Congress
Congress

Track Programme

SHBC Oral Presentations

Synopsis

SHBC Scientific Competition 2018 Oral Award Winners Presentation

Session 1 : SHBC ORAL PRESENTATIONS

Topic 1 : Health Professions Education Research Investigator Award

  1. Ms Jinxiu Charmaine Tang, Tan Tock Seng Hospital
    Abstract Title: Exploring newly qualified nurses’ perceptions and experiences of working with preceptors: A qualitative descriptive study

  2. Mr Eugene Teoh Yen Tjuin, Tan Tock Seng Hospital
    Abstract Title: Effectiveness of a Transition to Practice Programme for Newly Qualified Registered Nurses

  3. Adj A/Prof Yip Chee Chew, Khoo Teck Puat Hospital
    Abstract Title: Training Enhancement and Accreditation for Community and Home Eye Screening (TEACHES) for Opticians.

Topic 2 : SHBC Student Award (Open Category)

  1. Mr Chan Kai Siang, Nanyang Technological University
    Abstract Title: Assessing adequacy of informed consent in an Asian population with student administered interview

  2. Ms Eng Goi Khia, Nanyang Technological University
    Abstract Title: Altered resting-state network activity and cerebro-cerebellar functional connectivity in Obsessive-Compulsive Disorder (OCD)

  3. Ms Claudia Koh, National University of Singapore
    Abstract Title: Serum Carcinoembryonic Antigen as a Clinical Marker in Hypohidrosis

  4. Ms Thanita Pilunthanakul, Duke-NUS Graduate Medical School
    Abstract Title: Preliminary results for an open-label pilot study on the efficacy of phosphatidylserine-omega-3 (Vayarin) in pediatric patients diagnosed with Autism Spectrum Disorder (ASD) and comorbid Attention Deficit Hyperactivity Disorder (ADHD)

  5. Ms Shilpa Tyagi, National University of Singapore
    Abstract Title: Caregiver determinants of hospitalizations over one-year post stroke: adopting a stroke patient caregiver dyadic approach.

Session 2 : SHBC ORAL PRESENTATIONS

Topic 1 : Singapore Allied Health Award

  1. Ms Chan Mei Leng, Tan Tock Seng Hospital
    Abstract Title: OFF-ROAD VS. ON-ROAD ASSESSMENT OF OLDER TAXI DRIVERS AGED ≥ 70 YEARS

  2. Ms Betty Teo Ching Ching, Tan Tock Seng Hospital
    Abstract Title: Comparison of custom-made thermoplastic splint and commercial wrist brace for acute and stable distal radius fractures: A randomised controlled trial

  3. Mr Qi Yuan, Institute of Mental Health
    Abstract Title: Prevalence of Depression among Informal Dementia Caregivers in Singapore and Its Correlation with Coping Strategy and Knowledge of Dementia

Topic 2 : Singapore Clinician Investigator Award

  1. Dr Lim Wei-Yen, Tan Tock Seng Hospital
    Abstract Title: Screening for diabetes with HbA1c: Test performance of HbA1c compared to fasting plasma glucose among Chinese, Malay and Indian community residents in Singapore

  2. Dr Lim Jun Pei, Tan Tock Seng Hospital
    Abstract Title: Association between autophagy and genomic stability as determinants in successful aging of nonagenarians

  3. Dr Louis Lim Wei Yi,  Tan Tock Seng Hospital
    Abstract Title: Optical coherence tomography angiography evaluation and correlation of the superficial and deep retinal vessel densities

  4. Dr Ngo Wei Kiong, Tan Tock Seng Hospital
    Abstract Title: Surrogate retinal perfusion measurements and its relationship with the severity of diabetic retinopathy and diabetic macular edema

  5. Dr Pauline Seah See Joon, Tan Tock Seng Hospital
    Abstract Title: Prolonged sleep duration predicts rapid cognitive decline in mild cognitive impairment (MCI) and early Alzheimer’s disease (AD)

Session 3 : SHBC ORAL PRESENTATIONS

Topic 1 : Singapore Nursing Award

  1. Ms Lian Xia,  Tan Tock Seng Hospital
    Abstract Title: The impact of regular short-message-service (SMS) on diabetes related emotional distress: a short-term randomized controlled Trial

  2. Ms Kee Huang Anita Ng, Institute of Mental Health
    Abstract Title: Impact of an aggression management programme on mental health nurses’ perception and attitude, and the transferability of its theory into clinical practice.

  3. Ms Rachel Soh E-Jing, Khoo Teck Puat Hospital
    Abstract Title: Perception of the clinical learning environment among Pre-Registration Consolidation Placement (PRCP) nursing students: A descriptive, cross-sectional quantitative study

Topic 2 : Singapore Young Investigator Award - Basic Science / Translational Research

  1. Dr Mobashar Hussain Urf Turabe Fazil, Nanyang Technological University
    Abstract Title: Multifunctional Linear Polyethylenimine for advanced wound care therapeutics

  2. Dr Liu Yuchun, National Dental Centre Singapore
    Abstract Title: From Device Design to Preclinical Evaluation: A Novel Modular Mandible Endoprosthesis For The Repair Of Segmental Mandible Defects in Macaca fascicularis

  3. Dr Kumaran Rasappan, Tan Tock Seng Hospital
    Abstract Title: Truly Tension Free Nerve Repairs Using A Nerve Conduit: A Biomechanical Study In An Animal Model

Topic 3 : Singapore Primary Care Research Award (Oral)

  1. Dr Lee Eng Sing, NHG Polyclinics
    Abstract Title: Concordance between Clinical Diagnoses for Selected Chronic Conditions in Clinical Notes and Patient–Reported Conditions

  2. Dr Wee Wei Keong, NHG Polyclinics
    Abstract Title: Dietary behaviour among polyclinic patients with pre-diabetes

Session 4 : SHBC ORAL PRESENTATIONS

Topic 1 : Singapore Primary Care Research Award (Oral)

  1. Ms Zhu Xiaoli, NHG Polyclinics
    Abstract Title: Effectiveness of Nurse-Led Wound Clinic on Clinical Outcomes for Patient with Chronic Leg Ulcer in Primary Healthcare: A Quasi-Experimental Study

Topic 2 : Singapore Young Investigator Award - Clinical Research

  1. Dr Gerrard Gan, Tan Tock Seng Hospital
    Abstract Title: Spinal Navigation for Cervical Pedicle Screws: Early Clinical Results & Surgical Pearls

  2. Dr Ngo Wei Kiong, Tan Tock Seng Hospital
    Abstract Title: Comparing different photodynamic therapy treatment regimens in polypoidal choroidal vasculopathy

  3. Dr Young Barnaby Edward, Tan Tock Seng Hospital
    Abstract Title: Six-monthly Versus Annual Influenza Vaccination in Older Adults in the Tropics: an Observer-blind, Active-comparator Controlled, Randomised Superiority Trial

Topic 3 : Singapore Young Investigator Award - Health Services Research

  1. Mr Jonathon Khoo Kay Chin, Khoo Teck Puat Hospital
    Abstract Title: A Mixed Method Analysis of a Health Screening and Coaching Intervention for a Hard to Reach At-Risk Occupational Group

  2. Dr Sharon Pek Li Ting, Khoo Teck Puat Hospital
    Abstract Title: An evaluation on clinical effectiveness and cost-savings of excluding aspartate aminotransferase measurement in Lipid Monitoring Panel among patients with Type 2 Diabetes

  3. Ms Michelle Jessica Pereira, National Healthcare Group Corporate Office
    Abstract Title: The cost of home-based palliative care for advanced dementia patients: What is the cost-savings threshold?

Comprehensive Chronic Pain Management

Synopsis

Chronic pain is a major challenge for clinicians as well as for the Individuals who suffer from it. Multidisciplinary (or interdisciplinary) pain management embraces a combination of medical, physical and psychological therapies and is the most effective way to improve function and mood, and reduce disability. It is also known as a bio-psycho-social approach because it aims to address all the factors that influence the pain experience.

Multidisciplinary pain management involves a team of health professionals who will comprehensively assess the condition and help patient to achieve goals. The aim of this symposium is to provide overview and create awareness about various treatment options for managing chronic pain. This include medications and opioids are one tool for managing chronic pain but carry significant risk when misused. Improving the way opioids are prescribed can ensure patients have access to safer, more effective chronic pain treatment while reducing the number of patients who misuse, abuse or overdose from it. Interventional techniques involve injections into or around pain generators like peripheral nerves, major joints or various levels of spine. Psychological treatments like CBT (cognitive behavioral therapy) helps patient to address patterns of thinking and behavior. Physical therapy guided by physiotherapist or occupational therapist promote active self-management strategies to increase individual’s ability to work and function, perform household duties and simply enjoy life.

Session 1 : Comprehensive Chronic Pain Management

Chairperson :
Dr Ashutosh Joshi , Associate Consultant, Dept of Anaesthesia, Khoo Teck Puat Hospital
A/Prof Edwin Seet , Head, Senior Consultant,Dept of Anaesthesia, Khoo Teck Puat Hospital
Track Champion :
A/Prof Edwin Seet , Head, Senior Consultant,Dept of Anaesthesia, Khoo Teck Puat Hospital

Topic 1 : Chronic Non-Cancer Pain and the Opioid Epidemic

Speaker :
Dr Alex Yeo Sow Nam , Director, The Pain Specialist, Mount Elizabeth Medical Centre
  • Rising incidence of opiod recared / complication
  • How to select the right patient, right medications
  • Surveillance and monitoring and multidisciplinary assessments

Topic 2 : Is Pain all in the Mind? – The Utility of Psychological Assessment and Treatments of Non-Cancer Pain

Speaker :
Dr Yang Su-Yin , Principal Psychologist, Psychological Services, Tan Tock Seng Hospital
  • Pain often impacts our emotional and mental well-being beyond the physical.
  • Pain is subjective yet very real to the person suffering from it. The ability to validate patient’s reports of pain and suffering is pertinent for any successful treatment.
  • Psychological treatments does not just involve “talking therapy”.

Topic 3 : Interventional Treatments for Common Pain Conditions 

Speaker :
Dr Ashutosh Joshi , Associate Consultant, Dept of Anaesthesia, Khoo Teck Puat Hospital
  • Interventions for pain arising from peripheral nerves
  • Interventions for pain arising from major joints
  • Interventions for pain arising from neuraxial structures

Topic 4 : Exercise as Medicine for Individuals with Chronic Pain

Speaker :
Ms Ivy Ho Wei Fang , Senior Physiotherapist, Pain Management Clinic, Tan Tock Seng Hospital
  • A brief overview of the system responsible for nociceptive signal transmission
  • Understand the benefits and hypoalgesic physiological effects of exercise
  • To provide guidelines to tailoring exercise programs for individuals with chronic pain

Diabetes

Synopsis

Diabetes mellitus is a complex chronic disease characterized by high blood glucose levels and is associated with significant morbidity and mortality. As the population ages, more Singaporeans are expected to develop diabetes, adding on to the national health burden. In designing this year’s diabetes track programme, we go back to basics by focusing on aspects of healthy living in line with the SHBC congress theme of Adding Healthy Years of Life.

In the symposium Exercise and Diabetes Mellitus, we share some of the challenges encountered by persons with diabetes who engage in exercise, and discuss how to overcome these obstacles. The second symposium Living Well with Diabetes is a multidisciplinary session with pearls on healthy eating, enhancing patient engagement and making lifestyle adjustments during travel.

Healthcare providers need to be well-prepared in the journey to tackle the tide of diabetes and its attendant complications. We welcome you to join us in making our stand in the War on Diabetes.

Session 1 : Diabetes Mellitus and Exercise

Chairperson :
Dr Phua Eng Joo , Consultant, Department of Endocrinology, General Medicine, Khoo Teck Puat Hospital
Dr Seow Cherng Jye , Consultant, Endocrinology, Tan Tock Seng Hospital
Track Champion :
Dr Phua Eng Joo , Consultant, Department of Endocrinology, General Medicine, Khoo Teck Puat Hospital
Dr Seow Cherng Jye , Consultant, Endocrinology, Tan Tock Seng Hospital

Topic 1 : Lived Experience Of An Athlete with Type 1 Diabetes

Speaker :
Mr Eddie Tan Kyim Hiong , Casework Executive, Community Rehabilitation and Reintegration Branch, Singapore Prison Service
  •  Am I still able to participate in my first Ironman?
  • That awkward encounter of hypo & howrecording help
  • My encounter of pump & monitoring systemduring race

Topic 2 : Exercise safely for people with diabetes

Speaker :
Mr Ray Loh , Senior Exercise Physiologist, Orthopaedic Department/ Sports Medicine & Surgery Clinic Tan Tock Seng Hospital
  • Benefits of Exercise diabetes
  • Guidelines on exercise amount and type of exercises
  • Exercise precautions and injury preventions

Topic 3 : Exercise & Diabetes Mellitus: Clinical Strategies For Prevention Of Hypoglycaemia

Speaker :
Dr Ester Yeoh , Consultant, Department of Endocrinology, Khoo Teck Puat Hospital
  • Knowing the type of exercise and impact on glucose control
  • Knowing the time of exercise and impact on glucose control
  • Knowing the strategies to avoid hypoglycaemia during and after exercise

Session 2 : Living Well with Diabetes

Chairperson :
Dr Phua Eng Joo , Consultant, Department of Endocrinology, General Medicine, Khoo Teck Puat Hospital
Dr Seow Cherng Jye , Consultant, Endocrinology, Tan Tock Seng Hospital
Track Champion :
Dr Phua Eng Joo , Consultant, Department of Endocrinology, General Medicine, Khoo Teck Puat Hospital
Dr Seow Cherng Jye , Consultant, Endocrinology, Tan Tock Seng Hospital

Topic 1 : Life Is Supposed To Be Sweet: Your Questions About Eating Well with Diabetes Answered

Speaker :
Ms Pauline Xie , Principal Dietitian, Clinical Services, NHG Polyclinics
  • Common myths about Diabetes answered
  • Should I go ‘low-carb’?
  • Learn useful tools for eating well with Diabetes

Topic 2 : Staying Sane With The Highs and Lows

Speaker :
Dr Jaswyn Chin , Senior Psychologist, Tan Tock Seng Hospital
  • Psychological Aspects of Diabetes
  • Non-compliance and Burnout
  • Coping with Burnout

Topic 3 : Lifestyle: Adjustments In Diabetes Mellitus During Travel and Fasting

Speaker :
Ms Fun Sharon N , Advanced Practice Nurse, Diabetes Centre, Admiralty Medical Centre / Khoo Teck Puat Hospital
  • Patients with Diabetes can travel and maintain optimal control
  • Patients with Diabetes can fast with lifestyle adjustment

Education@NHG: Creating A Psychologically Safe Learning Environment

Synopsis

The most prevalent theme that has emerged in diverse learning environments across industries, is the need to create psychological safety for each participant in a learning space; even including the teacher or instructor.

Powerful learning requires that participants are able to bring the fullness of their presence in a room and take in all that can be offered. Yet, highly stressful schedules, disrupted environments, and complex work dynamics have all contributed to both instructors and students to bring only functional parts of themselves into the classroom. We know that work today demands us to learn beyond cognitive understanding. It also demands emotional resonance, alignment with integrity and the ability to draw relevance with work place realities.

How do we create learning environments that facilitate holistic learning? How do we make sure that students experience safety in fully learning as they bring in their questions? What are the barriers to learning that take away safety and learning impact? In this experiential workshop, we will be working with the dynamics that are involved with this learning theme.

Session 1 : Education@NHG: Creating A Psychologically Safe Learning Environment Workshop 1

Track Champion :
Dr Angelia Chua , National Healthcare Group Polyclinics
Ms Wang Wenjing , Woodlands Health Campus

Topic 1 : Education@NHG: Creating A Psychologically Safe Learning Environment Workshop 1

Speaker :
Mr Tong Yee , Director, The Thought Collective

The most prevalent theme that has emerged in diverse learning environments across industries, is the need to create psychological safety for each participant in a learning space; even including the teacher or instructor.

Powerful learning requires that participants are able to bring the fullness of their presence in a room and take in all that can be offered. Yet, highly stressful schedules, disrupted environments, and complex work dynamics have all contributed to both instructors and students to bring only functional parts of themselves into the classroom. We know that work today demands us to learn beyond cognitive understanding. It also demands emotional resonance, alignment with integrity and the ability to draw relevance with work place realities.

How do we create learning environments that facilitate holistic learning? How do we make sure that students experience safety in fully learning as they bring in their questions? What are the barriers to learning that take away safety and learning impact? In this experiential workshop, we will be working with the dynamics that are involved with this learning theme.

Session 2 : Education@NHG: Creating A Psychologically Safe Learning Environment Workshop 2

Track Champion :
Dr Angelia Chua , National Healthcare Group Polyclinics
Ms Wang Wenjing , Woodlands Health Campus

Topic 1 : Education@NHG: Creating A Psychologically Safe Learning Environment Workshop 2

Speaker :
Mr Tong Yee , Director, The Thought Collective

The most prevalent theme that has emerged in diverse learning environments across industries, is the need to create psychological safety for each participant in a learning space; even including the teacher or instructor.

Powerful learning requires that participants are able to bring the fullness of their presence in a room and take in all that can be offered. Yet, highly stressful schedules, disrupted environments, and complex work dynamics have all contributed to both instructors and students to bring only functional parts of themselves into the classroom. We know that work today demands us to learn beyond cognitive understanding. It also demands emotional resonance, alignment with integrity and the ability to draw relevance with work place realities.

How do we create learning environments that facilitate holistic learning? How do we make sure that students experience safety in fully learning as they bring in their questions? What are the barriers to learning that take away safety and learning impact? In this experiential workshop, we will be working with the dynamics that are involved with this learning theme.

Games for Health Innovation Symposium

Synopsis

The 1st Games for Health Innovation Conference is the first conference session organized by gAmes for heaLth InnoVation cEntre (ALIVE), a collaborative centre between NHG and LKCMedicine set up since September 2016 to bring together healthcare providers, academic institutions, industry partners with supporting government agencies and community resources in scientific validation, research and implementation of healthcare serious games initiatives for better healthcare outcomes. The focuses for this conference will be on serious games initiatives and applications in healthcare areas like healthcare education, mental health and population health. An interactive session will also be organized to bring together different stakeholders to share with us their experiences and opinions on a controversial topic with regards to healthcare serious games.

Session 1 : Opening of Games for Health Innovation Symposium & Clinicians Experiences in Developing Serious Games

Track Champion :
A/Prof Nabil Zary , Acting Director, Medical Education Research & Scholarship Unit, Lee Kong Chiang School of Medicine
Dr Loh Yong Joo , Consultant, Deputy Head of Department of Rehabilitation, Tan Tock Seng Hospital

Topic 1 : Opening of Games for Health Innovation Symposium

Speaker :
A/Prof Nabil Zary , Acting Director, Medical Education Research & Scholarship Unit, Lee Kong Chiang School of Medicine
Dr Loh Yong Joo , Consultant, Deputy Head of Department of Rehabilitation, Tan Tock Seng Hospital
Ms Eunice Toh , Executive Director, TTSH Community Fund; Director, Innovation, ALIVE; Director, Development Fund, Tan Tock Seng Hospital
  • Welcome address by ALIVE Co-Directors
  • Announcement of Serious Games Grant 2018 Awardees

Topic 2 : Clinicians Experiences in Developing Serious Games: IMH: Cognitive Rehab Game

Speaker :
Ms Desiree Ng , Senior Occupational Therapist, Occupational Therapy Department, Institute of Mental Health
  • Objectives of game prototype developed
  • Development process
  • Product showcase through snapshots and video clips

Topic 3 : A Clinician’s Experience in Developing Serious Games

Speaker :
Dr Yang Su-Yin , Principal Psychologist, Psychological Services, Tan Tock Seng Hospital
  • Managing Expectations
  • Overcoming Challenges
  • Breaking New Ground

Topic 4 : Experiences in developing Serious Games (Non-Clinical)

Speaker :
Mr Benedict Chia , HRD Specialist, Human Resource People Development, Tan Tock Seng Hospital
  • How far can we go? In terms of quality of serious game.
  • Lessons learnt: working with Students, Faculty and Industry Mentors
  • What are the next steps?

Topic 5 : Clinicians experiences in developing Serious Games: GoAway Infection/ Diabetes Games

Speaker :
Ms Lim Siew Geok , Assistant Director, Nursing Service, Tan Tock Seng Hospital
Ms Sharon Kho Siok Ee , Senior Staff Nurse; Nurse Educator, Outpatient Management Unit, Tan Tock Seng Hospital
  • Impact
  • Diabetes Application
  • Patients with DM

Session 2 : Perspectives on Innovations in Healthcare Serious Games

Track Champion :
A/Prof Nabil Zary , Acting Director, Medical Education Research & Scholarship Unit, Lee Kong Chiang School of Medicine
Dr Loh Yong Joo , Consultant, Deputy Head of Department of Rehabilitation, Tan Tock Seng Hospital

Topic 1 : Co-Designing a Gamified Attention Bias Modification App for Individuals with Addictive Disorders

Speaker :
Dr Melvyn Zhang , Associate Consultant, National Addictions Management Service, Institute of Mental Health
  • Overview of Gamification as Applied for Attention Bias Modification Interventions
  • Gamification Techniques adopted in Commercial Bias Modification Apps
  • Co-designing a Personalized App for Bias Modification Amongst Individuals With Addictive Disorders

Topic 2 : Perspectives on Virtual & Augmented Reality Innovations in Healthcare Serious Games

Speaker :
A/Prof Cai Yiyu , Associate Professor, College of Engineering, Nanyang Technological University
  • Serious Games
  • Virtual & Augmented Reality
  • Healthcare training
  • Rehabilitation

Topic 3 : Adding Years of Healthy Life with Games: Making Serious Games Work in Community Healthcare

Speaker :
Mr Lee Seng Beo , CEO, Taggle Health Pte Ltd
  • Gamification as a Silver Bullet & The Myth of Pokemon.
  • What real Gaming Companies do for success.
  • What we need to do, to make Healthcare Serious Games succeed.

Session 3 : Serious Games Design and Development Workshop 101

Track Champion :
A/Prof Nabil Zary , Acting Director, Medical Education Research & Scholarship Unit, Lee Kong Chiang School of Medicine
Dr Loh Yong Joo , Consultant, Deputy Head of Department of Rehabilitation, Tan Tock Seng Hospital

Topic 1 : Serious Games Design and Development Workshop 101

Facilitator :

  • Dr Ng Kian Bee, Deputy Director, School of Interactive & Digital Media, Nanyang Polytechnics
  • A/Prof Nabil Zary, Acting Director, Medical Education Research & Scholarship Unit, Lee Kong Chiang School of Medicine
  • Mr Matt Laird, Product & Game Designer, Creative, Perx Health

Session 4 : Panel Discussion – “Serious Games in Healthcare: Just for Fun or Is There Clinical, Research & Business Value?”

Track Champion :
A/Prof Nabil Zary , Acting Director, Medical Education Research & Scholarship Unit, Lee Kong Chiang School of Medicine
Dr Loh Yong Joo , Consultant, Deputy Head of Department of Rehabilitation, Tan Tock Seng Hospital

Topic 1 : Panel Discussion - “Serious Games in Healthcare: Just for Fun or Is There Clinical, Research & Business Value?”

Speaker :
Dr Loh Yong Joo , Consultant, Deputy Head of Department of Rehabilitation, Tan Tock Seng Hospital
A/Prof Eric Yap , Associate Professor of Human & Microbial Genetics, Lee Kong Chian School of Medicine, Nanyang Technological University
Mr Christopher Kuah , Principal Occupational Therapist, Centre For Advanced Rehabilitation Therapeutics, Tan Tock Seng Hospital
Mr Lee Seng Beo , CEO, Taggle Health Pte Ltd
Mr Eric Loh , CEO, Trendlines Medical Singapore Pte. Ltd

Moderator :

  • Dr Loh Yong Joo, Consultant, Department of Rehabilitation Medicine, Tan Tock Seng Hospital

Panelists :

  • Mr Christopher Kuah, NTF PI for Jintronix Rehab Game
  • A/Prof Eric Yap, Associate Professor of Human & Micronial Genetics, Lee Kong Chian School of Medicine
  • Mr Lee Seng Beo, Director, Taggle Health Pte Ltd
  • Mr Eric Loh, CEO, Trendlines Medical Singapore Pte. Ltd

Geriatric and Rehabilitation Medicine

Synopsis

This year, the Geriatric Medicine track will focus on two aspects: the first, Frailty and the Patient Journey: How frailty affects a patient’s journey across the healthcare system – from illness through recovery to return to the community, passing through many phases and often continuing long after he/she has left the formal, institution-centric healthcare system. We will share the stories of three different patients, which will illustrate that the journey and outcomes often depend as much on the robustness of the person the illness is happening to as the nature of the disease itself or the utilisation of cutting edge treatments.

The second symposium will present innovative cross-disciplinary models of care in Geriatrics and Rehabilitation Medicine, putting the spotlight on interdisciplinary rehabilitation in the acute and community hospital, nurse-led initiatives for improving care of the older person in non-Geriatric settings, and exciting collaborations between Geriatric Medicine and General Surgery. We will also discuss the challenges in multidisciplinary collaborations, and share novel findings from our qualitative research on what makes multidisciplinary teams tick.

Session 1 : Frailty And The Patient Journey: “How Frailty Affects Patient Journey Across the Healthcare Ecosystem”

Chairperson :
Dr Pang Wee Yang , Consultant, Geriatric Medicine, Khoo Teck Puat Hospital
Track Champion :
Dr Justin Chew , Associate Consultant, Geriatric Medicine, Tan Tock Seng Hospital
Dr Lee Kok Keng , Medical Director, Yishun Community Hospital

Topic 1 : Frailty - An Introduction

Speaker :
Professor Finbarr C Martin , Emeritus Consultant Geriatrician and Professor of Medical Gerontology, King's College London

We humans are quite resilient and have adapted to diverse environments all over the globe. But as our primate ancestors evolved, not many achieved old age. We evolved sufficient reserves and auto-repair mechanisms in our cells and organs to meet the needs of most life-spans, but now many of us live long enough to outlast them! This is the inevitable result of the “damage” from living metabolic processes, but affects us differently according to socioeconomic factors, lifestyle and chance.

The addition of specific risk factors or chance genetic events produces the phenotypes we recognise as distinct diseases, but these develop not independently of these ageing processes, not even alongside them, but embedded within them. The combined effects on the capacities of cells, organs and integrated physiological systems results in functional losses, and depending on the physical and social environments we live in, our functional ability then affect our well-being, life roles and healthcare use.

When a person with heart failure presents to hospital with dypsnoea, it is not only their heart disease which is driving this. There will be age-related other changes in the heart and cardio-vascular system, lung function, muscle mitochondrial function etc. All these play together to impact physical ability and recovery rates. The chance of developing delirium will depend on the co-existing ageing changes in the brain and its blood supply, as well as medications etc.

He will describe several Frailty tools which assess this overall vulnerability, explain their differences and how they can be useful in various circumstances.

Topic 2 : Introduction (Geriatric & Rehabilitation Medicine, Session 1)

Speaker :
Dr Pang Wee Yang , Consultant, Geriatric Medicine, Khoo Teck Puat Hospital

Topic 3 : The Long Road Home

Speaker :
Dr Aysha Reema Muhusin , Staff Physician, Medical Services, Yishun Community Hospital
  • Shares the story of Mdm CC, who came in to hospital for elective surgery, only to develop multiple medical problems
  • Highlights how the patient’s condition became increasingly frail with each recurrent admission
  • Describes the partnership between acute and community hospitals in caring for such patients and coordinating their care and discharge.

Topic 4 : The “Third Eye” in Rehabilitation

Speaker :
Ms Melanie Tan , Physiotherapist, Rehabilitation Services, Yishun Community Hospital
  • Shares the story of Mr L, who received inpatient rehabilitation only on his third admission to hospital yet was able to make progress beyond what was initially expected
  • Illustrates why a good rehabilitation plan for the frail patient should be based on functional reserves, rather than severity of medical conditions alone
  • Highlights the importance of follow-up rehabilitation for the frail patient in the community post discharge

Topic 5 : It Takes a Village: A Retrospective Reflection of the Journey with Mdm Poh

Speaker :
Ms Lim Siao Ee , Senior Medical Social Worker, Medical Social Service, Yishun Community Hospital
  • The story of supporting the care of a frail person with heart failure, social isolation & complex care issues
  • Highlight main care issues & challenges
  • Reflect the elements of good collaboration with community partners

Session 2 : Interdisciplinary Collaborative Care in Geriatrics

Chairperson :
Dr Justin Chew , Associate Consultant, Geriatric Medicine, Tan Tock Seng Hospital
Track Champion :
Dr Justin Chew , Associate Consultant, Geriatric Medicine, Tan Tock Seng Hospital
Dr Lee Kok Keng , Medical Director, Yishun Community Hospital

Topic 1 : Interdisciplinary Rehabilitation in Acute and Community Hospital: NTFGH and THK Experiences

Speaker :
Dr K Palaniappan , Consultant, Rehabilitation Medicine, Tan Tock Seng Hospital
  • Descriptive presentation of inpatient rehabilitation programme in an acute setting
  • Experience of interdisciplinary rehab programme in a community hospital setting
  • Challenges faced by the healthcare professionals between these 2 settings

Topic 2 : Effective Communication and Multidisciplinary Teams Improve Elderly Surgical Patient Outcomes

Speaker :
Ms Jennifer Li Yuan , Advanced Practice Nurse, Nursing Service, Tan Tock Seng Hospital
  • The development of Geriatric Surgical Service
  • Communication and team work
  • Studies and outcomes

Topic 3 : Shaping Geriatric Nursing Culture in Tan Tock Seng Hospital

Speaker :
Mrs Alma Nicol , Senior Staff Nurse, Nursing Service, Tan Tock Seng Hospital
Ms How Ai Xin , Nurse Clinician, Nursing Service, Tan Tock Seng Hospital
Ms Ong Poh Poh , Senior Staff Nurse, Nursing Service, Tan Tock Seng Hospital
  • Introduction of NICHE program in Tan Tock Seng Hospital
  • Hospital Elder Life Program (HELP) in surgical unit in Tan Tock Seng Hospital
  • Behaviour Management Consultation in Tan Tock Seng Hospital

Topic 4 : Interprofessional Communication at Multidisciplinary Rounds in Geriatric Medicine

Speaker :
Ms Tan Keng Teng , Principal Pharmacist (Specialist), Pharmacy, Tan Tock Seng Hospital
  • Multidisciplinary rounds (MDR) in Geriatric Medicine provides an important platform for the whole interprofessional team to come together to discuss patient cases and subsequent plans for each patient.
  • This presentation will share the results and learning points of a qualitative study looking at communication and collaborative decision making at MDR and how the members of the interprofessional team contribute to this.
  • It will also cover learning points from working with an interprofessional research team

Health Services Research

Synopsis

Health services & outcomes research is a multi-disciplinary investigation of how clinical, social, technological, organizational, financing and individual factors impact access to care; cost of care and outcome of care. This year, we go back to perspectives of interventions: for patient outcome, population health, provider’s performance and policy design.

Session 1 : HSOR For Patient

Chairperson :
Dr Joseph Antonio D. Molina , Deputy Director, Health Services & Outcomes Research, National Healthcare Group
Track Champion :
Ms Tan Woan Shin , Assistant Director, Health Services & Outcomes Research, National Healthcare Group Corporate Office

Topic 1 : Health Services Research in Dermatology

Speaker :
Dr Yew Yik Weng , Consultant, National Skin Centre,
  • Health services research (HSR) is very relevant in the field of Dermatology.
  • In the era of biologics and various novel treatment options for treating chronic skin diseases, it is pertinent to apply HSR principles to evaluate the cost effectiveness of such options.
  • The evaluation and assessment of the disease journey and burden of chronic skin diseases is also an important primer of health services research in Dermatology.

Topic 2 : Health Services Research in Orthopaedics: Moving from Evidence to Practice

Speaker :
Dr Tan Yijia Bryan , Senior Resident, Orthopaedic Surgery, Tan Tock Seng Hospital, National Healthcare Group

More Information Coming Soon!

Topic 3 : Value-Based Care – the Yishun Health Experience

Speaker :
Dr Ng Yeuk Fan , Deputy Director, Corporate Development, Khoo Teck Puat Hospital & Yishun Health
  • Patient Value Measurement in Yishun Health
  • Systematic Value Improvement in Yishun Health
  • Applying Value Based Care Methodologies to a Regional Health System

Session 2 : HSOR For Policy

Chairperson :
A/Prof Federico Girosi , Chief Scientist, Director, Research of the Digital Health CRC; Associate Professor, University of Western Sydney, Australia
Track Champion :
Ms Tan Woan Shin , Assistant Director, Health Services & Outcomes Research, National Healthcare Group Corporate Office

Topic 1 : HSR for health policy setting

Speaker :
Dr Kelvin Bryan Tan , Director, Policy, Research & Economics, Ministry of Health

More Information Coming Soon!

Topic 2 : Place Of Death, Wish And Reality

Speaker :
Ms Tan Woan Shin , Assistant Director, Health Services & Outcomes Research, National Healthcare Group Corporate Office
  • There is a strong preference for home as the place of death. Various studies including systematic reviews have examined factors that influence home deaths across a range of settings, populations, taking into account the associated effects of the illness, personal issues, and the caregiving and healthcare environment.
  • Our findings suggested that the decision on where to die, is often a family decision. Therefore, the preference elicitation process needs to be family oriented, conducted by a healthcare professional with whom the patient shares a supportive relationship with.
  • System-level factors including national policies such as Advance Care Planning, and the expansion of home palliative care services have been found to support the achievement of home death preferences. Policies to improve home-based care must ensure that families are well-supported in the process of trying to meet the place of death preference.

Topic 3 : Simulating Diabetes Burden Up to 2050 and the Impact of Diabetes Prevention Program

Speaker :
Dr Zhu Zhecheng , Assistant Director, Health Services & Outcome Research, National Healthcare Group
  • Diabetes burden increases rapidly due to aging population.
  • Prevention programs reduce cost by preventing early onset of chronic diseases. However, cost may increase if prevention programs prevent fatal complications.
  • Simulation model is used to project diabetes burden up to 2050 and illustrates the impact of prevention program in terms of direct medical cost, productivity loss and DALY.

Session 3 : HSOR For Provider

Chairperson :
Dr Ooi Chee Kheong , Senior Consultant, Emergency Department, Tan Tock Seng Hospital
Track Champion :
Ms Tan Woan Shin , Assistant Director, Health Services & Outcomes Research, National Healthcare Group Corporate Office

Topic 1 : Using Clinical Quality Registries to Improve Care, An Australian Perspective

Speaker :
Dr Arul Earnest , Associate Professor; Biostatistics Unit, Senior Biostatistician; Registry Sciences Unit, Monash University
  • Cost-effectiveness of clinical quality registries
  • Benchmarking and risk-adjustment
  • Health process improvement

Topic 2 : What Simple Utilisation Ratio Can Do

Speaker :
Mr Teow Kiok Liang , Deputy Director, Health Services & Outcomes Research, National Healthcare Group
  • We often need to plan and justify the amount of resource needed in some objective manner
  • This talk uses Queueing theory and proposes simple utilisation ratio as a tool
  • I will illustrate with some healthcare examples

Topic 3 : Cost effectiveness analysis of monitoring Paroxysmal Atrial Fibrillation (pAF) among admitted ischemic stroke patients

Speaker :
Dr Sun Yan , Deputy Director, Health Services & Outcome Research, National Healthcare Group
  • The cumulative pAF positive rate could be as high as 15%
  • To study if Inpatient pAF monitoring is cost effective compared with no monitoring or outpatient monitoring
  • To determine how many days monitoring is most cost effective

Session 4 : HSOR For Population

Chairperson :
Dr Arul Earnest , Associate Professor; Biostatistics Unit, Senior Biostatistician; Registry Sciences Unit, Monash University
Track Champion :
Ms Tan Woan Shin , Assistant Director, Health Services & Outcomes Research, National Healthcare Group Corporate Office

Topic 1 : Qualitative Research Methods on Social Change: A Singaporean Experience

Speaker :
Dr Andy Ho Hau Yan , Assistant Professor, Psychology; School of Social Sciences College of Humanities, Art & Social Sciences, National Healthcare Group
  • This presentation introduces the nature and logic of qualitative research methods, highlighting the constructivist-interpretivist approaches to human inquiry.
  • It will also present the conceptual underpinnings of participatory action research, as well as its methods for promoting social change.
  • Finally, local examples of participatory action research will be shared for advancing applied understanding and translational practices of qualitative research methods.

Topic 2 : How healthy is our population? Challenges to measurement

Speaker :
Dr Joseph Antonio D. Molina , Deputy Director, Health Services & Outcomes Research, National Healthcare Group
  • There are numerous way of presenting the health status of a population
  • Indicators should align with the purpose of measurement
  • Stakeholders must agree on the criteria and definition of “health”

Topic 3 : Population Health Index

Speaker :
Dr Yap Chun Wei , Assistant Director, Health Services & Outcomes Research, National Healthcare Group
  • A tool to measure a person’s health.
  • Takes into account the various domains that significantly contribute to health; i.e. physical, mental and social functioning, health-related risk factors and historical healthcare utilization.
  • Allows for monitoring and longitudinal assessment of the health of the population over time.

Mental Health

Synopsis

This year, the Mental Health track looks at how we can better support healthcare professionals NOW as we move ahead, in a concerted effort, to fulfill the vision of “Adding years of healthy life” in the FUTURE.

The 4 sessions of the Mental Health track will comprise of the following themes:

  1. You never walk alone: Resilience and burnout in healthcare professionals
  2. You never walk alone: The experiences of peer support specialist in healthcare
  3. Future of mental health beyond 2020: Where are we heading?
  4. Mental health for older persons: Where are we heading?

Session 1 : You Never Walk Alone: Resilience and Burnout in Healthcare Professionals

Chairperson :
Ms Mavis Seow , Deputy Head; Psychology; Principal Clinical Psychologist, Psychology, Institute of Mental Health
Track Champion :
Dr Liew Tau Ming , Consultant, Department of Geriatric Psychiatry, Institute of Mental Health
Ms Mavis Seow , Deputy Head; Psychology; Principal Clinical Psychologist, Psychology, Institute of Mental Health

Topic 1 : Research Findings About Resilience In Residents

Speaker :
Adj A/Prof Sim Kang , Senior Consultant, West Region, Institute of Mental Health
  • Understanding the relationship between learning environment, stress and coping amongst residents is important for optimal learning
  • Data from our own residency program will be shared
  • Attendance to these elements can enhance learning amongst our residents

Topic 2 : Burnout in Psychiatry Residents: What Does the Literature Tell Us?

Speaker :
Dr Chan Min Kai , House Officer, MOH Holdings
  • Despite the higher levels of burnout among psychiatric residents as compared to other medical residents, there has been a poverty of literature relating to burnout among psychiatric residents.
  • We reviewed the existing reports to evaluate the prevalence and clinical correlations of burnout specifically among psychiatric residents.
  • We found that the prevalence of burnout in psychiatric residents was at the upper limit of the range of burnout among all residents and that there is some data to suggest that structural interventions may reduce the prevalence of burnout among medical residents in the long run.

Topic 3 : Helping the Helpers – Mitigating the Psychological Effects of Crisis Intervention

Speaker :
Adj A/Prof Clare Yeo , Sr Principal Clinical Psychologist, Psychology, Institute of Mental Health
  • What crisis workers do when activated to respond to a critical incident
  • Preparations to be crisis worker
  • Post critical incident care

Session 2 : “You never walk alone: The experiences of PSS and their reporting officers within the healthcare. How do we support each other?”

Chairperson :
Ms Mavis Seow , Deputy Head; Psychology; Principal Clinical Psychologist, Psychology, Institute of Mental Health
Track Champion :
Dr Liew Tau Ming , Consultant, Department of Geriatric Psychiatry, Institute of Mental Health
Ms Mavis Seow , Deputy Head; Psychology; Principal Clinical Psychologist, Psychology, Institute of Mental Health

Topic 1 : Group Discussion

Speaker :
Mr Daryl Tan , Peer Support Specialist, ClubHeal
Ms Junaidah Eusope , Programme Coordinator, ClubHeal
Dr Joseph Leong Jern-Yi , Senior Consultant, North Region, Institute of Mental Health
Mr Julius Chan , Peer Support Specialist, Institute of Mental Health
Ms Helen Yong , Assistant Director, Outreach Services, Singapore Association for Mental Health (SAMH)
Ms Karen Tan , Social Work Assistant, Singapore Association for Mental Health (SAMH)
Ms Rebecca Moh , Senior Manager, Rehab Services, Angelican Care Centre (Simei)
Mr Tan Kok Liang , Assistant Programme, Rehab Services, Angelican Care Centre (Simei)

Questions asked will surround the following:

  • The challenges of PSS: what are the challenges faced among the PSS? How does one identify it and overcome it? How to help others by helping myself? What guided me to be a PSS and how to maintain my well-being?
  • How to engage so that the PSS vocation can be sustained? What helps?
  • The experiences of working with others: PSS and their advocates/superiors or partners?
    1. PSS and their superiors can share about the experiences of working together; how they support each other etc. How do their working relationship impact on the workplace and what can build towards workplace resilience?
  • How do one deal with fatigue? What are the challenges of sustaining our work? How do one recharge and how to maintain resilience?
  • From the RO’s perspectives, how do they see the outcomes of PSSs’ involvement and their experiences? What are the changes they see in the workplace – before and after PSS movement?

Session 3 : Future of Mental Health Beyond 2020: Where are We Heading?

Chairperson :
Adj Asst Prof Habeebul Rahman , Head and Senior Consultant, Psychological Medicine, Tan Tock Seng Hospital
Track Champion :
Dr Liew Tau Ming , Consultant, Department of Geriatric Psychiatry, Institute of Mental Health
Ms Mavis Seow , Deputy Head; Psychology; Principal Clinical Psychologist, Psychology, Institute of Mental Health

Topic 1 : Mental Health For All: A Bridge too Far?

Speaker :
Adj A/Prof Mythily Subramaniam , Director, Research Division, Institute of Mental Health
  • Time Trends in Prevalence of Mental Illness
  • Early Intervention, and Recovery Focused Approach
  • Access to Evidence Based Care

Topic 2 : Integrating Mental Wellness with Community Services

Speaker :
Dr Tan Weng Mooi , Chief, Community Mental Health Division, Agency for Integrated Care, Singapore
  • There is no health without mental health.
  • The overall vision for the Community Mental Health Plan in Singapore is to build a network of care and support systems to enable integrated community living, maximise individual potential and promote ageing in place.
  • Through population health approach, we have developed a system that allows easy accessibility to mental health services in the community, through enhancing capability and capacity of the community services. With integrated services, we can provide holistic integrated health, mental and social care support to our clients and caregivers.

Topic 3 : Care of Long Stay Psychiatric Patients in IMH – With a Special Focus on Rehabilitation Services and End of Life Care

Speaker :
A/Prof Alex Su , Senior Consultant; Vice CMB (Clinical Quality) VCMB Office Institute of Mental Health
  • Overall care of Long Stay Psychiatric Patients in IMH
  • Slow Stream Rehabilitation
  • End of Life Care

Session 4 : Mental Health For Older Persons: Where are We Heading?

Chairperson :
Dr Liew Tau Ming , Consultant, Department of Geriatric Psychiatry, Institute of Mental Health
Track Champion :
Dr Liew Tau Ming , Consultant, Department of Geriatric Psychiatry, Institute of Mental Health
Ms Mavis Seow , Deputy Head; Psychology; Principal Clinical Psychologist, Psychology, Institute of Mental Health

Topic 1 : Emerging Themes in Research on Older Adult’s Mental Health, Loneliness and Resilience

Speaker :
A/Prof Angelique Chan , Associate Professor; Duke-NUS Medical School, Executive Director; Centre for Ageing Research & Education
  • Over half of older Singaporeans, 60+, are lonely
  • Loneliness is associated with poor health outcomes including mortality
  • Resilience (psychological) is lower compared to western populations.

Topic 2 : Mindfulness and Active Ageing

Speaker :
Dr Iris Rawtaer , Consultant, Department of Psychiatry, Sengkang General Hospital
  • A brief overview of some of the active ageing projects conducted at the training and research academy
  • There will be a focus on the results from the mindful awareness practice randomized controlled trial
  • We discuss the effects of mindful awareness practice on cognition, psychological well-being and other biological factors associated with cognitive decline in the elderly

Topic 3 : Mental Health For Older Persons: Where Are We Heading?

Speaker :
Dr Ng Li Ling , Senior Consultant Psychiatrist, Psychological Medicine, Changi General Hospital
  • The elderly have complex medical, social and psychiatric needs that require integrated and comprehensive care.
  • As the focus is on population health, mental health services for the elderly will need develop innovative models of care including health promotion and prevention
  • The challenge is build effective partnerships and networks of care

Musculoskeletal

Synopsis

Musculoskeletal disorders are prevalent health problems in our society today. These disorders can affect people across different ages, from the young to the elderly. Being afflicted with musculoskeletal pain can hinder normal performance at work, activities or in everyday tasks. There is much to be gained by the prevention of these disorders and timely interventions can restore good function and greatly improve the quality of life of our patients. Our two sessions aim to educate participants on how to tackle common pain problems affecting the knee and shoulder respectively.

Session 1 : Knee Pain – Do I Have Arthritis?

Chairperson :
Dr Justina Tan , Senior Consultant, Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital
Track Champion :
Adj Asst Prof James CH Tan , Consultant; Head of Department, Orthopaedic Surgery and Sports Medicine Centre, Khoo Teck Puat Hospital
Dr Justina Tan , Senior Consultant, Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital

Topic 1 : My Knee Hurts!! Is It Degenerative or Inflammatory…?

Speaker :
Dr Mona Manghani , Consultant, Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital
  • A practical approach to knee pain
  • Review of basic knee anatomy and biomechanics
  • Provide primary care providers with tips on evaluating common causes of knee pain

Topic 2 : Osteoarthritis Knees - An Othopaedic Surgeon's Perspective

Speaker :
Dr Tan Tong Leng , Associate Consultant, Orthopaedic Surgery, Tan Tock Seng Hospital
  • Surgical options in knee arthritis
  • Knee replacement – indications
  • Latest technology in arthroplasty

Topic 3 : NURSING CHALLENGES IN MANAGING PATIENTS WITH ARTHRITIS

Speaker :
Ms Xanthe Chua , Advance Practioner Nurse, Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital
  • Nurses play a key role in ithe management of patient with arthritis.
  • Patient education is associated with improved function, coping, self-efficacy and mental health.
  • Enabling self management and coping is the key to optimize clinical outcome

Topic 4 : Exercise Therapy in Knee Osteoarthritis

Speaker :
Ms Joyce Poh , Senior Physiotherapist, Physiotherapy, Tan Tock Seng Hospital
  • Evidence of Exercise therapy in Knee Osteoarthritis
  • Different types of exercises for rehabilitation of Knee Osteoarthritis
  • How Tan Tock Seng Hospital is utilising Technology in the rehabilitation of Knee Osteoarthritis patients

Session 2 : Tendinopathy in The Shoulder Joint: Treatment and Trends

Chairperson :
Adj Asst Prof James CH Tan , Consultant; Head of Department, Orthopaedic Surgery and Sports Medicine Centre, Khoo Teck Puat Hospital
Track Champion :
Adj Asst Prof James CH Tan , Consultant; Head of Department, Orthopaedic Surgery and Sports Medicine Centre, Khoo Teck Puat Hospital
Dr Justina Tan , Senior Consultant, Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital

Topic 1 : Anatomy Of Shoulder Tendons And The Role Of Ultrasound-Guided Injections

Speaker :
Dr Ong Joo Haw , Consultant, Orthopaedics/Sports Medicine, Khoo Teck Puat Hospital
  • Anatomy of Shoulder Tendons
  • Common Pathologies
  • Ultrasound guided injections

Topic 2 : When Does The Knife Come In?

Speaker :
Adj Asst Prof James CH Tan , Consultant; Head of Department, Orthopaedic Surgery and Sports Medicine Centre, Khoo Teck Puat Hospital
  • Indications of surgery for shoulder tendon injury
  • Types of surgery

Topic 3 : Superior Capsule Reconstruction Rehabilitation : A Case Series

Speaker :
Ms Tan Jia Ling , Physiotherapist, Sports Medicine Centre, Khoo Teck Puat Hospital
  • Overview of SCR cases seen
  • Current evidence of SCR rehabilitation
  • Rehabilitation guidelines

Topic 4 : Acupuncture : The Science, The Myth And The Reality

Speaker :
Ms Melissa Ong , Acupuncturist, Sports Medicine Centre, Khoo Teck Puat Hospital
  • Emerging evidence on efficacy of acupuncture
  • Possible mechanisms
  • Through the lens of Chinese medicine

Protecting Singapore, Containing Contagion : NCID

Synopsis

The inaugural NCID track this year will focus on past and present local-regional outbreaks and explore the concepts behind the design of NCID for its role as the centre for managing and containing future outbreaks in Singapore.

Session 1 : Protecting Singapore, Containing Contagion : THE NATIONAL CENTRE FOR INFECTIOUS DISEASES

Chairperson :
Dr Ray Lin , Associate Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital
Track Champion :
Dr Ray Lin , Associate Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital

Topic 1 : NCID - ushering in a new national centre

Speaker :
Prof Leo Yee Sin , Executive Director, Executive Director’s Office, National Centre for Infectious Diseases
  • Enhancing infrastructure for better response to emerging infections
  • Singapore set-up an unique structure globally placing clinical services, public health, academy and community engagement under one organisational structure
  • Emerging infection is no longer an if but when

Topic 2 : Constructing for Contagion: Design of a High Level Isolation Unit

Speaker :
Mrs Ruby Lai , Senior Consultant, Architecture, CPG Consultants Pte Ltd
  • Designing a specialist hospital for Infectious Diseases
  • The High Level Isolation Unit
  • Designing for Peacetime Vs Outbreak

Topic 3 : Outbreaks : Past, Present, Future

Speaker :
Prof Paul Ananth Tambyah , Professor of Medicine, Medicine, National University of Singapore
  • Outbreaks occur everywhere all the time
  • If we don’t look for them, we will not find them
  • If we miss them, our patients and us will pay a price

Organisation Development

Synopsis

Towards Change Mastery for Healthy Organisations

Singapore Healthcare faces increasingly complex challenges as we continue to ensure a system that thrives for the patient and population. In the wake of these challenges also lie opportunities as we learn, experiment and innovate toward future models of care.

In such an environment, healthcare workers and partners need to be agile, adaptive and masters of change. Those that thrive are quick to read and act on signals of change. They have worked out how to experiment rapidly, frequently with operating models, processes, and tactics. They have built up skills in managing complex multi-stakeholder environments in an increasingly interconnected world. So, just as living organisms continuously adapt (or change) for survival, we likewise need to be organisations that can co-learn, co-create and co-build as a collective that harnesses diversity across boundaries, in order to be healthy.

Join with change leaders and practitioners to explore how to lead large scale change across different levels of the System. We are looking for answers to these questions:

  • Why is change mastery imperative in large system, multi-stakeholder collaborations?
  • What are some new, helpful concepts around change today?
  • How can we at different levels of the System prepare and help our teams master change?
  • How do we create the right conditions for successful change?
  • What processes and tools can we use to lead change?

Session 1 : The Practice and Process of Change

Topic 1 : The Practice and Process of Change

Speaker :
Mr Felix Tan , Managing Director, The Finlab
Mr Peter Ong , Managing Partner, Rested Edge Advisory

“The Practice and Process of Change’’

Hear from change leaders and practitioners who believe that organisations and people thrive when they can master the art and science of change.

  • Mr Felix Tan, MD of The Finlab (joint venture of SGInnovate and UOB) will share his story on how change and innovation is facilitated at large system level through networks and connections. Learn how shared visions for innovation are built across the network, to catalyze digital transformation of organisations across Singapore.
  • Get deeper into the change process and hear from Mr Peter Ong, MP of Rested Edge Advisory, how the 9E Model of Change – based on thought leadership and research work towards an integrative theory of change – Theory E & Theory O, offers a model to mastering change.

Session 2 : Transform Your Team’s Ability to Design and Deliver Change Using the 9E Model of Change

Topic 1 : Transform Your Team’s Ability to Design and Deliver Change Using the 9E Model of Change

Speaker :
Mr Peter Ong , Managing Partner, Rested Edge Advisory
Ms Koh Huey Bing , NHG, L&OD Workstream Director Organisation Development, Tan Tock Seng Hospital

Transforming You & Your Team’s Ability to… Design & Master Change – Using the 9E Model of Change”

Participate in a Change Clinic and learn first-hand how to design a change plan.

  • Try your hands at applying the 9E Model of Change to a project you are doing.
  • Mr Ong, MP, Rested Edge Advisory, will be offering guidance for these projects.
  • Project discussions will be guided by NHG Organisation Development Practitioners to facilitate model application.
  • Learning event as ideas are generated and co-created.

All participants will be invited to join in the various NHG Institutional projects, to gain insights in applying the 9E Model of Change to develop a change plan.

Session 3 : Multi-Agency Collaboration

Topic 1 : Multi-Agency Collaboration

Speaker :
Mr Jason Wong , Board Chairman, Focus on the Family Singapore
Ms Loh Shu Ching , Executive Director, Division for Central Health, Tan Tock Seng Hospital & Central Health
Dr Wong Sweet Fun , Senior Consultant, Geriatric Medicine, Khoo Teck Puat Hospital (KTPH), Deputy Chairman, Medical Board, Population Health (KTPH), Chief Transformation Officer and Clinical Director (Population Health & Community Transformation (KTPH and Yishun Health)
A/Prof Leong Yi Onn Ian , Deputy Divisional Chairman, Division of Integrative & Community Care, Clinical Director, Division for Central Health, Tan Tock Seng Hospital , Senior Consultant, Geriatric Medicine, Department Continuing and Community Care,

Case Studies of Multiple Agency Collaborations

Hear from leaders who are driving multiple agency collaborations – what are they experimenting with? Learn from their challenges and successes.

A. ) Story of the “Yellow Ribbon Project” and “Dads for Life” Movements

The “Yellow Ribbon Project” and the “Focus on the Family” movements shifted the paradigm of community involvement in national movement.  Learn what it takes to put a vision in place and set change in motion.  What does it take to shift behaviors and mindsets across multiple agencies to build a common vision and commitment to collectively own the problem?

B. Activity – ‘Perspectives’

Do we understand our patient’s perspectives? Explore how the world looks like in the “eyes of the patient and caregiver”.

C. Story of Central Health and Yishun Health

The Regional HS has redefined the way we provide patient care and collaborate with our partners and stakeholders. This involves collaboration beyond the hospital walls with our RHS alliance partners – who include primary care providers, community hospitals, nursing homes, home care providers, hospices and other social service providers – to provide care for the community. Learn first-hand about challenges and solutions to managing large scale change.

D. Panel Conversation – Multiple Agency Collaborations:  Role of Leaders and Leadership

Palliative Care

Synopsis

Palliative Care has traditionally been associated with cancer patients. However in the past decade there has been an increasing need and focus on caring for non-cancer patients as well. In this track, we will have Palliative Care Experts share about their experience in caring for non-cancer patients in the Community.

These programmes include: Program DIGNITY – which looks at care of patients with ADVANCED DEMENTIA. Program IMPACT – caring for patients with END-STAGE ORGAN FAILURE and iCARE – meant for patients with END-STAGE LUNG DISEASES.

Session 1 : Palliative Care For Non-Cancer Patients

Track Champion :
Adj Asst Prof Mervyn Koh , Head and Senior Consultant, Palliative Medicine, Tan Tock Seng Hospital

Topic 1 : Palliative Care for End-Stage Lung Diseases – iCARE Programme

Speaker :
Adj Asst Prof Neo Han Yee , Consultant, Palliative Medicine, Tan Tock Seng Hospital
  • Early initiation of palliative care alongside chronic disease management
  • Integration of palliative care, rehabilitation and respiratory management in the setting of a community hospital
  • Preliminary results demonstrate improvement in function, exercise tolerance, readmission and length-of-stay at tertiary hospitals

Topic 2 : Palliative Care For End-Stage Organ Failure – Program IMPACT

Speaker :
Dr Lee Khar Suan , Medical Officer, Palliative Medicine, Tan Tock Seng Hospital
  • Approach and trajectory of End-Stage Organ Failure Patients
  • Results of Programme IMPACT
  • Challenges in End-of-Life care in End-Stage Organ Failure Patients

Topic 3 : Palliative Care For Advanced Dementia – Program DIGNITY

Speaker :
Adj Asst Prof Allyn Hum , Senior Consultant, Palliative Medicine, Tan Tock Seng Hospital
  • Palliative Care for advanced dementia is important and vital
  • Advanced Dementia Palliative Care requires an integrated approach
  • More should be done to ensure dignified care for patients suffering with advanced dementia at the end of life.

Patient-Centred Care Models, Empowerment & Practice

Synopsis

The ever increasing healthcare challenges require a rethink of the current model of care delivery. Both patients and providers can be further empowered to meet those needs, either by patient activation via shared decision making with healthcare providers or the newly minted National Collaborative Prescribing Programme respectively.

Session 1 : Patient Activation & Engagement

Chairperson :
Ms Debbie Do , Senior Pharmacist, Khoo Teck Puat Hospital
Track Champion :
Dr Doreen Tan Su-Yin , Assistant Director, Corporate Development and Associate Consultant Pharmacist, Department of Pharmacy, Khoo Teck Puat Hospital

Topic 1 : Patient Activation & Engagement

Speaker :
Prof Tai E Shyong , Senior Consultant, Division of Endocrinology, National University Hospital
  • Existing models of care do not adequately meet the needs of patients
  • Adequate patient engagement is a necessary component of patient centric care
  • This will necessitate changes in workflow, training of healthcare providers and new business models

Topic 2 : The “Year of Care” Pilot at NUH – Engaging People Living with Diabetes through Personalised Care Planning

Speaker :
Dr Yew Tong Wei , Consultant, Division of Endocrinology, National University Hospital
  • Traditionally, our healthcare system is designed to deliver acute care, and is less well configured to effectively support people with chronic diseases even when the need in this area has increased tremendously with the dramatic increase in prevalence of various chronic diseases.
  • There is evidence to suggest that personalised care planning programmes improve outcomes in chronic diseases, especially when they are integrated in their routine care.
  • Modelled after the “Year of Care” programme in England, this initiative aims to improve engagement of people living with diabetes by transforming routine clinic visits into a patient-centred, collaborative care planning process. This presentation will share our experience of implementing a transformative care model through an iterative process of rapid implementation and evaluation.

Topic 3 : Development of Patient Decision Support Aid (PDA) for Shared Decision Making

Speaker :
Adj A/Prof Tan Ngiap Chuan , Director, Research, SingHealth Polyclinics
  • Concept of PDA and its development
  • Illustration of an example of PDA
  • Application of PDA in Clinical Practice

Topic 4 : Panel Discussion: Pitfalls And Joys In The Way Which We Work

Speaker :
Prof Tai E Shyong , Senior Consultant, Division of Endocrinology, National University Hospital
Ms Ng Kai Xin , Principal Pharmacist (Clinical), Pharmacy, National University Hospital (NUH)
Adj A/Prof Tan Ngiap Chuan , Director, Research, SingHealth Polyclinics
Dr Yew Tong Wei , Consultant, Division of Endocrinology, National University Hospital

Session 2 : How The National Collaborative Prescribing Programme (NCPP) Initiative Supports The Change In Care Models

Chairperson :
Dr Doreen Tan Su-Yin , Assistant Director, Corporate Development and Associate Consultant Pharmacist, Department of Pharmacy, Khoo Teck Puat Hospital
Track Champion :
Dr Doreen Tan Su-Yin , Assistant Director, Corporate Development and Associate Consultant Pharmacist, Department of Pharmacy, Khoo Teck Puat Hospital

Topic 1 : Introduction and Background of Collaborative Prescribing: Who, What, How, When, Why?

Speaker :
Dr Doreen Tan Su-Yin , Assistant Director, Corporate Development and Associate Consultant Pharmacist, Department of Pharmacy, Khoo Teck Puat Hospital
Ms Jiang Yan , APN, Nursing, Tan Tock Seng Hospital

Topic 2 : The Path Towards NCPP, The Road Less Travelled

Speaker :
Prof Kenneth Kwek , Chief Executive Officer, Executive Office, Singapore General Hospital
  • Healthcare challenges require a rethink of model of delivery of care.
  • Be bold in not accepting status quo.
  • Adopt an Inter-Professional approach.

Topic 3 : Transdisciplinary Models of Care

Speaker :
Dr Brenda Lim , Associate Consultant, Endocrinology, Tan Tock Seng Hospital
Ms Carolyn Chan , Assistant Director Nursing; Advanced Practice Nurse, Nursing Service - Yishun Polyclinic, National Healthcare Group Polyclinics
Ms Debra Chan , Senior Pharmacist, Pharmacy, Tan Tock Seng Hospital
Dr Jeremy Foo Fung Yee , Family Physician – Associate Consultant, Yishun Polyclinic, National Healthcare Group Polyclinics
Mr Ng Boon Tat , Principal Pharmacist (Cinical), Pharmacy, Institute of Mental Health
Dr Jimmy Lee , Senior Consultant; Chief, North Region, Institute of Mental Health
Ms Ong Soo Imm , Principal Pharmacist (Clinical) National Healthcare Group Pharmacy
  • Why take this change? What were the changes?
  • Challenges to surmount to bring about the change
  • NCPP – Before, after and the future; less supervision needed? What has changed for you?

Topic 4 : Air Your Thoughts (Open Forum)

Topic 5 : The National Collaborative Prescribing Programme – The Road Less Travelled

Speaker :
A/Prof Tham Kum Ying , Senior Consultant, Emergency Physician ,Tan Tock Seng Hospital; Assistant Dean Year 5 and Lead for Emergency Medicine, Lee Kong Chian School of Medicine, Nanyang Technological University
  • The National Collaborative Prescribing Programme (NCPP) is one of turnkey programmes to empower the APNs and pharmacists to practice at the top of their licence.
  • The curriculum, teaching and learning activities and assessment system lay the foundation that the CP practitioners need and at the same time, gives assurance of safe practice.

Population Health Symposium 2018

Synopsis

The Population Health Symposium 2018 aims to draw together international and local experts in population health implementation with the aim of creating a collaborative learning environment, via insightful lectures and panel discussions – in support of the development and implementation of innovative health care delivery models.

Along with a focus on extracting learning from initiatives and projects implemented in care segments of our population whom are “Living Well” and ‘Living with Frailty”, we aim to offer a spectrum of international and local implementation insights to promote population health and health equity.

Target audience that for this symposium would be clinicians, researchers, administrators and other health care professionals.

Session 1 : Session 1: Living Well In The Community

Chairperson :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group
Track Champion :
Mr Eugene Yuen , Director,Population Health Office, National Healthcare Group

Topic 1 : Opening Address for Population Health Symposium 2018

Speaker :
Dr Wong Kirk Chuan , Chief Operating Officer, Population Health, National Healthcare Group Campus Chief Operating Officer, Woodlands Health Campus

Topic 2 : Local Area Coordination – Implementation & Shifting from Assessment, Funding & Services to Prevention, Capacity Building & Practical Local Solutions

Speaker :
Mr Ralph Broad , Director, Inclusive Neighbourhoods Ltd; Founder, Local Area Coordination Network, UK

This segment of the symposium explores the design, development, implementation and long term outcomes of Local Area Coordination in England and Wales.

Building on 30 years of international learning, Local Area Coordination is an integrated, evidence based approach to supporting people of all ages who may be facing complex life situations (including living with disabilities, mental health needs, ageing) and their families/carers to:

  • Build and pursue their personal vision for a good life.
  • Stay strong/resilient, safe and connected as contributing citizens within their local communities.
  • Build practical, sustainable, local, non-service solutions to problems wherever possible.
  • Build more welcoming, inclusive and supportive communities.

Therefore, rather than waiting for crises and responding with services and money, it is about:

  • Strengthening individuals and families – choice, control, opportunities and resilience.
  • Reducing isolation and loneliness, improving health and well-being
  • Preventing or reducing demand for, or dependency on, costly services wherever possible.
  • Building community capacity and resilience.

Supporting service reform and integration, having high quality services as a valued back up to local solutions.

Topic 3 : Lessons learned from implementation of NHG Community Nursing

Speaker :
Mr Yong Keng Kwang , Chairperson, NHG Community Nursing and Chief Nurse, Tan Tock Seng Hospital

More Information Coming Soon!

Session 2 : Session 2: Living Well In the Community

Chairperson :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group
Track Champion :
Mr Eugene Yuen , Director,Population Health Office, National Healthcare Group

Topic 1 : Primary and Community Care – Management of Physical and Mental Health in the Community

Speaker :
Dr Alvin Lum , Head of Medical Services, Institute of Mental Health; Deputy Director and Resident Physician, Mental Health-General Practitioner (MH-GP) Partnership Programme; Lecturer/Teaching Faculty, Graduate Diploma in Mental Health (GDMH), IMH and Division of Graduate Medical Studies (DGMS), National University of Singapore; Adjunct Lecturer, Department of Family Medicine, Yong Loo Ling School of Medicine

There is a bidirectional relationship between mental illness and physical health. We find that patients with chronic diseases have a higher risk of mental illnesses; likewise patients with mental illnesses are more prone to have chronic medical illnesses.

This discussion looks into the significant role that Primary Care Providers play in the detection and management of these conditions in the community.

Topic 2 : Panel Discussion: Sustaining practical local solutions in prevention, capacity building and integrated interventions

Speaker :
Dr Wong Kirk Chuan , Chief Operating Officer, Population Health, National Healthcare Group Campus Chief Operating Officer, Woodlands Health Campus
Mr Ralph Broad , Director, Inclusive Neighbourhoods Ltd; Founder, Local Area Coordination Network, UK
Mr Yong Keng Kwang , Chairperson, NHG Community Nursing and Chief Nurse, Tan Tock Seng Hospital
Dr Alvin Lum , Head of Medical Services, Institute of Mental Health; Deputy Director and Resident Physician, Mental Health-General Practitioner (MH-GP) Partnership Programme; Lecturer/Teaching Faculty, Graduate Diploma in Mental Health (GDMH), IMH and Division of Graduate Medical Studies (DGMS), National University of Singapore; Adjunct Lecturer, Department of Family Medicine, Yong Loo Ling School of Medicine

Moderator:
Dr Wong Kirk Chuan
Chief Operating Officer, Population Health, National Healthcare Group Pte Ltd; Campus Chief Operating Officer, Woodlands Health Campus

Panelists:
Mr Ralph Broad
Director, Inclusive Neighbourhoods Ltd; Founder, Local Area Coordination Network, UK

Mr Yong Keng Kwang
Chairperson, NHG Community Nursing and Chief Nurse, Tan Tock Seng Hospital

Dr Alvin Lum
Head of Medical Services, Institute of Mental Health (IMH) and Deputy Director and Resident Physician, Mental Health-General Practitioner (MH-GP) Partnership Programme (IMH)

Session 3 : Session 3: Living With Frailty

Chairperson :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group
Track Champion :
Mr Eugene Yuen , Director,Population Health Office, National Healthcare Group

Topic 1 : Using A Population Health Approach To Advance The Needs Of An Ageing Population

Speaker :
Dr Samir K. Sinha MD, DPhil, FRCPC, AGSF , Director of Geriatrics Sinai Health System and the University Health Network, Toronto, Canada

With the number of older Ontarians set to double over the next twenty years, in 2012 the Ontario government set about developing a Seniors Strategy – its first attempt to establish a comprehensive plan that established sustainable best practices and policies at a provincial level that could support the overall coordination of the delivery of health, social and community care services with an intense focus on supporting older Ontarians to stay healthy and stay at home longer.

With older Ontarians already accounting for half of Ontario’s health and social care spending, it becomes clear why ensuring that older Ontarians have access to the right care, in the right place at the right time was placed at the centrepiece of the Government of Ontario’s subsequent Action Plans for Seniors.  Dr. Sinha will share what he learned and what he thinks it might take to enable the delivery of a system across Ontario that will deliver the care we need now and in the future in a sustainable way that also invests in upstream initiatives that promote wellness and prevention, better recognition and support for caregivers and the provision of more sustainable and cost-effective models of care that are in line with the overall desire of citizens to receive care as close to home as possible are all essential to achieving better outcomes for an ageing population.

Topic 2 : Holistic Management of Frailty and Falls prevention across the continuum, a UK perspective

Speaker :
Professor Finbarr C Martin , Emeritus Consultant Geriatrician and Professor of Medical Gerontology, King's College London

A public health approach requires general measures to shift population behaviour and exposures plus targeted intervention, which may be delivered via health and/or social care providers. He will describe health promotion messages delivered at national level, particularly on physical activity recommendations which modifies advice according to characteristics of population groups.

In England, national guidance from The National Institute for Health and Care Excellence (NICE) and policy frameworks have been developed to promote healthy aging, delay onset of frailty, and reduce falls. Some is aimed at the whole population of older people and some at individuals at higher risk or resident in care homes.

Detection of frailty using the deficit accumulation model using primary care diagnostic codes is now mandatory across England and linked to a requirement for falls prevention, medication reviews and advance care planning for those considered to be living with severe frailty.

The evidence for such approaches is limited and there are concerns about acceptability, feasibility and cost-effectiveness. There is gender and socioeconomic differences in risks of frailty and addressing these may require a much broader approach than healthcare.

He will review the current state of these initiatives and thoughts for the future.

Session 4 : Session 4: Living With Frailty

Chairperson :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group
Track Champion :
Mr Eugene Yuen , Director,Population Health Office, National Healthcare Group

Topic 1 : Learning from Partnerships with the ILCT Sector - Lessons from CGH: The EAGLEcare programme – building care partnerships

Speaker :
Dr Christopher Lien , Senior Consultant Geriatrician, Director of Community Geriatrics, Department of Geriatric Medicine, Changi General Hospital

The programme is a collaborative effort to facilitate advance care planning,  develop care pathways for early symptom recognition and management and to reduce crisis episodes that result in hospital admissions.  We share our learning journey with our partners and some of our preliminary results.

Topic 2 : Learning from Partnerships with the ILCT Sector - Lessons from KTPH: Gericare - Sustaining a relationship

Speaker :
Dr Laurence Tan , Consultant, Palliative Medicine, Department of Geriatric Medicine Deputy Director, Gericare@North, Khoo Teck Puat Hospital

It is imperative to know that nursing homes and acute hospitals share a common aim: To provide good quality care for patients. While having this common vision, we must not forget that forging a trusting relationship between hospitals and nursing home are more important to ensuring that key performance indexes are met.

Gericare@North is about building trusting relationships with nursing homes. We endeavor to walk the journey of care with the homes in order to help them achieve their goals of patient centric care.

This talk focuses on the elements of building a successful relationship with nursing home partners.

Topic 3 : Learning from Partnerships with the ILCT Sector - Lessons from TTSH: TTSH Collaborations with Nursing Homes in Central region - moving beyond End-of-Life Care

Speaker :
Dr Yeo Ying Ying, Cindy , Family Physician, Associate Consultant, Department of Continuing and Community Care, Tan Tock Seng Hospital

Project CARE from Department of Continuing and Community Care TTSH started working with nursing homes in central region since 2009, with initial focus on upskilling advance care planning and palliative care in nursing homes. Results and challenges of this program will be shared. Nursing homes and their residents require more than end of life support and hence quality improvement programs and various other new initiatives will be shared too.

Preventive Medicine

Synopsis

This track focuses on preventive medicine at the population level. The first session will focus on national efforts to improve health behaviours in the community – looking at risk factor assessment, the science of programme implementation, and how we may sustain healthy practices. The second session looks at how we can preserve health and physical functioning in the elderly. A common thread that runs through both sessions is the recognition that successful preventive medicine requires a multidisciplinary approach that taps on the expertise and experience of a wide variety of professionals.

This session looks at national efforts to assess preventable health risk factors at the population level, and programmes aimed at changing risk behaviours.

Session 1 : Prevention Health for All

Chairperson :
Adj A/Prof Angela Chow , Head & Senior Consultant, Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and knowledge (OCEAN), Tan Tock Seng Hospital
Dr Lim Wei-Yen , Consultant, Clinical Epidemiology, Tan Tock Seng Hospital
Track Champion :
Adj A/Prof Angela Chow , Head & Senior Consultant, Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and knowledge (OCEAN), Tan Tock Seng Hospital
Dr Lim Wei-Yen , Consultant, Clinical Epidemiology, Tan Tock Seng Hospital

Topic 1 : Surveillance On The Health Of Singaporeans

Speaker :
Dr Marc Ho , Deputy Director (Non Communicable Diseases & Public Health Intelligence), Epidemiology and Disease Control, Ministry of Health
  • Surveillance is often multi-faceted, and when put together provides a clearer picture of the current state of health of Singaporeans.
  • Surveillance methods may need to evolve over time, for example, shifting towards use of the National Population Health Survey.
  • Once existing gaps are identified, data contributes to the development and evaluation of national policies and programmes aimed at improving the health of all Singaporeans.

Topic 2 : Leveraging technology to understand population health behaviour

Speaker :
Ms Karen Cheong , Deputy Director, Research & Development Policy, Research & Surveillance Group, Health Promotion Board
  • Health Promotion Board has leveraged technology for research in dietary, physical activity and other health domains.
  • This presentation highlights a pilot technology-enabled study designed to examine Singaporean residents’ lifestyles and health behaviours over 2 years. Over 1,500 participants have commenced their journey with this study, contributing up to 1,600 data points daily.
  • As a platform study, technology-enabled study will expand to other population segments and over time, allow for nesting of studies to investigate hypotheses

Topic 3 : Achieving Sustainable Behaviour Change: What Behavioural Economics Teaches Us

Speaker :
Dr Joanne Yoong , Senior Economist and Director, Center for Economic and Social Research, East; USC Behavioral Economics Studio, University of Southern California
  • Behavioral science and individual psychology have tremendous potential to help us implement “nudges” that result in cost-effective behavioural changes
  • To be truly sustainable in a long-term perspective, these need to be embedded into the health system and include all stakeholders
  • Tradeoffs and challenges remain to be addressed.

The rapid ageing of Singapore is well-recognised. In this session, we focus on preventive health for seniors, looking at efforts to improve social support, shape the urban environment, and protect the physical health of our seniors.

Session 2 : Preventive Health for Seniors

Chairperson :
Adj A/Prof Angela Chow , Head & Senior Consultant, Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and knowledge (OCEAN), Tan Tock Seng Hospital
Dr Lim Wei-Yen , Consultant, Clinical Epidemiology, Tan Tock Seng Hospital
Track Champion :
Adj A/Prof Angela Chow , Head & Senior Consultant, Clinical Epidemiology, Office of Clinical Epidemiology, Analytics, and knowledge (OCEAN), Tan Tock Seng Hospital
Dr Lim Wei-Yen , Consultant, Clinical Epidemiology, Tan Tock Seng Hospital

Topic 1 : Community Network for Seniors

Speaker :
Dr Wong Loong Mun , Principal Consultant, Agency for Integrated Care, Chief, Care Transition Division, Agency for Integrated Care
Ms Tan Yun Ru , Assistant Programme Head, Community Networks for Seniors, Agency for Integrated Care
  • The Community Networks for Seniors (CNS) puts together three main building blocks:
    (a) Preventive healthcare in the form of “Active Ageing” to keep well seniors active;
    (b) Supportive care in the form of “Befriending” to pair lonely seniors with a friend in the community and
    (c) Proactive interventions in the form of “Care and Support” to help those in need of care promptly.
  • The model illustrates an inter-ministerial, public-private and people collaboration to bring together social sector and volunteers.
  • It operates by TOUCHING (reach out systematically to all seniors 65 years and above Silver Generation Ambassadors) and HOLDING (keep in regular contact) the senior while having the NGOs and private players in health and social sectors to HELPING the seniors in need.

Topic 2 : Designing Ageing-Friendly Urban Environment

Speaker :
Dr Belinda Yuen , Research Director, Lee Kuan Yew Centre for Innovative Cities, Singapore University of Technology and Design
  • Connection between neighbourhood built environment and older person’s health
  • Implications for designing ageing-friendly neighbourhoods
  • Some examples from around the world

Topic 3 : Protecting Our Elderly Population Against Vaccine-Preventable Diseases

Speaker :
Dr Hanley Ho , Consultant, Clinical Epidemiology, Tan Tock Seng Hospital
  • Seniors are vulnerable to the threat of vaccine-preventable diseases such influenza and pneumococcal disease.
  • Vaccinations are currently an under-utilised resource among seniors, with very low uptake rates.
  • This presentation highlights key challenges with increasing vaccination uptake and solutions to address existing issues

Primary Care Forum 2018

Synopsis

Primary Care Forum 2018 is an annual conference for Primary Care Healthcare professionals held in conjunction with the Singapore Health and Biomedical Congress.

Our theme for this year is “Primary Care: Integration & Innovation for the Future.” In this forum we aim to focus on Innovations and Improvements that will transform primary care to achieve greater heights.

The shift of moving healthcare beyond hospital to community has ignited both private and public primary healthcare professionals to collaborate ever closer together in research and patient care. Care delivery redesign underpinned with new Smart technology aims to disrupt the current modus operandi of how healthcare will be delivered in the future primary care setting. Technology and artificial intelligence have also empowered patients to be more proactive in taking charge of their own health and enable institutions to achieve seamless health delivery outcomes across the different transitions of care.

There is an increasing challenge to primary care practitioners and healthcare system as our rapidly ageing population with rising prevalence of multiple morbidity require of us to creatively think out of box for value-based solutions that is cost effective and grounded in scientific evidence.

As we continue to manage more complex patients in the community setting, primary care clinicians are faced with increasingly difficult scenarios that are beyond the medical realm. In our GP symposium, we will have GP leaders share on how they are able to engage with providers from other sectors to manage patients effectively in the primary care setting.

We hope to see you at Primary Care Forum 2018.

Dr Darren Seah
Chairperson, Organising & Scientific Committee, Primary Care Forum 2018;
Family Physician, Consultant;
Director, Family Medicine Development, National Healthcare Group Polyclinics

Session 1 : Primary Care Forum 2018 : Plenary 1

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

Topic 1 : Welcome & Opening Address

  • 0830 ~ 0840 : Welcome Address
    Associate Professor Chong Phui-Nah
    Family Physician, Senior Consultant;
    Chief Executive Officer, National Healthcare Group Polyclinics and Primary Care
  • 0840 ~ 0855 : Guest-Of-Honour Opening Address

Topic 2 : Plenary 1 : Successes, Sorrows And Strategies For Primary Care Networks

Speaker :
Prof Martin Marshall , Professor of Healthcare Improvement, University College London; Vice-Chair, Royal College of General Practitioners
  • 0855 – 0935: PLENARY 1: SUCCESSES, SORROWS AND STRATEGIES FOR PRIMARY CARE NETWORK
  • 0935 – 0940: Q&A

Session 2 : Primary Care Forum 2018 : Plenary 2

Chairperson :
Dr Darren Seah , Chairperson, Organising & Scientific Committee, Primary Care Forum 2018; Family Physician, Consultant; Director, Family Medicine Development, National Healthcare Group Polyclinics

Topic 1 : Plenary 2: the Population Health Approach To Managing Diabetes

Speaker :
Prof James Dunbar , Honorary Professor, Deakin Rural Health, School of Medicine, Faculty of Health, Deakin University; Research Advisor, Australian Health Policy Collaboration, Victoria University

0940 – 1020:  PLENARY 2: THE POPULATION HEALTH APPROACH TO MANAGING DIABETES

1020 – 1025: Q&A

Session 3 : Symposium 1 : Networks For The Nation: Lessons For Primary Care

Chairperson :
Dr Karen Ng , Family Physician, Consultant; Director, Clinical Services, National Healthcare Group Polyclinics
Dr Jason Chan , Family Physician, Associate Consultant;Deputy Head, Geylang Polyclinic, National Healthcare Group Polyclinics

Topic 1 : Collaborations For The Community: Breaking Down The Silos

Speaker :
Mr Yip Hon Weng , Group Chief, Silver Generation Office, Agency for Integrated Care

Topic 2 : Serving Up Health, Towards a Common Vision

Speaker :
Dr Goh Wei Leong , Chairman and Co-Founder, Medical Committee, Healthserve

Topic 3 : Making Business of Kindness a Kindness Business!

Speaker :
Dr William Wan Kok Tang , General Secretary, Singapore Kindness Movement

Topic 4 : Symposium 1 : Networks For The Nation: Lessons For Primary Care (Q&A)

Session 4 : Primary Care Forum 2018 : Plenary 3

Chairperson :
Dr Tang Wern Ee , Family Physician, Senior Consultant;Head, Clinical Research Unit, National Healthcare Group Polyclinics

Topic 1 : Plenary 3 : Bench To Bedside: The Science of Improving Primary Care

Speaker :
Prof Martin Marshall , Professor of Healthcare Improvement, University College London; Vice-Chair, Royal College of General Practitioners

Topic 2 : Plenary 3 : Bench To Bedside: The Science of Improving Primary Care (Q&A)

Session 5 : Symposium 2 : Technology: The Panacea For Primary Care?

Chairperson :
Dr Simon Lee , Family Physician, Consultant; Chief Operating Officer & Chief Medical Informatics Officer, National Healthcare Group Polyclinics
Dr Jonathan Ting , Chief Operating Officer & Chief Medical Informatics Officer, Head, Geylang Polyclinic, National Healthcare Group PolyclinicsFamily Physician, Associate Consultant;

Topic 1 : Technologies For The Future of Primary Care

Speaker :
Mr Fernando Erazo , Head of Healthcare Informatics and Population Health Management, Philips Electronics Singapore Pte Ltd

Topic 2 : Tele-medicine: Extending The Reach Of Primary Care

Speaker :
Dr Zubin J Daruwalla , Healthcare Lead, PwC South East Asia Consulting

Topic 3 : Primary Care In a Genetic Age - Are Family Physicians Ready?

Speaker :
Dr Tan Min Han , Medical Director, Lucence Diagnostics Pte Ltd

Topic 4 : Automation With The Consumer In Mind

Speaker :
Mr Tan Lye Teck , Executive Vice President, Airport Management, Changi Airport Group

Topic 5 : Symposium 2 : Technology: The Panacea For Primary Care? (Q&A)

Session 6 : GP Symposium: COMPREHENSIVE CARE UPDATES FOR THE FAMILY PHYSICIAN

Chairperson :
Dr David Ng , Family Physician, Associate Consultant;Head, Toa Payoh Polyclinic, National Healthcare Group Polyclinics
Dr Lim Ziliang , Family Physician, Associate Consultant; Deputy Head, Yishun Polyclinic, National Healthcare Group Polyclinics

Topic 1 : Vaccines in the Tropics: What Do Adults Need?

Speaker :
Dr Young Barnaby Edward , Consultant, Infectious Diseases; National Centre for Infectious Diseases (NCID), Tan Tock Seng Hospital

Topic 2 : Advanced Therapeutics For Complex Diabetics

Speaker :
A/Prof Tavintharan Subramaniam , Director and Senior Conslutant, Diabetes Centre, Admiralty Medical Centre

Topic 3 : GP SYMPOSIUM Q&A

Topic 4 : Active Aging: The GP's Role In The Golden Ages

Speaker :
A/Prof Leong Yi Onn Ian , Deputy Divisional Chairman, Division of Integrative & Community Care, Clinical Director, Division for Central Health, Tan Tock Seng Hospital , Senior Consultant, Geriatric Medicine, Department Continuing and Community Care,

Topic 5 : An Update On Paediatric Ophthalmology: Keeping The Red Flags In Sight

Speaker :
Dr Foo Fong Yee , Senior Consultant, Ophthalmology; National Healthcare Group Eye Institute, Tan Tock Seng Hospital

Topic 6 : GP SYMPOSIUM Q&A

Sexual Health Symposium

Synopsis

This year’s Sexual Health Symposium is split into two sessions. The first session is on behavioural sciences, focusing on the sexual behaviour of and effective interventions for at risk groups including adolescents, female sex workers and the LGBTQ community. The second session provides an update on research in STI and HIV, developments and clinical experience in selected sexually transmitted infections, as well as exploring the impact of drug abuse on STI.

Session 1 : Sexual Health Symposium

Chairperson :
Dr Benson Yeo Koon Wee , Consultant, Dermatology, National Skin Centre
Dr Martin Chio Tze Wei , Senior Consultant, National Skin Centre
Track Champion :
Dr Benson Yeo Koon Wee , Consultant, Dermatology, National Skin Centre

Topic 1 : HPB's Sexual Health Initiatives Among Adolescent

Speaker :
Ms Suhana Solhan , Assistant Director, Communicable Disease Education, Health Promotion Board

More Information Coming Soon!

Topic 2 : Efficacy Of A Behavioural Intervention to Reduce Sexual Risk In Adolescents

Speaker :
Ms Junice Ng , Researcher, National University of Singapore/ IQVIA Asia-Pacific
  • Theory-driven comprehensive behavioural intervention was able to increase STI-preventive behaviours over a 12-month period
  • Clinic-based programme remains a feasible and practical way in reaching out to high-risk youths

Topic 3 : Counselling LGBTQ + Individuals, Couples and Families in a Community Setting

Speaker :
Mr Leow Yangfa , Executive Director, Oogachaga
  • Overview of healthcare risks for LGBTQ+ community
  • Barriers to help-seeking behaviour for LGBTQ+ clients
  • Role of healthcare professionals

Topic 4 : Current STI/HIV Prevention Efforts in Female Sex Workers and Challenges For The Future

Speaker :
Dr Raymond Lim , Lecturer, Saw Swee Hock School of Public Health, National University of Singapore
  • Female sex workers who are a diverse group are vulnerable to STI/HIV in Singapore
  • The Medical Surveillance Scheme has been effective in controlling STI/HIV among brothel-based female sex workers in Singapore
  • Challenges on STI/HIV prevention continue to exist and emerge among other groups of female sex workers in Singapore

Session 2 : Sexual Health Symposium

Chairperson :
Dr Benson Yeo Koon Wee , Consultant, Dermatology, National Skin Centre
Dr Martin Chio Tze Wei , Senior Consultant, National Skin Centre
Track Champion :
Dr Benson Yeo Koon Wee , Consultant, Dermatology, National Skin Centre

Topic 1 : Impact of Substance Abuse on Sexual Behaviour and STI: A Psychotherapeutic Approach

Speaker :
Ms Carol Thow , Psychotherapist, Department of STI Control (DSC), National Skin Centre
  • Research findings indicate a relationship between alcohol and drug use with higher incidence of sexual activity, riskier sexual behaviour and increased vulnerability to HIV/STI exposure.
  • It is useful to explore substance abuse as an attempt at self-regulation and self-soothing, and/or a symptom of unmet psychological and developmental needs.
  • In the therapeutic process, counsellors work to encourage safer sexual behaviour in patients, and harness motivation for change, by working with underlying core feelings and beliefs that drive addiction.

Topic 2 : Socio-Behavioural Approaches to HIV/STI Research

Speaker :
Mr Rayner Kay Ji Tan , PhD Candidate, Saw Swee Hock School of Public Health, National University of Singapore
  • Community engagement and partnerships
  • Social epidemiology of HIV/STI
  • Conceptualizing frameworks for behavioural interventions

Topic 3 : An Update On HPV

Speaker :
Dr Coni Liu Wen Chun , Consultant Dermatologist, Dermatology, National Skin Centre
  • History and evolution of HPV
  • HPV vaccination
  • HPV testing for cervical cancer screening

Topic 4 : Syphilis And Its Myriad Presentation

Speaker :
Dr Martin Chio Tze Wei , Senior Consultant, National Skin Centre
  • The incidence of infectious syphilis is increasing in Singapore
  • Syphilis is a great mimicker in dermatological clinical morphology
  • Prompt recognition & treatment prevents onward transmission

SHBC Opening Ceremony

Synopsis

More Information Coming Soon!

Session 1 : SHBC Opening Ceremony (Keynote)

Topic 1 : SHBC 2018 Opening Ceremony

  • Start of Opening Ceremony
    Opening Ceremony Video
  • Welcome Address
    by Prof Philip Choo, GCEO, NHG
  • Opening Address
    by Mr Gan Kim Yong, Guest-of-Honour, Minister of Health
  • Minister ‘Token of Appreciation – DiS Book’ Presentation
    by A/Prof Tan Suat Hoon, Director, NSC
  • Signing of Memorandum of Agreement for ALIVE-POLY-ITE Student Internship Programme
  • Signing of Memorandum of Understanding for Joint Programme for Clinician Scientist Development
  • Citation of Keynote Speaker
    by Dr Martin Chio, SHBC 2018 Org Chair
  • SHBC Keynote Address
    by Prof Martin Marshall
  • Keynote Speaker  ‘Token of Appreciation’ Presentation
    by Prof Philip Choo, GCEO,  NHG
  • SHBC Scientific Competition Award Prize Presentation
    by Mr Gan Kim Yong, Guest-of-Honour, Minister of Health
  • Medical Humanities ‘Gold’ Prize Presentation
    by Mr Gan Kim Yong, Guest-of-Honour, Minister of Health

Opening Ceremony Schedule  *subject to changes*

Topic 2 : Keynote: Rethinking Care for Diverse Population

Speaker :
Prof Martin Marshall , Professor of Healthcare Improvement, University College London; Vice-Chair, Royal College of General Practitioners

Modern medicine has had a remarkable impact on people’s health over the decades but there are growing concerns that doctors adopt too narrow a focus on illness, that they too often ignore the social determinants of health and well-being, and that investing in medical technologies may not be the most effective use of limited financial resources. In this presentation, Martin Marshall, a family doctor in London, UK, and Professor of Healthcare Improvement at UCL, will describe how doctors around the world are starting to engage in practices which are not considered to be part of the traditional medical model – social prescribing, person-centred care, shared decision making, community involvement and health systems improvement. He will describe how these practices are resulting in a re-thinking of the medical model of disease in a way that is likely to benefit the diverse populations that we serve, and the implications for health professionals in the future.

Working at scale in general practice
In many countries general practitioners work from small premises based in local communities, with limited support from administrative staff and other health professionals. This contrasts with hospitals where specialist doctors tend to work closely with other colleagues, supported by multidisciplinary teams and by a substantive organisational infrastructure. General practice is slowly changing, with more doctors working together, alongside other health professionals and in large purpose-built premises. This trend is associated with many advantages, but also carries some risks, in particular in relation to the provision of person-centred care. In the UK, for a range of policy and practical reasons, there has been a dramatic increase in ‘at-scale’ working in recent years, utilising a range of different models. In this presentation Martin Marshall, a family doctor in London, UK, and Professor of Healthcare Improvement at UCL, will describe the evolution of general practice in the UK, how the benefits of at-scale working are being realised and the risks minimised, and will outline what other countries could learn from the UK’s experiences.

Is improvement a science?
A commitment to continuously improving what doctors, nurses and other health professionals do is considered to be a core element of what it means to be a professional. But experience from around the world suggests that improving professional practice and patient outcomes is far from a straight-forward task. In recent years we have seen a growing interest in systematic approaches to improving quality and safety, based on high quality data, rigorous methods of analysis and interpretation, and a strong focus on implementation and on the spread and sustainability of good practice. These approaches to improvement are increasing termed ‘improvement science’. In this presentation Martin Marshall, a family doctor in London, UK, and Professor of Healthcare Improvement at UCL, will describe the development of the science of improvement, how it complements the traditional biomedical and clinical sciences and how different models of improvement science can be used to address different improvement challenges.

Surgery

Synopsis

The 1st session would highlight the new update in Surgery in KTPH. There will be discussion on the recent shift in paradigm to metabolic surgery and its effectiveness in diabetes remission. In addition, In an era of rising health-care costs and meeting patient expectations, we outline the role and benefits of running a ONE-STOP thyroid clinic.

For the 2nd session, it will be divided into 2 broad topics on The Pelvic Floor Service in TTSH (Urology & Colorectal Surgery in TTSH and Managing Hepatocellular cancer in today’s context. The first topic will highlight the prevalence of incontinence and functional voiding dysfunction of both bladder and bowel in Singapore, and the integrated clinical service we provide at TTSH. Multidisciplinary approach to patient care, from assessment to new services and treatments available for urinary and fecal incontinence.

Speakers include :

  • Urologist
  • Colorectal surgeon
  • Continence nurse
  • Physiotherapist

The 2nd topic will outline on current epidemiology of HCC in Singapore and update on the latest management options that patient with early and advanced HCC patients are offered at TTSH. Session will include multidisciplinary case discussion with hepatobiliary surgeon and interventional radiologist.

The 1st session would highlight the new update in Surgery in KTPH. There will be discussion on the recent shift in paradigm to metabolic surgery and its effectiveness in diabetes remission. In addition, In an era of rising health-care costs and meeting patient expectations, we outline the role and benefits of running a ONE-STOP thyroid clinic.

Session 1 : Surgery

Chairperson :
A/Prof Reyaz M Singaporewalla , Senior Consultant, Department of Surgery, Khoo Teck Puat Hospital
Track Champion :
A/Prof Reyaz M Singaporewalla , Senior Consultant, Department of Surgery, Khoo Teck Puat Hospital
Adj Asst Prof Sharon Yeo , Senior Consultant, Department of Urology, Tan Tock Seng Hospital

Topic 1 : "Quadruple" Assessment in a ONE-STOP Thyroid Clinic

Speaker :
A/Prof Reyaz M Singaporewalla , Senior Consultant, Department of Surgery, Khoo Teck Puat Hospital

In an era of rising health-care costs and meeting patient expectations, we outline the role and benefits of running a ONE-STOP thyroid clinic for performing the 4 -step evaluation of goitres in a single day.

This not only provides a hassle-free patient experience by avoiding multiple different specialist visits but also leads to faster work-up, reduces costs and improves productivity.

Topic 2 : Indications and Benefits of Bariatric & Metabolic Surgery, Integrating Care for Diabesity

Speaker :
Dr Tan Chun Hai , Senior Consultant, Department of Surgery, Khoo Teck Puat Hospital

• Bariatric & Metabolic surgery is the most effective treatment for morbid obesity as well as resolving its related co-morbidities such as Type 2 Diabetes, Hypertension, Hyperlipidemia.

• There is increasing long term evidence of such benefits after surgery with improvements not just in metabolic syndrome, but also psychological and psychosocial aspects.
• Setting up the ICOD clinic in Khoo Teck Puat hospital, we integrate care of obesity and diabetes, providing a one stop hassle free solution for patients with obesity and it’s related co-morbidities.

Topic 3 : Surgical Floor for Inpatient Management: Establish, Engage and Empower: 3E approach to improve outcomes

Speaker :
Adj A/Prof Surendra Mantoo , Senior Consultant, Department of Surgery, Khoo Teck Puat Hospital

• Establish: surgical floor wards for surgical inpatients to improve outcomes
• Engage: patients and healthcare professionals to facilitate their early discharge
• Empower: patients to eat together at a common dining place in the surgical wards

A) The Pelvic Floor Service in TTSH (Urology and Colorectal Surgery TTSH)
This session will highlight the prevalence of incontinence and functional voiding dysfunction of both bladder and bowel in Singapore, and the integrated clinical service we provide at TTSH. Multidisciplinary approach to patient care, from assessment to new services and treatments available for urinary and fecal incontinence.

Speakers include :
– Urologist
– Colorectal surgeon
– Continence nurse
– Physiotherapist

B) Managing Hepatocellular Cancer in Today’s Context
Outline on current epidemiology of HCC in Singapore and update on the latest management options that patient with early and advanced HCC patients are offered at TTSH. Session will include multidisciplinary case discussion with hepatobiliary surgeon and interventional radiologist.

Session 2 : Surgery

Chairperson :
Adj Asst Prof Sharon Yeo , Senior Consultant, Department of Urology, Tan Tock Seng Hospital
Adj Asst Prof Vishalkumar G Shelat , Consultant, Hepatopancreatobiliary Service, Department of General Surgery, Tan Tock Seng Hospital
Track Champion :
A/Prof Reyaz M Singaporewalla , Senior Consultant, Department of Surgery, Khoo Teck Puat Hospital
Adj Asst Prof Sharon Yeo , Senior Consultant, Department of Urology, Tan Tock Seng Hospital

Topic 1 : The Role of the Physiotherapist in our Pelvic Floor Service

Speaker :
Ms Ivy Ho Wei Fang , Senior Physiotherapist, Pain Management Clinic, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 2 : Colorectal Pelvic Floor Disorders

Speaker :
Dr Loong Tse Han , Consultant, General Surgery, Tan Tock Seng Hospital
  • Fecal incontinence
  • Constipation
  • Rectal prolapse

Topic 3 : Bladder Dysfunction and Urinary Incontinence

Speaker :
Adj Asst Prof Sharon Yeo , Senior Consultant, Department of Urology, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 4 : The Role of the Nurse Clinician in our Pelvic Floor Service

Speaker :
Ms Karen Chng Puay Ying , Nurse Clinician, Nursing Service, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 5 : Surgeons and Hepatocellular Cancer (HCC)

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

More Information Coming Soon!

Topic 6 : Interventional Radiologists and Hepatocellular Cancer (HCC)

Speaker :
A/Prof Pua Uei , Senior Consultant, Department of Diagnostic Radiology, Tan Tock Seng Hospital

More Information Coming Soon!

Topic 7 : Multidisciplinary Case Discussion

Speaker :
Dr Low Jee Keem , Senior Consultant, Hepatopancreatobiliary Service, Department of General Surgery, Tan Tock Seng Hospital
A/Prof Pua Uei , Senior Consultant, Department of Diagnostic Radiology, Tan Tock Seng Hospital

More Information Coming Soon!

Symposium 1: Beyond Quality To Value

Session 1 : Symposium 1: Beyond Quality to Value

Topic 1 : Citation for Plenary 1

Speaker :
Ms Lim Yee Juan , Group Chief Financial Officer, National Healthcare Group
  • Citation for Plenary 1

Topic 2 : Plenary 1: Healthcare Financing for an Evolving Singapore

Speaker :
Mr Chan Beng Seng , Group Director of Financial Resource Management, Healthcare Finance (Subvention) and Sector Development and Commissioning, Ministry of Health
Just as our healthcare system has evolved over the years to meet our needs, how we finance healthcare has also evolved. With our ageing population, and as new healthcare technologies emerge, healthcare financing must continue to evolve. Beyond making healthcare affordable for Singaporeans today, healthcare financing also has also a role in delivering value for the patient, so that our healthcare system is also sustainable for tomorrow. This presentation will discuss some of the directions that healthcare financing policy will take in the future.
  • Healthcare Financing evolves to meet the needs of the time.
  • Beyond affordability, we need to finance healthcare so as to bring out value.

Topic 3 : Citation for Plenary 2

Speaker :
A/Prof Leong Yi Onn Ian , Deputy Divisional Chairman, Division of Integrative & Community Care, Clinical Director, Division for Central Health, Tan Tock Seng Hospital , Senior Consultant, Geriatric Medicine, Department Continuing and Community Care,
  • Citation for Plenary 2

Topic 4 : Plenary 2: Lessons Learned from the Development of Cost-Effective and Integrated Care Models for the Elderly in Toronto, Canada

Speaker :
Dr Samir K. Sinha MD, DPhil, FRCPC, AGSF , Director of Geriatrics Sinai Health System and the University Health Network, Toronto, Canada

Older Adults represent 16.9% of its current population but 40% of hospital admissions and 60% of hospital days across Canada every year.  While they represent its greatest users of health care, it is clear that while the users have changed, Canada’s health system hasn’t.  In dealing with a hospital system that was designed 50 years ago when the average Canadian was 27 years of age, it is clear it needed to be adapted to meet the needs of the older patients with increasingly complex needs that now rely on it the most.

In his talk, Dr. Sinha will discuss how he came to understand how an ageing population presented both a challenge and an opportunity to rethink how we organize and deliver elder care. Toronto’s Mount Sinai Hospital responded with the development of its Acute Care for Elders (ACE) strategy, led by Dr. Samir Sinha which has demonstrated significant improvements in overall quality of care outcomes by better managing and integrating the care of frail older adults across the continuum. It has reduced lengths of stay by 28 percent, lowered readmission rates by 14 percent and other adverse outcomes and inappropriate resource utilization through the successful implementation of evidence-informed care processes, including integrating & coordinating care for the elderly to community care settings that has saved millions and allowed Mount Sinai to close dozens of beds.  Understanding the ACE Strategy Principles and lessons learned on how to apply them in a real world setting will reveal what it took to better deliver better patient and system outcomes.

Topic 5 : Symposium 1: Panel Discussion

Speaker :
Ms Lim Yee Juan , Group Chief Financial Officer, National Healthcare Group
Mr Chan Beng Seng , Group Director of Financial Resource Management, Healthcare Finance (Subvention) and Sector Development and Commissioning, Ministry of Health
Dr Samir K. Sinha MD, DPhil, FRCPC, AGSF , Director of Geriatrics Sinai Health System and the University Health Network, Toronto, Canada
A/Prof Leong Yi Onn Ian , Deputy Divisional Chairman, Division of Integrative & Community Care, Clinical Director, Division for Central Health, Tan Tock Seng Hospital , Senior Consultant, Geriatric Medicine, Department Continuing and Community Care,
Prof Pang Weng Sun , Deputy Group Chief Executive Officer (Population Health), National Healthcare Group, Vice Dean, Clinical Affairs, Lee Kong Chian School of Medicine, Executive Director of the Geriatric Education and Research Institute (GERI), Senior Consultant, Department of Geriatric Medicine, Khoo Teck Puat Hospital and Yishun Community Hospital, National Healthcare Group

Moderator:
Prof Pang Weng Sun

Panelists:
1. Ms Lim Yee Juan
2. Mr Chan Beng Seng
3. 
A/Prof Ian Leong Yi Onn
4. Dr Samir K. Sinha

Symposium 2: Beyond Hospital To Community

Session 1 : SHBC Scientific Competition Award Ceremony 1

More Information Coming Soon!

Session 2 : Symposium 2: Beyond Hospital To Community

Topic 1 : Citation for Plenary 3

Speaker :
A/Prof Tan Thai Lian , Assistant Chairman, Medical Board, Special Projects Tan Tock Seng Hospital
  • Citation for Plenary 3

Topic 2 : Plenary 3: New Service Models and Frameworks for Geriatric Syndromes of Falls, Frailty and Delirium Management

Speaker :
Professor Finbarr C Martin , Emeritus Consultant Geriatrician and Professor of Medical Gerontology, King's College London

Many older people present for acute care with falls, reduced mobility or confusion. There is usually an associated acute event such as a new infection, medication change or distressing event on a background of reduced physiological reserves and/or social support. Identifying and treating a new illness is important but not sufficient. The vulnerable (frail) patient is more prone to deconditioning, complications and poor functional recovery.

Most geriatric syndromes share risk factors so a comprehensive approach in the community or in the hospital should address not only the presenting event but also consider other potential problems. A comprehensive geriatric assessment is required to understand the range of issues and create an individual treatment plan. The plan should look further from the hospital stay to include post acute care and rehabilitation in the community.

As frailty becomes more prevalent in our ageing populations, it must also become “everybody’s business.” We need therefore to create interdisciplinary models of care with specialist geriatricians, nurse practitioners and therapists working with internists, surgeons, anaesthetists and oncologists, etc. The most established model is orthogeriatrics, especially for patients with hip fracture, but evidence for this approach is growing in acute medicine, surgery and cancer care.

He will describe several initiatives in the England NHS and also review the research literature to guide how new service models might look.

Topic 3 : Citation for Plenary 4

Speaker :
Dr Wong Kirk Chuan , Chief Operating Officer, Population Health, National Healthcare Group Campus Chief Operating Officer, Woodlands Health Campus
  • Citation for Plenary 4

Topic 4 : Plenary 4: Local Area Coordination: Transformation of Services & Systems – Multiple Evaluations & Learning

Speaker :
Mr Ralph Broad , Director, Inclusive Neighbourhoods Ltd; Founder, Local Area Coordination Network, UK

This plenary session explores the design, development, implementation and long term outcomes of Local Area Coordination in England and Wales. Taking a look also into creating the conditions for positive outcomes and sustainable change.

Building on 30 years of international learning, Local Area Coordination is an integrated, evidence based approach to supporting people of all ages who may be facing complex life situations (including living with disabilities, mental health needs, ageing) and their families/carers to:

  • Build and pursue their personal vision for a good life.
  • Stay strong/resilient, safe and connected as contributing citizens within their local communities.
  • Build practical, sustainable, local, non-service solutions to problems wherever possible.
  • Build more welcoming, inclusive and supportive communities.

Therefore, rather than waiting for crises and responding with services and money, it is about:

  • Strengthening individuals and families – choice, control, opportunities and resilience.
  • Reducing isolation and loneliness, improving health and well-being
  • Preventing or reducing demand for, or dependency on, costly services wherever possible.
  • Building community capacity and resilience.
  • Supporting service reform and integration, having high quality services as a valued back up to local solutions.

Initially developed in Western Australia in 1988, it is now growing across England and Wales (in large cities, regional cities and towns, rural areas, island communities – alongside people from a wide range of backgrounds) as part of health and social care reform, personalisation and community capacity building. It is also expanding across the whole of Australia, as part of the National Disability Insurance Scheme (NDIS) reforms of disability and mental health services and funding.

Local Area Coordinators are based in local communities and develop a more personal relationship with the wide range of people of all ages facing complex life situations and their families. As they combine a range of traditionally separate roles and work with a full-age range of people in their local communities, they are in an ideal position to build strength, capacity and sustainable local solutions to issues, rather than just intervene in crisis situations.

Local Area Coordination has a strong evidence base after many UK and international evaluations showing that, where there is strong design (fully implementing core design, values, principles and learning) and strong, connected community and service leadership, there are a range of consistent, positive outcomes for individuals, families, communities and the wider system.

To find out more about Local Area Coordination (http://inclusiveneighbourhoods.co.uk)

Topic 5 : Symposium 2: Panel Discussion

Speaker :
Dr Wong Sweet Fun , Senior Consultant, Geriatric Medicine, Khoo Teck Puat Hospital (KTPH), Deputy Chairman, Medical Board, Population Health (KTPH), Chief Transformation Officer and Clinical Director (Population Health & Community Transformation (KTPH and Yishun Health)
A/Prof Tan Thai Lian , Assistant Chairman, Medical Board, Special Projects Tan Tock Seng Hospital
Professor Finbarr C Martin , Emeritus Consultant Geriatrician and Professor of Medical Gerontology, King's College London
Mr Ralph Broad , Director, Inclusive Neighbourhoods Ltd; Founder, Local Area Coordination Network, UK

Moderator:
Dr Wong Sweet Fun

Panelists:
1. Dr Tan Thai Lian
2. Prof Finbarr Martin
3. Mr Ralph Broad

Symposium 3: Beyond Healthcare To Health

Session 1 : Symposium 3: Beyond Healthcare To Health

Topic 1 : Citation for Plenary 5

Speaker :
Dr Shawn Vasoo , Consultant, Department of Infectious Disease, Tan Tock Seng Hospital
  • Citation for Plenary 5

Topic 2 : Plenary 5: Health: The Community Calling

Speaker :
Dr Goh Wei Leong , Chairman and Co-Founder, Medical Committee, Healthserve

The trajectory of healthcare policy is charting a much-needed return to community, but what exactly does that mean for healthcare, and what are the implications of that move for the community? This session will challenge traditional notions of health and healthcare while compelling us to review our perspectives on community, the self and others. It will also examine the real pros and cons of shifting our caregiving frameworks “from hospital to community”, from “quality to value”, and “from healthcare to health”.

Topic 3 : Citation for Plenary 6

Speaker :
Adj Asst Prof Tan Cher Heng , Senior Consultant, Department of Diagnostic Radiology, Tan Tock Seng Hospital
  • Citation for Plenary 6

Topic 4 : Plenary 6: Microsimulation And Health Policy Making

Speaker :
A/Prof Federico Girosi , Chief Scientist, Director, Research of the Digital Health CRC; Associate Professor, University of Western Sydney, Australia

Microsimulation is a type of computer modelling that aims to simulate the behaviour of a large number of synthetic individuals which are representative of a population of interest. Each individual is characterized by a number of unique attributes, such as demographics/socioeconomic status or   disease and healthcare utilization profiles. In a microsimulation individuals exhibit behaviours, allowing them to change some of their attributes, such as health status, in response to external stimuli and random shocks. By appropriately choosing individual behaviours and external stimuli it is then possible to model how interventions and policies affects individual’s health trajectories.

In this talk, A/Prof Girosi will cover basic concepts behind microsimulation modelling and how it can be applied in health policy making. He will present different types of microsimulation models and discuss the conditions under which they are appropriate in the health domain. Microsimulation models are complex, and therefore he will also discuss the alternatives available and the trade-offs involved when trying to decide between when a microsimulation and a simpler type of modelling.  HeI will also discuss the data requirements, the methodological challenges involved during modelling practice and the potential benefits of microsimulation. The presentation is not technical and based on easy-to-understand examples, making it suitable for a wide audience.

Topic 5 : Symposium 3: Panel Discussion

Speaker :
Adj Asst Prof Tan Cher Heng , Senior Consultant, Department of Diagnostic Radiology, Tan Tock Seng Hospital
Dr Shawn Vasoo , Consultant, Department of Infectious Disease, Tan Tock Seng Hospital
Dr Goh Wei Leong , Chairman and Co-Founder, Medical Committee, Healthserve
A/Prof Federico Girosi , Chief Scientist, Director, Research of the Digital Health CRC; Associate Professor, University of Western Sydney, Australia

Moderator:
Adj Asst Prof Tan Cher Heng

Panelists:
1. Dr Shawn Vasoo
2. Dr Goh Wei Leong
3. A/Prof Federico Girosi