1 | 1.1 Topic goes here | Project number | 14.12.08 Copyright © 2008 National University Health System

Education

Clinical Care

Research

National University HospitalDr Tyrone GohExecutive DirectorNHG/NUH International26 February 2010

National University Health System (NUHS)

• NUHS was officially incorporated on 23 Jan 08

• It brings NUH, NUS Yong Loo Lin School of Medicine & NUS Faculty of Dentistry under a common governance framework– One Management, unified under one Board

Success of Biomedical Sciences in Singapore

Meet rising needs & expectations for healthcare

Maintain Singapore’sposition as regional medical hub

Translate basic science discoveries into novel,

useful clinical applications

Indigenously developed healthcare knowledge

& expertise

Drive commercialization

Attract industries to Singapore

Reasons for the formation of NUHS

3 key focus areas for NUHS

Better clinical careBetter outcomes & service levels

New diagnostics, treatmentsNew delivery models

Research with impactHuman health & disease

Leader in educationDeveloping questioning,

critical mindsExcellence in Clinical Training

Reinforcingsynergies

Vision / Mission / Values

Shaping Medicine for the Future

Advancing Health by Integrating Excellent Clinical Care, Research and Education

Vision

Mission

Teamwork- Respect – Integrity –Compassion –Excellence(T R I C E)

Values

Overview of National University Hospital

Clinical CareClinical CareEducationEducation

ResearchResearch

– Started operations on 24 June 1985

– 1st restructured hospital in Singapore

– Academic Medical Centre with tripartite mission:

Building on a Strong Heritage

Prof Robert Pho –Father of Hand & Reconstructive Microsurgery in Singapore

Prof Chia Boon Lock –Father of Cardiology in Singapore

Prof K Shanmugaratnam– Father of Pathology in Singapore

Major Clinical Milestones

1990’s

1980’s

– 1986 - 1st Asian hospital to successfully use frozen embryos

– 1989 - World’s 1st

baby conceived through MIST (Micro-Insemination Sperm Transfer)

2000’s– 1990 - Developed 1st known

software programme for colourvision testing in the world –fully-automated Farnsworth 100 hue test

– 1991 - World’s 1st successful birth of twins using co-culture

– 1995 - 1st minimally invasive coronary bypass surgery in region

– 1996 - Region’s 1st birth of 2 sets of twins from frozen embryo donations

– 1996 - Region’s 1st cross-hand transplantation

– 1997 - 1st ‘split liver’ transplant in Southeast Asia

– 1997 - Asia’s 1st open heart surgery on a ‘beating heart’

– 2001 - NUH & SGH jointly performed world’s 1st

successful cord blood transplant on ThalassaemiaMajor patient

– 2002 - 1st micro-incision vitreoretinal surgery in Southeast Asia

– 2005 - Asia’s 1st bone marrow & kidney transplant

– 2006 - 1st Simultaneous Bilateral Cochlear Implant on young patient in Singapore

– 2007 - First-in-man clinical trials to test drugs on humans for the first time

– 2008 – First non-surgical aorta expansion performed in Singapore

Paediatrics– Paediatric Medicine– Paediatric Surgery– Neonatology

Obstetrics & Gynaecology

Anaesthesia

Emergency

Diagnostic Services– Diagnostic Imaging– Laboratory Medicine– Pathology

Dentistry– Dental Services– Oral & Maxillofacial Surgery– Preventive Dentistry – Restorative Dentistry

Range of Clinical Services

Surgical Disciplines- Cardiac Thoracic and Vascular Surgery- General, Breast and Endocrine- Colorectal- Hepatobiliary & Upper GI- Neurosurgery- Plastic Surgery- Urology- Ophthalmology- Otolaryngology - Head & Neck Surgery

Orthopaedic- Orthopaedic Surgery- Hand & Reconstructive Microsurgery

Medical Disciplines– Cardiology– Medicine – Dermatology– Endocrinology– Gastroenterology &

Hepatology– Geriatrics– Infectious Disease– Neurology– Nephrology– Rehab Med– Rheumatology– Respiratory Medicine– Haematology– Medical Oncology– Radiation Oncology– Psychological Medicine– Family Medicine

No. %Class A1* (1 Bed) 60 6.4%Class A2 (2 Beds) 14 1.5%Class B1 (4 Beds) 94 10.1%Class B2 (6 Beds) 381 40.8%Class C (8 Beds) 185 19.8%ICU/HD 138 14.8%Isolation 42 4.5%Others 20 2.1%Total 934 100%

* Includes Deluxe/VIP Suite.Updated (Jan - Mar 09)

Beds In-Service

Comprehensive Facilities - Inpatient

– 38 Wards– 6 Intensive Care Units– Medical Intensive Care Unit (ICU)

– Surgical ICU – Cardiac Care Unit – Cardiac Thoracic ICU – Paediatric ICU– Neonatal ICU

– 2 High Dependency – Surgical High Dependency (HD) – Medical HD

– 23 Operating Theatres– 1 Delivery Suite with 8 Rooms

Comprehensive Facilities - Outpatient

– 32 Specialist Outpatient Clinics

– 14 Specialised Service Centres

– 4 Satellite Outpatient Clinics– Child Development Unit @ Jurong Polyclinic– Dialysis Centre @ SLF Building– Jurong Clinic for Women– Jurong Medical Centre – Clinic B (Women & Children)

– 2 Emergency Departments– Adult and Children

FY08 vs. FY07

FY08 FY07 FY06 FY05 FY04 FY03

Inpatient Discharges

1.7% 55,941 55,005 52,643 49,527 50,781 46,619

OutpatientAttendances

5.7% 645,086 610,561 600,339 557,015 547,533 489,489

Day Surgeries 6.6% 28,628 26,862 25,009 22,438 21,181 18,963

EMD Attendances

6.10% 118,353 111,550 101,494 94,378 91,715 80,023

Total 5.5% 848,008 803,978 779,485 723,358 711,210 635,094*

* SARS period Source: NUH Management Information Services

Hospital Workload

Foreign Patient Growth

31,175 27,39336,606

40,846

50,53555,698

0

10000

20000

30000

40000

50000

60000

Volume

FY02 FY03 FY04 FY05 FY06 FY07

- Foreign patients make up 14.2% of the total number of private patients

Source: International Business Development Unit

Staff Category Number of Staff*Medical / Dental 809Nursing 2643Allied Health 725Ancillary 396Administration 801Total 5149

*Figures are as of Mar 2009.Allied Health – Pharmacists, Therapists, Medical Social Workers, Lab Technologist, RadiographersAncillary – Patient Service Asst, Patient Care Asst, Healthcare Attendants etcMedical/Dental Staff – Specialists, Registrars, Medical Officers

Hospital - Manpower

Benchmarking Clinical Outcomes

Generating New Knowledge to Improve Patient Care

– Developing a culture that encourages translational research

– Through research, we bring to our patients, as safely and quickly as possible, treatments on the forefront of responsible medicine.

– $25m grant over 5 years

– Project: The Singapore Gastric Cancer Consortium (SGCC) –Improving Outcomes for Our Patients

– Lead PI: A/Prof Yeoh Khay Guan

– Expertise from NUS, IMCB, NCC and NUH

Inaugural Translational & Clinical Research (TCR)Flagship Programme Awarded to Gastric Cancer Research

Research Funding: Recent Achievement

Research Funding: Recent Achievement

Second Translational & Clinical Research (TCR)Flagship Programme Awarded to Metabolic Medicine Research

– $25m grant over 5 years

– Project: Developmental Pathways to Metabolic Disease

– Lead PI: Prof Chong Yap Seng

– Expertise from NUHS, KKH, A*STAR, HPB, MOH, LigginsInstitute, NZ; Universities in the UK, USA and Canada

Front Page of TODAY

Straits Times

Dr. Goh Boon Cher

Haematology Oncology28th August 2006

Dr. Dan Yock Young

Gastroenterology & Hepatology24th August 2006

Lian He Zao Bao

A/Prof Yeoh Eng Juh Allen

Paediatrics 6th July 2006

A/Prof. Lawrence Ho Department of Medicine

November 7, 2006

TODAY

Lian He Zao Bao

Prof Yap Hui KimPaediatric Nephrology

27 Mar 2008

The Straits TimesProf Lee Eng Hin

Orthopaedic Surgery27 Mar 2008

Outstanding Awards & Achievements

Challenging Our Processes

May Day Award 2003May Day Award 2003

Excellence Frameworks – For Staff

(Employee Communication)

(Platinum)

‘Best of the Best People Developers’ (2004)

This award affirms our commitment to and practices in people development. We are proud to be the only hospital in Singapore to be accorded this highest accolade for people excellence.

People Excellence Award

(Other winners: Ritz Carlton Hotel, Citibank, Robinsons,Conrad International Hotel….)

ISO 9001:2000 ISO 9001:2000 (Quality (Quality

Management Management System)System)

ISO 14001:2004ISO 14001:2004(Environmental (Environmental

Management Management System)System)

OHSAS 18001:2007OHSAS 18001:2007(Occupational (Occupational

Health & Safety Health & Safety Management Management

System)System)

Asian Hospital Management Awards 2003/2004/2005/2006

Excellence Frameworks – For Patients

1st Hospital in Singapore to achieve JCI Accreditation (Sep 2004)

Being accredited with JCI is a recognition that the quality and safety of care at NUH are in line with international standards.

Computerised Patient Support System (CPSS)

CPSS @ the Ward

(Computer-On-Wheels)CPSS @ the Clinic

CPSS @ EMD

Leverage IT To Provide Safer, More Efficient and Cost-Effective Care

Fully automated Laboratory Processing System

1st in South-East Asia

Benefits of Lab automation system:

– Improves the quality and

consistency of laboratory tests

– Lowers the overall cost of

processing such tests

– Provides a faster turnaround time

– Maintains a safe laboratory

process for both patients and staff.

Improving Efficiency of System - Automation

Redevelopment Masterplan –NUHS Campus

2007 2008 2009 2010 2011 2012 2013 2014 2015

Kent Ridge Wing

Dental Block – consider move out

Train Station Entrance

Service Block

SOC, OT, ICU

EMD

SubsidisedWards

NUS Yong Loo Lin School of MedicineCentre of Translational Medicine

AYER

R

AJAH

E

XPRE

SSW

AY

( A

Y E

)

Office Block

Remodeling for clinical services

NUHS Phase 1 Re-developmentNUS Vivarium

WIP

New Office Block PLUS MRT Block (above MRT station) 18 June 2008| DP ARCHITECTS

Office Block

KRW

Main Building

Proposed MRT Block

Service Block

2009 2010 2012 20152011 201420132008Artist’s impression only

NUHNUH

New Vivarium in School of Medicine(by early 2009)

Centre for Translational Medicine in School of Medicine (by 2010)

NUH OFFICE BLOCK (by May 2010)

Thank youfor your attention