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Abstract
Congress

Track Programme

Symposium 1: Beyond Quality To Value – Value Creation in Healthcare

Session 1 : Symposium 1: Beyond Quality to Value – Value Creation in Healthcare

Topic 1 : Defining Value in Singapore Healthcare

Speaker :
Dr Daphne Khoo , Deputy Director of Medical Services, Healthcare Performance Group; Executive Director, Agency for Care Effectiveness, Ministry of Health, Singapore

MOH defines Value in Healthcare as the Outcomes achieved per dollar spent. The Healthcare Performance Group at MOH currently runs 2 different types of value based programs – Health Technology Assessment (HTA) and value based pricing (VBP) of Technologies and Value Driven Care (VDC). HTA evaluations are used for determining if new drugs, devices, tests and services represent good value and if public funds should be used to pay for them. VBP is linked to HTA and allows us to determine what constitutes a fair price for a technology given its known benefits. VDC compares the outcomes and average costs of clinicians performing specific procedures and the Outcomes/Cost ratios allow us to identify best practices as well as areas of waste. While HTA is used to identify high impact, cost-effective technologies, VDC is a Quality Improvement programme.

  • The difference between Quality and Value
  • What matters to Clinicians vs Patients
  • Methods of measuring Value

Topic 2 : Creating Value Through Disruptive Innovation

Speaker :
Prof Des Gorman , Professor of Medicine; Associate Dean, Faculty of Medical & Health Sciences, University of Auckland
  • Innovation is unusual in healthcare
  • There are multiple barriers to innovation in healthcare that need to be addressed
  • There are factors that stimulate innovation – usually a confluence of financial and outcome risk

Topic 3 : Transforming Healthcare for Value: The Montefiore Experience

Speaker :
Dr Steven Safyer MD , President, Chief Executive Officer, Montefiore Medicine, USA

More Information Coming Soon!

Topic 4 : Panel Discussion: Value Creation in Healthcare

Speaker :
Dr Jamie Mervyn Lim , Chief Operating Officer, Tan Tock Seng Hospital
Dr Daphne Khoo , Deputy Director of Medical Services, Healthcare Performance Group; Executive Director, Agency for Care Effectiveness, Ministry of Health, Singapore
Prof Des Gorman , Professor of Medicine; Associate Dean, Faculty of Medical & Health Sciences, University of Auckland
Dr Steven Safyer MD , President, Chief Executive Officer, Montefiore Medicine, USA

Moderator:
1. Dr Jamie Mervyn Lim

Panelist:
1. Dr Daphne Khoo
2. Prof Des Gorman
3. Dr Steven Safyer

SHBC Opening Ceremony & Keynote

Session 1 : SHBC OPENING CEREMONY & KEYNOTE

Topic 1 : Welcome Address by Prof Philip Choo

Topic 2 : Opening Ceremony Video

Topic 3 : Opening Address by Mr Edwin Tong

Guest-of Honour, Senior Minister of State, Ministry of Health

Topic 4 : MOU Signing

Topic 5 : Citation of Keynote Speaker

Topic 6 : SHBC Keynote: Sustainable Healthcare Through Innovation By The "3 Beyonds"

Speaker :
Prof Gabriel Leung , Dean, LKS Faculty of Medicine, The University of Hong Kong

There is no Synopsis for this Keynote Address.

Topic 7 : Keynote Speaker "Token of Appreciation" Presentation

Topic 8 : Prize Presentation

Symposium 2: Beyond Hospital to Community – Transforming Current Models of Care

Session 1 : Symposium 2: Beyond Hospital to Community – Transforming Current Models of Care

Topic 1 : How Does Care Delivery Need To Transform To Prevent Diseases In The Elderly?

Speaker :
Prof Matteo Cesari , Professor, University of Milan

The sustainability of healthcare systems is threatened by the increasing (absolute and relative) number of older persons referring to clinical services. Such global phenomenon is questioning the traditional paradigms of medicine, pushing towards the need of new criteria at the basis of clinical decision algorithms. For example, the chronological age criterion traditionally adopted for determining whether an individual had or not to be referred to geriatric/adapted care is not anymore feasible or reliable. In order to adequately capture the biological complexity of the aging individual and correctly prioritize interventions according to his/her resources and needs, novel models are required. Not surprisingly, the World Health Organization (WHO) has recently proposed to shift the focus of interventions from the construct of disease (and multimorbidity) to that of function (and intrinsic capacity). Person-tailored interventions should be proposed to frail individuals identified as such at their first contact with the healthcare system. Comprehensive geriatric assessment and multidisciplinarity then represent the cornerstones of new approach with the final aim of privileging integration of services and giving value to what really matters to the older person. In this context, the WHO has recently released the recommendations for “Integrated Care for Older People” (ICOPE), which will be presented and discussed during the presentation.

  • Traditional care models are inadequate for frail older persons
  • New models focused on valorization of functions are required
  • Interventions should be guided by the comprehensive geriatric assessment

Topic 2 : Integrated Care Path: A New Model Of Care Delivery

Speaker :
Associate Professor Anders Ahlsson , MD PhD, Associate Professor, FESC Managing Director, Cardiovascular and Neurological Division, Karolinska University Hospital, Sweden

The organization of health care at Karolinska has developed from specialty departments to patient pathways to the present mixed model. The advantages and disadvantages of the different models are discussed as well as lessons learned.

  • Organization along patient pathways is possible
  • Focus on quality will improve quality
  • Fragmentation is always an enemy

Topic 3 : Patient Centeredness: From Medical Home to Community

Speaker :
Prof Kevin Grumbach , Hellman Endowed Professor & Chair, Department of Family and Community Medicine, University of California, San Francisco , USA

Social, environmental, and behavioral factors have a much greater influence over the health of a population than even the best medical care. If the goal of health care organisations is to improve the health of the public, organisations must raise their vision beyond what can be accomplished in a clinic room with an individual patient to address the broader social and environmental context of people’s lives. But how can primary care organisations do this without overstressing already busy clinicians and staff with new responsibilities for community health?

In my presentation, I will provide a conceptual framework for community engagement in primary care. I will provide examples of successful community health initiatives from San Francisco Health Improvement Partnership (SFHIP), focusing on efforts to 1) reduce consumption of soda and other sugary beverages and 2) prevent early childhood dental caries. These initiatives built partnerships between health care organisations, medical research institutions, community groups, and the city public health department that resulted in enactment of new laws and regulations (e.g., s soda tax) and changes in institutional policies to promote community health.

  • Social and community factors have a greater influence than health care on health
  • Primary care must partner with community stakeholders to address social determinants
  • Examples will be given of successful models of community engagement

Topic 4 : Panel Discussion: How Others Do It: Integrating Care For Ageing Population

Speaker :
Dr Wong Kirk Chuan , Chief Operating Officer, Population Health, National Healthcare Group, Campus Chief Operating Officer, Woodlands Health Campus
Prof Matteo Cesari , Professor, University of Milan
Associate Professor Anders Ahlsson , MD PhD, Associate Professor, FESC Managing Director, Cardiovascular and Neurological Division, Karolinska University Hospital, Sweden
Prof Kevin Grumbach , Hellman Endowed Professor & Chair, Department of Family and Community Medicine, University of California, San Francisco , USA
Prof Gabriel Leung , Dean, LKS Faculty of Medicine, The University of Hong Kong

Moderator:

1. Dr Wong Kirk Chuan

Panelist:

  1. Prof Matteo Cesari
  2. Prof Anders Ahlsson
  3. Prof Kevin Grumbach
  4. Prof Gabriel M Leung

Topic 5 : NHG Research Awards

Symposium 3: Beyond Healthcare To Health – Empowerment through Digital Technology

Session 1 : Symposium 3: Beyond Healthcare To Health – Empowerment through Digital Technology

Topic 1 : Enhancing Patient Experience Through Digital Technology

Speaker :
Ms Janet Campbell , Vice President, R&D Relations, Epic, USA

There’s a good chance that you hold in your hand a camera, a recording device, a messaging communicator, a library, a lifeline to expert knowledge, a calorie tracker, and your own personal assistant. And you aren’t alone: technology is advancing, and with this advance can come greater awareness and connection with patients than ever before. In this session, we’ll discuss how technology can enable greater insight into what happens outside four walls of the clinic, and how organizations can leverage that insight strategically to improve patient wellness. That technology not only empowers patients to take more responsibility for their own health, it can also give them the opportunity to become the most engaged employee you’ll ever have, serving as their own secretary, scheduler, check-in clerk, and more. And finally, increasing digitization also unlocks the opportunity to bring more awareness and understanding to all patients, not only of their own conditions, but of the healthcare system itself. But technology alone won’t get us there. Are you ready to change up your approach to care delivery, entrust your patients with more responsibility, and invite them onto their care team as partners? The technology is there; how you use it is up to you.

  • Beyond the four walls of the clinic
  • Put patients to work – they want it!
  • Fighting fear with digital transparency

Topic 2 : SHBC Scientific Competition Award Ceremony 2

Topic 3 : Using Technology to Improve Management of Chronic Diseases and Mental Health in Singapore

Speaker :
Prof Robert JT Morris , Chief Technology Strategist, MOH Office for Healthcare Transformation (MOHT), Singapore

To improve health outcomes while managing cost, we need to move the locus of care into the community and home, and get patients more involved in managing their own health. Several new technologies are now being deployed in Singapore that achieve these goals. One is Home Monitoring, which enables chronic disease patients to take clinical measurements in their home and transmit them to the clinic where they result in technology-enabled feedback and coaching from a clinical partner. This technique, currently being deployed for hypertension and diabetes, allows patients to become more aware of their chronic condition and over time learn its self-management. An emerging technique, known as Digital Phenotyping, allows monitoring of an even wider set of conditions and it is currently being extended to help with Mental Wellness.

  • Healthcare must be simplified so patients can learn to self-manage their health, together with their clinical partners
  • Home Monitoring is already helping with Chronic Disease management
  • Digital Phenotyping is a new technique with even broader promise

Topic 4 : Lessons from a Successful Digital Transformation Journey

Speaker :
Mr Paul Cobban , Chief Data & Transformation Officer, DBS

When we started our transformation journey, we were focused on operational excellence. We used Process Improvement Events (PIEs) to focus on taking out customer hours and ended up saving 250 million customer hours. Through that process we were able to unlock the energy of our people. Everybody could contribute to the customer hours, and it gave our people the confidence that if you put in the work, we’ll get these results. We also made a strategic decision then, quite contrary to the climate of the time, to bring the entire company on this transformation journey that has now spanned a decade and won us multiple global accolades. On the back of this early success, we pivoted to building our transformation around customer obsession and began to look at customer journeys.

As we got better at deriving insights from our customer journeys, we started introducing digital and data concepts into it. We can now look at the relationship between our system performance and customer behaviour, and start predicting problems before they happen using predictive analytics.

For the presentation, Paul will elaborate on the three top ingredients that we believe are central to successful transformation.

  • We have anchored our transformation in changing the organisation’s culture
  • We brought the whole organisation along on the transformation journey
  • Our digital transformation is founded on relentless customer obsession

Topic 5 : Panel Discussion: Innovating Practice in the Era of Digitalisation

Speaker :
A/Prof Thomas Lew
Ms Janet Campbell , Vice President, R&D Relations, Epic, USA
Prof Robert JT Morris , Chief Technology Strategist, MOH Office for Healthcare Transformation (MOHT), Singapore
Mr Paul Cobban , Chief Data & Transformation Officer, DBS
Dr Eric Wong

Moderator:

  1. A/Prof Thomas Lew

Panelist:

  1. Ms Janet Campbell
  2. Prof Robert JT Morris
  3. Mr Paul Cobban
  4. Dr Eric Wong

Mental Health

Synopsis

The centrestage of SHBC 2019 is Sustainable Healthcare through Innovation, built on the MOH Beyond Healthcare 2020 plan and the NHG River of Life framework. This year’s Mental Health and Dementia Track focuses on Living Well with Illness. The 4 sessions in this track will highlight how a sustainable healthcare can be built through identifying gaps in the current provision of care and addressing them through integration, collaboration and innovation.The first session “Dementia Care in Singapore: How Can We Do Better?” is a panel discussion aiming to critically apprise the current framework in the continuum of care for dementia patients and propose ways to improve and add value to the current care model.

This will be followed by the second session on “Hoarding and Mental Health” which will illustrate how patients can have complex needs requiring healthcare workers to collaborate effectively with the social sector and their families to integrate care in the community beyond the hospital setting.

Since the commencement of MOH Beyond Healthcare 2020 plan and NHG River of Life framework, there has been much development and innovation in the area of Mental Health Care in the community. In the afternoon session we will be sharing some of the efforts thus far and further showcasing how we are integrating physical health, mental health, nursing care and social services in the community.

In the last session of the track “E-Mental Health: Where are we now and where are we heading”, we will shift our focus to how we are using technological innovation in enhancing our current provision of mental health care. This session will also share how children can maintain mental wellness in this digital age and prevent the development of mental illness.

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 : Dementia Care In Singapore: How Can We Do Better?

Chairperson :
Dr Chris Tan Ze Jia , Associate Consultant, North Region, Department of Geriatric Psychiatry, Institute of Mental Health
Track Champions :
Dr Chris Tan Ze Jia , Associate Consultant, North Region, Department of Geriatric Psychiatry, Institute of Mental Health
Dr Wei Ker-Chiah , Chief, West Region, IMH
A/Prof Tan Bhing Leet , Associate Professor; Programme Director; Deputy Cluster Director, Health and Social Sciences, Singapore Institute of Technology

Topic 1 : Panel Discussion: Dementia Care in Singapore: How Can We Do Better?

Speaker :
Dr Vanessa Mok , Consultant, Department of Psychological Medicine, Changi General Hospital
Ms Janet Koh Hui Kheng , Caregiver to Mdm Ng Sook Cheng
NC Koh Hui Mien Memory and Dementia Care Team. Khoo Teck Puat Hospital
Lim Si Huan , Senior Clinical Psychologist, Aged Psychiatry Community Assessment and Treatment Service, Institute of Mental Health
Dr Chew Yat Peng , Senior Counsellor, O’Joy Care Services
Mr Stephen Chan , Head Caregiver Support Centre, Alzheimer’s Disease Association

Current expansion of local dementia services has been applauded. In this panel discussion, dementia care workers and caregiver will come together to share their perspectives on what have been done and what are the current gaps.

The panel will comprise of:

  • Caregiver
  • Community care staff
  • Community nurse
  • Community psychologist
  • Voluntary Welfare Organisation staff
  • Psychogeriatrician (Moderator)

In this session, the topic of hoarding will be explored from both a scientific clinical point of view and from a social community point of view.

Session 2 : Hoarding and Mental Health

Chairperson :
Dr Chris Tan Ze Jia , Associate Consultant, North Region, Department of Geriatric Psychiatry, Institute of Mental Health
Track Champions :
Dr Chris Tan Ze Jia , Associate Consultant, North Region, Department of Geriatric Psychiatry, Institute of Mental Health
Dr Wei Ker-Chiah , Chief, West Region, IMH
A/Prof Tan Bhing Leet , Associate Professor; Programme Director; Deputy Cluster Director, Health and Social Sciences, Singapore Institute of Technology

Topic 1 : When tidying the space sparks distress: Research updates on hoarding behaviour

Speaker :
A/Prof Mythily Subramaniam , Director, Research Division, Institute of Mental Health
  • Causes of hoarding behaviour
  • Prevalence and correlates of hoarding among patients with mental illness in Singapore
  • Hoarding through the lens of patients and caregivers

Topic 2 : Is hoarding a form of OCD?

Speaker :
Ms Jackki Yim Hoon Eng , Senior Clinical Psychologist, Department of Psychology, Institute of Mental Health
  • What are the similarities between Hoarding Disorder and Obsessive Compulsive Disorder
  • Differentiating Obsessive Compulsive Disorder from Hoarding Disorder

Topic 3 : Community Intervention and Management of Hoarding Behaviour

Speaker :
Ms Melissa Sng Siok Yen , Nurse Clinician, Community Mental Health Team, Institute of Mental Health

Reclaim your space and your life by engaging with the 8- Step Decluttering Programme

  • Adopting the 8 Step Plan Approach developed in UK
  • Successful Stories of Recovery
  • Challenges faced by Community Mental Health Team
    (CMHT) in managing hoarding in the community

Topic 4 : Managing the Clutter: Practice Experience with Vulnerable Adults

Speaker :
Ms Ravina Said Abdul Rahman , Senior Assistant Director, Adult Protective Service, Ministry of Social and Family Development
The Adult Protective Service (APS) of the Ministry of Social and Family Development is vested with powers to undertake social investigation, assessment and intervention to protect vulnerable adults (VAs) from abuse, neglect or self-neglect under the Vulnerable Adults Act (VAA). Hoarding behaviour that leads to a living environment that undermines the safety and health of the VA is included as a form of self-neglect under the VAA.
 
In the course of its work, APS has come across several cases of VAs with hoarding behaviour. From APS’ experience, intervening and managing VAs with hoarding behaviour is highly challenging, as the behaviour is often a manifestation of multiple underlying issues. These issues need to be addressed with the help of further assessments, social/medical intervention, and a strong support network if a more holistic and permanent solution is to be found to the VA’s hoarding.
 
This presentation gives an insight into APS’ practice framework in the management of hoarding behaviour, the challenges, and the interventions to better the VA’s outcomes. This presentation also aims to share reflections and learnings from practice experience.

In this session, participants will learn about the recent development of mental health care in the community:

  1. Integration of physical and psychiatric care in the community
  2. Dual competency in community nursing care
  3. Integration of psychiatric care and social services in the community
  4. Intervention for alcohol dependency in the community

Session 3 : Development of Mental Health Care in the Community

Chairperson :
Dr Wei Ker-Chiah , Chief, West Region, IMH
Track Champions :
Dr Chris Tan Ze Jia , Associate Consultant, North Region, Department of Geriatric Psychiatry, Institute of Mental Health
A/Prof Tan Bhing Leet , Associate Professor; Programme Director; Deputy Cluster Director, Health and Social Sciences, Singapore Institute of Technology
Dr Wei Ker-Chiah , Chief, West Region, IMH

Topic 1 : Consultation Liaison Psychiatry in an increasingly diverse healthcare ecosystem

Speaker :
Adj A/Prof Rochelle Kinson , Head of Service, Psychiatry, Woodlands Health Campus
  • Historically, mental health and physical health have existed in silos, mental health conditions receiving much less focus compared to physical conditions.
  • These silos have perpetuated the stigma associated with mental health conditions and resulted in unmet care needs, adversely impacting health outcomes and significantly impacting health care costs.
  • Integrating care of mental health and physical health conditions will be discussed embracing ‘the care of the whole person’

Topic 2 : Roles of Community Psychiatric Nursing in the Community

Speaker :
Ms Khoo Xiaofen , Senior Nurse Clinician, Community Health Team, Institute of Mental Health
  • Introduction of services provided by the Community Psychiatric Nursing to allow clients to be independent and integrate back to the community
  • Community Psychiatric Nursing roles in the Community, having better support to clients and families.
  • Introducing dual competencies of Community Psychiatric Nursing to assist clients to have an understanding of their conditions and seek early treatment.
  • Collaboration with community partners to have a holistic support network for clients and families

Topic 3 : Integration of psychiatric care and social services in the community

Speaker :
Mr Low Mun Heng , Senior Assistant Director, Community Reintegration AMKFSC Community Services
  • Mental health clients face many social challenges besides their mental health conditions.
  • Often their recovery is very much intertwined with the social issues they face. They face many obstacles in managing their social concerns.
  • One of the roles of community mental health team like MindCare is to serve as bridge social services to these clients with mental health conditions.
  • The MindCare team can better assist the mental health clients in the community to resolves social issues that might contribute to the mental health recovery using a biopsychosocial perspective.
  • This talk will focus on how MindCare carries out this vital role.

Topic 4 : Assertive community treatment for persons with severe alcohol dependence in Singapore

Speaker :
Mr Jayson Davamoni-Thomas , Senior Occupational Therapist, National Addictions Management Service, Institute of Mental Helath
  • In April of 2018 IMH National Addiction Management Service embarked on a pilot to provide interventions for persons with severe alcohol dependence in the community.
  • These patients generally present at A&E departments and/or come into contact with EMS services.
  • The pilot used an Assertive Community Treatment (ACT) model (similar to that used for treatment for Schizophrenia) and had showed positive results.

In this session, participants will understand about the effects of technology on mental health and the use of technology in mental health provision.

  1. Impact of technology on mental health
  2. Use of technology in mental health treatment: E-CBT
  3. Use of smartphone application in Attention Bias Modification for Individuals with Addictive Disorders
  4. Use of Virtual Reality in Training Community Living Tasks

Session 4 : E-Mental Health: Where Are We Now and Where Are We Heading

Chairperson :
A/Prof Tan Bhing Leet , Associate Professor; Programme Director; Deputy Cluster Director, Health and Social Sciences, Singapore Institute of Technology
Track Champions :
Dr Chris Tan Ze Jia , Associate Consultant, North Region, Department of Geriatric Psychiatry, Institute of Mental Health
A/Prof Tan Bhing Leet , Associate Professor; Programme Director; Deputy Cluster Director, Health and Social Sciences, Singapore Institute of Technology
Dr Wei Ker-Chiah , Chief, West Region, IMH

Topic 1 : Managing your Child’s Digital Diet

Speaker :
Dr Jiow Hee Jhee , Program Director, Singapore Institute of Technology (SIT)
  • Parental concerns surrounding children’s digital use
  • Activities parents engage in to manage their children’s digital diet
  • Common parenting cautions
  • Values to adopt in the children’s digital journey

Topic 2 : Therapist, one click away

Speaker :
Dr Sharon Lu Huixian , Senior Clinical Psychologist, Institute of Mental Health
  • Introduction to the use of technology  in assessment of mental health and delivery of evidence-based mental health treatments, such as for internet-delivered Cognitive Behavioural Therapy (iCBT)
  • Review of evidence for iCBT for different disorders and population groups
  • Findings from local pilot study of iCBT
  • Special considerations in implementing iCBT

Topic 3 : Use of smartphone application in Attention Bias Modification for Individuals with Addictive Disorders

Speaker :
Dr Melvyn Zhang , National Addictions Management Service, Institute of Mental Health , Consultant Psychiatrist,
  • Overview of Attention Bias Modification for Individuals with addictive disorders
  • Feasibility and Acceptability of a Smartphone Application for Attention Bias Modification
  • Application of Participatory Research Design Methods in Conceptualizing a Personalized Attention Bias Modification Application for Individuals with Addictive Disorders

Topic 4 : Using Virtual Reality to Improve Community Functioning of Persons With Cognitive Impairment

Speaker :
A/Prof Tan Bhing Leet , Associate Professor; Programme Director; Deputy Cluster Director, Health and Social Sciences, Singapore Institute of Technology
  • Persons with cognitive impairment often experience difficulties in performing community living tasks effectively.
  • Cognitive rehabilitation involves training these task components in the real-world setting, in order to facilitate community independence.
  • Virtual reality can be used as an adjunctive intervention tool, to simulate various community living scenarios. This will allow therapists to facilitate the training of these task components in a systematic, safe and an enjoyable manner.
  • This presentation will cover the initial development phase of a virtual reality prototype

Population Health Symposium

Synopsis

This year, the Population Health Symposium 2019 highlights various perspectives of population health in our healthcare system.

Population Health through the various lenses of public health, primary care and health promotion perspectives provide a broader understanding of population health and its various impacts.

Population Health in our backyard showcases emerging groups that contributed to the car of the population in the community through their novel programmes.

Population Health Research examines the need to pay close attention to our data, stakeholders and intervention designs and the enablers of population health research.

Behavioural Sciences in Population Health takes the form of a hypothetical community in Singapore, presenting with needs based on the demography and prevalence of chronic illnesses, and includes a dynamic debate and discussion session.

Through various lenses, population health has different meanings and perspectives. In this session, three experts from Public Health, Primary Care and Health Promotion Board (HPB) will share with us their various perspectives on population health. Through this session, one will glean a broader understanding of population health and its various impacts

Moderator: Dr Chan Peng Chew Mark

Session 1 : Population Health through the Various Lenses

Chairperson :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group
Track Lead :
A/Prof Leong Yi Onn Ian , Senior Consultant, Geriatric Medicine, Department of Continuing and Community Care, Deputy Divisional Chairman, Division of Integrative and Community Care, Clinical Director, Division for Central HealthTan Tock Seng Hospital
Track Champions :
Dr Joanne Kua , Senior Consultant, Department of Geriatric Medicine, Tan Tock Seng Hospital

Topic 1 : Public Health Perspective of Population Health

Speaker :
Dr Fereen Liew , Director, Marriage and Parenthood Policy Directorate, Policy and Planning Directorate, National Population, Talent Division Strategy Group, Prime Minister’s Office

The determinants of population health typically include healthcare, individual behavior, social environment, physical environment and genetics. These in turn are influenced by policies and programs. This session will discuss insights on how some policies, which may or may not be directly related to healthcare, have potential impact and implications on population health.

Topic 2 : Primary Care Perspective of Population Health

Speaker :
A/Prof Tan Boon Yeow , Chief Executive Officer and Senior Consultant, St Luke’s Hospital (SLH), Adj. Associate Professor, Yong Loo Lin School of Medicine, National University Hospital (NUH), Duke-NUS Graduate Medical School Singapore

The session will cover the definition of Population Health and what it means for the Primary Health Care System. The expanding role of Primary Care will be explored, with the introduction of relevant concepts and principles that may be useful for Primary Care Providers when they embark on developmental work in the field of Population Health. These concepts include the Life Course Approach, Social Prescribing, and creating Care Ecosystems to holistically address the multi-dimensional determinants of health.

 Lastly, the session will touch on St. Luke’s Hospital’s experience working on a Population Health Project known as Western SilverCare. This project provides real world examples of how the aforementioned concepts and ideas can be applied in our local context. It is a work in progress and Western SilverCare will continue to expand and refine its programme to improve the population’s health.

Topic 3 : Health Promotion Perspective of Population Health

Speaker :
Ms Vasuki Utravathy , Senior Deputy Director, Health Screening and Management, Regional Health and Community Outreach, Health Promotion Board

Established in 2001, the Health Promotion Board (HPB) is committed to promoting healthy living in Singapore. To achieve its vision of ‘a nation of healthy people’, in 2015, HPB adapted population health strategies to increase the capacity of people to adapt to, respond to, or control life’s challenges and changes. These strategies, how it has fared in the last 3-4 years as well as how HPB would evolve its efforts to make better use of the changes in its operational landscape would be discussed in this presentation.

Topic 4 : Q&A Session, Summary & Closing

Speaker :
Dr Mark Chan Peng Chew , Division Chairman, Integrative and Community Care, Senior Consultant, Geriatric Medicine, Tan Tock Seng Hospital

This session brings together different groups of people who have contributed to the care of the population in the community through their novel programmes. St Hilda’s @ Jalan Batu is a set-up that incorporates various modalities of community support all within the same vicinity. The programme that Hougang Sheng Hong Family Service Centre shares with Fei Yue Community Services and Tan Tock Seng Hospital’s Central Health team will showcase the complexity of the type of patients they look after that require a collaborative effort to better manage them within the community. Lastly, we will also not forget the ageing intellectually disabled persons and discover the recent community resources that enable them to age in place. We will understand the needs of the various programmes, appreciate the processes and challenges experienced by them in the setting up and learn from their innovative approach in overcoming the challenges.

Moderator: A/Prof Leong Yi Onn Ian

Session 2 : Population Health in Our Backyard – Examples and Emerging Groups

Chairperson :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group
Track Lead :
A/Prof Leong Yi Onn Ian , Senior Consultant, Geriatric Medicine, Department of Continuing and Community Care, Deputy Divisional Chairman, Division of Integrative and Community Care, Clinical Director, Division for Central HealthTan Tock Seng Hospital
Track Champions :
Dr Joanne Kua , Senior Consultant, Department of Geriatric Medicine, Tan Tock Seng Hospital

Topic 1 : Novel Programme 1: St Hilda’s @ Jalan Batu

Speaker :
Mrs Quek Ai Siew , Vice Chairman, St Hilda's Community Services Centre

Tracing the evolution of St Hilda’s Community Services Centre’s outreach activities over 20 years through the lives of two families in the community.

Topic 2 : Community Best Practices in Overcoming Multifaceted Challenges for Clients

Speaker :
Mr Noel Ang , Assistant Director, Hougang Sheng Hong Family Service Centre (FSC)
Ms Nagoor Mohideen Fatimah , Assistant Senior Social Worker, Hougang Sheng Hong Family Service Centre (FSC)
Ms Lau Lee Pai , Social Worker, Fei Yue Community Services
Ms Stephy Yang , Social Worker, Fei Yue Community Services
Ms Alison Yeo , Community Health Team Nurse, TTSH & Central Health
Mr Milton Chiam , Zonal Operations Executive, TTSH & Central Health

The case scenario will be re-enact through a skit, scene by scene, bringing you through the different phases of how a struggling grandmother overcame her barriers with the assistance of well-knitted community partners. Through this skit, the principles applied will highlight the different roles played by different professionals to better serve the care recipients in a multi-agency approach.

Multi-Agency Team: Fei Yue Community Services, Hougang Sheng Hong Family Service Centre, Tan Tock Seng Hospital

Multi-Agency Team: Fei Yue Community Services, Hougang Sheng Hong Family Service Centre, Tan Tock Seng Hospital The 3 agencies are aligned and aware of the expertise each has to offer, so as to achieve seamless case management for any one client who needs assistance from multiple areas such as social or medical.  This brings greater convenience for clients and promotes strong confidence in agencies, knowing that they are not alone in the spirit of community

Topic 3 : The Invisible Population(s): Ageing Persons with Intellectual Disability and their Ageing Caregivers

Speaker :
Dr Chen Shiling Tsao Foundation

Persons with intellectual disability (PWID) are living longer, resulting in a growing population of ageing PWID in the world. They have greater and more complex healthcare needs, and often present differently from the general population.

Ageing caregivers are a unique group amongst caregivers.They are lifelong caregivers, and this has significant repercussions on their physical and mental health. This caregiving role also becomes more challenging as they grow older, for they have to cope with ageing issues in both themselves and their children.

All of these lead to a set of unique and complex challenges faced by ageing PWID and their ageing caregivers, which needs to be addressed urgently.

Topic 4 : Q&A Session, Summary & Closing

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

The conduct of population health research is challenging. Beyond crafting relevant research questions and choosing optimal study designs, there is also a need to pay close attention to our data, stakeholders and intervention designs. This session will enable one to be exposed to the enablers of population health research.

Moderator: A/Prof Ding Yew Yoong

Session 3 : Population Health Research – Enablers for Impact

Chairperson :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group
Track Lead :
A/Prof Leong Yi Onn Ian , Senior Consultant, Geriatric Medicine, Department of Continuing and Community Care, Deputy Divisional Chairman, Division of Integrative and Community Care, Clinical Director, Division for Central HealthTan Tock Seng Hospital
Track Champions :
Dr Joanne Kua , Senior Consultant, Department of Geriatric Medicine, Tan Tock Seng Hospital

Topic 1 : Big Data Analytics and Its Use in Population Health

Speaker :
A/Prof Kelvin Bryan Tan , Director, Policy, Research and Evaluation Division, Ministry of Health

With the hype over big data, big data analytics has been touted as powerful tool to deliver targeted cost-effective interventions. This presentation shares the necessary approach to leverage on big data, as well as some of the insights that have been obtained using such analytics.

Topic 2 : Stakeholder Engagement Towards Maximizing Implementation

Speaker :
Prof May Wang , Professor, Community Health Sciences, Fielding School of Public Health, University of California (UCLA), Los Angeles (USA), Visiting Professor, Saw Swee Hock School of Public Health, National University of Singapore (NUS)

While we have amassed a considerable knowledge base of the epidemiology of chronic diseases such as cancer and heart disease, and public health intervention strategies to prevent disease and promote health, there is a considerable gap between research and practice. To narrow this gap, there is increasing recognition of the need to engage stakeholders. This session will discuss this need – why stakeholder engagement is important and how stakeholders can be identified and engaged to facilitate the translation of research into practice so as to maximize implementation.

Topic 3 : What Works?: A Theory-Driven Approach to Evaluation

Speaker :
Dr Robyn Tan , Research Fellow, Social Service Research Centre, Faculty of Arts and Social Sciences, National University of Singapore

Policies, programmes and interventions are not universally successful. They do not work in the same way for everyone and they work better in some circumstances than in others. Hence, understanding what works, how it works, for whom it works for, and under what conditions is key. The theory-driven approach to evaluation examines the theoretical assumptions in relation to how the policy, programme or intervention is implemented, and the mechanisms through which it brings about change in a specific context. This could potentially provide a detailed understanding of its design and implementation of interest to policy makers, programme planners and implementers.

Topic 4 : Q & A Session

Speaker :
A/Prof Ding Yew Yoong , Senior Consultant, Department of Geriatric Medicine, Tan Tock Seng Hospital
A/Prof Kelvin Bryan Tan , Director, Policy, Research and Evaluation Division, Ministry of Health
Prof May Wang , Professor, Community Health Sciences, Fielding School of Public Health, University of California (UCLA), Los Angeles (USA), Visiting Professor, Saw Swee Hock School of Public Health, National University of Singapore (NUS)
Dr Robyn Tan , Research Fellow, Social Service Research Centre, Faculty of Arts and Social Sciences, National University of Singapore

Topic 5 : Summary & Closing

Speaker :
A/Prof Ding Yew Yoong , Senior Consultant, Department of Geriatric Medicine, Tan Tock Seng Hospital

Changing personal health behaviours remain the holy grail of maintaining the health of a population. It is estimated that about 30% of the health of any population is dependent on the behaviours of the people. It has been shown to be approximately twice as important as the healthcare system.

While we may be familiar with strategies to promote individual behavioural change, we are not so familiar with how we could influence the behaviours of a distinct population, for example a neighbourhood

The symposium takes the form of a hypothetical community in Singapore, presenting with needs based on the demography and prevalence of chronic illnesses. The speakers will give three different perspectives by which the health of this population could be optimised by influencing their behaviours.

Moderator: Dr Angeline Seah

Session 4 : Behavioural Sciences in Population Health

Chairperson :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group
Track Lead :
A/Prof Leong Yi Onn Ian , Senior Consultant, Geriatric Medicine, Department of Continuing and Community Care, Deputy Divisional Chairman, Division of Integrative and Community Care, Clinical Director, Division for Central HealthTan Tock Seng Hospital
Track Champions :
Dr Joanne Kua , Senior Consultant, Department of Geriatric Medicine, Tan Tock Seng Hospital

Topic 1 : Solution of Problem through Technology Based Strategies (Gamification/App Creation)

Speaker :
Dr Stephen Chan , Chief Medical Informatics Officer, Woodlands Health Campus (WHC)

Topic 2 : Solution of Problem through Disease Based Strategies

Speaker :
Dr Timothy Quek , Consultant, Department of Endocrinology, Tan Tock Seng Hospital

Topic 3 : Solution of Problem through Behavioural Based Strategies

Speaker :
Dr Loke Wai Chong , Clinical Director (Programmes) and Lead (InHealth), MOH Office for Healthcare Transformation, Ministry of Health (MOH) Office for Healthcare Transformation
Dr Chiong Yee Keow

Topic 4 : Debate and Discussion

Speaker :
Dr Angeline Seah , Head & Senior Consultant, Khoo Teck Puat Hospital

Topic 5 : Audience Response via PigeonHole

Speaker :
Ms Christina Low , Manager, Population Health Office, National Healthcare Group

Topic 6 : Summary and Closing

Speaker :
Prof Gabriel Leung , Dean, LKS Faculty of Medicine, The University of Hong Kong

Primary Care Forum 2019

Synopsis

The Primary Care Forum is an annual conference for primary care professionals. This year’s theme is titled Primary Care: Innovative Communities, Co-design for Quality.

In this era of increasing non-communicable disease burden and an ageing population, healthcare systems have become aware of the need to go upstream beyond looking after patients at the door of the medical home to how health and wellness can be imbued in the broader community. During the forum, our invited speakers will explore further how healthy living can be promoted through innovative means for the population at large.

Primary care continues to be focused on patient-centeredness to deliver high quality care. Designing healthcare with the patient in mind is a concept that has been gaining traction in Singapore. We hope to hear from several experts the nuts and bolts on how to use consumer experience as a factor in designing a care delivery system in our push for excellent patient-centered primary care.

We are delighted to have Professor Kevin Grumbach who is Hellman Endowed Professor and Chair of the Department of Family and Community Medicine at the University of California, San Francisco.

At our Saturday General Practice Symposium, we will have various specialists speak on a range of topics focusing on metabolic conditions across age groups, from paediatric to geriatric, reflecting the clinical breadth our GPs encounter in day to day practice.

We look forward to you joining us at Primary Care Forum 2019.

Session 1 : PCF Opening & Plenary 1: The Interplay of Primary Care & Social Determinants

Chairperson :
Dr Darren Seah , Family Physician; Consultant; Director, Family Medicine Development, National Healthcare Group Polyclinics

Topic 1 : The Interplay of Primary Care & Social Determinants

Speaker :
Prof Kevin Grumbach , Hellman Endowed Professor & Chair, Department of Family and Community Medicine, University of California, San Francisco , USA

Session 2 : Symposium 1: From Health to Health: Heading Upstream

Chairperson :
Dr Karen Ng , Family Physician; Consultant; Director, Clinical Services, National Healthcare Group Polyclinics
Dr David Ng , Family Physician; Consultant; Clinic Head, Toa Payoh Polyclinic, National Healthcare Group Polyclinics

Topic 1 : Running Successful Community Based Health Initiatives

Speaker :
Dr Mary Ann Tsao , Chairman, Tsao Foundation

Topic 2 : Ensuring a Healthy Living Space: Kampung Admiralty

Speaker :
Ms Pearl Chee , Director, WOHA

Topic 3 : Getting a Fitness Boost: The Step Challenge Way

Speaker :
Mr Maurice Tan , Deputy CEO, Health Promotion Board

Topic 4 : Food for Though: Healthy Diet by Design

Speaker :
Dr Lee Sook Yee , Biochemist, Alchemy Foodtech

Session 3 : PCF Plenary 2: Co-Designing for Health: Giving Voice to the Patient

Chairperson :
Dr Tung Yew Cheong , Family Physician; Senior Consultant; Director, Care Integration, Primary Care Transformation Office, National Healthcare Group Polyclinics

Topic 1 : PCF Plenary 2: Co-Designing for Health: Giving Voice to the Patient

Speaker :
Prof Kevin Grumbach , Hellman Endowed Professor & Chair, Department of Family and Community Medicine, University of California, San Francisco , USA

Session 4 : PCF Symposium 2: From Ideas to Reality: Quality by Design

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

Topic 1 : Beyond Aesthetics: Transforming User Experiences

Speaker :
Mr Jacks Yeo , Deputy Executive Director, DesignSingapore Council

Topic 2 : Designing Healthcare with the Patient in Mind

Speaker :
Ms Chong Pue Kim , Director, Facilities Development & Management, Tan Tock Seng Hospital

Session 5 : NHGP Quality Day

Topic 1 : Defining Quality in the Tourist Experience

Speaker :
Mr Keith Tan , Chief Executive Officer, Singapore Tourism Board

Living with Frailty: Unravellling The Impact of Metabolic Diseases

Synopsis

As frailty gains further traction in our healthcare landscape, take this opportunity to engage with plenary speaker Prof Matteo Cesari and our multidisciplinary panel of local experts. Aligned with NHG’s River of Life framework towards developing a frailty-ready healthcare system, the Living with Frailty (Metabolic) track builds upon our accrued insights in sarcopenia and muscle health; embraces the complexities in related upstream conditions of diabetes and osteoporosis; all against the backdrop of applying evidence based practice in the real world of frail older adults.

  1. Appreciate key concepts in sarcopenia and application to clinical practice
  2. Gain insight on the relevance of sarcopenia and learning points from current local research, and the potential of conducting research in the field of sarcopenia
  3. Recognise the viability of exercise interventions for prevention and treatment of sarcopenia in older adults
  4. Recognise key concepts, myths and opportunities in nutritional interventions for prevention and treatment of sarcopenia

Session 1 : Sarcopenia And Muscle Health: Why Now, Why Here, And Making It Happen

Chairperson :
A/Prof Ding Yew Yoong , Senior Consultant, Department of Geriatric Medicine, Tan Tock Seng Hospital
Track Lead :
A/Prof Lim Wee Shiong , Senior Consultant, Department of Geriatric Medicine, Research Lead, Institute of Geriatrics and Active Ageing (IGA)Tan Tock Seng Hospital
Track Champions :
A/Prof Lim Wee Shiong , Senior Consultant, Department of Geriatric Medicine, Research Lead, Institute of Geriatrics and Active Ageing (IGA)Tan Tock Seng Hospital
Ms Kalene Pek , Assistant Director, Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital

Topic 1 : Sarcopenia: From Theory to Practice

Speaker :
Prof Matteo Cesari , Professor, University of Milan
  • Provide an overview of key concepts in sarcopenia
  • Highlight applications to clinical practice

Topic 2 : Sarcopenia: Insights from the GERILABS study

Speaker :
A/Prof Lim Wee Shiong , Senior Consultant, Department of Geriatric Medicine, Research Lead, Institute of Geriatrics and Active Ageing (IGA) Tan Tock Seng Hospital
  • Highlight learning points from current local research
  • Illustrate the potential of doing research in the field of sarcopenia

Topic 3 : Use It Or Lose It: Exercise As Medicine For Muscle Health

Speaker :
Ms Lee Sin Yi , Principal Physiotherapist, Department of Physiotherapy, Tan Tock Seng Hospital
  • Demonstrate the viability of exercise interventions for prevention
  • Exercise interventions as treatment of sarcopenia in older adults

Topic 4 : Muscle Healthy Diet: Facts, Myths And Opportunities

Speaker :
Dr Lim Yen Peng , Head; Senior Principal Dietitian, Department of Nutrition & Dietetics, Tan Tock Seng Hospital
  • Emphasize key concepts and dispel myths in a muscle healthy diet
  • Highlight opportunities in nutritional interventions for prevention and treatment of sarcopenia
  1. Identify the challenges and difficulties faced by older adults with type 2 diabetes (T2D)
  2. Understand the principles of individualised diabetes treatment in older adults with T2D from a case-based approach
  3. Appreciate the role of technology in facilitating individualised diabetes treatment in older adults
  4. Recognise the psychosocial aspects of T2D care and the community resources/help available

Session 2 : War Against Diabetes: Helping Our Seniors Win The Fight

Chairperson :
A/Prof Daniel Chew , ACMB, Medical Manpower Development; Head; Senior ConsultantDepartment of Endocrinology, Tan Tock Seng Hospital
Track Lead :
A/Prof Lim Wee Shiong , Senior Consultant, Department of Geriatric Medicine, Research Lead, Institute of Geriatrics and Active Ageing (IGA)Tan Tock Seng Hospital
Track Champions :
Dr Alvin Tan , Consultant, Department of Endocrinology, Tan Tock Seng Hospital

Topic 1 : Personalised Diabetes Management: Navigating The Complexities Of Diabetes Care

Speaker :
Dr Seow Cherng Jye , Consultant, Department of Endocrinology, Tan Tock Seng Hospital
  • Illustrate the principles of individualised diabetes treatment in older adults
  • Using a case-based approach for individualised treatment in older adults with diabetes
  • Use of technology in diabetes management in the elderly

Topic 2 : It’s Not Just Medications: Addressing The Psychosocial Aspects Of Diabetes Care

Speaker :
Ms Kitty Lee , Senior Medical Social Worker, Department of Medical Social Services, Woodlands Health Campus
  • Describe the importance of addressing psychosocial concerns of diabetic care
  • Maintain psychological well-being of older adults with diabeteskitt

Topic 3 : Caring For Our Older Adults With Diabetes In The Community

Speaker :
Ms Esther Bong , Staff Nurse, TOUCH Diabetes Support
  • Provide an overview of the community resources available to help older adults manage their diabetes
  • Introduce community resources available to help older adults with diabetes lead a healthy lifestyle
  1. Understand surgical concerns in osteoporosis and complications of its treatment
  2. Appreciate the role of rehabilitation in bone health
  3. Gain insight to the Fracture Liaison service
  4. Recognise cutting edge and the future of osteoporosis treatment, including challenges and possible areas of research

Session 3 : Osteoporosis Update: Insights From The Inside

Chairperson :
Dr Michael Yam , Senior Resident, Department of Orthopaedic Surgery, Tan Tock Seng Hospital
Track Lead :
A/Prof Lim Wee Shiong , Senior Consultant, Department of Geriatric Medicine, Research Lead, Institute of Geriatrics and Active Ageing (IGA)Tan Tock Seng Hospital
Track Champions :
Dr Michael Yam , Senior Resident, Department of Orthopaedic Surgery, Tan Tock Seng Hospital

Topic 1 : Surgical Concerns In Osteoporosis And Complications Of Its Treatment

Speaker :
Dr Daniel Hap , Senior Resident, Department of Orthopaedic Surgery Tan Tock Seng Hospital
  • Increasing trend of fragility fractures
  • Atypical fractures related to bisphosphonate use and the surgical challenges
  • The role of orthopaedic surgeon in osteoporosis treatment

Topic 2 : Rehabilitation And Bone Health

Speaker :
Ms Ivy Ho Wei Fang , Senior Physiotherapist, Pain Management Clinic, Tan Tock Seng Hospital
  • Importance of musculoskeletal rehabilitation in patients with an increased risk of fractures due to osteoporosis.
  • Prevention of fractures as a result of osteoporotic fragility

Topic 3 : Fracture Liaison Service

Speaker :
Ms Fadzleen Johari , Nurse Clinician, Office of Clinical Governance, Case Management, Tan Tock Seng Hospital
  • Fracture begets fracture
  • Fragility fractures due to osteoporosis add to the burden of the rapidly ageing society in Singapore. Early and timely intervention is crucial in recurrence of fractures
  • Fracture Liaison services helps in closing the treatment gap

Topic 4 : Osteoporosis: An update

Speaker :
Dr Chew Chee Kian , Consultant, Department of Endocrinology, Tan Tock Seng Hospital
  • Osteoporosis is estimated to affect up to 200 million women worldwide
  • Many postmenopausal women at highest risk do not receive treatment to prevent major osteoporotic fractures
  • Appropriate screening and diagnosis of osteoporosis can identify the high risk group and effective treatments are available to reduce their fracture risks.
  1. To appreciate the challenges of applying evidence based medicine in the real world experience of frail older adults
  2. To understand the principles and concept of evidence balanced medicine
  3. To apply these principles in the management of a complex frail older adult through an interactive case discussion from the interprofessional perspective

Session 4 : Evidence Based Practice In The Real World Of Frail Older Adults

Chairperson :
Ms Jasmine Kang , Assistant Director of Nursing; Advanced Practice Nurse (Geriatrics), Department of Nursing Service, Tan Tock Seng Hospital
Ms Tan Keng Teng , Principal Pharmacist (Specialist), Department of PharmacyTan Tock Seng Hospital
Track Lead :
A/Prof Lim Wee Shiong , Senior Consultant, Department of Geriatric Medicine, Research Lead, Institute of Geriatrics and Active Ageing (IGA)Tan Tock Seng Hospital
Track Champions :
Ms Jasmine Kang , Assistant Director of Nursing; Advanced Practice Nurse (Geriatrics), Department of Nursing Service, Tan Tock Seng Hospital
Ms Tan Keng Teng , Principal Pharmacist (Specialist), Department of PharmacyTan Tock Seng Hospital

Topic 1 : Evidence Balanced Practice In The Real World Of Frail Older Adults

Speaker :
Dr David Ng , Associate Consultant; Department of Geriatric Medicine, Tan Tock Seng Hospital
  • Introduce the concept of evidence-balanced medicine in the care of frail older adults
  • Highlight key considerations in the application of evidence in the frail older adult
  • Share examples in applying evidence in the care of frail older adults

Topic 2 : Frailty In The Eyes Of The Beholder

Speaker :
Ms Zhu Birong , Advanced Practice Nurse (Geriatrics) Department of Nursing Services, Tan Tock Seng Hospital
  • Highlight the effectiveness of nursing interventions in frailty
  • Key considerations of frailty in nursing interventions
  • Practical implications of frailty in nursing interventions

Topic 3 : Frailty: The Exercise Rehabilitation Imperative

Speaker :
Ms Faezah Ghazali , Senior Physiotherapist, Department of Physiotherapy, Tan Tock Seng Hospital
  • Introduce evidence supporting the role of exercise in frailty prevention and management
  • Highlight key exercise recommendations for the frail older adult
  • Translating evidence to practice: considerations and adaptations for the frail older adult

Topic 4 : Frailty and Polypharmacy: Less is More?

Speaker :
Ms See Lin Li , Senior Pharmacist, Department of Pharmacy Tan Tock Seng Hospital
  • Overview of the interplay between frailty and polypharmacy
  • Key principles of medication evaluation and management for optimal treatment outcomes in a frail older person

Acute Medicine in the 21st Century

Synopsis

Join us in a day of delving into the nuts and bolts of the practice of Acute Medicine in Singapore. Find out more from the sharing sessions, revelations of the successes and challenges, and hands-on education.

Join us in a day of delving into the nuts and bolts of the practice of Acute Medicine in Singapore. Find out more from the sharing sessions, revelations of the successes and challenges, and hands-on education.

  • Historical background of Acute Medicine in Singapore and in the UK
  • Setting up a new unit with a new mindset or culture
  • Challenges, Successes and Failures
  • What is in the future for Acute Medicine

Session 1 : Acute Medicine & Acute Frailty in TTSH: Creation of New Services from Scratch

Track Lead :
Adj A/Prof Endean Tan , Consultant, Department of General Medicine; Head, Acute Internal Medicine Service, Tan Tock Seng Hospital

Topic 1 : TTSH Acute Internal Medicine Service (AIMS) – Introduction, Operations, Outcomes

Speaker :
Adj A/Prof Endean Tan , Consultant, Department of General Medicine; Head, Acute Internal Medicine Service, Tan Tock Seng Hospital

Topic 2 : Singapore Acute Medicine Network - SAMNET

Speaker :
Adj A/Prof Endean Tan , Consultant, Department of General Medicine; Head, Acute Internal Medicine Service, Tan Tock Seng Hospital

Topic 3 : Emergency Department Intervention for Frailty (EDIFY)

Speaker :
Ms Tan Hongyun , Advanced Practice Nurse, Nursing Services, Tan Tock Seng Hospital
  • Hazards of hospitalization
  • Emergency Department Intervention for Frailty (EDIFY)
  • EDIFY result and case sharing

Join us in a day of delving into the nuts and bolts of the practice of Acute Medicine in Singapore. Find out more from the sharing sessions, revelations of the successes and challenges, and hands-on education.

Session 2 : Acute Medicine – The Singapore Story

Track Lead :
Adj A/Prof Endean Tan , Consultant, Department of General Medicine; Head, Acute Internal Medicine Service, Tan Tock Seng Hospital

Topic 1 : Acute Medical Unit Experience at NUH

Speaker :
Dr John Soong , Associate Consultant, Department of Medicine, NUH
  • Evolution of AMU at NUH
  • Current model of care
  • Future plans

Topic 2 : Delivering Acute Medicine in NUH and Singapore: Prospects and Challenges

Speaker :
Asst Prof Audrey Wong , Consultant, Division of Internal Medicine, University Medicine Cluster, National University of Singapore
  • Journey of Acute Medicine in NUH and Singapore
  • Challenges faced in delivering Acute Medicine in NUH and Singapore
  • Prospects and Opportunities for Acute Medicine in the local context and SAMNet

Topic 3 : KTPH’s Acute Medical Unit journey – Our Highs and Lows

Speaker :
Dr Thofique Adamjee , Consultant, Department of General Medicine, Khoo Teck Puat Hospital

• KTPH’s AMU evolution
• Lessons learnt – words of caution for new AMUs
• Should AMU’s take higher acuity patients?

Topic 4 : Sharing of Acute Medical Ward Experience in SGH

Speaker :
Dr Tharmmambal Balakrishnan , Consultant, Department of Internal Medicine, Singapore General Hospital
  • AMW Experience and results
  • Interventions
  • Challenges

Join us in a day of delving into the nuts and bolts of the practice of Acute Medicine in Singapore. Find out more from the sharing sessions, revelations of the successes and challenges, and hands-on education.

  • Participants will be brought through a rapid fire set of clinical cases relevant to MRCP (UK) and MRCP (Acute Medicine) examinations
  • Teaching points and resources will be shared

Session 3 : Acute Medicine Education – Cases & Exams

Track Lead :
Adj A/Prof Endean Tan , Consultant, Department of General Medicine; Head, Acute Internal Medicine Service, Tan Tock Seng Hospital

Join us in a day of delving into the nuts and bolts of the practice of Acute Medicine in Singapore. Find out more from the sharing sessions, revelations of the successes and challenges, and hands-on education.

  • Nursing is the most critical component of the successful running of Acute Internal Medicine Service (AIMS)
  • Presenting the training and establishment of a high-performance, empowered culture of AIMS nurses
  • Nursing education in AIMS

Session 4 : Nursing Empowerment in Acute Medicine

Track Lead :
Adj A/Prof Endean Tan , Consultant, Department of General Medicine; Head, Acute Internal Medicine Service, Tan Tock Seng Hospital

Topic 1 : Team Building & Capability

Speaker :
Adj A/Prof Endean Tan , Consultant, Department of General Medicine; Head, Acute Internal Medicine Service, Tan Tock Seng Hospital

Topic 2 : Nursing Empowerment in Acute Medicine

Speaker :
Ms Li Lihong , Advanced Practice Nurse, Department of General Medicine, Tan Tock Seng Hospital
  • Overview of nursing education in AIMS
  • Experiences in AIMS as an APN intern
  • Education role as an APN intern

Allied Health Workforce Transformation & Innovation

Synopsis

This track, hosted by Centre for Allied Health and Pharmacy Excellence (CAPE), aims to bring allied health professionals together to share initiatives on allied health care redesign and workforce transformation, With the rapidly ageing population and the growing burden of chronic diseases, there is a corresponding increase in manpower demand for professional staff. Growing the Allied Health Professionals (AHPs) workforce in tandem with the demand has become increasingly challenging given the shrinking workforce. More sustainable strategies that adopt a different model of manpower need to be considered.  The allied health professionals aim to reduce deliver higher value-based care through these innovation initiatives which include transdisciplinary model of care, therapy role redesign, process redesign and technology enabled care.

This track is presented as a series of short powerful talks organized under the 3 subthemes of Transdisciplinary Care, Tech-enabled Care and Workforce Transformation. This track also adopts an interactive style of audience engagement through World Café stalls manned by speakers, allowing intimate discussion in small groups. The organisers hope to bring together a community of practice to co-learn and co-create new healthcare possibilities together.

Session 1 : Session 1: ALLIED HEALTH WORKFORCE TRANSFORMATION & INNOVATION

Track Lead :
Ms Doreen Yeo , Chairperson, Allied Health Services & Pharmacy Division, Tan Tock Seng Hospital
Track Champions :
Ms Miona Tan , Assistant Manager, Centre for Allied Health & Pharmacy Excellence (CAPE)Tan Tock Seng Hospital
Ms Gan Yi Ming , Assistant Director (Manpower), Allied Health Services & Pharmacy Division; Senior Principal Physiotherapist, Tan Tock Seng Hospital

Topic 1 : Opening Note

Speaker :
Ms Lim Hong Yee , Centre Director, CAPE; Head of Department, Pharmacy, Tan Tock Seng Hospital

Topic 2 : Improving Collaborative Care through a Transdisciplinary Model in Physiotherapy and Occupational Therapy

Speaker :
Ms Roselyn Choo , Principal Physiotherapist, Department of Physiotherapy, Tan Tock Seng Hospital
  • Transdisciplinary approached between PT and OT was trailed in an acute medical ward.
  • With cross competency training, this model used an integrated screening and assessment approach to triage suitable group of patients referred.
  • This model helped can help to reduce therapy sessions for patients with generic care needs

Topic 3 : A Journey Towards Transdisciplinary Care of Patients in IMH

Speaker :
Dr Ong Lue Ping , Head, Department of Psychology, Institute of Mental Health
  • Rationale for transdiciplinary care of patients in IMH
  • Process of developing transdiciplinary allied health skills and knowledge
  • Pilot so far

Topic 4 : How A Transdisciplinary Model Of Care In The Home Setting Has Impacted Patient Care And The Workforce

Speaker :
Mr Jason Peh Jiesheng , Senior Occupational Therapist, Rehabilitation Services, Khoo Teck Puat Hospital
  • Idea behind creation of transdisciplinary care in the home setting
  • Transdisciplinary training content among allied health professionals
  • Impact on patient care and workforce in Yishun Health

Topic 5 : Transdisciplinary Care Practice in Allied Health in the Community

Speaker :
Ms Ng Lip Chin , Principal Occupational Therapist, Rehabilitation, Renci Hospital
  • Objectives of transdisciplinary care in the community
  • Training and outcomes of the trial implementation
  • Challenges

Topic 6 : Disruption through Digitisation & 3D-printing

Speaker :
Mr Khalid Anuar , Head, Foot Care & Limb Design Centre, Tan Tock Seng Hospital
  • Disruptive innovation in prosthetics & orthotics
  • Sustainable innovation and adoption of new technologies
  • Digital-ready workforce

Topic 7 : Innovations And Technology In Allied Health In The Community - How This Is Transforming Our Care Delivery And Bringing Benefits To The Population

Speaker :
Ms Angel Lim , Physiotherapist, Department of Allied Health, NTUC Health Co-operative Ltd
  • Meeting the functional needs of residents in nursing homes, empowering them through their journey towards greater independency
  • Meeting the manpower needs in nursing homes through improved efficiency with reduced work-related strain injuries
  • Introducing the element of engagement and fun into therapy, creating a pleasant experience towards functional recovery

Topic 8 : Transforming Care in Post-Surgical Rehabilitation through Games and Mobile Applications

Speaker :
Ms Li Kun Man , Senior Physiotherapist, Tan Tock Seng Hospital
  • Redesigning rehabilitation for Total Knee Arthroplasty
  • Fun-Knee™ randomised controlled trial: Key findings & lessons
  • Future transformations in musculoskeletal physiotherapy care

Topic 9 : Improving Rehabilitation Outcomes with Exoskeleton

Speaker :
Ms Amelia Ho Chiu Yi , Physiotherapist, Physiotherapy, Tan Tock Seng Hospital
  • Exoskeleton training value adds to patient care: improved participation and self esteem to be upright and walking with robotic assistance
  • Exoskeleton training leads to improved patient outcomes: more energy efficient walking, trunk control and balance
  • Empowerment of Support Staff- enables them to acquire new skills and knowledge

Session 2 : Session 2: ALLIED HEALTH WORKFORCE TRANSFORMATION & INNOVATION

Track Lead :
Ms Doreen Yeo , Chairperson, Allied Health Services & Pharmacy Division, Tan Tock Seng Hospital
Track Champions :
Ms Miona Tan , Assistant Manager, Centre for Allied Health & Pharmacy Excellence (CAPE)Tan Tock Seng Hospital
Ms Gan Yi Ming , Assistant Director (Manpower), Allied Health Services & Pharmacy Division; Senior Principal Physiotherapist, Tan Tock Seng Hospital

Topic 1 : Creating Value Through Therapy Assistant (TA) Role Redesign In A Community Hospital

Speaker :
Mr Halim Zul Fahmi , Senior Physiotherapist, Rehabilitation Department Yishun Community Hospital
  • Designing a TA led group based therapy program
  • Promoting initiative and ownership amongst TAs
  • Changing rehabilitation approach in patient care

Topic 2 : Transformation of Therapy Support Workforce at the Institute of Mental Health

Speaker :
Mr Desmond Koh , Senior Manager, Operations, Institute of Mental Health
  • The need to transform the therapy support workforce
  • The transformation journey
  • Sucess factors and future plans

Topic 3 : Workforce Transformation At the System Level: Sharing the Story of Pharmacy Transformation

Speaker :
Ms Yvonne Tan , Senior Pharmacist, Tan Tock Seng Hospital, Tan Tock Seng Hospital
  • Background: TTSH Patient Journey Transformation, revamping pharmacy processes to meet the changing patient needs
  • Role redesign and expansion for our Pharmacy support workforce
  • Future directions in the career development of the Pharmacy Support Workforce

Topic 4 : Therapy Assistant Upskilling: A Project for the Future

Speaker :
Mr Damiri Mohamed Hosain , Senior Occupational Therapist, Department of Occupational Therapy, Tan Tock Seng Hospital

• Therapy assistants are a vital source of manpower for our industry
• Different levels of abilities and skills
• Equalize and facilitate upskilling the different groups

Topic 5 : World Cafe - Co-Learn & Co-Create

Speaker :
Ms Roselyn Choo , Principal Physiotherapist, Department of Physiotherapy, Tan Tock Seng Hospital
Dr Ong Lue Ping , Head, Department of Psychology, Institute of Mental Health
Mr Jason Peh Jiesheng , Senior Occupational Therapist, Rehabilitation Services, Khoo Teck Puat Hospital
Ms Ng Lip Chin , Principal Occupational Therapist, Rehabilitation, Renci Hospital
Mr Khalid Anuar , Head, Foot Care & Limb Design Centre, Tan Tock Seng Hospital
Ms Angel Lim , Physiotherapist, Department of Allied Health, NTUC Health Co-operative Ltd
Ms Li Kun Man , Senior Physiotherapist, Tan Tock Seng Hospital
Ms Amelia Ho Chiu Yi , Physiotherapist, Physiotherapy, Tan Tock Seng Hospital
Mr Halim Zul Fahmi , Senior Physiotherapist, Rehabilitation Department Yishun Community Hospital
Mr Desmond Koh , Senior Manager, Operations, Institute of Mental Health
Ms Yvonne Tan , Senior Pharmacist, Tan Tock Seng Hospital, Tan Tock Seng Hospital
Mr Damiri Mohamed Hosain , Senior Occupational Therapist, Department of Occupational Therapy, Tan Tock Seng Hospital
Ms Shermin Pang , Pharmacy Technician Executive, Pharmacy, Tan Tock Seng Hospital

Small group discussion & networking

Stall 1: Transdisciplinary Care

Stall 2: Tech-Enabled Care

Stall 3: Role Redesign

 

Topic 6 : Wrap-Up & Closing Brief

Speaker :
Ms Lim Hong Yee , Centre Director, CAPE; Head of Department, Pharmacy, Tan Tock Seng Hospital

Crisis & Complex Care

Precision medicine promises to transform the way patients are treated by using information about patient’s genes-proteins signature and environment to prevent, diagnose and treat diseases. This session aims to describe the current situation, evolving landscape and perspectives about precision oncology in Tan Tock Seng Hospital (TTSH).

The various applications of precision medicine from early cancer detection to targeted treatment will be discussed, with focus on the use of liquid biopsy approaches. With the advent of the ability to analyze genomic sequence data in a timely fashion and at an ever-decreasing cost, the use of next generation sequencing (NGS) to identify targetable alterations is rapidly developing and has entered the mainstream of clinical practice. Our hematologists have been utilizing molecular tools for the diagnostic workup of patients with Myeloproliferative Neoplasms (MPNs). The molecular landscape of MPNs and their experiences in utilizing NGS for evaluation will be presented.

Precision medicine has begun moving in the prevention direction. Patient-tailored screening programs, preventive measures and proactive treatment are possible for patients of a high-risk group. This session will highlight the development of a microRNA biomarkers panel to assess an individual‘s risk for stomach cancer. In addition, the TTSH Cancer Genetics and Genomics Clinic (CGGC) was set up in December 2017 to provide counselling service for inherited cancer syndromes diagnosis, risk assessment and treatment recommendation. Our oncologist leading the CGGC will share the experience in genetic counselling and the impact of hereditary cancer testing on clinical care.

Session 1 : Precision Medicine & Precision Oncology

Chairperson :
Dr Goh Liuh Ling , Senior Principal Scientific Officer, Personalised Medicine Service, Tan Tock Seng Hospital
Track Champions :
Dr Goh Liuh Ling , Senior Principal Scientific Officer, Personalised Medicine Service, Tan Tock Seng Hospital

Topic 1 : Molecular Diagnostics for Precision Oncology

Speaker :
Dr Goh Liuh Ling , Senior Principal Scientific Officer, Personalised Medicine Service, Tan Tock Seng Hospital
  • Overview of precision oncology
  • Applications of next generation sequencing
  • Analysis of circulating tumor DNA in lung cancer as case example

Topic 2 : Development of Gastroclear for Gastric Cancer Risk Assessment

Speaker :
Dr Zhou Lihan , Co-Founder, MiRXES Pte Ltd
  • miRNAs are intimately involved in the onset, progression and metastasis of solid tumor
  • tumor cells actively secrete circulating miRNAs as means of communication with tumor microenvironment and means of immune suppression
  • Identification and validation of a circulating miRNA biomarker panel assay for early detection of gastric cancer

Topic 3 : Molecular Landscape of Myeloproliferative Neoplasms (MPN)

Speaker :
Dr Eugene Fan , Consultant, Department of Haematology, Tan Tock Seng Hospital
  • Clinical spectrum of MPNs
  • Molecular landscape of common MPNs
  • eugThe future of MPN evaluation

Topic 4 : Genetic Counselling & Case Discussion

Speaker :
Adj A/Prof Jens Samol , Senior Consultant, Department of Medical Oncology, Tan Tock Seng Hospital
  • Indications for referral
  • BRCA
  • Management of pathogenic results

Rapid advances in the field of cancer treatment allow for better survival rates and even offer the possibility of cure in some situations. As the number of cancer survivors increase, so do the rehabilitation needs and these can range from simple reconditioning to the more complex difficulties faced by patients who might have undergone surgery, chemotherapy and radiation.

While many patients are happy to be “cured” initially, the impairments faced sometimes mean that life is never quite the same again. Although some patients undergo multiple short sessions of rehabilitation, these often take place independently of one another. The lack of a coordinated survivorship program may mean the difference between achieving quality of life , and the “ new normal”.

In this series of talks, we look at how research in the field of cancer rehabilitation can help with some common symptoms following treatment. We will also get to see how the rehabilitation process involves lifestyle change and carries on into the community long after treatment has ended.

Session 2 : Cancer Rehabilitation – The New Normal

Chairperson :
Dr Wong Chin Jung , Consultant, Department of Rehabilitation Medicine, Tan Tock Seng Hospital
Track Champions :
Dr Wong Chin Jung , Consultant, Department of Rehabilitation Medicine, Tan Tock Seng Hospital

Topic 1 : Rehabilitation In Chemotherapy Induced Peripheral Neuropathy

Speaker :
Dr Mothi Babu Ramalingam , Associate Consultant, Department of Rehabilitation Medicine, Singapore General Hospital
  • Incidence and pathophysiology behind chemotherapy induced peripheral neuropathy
  • Rehabilitation assessment and evaluation
  • Rehabilitative strategies with evidence based care

Topic 2 : Acute Physiotherapy Management Post Mastectomy

Speaker :
Ms Melissa Sim Huimin , Senior Physiotherapist Physiotherapy, Tan Tock Seng Hospital
  • Exercises and care post-surgery
  • Preparation prior to radiotherapy
  • Myths and truths: Separating fact from fiction post lymph node removal

Topic 3 : Exercise Prescription in Cancer

Speaker :
Mr Ray Loh , Senior Physiologist, Sports Medicine & Surgery Clinic, Tan Tock Seng Hospital
  • Guidelines and goals of exercise prescription
  • Prerequisites of starting an exercise routine
  • Exercise precautions

Topic 4 : Cancer Rehabilitation in the Community

Speaker :
Ms Aw Hui Zhen , Senior Physiotherapist; Certified Lymphedema Therapist, Cancer Rehabilitation Centre, Singapore Cancer Society
  • Overview of community based rehabilitation for cancer survivors
  • Cancer Rehabilitation: Outcome Evaluation in Community
  • Current practice and barriers to cancer rehabilitation
  • Slow Medicine? Soul Medicine!
  • There’s an end to cure but no end to care
  • Understanding Palliative Care through Jeopardy

Session 3 : Palliative Care in Jeopardy

Track Champions :
Ms Jamie Lim , Advanced Practice Nurse, Nursing Services, Tan Tock Seng Hospital
Dr Eugene Teoh , Senior Nurse Educator, Nursing Service (Education & Practice), Tan Tock Seng Hospital
Ms Zhao Yue , Nurse Educator, Nursing Service (Education and Practice), Tan Tock Seng Hospital

Hospital admission is often the last option for anyone seeking medical treatment. Most are more comfortable being themselves in their own homes. Patients, especially older adults, will be much happier receiving treatment from clinics and monitored in their own homes. Such arrangements are getting increasingly possible from new services, technologies and innovations using cloud based support and tele consultations. Newer form of biopsies, like “liquid biopsies” can detect cancer cells and provide quicker and less hassle diagnosis and monitoring. In this track, we seek the look at the possibilities now and in future to allow hospital free management of cancers.

Session 4 : Innovations in the Cancer Journey

Chairperson :
Dr Tan Jit Seng , Senior Home Care Physician, Lotus Eldercare Health Services, Lotus Eldercare Private Limited
Track Champions :
Dr Tan Jit Seng , Senior Home Care Physician, Lotus Eldercare Health Services, Lotus Eldercare Private Limited

Topic 1 : Advances in Liquid Biopsy for Cancer Diagnosis and Treatment Selection

Speaker :
Dr Tan Min-Han , Medical Director, Lucence Diagnostics
  • Liquid biopsy testing in blood detects circulating DNA fragments from cancer
  • Advances in such non-invasive testing allows quicker diagnosis, without tissue biopsy

Topic 2 : Exercise in Cancer Rehabilitation: An Overview

Speaker :
Dr Wong Chin Jung , Consultant, Department of Rehabilitation Medicine, Tan Tock Seng Hospital
  • Is it safe to exercise during or after cancer treatment ?
  • What are the benefits to exercise and how should one go about exercising ?
  • Find out all these and more during this short update on how exercise impacts on quality of life and symptom management.

Topic 3 : Long Term Management, The Possibilities

Speaker :
Dr Tan Jit Seng , Senior Home Care Physician, Lotus Eldercare Health Services, Lotus Eldercare Private Limited
  • Long term physical care possibilities with trained care workers and robotics
  • Potential treatment at home for Cancer Patients
  • Financial and Legal support

Topic 4 : PANEL DISCUSSION: INNOVATIONS IN THE CANCER JOURNEY

Speaker :
Dr Tan Min Han , Medical Director, Lucence Diagnostics Pte Ltd
Dr Wong Chin Jung , Consultant, Department of Rehabilitation Medicine, Tan Tock Seng Hospital
Dr Tan Jit Seng , Senior Home Care Physician, Lotus Eldercare Health Services, Lotus Eldercare Private Limited
Dr Lavina Bharwani , Senior Consultant; Head, Department of Medical Oncology, Tan Tock Seng Hospital

Dermatology

Synopsis

Skin disease affects patients of all ages and may complicate existing co-morbidities. Healthcare professionals from all disciplines may need to address patient’s skin issues.

This track aims to impart knowledge to healthcare professionals and caregivers to assist them in alleviating suffering of those with skin diseases they look after.

Session 1 : Dermatology Through the Ages

Chairperson :
Dr Suzanne Cheng , Senior Consultant, National Skin Centre
Track Lead :
Dr Tee Shang-Ian , Senior Consultant, National Skin Centre

Topic 1 : Common Hair and Nail Conditions in Children

Speaker :
Dr Lucinda Tan , Consultant, National Skin Centre
  • Hair conditions
  • Nail conditions
  • Children / Paediatric group

Topic 2 : Photoaging Skin: Prevention and Treatment

Speaker :
Dr Suzanne Cheng , Senior Consultant, National Skin Centre

Topic 3 : Dermatology Issues in the Silver Years

Speaker :
Dr Joel Lim , Associate Consultant, National Skin Centre
  • Highlight common dermatological problems encountered in the elderly
  • Namely, they are eczematous dermatides, pruritus, skin cancers, cutaneous infections and autoimmune blistering disorders
  • Discuss how we meld important considerations such as lag time to clinical  benefit, polypharmacy, cognition and patient preference in the management of these conditions

Session 2 : Essentials of Inpatient Dermatology

Chairperson :
A/Prof Martin Chio Tze Wei , Senior Consultant, National Skin Centre
Track Lead :
Dr Tee Shang-Ian , Senior Consultant, National Skin Centre

Topic 1 : Common Skin Conditions for Inpatient Referral

Speaker :
Dr Su Peiqi , Consultant, National Skin Centre

Topic 2 : Approach to the Suspected Cutaneous Drug Reaction

Speaker :
Dr Heng Yee Kiat , Consultant, National Skin Centre
  • How to determine if a rash is drug-related?
  • Is this a severe drug reaction with risk of mortality?
  • How should I approach this problem?

Topic 3 : Quiz Time: What’s Malignant and What’s Not?

Speaker :
A/Prof Martin Chio Tze Wei , Senior Consultant, National Skin Centre
  • Tips on how to differentiate benign & malignant skin tumours

Session 3 : Controversies in Dermatology

Chairperson :
Dr Tee Shang-Ian , Senior Consultant, National Skin Centre
Track Lead :
Dr Tee Shang-Ian , Senior Consultant, National Skin Centre

Topic 1 : Diet and the Skin - Science or Myth?

Speaker :
Dr Tricia Chong , Associate Consultant, National Skin Centre
  • Skin signs of nutritional disorders
  • Common skin diseases: Do dietary modifications help?

Topic 2 : Can We Do Without Antibiotics in Dermatology Care?

Speaker :
Dr Benson Yeo , Consultant, National Skin Centre
  • Trends in antibiotic use in dermatology
  • Rising concerns of antibiotic resistance
  • Alternatives to antibiotics in treating dermatology conditions

Topic 3 : Are Tests for Skin Allergy Truly Indicated?

Speaker :
Dr Tee Shang-Ian , Senior Consultant, National Skin Centre
  • What tests of skin allergy are available
  • Indications for allergy tests
  • When allergy tests are not indicated

Session 4 : Collaborative Practice in Dermatology

Chairperson :
Dr Tee Shang-Ian , Senior Consultant, National Skin Centre
Track Lead :
Dr Tee Shang-Ian , Senior Consultant, National Skin Centre

Topic 1 : Enhancing Primary Care of Skin Disease: Teledermatology and Beyond

Speaker :
Dr Kong Jing Wen , Consultant, Hougang Polyclinic, National Healthcare Group Polyclinics

Topic 2 : The Nurse-led Warts Clinic – A Model of Tiered Care in the National Skin Centre

Speaker :
Ms Norlaila Kamarudin , Nurse Clinician, National Skin Centre
  • Overview of Viral Warts
  • Classification of Treatment
  • Nurse-Led Wart & IL MMR Clinic in NSC

Palliative Care – It Takes a Kampung!

Synopsis

Palliative medicine integrates science and art to care for patients as a whole. The “whole” care of the patient requires a team of healthcare professionals working together across disciplines to support patients living with life limiting illnesses. Advocacy of care which focuses on patient needs, values and living well is everyone’s responsibility. It should occur across the continuum of end stage illness, in all healthcare settings, involving all healthcare professionals.

  • Introduction to the concept of spiritually
  • Impact of a spiritual care educational programme
  • Spiritual care in a multicultural community – Perspectives

Session 1 : Spiritual Care: The Missing Piece in Holistic Care?

Chairperson :
Dr Lee Chung Seng , Consultant, Palliative Medicine, Tan Tock Seng Hospital
Dr Tricia Yung , Consultant, Department of Palliative Medicine, Tan Tock Seng
Ms Candice Tan , Senior Medical Social Worker, Department of Care & Counselling, Tan Tock Seng Hospital
Track Lead :
Adj A/Prof Allyn Hum , Senior Consultant, Department of Palliative Medicine; Centre Director, The Palliative Care Centre for Excellence in Research & Education (PalC)Tan Tock Seng Hospital

Topic 1 : Introduction to the Concept of Sprituality, Its Importance & Assessment

Speaker :
Dr Tan Yew Seng , Senior Consultant, Palliative Medicine, OncoCare Cancer Centre

More Info Coming Soon!

Topic 2 : The SPIRITED Study: Impact of a Spiritual Care Educational Program

Speaker :
Dr Tricia Yung , Consultant, Department of Palliative Medicine, Tan Tock Seng
  • Spiritual care is a vital part of palliative care for patients with serious illness and their families
  • Given the emphasis of spiritual care in palliative care, there has been minimal attention and training for development and implementation of spirituality in practice locally among clinicians
  • Entitled The SPIRITED Study ( SPIRITuality in End of life Discussions) , we set out to address these challenges by designing a pilot structured educational programme

Topic 3 : Spiritual Care Practices for Older Adults Facing Health Stressors: Opportunities & Challenges in Research

Speaker :
Dr Yu Chou Chuen , Research Manager, Education Research, Geriatric Education & Research Institute (GERI)
  • Introduces the concept of spirituality and nature of spiritual care
  • Examines effects of spiritual care and implication for clinical practice
  • Identifies research opportunities and challenges in the field
  • Showcase (Video): A patient’s spiritual journey: struggles and challenges
  • Expert Panel: Sharing of experiences caring for patients with spiritual issues

Session 2 : Spiritual Care in a Multicultural Community: Patient and Caregiver Perspectives

Chairperson :
A/Prof James Alvin Low , Senior Consultant; Joint Faculty, Department of Geriatric Medicine; Geriatric Education, Khoo Teck Puat Hospital; Geriatric Education & Research Institute (GERI)
Track Lead :
Adj A/Prof Allyn Hum , Senior Consultant, Department of Palliative Medicine; Centre Director, The Palliative Care Centre for Excellence in Research & Education (PalC)Tan Tock Seng Hospital

Topic 1 : Panel Discussion: Sharing of Experiences Caring for Patients with Spiritual Issues

Speaker :
A/Prof James Alvin Low , Senior Consultant; Joint Faculty, Department of Geriatric Medicine; Geriatric Education, Khoo Teck Puat Hospital; Geriatric Education & Research Institute (GERI)
Sr. Geraldine Tan Fdcc , Executive Director, St. Joseph’s Home, Catholic Welfare Services
Dr Helen Ko , Senior Lecturer, S R Nathan School of Human Development, Singapore University of Social Sciences
Dr Matthew Matthews , Senior Research Fellow, Institute of Policy Studies, National University of Singapore
Dr Ng Wai Chong , Chief, Clinical Affairs, Tsao Foundation
  • Palliative care in ICU: Past, present and future
  • Expert panel: “Wholistic” care for patients with complex needs in the ICU: The Kampung Approach

Session 3 : Complex Patient Care: A Multi-disciplinary Approach in the ICU

Chairperson :
Dr Chia Siew Chin , Consultant, Department of Palliative Medicine, Tan Tock Seng Hospital
Track Lead :
Adj A/Prof Allyn Hum , Senior Consultant, Department of Palliative Medicine; Centre Director, The Palliative Care Centre for Excellence in Research & Education (PalC)Tan Tock Seng Hospital

Topic 1 : Palliative ICU Care : The Past, the Present and the Future

Speaker :
Adj Asst Prof Poi Choo Hwee , Senior Consultant, Department of Palliative Medicine, Tan Tock Seng Hospital
  • Understanding the complex care that is needed in caring for a dying patient in ICU
  • Role of inter-disciplinary teams in caring for these patients
  • Understanding the complex ethical dilemmas in decision-making process

Topic 2 : Panel Discussion: "Wholistic'' Care for Patients with Complex Needs in the ICU: The Kampung Approach

Speaker :
Dr Chia Siew Chin , Consultant, Department of Palliative Medicine, Tan Tock Seng Hospital
Adj Asst Prof Poi Choo Hwee , Senior Consultant, Department of Palliative Medicine, Tan Tock Seng Hospital
Dr Anantham Devanand , Head, SingHealth Lung Centre, Singapore General Hospital
Dr Chan Yeow , Senior Consultant, Department of Anaesthesiology, Intensive Care & Pain Medicine, Tan Tock Seng Hospital
Ms Janet Chua , Senior Medical Social Worker, Department of Care & Counselling, Tan Tock Seng Hospital
  • Advanced Care Planning: Relevance, Reality and Recommendations
  • Grief and Bereavement: Living with Loss

Session 4 : Palliative Care In The Community: What Lies Ahead

Chairperson :
Adj A/Prof Allyn Hum , Senior Consultant, Department of Palliative Medicine; Centre Director, The Palliative Care Centre for Excellence in Research & Education (PalC)Tan Tock Seng Hospital
Dr Ivan Mun Hong Woo , Principal Medical Social Worker, Department of Care & Counselling, Tan Tock Seng Hospital
Track Lead :
Adj A/Prof Allyn Hum , Senior Consultant, Department of Palliative Medicine; Centre Director, The Palliative Care Centre for Excellence in Research & Education (PalC)Tan Tock Seng Hospital

Topic 1 : Transformation of Norms – Advance Care Planning Implementation

Speaker :
Dr Tan Woan Shin , Principal Research Analyst, Health Services & Outcomes Research, National Healthcare Group
  • Worldwide, health systems are increasingly nudging individuals towards making pre-emptively exercise autonomy over their end-of-life care preferences
  • To implement ACP effectively in an acute-care setting, a cultural transformation led by committed and empowered leaders is needed. Organisations that are able to create a shared purpose with systematic processes and an ethos of honouring patient preferences, will be well-equipped to implement ACP effectively.
  • Different healthcare professionals also drew meaning from ACP through the prism of their profession, resulting in competing expectations of possible outcomes of the programme.

Topic 2 : In Search of the Palliative Care Approach in the Community

Speaker :
Ms Chee Wai Yee , Senior Director, Grief Matters, Montfort Care
  • How do advance care conversations look like in the community?
  • Who else will benefit from palliative care in the community?
  • Grief and bereavement care as part of the palliative care approach

Education & Pedagogies

Synopsis

Looking back at our ten years of residency programmes in NHG, we seek to learn lessons from our past, our present and at the challenges the future has for us. This track will invite members involved in education and training from NHG to share their experiences with us. We start with the past as educators and ex-residents share their experiences of residency and insights into what could have been improved. After which, we move to the present where various healthcare professional family groups share the unique aspects and features of their pre-professional and post-graduate training. We conclude by looking into the future, as our prominent education leaders and thinkers share the challenges ahead in our journey of improving pre-professional and post-graduate training.

3 ex-residents now young educators will share their experience and challenges. They will examine the lessons learnt and things that could have been done better in the last 10 years.

Session 1 : Past – 10 Years of Residency

Track Lead :
Mr Benny Li , Principal Pharmacist, National Skin Centre
Dr Phua Dong HaurTan Tock Seng Hospital

Topic 1 : Reflection of My Residency Journey

Speaker :
Dr Hong Qiantai , Associate Consultant, Department of General Surgery, Tan Tock Seng Hospital
  • Vision of the future

Topic 2 : An Emergency Medicine Perspective

Speaker :
Dr Quek Yong Jing Daniel , Associate Consultant, Emergency Medicine, Tan Tock Seng Hospital
  • My journey from trainee to trainer: advocacy and giving back
  • Residency: systematic or bureaucratic
  • Winds of change: What lies ahead

Topic 3 : The Accidental Educator

Speaker :
Adj A/Prof Sarah Lu , Associate Designated Institutional Official (ADIO); Consultant, Department of General Surgery, Tan Tock Seng Hospital
  • My journey into education
  • Challenges Faced
  • Lessons Learnt

Speakers in this session will share their pre-professional training approach/programme (from students to qualified entry-level healthcare professionals), distinctive/innovative features, as well as current challenges and solutions to manage challenges. Also, to enable mutual learning across NHG institutions and across different family groups.

Session 2 : Present – What We Do & Want To Share With You 1

Track Lead :
Mr Benny Li , Principal Pharmacist, National Skin Centre
Dr Phua Dong HaurTan Tock Seng Hospital

Topic 1 : From PSLE to Residency

Speaker :
Dr Ong Chin Fung , Associate Designated Institutional Official (ADIO); Senior Consultant, Population Health Community Transformation, Khoo Teck Puat Hospital
  • Understanding Local Education System
  • Engaging, Energising & Empathising our Learners

Topic 2 : The Pre-Professional Clinical Nursing Education Learning Journey Of Nursing Students In NHGP: Have We Done Enough?

Speaker :
Ms Christie Anna , Nurse Educator, Nursing Services, National Healthcare Group Polyclinics
  • Overview of pre-professional nursing education landscape in Singapore
  • Pre-professional nursing students journey in NHGP
  • Teaching & learning strategies to optimise to student’s learning

Topic 3 : How Do You Become a Pharmacist?

Speaker :
Mr Benny Li , Principal Pharmacist, National Skin Centre
  • Pre-professional journey from pharmacy students to pharmacists
  • Enhancing relevance to clinical practice during clinical rotations
  • Clinical education as a learning journey for both students and clinical educators

Speakers in this session will share their pre-professional training approach/programme (from students to qualified entry-level healthcare professionals), distinctive/innovative features, as well as current challenges and solutions to manage challenges. Also, to enable mutual learning across NHG institutions and across different family groups.

Session 3 : Present – What We Do & Want To Share With You 2

Track Lead :
Mr Benny Li , Principal Pharmacist, National Skin Centre
Dr Phua Dong HaurTan Tock Seng Hospital

Topic 1 : A Journey Through The Black White & Grey In Radiography Education

Speaker :
Mr Chong Chun Meng , Principal Radiographer; Clinical Educator Lead, Department of Diagnostic Radiology; Pre-Professional Education Office, Tan Tock Seng Hospital
  • From national service to a service provider
  • From a diploma to undergraduate level education
  • From school to clinical education

Topic 2 : Occupational Therapy – Becoming an Enabler

Speaker :
Ms Kelly Tang , Senior Occupational Therapist, Khoo Teck Puat Hospital
  • Quick overview of pre-professional education journey
  • Sharing about pre-professional education journey
  • Sharing about challenges and success stories

Topic 3 : The Making of a Clinical Psychologist

Speaker :
Adj A/Prof Clare Yeo , Senior Principal Clinical Psychologist, Department of Psychology, Institute of Mental Health
  • Selecting suitable candidates
  • Orientation for Clinical Psychology Interns and Clinical Supervisors
  • Competence assessment to ensure patient safety and intern wellbeing

3 speakers with broad overview will share the history of medical education, the emerging themes, and current state and challenges.

Session 4 : Innovation – What The Future Holds

Track Lead :
Mr Benny Li , Principal Pharmacist, National Skin Centre
Dr Phua Dong HaurTan Tock Seng Hospital

Topic 1 : Funding & Medical Education

Speaker :
A/Prof Tham Kum Ying , Senior Consultant; Education Director, Emergency Medicine Department; Pre-Profession Education Office, Tan Tock Seng Hospital
  • More Info Coming Soon!

Topic 2 : “Liddat Also Can Ah?": Context & Assumptions in IPE & IPCP

Speaker :
A/Prof Nigel Tan , Senior Consultant, Department of Neurology, National Neuroscience Institute
  • Interprofessional Education (IPE) and interprofessional collaborative practice
    (IPCP) are viewed as positives, but does IPE necessarily lead to IPCP? What assumptions do we hold that lead to the belief that IPE leads to IPCP?
  • Are there other paths to IPCP?  What are the enablers and disablers in our move towards IPCP?  And what role does culture and context play?
  • In my short talk, we will attempt to examine these factors, incorporating some elements of local culture. Got Singlish one, ok? 😉

Topic 3 : Redefining Medical Education

Speaker :
Dr Vaikunthan Rajaratnam , Senior Consultant, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital
  • Impact of technology in medical education
  • Mobile devices for learning, teaching and assessment
  • Electronic portfolios for CME

Leadership & Organisation Development

Synopsis

Innovation involves change and leads to change. Implementing and sustaining the change successfully results in evolving, growing and thriving communities of people.

How do you as a leader lead successful and sustainable change? How do you help people cope with the pace, speed and complexity of change? How do you as a leader balance the tensions involved in the change and reap the upsides of polarities?

Join us and our speakers at the Leadership and Organisation Development track at SHBC 2019 to discover.

Session 1 : Leading Innovation & Change in Healthcare

Topic 1 : Designing Systems of the Future: Navigating the Known and the Unknown

Speaker :
Prof Des Gorman , Professor of Medicine; Associate Dean, Faculty of Medical & Health Sciences, University of Auckland
  • What is the interaction between people, systems reform and innovation? Healthcare Application
  • What tensions arise as we balance speed/pace and complexity of change arising from innovation?
  • How do leaders and people prepare for large scale change?

Topic 2 : Leading Systems into the Future: Innovating the Expert Human

Speaker :
Mr Michael Jenkins , CEO, Human Capital Leadership Institute, Singapore
  • Emergence of the Expert Human. A transformation?
  • What tensions arise in balancing the artificial intelligence and emotional intelligence?
  • How do leaders and people in healthcare prepare for digital transformation?

Topic 3 : Innovation at J&J: Changing Hardware, Changing Software

Speaker :
Ms Hyun Jung, Kim , Head, Leadership Lab, Johnson & Johnson
  • Embracing innovation, what must change in people development and talent development?
  • What tensions arise in balancing hardware and software change?
  • How does talent development prepare leaders to lead change?

Topic 4 : Panel Conversation: Leading Innovation & Change in Healthcare

Speaker :
Prof Des Gorman , Professor of Medicine; Associate Dean, Faculty of Medical & Health Sciences, University of Auckland
Mr Michael Jenkins , CEO, Human Capital Leadership Institute, Singapore
Ms Hyun Jung, Kim , Head, Leadership Lab, Johnson & Johnson

Session 2 : NHG Leadership Moments

Topic 1 : Polarities and Tensions in Healthcare Innovation (Guided Hands-On Workshop)

Speaker :
Ms Kuik Shiao-Yin , Founding Director, The Thought Collective
  • Appreciating the upsides and downsides of tensions
  • Defining action steps to take to reap upsides
  • Recognizing tell-tale signs of downsides

Healthcare Finance Transformation

Financial incentives play an important role in aligning payers and providers to achieve better value and sustainability in healthcare. In this session, participants will learn about the types of incentives that have been introduced both locally and in the U.S., their effectiveness so far, as well as delve into insights about how financial incentives might evolve as we move into the future of value-driven healthcare.

Session 1 : Distinguished Speakers Lectures

Topic 1 : Financial Incentives for Sustainable Healthcare: Current Thinking, Future Possibilities (US Perspective)

Speaker :
Dr Steven Safyer MD , President, Chief Executive Officer, Montefiore Medicine, USA

Topic 2 : Financial Incentives for Sustainable Healthcare: Current Thinking, Future Possibilities (Singapore Perspective)

Speaker :
Mr Chan Beng Seng , Group Director, Financial Resource Management Division, Healthcare Finance Division, Sector Development & Commissioning Division, Ministry of Health

Topic 3 : Healthcare Finance Transformation Panel Discussion

Speaker :
Dr Steven Safyer MD , President, Chief Executive Officer, Montefiore Medicine, USA
Mr Chan Beng Seng , Group Director, Financial Resource Management Division, Healthcare Finance Division, Sector Development & Commissioning Division, Ministry of Health

Not sure what “funding for value” in healthcare is about? Come and experience it in our Board Game workshop! Participants will have the opportunity to play the role of a Chief Financial Officer of a healthcare system and learn to manage patient flow across different healthcare settings while keeping track of their funds. Are you game for this?

Session 2 : Health$en$e Board Game

Humanities in Healthcare

Synopsis

This track will look at empathy in the consultation room and beyond. The track is divided into three activities focusing on:

1. The Understanding of Empathy. Symposium ‘Empathy under Threat’
2. The Experience of Empathy. Workshop ‘Mindfulness to Reduce Stress’
3. The Expression of Empathy. Workshop ‘A Sneak Peek into Motivational Interviewing Engagement’

Traditionally medical literature has focused on the role of empathy in doctor-patient consultations. During the symposium ‘Empathy under threat’ we will learn more about how this has developed in Singapore from 4 speakers representing patient advocates, researchers and educators.

Beyond the consultation health care professionals and the people they work with continue to benefit from empathy and compassion in their everyday lives at work and at home. Whether this is in the context of helping a loved-one through a period of loss or motivating a colleague to seek help, empathy and compassion are potent elements in a functional supportive workplace and community. The work shop ‘Sneak peek into motivational interviewing engagement’ equips the participants with some skills that can be added to the emphatic practitioner’s tool kit.

The workshop ‘Mindfulness to reduce stress’ underscores the need to turn an emphatic gaze inwards, towards the need for self-compassion and its value in ensuring a sustainable self. The practice of mindfulness continues to gain interest and exposure in the medical literature, this very popular workshop is accessible and enables participants to experience this approach for themselves.

Amidst advancing technologies, a heightened drive for efficiency, a growing population with access to ever increasing repertoire of health care options, empathy and compassion remain central to the delivery of modern patient centred care in Singapore.

This symposium will provide an overview of empathy and compassion from the different perspectives of patient, researcher and medical educator. We start by tracing the roots of empathy, what it is and go some way towards answering the question ‘is empathy innate or is it learned?’ We will explore the value of empathy and compassion as seen through the eyes of a patient advocates from the perspective of chronic illness and ask what steps we can take to make things better. Finally contemplate the expressions of empathy from the doctors of tomorrow.

Participants will be able to refresh their understanding of empathy and compassion in Singapore’s Health Care Setting, familiarise themselves with current thought and research directions, and reflect on their own roles in ensuring empathy and compassion in professional and personal contexts.

Session 1 : Empathy Under Threat

Chairperson :
A/Prof Amanda Connell , Assoc Prof Dy Director (Applied Research), Health and Social Sciences Cluster, Singapore Institute of Technology
Track Lead :
Dr Tanya Tierney , Assistant Dean, Head of Student Wellbeing, Lead Clinical Communication, The Office of Medical Education, Lee Kong Chian School of Medicine
Track Champions :
Dr Diana Andrea Barron , Deputy Clinical Communication, The Office of Medical Education, Lee Kong Chian School of Medicine

Topic 1 : Tracing the Roots of Empathy: Is it Nature or Nurture?

Speaker :
Ms Vivienne Le Mai Khanh , Research Officer, Geriatric Education & Research Institute
  • What contributes to the development of empathy
  • Key factors influencing individuals’ empathy level
  • How can empathy be improved and maintained in healthcare settings

Topic 2 : What Do You Need To Make Things Better?

Speaker :
Ms Emma J Cartwright , PhD Candidate Lee Kong Chian School of Medicine
  • The impact an empathic health professional can have
  • Ways to show empathy to a patient who is struggling
  • How to support patients with long term conditions and struggling to cope

Topic 3 : Keeping Them Human; Safeguarding Empathy in the Midst of the Hidden Curriculum

Speaker :
Dr Tanya Tierney , Assistant Dean, Head of Student Wellbeing, Lead Clinical Communication, The Office of Medical Education, Lee Kong Chian School of Medicine
  • Compassion
  • Reflection
  • Self-care

The workshop ‘Mindfulness to reduce stress’ underscores the need to turn an empathic gaze inwards, towards the need for self-compassion and its value in ensuring a sustainable self. In this workshop, we will cover the following:

• What is Mindfulness?
• The connection between body and mind
• Regulating the stress response system to reduce chronic stress
• Psychosomatic effects of stress
• Mindfulness Practices
• Calming on Demand

Session 2 : Mindfulness to Reduce Stress

Track Champions :
Adj A/Prof Angie Chew , Executive Director; Principal Mindfulness Trainer, Brahm Centre

Motivational Interviewing (MI) is an evidence-based nonjudgemental and non-confrontational counselling method that works on facilitating and engaging intrinsic motivation within the client in order to change negative behavior.The approach was developed by Professor William R Miller, PHD and Professor Stephen Rollnick, PHD to engage clients who are hesistant about making positive behavioural changes. The workshop is a sneak preview to equip participants with the basic understanding of MI skills in engaging conversations about change across a range of health-related issues. The course will introduce participants to the theory, spirit and principles in using MI to help people make positive changes, and help participants understand the practice and application of the skills in a real life setting.

Session 3 : Sneak Preview to Motivational Interviewing

Track Champions :
A/Prof Konstadina Griva , Associate Professor, Centre for Population Health Sciences, Lee Kong Chian School of Medicine
Mr S.B Viknesan , Senior Counsellor, National Addictions Management Service, Institute of Mental Health

Empowerment through Digitalisation

Synopsis

As traditional healthcare immerses in an increasingly digital environment, we all know doing more of the same will not solve traditional problems, yet going in cold with untested new initiatives may do more harm than good. At the heart of this digital transformation opportunity, we will, during the first half of this track, bring together various perspectives on the problem statements, the opportunities, pitfalls and key drivers for successful and sustainable digital transformation. During the second half, we will bring to stage smart solutions at various maturity and explore the thinking behind these solutions and more importantly the aspirations beyond them. By the end of the session, we want each delegate to be able to bring home at least one novel idea.

Session 1 : Key drivers for success

Track Lead :
Dr Tay Seow Yian , Senior Consultant, Emergency Department, Tan Tock Seng Hospital

Topic 1 : A Collaborative Digital Approach to Further Enabling Transitional Care

Speaker :
Mr Lim Cher Wee , Chief Operating Officer, MOH Office For Healthcare Transformation
Mr Ong Pang Hao , Manager, Programmes (Integrated General Hospital) MOH Office For Healthcare Transformation
  • MOH Office for Healthcare Transformation (MOHT) has been adopting a collaborative approach in co-developing a digital platform for transitional and longitudinal care. Such a platform will start with benefiting hospital admitted patients, by enabling more seamless post discharge follow up in the community.
  • The collaborative approach involves iterative design-focused conversations with providers and patients, taking in their perspectives on how we can better enable informed decisions at the point of care, how we can better enable inter-setting collaborations, and how we can better nudge system level patient flows.
  • In this presentation, we will share the team’s journey in starting up the platform. We will also share the team’s aspirations in facilitating information sharing and care continuity across care teams and settings.

Topic 2 : Epic’s Novel Use of Sustainable Digital Technology to Solve Traditional Problems

  •  Trim the fat: Making healthcare efficient with automation
  • Improving outcomes with artificial intelligence
  • The ultimate goal: Replacing clinician burnout with clinician joy

Topic 3 : Digitally Transforming the Patient Healthcare Experience

Speaker :
Dr Ng Yih Ying , Consultant, Emergency Department, Tan Tock Seng Hospital
  • What are the areas of care that patients that can be improved?
  • What are the technological innovations that hold the most promise to solve these issues
  • How can we ride on the Smart Nation initiatives to digitally enhance the patient experience and improve how we care for our patients?

Session 2 : Smart solutions for sustainability

Track Lead :
Dr Tay Seow Yian , Senior Consultant, Emergency Department, Tan Tock Seng Hospital

Topic 1 : Enhancing the patient and caregiver journey with digital technology

Speaker :
Mr Shunfu Chen , Director, Ambulatory Services & Outpatient Ops, Woodlands Health Campus
  • What are pain points faced by patients and caregivers?
  • What is of value to patients and caregivers?
  • How can digital technologies enhance the patient and caregiver journey?

Topic 2 : AI for Ageless Aging

Speaker :
Prof Miao Chunyan , Chair Professor, School of Computer Science and Engineering, Nanyang Technological University
  • Human-level AI companions
  • Internet of Things (IoT) enabled context awareness
  • Serious games for early symptom discovery and disease intervention

Topic 3 : Disruptive Food Innovation Challenges – Creating Safer and Personalized Puree Meals with 3D Food Printing

Speaker :
Ms Gladys Wong , Senior Principal Dietitian, Khoo Teck Puat Hospital
  • It is becoming a global problem to feed the silver generation as they age in sickness and in health
  • Fortified foods of various safe consistency are often unpalatable, visually unappealing, or labour intensive to mass produce for people with chewing or swallowing issues
  • 3D food printing is the next journey in food imagination and innovation to create consistently safer and personalized puree meals for the elderly population with dignified care.

Digital Health Medical Technologies: Replacement or Enhancement of Healthcare Professionals?

Synopsis

In the current digital health era, healthcare professionals in recent years have been exploring the use of these enabling technologies to facilitate healthcare delivery. However, some wonder whether they will be in danger of being replaced by these technologies as they potentially can fulfill some of the “work” duties of healthcare support staff and even direct patient care due to the ability to “diagnose through algorithms” or “treat through focused intervention instructions”. The speakers in this track are all domain experts in their field, either in public institutions or the private setting and all of them have interest or are generating business through the use of these digital health technologies. They will share their experiences on whether it enhances their work or potentially “threatens their existence”.

Session 1 : Digital Health Medical Technologies: Replacement or Enhancement of Healthcare Professionals?

Track Champions :
Dr Loh Yong Joo , Consultant, Deputy Head of Department of Rehabilitation, Tan Tock Seng Hospital

Topic 1 : Digital application for perioperative surgical care

Speaker :
Dr How Kwang Yeong , Consultant, General Surgery, Tan Tock Seng Hospital
  • Perioperative care is improving but also becoming more complex
  • Technology and digitalization can facilitate the delivery of care
  • Many existing and new challenges emerge in the process using technology

Topic 2 : Enhancing Rehabilitation Care Through Digital Healthcare Applications

Speaker :
Mr Ashton Neoh , Senior Physiotherapist, Allied Health Services & Pharmacy - Physiotherapy, Tan Tock Seng Hospital
  • How digital applications enhance/ transform rehabilitation experience
  • Key criteria of success
  • Challenges faced

Topic 3 : The Future of Medicine – implications for Southeast Asia

Speaker :
Dr Snehal Patel , CEO and Co-founder, MyDoc
  • What does the future hold?
  • How physicians can change the future of healthcare
  • Who will be the winners and losers in the age of modern medicine?

Games for Health Innovations Centre (ALIVE) Mini-Symposium: Learn and Explore with ALIVE through Play (LEAP) 2019

Synopsis

In this year’s mini edition of the ALIVE symposium, we hope to emphasize ALIVE’s intention to continue to LEAP (Learn and Explore with ALIVE through Play) forward with NHG and other healthcare, academic and industry partners through continual showcasing and sharing of our clinicians’ and partners’ excellent work and experiences in the field of healthcare serious games. This year, we will “level up” to illustrate that even resuscitation can be gamified; community health complexities can be simplified and how “serious” games can be utilized from an industry perspective.

Session 1 : Games for Health Innovations Centre (ALIVE) Mini-Symposium: Learn and Explore with ALIVE through Play (LEAP) 2019

Track Champions :
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

Topic 1 : Using a Gamification Learning Approach to Improve Nurses' Knowledge and Skills in Managing Code Blue Situations

Speaker :
Mr Yuan Peng , Nurse Manager (Informatics), Nursing Administration, Institute of Mental Health
  • Background and current problem of code blue training
  • Journey of developing a Code Blue gamification app
  • Pilot study and future plan

Topic 2 : Central Health Powering Communities Serious Game

Speaker :