Congress
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Day 1

SHBC Opening Ceremony

Session 1 : SHBC Opening Ceremony

Topic 1 : Start of Opening Ceremony

  • SHBC Opening Ceremony Video #1

Topic 2 : Welcome Address

  • by Prof Philip Choo, Group CEO, NHG

Topic 3 : Opening Address

  • by Mr Gan Kim Yong, Guest-of-Honour, Minister of Health, Ministry of Health

Topic 4 : Citation of Keynote Speaker

  • by A/Prof Chong Phui-Nah
    Family Physician, Senior Consultant;
    Chief Executive Officer, 
    National Healthcare Group Polyclinics

Topic 5 : SHBC Keynote: Healthcare Transformation In The Developed Nations

Speaker :
Dr Paul Grundy , Chief Medical Officer, Global Director of Healthcare Transformation IBM Healthcare and Life Sciences

Topic 6 : Presentation of “Tokens of Appreciation” to Keynote Speaker

Topic 7 : SHBC2017 Scientific Competition Prize Presentation

Topic 8 : Medical Humanities Prize Presentation

Topic 9 : MOU Signing

Topic 10 : SHBC Opening Ceremony Video #2

Symposium 1: Beyond Quality To Value

At a time when demand for healthcare services is increasing and resources available to deliver care are stagnant or decreasing, we must look to a new paradigm to ensure we can continue delivering care to the same, and ideally better, standards to the patients and populations we are accountable to. In these challenging times, a focus on quality and safety is necessary but not sufficient. We must shift our focus to a value-based healthcare paradigm, which will help us deliver better outcomes while optimizing resource utilization.

Session 1 : Symposium 1: Beyond Quality to Value

Topic 1 : SHBC Plenary 1: Value Based Healthcare

Speaker :
Dr Anant Jani , Executive Director, Better Value Healthcare, Honorary Research Fellow, Nuffield Department of Primary Care Health Sciences, U.K , University of Oxford
  • Value Based Healthcare
  • Outcomes-Based Healthcare Systems
  • Culture Change

Topic 2 : Symposium 1 : Beyond Quality to Value

Speaker :
Dr Daphne Khoo , Executive Director (Agency for Care Effectiveness), Group Director, Healthcare Performance Group, Ministry of Health

Singapore has long been known for its high level of healthcare and this Quality has been delivered at price points that have been affordable for the patient and system. However in the current environment of a rapidly aging population, increasingly expensive technologies and changing expectations, healthcare costs could rise to unsustainable levels given the current trajectories. While the need to manage costs is recognised, clinical outcomes should not be sacrificed as a consequence. Neither should clinicians aspire to provide all the latest technologies to patients without consideration of the financial burden to patients and the healthcare system especially when the benefits of these ‘innovations’ may often be minor. Recognising the need to integrate Quality and Costs, many countries have moved towards Value Based Healthcare. In Singapore we define Value as the Health Outcomes gained per dollar spent. In order to understand the value delivered by technologies, programmes or even individuals, healthcare systems should have frameworks in place to evaluate the associated health outcomes as well as costs. An in-depth understanding of what delivers value will enable better decision making when allocating scarce resources as well as reduce unwarranted variation and waste.

Symposium 2: Beyond The Hospital To The Community

Session 1 : Symposium 2: Beyond The Hospital To The Community

Topic 1 : SHBC Plenary 2: Shaping The System For Community-Based Primary Care

Speaker :
Prof Martin Fortin , Professor and Researcher, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Canada

Topic 2 : Community-Based Alternatives To Hospital Care – A UK Perspective

Speaker :
Prof Helen Smith , Professor of Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang technological University

Topic 3 : Successful Collaborations For Right Siting Initiatives – A Local Perspective

Speaker :
Dr Karen Ng , Family Physician, Consultant; Director, Clinical Services, National Healthcare Group Polyclinics

Symposium 3: Beyond Healthcare To Health

Session 1 : Symposium 3: Beyond Healthcare To Health

Topic 1 : SHBC Plenary 3: Healthcare and Health In Singapore: Applications From The Behavioural Sciences

Speaker :
Prof David Chan , Professor of Psychology and Director, Behavioural Sciences Institute, Singapore Management University

Day 2

Complex Care In Geriatrics

Synopsis

Frailty is a medical syndrome that results in a state of vulnerability, which increases the risk of adverse health outcomes including dependency and mortality when exposed to stressors, even minor ones. It is also a dynamic and multidimensional condition that is influenced by physical, psychological and social factors. Therefore, it is essential that the care for frail older persons with complex care needs be delivered in a safe yet comprehensive and compassionate manner. For this to be achievable, it is often essential that patients receive holistic care through interprofessional collaborations.

Numerous service models have been developed to support older persons from the time they are hospitalized to their subsequent care back to the community. We will introduce three key services that have been crucial in their efforts to untangle complexities of care commonly encountered by hospitalized frail older persons.

Session 1 : Untangling Complex Care for the Older Person

Chairperson :
Dr Edward Chong , Associate Consultant,Department of Geriatric Medicine,Tan Tock Seng Hospital
Track Champion :
Dr Edward Chong , Associate Consultant,Department of Geriatric Medicine,Tan Tock Seng Hospital

Topic 1 : Managing Frail Older Person In An Acute Hospital – A Systemic Approach

Speaker :
A/Prof Tan Thai Lian , Geriatrician; Senior Consultant, Department of Geriatric Medicine, Chairman, Division of Medicine Senior; Tan Tock Seng Hospital
  • Frail older person admitted to hospital for treatment are at risk of iatrogenic complications, such as functional decline and failure to cope at home.
  • Such patients must be identified for comprehensive assessment so that needs can be recognised early for timely interventions, concurrent with the management of the acute issues
  • FIFE (Framework for Inpatient care of the Frail Elderly) describes a program for hospital wide implementation of geriatric principle of care to all corners of the hospital to make the hospital Senior Ready and Friendly.

Topic 2 : Dementia Care In The Acute Hospital

Speaker :
Dr Nieh Chih Ming , Consultant, Department of Geriatric Medicine, Khoo Teck Puat Hospital
  • Challenges of care of person with dementia in acute hospital setting
  • Person Centred Care (PCC)
  • CAMIE @ KTPH

Topic 3 : Acute Hip Care In An Hip Fracture Unit

Speaker :
Dr Su Su , Associate Consultant, Department of Geriatric Medicine, Khoo Teck Puat Hospital
  • Perioperative care of complex medical problems
  • Provision of rapid recovery after operation
  • Fast-track transfer to rehabilitation facilities

Emerging Threats – Infectious Diseases

Synopsis

Emerging threats in infectious diseases may take the form of outbreaks caused by novel or re-emerging pathogens – these generally attract much attention and make the headlines. A second emerging threat which has only recently started to receive attention it deserves is the war on multidrug resistant organisms, which cause significant morbidity and mortality and is a catastrophic threat to our generation and more-so, generations to come.

In this session, our speakers will share on current challenges posed by antimicrobial resistance, the threat of outbreaks due to emerging zoonoses and other infectious diseases. In addition, they will share first-hand experience in delivering care during the SARS epidemic in Singapore.

Session 1 : Emerging Threats – Infectious Diseases

Chairperson :
Dr Shawn Vasoo , Infectious Diseases Physician; Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital
Track Champion :
Dr Shawn Vasoo , Infectious Diseases Physician; Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital

Topic 1 : "Bad Bugs, No Drugs" : Current Challenges In Antimicrobial Resistance

Speaker :
Dr Kalisvar Marimuthu , Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital
  • Global epidemiology of antimicrobial resistance with a focus on Singapore and the Asia-Pacific
  • Current and novel strategies to combat antimicrobial resistance

Topic 2 : "Bad Bugs And Other Biological Threats - Bats, Birds, Bad Guys And Beyond"

Speaker :
Ms Melody Tay , Public Health Officer, Communicable Diseases Division, Ministry of Health
  • Historic perspectives and recent outbreaks – natural and man-made
  • Outbreak preparedness: What do we need to do?
  • What is the next “big one”?

Topic 3 : A Physician's Journey - Caring For Patients During Sars

Speaker :
A/Prof Dessmon Tai , Senior Consultant, Department of Respiratory & Critical Care Medicine, Tan Tock Seng Hospital
  • Caring for patients with SARS during the epidemic: Experience from the front-line

Gastroenterology & Hepatology

Synopsis

This year, the Gastroenterology and Hepatology track focuses on demystifying a few common areas of interest. The talks for fatty liver will touch on current knowledge, upcoming therapies, and a how to eat right. Gut health screening will be discussed as disease prevention is increasingly important. Finally, we will also address irritable bowel syndrome and the role of gut microbiota in this condition.

Session 1 : Gastroenterology and Hepatology

Chairperson :
Dr Lin Huiyu , Associate Consultant, Department of Gastroenterology and Hepatology, Tan Tock Seng Hospital
Track Champion :
Dr Lin Huiyu , Associate Consultant, Department of Gastroenterology and Hepatology, Tan Tock Seng Hospital

Topic 1 : Gastrointestinal Cancers – The Role Of Screening In 2017

Speaker :
Dr Eric Wee , Senior Consultant, Division of Gastroenterology, Khoo Teck Puat Hospital
  • Screening recommendations for esophageal, gastric and colorectal cancers.
  • Population screening versus screening the individual.
  • Appreciating the limits of screening GI malignancies.

Topic 2 : NAFLD: Is It As Benign As It Sounds?

Speaker :
Dr Kalaiyarasi Kaliyaperumal , Consultant, Department of Gastroenterology and Hepatology, Tan Tock Seng Hospital
  • Brief overview of NAFLD and it’s more sinister counterpart NASH
  • How do we differentiate between NAFLD and NASH?
  • Basic management modalities

Topic 3 : Nutrition And Colorectal Cancer Prevention

Speaker :
Mr Nelson Chin , Senior Dietitian, Nutrition and Dietetics, Tan Tock Seng Hospital
  • Introduction – background/ prevalence
  • Association between weight and colorectal cancer
  • Dietary factors and colorectal cancer risk

Topic 4 : IBS (Irritable Bowel Syndrome): Anything New On The Horizon?

Speaker :
Dr Christopher Chia , Consultant, Department of Gastroenterology and Hepatology, Tan Tock Seng Hospital
  • IBS shows a rising prevalence in Singapore
  • Standard treatment of IBS could be improved
  • There may be newer treatment modalities to increase outcome success

Health Professions Education Symposium (Powered by PechaKucha)

Synopsis

In line with the theme of SHBC 2017, “Transforming Our Health Ecosystem”, the Health Professions Education Symposium aims to bring together educators from the medical, nursing and allied health fields to network and discuss the latest trends and innovations in the realm of health professions education.

The invited speakers will share their insights on topics relevant to the evolving Healthcare Ecosystem. Be prepared for a diverse variety of presentations, ranging from the on-site evaluations of team-based resuscitation conducted by military healthcare personnel, to the development of a new mobile application for resident assessments and evaluation, to improving the engagement of nursing students during their primary care postings.

In addition, all presentations will be delivered in a unique, fast-paced “PechaKucha” style (where 20 slides are shown for 20 seconds each), creating a dynamic and vibrant environment in which a large number of ideas can be exchanged and showcased within a short period of time.

Session 1 : HPE Symposium – (Powered by PechaKucha)

Chairperson :
Adj Asst Prof Sarah Lu , Consultant; Department of General Surgery;Program Director, NHG General Surgery Residency Program,Tan Tock Seng Hospital
Adj Asst Prof Ong Yu Ming, Caroline , Consultant, Anaesthesiology, Intensive Care and Pain Medicine;Program Director, NHG Anaesthesiology Residency Program,Tan Tock Seng Hospital
Track Champion :
Adj Asst Prof Sarah Lu , Consultant; Department of General Surgery;Program Director, NHG General Surgery Residency Program,Tan Tock Seng Hospital
Adj Asst Prof Ong Yu Ming, Caroline , Consultant, Anaesthesiology, Intensive Care and Pain Medicine;Program Director, NHG Anaesthesiology Residency Program,Tan Tock Seng Hospital

Topic 1 : Health Professions Education - Through The Eyes Of Totto-Chan And Mine

Speaker :
Ms Loo May Eng , Research Analyst, HOMER, National Healthcare Group
  • Gleaning innovative educational principles from the book “Totto-Chan: The Little Girl at the Window”
  • Relating these principles to HPE – past, present, future
  • Reflecting on some implications for HPE research

Topic 2 : How To Engage And Facilitate Learning For Students In Primary Healthcare Setting

Speaker :
Ms Tong Ling Hoh , Nurse Educator, Nursing Services, National Healthcare Group Polyclinics
  • Nursing students’ learning objectives for primary healthcare posting at polyclinics were generally set and classified as an observational clinical practicum experience by the education institutions. This is because students are not yet trained in the specific skills required for most of the services provided at polyclinics; the opportunities for students to perform nursing skills are hence relatively lesser as compared to hospital postings. As a result, students were often seen to be ‘disengaged’ in the service rooms during the clinical attachment at NHGP;
  • In addition to the learning objectives set by the education institutions, students were advised to develop their personal learning objectives that are specific and realistic at the beginning of each clinical posting. However, having no prior experience or exposure to polyclinics, students often expressed difficulties in writing personal learning objectives for NHGP nurses to facilitate their learning;
  • How to engage students and to facilitate students’ learning posed a great challenge for NHGP nurses. We then decided to develop cue cards that encompass instructional learning objectives to enable our nurses to guide and facilitate students’ learning, as well as to engage nursing students during the clinical attachment.

Topic 3 : "Experiential Learning Through Patientization"

Speaker :
Ms Jamie Lim , Assistant Director, Nursing Service, Tan Tock Seng Hospital
  • Active learning through clinical immersion
  • Hospital as a classroom
  • Using “threatening” moments as teaching moments

Topic 4 : Less Is More

Speaker :
Ms Zenne Tng , Principal Speech Therapist; Head, Speech Therapy Department, Tan Tock Seng Hospital
  • Given healthcare is dynamic and it requires innovation to transform the current care model to meet the demand in future, education innovation is extremely essential to support the healthcare vision and mission.
  • Some professional groups deliver one on one teaching to ensure that learners receive full attention or supervision during their OJT but is this the most effective way? Is this model the only option?
  • The speaker will take you through a journey to consider a different ratio in supervision in order for the teachers to teach less but the learners to learn more. She will also share what is the secret sauce to innovate and drive change in this education initiative.

Topic 5 : The Role Of Peer Assisted Learning (Pal) For Nurses Learning Point Of Care Ultrasound (Pocus)

Speaker :
Dr Toh Hong Chuen , Senior Consultant, Adj Asst Prof, Acute and Emergency Care Center, Khoo Teck Puat Hospital
  • PAL for nurses learning POCUS has potential cognitive and practical benefits; but it has not been studied
  • This research shows that nurses have high expectation and positive experience learning POCUS from one another.
  • This positive perception is mediated by careful selection of curricular content and titration of cognitive load

Topic 6 : Mobile Application For Assessment And Evaluation – Improving Residents’ And Program Coordinators’ Experience

Speaker :
Ms Selvia Kosim , Manager, Group Education, National Healthcare Group
  • Residency training requires residents to fulfil various logging, assessment and evaluation requirements, with different numbers to meet, done at various time points in training, involving different faculty, etc. Residency programs have used various ways to ensure these logging, assessment and evaluations are done in a timely manner, including subscribing to Residency Management Suites. These, however, often have pre-set workflows and are not as flexible and intuitive to facilitate completion of requirements.
  • Program Coordinators (PCs) and residents experienced a lot of frustrations as a result. PCs spend considerable amount of time sending email and phone call reminders to residents. Residents and faculty feel the administrative burden, and dislike being “hounded” constantly. Such processes have also taken away the residents’ sense of responsibility for their own training.
  • The mobile application aims to put the personal responsibility of training back in the hands of residents and improve their training experience.

Topic 7 : Deliberate Practice In Colorectal Residency Surgical Training Using Videography

Speaker :
Dr Fong Sau Shung , Consultant, Department of General Surgery, Tan Tock Seng Hospital
  • Deliberate practice is purposeful, systematic practice with the goal of improving performance. It is widely recognized as the best way to achieve world class performance
  • What additionally is required is the presence of a competent mentor and immediate feedback over an extended period of time.
  • Video-feedback for both open and laparoscopic surgery provides the best way forward in training.

Topic 8 : Response Of Military Healthcare Providers To The Use Of Patient Simulators In On-Site Evaluation Of Team-Based Resuscitation

Speaker :
ME6 Daniel Y.Chia , Wing Commander, Officer Training Wing / Head, Advanced Training Centre, Advanced Training Centre, SAF Medical Training Institute
  • The SAF’s Mobile Medical Evaluation Team (MobileMET) conducts on-site evaluations of team-based resuscitation with portable patient simulators and video equipment.
  • Likert Scales and verbatim feedback were used to study the military healthcare providers’ response to the on-site evaluations.
  • Positively ratings were received from the participants, including encouraging response to the video playback which enabled them to reflect and improve on their performance.

High-Tech Medicine

Synopsis

A recent review of age demographics in TTSH by the General Surgery department  showed the sharp growth in procedures performed in the elderly, particularly those aged 75 and above.  In 2008, 18,688 procedures were performed annually in TTSH for those aged >65; that volume rose 2.1 times to 40,447 in 2016.  Of that >65 age group, the percentage of patients who are aged above 85 years old increased from 7.4% in 2008, to 8.3% in 2016, which translates to a 2.4 fold increase in the number of >85 year old patients undergoing procedures annually in TTSH.

This silver tsunami is not merely a wave of increased demand for chronic disease medical management, but brings along with it also a sharp increase in demand for high complexity surgical care.  It is critical that all clinicians recognise the patients who now seek surgical care are no longer what they use to be. They are older: while some are more frail, yet many are fit living a full life.  Clinicians now need to adopt an added language of assessing the elderly for suitability for treatments, predicting their outcomes, and counselling the elderly about their specific risks and benefits of treatment, Clinicians also need to adopt new strategies for early detection of disease and minimizing morbidity of treatment in the elderly, by adopting better precision investigations, safer customised treatments and pre-empting disease deterioration through coordinated team care across the care continuum.

In this track,  we bring together clinicians to illustrate some of the above concepts and help us realise that in meeting the complex needs of the elderly, the collective whole is more ‘lemak’ (fragrant) than individual parts.

Session 1 : Nasi Lemak : The Practice Of Super Medicine

Chairperson :
A/Prof Chong Yew Lam , Head & Senior Consultant, Department of Urology; Divisional Chairman (Surgery), Tan Tock Seng Hospital
Track Champion :
A/Prof Chong Yew Lam , Head & Senior Consultant, Department of Urology; Divisional Chairman (Surgery), Tan Tock Seng Hospital

Topic 1 : General Principles Of The Surgery In The Elderly

Speaker :
Dr Low Jee Keem , Senior Consultant, Department of General Surgery, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 2 : Optimisation Of The Elderly Surgical Patient

Speaker :
A/Prof Loo Shi , Senior Consultant; Head (ICU Section); Medical Director, SIMTAC, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 3 : Role of Physiotherapy in Elderly Post Surgical Patients

Speaker :
Mr Jayachandran Balachandran , Principal Physiotherapist, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 4 : New Toys For Boys !: New Diagnostic Imaging And Targetted Biopsy Of The Prostate Cancer And Other Enemies

Speaker :
Adj Asst Prof Tan Cher Heng , Senior Consultant, Diagnostic Radiology Department, Tan Tock Seng Hospital
Asst A/Prof Tan Yung Khan , Consultant, Department of Urology, Tan Tock Seng Hospital
  • Multiparametric MRI of the Prostate
  • PHI
  • Fusion Biopsy of the prostate

Topic 5 : How We Can Help A Patient With A "Hot Foot"… LEAP To Safety"

Speaker :
Dr Joseph Lo , Associate Consultant, Department of General Surgery, Tan Tock Seng Hospital
Dr Sadhana Chandrasekar , Senior Consultant, Department of General Surgery, Tan Tock Seng Hospital

More Information Coming Soon!

Is The Art of Healthcare Dying?

Synopsis

Participants in this session will be invited to pause and reflect on the current state of the “Art of Healthcare.” The art of healthcare has, in recent years, taken a backseat with rapid advancement in technology. While technology has improve the efficiency and effectiveness of healthcare, some segments of society are concerned that healthcare providers have surrendered their art to money, manuals and machines. This concern has also caused some to wonder if we are relegated to be mere technicians as we replace art with technology, losing the magic pill to solve complex health issues. We examine moral courage, empathy, creativity, discipline, control and more in healthcare in this session, and their roles in sustaining and growing the art of healthcare. At the end of this session, it is hoped that the participants will leave with a strong desire to affirm their personal ‘golden balance’ in the art and science of healthcare. While not everyone in society can be well-versed in the science, all can play a part in promoting the art of healthcare.

Session 1 : Is The Art of Healthcare Dying?

Chairperson :
Ms Lim Siew Geok , Principal Nurse Educator, Nursing Service, Tan Tock Seng Hospital
Ms Ng Tzer Wee , Senior Principal Medical Social Worker, Department of Care and Counselling, Tan Tock Seng Hospital
Track Champion :
Ms Lim Siew Geok , Principal Nurse Educator, Nursing Service, Tan Tock Seng Hospital
Ms Ng Tzer Wee , Senior Principal Medical Social Worker, Department of Care and Counselling, Tan Tock Seng Hospital

Topic 1 : What Is “Art Of Healthcare”?

Speaker :
A/Prof Chin Jing Jih , Senior Consultant, Continuing and Community Care; Deputy Chairman Medical Board, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 2 : Healing And Resourcing Self Towards Resilience

Speaker :
Dr Alicia Pon , Child and Adolescent Psychotherapist; Lecturer, National University of Singapore

More Information Coming Soon!

Topic 3 : Stories Of Courage In The Lives Of Patients & Their Families

Speaker :
Ms Loo Min Min , Senior Staff Senior; Transitional Care Specialist, Division of Central Health; Department of Community and Continuity Care, Tan Tock Seng Hospital
  • Empathy in patient’s care
  • Helping care giver to empathise with care of patient at home
  • Perseverance of supportive family  

Topic 4 : Panel Discussion

Moderator: A/Prof Thomas Lew

Panel:

  • A/Prof Chin Jing Jih
  • Dr Alicia Pon
  • Ms Loo Min Min
  • Mr Melvin Lim Junchen

Living With DM/Complex Care

Synopsis

Achieving good glycemic control can be challenging for some patients with diabetes and their health care provider(s), especially patients with type 1 diabetes mellitus (DM1). We will hear and learn from a patient his journey with DM1 and also discuss how recent advances in technology can help overcome some of the challenges faced.

Session 1 : Living With And Managing Complex Dm

Chairperson :
Dr Kon Yin Chian, Winston , Senior Consultant,Endocrinology Department,Tan Tock Seng Hospital
Track Champion :
Dr Kon Yin Chian, Winston , Senior Consultant,Endocrinology Department,Tan Tock Seng Hospital

Topic 1 : My Journey with Type 1 Diabetes Mellitus (DM1)

Speaker :
Mr Goh Sian-Ee , Retiree
  • The shock and awe when diagnosed with DM1
  • My DM management and its shortcomings
  • How does Insulin pump improve m m my DM management

Topic 2 : Lessons Learnt Journeying With Patients With Complex Or Difficult To Control DM

Speaker :
Prof Bernhard Boehm , Professor of Metabolic Medicine, LKC School of Medicine; Senior Consultant Endocrinology Department, Tan Tock Seng Hospital
Dr Seow Cherng Jye , Consultant, Endocrinology, Tan Tock Seng Hospital
  • Glycemic control can be challenging, especially in patients with Type 1 Diabetes Mellitus (DM) or patients requiring multiple daily insulin injections
  • Case studies of avid sportsmen, pregnant T1DM patients as well as young adults undergoing transition will be used to illustrate the difficulties
  • Using the TTSH DM technology clinic as an example, we will discuss how recent advances in technology can help overcome these challenges

Topic 3 : How To Interpret CGMS Reports: Case Studies

Speaker :
Dr Liew Huiling , Associate Consultant, Endocrinology Department, Tan Tock Seng Hospital
  • Elevated Glycated Haemoglobin: Is increasing insulin the answer?
  • Mystery behind the midnight hunger pangs
  • Myth: Eating Noodles is better than Rice

Mental Health

Synopsis

The mental health track for this year’s SHBC will first showcase efforts made at improving community mental healthcare by integrating care across different providers from primary care all the way to specialist care.

Thereafter we discuss improvements in the mental health care scene locally in terms of prevention, treatment and rehabilitation. From the integration of mental and physical healthcare to improvements in the science behind electroconvulsive therapy and other forms of neuro-stimulation, patients with complex illnesses now have access to more holistic and individualized treatment approaches. This is necessary to reduce the morbidity associated with mental health diseases and to ensure that the patient is given the best integrated care possible. We will also look at how improvements in psychological rehabilitation can benefit our patients with complex illnesses.

Such improvements also appear upstream in terms of population health whereby efforts have been made to enhance positive mental well-being as well as prevent dementia in the elderly. There will be talks focusing on active ageing and in particular findings from the Jurong Ageing study will be presented. The use of technology to help us enhance population health through early detection of illness will also be discussed.

Last but not least, end of life issues that look into palliative care and the psychological aspects of care for very frail and terminally ill patients will be discussed.

With shifting demographics, limited healthcare manpower and various challenges ahead, it is important for us to reorganize our mental healthcare system and ensure the evolving needs of our population are met. This session will focus on the strategies and plans that provides directions for this reorganization, as well as showcase how different organizations and sectors are working together to reorganize care for the population.

Session 1 : Reorganisation of Mental Health

Chairperson :
A/Prof Swapna Verma , Senior Consultant,General Psychiatry 1,Institute of Mental Health
Track Champion :
A/Prof Swapna Verma , Senior Consultant,General Psychiatry 1,Institute of Mental Health

Topic 1 : Transforming Mental Health In Singapore – Moving From Institutions To Integrated Network

Speaker :
Dr Tan Weng Mooi , Chief, Community Mental Health Division, Agency for Integrated Care
  • Mental Health in Singapore
  • Community Mental Health Masterplan
  • Weaving a community network – bringing community partners together

Topic 2 : NHGP Patient Empanelment Care Model

Speaker :
Dr Sabrina Wong , Family Physician; Consultant; Associate Director, Clinical Services, National Healthcare Group Polyclinics
  • Features of the Care Model
  • Preliminary Outcomes
  • Steps to implementation

Topic 3 : Empanelment And Patient-Centred Care

Speaker :
A/Prof Swapna Verma , Senior Consultant, General Psychiatry 1, Institute of Mental Health
  • The broad objective of empanelment is to provide integrated care that is individualised and more community-based
  • The first step was to re-organise departments into teams so that each patient was assigned to a team of care providers
  • In addition we developed a “SPOC” framework so that each patient could have a single point of contact responsible for co-ordinating the care

Topic 4 : Putting It Altogether - A Network Of Care Between Hospital, Primary And Community Care Partners

Speaker :
Dr James Cheong , Family Physician, Unity Family Medicine Clinic
Dr Jared Ng , Psychiatrist; Consultant, Community Psychiatry, Institute of Mental Health
Dr Terence Yow , AMKFSC Community Services Ltd , Cluster Director,
  • Working with community partners is crucial to ensure patients are well supported outside the hospital setting
  • There must be enablers to move care from hospitals to communities
  • Barriers still exists and efforts must be made to remove them

Mental disorders are a public health challenge, with high mortality and morbidity rates. Patients often relapse, with subsequent functional decline in life. Presently, no available medications can satisfactorily treat the spectrum of symptoms and problems plaguing our mentally ill patients. This symposium starts by highlighting the signposts of illness and clinical wellbeing in our local patient population; and then draws attention to the high comorbidity of physical illnesses found in mental disorders, which are compounded by poor access to medical care. The symposium will then touch on current non-pharmacological adjunctive treatments carried out in our hospital. Cognitive remediation therapy is directed to address cognitive impairments that impede patients from performing daily routine activities. Brain stimulation techniques such as Electroconvulsive therapy is fast-acting and alleviates resistant symptoms, and the emerging technology of Transcranial magnetic stimulation is demonstrating much promise.

Session 2 : Crisis and Complex Care in Mental Disorders

Chairperson :
Dr Ho New Fei , Research Fellow, Department of Research, Institute of Mental Health
Track Champion :
Dr Ho New Fei , Research Fellow, Department of Research, Institute of Mental Health

Topic 1 : Subjective And Objective Clinical Signposts Of Living With Psychotic Spectrum Conditions

Speaker :
Adj A/Prof Sim Kang , Senior Consultant, General Psychiatry, Institute of Mental Health
  • Markers of illness and clinical wellbeing include ratings of symptomatology, neuropsychological and psychosocial functioning
  • These measures are compared across groups and over time
  • Understanding these changes can suggest ways to positively impact clinical improvement

Topic 2 : Integration Of Medical And Psychiatric Treatment Services At IMH

Speaker :
A/Prof Daniel Fung Shuen Sheng , Chairman Medical Board, Senior Consultant, Department of Child and Adolescent Psychiatry, Institute of Mental Health
  • High comorbidity of mental illness and physical illness
  • Patients with mental illnesses have poor access to medical care
  • Integrated treatment approaches improves both psychiatric and medical care

Topic 3 : Cognitive Remediation For Patients With Schizophrenia

Speaker :
Dr Ho New Fei , Research Fellow, Department of Research, Institute of Mental Health
  • Cognitive impairment pervade across psychiatric disorders, and impede functional recovery
  • Cognitive remediation is a behavioural-based intervention aimed to improve cognitive processes.
  • An acute 8-week cognitive remediation program in our inpatients with schizophrenia yielded promising results.

Topic 4 : Crisis And Complex Care In Mental Disorders

Speaker :
Dr Tor Phern Chern , Head of Neurostimulation Services, Mood Disorder Unit, Institute of Mental Health
  • Describe psychiatric neurostimulation services in Singapore
  • Utility of ECT in the treatment of psychiatric conditions in Singapore
  • Role of rTMS in the treatment of mood disorders in Singapore

The “Living Well” session will cover a range of mental health and wellness aspects that matter for different age groups in the population. The first speaker will talk about how positive mental health varies across the lifespan and highlight key differences among the young and the old. Using findings from a recent study on young people with psychosis, the second speaker will propose a novel framework on the concept for recovery and living well from service users’ perspective. The session will then cover case studies of older adults with dementia and their caregivers living well and meaningfully in the community, followed by the role of psychosocial interventions in ageing well. The last speaker will share insights on maximising data analytical techniques in studying and tracking wellness at the population level.

Session 3 : Living Well

Chairperson :
Ms Janhavi Vaingankar , Assistant Director, Research Division, Institute of Mental Health
Track Champion :
Ms Janhavi Vaingankar , Assistant Director, Research Division, Institute of Mental Health

Topic 1 : Two Continua: Age And Positive Mental Health

Speaker :
Ms Janhavi Vaingankar , Assistant Director, Research Division, Institute of Mental Health
  • Positive mental health is a sense of well-being, an ability to reach our potential and the capacity to deal with difficulties.
  • The level and impact of positive mental health varies across individuals’ lifespan.
  • Using data from three studies in the Singapore population, the talk will cover the relationship between positive mental health and satisfaction with life across different age groups.

Topic 2 : Project Recovery: Engaging Clients Overcoming Early Psychosis In An Open Dialogue On Recovery

Speaker :
Dr Lee Ying Ying , Peer Support Specialist, Early Psychosis Intervention Program (EPIP), Institute of Mental Health
  • Recovery from psychosis can mean very different things to different groups of people in the mental health community.
  • We are a group of professionals and patients, from IMH Research Division and EPIP, seeking to understand what recovery from psychosis means to our clients at EPIP.
  • With the new knowledge generated from this study, we hope to enhance services provided by EPIP, catering to the priorities and preferences to our clients.

Topic 3 : Living Well With Dementia

Speaker :
Dr Seng Kok Han , Consultant, Nobel Psychological Wellness Clinic
  • Dementia can drastically affect one’s life and their family’s.
  • Quality of life of people with dementia and their caregivers can be improved by better education, early diagnosis and treatment, community services and social support.
  • Case examples of how patients and caregivers are living well and meaningfully with dementia will be shared

Topic 4 : Ageing Well: Findings From The Jurong Ageing Studies

Speaker :
A/Prof R Mahendran , Psychiatrist; Senior Consultant, Psychological Medicine, National University of Singapore
  • Psychosocial Interventions form an important part of enhancing active ageing
  • Interventions such as Mindfulness Practice, Music Reminiscence, Art Therapy and Exercise have beneficial effects in the elderly
  • ‘Psychobiomarkers’ reflect the successful outcomes of these interventions

Topic 5 : Leveraging Data Analytics For Mental Health

Speaker :
Dr Lawrence Wee , Chief Data Scientist, Analytics, Zuellig Pharma
  • Machine learning and predictive analytics
  • Psychiatric disorders
  • Disease prognosis and early intervention

This session ‘Living with frailty and dying well’ under Mental Health track brings together 3 aspects of palliative care which are: Spirituality, Practical Challenges in Management and Bereavement. While holistic and patient centred care is emphasized, spiritual needs are often under recognized in this group of patients. Our first speaker will share her experience in addressing the spiritual needs in the frailty. Role of healthcare workers from managing complex psychosocial issues to promoting psychological health will be discussed in the second talk. Last but not least, final segment of the talk will touch on how bereavement may bring out the frailty within all of us.

Session 4 : Living with Frailty And Dying Well

Chairperson :
Dr Ong Wah Ying , Medical Director, Dover Park Hospice
Track Champion :
Dr Ong Wah Ying , Medical Director, Dover Park Hospice

Topic 1 : Addressing Spiritual Needs In Frailty

Speaker :
Sr. Geraldine Tan FdCC , Executive Director, Director of Nursing, St Joseph’s Home, Catholic Welfare Services
  • Ageing golden or burden?
  • What are the Spiritual Needs?
  • Holistic Approach Model

Topic 2 : Psychological Health In Palliative Care: A Relationship Between Patient, Provider And Society

Speaker :
Dr Lim Wen Phei , Associate Consultant, Psychological Medicine, Tan Tock Seng Hospital
  • Common psychological issues in end of life patients
  • Addressing patients with complex psychosocial challenges
  • The role of the healthcare provider in promoting psychological well-being

Topic 3 : Bereavement: The Awakening To Frailty

Speaker :
Ms Chee Wai Yee , Programme Director, Singapore Hospice Council
  • Frailty through the lens of the Dual Process Model of Grief
  • Frailty through the lens of Attachment Theory
  • Support for bereaved persons in Singapore – how strong or frail are we?

Masterclass: Organisation Development

Synopsis

The urgency and pace for change has quickened significantly over the last few years. Healthcare, like other industries, is confronted with an external VUCA (Volatile, Uncertain, Complex and Ambiguous) environment that demands for internal changes at unprecedented speed, scale and complexity. It is calling for major shifts in paradigms impacting the way we deliver care, the way we work, the way we relate to each other, to our patients. We transform or become a burden.

Are you ready? How do you and I as individuals and as a system make sense, adapt, learn to solve fundamental challenges, harness opportunities to create the best healthcare for our population?

“If the rate of change on the outside exceeds the rate of change on the inside, the end is near.” Jack Welch.

Session 1 : Are We Transformation-Ready? – Session 1

Topic 1 : Navigating Organisational Change In The Disruptive New Normal

Speaker :
Dr Karuna Ramanathan , Strategic Organisational Development Consultant, KR Konsulting Pte Ltd
  • Role of Organisational Development in Organisation and Sector Transformation;
  • Understanding Internal and External Conditions and how these might affect change initiatives;
  • Practical Insights for Leaders – Strategy, Leadership, Structure and Workforce, as important pillars for successful strategic organisational development

Session 2 : Are We Transformation-Ready? – Session 2

Topic 1 : Transforming Through Bold Visions And Mindset Shifts

Speaker :
Mr Chua Chin Kiat , Board Member, Agency of Integrated Care
  • Importance of visioning as the starting point of organisational transformation
  • Role of vision and action agenda in transformation
  • Use of vision elements to formulate strategy
  • Unleashing collective wisdom

Session 3 : Are We Transformation-Ready? – Session 3

Topic 1 : Relevance In An Age Of Disruption

Speaker :
Mr Lim Teck Yin , CEO, Sport Singapore
  • Relevance is in the eye of the beholder
  • The faces of surprises and disruption
  • Our responses and what we learned

Session 4 : Are We Transformation-Ready? – Session 4

Topic 1 : Panel Discussion – Leading Transformational Change; Leaders and Leadership

Moderator :

  • Prof Eugene Fidelis Soh
    Chair, NHG L&OD Workstream

Panelists :

  • Dr Karuna Ramanathan
    Strategic Organisational Development Consultant, KR Konsulting Pte Ltd
  • Mr Chua Chin Kiat
    Board Member,  Agency of Integrated Care
  • Mr Lim Teck Yin
    CEO, Sport Singapore

Making Hospitals Senior Ready

Synopsis

Geriatric assessment and interventions can prevent iatrogenesis in acutely sick, frail older persons admitted to hospital. Despite robust evidence of benefits, such services are usually not implemented widely and are rendered reactively, helping only a subset of older patients, or are sometimes delivered too late. The rapidly ageing demographic of the hospital inpatients urgently calls for a more responsive and widespread solution to make acute hospital Senior friendly. FIFE (Framework for Inpatient Care for the Frail Elderly) is the systematic, proactive delivery of patient-centred Geriatric care at all corners of an acute, tertiary hospital, with an aim to improve outcome for the frail, hospitalised older patients. This track describes the various components of FIFE and demonstrates some of the projects implemented under this novel improvement initiatives.

Session 1 : Framework for Inpatient Care of the Frail Elderly (FIFE)

Chairperson :
A/Prof Tan Thai Lian , Geriatrician; Senior Consultant, Department of Geriatric Medicine,Chairman, Division of Medicine Senior;Tan Tock Seng Hospital
Track Champion :
A/Prof Tan Thai Lian , Geriatrician; Senior Consultant, Department of Geriatric Medicine,Chairman, Division of Medicine Senior;Tan Tock Seng Hospital

Topic 1 : FIFE Introduction And Overview

Speaker :
A/Prof Tan Thai Lian , Geriatrician; Senior Consultant, Department of Geriatric Medicine, Chairman, Division of Medicine Senior; Tan Tock Seng Hospital
  • The concept and overarching principles of FIFE
  • The compoents in FIFE
  • Brief summary of the early results of FIFE

Topic 2 : A NICHE In Tan Tock Seng Hospital

Speaker :
Dr Margaret Soon , Deputy Director, Nursing Service, Tan Tock Seng Hospital
  • The Nurses Improving Care of the HealthSystem Elders (NICHE) model was translated and adapted in TTSH in 2014, with the primary aim to provide sensitive and exemplary care to patients 65 years and over.
  • The Geriatric Resource Nurse (GRN) model which is fundamental within NICHE, was implemented to achieve systematic nursing change.
  • The empowerment of frontline nurses led to the implementation of many unitbased initiatives that demonstrated better patient outcomes in the hospitalised elderly.

Topic 3 : GeriCARE - The Mobile Geriatric Assessment Team

Speaker :
Ms Jasmine Kang Sin Ee , Advanced Practice Nurse. Nursing Service & Geriatric, Tan Tock Seng Hospital
  • Perform Comprehensive Geriatric Assessment for the frail older adults
  • Professional Geriatric support for Ward and Geriatric Resource Nurses
  • Formulate appropriate geriatric care plans for early diagnosis of new geriatric syndromes

Topic 4 : Malnutrition In The Hospitalised Elderly - A System Approach To Improve Care

Speaker :
Dr Lim Yen Peng , Head; Senior Principal Dietitian, Nutrition and Dietetics, Tan Tock Seng Hospital
  • Patients are at risk of developing poor nutrition during hospitalisation due to multiple challenges.
  • It is critical that a systematic and coordinated approach is developed to ensure safe and optimal nutrition care delivery
  • An interprofessional collaborative model is impactful in influencing and effecting improvement initiatives

Topic 5 : Safe Discharge For The At Risk Elderly - Planning For Discharge

Speaker :
Dr Jennifer Abengaña , Senior Resident Physician, Department of Geriatric Medicine, Tan Tock Seng Hospital
  • Through the efforts of FIFE (or Framework for the Inpatient care of the Frail Elderly), Tan Tock Seng Hospital seeks to be an institution providing older adults care that promotes function, autonomy, and dignity, and one that encourages active participation of family members in ensuring their loved-ones’ well-being.
  • In order to be a patient/family-centred environment, timely discharge planning is essential to afford patients and their family members time and opportunity to discuss care needs, explore options, and decide based on sound advice from healthcare professionals.
  • As empowered patients and relatives understand and participate better in their care, the following were targeted for improvement: a) Multi-disciplinary Discharge Planning Form, b) Discharge folder for complex cases, c) Estimating date of discharge through prediction models. This presentation highlights the journey taken in making discharge safe for the at-risk elderly.

Topic 6 : The Impact Of FIFE - To Share The Preliminary Results Of FIFE

Speaker :
Dr Joseph D. Molina , Deputy Director, Health Services & Outcomes Research, National Healthcare Group
  • Program evaluation
  • Preliminary findings
  • Effectiveness of FIFE for elderly inpatients

Obesity And Diabetes – What Are The Complexities?

Synopsis

The global rise in obesity rates including Singapore’s is unrelenting. The old adage ‘eat less, exercise more’ is clearly inadequate. This track will start by looking into the science of weight regulation and share the latest understanding and practices in obesity management to help doctors tackle obesity more effectively. After which, we will explore the bidirectional relationship between obesity and diabetes to better appreciate the complexities and the clinical implications when managing the diabesity phenomenon. Finally, the track will end off by continuing the discussion on the recent shift in paradigm with regards to metabolic surgery and its effectiveness in diabetes remission, with updates based on recent randomized controlled trials and recently published long term results.

Session 1 : Obesity And Diabetes – What Are The Complexities?

Chairperson :
Dr Benjamin Lam Chih Chiang , Consultant, Family and Community Medicine Department, Khoo Teck Puat Hospital
Track Champion :
Dr Benjamin Lam Chih Chiang , Consultant, Family and Community Medicine Department, Khoo Teck Puat Hospital

Topic 1 : Understanding Obesity To Tackle Obesity

Speaker :
Dr Benjamin Lam Chih Chiang , Consultant, Family and Community Medicine Department, Khoo Teck Puat Hospital
  • Obesity is now recognized as a chronic, relapsing, multifactorial, neurobehavioral disease, with a defined pathophysiology, resulting in adverse metabolic, biomechanical and psychosocial complications.
  • Understand the science behind weight regulation and its complexities, and hence obesity management is not just about ‘eating less, and exercising more’
  • The importance of a comprehensive assessment to tailor management to the individual obese patient.

Topic 2 : Diabesity – Pathogenesis And Clinical Implications

Speaker :
Dr Lim Su Chi , Senior Consultant, Diabetes Centre, Khoo Teck Puat Hospital
  • Excess adiposity leads to global metabolic derangements and insulin resistance
  • Hyperglycemia (i.e. diabetes) only sets-in when pancreatic β-cell compensation is inadequate
  • The overall metabolic burden, amenable to intervention, drives diabetic complications.

Topic 3 : Diabetes Surgery – The New Paradigm

Speaker :
Dr Tan Chun Hai , Consultant, Department of General Surgery, Khoo Teck Puat Hospital
  • Diabetes surgery, also known as metabolic surgery is effective in causing remission of Diabetes in select group of patients
  • Updates on low BMI diabetics randomised control trial
  • Long term results of Best medical therapy vs Diabetes Surgery

Personalised Medicine

Synopsis

This track will be introducing the National Precision Medicine Initiatives and effort coordinated by MOH. We will also be sharing the challenges and potential for the Pharmacogenomics both in research and clinical practise and how IT and future EMR can supports Precision Medicine.

Session 1 : Personalised Medicine

Chairperson :
Adj A/Prof Ong Kiat Hoe , Senior Consultant, Haematology Department, Tan Tock Seng Hospital
Track Champion :
Dr Leong Khai Pang , Clinical Director,Clinical Research & Innovation Office,Tan Tock Seng Hospital

Topic 1 : National Precision Medicine Initiatives

Speaker :
Prof Tai E Shyong , Senior Consultant, Division of Endocrinology, National University Hospital
  • National Strategy on Precision Medicine
  • Workgroup and their challenges
  • What to expect next?

Topic 2 : Pharmacogenomics: Challenges and Potential

Speaker :
Dr Michael Winther , Associate Director, Office of Strategic Alliances & Knowledge Management (OSAKM), Genome Institute of Singapore
  • Drug metabolism is influenced by the genetic composition of an individual, resulting in increased risks of adverse drug reactions (ADR)
  • The burden of ADRs can be reduced by implementing clinical dosing guidelines based on a patient’s genetic profile (PGx)
  • The broad implementation of PGx requires systems to manage genetic data in multiple settings and demonstrating positive health and economic outcomes

Population Health

Synopsis

This year, the Population Health Symposium 2017 highlights the transformation of healthcare systems across wellness care, illness care and end of life care. Healthcare professionals would gain insights on the opportunities and challenges on how we could get from our current state to the future desired state of our health ecosystem.

With a focus on creating an ecosystem to maintain the health of our population in the community, supported by population health studies, our plenary sessions aim to bring forth the message that preventive efforts upstream from each stage of the care continuum is the key to achieving the goal of population health at each stage.

Session 1 : Population Health Plenary 1

Chairperson :
Ms Corrine Teh , Manager, Group Corporate DevelopmentNational Healthcare Group
Track Champion :
Mr Darion Chong , Acting Group Chief Corporate Development OfficerNational Healthcare Group

Topic 1 : Transforming Population Health

Speaker :
Prof Pang Weng Sun , Deputy Group CEO, Population Health, National Healthcare Group
  • Current trends in population health management
  • Areas requiring further development
  • Overcoming obstacles in population health transformation

Topic 2 : Building A Nation Of Healthy People

Speaker :
Dr Shyamala Thilagaratnam , Director, Regional Health & Community Outreach Division, Health Promotion Board
  • Moving beyond healthcare to health: Prevention is key.
  • HPB’s approach: creating ecosystems to empower Singaporeans to live healthy where they study, work, play, and live.
  • The next phase: Building community ownership and developing local anchors; together, we can accomplish more.

Topic 3 : Energy for Performance in Life

Speaker :
Ms Lisa Tay Head of Human Resource, Asia Pacific, Johnson & Johnson
  • J&J Health & Wellness
  • Human Performance Institute

Session 2 : Population Health Plenary 2

Chairperson :
Ms Corrine Teh , Manager, Group Corporate DevelopmentNational Healthcare Group
Track Champion :
Mr Darion Chong , Acting Group Chief Corporate Development OfficerNational Healthcare Group

Topic 1 : Empowering Seniors and Quality of Life

Speaker :
Ms Chia May Ling , Deputy Director, Service Planning & Development Group, National Council of Social Services
A/Prof Ng Tze Pin , Associate Professorial Fellow & Research Director, Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore

More Information Coming Soon!

Topic 2 : The People’s Association Wellness Programme – Age Well, Starts Now!

Speaker :
Mr Seah Hwee Kia , Chairman of People’s Association Active Ageing Council, People’s Association
  • About People’s Association and Active Ageing Council
  • National Wellness Programme
  • Active Ageing in the community
  • Plans moving forward

Topic 3 : No Man Is An Island

Speaker :
Mr Simon-Peter Lum , Deputy Head, COMNET Senior Services AMKFSC Community Services Ltd
  • 10 Spheres of Wellbeing
  • Network of Services
  • Deficits and Strengths Model

Session 3 : Population Health Plenary 3

Chairperson :
Ms Corrine Teh , Manager, Group Corporate DevelopmentNational Healthcare Group
Track Champion :
Mr Darion Chong , Acting Group Chief Corporate Development OfficerNational Healthcare Group

Topic 1 : Challenges Of Building a Community-Based Care Ecosystem

Speaker :
Ms Peh Kim Choo , Chief Executive Officer and Director, Hua Mei Centre for Successful Ageing
  • What defines a community based care eco-system
  • Challenges in building the eco-system
  • Way forward

Topic 2 : Community-Based Health Ecosystems

Speaker :
Dr Wong Sweet Fun , Senior Consultant, Geriatric Medicine Khoo Teck Puat Hospital
  • Beyond hospital to community, beyond healthcare to health
  • Supported self-management communities
  • Community engagement and development

Topic 3 : A Senior and Dementia Friendly Singapore

Speaker :
A/Prof Philip Yap , Senior Consultant, Geriatric Medicine Khoo Teck Puat Hospital
  • The impact of ageing & dementia on Singapore
  • Understanding and supporting frail seniors with dementia
  • Making our communities senior & dementia friendly

Session 4 : Population Health Plenary 4

Chairperson :
Ms Corrine Teh , Manager, Group Corporate DevelopmentNational Healthcare Group
Track Champion :
Mr Darion Chong , Acting Group Chief Corporate Development OfficerNational Healthcare Group

Topic 1 : What Is The Current Health And Social Status Of Our Central Region Population?

Speaker :
Dr Yap Chun Wei , Principal Research Analyst, Health Services & Outcomes Research, National Healthcare Group
  • High prevalence of abdominal fatness
  • Deficits in ADL and IADL, cognition, falls increase with age
  • 1 in 5 elderly 75-84, and 1 in 3 elderly 85+ are prefrail and socially isolated

Topic 2 : Behavioral Economics For Population Health

Speaker :
Dr Joanne Yoong , Director, Center for Health Policy and Services Research, National University Hospital System

In this talk, Dr Yoong will provide an overview of the fundamental principles behind behavioral economics, and relate this to key examples and applications in the international arena relevant to population health. The talk will also highlight potential limitations of a purely behavioral approach to policy and regulation, and explore potential new frontiers for behavioral economics in the context of emerging new technologies, opportunities and challenges

Topic 3 : Economics Of Integrating Palliative Care

Speaker :
Ms Tan Woan Shin , Principal Research Analyst, Health Services & Outcomes Research, National Healthcare Group
  • Overview of economics in palliative care
  • Using examples of evaluation studies conducted locally to illustrate the impact of palliative care programmes
  • Discuss limitations of relying on cost analyses for resource allocation & explore ways to overcome this

Primary Care Forum 2017

Synopsis

Primary Care Forum 2017 is an annual conference for Primary Care Healthcare professionals held in conjunction with the Singapore Health and Biomedical Congress. This year we have an exciting and somewhat provocative theme, “Primary Care: The Cornerstone of Sustainable High Performing Health Systems.” In this Forum, we explore the fundamental contributions of Primary Care towards the performance of Health Systems that espouse high value and quality.

With the demographic profile of an ageing population and increased prevalence of chronic medical conditions worldwide including Singapore, patients presenting with multiple morbidity pose an increasing challenge to both healthcare practitioners and the healthcare system, as a whole.

The importance of early upstream interventions to prevent chronic illness is an important strategy that Primary Care will need to embrace as part of holistic healthcare provision. Interventions such as greater workplace health promotion and embracing innovative technology will allow us to better engage the population to ensure they remain in a healthy state.

Managing multi-morbidities once a person is saddled with multiple chronic conditions is a common clinical encounter in Primary Care. A Symposium during the Forum will highlight the impact of Multimorbidity from the varying perspectives of patient, provider and system.

Skin conditions are amongst the top 10 most common presenting complaints seen in Primary Care. During the 2nd day of the Primary Care Forum on 14 October 2017, we will be holding a collaborative-interactive symposium involving our specialist Dermatologists from National Skin Centre that will explore the wide range of dermatology issues that primary care physicians would encounter. We hope to see you all there!

Dr Darren Seah
Chairperson, Organising & Scientific Committee, Primary Care Forum 2017;
Family Physician, Consultant;
Director, Family Medicine Development Department, National Healthcare Group Polyclinics

Session 1 : Primary Care Forum 2017 : Plenary 1

Chairperson :
Dr Doraisamy Gowri , Family Physician, Senior Consultant, Director, Care Integration, Primary Care Transformation Office, National Healthcare Group Polyclinics

Topic 1 : PCF Plenary 1: Creating A High Performing Health System: The Role of Primary Care

Speaker :
Dr Paul Grundy , Chief Medical Officer, Global Director of Healthcare Transformation IBM Healthcare and Life Sciences
  • 0900 ~ 0910 : WELCOME ADDRESS
    Associate Professor Chong Phui-Nah
    Family Physician, Senior Consultant;
    Chief Executive Officer, 
    National Healthcare Group Polyclinics 
  • 0910 ~ 0925 : GUEST-OF-HONOUR OPENING ADDRESS
    Mr Ng How Yue 2nd Permanent Secretary,
    Ministry of Health 

Session 2 : Symposium 1: Living Well: Investing In Your Health

Chairperson :
Dr Darren Seah , Family Physician, Consultant;Director, Family Medicine Development,National Healthcare Group Polyclinics
Dr David Ng , Family Physician, Associate Consultant;Head, Toa Payoh Polyclinic, National Healthcare Group Polyclinics

Topic 1 : Community Living: You Will Never Walk Alone

Speaker :
Mr Kelvin Lee , Manager, TOUCH Community Services

Topic 2 : Workplace Health Promotion : Essentials of Keeping Healthy at Work

Speaker :
Mr Albert Lee , Managing Director, Singapore Johnson & Johnson Pte. Ltd.

Topic 3 : An App a Day Keeps the Doctor Away

Speaker :
Mr Bruce Liang , Chief Executive Officer, Integrated Health Information Systems Pte Ltd

Session 3 : Primary Care Forum 2017 : Plenary 2

Chairperson :
Dr Karen Ng , Family Physician, Consultant;Director, Clinical Services,National Healthcare Group Polyclinics

Topic 1 : PCF Plenary 2: Strengthening Health Systems For Multimorbidity

Speaker :
Prof Martin Fortin , Professor and Researcher, Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Canada

Session 4 : Symposium 2: A Kaleidoscope Of Experiences

Chairperson :
Dr Tang Wern Ee , Family Physician, Senior Consultant;Head, Clinical Research Unit, National Healthcare Group Polyclinics
Dr Richard Lee , Family Physician, Consultant; Assistant Director, Family Medicine Development, National Healthcare Group Polyclinics

Topic 1 : My Patients’ Life Stories: The Hard Truths

Speaker :
Mr Ng Koon Sing , Head, COMNET Senior Services, AMKFSC Community Services Ltd

Topic 2 : Challenges of Multimorbidity: A Private Problem

Speaker :
Dr Lee Oh Chong Leng , Family Physician Mission (Bukit Batok) Medical Clinic

Topic 3 : The Regional Health Perspective on Multimorbidity

Speaker :
Dr Ang Yan Hoon , Senior Consultant Khoo Teck Puat Hospital

Session 5 : Primary Care Forum 2017 : Plenary 3

Chairperson :
Dr Simon Lee , Family Physician, Consultant;Chief Medical Informatics Officer, National Healthcare Group Polyclinics

Topic 1 : PCF Plenary 3: Care Integration: Is Smart Healthcare The Missing Piece?

Speaker :
Dr Paul Grundy , Chief Medical Officer, Global Director of Healthcare Transformation IBM Healthcare and Life Sciences

Reorganisation Of Crisis Care

Synopsis

The Emergency Department (ED) is the main start point of patient flow through the hospital. As the “safety net” of the health care system, it must provide care for all patients who present regardless. Increasing demands for Emergency Medicine services have become a perennial problem and this has led to long waiting times, overcrowding and boarding. It is a symptom reflecting complex problems in the health care system including issues in inpatient capacity, an ageing population with rising prevalence of complex and severe medical conditions, inadequacy of primary care, community services and alternatives to hospitalisation and seasonal illness – just to name a few. Some of the downstream consequences of ED crowding and boarding include potential delays in treatment and consequences of disability or even death, increased risk of medical errors and compromise to patient safety, ambulance diversions and threat to disaster preparedness. Studies have linked ED crowding to increased in-hospital mortality rates, delays in timely treatment, increased length of stay and adverse events.

There are, unfortunately, no “quick fixes” to the problem and a multidisciplinary system wide approach is required. Different solutions have been attempted and in this programme, we look at some of the solutions that have been implemented to tackle this challenging problem.

Session 1 : Reorganisation Of Crisis Care

Chairperson :
A/Prof Jackie Tan , Senior Consultant; Head, General Medicine, Tan Tock Seng Hospital
Track Champion :
A/Prof Jackie Tan , Senior Consultant; Head, General Medicine, Tan Tock Seng Hospital

Topic 1 : Alternatives To Admission

Speaker :
Adj A/Prof Tay Seow Yian , Senior Consultant & Head, Emergency Department, Tan Tock Seng Hospital
  • More and more ED patients will need admission
  • Some care can be safely provided without admission

Topic 2 : Acute Medical Units – Just A Fad Or Worth Investing In?

Speaker :
Dr Thofique Adamjee , Consultant, Department of General Medicine, Khoo Teck Puat Hospital
  • What is an Acute Medical Unit (AMU) and overview of experience in UK
  • Potential benefits of the AMU model for Singapore
  • Reflections from our first attempt at an AMU at KTPH and the journey to AMU 2.0

Topic 3 : Acute Medicine – A Model For 21st Century Medicine

Speaker :
Adj Asst Prof Endean Tan , Consultant; Head, Acute Internal Medicine Service, Department of General Medicine, Tan Tock Seng Hospital
  • Legacy issues
  • Fighting Resistance to Change
  • The Future of General Medicine

SHBC Oral Presentations (Powered by PechaKucha)

Synopsis

This year, on top of the Poster Village Presentation for the accepted abstracts, we are proud to introduce the inaugural ‘SHBC Oral Presentations (Powered by PechaKucha)’. 36 novel and interesting abstracts are handpicked by our panel of reviewers & SHBC Scientific Competition Committee to present through this engaging platform.

DATE: 13 Oct 2017, Fri
TIME: 1030 – 1200hrs, 1330 – 1500hrs, 1530 – 1700hrs
VENUE: Peridot 204

 

Session 1 : SHBC Oral Presentation (Powered by Pechakucha) Session 1

Session 2 : SHBC Oral Presentation (Powered by Pechakucha) Session 2

Session 3 : SHBC Oral Presentation (Powered by Pechakucha) Session 3

Special Interest Session: Design Thinking

Synopsis

Common challenges of most healthcare providers are ageing population, ageing staff and rising healthcare cost, coupled with increase prevalence of people living longer with chronic disease.

In response to these challenges and drive for greater efficiency/productivity and connected healthcare system under the pressure of budgetary constraints, TTSH has been applying lean and design thinking methodologies to improve our servics and facilities design. Through care redesign, process and technology innovations, we are planned and future proof our facilities during the early stages of planning and iteratively through the various stages of implementation for all our Health City Novena campus.

About HealthCity Novena
A 17-hectare integrated healthcare complex comprising Tan Tock Seng Hospital and 9 other facilities, Health City Novena is an urban development in Central Singapore slated for completion in 2030 incorporating health services, research and education, leisure and public spaces into one holistic ecosystem.

This workshop will cover lean and design thinking strategies adopted for the development and how key concepts behind the masterplan.

Miss Chong will also share how to use LEAN tools and design thinking to “design out” waste and improve experience from initial planning to implementation using the Hybrid Lean and Design Thinking 3P (Product Process Preparation) approach.
The workshop will also include hands-on practice for participants to try their hands in :

  • Applying Design Thinking to improve user experience.
  • Design Thinking experience 101
  • Developing Persona (hands-on practice)

Session 1 : Design Thinking and Health Facilities Challenges

Track Champion :
Ms Chong Pue Kim , Director, Infrastructure Planning Office, Tan Tock Seng Hospital

Topic 1 : Design Thinking and Health Facilities Challenges

Speaker :
Ms Chong Pue Kim , Director, Infrastructure Planning Office, Tan Tock Seng Hospital
  • Challenges of Healthcare Facility
  • HealthCity Novena Experience
  • Design Thinking and User Experience

Session 2 : Design Thinking and Health Facilities Challenges – Session 2

Track Champion :
Ms Chong Pue Kim , Director, Infrastructure Planning Office, Tan Tock Seng Hospital

Topic 1 : TTSH Applied Design Thinking In Our Major Developments

Speaker :
Dr Stephen Chan , Senior Consultant, Head of Chronic Pain Service, Tan Tock Seng Hospital

Special Interest Session: Motivational Interviewing

Synopsis

This track aims to provide an introduction and overview of motivational interview (MI) by walking the participants through the concepts, principles and spirit behind the technique. This will be followed a discussion of how MI can be flexibly integrated with a variety of other psychotherapeutic techniques across a variety of setting. The speakers will attempt to illuminate the ideas and concepts through the use of clinical vignettes and role-play demonstration.

Session 1 : An Overview Of Motivational Interviewing

Topic 1 : Session 1: An Overview Of Motivational Interviewing

Speaker :
Dr Sandor Heng , Senior Clinical Psychologist, National Addictions Management Service (NAMS), Institute of Mental Health
Mr SB Viknesan , Senior Counsellor, National Addictions Management Service (NAMS), Institute of Mental Health
Dr Griva Konstadina , Associate, Professor, Psychology, National University of Singapore

More Information Coming Soon!

Session 2 : Application Of Motivational Interviewing

Topic 1 : Session 2: Application Of Motivational Interviewing

Speaker :
Dr Sandor Heng , Senior Clinical Psychologist, National Addictions Management Service (NAMS), Institute of Mental Health
Mr SB Viknesan , Senior Counsellor, National Addictions Management Service (NAMS), Institute of Mental Health
Dr Griva Konstadina , Associate, Professor, Psychology, National University of Singapore

More Information Coming Soon!

The War On Diabetic Eye Disease

Synopsis

With a disquieting proportion and burgeoning trend of people who will be afflicted by diabetes in Singapore, it is imperative that we screen for diabetes-linked eye conditions to help those at risk of losing their vision because of the illness.

In this track, we will gain insights from experienced clinicians and nurses from the NHG Eye Institute who will bring you through some of the avant garde methods used in the screening of diabetic-retinopathy to nurse-led IVT injections (the first centre in Singapore to achieve this), health economics of diabetic eye diseases and more!

At the end of the session, there will also be a panel discussion with experts in the field where you can pose your questions to glean from our accomplished panel of doctors.

Session 1 : The War On Diabetic Eye Disease

Chairperson :
A/Prof Wong Hon Tym , Senior Consultant, Department of Ophthalmology;Tan Tock Seng HospitalMedical Director, NHG Eye Institute
Track Champion :
A/Prof Colin Tan , Senior Consultant,Department of Ophthalmology,Tan Tock Seng Hospital

Topic 1 : Current State Of The Art Screening For DR/DME

Speaker :
A/Prof Wong Hon Tym , Senior Consultant, Department of Ophthalmology; Tan Tock Seng Hospital Medical Director, NHG Eye Institute

More Information Coming Soon!

Topic 2 : Intravitreal Injections

Speaker :
Ms Ong Wan Qiu , Senior Staff Nurse, Department of Ophthalmology, Tan Tock Seng Hospital
  • What you need to know
  • Nurse-led injections

Topic 3 : Diabetic Eye Complications: A Formidable Foe In The War On Diabetes?" - The Health Economic Perspective

Speaker :
Dr Owen Hee Kim , Consultant, Ophthalmology, Tan Tock Seng Hospital
  • What is the impact of diabetic eye complications?
  • A Health Economic Survey of present and future states
  • Beyond eye: generalisable considerations for diabetic care

Topic 4 : Research in Diabetic Retinopathy

Speaker :
Dr Ngo Wei Kiong , Senior Resident, Ophthalmology, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 5 : Panel Discussion

Speaker :
A/Prof Colin Tan , Senior Consultant, Department of Ophthalmology, Tan Tock Seng Hospital
Dr Owen Hee Kim , Consultant, Ophthalmology, Tan Tock Seng Hospital
Dr Ngo Wei Kiong , Senior Resident, Ophthalmology, Tan Tock Seng Hospital
A/Prof Wong Hon Tym , Senior Consultant, Department of Ophthalmology; Tan Tock Seng Hospital Medical Director, NHG Eye Institute

Transforming Acute Complex Care

Synopsis

Healthcare is a continuum – patients requiring acute care are generally the sickest and often require multiple interventions. These span across the medical and surgical disciplines. How can we do better as healthcare providers, and transform the delivery of such care?

In this session, three perspectives will be shared: a surgeon, intensivist and patient will share updates and perspectives on acute care. In this track, recent innovations and developments in complex surgical care, with illustrative cases will be shared, along with an update on the sepsis and its management in 2017. Participants will also hear, first-hand, from a patient’s perspective his experience in the receipt of acute care during a crisis and beyond, and learn, as healthcare providers what we can do better in delivering such care to our patients.

Session 1 : Reorganisation of Acute Care (Acute) – Infectious Diseases

Chairperson :
Dr Shawn Vasoo , Infectious Diseases Physician; Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital
Track Champion :
Dr Shawn Vasoo , Infectious Diseases Physician; Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital

Topic 1 : Transforming Complex Surgical Care

Speaker :
Dr Fong Sau Shung , Consultant, Department of General Surgery, Tan Tock Seng Hospital
  • Surgical care is a combination of right case selection, good peri-operative management and performing good surgery
  • Transformation is mandatory to meet the demands of cost-effectiveness and increasing expectations for minimally invasive surgery
  • A multi-disciplinary, evidence based approach has the best chance for success

Topic 2 : A Patient's Journey "AAA Journey"

Speaker :
Mr Christopher Lock , Financial Services Consultant, Rep AIA Singapore Pte Ltd
  • A patient shares his experience on acute crisis care, and what helped him through this episode
  • How healthcare providers can care well for patient’s during an acute medical/surgical crisis through to the continuum of chronic care

Topic 3 : SEPSIS- What's New in 2017

Speaker :
Dr Manjit Pawar , Consultant; Director, Medical Intensive Care, Khoo Teck Puat Hospital
  • SEPSIS-3 What’s new in 2017
  • Is Angiotensin II the answer?
  • Fluid- good or bad in sepsis?

Day 3

Primary Care – Dermatology Symposium

Synopsis

Theme: Towards Integrated Care In Dermatology
Empowering our primary care physicians and non-dermatology colleagues

With the recognition of the importance of integrated and community-base care, physicians providing broad based care will now need to be better equipped with knowledge and skills to handle common medical conditions. As the skin is the largest organ and easily visible, primary physicians will very likely encounter many dermatological conditions or complaints.

This series of talks aim to increase primary care physicians knowledge and confidence in i) managing patients with common chronic skin diseases, ii) recognizing common skin infections and tumours so as to provide appropriate treatment and referrals , and iv) up-to-date treatment for some of these conditions referred to specialist care.

Session 1 : Primary Care – Dermatology Symposium 1

Chairperson :
Dr Darren Seah , Family Physician, Consultant;Director, Family Medicine Development,National Healthcare Group Polyclinics
Adj A/Prof Leow Yung Hian , Senior Consultant; Assistant Director, Clinical Governance & Quality,National Skin Centre
Track Champion :
Adj A/Prof Lim Yen Loo , Senior Consultant,National Skin Centre
Dr Valerie Teo , Family Physician; Associate ConsultantNational Healthcare Group Polyclinics

Topic 1 : Networking Lunch (Primary Care – Dermatology Symposium)

  • Networking Lunch
  • 1330 hrs: Tour of LKCMedicine Clinical Sciences Building

Topic 2 : Integrated Care In Community Dermatology

Speaker :
Dr Heng Yee Kiat , Consultant, National Skin Centre
  • Welcome Address by A/Prof Tan Suat Hoon,  Director, National Skin Centre
  • Teledermatology collaboration between NSC and NHGP

Topic 3 : Optimising Care For People With Atopic Dermatitis

Speaker :
Dr Yew Yik Weng , Consultant, National Skin Centre
  • Diagnosis of Atopic dermatitis and recognising its complications
  • Outcome measures in AD and their relevance in primary care
  • Strategies to improve care outcomes in these patients
  • Indications for referral to specialist care

Topic 4 : Common Nail Disorders – Getting It Right At Your Fingertips

Speaker :
Dr Aaron Tan , Consultant, National Skin Centre
  • Diagnosis of common nail disorders
  • Medical and surgical treatment for common nail disorders

Session 2 : Primary Care – Dermatology Symposium 2

Chairperson :
Dr Darren Seah , Family Physician, Consultant;Director, Family Medicine Development,National Healthcare Group Polyclinics
A/Prof Chua Sze Hon , Deputy Director; Senior Consultant,National Skin Centre
Track Champion :
Adj A/Prof Lim Yen Loo , Senior Consultant,National Skin Centre
Dr Valerie Teo , Family Physician; Associate ConsultantNational Healthcare Group Polyclinics

Topic 1 : Common Cutaneous Infections – Avoiding The Stumble And Solving The Problem At Primary Care

Speaker :
Dr Benson Yeo , Associate Consultant, National Skin Centre
  • Diagnosis of common cutaneous infections
  • Pearls and pitfalls in diagnosis and management of these conditions
  • Indications to refer to specialist or inpatient care

Topic 2 : Sexually Transmitted Infections (STIs) – A Quickie For The Uninitiated

Speaker :
Dr Martin Chio Tze Wei , Senior Consultant, National Skin Centre
  • Common presentation of various STI
  • Red flags for and when diagnosing STI
  • Management of common STI and indications for referral

Topic 3 : Non-Melanoma Skin Cancers – Sieving The Bad From The Banal And Ridding Them Well

Speaker :
Dr Melissa Tan , Senior Consultant, National Skin Centre
  • Differentiating NMSC from benign skin tumors
  • Useful diagnostic bedside imaging procedures for skin cancers
  • Risk stratification of NMSCs
  • Surgical and non-surgical treatment of NMSC
  • Skin cancer surveillance in patients with high risk of developing NMSC