National University Hospital

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1 National University Hospital Dr Tyrone Goh Executive Director NHG/NUH International 26 February 2010 Clinical Care Education Research Topic goes here Project number Copyright 2008 National University Health System

2 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

3 Reasons for the formation of NUHS Success of Biomedical Sciences in Singapore Drive commercialization Attract industries to Singapore Translate basic science discoveries into novel, useful clinical applications Meet rising needs & expectations for healthcare Indigenously developed healthcare knowledge & expertise Maintain Singapore s position as regional medical hub

4 3 key focus areas for NUHS

5 Better clinical care Better outcomes & service levels New diagnostics, treatments New delivery models Reinforcing synergies Research with impact Human health & disease Leader in education Developing questioning, critical minds Excellence in Clinical Training

6 Vision / Mission / Values Vision Shaping Medicine for the Future Mission Advancing Health by Integrating Excellent Clinical Care, Research and Education Values Teamwork- Respect Integrity Compassion Excellence (T R I C E)

7 Overview of National University Hospital Started operations on 24 June st restructured hospital in Singapore Academic Medical Centre with tripartite mission: Clinical Care Education Research

8 Building on a Strong Heritage Prof Chia Boon Lock Father of Cardiology in Singapore Prof Robert Pho Father of Hand & Reconstructive Microsurgery in Singapore Prof K Shanmugaratnam Father of Pathology in Singapore

9 Major Clinical Milestones st Asian hospital to successfully use frozen embryos World s 1 st baby conceived through MIST (Micro-Insemination Sperm Transfer) 1980 s Developed 1 st known software programme for colour vision testing in the world fully-automated Farnsworth 100 hue test World s 1 st successful birth of twins using co-culture 1990 s st minimally invasive coronary bypass surgery in region Region s 1 st birth of 2 sets of twins from frozen embryo donations Region s 1 st cross-hand transplantation st split liver transplant in Southeast Asia Asia s 1 st open heart surgery on a beating heart NUH & SGH jointly performed world s 1 st successful cord blood transplant on 2000 s Thalassaemia Major patient st micro-incision vitreoretinal surgery in Southeast Asia Asia s 1 st bone marrow & kidney transplant st Simultaneous Bilateral Cochlear Implant on young patient in Singapore First-in-man clinical trials to test drugs on humans for the first time 2008 First non-surgical aorta expansion performed in Singapore

10 Range of Clinical Services 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 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 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

11 Beds In-Service No. % Class A1* (1 Bed) % Class A2 (2 Beds) % Class B1 (4 Beds) % Class B2 (6 Beds) % Class C (8 Beds) % ICU/HD % Isolation % Others % Total % * Includes Deluxe/VIP Suite. Updated (Jan - Mar 09)

12 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

13 Comprehensive Facilities - Outpatient 32 Specialist Outpatient Clinics 14 Specialised Service Centres 4 Satellite Outpatient Clinics Child Development Jurong Polyclinic Dialysis SLF Building Jurong Clinic for Women Jurong Medical Centre Clinic B (Women & Children) 2 Emergency Departments Adult and Children

14 Hospital Workload 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 Outpatient Attendances 5.7% 645, , , , , ,489 Day Surgeries 6.6% 28,628 26,862 25,009 22,438 21,181 18,963 EMD Attendances 6.10% 118, , ,494 94,378 91,715 80,023 Total 5.5% 848, , , , , ,094* * SARS period Source: NUH Management Information Services

15 Foreign Patient Growth Volume ,535 55, ,175 27,393 36,606 40, FY02 FY03 FY04 FY05 FY06 FY07 - Foreign patients make up 14.2% of the total number of private patients Source: International Business Development Unit

16 Hospital - Manpower Staff Category Number of Staff* Medical / Dental 809 Nursing 2643 Allied Health 725 Ancillary 396 Administration 801 Total 5149 *Figures are as of Mar Allied Health Pharmacists, Therapists, Medical Social Workers, Lab Technologist, Radiographers Ancillary Patient Service Asst, Patient Care Asst, Healthcare Attendants etc Medical/Dental Staff Specialists, Registrars, Medical Officers

17 Benchmarking Clinical Outcomes

18 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.

19 Research Funding: Recent Achievement Inaugural Translational & Clinical Research (TCR) Flagship Programme Awarded to Gastric Cancer Research $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

20 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, Liggins Institute, NZ; Universities in the UK, USA and Canada

21 Outstanding Awards & Achievements Lian He Zao Bao A/Prof Yeoh Eng Juh Allen Paediatrics 6 th July 2006 Straits Times Dr. Dan Yock Young Gastroenterology & Hepatology 24 th August 2006 Lian He Zao Bao Prof Yap Hui Kim Paediatric Nephrology 27 Mar 2008 Front Page of TODAY TODAY A/Prof. Lawrence Ho Department of Medicine November 7, 2006 Dr. Goh Boon Cher Haematology Oncology 28 th August 2006 The Straits Times Prof Lee Eng Hin Orthopaedic Surgery 27 Mar 2008

22 Challenging Our Processes

23 Excellence Frameworks For Staff May Day Award 2003 (Platinum) (Employee Communication)

24 People Excellence Award 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. (Other winners: Ritz Carlton Hotel, Citibank, Robinsons, Conrad International Hotel.)

25 Excellence Frameworks For Patients ISO 9001:2000 ISO 14001:2004 OHSAS 18001:2007 (Quality Management System) (Environmental Management System) (Occupational Health & Safety Management System) Asian Hospital Management Awards 2003/2004/2005/2006

26 1 st 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.

27 Leverage IT To Provide Safer, More Efficient and Cost-Effective Care Computerised Patient Support System (CPSS) the Ward (Computer-On-Wheels) EMD the Clinic

28 Improving Efficiency of System - Automation Fully automated Laboratory Processing System 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 1 st in South-East Asia process for both patients and staff.

29 Redevelopment Masterplan NUHS Campus

30 NUHS Phase 1 Re-development NUS Vivarium NUS Yong Loo Lin School of Medicine Centre of Translational Medicine WIP Office Block Subsidised Wards Remodeling for clinical services Kent Ridge Wing SOC, OT, ICU EMD Dental Block consider move out Train Station Entrance Service Block AYER RAJAH EXPRESSWAY ( A Y E )

31 NUH Main Building Service Block Office Block KRW Proposed MRT Block New Office Block PLUS MRT Block (above MRT station) Artist s impression only 18 June 2008 DP ARCHITECTS

32 New Vivarium in School of Medicine (by early 2009)

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

34 NUH OFFICE BLOCK (by May 2010)

35 Thank you for your attention

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