Riding the Next Wave of Healthcare Reinvention - Prof Kenneth Kwek, Chief Executive Officer - NTUC
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Riding the Next Wave of Healthcare Reinvention Prof Kenneth Kwek, Chief Executive Officer
Dramatic fall largely due
to social, governmental
Interventions
- education, hygiene,
sanitation, transport
(First Wave)
TH Lean, SMJ 1965
Singapore Maternal Mortality Ratio per 100,000
200
190
180 Maternal Mortality Ratio
170
160
150
140
130
120
110
100
90
80
70
60
50
40
30
20
10
0
1950
1953
1956
1959
1962
1965
1968
1971
1974
1977
1980
1983
1986
1989
1992
1995
1998
2001
2004
More gradual but
significant fall due to
medical improvements
(Second Wave)
Caring for Singapore’s Health for 200 years
Milestones
The first hospital in
We are 197 years
Singapore – Singapore
Corporatization of SGH old!
General Hospital
1821 1926 - 1981 1989 2000 2018
Sixth & Seventh Hospital Singapore Health Services
- SingHealth
We need a Vision of Where to Go Copyright © 2013 IHQ, NHG College
We need Buy-In… Copyright © 2013 IHQ, NHG College
Beyond Healthcare 2020
The Original Burning Platform • In 1988, a disastrous explosion and fire occurred on the Piper Alpha oil-drilling platform in the North Sea off the coast of Scotland. • One hundred and sixty-six crew members and two rescuers lost their lives. • “It was either jump or fry.” Those who survived, jumped…because they had no choice. • “The price of staying on the platform was too high.”
The Current Burning Platform
Fear is not an Ideal Motivator
Desire to be Better…Better than Who?
• Can SGH be the best in Singapore?
• Can SGH be the best in Asia?
• Can SGH be among the world’s best?
ASIA
2 1
3
Won Best Global
Voted
Container Terminal
World’s Best
Operating Company Award
AirportDare to Dream
Our achievements result from ambitious dreams from past
generations of SGH staff….almost 200 years (2021)
It is our responsibility to dream and plan for the future.Transforming Care
Transform care to take ‘Future-proof’ our
advantage of the evolving models
environment while remaining
patient and person-centric
• We cannot predict what things
• Patients, families, public, ministry
will be like in the future
• Staff – manpower levels,
• Adaptability is key…being agile
capabilities, expectations
• TechnologyOur Transformation Journey
1. Processes
first,
Technology
second
6. Always
Remember 2. Be guided
Your Why by data
Core
Principles
5. 3. Deep &
Supportive Honest
Leadership Engagement
4. Prototype
&
ExperimentClinical Innovation
Evolving Clinical Care- an Example
Length of Stay
A
A B
C
D
SGH
E
F
Not a competition…
- we share, we learn and all hospitals level up
- what makes us unique?
- cutting edge care for the best clinical outcomes
- Patient Experience
- enabled by our outstanding staffHow can we make our interactions with patients
seamless?
High Touch, Low Fuss
Patient Experience
Person-Centric CareThe Patient Experience
Not just another hospital
Do we dare to innovate?
Do we dare to transform care?
Can we ensure that we remain the
hospital of choice…even far into the future?Patient Experience
• Pay • Prescription • Collect invoice • Collect medicines • Make appointment • Pay
Why do we continue to do things the way we do?
Towards a Seamless Patient Experience
Towards a Seamless Patient Experience
PHARMACY PROCESSES (before 2018)
Our Patients
Patient with
Prescription
proceeds to
pharmacy
counters
Patient waits for
Pharmacy Store Outpatient Clinic medication and
Pharmacy Counters for payment
Patient carry
home multiple
Rx bags of
SGH Prescription from Clinic medication
Pharmacy
IT SystemPHARMACY PROCESSES (current)
Our Patients
Patient drops
prescription for
simple
verification
Patient goes
Pharmacy Store Outpatient Clinic
Pharmacy Counters
(downsized)
X home with
Medication
delivered
FOC
Patient
makes
SGH Prescription from Clinic payment
Pharmacy through any
IT System meansMedication
Auto- Drop &
Delivery
registration Go
ServiceWhy do we continue to do things the way we do?
Can we think differently…to do things differently?
MEDICATION ANYWHERE, ANYTIME (circa 2023)
Home
Our Patients
Delivery to patient’s
preferred location Community
Pharmacy
Central
Pharmacy
Warehouse Parcel Locker
or Pillbox
Patient uses an App for
•Medication
Residents’ Corner, management (select
Day Centre, etc. quantity and location)
•Education materials
National •Payment
Prescription from Clinic
Pharmacy
SystemTransforming Patient and Provider’s Experience at the Bedside
The Inpatient Journey
Patient Engaged, Empowered and Enabled
Inpatient Bedside Tablet
My Profile My Care Team My Care My Schedule My Requests
▪ Name, Age, ▪ Your care team in- ▪ Reason for ▪ Daily time schedule ▪ Personalised
Race charge admission ▪ Unscheduled tests needs based
▪ Contacts, Next (Dr/Nurses/AHP) ▪ Diagnosis request
of Kin ▪ Ask your care team ▪ Test results
▪ Allergy ▪ Current medicationData Analysis
Allowing our Patients to be Transferred and Discharged Earlier
A. (Referral Time) B. (Processing Time)
AH AH
Admission Optimizing bed resource through timely referral to step-down care Discharge
Date Date
Date the first IRMS* referral was raised
Virtual ClinicsStaff Experience
Helping Staff Transport 2 Heavy Machines for Dialysis
BEFORE AFTER
Motorized trolley for
both machines
~30kg ~85kg
• Each machine transported
separately
• Each session allows a single trip each way
• Every off-site dialysis session (total 2 trips)
required 2 trips for each machine
(total 4 trips) • Staff only needs to steer – Reduction in risk
of back strain and injury
• Staff pushing/pulling-Risk of back
strain and injuryTransforming Human Waste Disposal
BEFORE AFTER
- Manual emptying of waste into sluice - Installation of a macerator system throughout SGH
wards
- Rinsing and Sterilisation of bedpans and
urinals - Single-Use pulp items
- Drying and storage - Staff use for Patients and discard “hands-free” in
maceratorHelping Staff Easily Dispose of Heavy Dialysate bag
BEFORE AFTER
- Each bag weighs 15 kg (15 litres). - Simple pump to drain bags at floor level
- Eliminate need for lifting of bag
- Nurse has to lift it above head level for drainage
- Safer and cleanerFacilitating Endoscope Cleaning
(re-processing)Greater Value Overall
Patient Parameters
- measure and record - device interface - wearable
- Vital stats transmitted directly to our system
- Patient gets uninterrupted sleep
Readings and
alarm
management EMR SCM desktop/laptop
Care and
treatmentOptimizing our Resources
Reduction in portering of patient samples with Pneumatic-Tube System (PTS)
Phase 1 Phase 2
2019
• Transfer of Blood Products
& Medication
Use of PTS to transport blood
products and Medications will
further free up staff to focus on
direct Clinical Care to our
Patients
Portering Staff allowed to focus attention on Patient Transport
Allow our Nurses to provide direct Clinical Care to PatientsWhat it takes to Navigate Change • Dare to Dream • Dare to Act • Dare to Take Risks • Dare to Fail • Dare to be Resilient
41
You can also read
