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Sharia-Based Quality Management System was designed to ensure compliance with organizational management systems. MS 1900 was developed within the context of quality management systems within Sharia compliant organizations in Malaysia. Its implementation regards as an effort towards ensuring that a hospital's management aligns to Islamic values. However, there are still obstacles in putting this into practice specifically in the areas of coverage compliance, relevance to hospital activities, and relationship with other standards in the healthcare system. This study intends to assess the application of MS 1900 in managing Sharia compliant hospitals in Malaysia focusing on its strength and weaknesses, the effectiveness of meeting the Sharia requirements, and the overall comprehensive nature of the hospital management system. The document analysis method was utilized in this research by analyzing the guidelines of MS 19000, policies of Sharia compliant hospitals, and previous works on the quality management systems in Islamic healthcare services. The documentation reveals that MS 1900 has a gap in coverage with regards to governance within the hospital setting, work ethics, and institutional integrity when addressing Sharia principles. The most important limitation identified is that treatment, clinical services, and pharmaceuticals by and large could not be attained under MS 1900 provisions, hence, additional standards are required.
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