Ivan joined the department of Geriatric Medicine at Changi General Hospital in 2007 and helped establish a successful geriatric subacute ward. He believes that successful care transitions require careful end-to-end management of the patient’s care journey, through interdisciplinary teamwork and clear articulation of expectations and goals. He is a systems thinker and has contributed to quality improvement projects that targeted system interfaces and care transitions, bringing CGH to closer working relationships with partners such as St Andrew’s Community Hospital and the Agency for Integrated Care.
Ivan helped establish Singapore’s first Transitional Convalescent Facility “Grace Corner” at Peacehaven Nursing Home in 2011 and continues to provide direct patient care there.
Ivan finds relief from the hazy chaos of human healthcare systems in the clean, crisp logic of computer science. He is fluent in Python, Java, C and x86 assembly language, and uses R at work in support of hospital administration.
Dr Gilbert Tan did his basic medical degree in Singapore and graduated in 1996. He was awarded Masters of Medicine in Family Medicine in 2001 and the Fellowship of the College of Family Physicians (Singapore) in 2004.
Dr Gilbert is currently Assistant Director of Clinical Services at SingHealth Polyclinics – Head Office. He still runs clinics at Geylang Polyclinic seeing patients in the Family Physician Clinic. In addition to clinical work, Dr Gilbert is also involved as a National Examiner for Family Medicine and Adjunct Assistant Professor in DUKE-NUS Graduate Medical School. His clinical and research interests are in chronic disease management, elder care and mental wellness. He is currently spearheading Care Transformation efforts in SingHealth Polyclinics.
Dr Chow Mun Hong is Director of Innovation and Quality Management at SingHealth, the largest public sector healthcare cluster in Singapore. He focuses on strengthening the Quality Management system, building capability and capacity for Innovation and Improvement, and supporting efforts to transform care delivery.
At the same time, Dr Chow is also Director of Quality Management at SingHealth Polyclinics, the Primary Care arm of SingHealth, where he started the Quality Management Department and has been overseeing Quality and Safety for more than 10 years. His areas of responsibility include Clinical Governance, Quality Assurance, Patient Safety, Patient Experience, Quality Improvement, and Learning in Quality and Safety. He is also the Institutional Risk Officer of SingHealth Polyclinics where he oversees the Enterprise Risk Management Programme.
Dr Chow is a Family Physician by training and is Senior Consultant at SingHealth Polyclinics. He graduated in 1990 with MBBS, attained his MMed (Family Medicine) in 1998, FCFP(S) in 2002, and MBA in 2013. He also completed a fellowship in Integrated Chronic Disease Management at Kaiser Permanente in 2004.
His interests are in Continual Improvement, Healthcare Quality and Safety, and Care Delivery Design to support Population Care. He has also been active in medical and inter-professional education for many years, is Adjunct Assistant Professor with Duke-NUS Medical School, as well as MMed (Family Medicine) trainer and examiner. He is also involved in Quality and Safety training for Residents and other healthcare professionals, and contributes on a national platform where he co-chairs the National Curriculum Workgroup for Patient Safety and Quality Improvement at the Singapore Healthcare Improvement Network (SHINe).
Alison Sim graduated from the University of Sydney in 1996, with a Bachelor of Health Science (Nursing). She joined St. Andrew’s Community Hospital (SACH) in 2000. In 2005, Alison obtained an Advanced Diploma in Nursing (Neuroscience), offered by Nanyang Polytechnic; and in 2012, she obtained a Graduate Diploma in Healthcare Management and Leadership, offered jointly by Singapore Management University and Singhealth. Specialising in Neuroscience and Rehabilitation, Alison has been a key influencer and active contributor in SACH’s service developments over the years.
Overview: Site Tour at Changi General Hospital
As part of the Eastern Health Alliance (EHA) Scientific Meeting 2016, we are pleased to invite fellow Family Physicians from our EHA umbrella institutions to update our GP Partners on topics relevant to our day-to-day practice on management of Menopause, Medication Safety and Fall Risks assessment.
Overview: Site Tour at The Salvation Army Peacehaven Nursing Home
We are launching our “Life We Know” programme as part of EHASM. The objective of “Life We Know” is to simulate normalisation and reality within the Nursing Home. We want to empower our residents to live the lifestyle which they used to, as much as possible, using a modified economy. “Life We Know” aims to give the residents a better quality of life (QOL) in Peacehaven Nursing Home by replicating real-life activities in respective rooms outside of their living areas, such as:
• Salon – hair-dressing, pedicure / manicure,
• Games Room – mah-jong sessions, art & craft, massage
• Lounge – karaoke, volunteer (musical) performances
• Mini-mart – provisions that are desired by residents
• Activity Room – cooking, art-therapy, beverage chit-chat
• Clubhouse – movie-screening, wii-games, board games, etc
After graduating from Nanyang Polytechnic , Mohsin went to Singapore Institute of Technology – Trinity College Dublin where he obtained his Bachelor’s of Science (Hons). He has been working with various populations in the inpatient, outpatient and also community settings. Mohsin specialises in the rehabilitation of patients with cardiac conditions in assisting them to manage at home and increasing their quality of life. He has a special interest in lifestyle modifications and self-management in chronic diseases. He believes that this is key to keeping patients healthy in the community thereby reducing hospital readmissions.
Mr Clayton Chua is a Physio-Therapist and has been with Peacehaven Nursing Home for 2½ years. He is also involved with the Assessment, Rehabilitation & Achieving Quality of Life for the residents.
Ms Cheryl Ng is an Occupational Therapist and has been with Peacehaven Nursing Home for 2 years now. She is also involved with the Assessment, Rehabilitation & Achieving Quality of Life for the residents.
Mr Ng is a Senior Occupational Therapist with 11 years of work experience. His job scope includes the Assessment, Rehabilitation & Achieving Quality of Life for the residents. Mr Ng is also the Team Leader for the Rehabilitation Department.
Trina graduated with a Bachelor of Social Sciences (Hons), majoring in Social Work, from the National University of Singapore in 2008. She started as a medical social worker in Changi General Hospital (CGH), where she gained exposure to various disciplines such as general medicine, cardiology, infectious disease and geriatric medicine.
Trina moved on to The Salvation Army Peacehaven in 2010 as she was interested in the intermediate and long-term care (ILTC) sector. Trina is currently the Social Work Manager and oversees a team of 6 social workers, who provides psychosocial support to all the 430 residents and clients, as well as their family members throughout the various services that Peacehaven runs – Long-Term Nursing Home, Nursing Home Respite Care, Transitional Convalescent Facility and Integrated Home and Day Centre. Trina is accredited under the Singapore Association of Social Workers.
Mdm Low Mui Lang is the Executive Director of The Salvation Army Peacehaven Nursing Home. She holds a Master in Health Care Management and is a Rehabilitation Nursing Clinician. Mdm Low was awarded The President’s Nurses Award in 2010 for the highest accolade for a nurse. Mdm Low piloted several projects at Peacehaven to help with the re-modelling of residential care in Singapore, including a dementia specific facility; a transitional convalescence facility; InGot, an IT system with a full clinical suite built on cloud computing; and Welmed, a research programme using exercise machines for rehabilitation.
The dementia specific facility won the Ministry of Health’s ExCEL Award 2010 Best Innovative Project 2nd Prize and the 2014 Ageing Asia Investment Forum’s 2nd Asia Pacific Eldercare Innovation Award for Best Dementia Care Programme. The rehabilitation programme won the 2015 Ageing Asia Innovation Forum’s 3rd Eldercare Innovation Award for Best Rehabilitation Operator. Mdm Low was instrumental in the partnership with The Salvation Army Palu Academy, Indonesia whereby Indonesian nurses are hired to form part of the pool of care staff in Peacehaven. She also conducted a job re-design in direct care resulting in the recruitment of Senior Care Associates to close the language barrier between foreign talent and the residents / clients. Mdm Low is on healthcare committees workgroups and engaged as speaker in conferences. She is also the advisor to Woodland Integrated Campus and AIC Consultant for residential Dementia Care.
Terry Ching received his Bachelor in Engineering Product Development (Mechanical track) from Singapore University of Technology and Design in 2016. Passionate in using technology and design to improve healthcare delivery in Singapore, he started immersing in healthcare and biomedical research since his first year in University. His earlier healthcare development includes a novel wearable Patient-return electrode and an Early Blood Detection Device. His more recent development with Changi General Hospital (CGH), a Simulated Lung-Model and a Pleural Drainage Device, was well received by the senior management at Eastern Health Alliance. Patents were filed and plans to eventually commercialise these products are in progress. He enjoys working with clinicians to solve real life problems because it gives him a sense of purpose and meaning. In his free time, Terry loves running, playing soccer and table tennis to keep him fit and healthy.
Adj. A/Prof Rahul Goswami is an Emergency Physician residing in Singapore. He is a Fellow of the Australasian College for Emergency Medicine and Academy of Medicine (SG). He holds a Masters in Disaster Medicine and a PGCert in Aeromedical Retrieval & Transport. He is faculty for the Singapore ACGME program for trainees in Emergency Medicine and is an Adjunct Assistant Professor at the National University of Singapore; School of Medicine. He is ex-RFDS and was lucky enough to work on three continents. Currently, he works in a 450 patients a day Emergency Department and sometimes retrieves critical patients from South-East Asia. He also runs 2 medical education portals including: Emergence Phenomena.
Dr Pwee Keng Ho is a public health doctor in the EHA Health Services Research department. He conducts health technology assessment (HTA) to inform decision-making on the use of health technologies in Changi General Hospital. His research interests include methods in health technology assessment, processes for employing HTA in decision-making, clinical practice guidelines development methodology and methods in evidence-based healthcare in general.
Dr Oh Hong Choon is currently the Senior Manager of Health Services Research in Eastern Health Alliance. In addition to Operations Research related work, Dr Oh is involved extensively in health programme evaluations and healthcare management analytics including those pertinent to workload projection, capacity planning and resource utilization.
Dr Oh received his doctoral degree in engineering from National University of Singapore. He is the lead author and co-author of peer-reviewed publications in both clinical and engineering journals. In addition, he has been a Principal Investigator and Co-Investigator of several grant-funded research studies. His research interests are in the areas of discrete event simulation and system dynamics; healthcare resource optimisation under data uncertainty.
Johnathan works at Changi General Hospital as an Improvement Executive specialising in Human Factors Design and Engineering. He graduated from UniSIM’s Human Factors in Safety programme and also holds a Diploma in Product and Industrial Design from Temasek Polytechnic. He is currently pursuing his Masters in Smart Product Design from Nanyang Technological University.
Dr Syahid is a Senior Specialist from the Office of Improvement Science in Changi General Hospital. He specialises in Human Factors and partners with improvement teams around the hospital to make processes more user-friendly and more error-resistant. He also works on initiatives to build up the culture of patient safety in the hospital. He holds a PhD in Human Factors Engineering and also a Bachelor’s Degree in Mechanical Engineering (Design Specialisation) from Nanyang Technological University. His key interests in Human Factors include human information processing, decision making, human error and human-automation interaction.
Dr. Jessica Quah joined Changi General Hospital Department of Respiratory and Critical Care Medicine as Associate Consultant in 2016. She graduated from NUS Yong Loo Lin School of Medicine in 2009 and received M.Med (Int. Med) and MRCP(UK) in 2012. She is currently undergoing further training to attain Intensive Care Specialist Accreditation and concurrently serves as clinical lecturer to NUS. Her interest at the moment (other than passing examinations), is on the use of innovative technologies to enhance healthcare delivery both in hospitals and in the community. She hopes that one day work processes in medicine would be as simple as using an iPhone or Ironman talking to Jarvis.
Professor Fock Kwong Ming is the Assistant Group Chief Executive Officer (Integrated Care) and Chief Risk Officer for the Eastern Health Alliance (EHA). He is currently Senior Consultant, Gastroenterologist with Changi General Hospital (CGH) and had held previous appointments including the Head of Gastroenterology, CGH; Chief of Medicine, CGH; Chairman of the Medical Board, CGH; and Master of Academy of Medicine.
Professor Fock teaches as a clinical professor at National University of Singapore and is Adjunct Professor to Duke-NUS Graduate Medical School. He was also visiting professor to University of Arizona in 2007 and University of Utah in 2003.
Prof Fock has published more than 160 papers and is the past President and current Board Member of Asia Pacific Digestive Week Federation.
Dr Tan is a Consultant Specialist in Endocrinology. She graduated with the degrees of MBBS from the National University of Singapore in 2004. Thereafter, she attained Membership to The Royal College of Physicians (United Kingdom) in 2008 and qualified as a Specialist in Endocrinology in 2013. Dr Tan has a special interest in Type 1 Diabetes Mellitus and Gestational Diabetes Mellitus, for which she spent a sabbatical year in 2013 to pursue this interest. She is currently the Assistant Director of the Diabetes Centre and is the Project Lead for Inpatient Hypoglycemia Prevention in Changi General Hospital. She strongly believes that empowerment through education and engagement, and providence of affordable resources to all patients is key to management of diabetes mellitus.
Dr Chow Wai Leng is a family physician by training and an experienced health services researcher who heads the Health Services Research department in Eastern Health Alliance. Dr Chow has been extensively involved in performing programme evaluations for many of the programmes in CGH and EHA and translating the evaluation findings to improve the programmes. She has also published widely as lead and co-authors in peer-reviewed scientific journals and conferences. Her research interest includes prevention and management of diabetes as well as applying analytics in the real-world setting to improve the delivery of healthcare.
Mr Alon Mendez is a research assistant at the Singapore University of Technology and Design (SUTD), where he is working with functional surfaces for biomedical and commercial applications. He received his B.E. degree in Biomedical Engineering from the National University of Singapore, Singapore, 2014, where he studied the in vitro regeneration of human tissue. He has since been engaged in academic research with particular focus on antimicrobial surfaces and material functionalization through micro- and nanotopographies.
Dr. Rush is Professor Emeritus, National University of Singapore and Adjunct Professor of Psychiatry, Duke University Medical School.
A graduate of Princeton, Columbia (MD), and the University of Pennsylvania (psychiatric residency), he spent 30 years at the UT Southwestern Medical Center at Dallas, where was Vice Chair for Research in Psychiatry, Vice Chair of the Department of Clinical Sciences, and founder the Clinical Scholars Program, which offered a Master’s Degree to enhance the research skills and grant success of clinicians.
In Singapore (2008-2013), he was CEO of the Singapore Clinical Research Institute, Vice Dean of Clinical Sciences and founder of the Academic Medicine Research Institute (AMRI) at Duke-NUS/Sing-Health. AMRI offered innovative mentoring and career development programs for trainees and practitioners in patient-oriented research.
His own research developed and tested medications, somatic treatments, psychotherapy, and disease management protocols for patients with depression or bipolar disorders. Author of more than 800 publications, his work has received numerous awards including the “World’s Most Influential Scientific Minds” by Thomson Reuters in 2014.
Sarah Paez, MS, GNP-BC, ACHPN., is the Associate Nurse Leader for the Department of Geriatric Medicine at Atrius Health in Boston, Massachusetts, USA. Her team of registered nurses, nurse practitioners, physicians, a social worker and a chaplain focus in providing geriatric home-based and palliative care with the goal of promoting patient independence at home. A Wellesley College neuroscience graduate, Sarah has a Master in Science degree in nursing from Boston College, and over 10 years of experience as a community health nurse focusing on care for older adults. She is a strong advocate for nursing, advance care planning, patient education, and compassionate health care for all.
Dr Ang Seng Bin is the Family Physician, Consultant, Head Family Medicine Service and Head Menopause Unit of KK Women’s and Children’s Hospital. Dr Ang has been active in undergraduate and post-graduate teaching. He has several teaching appointments which includes Associate Program Director of Singhealth Family Medicine Residency Program, Faculty for the Fellowship program of the College of Family Physician Singapore, Physician Faculty for the Singhealth O&G residency program, Adjunct Assistant Professor in O&G, Paediatric as well as family medicine clerkship for the Duke-NUS Graduate Medical School. He is currently leading the Match-A-Nurse Program which started in April 2016 in the Singhealth Regional Healthcare System.
Dr Ang Peck Har is an Associate Consultant Emergency Physician with Accident and Emergency Department, Changi General Hospital. She was first involved in transport of the critically ill as a house officer and has been constantly surprised by these patients. After a few years and many ambulance and lift rides later, she hopes to share her experiences and lessons learnt with others doing the same work.
Overview: A Primer to Human Factors in Healthcare
Humans are a vital component of healthcare systems. Many everyday processes within the system function through the decisions and actions of humans. A resilient healthcare system needs to be able to leverage on human capabilities while compensating for human vulnerabilities. Human Factors is the science of understanding how humans and systems interact with one another. This workshop provides an introduction to some Human Factors concepts relevant to healthcare workers and the work system around them.
$60 nett per registered participant
Overview: Community Nursing: Patient Assessment and Management in the Community (by invitation only)
Workshop 1 – Serious Illness Care Training
The Serious Illness Care Program facilitates appropriate conversations between clinicians, seriously ill patients and their families. Drawn from best evidence-based practices in palliative care, the intervention provides guidance for clinicians to initiate these difficult conversations in the right way, at the right time and develop a personalized serious illness plan. Learning methods will include a didactic presentation, videos with reflections, as well as role play with feedback to put your new skills into practice. By the end of the program, participants should be able to initiate conversations with patients and families about their illness and the types of services and treatment options available. https://www.ariadnelabs.org/areas-of-work/serious-illness-care/
Workshop 2 – Patient Assessment and Management
The main goal of a home-based primary care program is to provide high quality patient care for the right patients, at the right time, and within their goals of care while using resources efficiently. To proficiently execute these programs a well-structured strategy to determine which patients will benefit from the services and what level of care is required needs to be defined. Here we will discuss patient selection and risk stratification tools used in the United States as well as specifically at Atrius Health. An overview of some of the assessment tools used by Atrius Health clinicians including the Fall Risk Assessment and MOCA, as well as the “Teach Back Method” for improving patient and family adherence to instructions will be described. Finally we will review which tools are commonly used for assessing caregiver needs and the unique community services available in eastern Massachusetts.
Overview: Health Services Research: Programme Evaluation
Healthcare is rapidly changing with the use of technology and innovative solutions in the delivery of care to patients. It is, however, of importance to evaluate if such new services and technologies have achieved their intended goals and outcomes. Decision-makers would also need evidence to guide their decision on whether such new services and technologies should become main stream. Programme evaluation forms the framework for doing so. Through this talk, Dr Chow Wai Leng, who heads the Health Services Research department at EHA, will give an introduction to what programme evaluation is, how it fits into improving care and the concepts of conducting a programme evaluation. This workshop will be relevant to healthcare providers thinking of implementing or have recently implemented new services as well as administrators involved in the operations of new services.
– To understand what is programme evaluation and how it relates to improving healthcare delivery
– To be able to apply the concepts of programme evaluation.
It would be useful for participants to identify a case for discussion and design of a programme evaluation proposal.
Overview: Health Services Research: Healthcare Capacity Planning 101
In healthcare, workload projection essentially estimates the future volume of patients who need to be served at specific healthcare facilities. It is a critical step that needs to be performed prior to any healthcare capacity planning decision making process to ensure future patient needs are met timely and future specific healthcare facility is adequately utilized. In this workshop, the speaker will introduce several workload projection methodologies which are reported in the literature and how healthcare workload can be differentiated by several factors including medical disciplines, patient age groups, genders and areas of residence, etc. There will be hands on activities which allow participants to gain practical experience of performing workload projection using Mircosoft Excel. In addition, the speaker will also introduce Queuing Theory and illustrate how it can be applied to support healthcare capacity sizing decision making processes with consideration of patient waiting time and resource utilization.
– To gain basic knowledge on existing workload projection methodologies which are relevant to healthcare sector
– To gain practical experience of performing workload projection using Microsoft Excel
– To gain basic knowledge of Queuing Theory and understand how it can applied to support healthcare capacity sizing decision making processes
All participants must bring their notebooks which are installed with Microsoft Excel.
Overview: Site Visit at St. Andrew’s Community Hospital
St. Andrew’s Community Hospital (SACH) seeks to help patients receiving rehabilitation get back to their best possible function so that they may return to living independently in the community. What do we do to help our patients maximise their rehabilitative potential? How do we deliver person-centered care to our patients with dementia who require rehabilitation? This talk will cover an overview of the rehabilitation programme at SACH, highlighting SACH’s role in “transition of care” for patients, and end with a site tour.
Overview: Redesigning Care Process: Enhancing Patient Experience
Chronic disease is a major health burden for the individual and the community, and its prevalence increases in tandem with an ageing population. This increased burden of chronic disease, coupled with an ageing population, strains the capacity of the healthcare sector in providing effective and efficient patient care. To meet the challenges of this increasing prevalence of chronic diseases and its healthcare demand, Eastern Health Alliance (EHA) and Changi General Hospital (CGH) have embarked on a transformative journey focusing on a value-based integrated care delivery model. It has incorporated evidence- and consensus-based best practice elements to improve clinical outcomes and reduce healthcare costs.
This track is differentiated from the other tracks through its panel discussions and sharing sessions from a diverse team of healthcare professionals from EHA, and the ‘questions and answers’ segment. The topics in this track include key improvements and/or enhancements for the acute care delivery and care transition post-acute phase to ensure continuity throughout the whole spectrum of care. Additionally, the discussions will shed light on valuable insights into improving patients’ quality of life, maximising their functions and independence in the community, and optimising care throughout the healthcare journey, particularly in the primary care sectors.
Overview: Integrated Care
Integrated Care has become an international health care buzzword and is seen internationally as an important framework to develop better and more cost-effective health systems. As chronic disease burden continues to rise on the background of limited resources, it is challenging to achieve a high quality and efficient healthcare system. The World Health Organisation (WHO) advocates integrated care and defines Integrated health services as health services that are managed and delivered in a way that ensures people receive a continuum of health promotion, disease prevention, diagnosis, treatment, disease management, rehabilitation and palliative care services, at the different levels and sites of care within the health system, and according to their needs, throughout their whole life.
Integrated Care aims to provide the right care, at the right time.
Care integration allows for greater efficiency and effectiveness, less duplication and waste, more flexible service provision, and better co-ordination and continuity. Care integration also has the ability to encourage more holistic and personalised approaches to multidimensional health needs.
Our invited speakers for the Integrated Care Track have vast experience with care integration at varying levels of the healthcare system and would be able to provide valuable insights on the challenges of care integration in our local healthcare landscape.
Innovation is an increasingly popular term with multiple applications in the Healthcare industry. In seeking solutions to meet the complex healthcare needs, Eastern Health Alliance (EHA) partners have been working hand-in-hand to effect a paradigm shift through innovation that will create the impact we need in today’s healthcare demands and transform healthcare to respond to societal concerns. The Innovation Track at the Eastern Health Alliance Scientific Meeting (EHASM) 2016 showcases the different innovation projects delivered by EHA in collaboration with academic and industry partners.
This year, EHA is privileged to invite Professor Augustus John Rush, Professor Emeritus, Duke-NUS Medical School as the Plenary Speaker for the Innovation Track. Prof Rush is an internationally-renowned clinician-scientist and mentor who has developed innovative programmes for clinical research and training in both the US and Singapore. Prof Rush has authored close to 600 papers and 100 books and chapters; he sits on editorial boards of several leading psychiatry journals and has received numerous invitations to speak at conferences around the globe. His speech at the EHASM Innovation Track will share insights on how to develop and grow clinical research in public hospitals.
Overview: Healthcare Education: Emerging Needs in Healthcare Transition
The Eastern Health Alliance Scientific Meeting 2016 features a brand new education track, which highlights the evolving strategies in modern healthcare education. It is important for medical learners to recognise the new challenges that arise from emerging needs in transitional healthcare. Attendees can expect to learn about the issues pertinent to modern healthcare education and how to ensure that future students are better supported and guided during their clinical attachments. Attendees can also look forward to enhancing their understanding of teaching strategies and how clinical environments can have an impact on learning needs.
Overview: Community Palliative and Mental Health
Demographic shifts and societal changes are exerting increasing demands on our healthcare systems. With a rapidly ageing population and an accompanying rise in chronic diseases and comorbidities, healthcare organisations are quickly adapting to meet the population’s changing needs, resulting in a paradigm shift toward the provision of healthcare in the community. In this track, a group of expert speakers will share their model of care and experiences working with different client groups.
The track comprises three themes: (1) The Practice of Palliative Care at Home; (2) Partnerships in Community Mental Health; and (3) Ageing-in-Place: Integration of Services. Speakers of each theme come from a variety of healthcare backgrounds with the aim of presenting diverse perspectives and comparing practices between different healthcare professionals or countries. From palliative, mental health to rehabilitation in the community setting, this track looks into providing insight into the joys and challenges of working in the community, and to promote awareness and
Overview: Site Tour at St. Andrew’s Community Hospital
St. Andrew’s Community Hospital (SACH) seeks to help patients receiving rehabilitation get back to their best possible function so that they may return to living independently in the community. What do we do to help our patients maximise their rehabilitative potential? How do we deliver person-centred care to our patients with dementia who require rehabilitation? This talk will cover an overview of the rehabilitation programme at SACH, highlighting SACH’s role in “transition of care” for patients, and end with a site tour.
Overview: Systematic Reviews Go! Gotta Catch ‘Em All!
You are an intrepid researcher, keen to find the best evidence from studies in the scientific literature. There are millions of studies out there and not all of them are the sort you want. How will you find, appraise and synthesize only those studies that are relevant to your research?
This half-day workshop will introduce attendees to systematic reviews of the scientific literature, what they are and how to use them. Questions answered in this workshop:
– Why do systematic reviews?
– What is a systematic review?
– What are the steps in systematic reviewing?
– How are systematic reviews used?
– How do I know if I can trust a systematic review?
After this workshop, participants should be able to: (a) explain what a systematic review is and how it may be used; (b) describe the steps in carrying out a systematic review; (c) find systematic reviews to support decision-making; and (d) critically appraise a systematic review and judge its relevance to your own setting.
The workshop will be useful to anyone who is new to systematic reviewing and would like to know how a systematic review is done and how to use one.
Overview: Grant Writing
This interactive workshop will review eight essential elements that are required for a successful research grant application. Elements include: (1) identification of an impactful clinical or theoretical challenge/problem that if addressed can change either practice or theory; (2) specification of hypotheses to address the problem; 3) development of a persuasive rationale; (4) development of persuasive pilot data; (5) specification of protocol design and methods; (6) specification of analytic plans; (7) creation of a realistic estimate of resource needs, budget, personnel, and overall feasibility; (8) formation of a scientific team/ staff to execute the proposed project with contingency plans.
This workshop addresses the needs of clinical or laboratory facing researchers who are early in their careers with an interest in and ambition for participating in a world leading patient oriented research efforts.Participants should come with a rough (one page maximum) outline of their ideas, even if very tentative, to form a basis for interaction amongst attendees. The workshop will be informal and interactive interactive in order to illustrate by way of experience the deliberative processes and intellectual challenges entailed in developing a successful grant application.
Overview: Transport in the Critically Ill (TRICI)
Critical patients are moved constantly from location to location and their journey is fraught with complications. In fact, the movement has been thought to contribute too many errors and poor outcomes. This course is a one day compendium of simulation, refreshers and talks on the important aspects of moving critical patients from point A to B safely. The faculty has decades of medical retrieval experience and it is open to ALL fields of health care who are involved in moving patients.
Healthcare members who are involved in critical care and transport of critical patients.
$90 nett per registered participant
Senior Nurse Clinician Cao Yan has 18 years of nursing experience in the medical, surgical and cardiology ward, and case management since 2009.As the Team Lead, she is currently leading the cardiac case management team in the caring of patients for post-acute myocardial Infarction and heart failure. She is also an appointed member of the Valued Care Heart Failure Program in Changi General Hospital to deliver quality care for the patients with heart failure.
Last year, she was awarded the prestigious Nurses’ Merit Award 2015 from the Ministry of Health for her outstanding contribution and dedication to the nursing profession.
Beside her clinical roles, she participates actively in nursing research activities. She has been appointed as the Track Chairperson for the 2016 Eastern Health Alliance Scientific Meeting.
He is also concurrently:
1. Chairman, Residency Advisory Committee (Emergency Medicine), Singapore
2. Associate Professor, National University of Singapore, School of Medicine
3. Deputy Chief Medical Officer, Singapore Civil Defence Force
4. Deputy Chairman, Clinical Planning Group, Woodlands Integrated Health Complex
Nurse Clinician Lee Yian Chin has 29 years of nursing experience in the surgical ward; orthopaedic, neurology and emergency theatres, and recently case management since 2011. As the team Lead, she is currently leading the orthopaedic case management team in the caring of patients for knee arthroplasty, hip fracture, as well as sports and shoulder injuries. She was appointed a member of the Valued Care Hip Fracture Program in Changi General Hospital, in delivering holistic care for the elderly patients with hip fractures.Beside her clinical roles, she participates actively in nursing research activities. She was the co-lead for the orthopaedic track for the Eastern Health Alliance Scientific meeting in 2015.
This year, she was awarded the prestigious Nurses’ Merit Award 2016 from the Ministry of Health for her outstanding contribution and dedication to the nursing profession.
Ms Zhang Shu Hua is a principal dietitian with Changi General Hospital (CGH). She graduated from Kings College London with a Bachelor of Science (Nutrition) Honours degree and has also completed her Masters in Nutrition and Dietetics in University of Sydney, Australia. She has also completed a 2 month HMDP attachment in cardiology, Taiwan from in 2011. During the initial working years, Shu Hua was involved in the area of weight management, diabetes and geriatrics care.Currently, she specialises in the area of cardiology providing medical nutrition therapy to cardiac patients at CGH and is a core team member of the CGH AMI pathway, HF pathway and ValuedCare Heart Failure Clinical Team.
Since obtaining her Physiotherapy degree from the University of Melbourne, Shumei has been working at Changi General Hospital. Her clinical interests are in orthopaedics areas within the inpatient settings and she has been the clinical leader for this area for the last three years.Specific to the hip fracture patient population, she has been involved with quality improvement projects, training sessions for junior physiotherapists and recently started on clinical research projects for this population as well. She has been a member of the ValuedCare hip fracture team since it started in 2013.
Ms Sharon Tan is the CREST Co-ordinator of PEACE-Connect Cluster Operator (PeCCO). She started as a volunteer at PEACE-Connect Neighbourhood Link (PCNL) in 2005 and has joined PEACE-Connect Cluster Operator (PeCCO) as a Social Work Assistant coordinating CREST programme.She has served at CREST, working with the elderly with mental health issues since 2014. She liaises with and make referrals to the various community partners to provide outreach, basic mental health information and support for clients and their families.
PeCCO reaches out to the seniors who live in the nine blocks of rental HDB one/two-room units in the Kampong Glam constituency and provides social and emotional support for the old, frail and lonely.
Since graduation from Nanyang Polytechnic, Shi Jia has been working in Changi General Hospital (CGH) for the past 7 years as a physiotherapist. She specialises in cardiopulmonary physiotherapy, working with patients in intensive care and exercise for patients with cardiopulmonary conditions for the last 5 years. She has a keen interest in secondary prevention in cardiovascular conditions such as post myocardial infarction and heart failure. Shi Jia has been involved in the CGH Cardiac Care team and subsequently, ValuedCare Heart Failure team since it’s conception in 2013. She has been heading the Physiotherapy Cardiopulmonary team and CGH Cardiac Exercise Class for the last 3 years.Shi Jia personally enjoys exercising regularly and believes in regular exercise in prevention of cardiovascular disease and injury prevention.
Ms Leeanna Tay joined CGH in February 2015 and is the project facilitator for the ValuedCare Hip Fracture Program. She works closely alongside Dr Poon Kein Boon, Dr Goh Kiat Sern and the VC Hip Fracture team on their transformative journey from a volume- to a value-based healthcare delivery model. The team aims to improve clinical outcomes and reduce system costs in integrated care delivery for Hip Fracture patients. Leeanna has continued to hone her healthcare management skills, building on her experience at the Singapore National Heart Centre and the Asian American Medical Centre, where her role as a management associate was sponsored by SPRING Singapore.
Leeanna’s background spans the fields of medical and biological sciences; she received her undergraduate degree in Medical Microbiology and Immunology at the University of New South Wales.
Ms Halimah Binte Sarim who holds an Advanced Diploma in Gerontology is a Registered Nurse with the Singapore Nursing Board since 1990. She has more than 15 years of acute medical and surgical working experience, having worked in various Restructured Hospital in Singapore.In the past eleven years she works in Bright Vision Community Hospital in various ward setting which includes Rehabilitation ward; Sub-Acute ward; Nursing Home ward; and Chronic Sick Unit ward. She also holds the position of an Infection Control Nurse there. In the last three years Halimah works as a Care Coordinator with AIC – ACTION Team. While in Bright Vision Community Hospital she was awarded 2 HMDP awards for Gerontology in 2010 and Orthopaedic in 2011.
Ms Halimah is currently a Telecarer of Health Management Unit, Eastern Health Alliance, she provides post discharge telecare and care management to patients with Chronic Diseases who are discharged from the CGH.
Anna Lee graduated from the University of Sydney, Australia in 1993 with a Bachelor of Applied Science (Occupational Therapy). After graduation, Anna worked in SGH, MINDs, Bright Vision Hospital, Ren Ci Hospital before joining SACH in 2005.An advocate of better care delivery for patients, Anna played a key role in developing the Centre for Independent Living at The Integrated Building, a CGH-SACH facility.
In 2015, her team’s Quality Improvement (QI) project “Enhance Care Delivery on Activities of Daily Living by OTs for Patients Undergoing Rehabilitation in a Community Hospital in Singapore” won the Good Suggestion and Good Practice Award at the Intermediate and Long Term Care (ILTC) Quality Festival organised by the Agency for Integrated Care.
Another QI Project “Enhance the Well-Being of Patients in a New Dementia Care Ward in SACH” by her team was also accepted for presentation at the National OT Conference 2014.
Jeremiah Loh obtained his Nursing Registration with the Singapore Nursing Board after completing his Diploma at Nanyang Polytechnic Singapore (NYP) in 2001. He went on to complete his Bachelor of Nursing in 2006 at the Griffith University, Queensland Australia. In the same year, he was awarded an Educational Sponsorship with the Singapore General Hospital (SGH) and spent a year pursuing an Advanced Diploma in Nursing (Orthopaedics) at NYP. In 2010, he was awarded the Courage Fund Bursary Award for postgraduate study, and obtained his Master of Science in Health Administration (Edinburgh Napier University), in 2013.His area of interest is in the rehabilitation of patients with musculoskeletal injuries and complex transmural patient care. Prior to his current appointment in St. Andrew’s Community Hospital, Jeremiah has held various clinical, administrative and management portfolios.
Woon Hsi joined Changi General Hospital (CGH) on Sep 2015 and is currently the programme facilitator for VC Heart Failure Program. He works closely alongside Dr Gerard Leong and VC Heart Failure members on their transformative journey from a volume- to a value-based healthcare delivery model. The team aims to improve clinical outcomes and reduce system costs through integrated care delivery for Heart Failure patients using evidence- and consensus-based best practices.
After his 18 months assignment by Economic Development Board in Germany, he returned as the pioneer member of a Singapore biotechnology firm which was later acquired by a French/Italian MNC. Prior to joining CGH, Woon Hsi led a team at NUH (Nursing Administration) for 3 years.
Woon Hsi’s background spans the fields of entrepreneurship, biological sciences and business administration: he received his undergraduate degree in Molecular Cell Biology at University of York (UK) and his MBA at University of Manchester (UK).
Dr Poon graduated from Kaohsiung Medical University in 1995. He completed his Orthopaedic Residency Training Programme at the Kaohsiung Medical University Hospital and one year Postgraduate Orthopaedic Training at London Royal National Orthopaedic Hospital, under the mentorship of Professor George Bentley. Dr Poon is an Orthopaedic Senior Consultant who specialises in the management of simple and complex limb fractures, pelvic and acetabular fractures and fragility fractures in the elderly as well as adult knee and hip joint replacement surgeries.
His specialist areas of interest are the treatment of fractures and joint replacements using minimally invasive surgical techniques.
In addition, Dr Poon is committed to the AO Trauma Education and is the leader of the Ortho-Geriatric Team in managing fragility hip fracture patients. He is also an appointed Senior Clinical Lecturer with the Yong Loo Lin School of Medicine, National University of Singapore.
Dr Ong Pui Sim is currently a Senior Consultant with the Department of Psychological Medicine in Changi General Hospital (CGH) since 2005. She also serves as Director of Geriatric Psychiatry Service, CGH from 2012 as well as Deputy Director for Community Psychogeriatric Programme. She was awarded MOH HMDP fellowship in field of ‘Psychogeriatrics’ in Sydney, Australia in 1995 and Singhealth HMDP fellowship in ‘Sleep Disorders’ in 2006. Besides regular inpatient and outpatient hospital services, she has been providing consultation services to community hospital and nursing homes.
Dr Ong has been on the management committee of Alzheimer’s Disease Association since 1994 and is also actively involved in undergraduate and postgraduate teaching at National University of Singapore and Duke-NUS. In addition, she is a member of Tribunal for the Maintenance of Parents from 2014.
Her main area of interest is in late-life depression and suicide, sleep disorders and community mental health promotion.
Dr Koh Lip Hoe is a consultant Geriatrician and Palliative Care Physician in Changi General Hospital. He graduated from the National University of Singapore in 1999 and obtained his MRCP(UK) in 2006. He received his training in Geriatric Medicine and Palliative Medicine in Singapore.He was attached to various centres in UK (London, Cambridge & Dundee ) for his training in Palliative Medicine.
Dr Koh currently heads the Department of Geriatric Medicine and Palliative Care Service in Changi General Hospital.
Dr Eugene Shum is the Chief Corporate Development Officer at the Eastern Health Alliance (EHA) where he oversees Strategic Planning and Development, and Community Care. He is a public health physician. His areas of interest include population health, and health policy and management.Dr Shum has held various portfolios at the Ministry of Health (MOH) including Epidemiology and Disease Control, Clinical Quality, and Health Services Development. He was previously Director, Medical Affairs at Khoo Teck Puat Hospital, Alexandra Health.
Dr Shum is the Associate Program Director of the National Preventive Medicine Residency Program at EHA. He is Adjunct Assistant Professor at the Saw Swee Hock School of Public Health, National University of Singapore; and Adjunct Faculty at the School of Information Systems, Singapore Management University.
Dr Edward Goh Teck Kheng graduated from the National University of Singapore in 1999. After obtaining his Masters in Family Medicine in 2009, he started working in St. Andrew’s Community Hospital (SACH). He obtained a Post-graduate Diploma in Geriatrics Medicine in 2010. A registered Family Physician, he is currently a consultant with SACH. He is a member of the Valued Care Hip Fracture Pathway Programme, collaboration between Changi General Hospital (CGH) and SACH, which aims to improve the transition of care as well as post-acute rehabilitation of elderly patients who are transferred from CGH to SACH after a hip fracture.
Dr Christopher Lien is Senior Consultant in the Department of Geriatric Medicine, Changi General Hospital. A graduate from the National University of Singapore (2008), he completed specialist training in General Internal Medicine and Geriatric Medicine in Scotland (1995-2001) in Dundee, Angus and Perthshire; and has a Masters in Public Administration from the Harvard Kennedy School of Government (2012 – 2013). He is currently Director of Community Geriatrics at CGH (since 2006) and his main areas of interest have been in the development of transitional, intermediate and long term care services for the elderly, and in Parkinson’s Disease in Older People. He is the Chairman of the Chapter of Geriatricians, College of Physicians, Academy of Medicine, Singapore, and is a board member of NTUC Health, St Andrew’s Community Hospital Management Committee and the Lien Centre of Palliative Care at Duke-NUS.
Adj A/Prof Nicholas Chew is a Senior Consultant Psychiatrist in Tan Tock Seng Hospital. He graduated from the Faculty of Medicine, National University of Singapore (NUS) in 1995, holds a Masters of Medicine in Psychiatry (NUS, 2001), and a Masters of Science in Health Professions Education from Massachusetts General Hospital, Institute of Health Professions (2013).
He served as the Deputy Head of Department, Psychological Medicine from 2006 to 2010 where he started the HIV Psychiatry and the Post-Stroke Depression Programmes. In 2009 He started the Transitional Year Residency Programme in NHG and subsequently took on the role of the Designated Institutional Official for NHG Residency. In 2013 he also served as the Assistant Chairman Medical Board (Medical Manpower Development).
He currently serves as the Group Chief Education Officer for the National Healthcare Group and is a member of the Specialist Accreditation Board in Singapore.
Dr Leong is a specialist in cardiology, subspecializing in advanced heart failure and transplant cardiology and echocardiography imaging in cardiology. He is a senior consultant in the department of cardiology in Changi General Hospital (CGH) and the director of the CGH Heart Failure Program since its start in 2006.
He graduated from National University of Singapore in 1994, and obtained his specialist accreditation in Cardiology in 2005. Subsequently he underwent advanced heart failure and transplant cardiology training in Massachusetts General Hospital, Harvard Medical School, in Boston, USA in 2007. He also underwent renal sympathetic denervation in hypertension and heart failure training in the Alfred, Melbourne, Australia in 2013. He passed his ASCeXAM and obtained his Diplomate certification from the USA National Board of Echocardiography in June 2015.
His clinical and research interests include novel therapeutics and echocardiographic imaging in heart failure and resistant hypertension. He has numerous publications on different aspects of heart failure, and in renal denervation in resistant hypertension.
Overview: Health Services Research: Healthcare Capacity Planning 101