Perubatan ....................................................................................................................................... Permohonan ini dilulus/tidak diluluskan. Tarikh : ................................................... (Tandatangan & Cop Pengarah) 4 versi 2 URUSETIA JAWATANKUASA PENILAIAN PENYELIDIKAN INSTITUT PENYELIDIKAN PERUBATAN BORANG SOAL SELIDIK KEPUASAN PELANGGAN Projek penyelidikan berikut telah dibiayai oleh agensi tuan/puan dan mempunyai kaitan langsung dengan program/aktiviti jabatan tuan/puan. Selaras dengan keperluan MS ISO 9001:2008, pihak tuan/puan diharap dapat meluangkan masa untuk melengkapkan penilaian tuan/puan terhadap projek ini dengan mengisi borang soal selidik mengikut skala berikut: 1 = tidak memuaskan, 2 = lemah, 3 = memuaskan, 4 = baik, 5 = cemerlang Kod JPP-IMR: NMRR ID: Tajuk Projek: Ketua Projek: 1 2 3 3.2 3.3 3.4 4 5 1. Pelaksanaan Projek 1.1 Pencapaian Objektif 1.2 Ketepatan Masa 1.3 Keberkesanan Kos 1.4 Persembahan Laporan 2. Kegunaan Hasil Penyelidikan 2.1 Releven kepada Program 2.2 Feasability/Practicability aplikasi hasil kajian 2.3 Potensi Impak terhadap program/pesakit 2.4 Potensi Komersial 3. Sumbangan Penyelidikan 3.1 Pembangunan Modal Insan 3.2 Pemindahan Teknologi 3.3 Kolaborasi dan Jaringan antara institusi 3.4 Impak Jurnal Komen Pelanggan (jika ada): Untuk kegunaan Urusetia JPP-IMR 1.1 1.2 1.3 1.4 1.5 2.1 2.2 2.3 2.4 3.1 Tahap Kepuasan Pelanggan : [Jumlah skala / (Bil. Jawapan x 5)] x 100 = _____ % Disemak dan disahkan oleh: _____________________________ (Nama/Cop & Tarikh) Jumlah