EASTERN HEALTH ALLIANCE

BETTER CARE, STRONGER LINKS

ANNUAL REPORT 2016 This year’s annual report “Better Care, Stronger Links” showcases the strong network of partners and communities who come together with Eastern Health Alliance (EHA) to deliver care that matters. The cover visual highlights the seamless quality care enjoyed by our patients and residents that is made possible by this strong collaboration.

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Printed in Singapore. “The Eastern Health Alliance (EHA) was founded on a vision of inclusive partnership to integrate care across different settings so that our patients’ experience of care across different stages of their healthcare journey can be as seamless, hassle-free, and holistic as possible.”

CONTENTS 02 04 06 Year in Chairman’s Group CEO’s Review Message Message

08 10 14 Board of Awards & Community Directors Recognition Programmes & Engagement 20 26 30 Innovation, Eastern Health Foundation Partnerships Alliance – Through Partners & Research the Years 33 34 Numbers Financials YEAR IN REVIEW

September B-PREP to Build Psychological Resilience 2016 for Employees The Stay Prepared – Business May Psychological Resilience November Programme (B-PREP) was Caring Awards 2016 EHA Scientific Meeting jointly launched by CGH and the This 5th edition of our annual Singapore Business Federation, Focuses on “Transitions Caring Awards embraces and in partnership with Temasek of Care” recognises the commitment, Foundation Cares, to help The meeting addressed the courage, compassion and grace of businesses and employees need for better integration of staff, caregivers and patients from cope with the psychological and care across various care and life our foundation partners. More than emotional impact of emergencies, settings. Workshops were also 600 awards were given out this threats, and crises. conducted to build capability and year to the heroes in our regional capacity in community nursing health system. First Ready-to-Eat Texture- and programme evaluation. Modified Asian Meals CGH announced the launch of its ready-to-eat texture-modified meals for people with dysphagia and signed a licensing agreement with local specialist nutrition company Health Food Matters to produce and distribute the meals. People with dysphagia can now enjoy a variety of dishes instead of bland porridge for their July regular diet. Expansion of Eye Services at SNEC Eye Clinic @ CGH Charity Art Exhibition in CGH and SNEC signed an Aid of HomeCare Assist MOU to provide patients with Dr Andrew Peh, Senior Consultant a wider range of specialised eye and Chief of Psychological care services at the SNEC Eye Medicine held a charity art Clinic @ CGH, with particular exhibition at CGH to support focus on the ageing population HomeCare Assist. Sixteen in eastern Singapore. Patients paintings were sold over the will also be able to receive new 3-day exhibition, raising a treatment possibilities through total of $52,100. multi-disciplinary programmes developed in collaboration with other clinical departments in CGH.

02 Better Care, Stronger Links 2017 January EHA, CGH and SUTD Renew MOU New Eastern Community EHA, CGH and the Singapore Health Centre at Our University of Technology and Tampines Hub Design (SUTD) renewed their EHA, SACH and SingHealth strategic alliance to develop Polyclinics extended their solutions for better healthcare collaboration to provide services delivery, nurture future generations such as diabetic foot and eye of healthcare engineers, and screening, and physiotherapy at cultivate healthcare innovation the new Eastern Community in Singapore. Health Centre (CHC) at Our Tampines Hub. This enables Tampines residents to access these services at a convenient location, with a GP referral.

February First Human Clinical Trials of ELO Water CGH and Hyflux announced the first human clinical trials of Hyflux’s ELO Water for diabetics. Health Peers Programme The trials seek to determine the to Prevent and effectiveness of Hyflux’s ELO Manage Water and ELO Gel on diabetes EHA and South East Community control and diabetic foot ulcer. Development Council jointly developed and launched the Health March Peers Programme, supported by Dr Maliki Osman, Mayor of South East Expansion of Neighbours District. The programme equips for Active Living to Entire community leaders and volunteers, South East District known as Health Peers, to reach Neighbours for Active Living out to fellow residents who are expanded to the entire South at-risk or diagnosed with diabetes, East District with the inclusion to lead healthier lives. of Mountbatten. The programme has been strengthened with funding support from Standard Chartered Bank.

Annual Report 2016 03 CHAIRMAN’S MESSAGE

and age well. We have also worked on enabling and empowering our population to gain knowledge and skills to take charge of their health.

Since its inception, EHA has been at the forefront of community care, providing a suite of services to support residents in the community in the east and strengthen care for them. These programmes have steadily gained increasing traction among residents. Signature programmes such as the Eastern Community Health Outreach (ECHO) and Neighbours for Active Living Programme (Neighbours) have grown Eastern Health Alliance (EHA) celebrates by leaps and bounds and now cover all its sixth anniversary this year as the constituencies in the east and beyond. regional healthcare system serving Screening services by the ECHO team the needs of the eastern Singapore help our residents to better understand population. their health status so that they can better manage their health. The number The past six years have been extremely of residents screened with follow-up fruitful as we endeavored to keep our by primary care doctors for those community healthy and provide our with abnormal results has increased. patients and their caregivers a seamless Meanwhile, Neighbours provide holistic journey across the continuum of care. support to those who have returned home but remain vulnerable and With the population continuing to age have complex medical and social care and chronic diseases becoming more needs and has helped to decrease prevalent, there is a pressing need their number of admissions. to establish an effective continuity of EHA has also built a strong primary care care experience that looks beyond support network to reach out to patients simply delivering to helping who have returned home. Programmes our population to keep well, get well such as GPFirst and Health Wellness

04 Better Care, Stronger Links Programme make care (including psycho- “Since its inception, EHA has been emotional support) more accessible to patients in the community. at the forefront of community care, providing a suite of services to support Through telehealth, we are looking to residents in the community in the east bring care to patients within the comfort and strengthen care for them. ” of their home. Our Health Management Unit (HMU) nurse telecarers have been It has been an exciting six years since instrumental in extending the personal we launched EHA in 2011. The journey touch through regular communication has been extremely fulfilling as we grew with our patients. They also equip stronger together with our partners patients with knowledge and skills to provide holistic care for the eastern to self-monitor and self-manage their community. I would like to thank our staff conditions. Through this process, and partners for their contributions and patients have reported increased efforts and look forward to continuing confidence in taking care of their own to deliver care that matters to our health and found assurance in knowing patients and their caregivers as part that help is always there for them. of our enlarged SingHealth family.

All these would not have been possible without the strong network of partners and communities that support our vision of ‘Towards Seamless Quality Care – Together’ and drive our mission of ‘Partners for Better Health’. Mr Gerard Ee Chairman With the recent reorganisation of the Eastern Health Alliance public healthcare system, EHA will be integrating into SingHealth next year. I am confident that the services and programmes established will continue to grow from strength to strength as we tap on a larger pool of resources and extend the benefits to a wider group of recipients.

Annual Report 2016 05 GROUP CEO’S MESSAGE

doubled since ECHO’s introduction in 2011. We also launched the Health Peers programme to help diabetics, or those at risk, make lifestyle modifications and achieve their health goals.

GET WELL Our Valued Care Programme reduced the length of stay for hip fracture patients by 27 per cent in CGH and 18 per cent in St. Andrew’s Community Hospital (SACH), saving costs for patients while increasing bed availability. We have doubled the proportion of hip fracture patients with surgery done within 48 hours, with nearly 90 per cent Over the past six years, we have strived of patients mobilised within the first with our alliance and community partners post-operative day. Similarly, redesigning the care model and infrastructure in to achieve our vision of delivering CGH’s Integrated Building has resulted seamless quality care. in improved mobility and functionality for our geriatric and rehabilitation patients. This year, we continued to help our population keep well, get well and age AGE WELL well, in line with the Ministry of Health’s Our Neighbours for Active Living Beyond Healthcare 2020 Masterplan. programme has built strong links between health, social and community KEEP WELL partners to create an enabling As part of the war on diabetes, our ecosystem for residents to age in ECHO team extended its community place. This year, our community nurses health screening programme to all were deployed as teams to specific 17 constituencies in eastern Singapore geographical zones so that they could and equipped participants with gain deeper understanding of the knowledge on healthy living. The follow- population’s needs in their respective up rate by general practitioners for areas and be more accessible to participants with abnormal results has residents in providing services from

06 Better Care, Stronger Links preventive care to chronic and “Our focus remains clear: to deliver end-of-life care. These services are complemented by personalised care that matters to our patients and chronic disease education and community, and joy and meaning at support via telephone by our Health work for our staff.” Management Unit. We also launched Careline, a 24/7 phone support These achievements would not have service that takes a proactive and been possible without our primary preventive approach to help residents care, community, public and private stay safe and age well at home. sector partners. I especially thank our foundation partners, SACH, The Salvation INNOVATION Army Peacehaven Nursing Home, Our Centre for Innovation (CFI) and SingHealth Polyclinics, and Health Centre for Healthcare Assistive Promotion Board, for their unwavering and Robotics Technology (CHART), support and immense contributions. continued to forge strong partnerships with healthcare providers, academia, The journey has been challenging research and economic agencies. Our but extremely rewarding. As we strategic alliance with the Singapore officially join the SingHealth family University of Technology and Design on 1 January 2018, we look forward yielded three patents from our first to strengthening our existing tranche of grants. We also developed partnerships and collaborating with the first ready-to-eat texture-modified new partners as we learn and grow Asian meals for elderly with dysphagia together. Our focus remains clear: and the SEEK MyHealth Kiosk®, the to deliver care that matters to our first self-help health monitoring kiosk patients and community, and joy in the community. In partnership with and meaning at work for our staff. Abbott, we established the Nutritional Health for Elderly Reference Centre to develop nutritional solutions that are tailored to Asian preferences and needs. CHART has played a key institutional and national role in technology road-mapping, providing user insights to co-develop Dr Lee Chien Earn healthcare solutions and test-bedding Group Chief Executive Officer to validate effectiveness of solutions. Eastern Health Alliance

Annual Report 2016 07 BOARD OF DIRECTORS

Mr Gerard Ee Mr Fong Heng Boo Mr Lim Chin Hu Chairman, Eastern Health Chairman, Audit Committee Member, Changi General Alliance Board Member, Risk Committee Hospital Board Chairman, Changi General Chairman, Information Hospital Board Technology Committee Chairman, Changi Health Member, Audit Committee Fund Board Member, Quality & Service Chairman, HomeCare Excellence Committee Enterprises Board Chairman, Finance & Master Planning Committee Chairman, Staff Committee Advisor, Risk Committee

Prof Ivy Ng Dr Tan Yew Oo Ms Khartini Abdul Khalid Chairman, Quality & Service Chairman, Risk Committee Member, Quality & Service Excellence Committee Member, Quality & Service Excellence Committee Excellence Committee

08 Better Care, Stronger Links Mr Ng Chee Khern Mr Jimmy Phoon Ms Joy Tan Member, Staff Committee Member, Finance & Master Member, Finance & Master Member, Risk Committee Planning Committee Planning Committee Member, Risk Committee

Prof Tan Ser Kiat Ms Teoh Zsin Woon Ms Woon Lai Har Member, Staff Committee Member, Finance & Master Member, Staff Committee Planning Committee Member, Staff Committee

Annual Report 2016 09 AWARDS & RECOGNITION

Three of our Superstar Award 2016 recipients at the 5th iteration of the Caring Awards ceremony.

CARING AWARDS 2016 COMMUNITY CHEST AWARD The award celebrates staff, patients (SHARE PROGRAMME) and caregivers who have made CGH strongly supports the Community a difference in the lives of others Chest programme, with 77 per cent of through their commitment, courage employees being active contributors and compassion. 679 exceptional to SHARE. In 2016, CGH received the healthcare staff, patients and caregivers Community Chest SHARE Platinum were recognised at the 5th iteration of Award while EHA received the SHARE the Caring Awards ceremony for their Bronze Award. excellent care and service as well as their courage and determination in the CUSTOMER SATISFACTION INDEX face of adversity. The Guest of Honour OF SINGAPORE (CSISG) 2016 was Mr Chee Hong Tat, the then- CGH ranked first, along with Minister of State for Communications , among the and Information & Health. public general hospital in the CSISG 2016, a key national survey which measures customer satisfaction across several industries. This was the third consecutive year that CGH topped the chart.

10 Better Care, Stronger Links HEALTHCARE HUMANITY Open Category AWARDS 2016 Mr Mohamed Khairul Nashran The Healthcare Humanity Awards Bin Ahmad Akhia salutes exemplary healthcare Senior Staff Nurse, CGH professionals who go beyond the call of duty to help others. Nurse Manager Mdm Lee Eng Choon Arlene Padiernos Ramos received an Manager, Dental Therapist, HPB Honourable Mention for her tireless commitment to humanitarian efforts Ms Tan Ming Ying Karen and selfless contributions to improve Senior Clinical Instructor, CGH the lives of those she serves. Six EHA staff also received the award: Ms Tan Siew Khek Senior Staff Nurse, CGH Intermediate and Long-Term Care Sector Category Ms Sarah-Lynn Teo Hui Yun Ms Doreen Lim Chui Fang Assistant Nurse Clinician, CGH Senior Social Worker, The Salvation Army Peacehaven Nursing Home

Healthcare Humanity Awards 2016 recipients with the former President Tony Tan.

Annual Report 2016 11 AWARDS & RECOGNITION (CONT’D)

HR EXCELLENCE AWARDS 2016 Senior Nurse Manager Zhang Li, EHA received the Gold Award for Nurse Clinician Lee Yian Chin, Nurse Excellence in Workplace Wellbeing. Clinician Zhou Lin Fang, Assistant Nurse Clinician Ho Hui Ling Grace, NATIONAL DAY AWARD 2016 Assistant Nurse Clinician Song Xiao Forty-two exceptional staff from EHA Ying, Assistant Nurse Clinician Wong and CGH received the National Day Yoke Ping, and Senior Enrolled Nurse Award 2016 for their commendable Tan Lee Cheng. Senior Staff Nurse Lew public service. A/Prof Low Cheng Ooi, Sow Peng from SACH also received Senior Consultant, Orthopaedic Surgery the award. received the Public Administration Medal (Silver). Other winners include PRESIDENT’S AWARD FOR two Commendation Medal recipients, NURSES 2016 six Efficiency Medal recipients and Ms Hanijah Abdul Hamid, 33 Long Service Medal recipients. Assistant Director (Nursing Education) received the highest NURSES’ MERIT AWARD 2016 accolade in the nursing profession Nine EHA staff received this accolade in recognition of her exemplary from the Ministry of Health for contributions to the nursing their outstanding performance and profession and the community. dedication to the nursing profession. The nurses from CGH are Senior Nurse She has been instrumental in the Manager Jane Caroline Vander Straaten, implementation of clinical guidelines in CGH to improve patient care and the development of evidence based training programmes. As an educator, she has continued to engage and inspire nursing students and junior nurses to grow in their nursing career.

Ms Hanijah is also involved in helping nursing homes in the east develop their capabilities to meet the Enhanced Nursing Home Standards and provide Ms Hanijah Abdul Hamid, Assistant Director (Nursing Education) quality care. receiving the President’s Award for Nurses 2016.

12 Better Care, Stronger Links At the national level, she played an important role in developing and implementing the National Nursing Taskforce’s recommendation for Advanced Clinical Education.

PATIENT SATISFACTION SURVEY (PSS) 2015 The MOH PSS assesses patient satisfaction, and identifies areas for improvement in public healthcare institutions. CGH was the most improved hospital in the survey with a record score of 82.5 per cent. This is EHA and CGH won four awards in the 2016 PS21 ExCEL Awards Ceremony for close to a 12 per cent increase from their spirit of innovation and continuous learning. the score in 2014. More than eight out of 10 patients rated their experience at > A/Prof Tan Su-Ming, Senior CGH as ‘Good’ or ‘Excellent’. Consultant and Director of Breast Centre, CGH received the PS21 Star PS21 EXCELLENCE THROUGH Service Award for providing excellent CONTINUOUS ENTERPRISE AND patient care and achieving consistently LEARNING (ExCEL) AWARDS high patient satisfaction ratings. The PS21 ExCEL Awards Ceremony recognises teams and public officers > The Neighbours for Active Living who best exemplify the spirit of (Neighbours) programme was awarded innovation and continuous learning. the PS21 Best Practice Award EHA and CGH won four awards (Inter-agency Collaboration). in 2016: > EHA Primary Care Integration team’s > The Kaizen Everyday Engagement initiative to transform the primary care Programme (KEEP) was awarded landscape in eastern Singapore the PS21 Best Practice Award through EHA’s partnership strategy (Organisational Design). led to them receiving the PS21 Best Practice Award (Stakeholder Communications and Engagement).

Annual Report 2016 13 COMMUNITY PROGRAMMES & ENGAGEMENT KEEPING RESIDENTS WELL the east to build a robust regional health system with a strong primary care base. Our GP partners appreciate being involved from the early stages of programme development resulting in good buy-in. Today, 83 per cent of GPs in the east have participated in at least one EHA programme.

ECHO SCREENING PROGRAMME EXTENDS ITS REACH ECHO is a community-based chronic Residents receive affordable health screening as well as skills and knowledge from the ECHO team to lead healthy lifestyles. disease prevention programme aimed at early detection of risk factors, as well as intervention to prevent or EHA’s focus on delay the onset of disease. It offers takes the form of health screening screening at affordable rates and at activities in the community through the easily-accessible locations, as well ECHO programme, as well as strong as activities to equip Singapore citizens and permanent residents partnerships forged with healthcare with skills and knowledge to lead providers in the region. healthy lifestyles.

In FY2016, several strides forward were Partnership with the Pioneer made in fostering greater awareness Generation Office and other of healthy living among residents, as Grassroots Organisations enabled well as promoting greater collaboration the ECHO team to increase with general practitioners and other participation in its screening service providers. programmes from 4,300 participants in 2015 to more than 6,500 MORE GENERAL PRACTITIONERS participants in 2016. By the end of (GPS) PARTNER EHA FY2016, the collaboration has been Since 2011, the Primary Care Integration extended to all 17 constituencies team has been actively engaging GPs in in eastern Singapore.

14 Better Care, Stronger Links MORE SUPPORT FOR HEALTH the War on Diabetes. The curriculum CARE PROFESSIONALS TO was developed with input from MANAGE MENTAL HEALTH community leaders and expertise from IN THE COMMUNITY our healthcare professionals including a EHA enhanced its Health Wellness sports medicine physician, and Programme to reach out to a wider clinical psychologist. group of patients with psycho-emotional conditions while growing its network Health Peers are trained to interact of primary healthcare providers with with residents who are at risk or who specific interest in mental wellness. have been diagnosed with diabetes. The team has conducted training They support them in making lifestyle workshops on basic counselling skills, modifications, as well as setting and sleep hygiene, relaxation techniques, achieving health goals. The first group and psychological reactions to of 50 Health Peers trained included physical illness for primary healthcare ITE College East nursing students professionals and social service and grassroots leaders from Siglap agencies managing mental health within Diabetes Warriors, resident committees, the community. It has also published a neighbourhood committees, and guide entitled “Effective Psychological executive committees. Interventions in Primary Care”, and has produced a quarterly e-newsletter on mental health topics for primary healthcare providers.

HEALTH PEERS PROGRAMME ON DIABETES PREVENTION AND MANAGEMENT LAUNCHED EHA and South East Community Development Council jointly developed and launched the Health Peers

Programme on 7 January 2017, supported Health Peers are trained to interact with and support residents who by Dr Maliki Osman, Mayor of South are at risk or who have been diagnosed with diabetes. East District. The programme equips community leaders and volunteers with skills and knowledge on diabetes prevention and management as part of

Annual Report 2016 15 COMMUNITY PROGRAMMES & ENGAGEMENT (CONT’D) HELPING PATIENTS GET WELL EHA aims to transform care by NEW EASTERN COMMUNITY HEALTH CENTRE AT OUR TAMPINES HUB enhancing services and creating Care in the community was enhanced seamless links between acute care in in FY2016 with the completion of the a restructured hospital, recovery and Eastern Community Health Centre rehabilitation in a community hospital, (CHC) at Our Tampines Hub. EHA, in partnership with SingHealth Polyclinics and care in the community once a and SACH, provide services such as patient has returned home. diabetic foot and eye screening and

CGH and SNEC launched the SNEC Eye Clinic @ CGH to enhance eye care services for eastern population in Singapore.

16 Better Care, Stronger Links physiotherapy at the CHC to enable Clinic @ CGH, which builds on the Tampines residents to access these long-standing partnership between services at a convenient location, with CGH and NNI. In addition to our a GP referral. patients, healthcare professionals will also benefit from this collaboration, WIDER RANGE OF EYE SERVICES WITH as CGH and NNI will be enhancing the LAUNCH OF SNEC EYE CLINIC @ CGH training of doctors, nurses, and allied CGH and the Singapore National Eye health professionals, in neurosciences. Centre (SNEC) launched the SNEC Eye Clinic @ CGH on 11 November 2016 The tele- service at CGH to deliver more specialised eye care was also enhanced by streamlining services, particularly for conditions workflows to improve outcomes such as cataracts, glaucoma, corneal of stroke patients. In FY2016, 343 diseases, and retina-related conditions tele-stroke conferences were done such as diabetic retinopathy. The clinic in the A&E, representing a 23 per cent serves to enhance eye care services increase over the previous year. that have already been provided at CGH 37 per cent of these patients were by SNEC clinicians since 2002, with a given rTPA, a drug that breaks down particular focus on the ageing population blood clots. in eastern Singapore. Patients at the Eye Clinic will also benefit from CGH’s MORE HIP FRACTURE PATIENTS GET capabilities in managing complex FASTER ACCESS TO SURGERY acute and chronic medical conditions. The Valued Care Hip Fracture For example, patients with diabetic Programme saw an increase in the retinopathy can see a doctor for the number of patients on the pathway, condition at the SNEC Eye Clinic @ CGH, from 329 in the period December in addition to regular check-ups at CGH’s 2014 to November 2015, to 389 from Diabetes Centre to ensure that their December 2015 to November 2016. diabetes is well controlled. This multi-disciplinary programme has increased the percentage of hip fracture ENHANCED NEUROLOGY AND patients that receive surgery within NEUROSURGERY SERVICES AT CGH 48 hours, while decreasing the total More neurology and neurosurgery length of stay in the hospital. services are being offered with the opening of the NNI Neuroscience

Annual Report 2016 17 COMMUNITY PROGRAMMES & ENGAGEMENT (CONT’D) ENABLING SENIORS TO AGE WELL IN THE COMMUNITY EHA’s goal is to create an enabling ecosystem of care that would allow our seniors to live as independently as possible in the community.

NEIGHBOURS FOR ACTIVE LIVING South East Community Development EXPANDS TO ENTIRE SOUTH Council’s Friend-a-Senior @ South EAST DISTRICT East volunteer programme. With the Neighbours for Active Living expansion, more than 20 volunteers (Neighbours) expanded to the entire living in Mountbatten have been trained South East District with the inclusion in communication and befriending of Mountbatten in March 2017 through skills. They are matched with elderly EHA’s continued collaboration with the clients with complex medical and social

Dr Maliki Osman, Mayor of South-East District, announced the expansion of Neighbours into Mountbatten to support and assist its elderly clients in the neighbourhood.

18 Better Care, Stronger Links Dr Maliki Osman and Mr Tan Chuan Jin, Member of Parliament for Marine Parade GRC (Kembangan - Chai Chee), with the volunteers and clients of Neighbours. care needs, who are at risk of aims to reduce readmissions to frequent admissions to the hospital. , re-attendance at emergency The volunteers provide social support, departments, and hospital length and assist with simple but important of stays and associated costs, by tasks such as reminding clients to ensuring patients’ health and social take their medication and attend needs are met in the first three medical appointments. months of their return home. Patients on the service demonstrate improved TRANSITIONAL CARE SERVICE health outcomes, preference for being SEES POSITIVE RESPONSE treated at home, reduced pain and The Transitional Care service at CGH anxiety, as well as psychological and enrolled 420 patients in FY2016 with social benefits of being treated in their positive feedback from patients and own home. their families. The nurse-led service

Annual Report 2016 19 INNOVATION, PARTNERSHIPS & RESEARCH LEARNING, INNOVATING AND IMPROVING - TOGETHER

First ready-to-eat texture-modified Asian meals in local flavours created for those with swallowing difficulties.

EHA strives to meet the ever In January 2017, the team added hip fracture to the suite of chronic changing needs of the population conditions that are covered under by offering innovative solutions to the service. These patients are jointly provide patient-centric care. managed by the newly established Osteoporosis Liaison Service team, HEALTH MANAGEMENT UNIT set up by the CGH Department of Since 2010, the Health Management Endocrinology, to prevent secondary Unit (HMU) has been looking after osteoporotic fractures. CGH is the patients in the east with long- first hospital to involve telecarers in term illness or chronic conditions improving osteoporosis management upon discharge from the hospital. for its patients. Telecarers ensure patients’ compliance to treatment plans and CENTRE FOR INNOVATION monitor their progress. They also The EHA’s Centre for Innovation (CFI) educate patients on their condition to is a healthcare innovation incubator help build confidence in managing the that delivers patient-centric solutions disease independently. by forging partnerships to supply

20 Better Care, Stronger Links innovative solutions that meet between EHA and SingHealth patients’ needs. Polyclinics. In FY2016, the SEEK MyHealth Kiosk® was successfully Technology Transfer licensed to interactive solutions In FY2016, EHA out-licensed two company AIT Technologies Pte Ltd for technologies to local small and upscaling and bringing the technology medium-sized enterprises (SME): to market.

1. First ready-to-eat texture-modified Collaborations and Partnerships Asian meals created for those with swallowing difficulties 1. Partnership with SPRING to help People with swallowing difficulties SMEs develop healthcare solutions (dysphagia) as well as the elderly who EHA was awarded the Capability prefer soft meals can now enjoy the Development Scheme (Industry) first ready-to-eat texture-modified Grant Partnership for Capability meals in local flavours, created by Transformation (PACT) by SPRING CGH. Launched in September 2016, to bridge the needs of patients and these meals fill a gap in the market healthcare professionals with potential to meet the dietary needs of those solutions by industry experts. In 2016, with dysphagia while providing meals there were three technology adoptions, that appeal to the local palate. They five co-development projects and two are available in three textures – finely test-beddings/ trials arising from the minced, coarsely minced, and blended SPRING PACT programme. – to ease swallowing. The meals will be produced and marketed under a 2. Nutritional Health for the Elderly licensing agreement signed between Reference Centre launched CGH and local specialist nutrition EHA, CGH and Abbott Manufacturing company Health Food Matters (HFM). Singapore Pte Ltd signed a Master Project Agreement on 1 March 2017 2. Self Enabling and Empowering to establish a Nutritional Health for Kiosk (SEEK) MyHealth Kiosk® Elderly Reference Centre (NHERC). licensed to AIT Technologies Funded by the Singapore Economic The SEEK MyHealth Kiosk® is a self- Development Board, NHERC aims to help kiosk for health monitoring created build knowledge in elderly nutrition in for use in community and polyclinic the Asian population. EHA, CGH and settings. It arose out of a collaboration Abbott will also work with SingHealth

Annual Report 2016 21 INNOVATION, PARTNERSHIPS & RESEARCH (CONT’D)

of $2.25 million was committed to the CGH-SUTD HealthTech Innovation Fund in which 13 joint projects were awarded. These projects in turn yielded three patents – Body Fluid Drainage Device, Lung Simulation Model for Education and BWard Real-time Blood Sensing and Wound Monitoring Device.

CENTRE FOR HEALTHCARE ASSISTIVE AND ROBOTICS TECHNOLOGY APPOINTED AS LEAD OF THE TECHNOLOGY ENABLING WORKGROUP The Centre for Healthcare Assistive EHA-SUTD partnership yields three patents from its first MOU. and Robotics Technology (CHART) was appointed by the Ministry of Polyclinics to conduct Asia’s largest Health (MOH) in August 2016 to lead clinical study of its kind to evaluate the the Technology Enabling Workgroup effect of nutrition management in the consisting of hospital representatives elderly in Singapore. The study will be across all public healthcare institutions conducted at the newly set up centre (PHIs) in Singapore. The workgroup located within CGH. supports the implementation of technology within each institution 3. EHA renews partnership with the to improve manpower productivity in Singapore University of Technology healthcare delivery. Protoypes such as and Design bed transporters and mobile hoists were EHA, CGH and the Singapore University shared with the wider healthcare sector of Technology and Design (SUTD) through events such as the Healthcare renewed their strategic alliance through Productivity Technology Showcase, a Memorandum of Understanding organised by CHART and supported by (MOU) to develop solutions for better MOH in February 2016. These devices healthcare delivery, nurture future would allow healthcare professionals generations of healthcare engineers, to focus more on direct patient care and cultivate healthcare innovation in related activities by relieving them of Singapore. Under the first MOU, a total tasks that could be automated. Several

22 Better Care, Stronger Links hospitals have committed to procure achieve the same objectives. Through these devices. this approach, support for new nurses can be more focused and targeted to EDUCATION their specific needs, which in turn will In line with the move towards more help them to adapt and mature fast in inter-professional, collaborative and a new environment. team-based approach to patient care, the Medical, Nursing and Allied Health Annual Scientific Conference Education Offices came together Focuses on “Transitions of Care” to introduce a programme to help The EHA Scientific Meeting 2016 enhance systems-based practice, addressed the increasing focus on develop communities of practice and integration of patient care in Singapore. help healthcare professionals learn to More than 50 local and international be more effective team members with speakers discussed the theme other health professions. “Transitions of Care”, covering the full spectrum of healthcare setting from The Nursing Education Office launched acute to primary, to intermediate and a new Graduate Nurse Integration long-term care. A brand new track on Programme in FY2016 to enable newly healthcare education was introduced to graduated nurses to transit better look into building and growing capacity from a classroom setting into a fast- for clinical and scientific excellence. paced ward environment. A clinical preceptorship framework was set up RESEARCH for experienced clinical facilitators to act as an immediate resource and provide First Human Clinical Trials of support in their respective clinical areas ELO Water on Diabetes for preceptees and other preceptors. CGH signed an agreement with Formal monitoring and documentation Hyflux on 15 February 2017 to conduct were introduced to track progress and two clinical trials to establish the the acquisition of clinical competencies effectiveness of Hyflux’s ELO Water and skills. A preceptee discussion forum and ELO Gel on diabetes control and was also introduced to facilitate a safe diabetic foot ulcer patients. The trials environment for confidential discussion will study whether patients with of their challenges and concerns diabetes can obtain better glycaemic at work. A similar forum targeting control by drinking ELO Water in perceptors was also organised to addition to their ongoing lifestyle

Annual Report 2016 23 INNOVATION, PARTNERSHIPS & RESEARCH (CONT’D)

and medical treatments, and whether internationally published research diabetic foot or ankle ulcers can be studies showed that this number treated with ELO Water bath and was one in 10 patients globally. The ELO Gel. findings suggest that early intervention contributes to reduced risk of Injury Prevention for Sailors developing post trauma mental In May 2016, Changi Sports Medicine health disorders. Centre (CSMC) published research that shed new light on sailing-related COLLABORATIONS injuries and illnesses. The study was commissioned by World Sailing and Building Up Psychological Resilience is the biggest study conducted on for Employees elite sailors. The findings from the CGH and the Singapore Business study showed a need to develop injury Federation, in partnership with Temasek prevention programmes and devices. Foundation Cares launched the Stay Currently, CSMC is collaborating with Prepared – Business Psychological SUTD and Singapore Sailing to develop Resilience Programme (B-PREP) injury prevention devices for sailors. on 7 September 2016. The aim of the programme, led by TRaCS, is to Early Intervention for Trauma Patients conceptualise, develop and implement CGH’s Trauma Recovery and a model for psychological resilience in Corporate Solutions (TRaCS) team the corporate environment. Companies has been providing early psychological in Singapore can incorporate the model intervention to patients admitted to into their business continuity plans to CGH since 2007. During the 6th Biennial manage psychological and emotional Trauma Conference held in June 2016, impact of emergencies, threats and the team shared data from eight years crises. This programme, supported by of screening which showed that only the Temasek Emergency Preparedness one in 16 patients (6 per cent) required Fund, helps employees develop follow-up treatment for post trauma core skills and competencies as mental health conditions such as post- first responders by providing traumatic stress disorder, depression, psychological support in crisis and anxiety disorders. In comparison, situations at the workplace.

24 Better Care, Stronger Links B-PREP was launched by CGH and the Singapore Business Federation, in partnership with Temasek Foundation Cares, to build psychological resilience in the corporate environment.

Integral Role in the Sports medical officers for international sporting Eco-System events such as the FORMULA 1™ CSMC works closely with organisations Singapore Grand Prix and ONE such as the Football Association of Fighting Championship. Singapore, Singapore Sports School and Sport Singapore, to provide national athletes quality-assured and prompt sports medicine care. Our sports physicians have served as team physicians for Team Singapore in the Rio 2016 Olympics and Paralympics, as well as the 2017 Special Olympics World Winter Games. They also served as chief

Annual Report 2016 25 EASTERN HEALTH ALLIANCE — THROUGH THE YEARS

EHA was officially launched in 2011 as the Regional Health System for residents in eastern Singapore. Over the past six years, we have, through our programmes, partnerships and people, established a firm presence in our community to enable our residents to keep well, get well and age well.

EHA is formed with four founding CGH collaborates with the members – CGH, SACH, SingHealth National Cancer Centre Polyclinics and The Salvation Army Singapore (NCCS) to set up Peacehaven Nursing Home. the NCCS Oncology Clinic HPB officially joins the EHA family @ CGH, the first satellite as the fifth foundation partner. oncology clinic to serve patients in the East with breast and The Centre for Innovation (CFI) gastroenterology tumours. and Changi Simulation Institute (CSI) are officially launched. CFI provides a platform and resources for ideation, prototyping and partnerships for healthcare innovation. CSI provides realistic and relevant medical simulation Grace Corner, a 32-bed facility in training for doctors, nurses and The Salvation Army Peacehaven allied health professionals. Nursing Home is set up to provide focused, lower-intensity rehabilitation to help clients with fractures and regain EHA signs a Letter of Intent maximum mobility to return home with CGH and Geisinger Health and live as independently as System to launch the Valued possible. It is the first transitional Care Programme, creating a convalescent facility in a nursing partnership for a transformative home and is run by Peacehaven process from a volume to a in partnership with CGH geriatric value-based healthcare delivery medicine doctors. system

ECHO programme is piloted to offer health screening, coaching, and healthy lifestyle activities for residents in the Changi-Simei constituency. 2012 2011 2013 26 Better Care, Stronger Links Neighbours is officially launched. Jointly developed by EHA and the South East Community Development Council, Neighbours combines healthcare, social expertise and resources to train ECHO and Neighbours volunteers to care for the programmes expand to all elderly with high care needs neighbourhoods in the East. in their own neighbourhoods. The 280 bed Integrated Building (IB), jointly run by CGH and SACH, is officially Senior Minister of State for opened. The new model of Health Amy Khor launches care at the IB optimises HomeCare Enterprises, a rehabilitation for patients to social enterprise under EHA help them achieve optimal that provides affordable functionality and recovery. homecare products.

The Centre for Healthcare Assistive and Robotics Technology (CHART) is GPFirst is launched to officially launched. CHART encourage patients to visit a is a platform for healthcare GP clinic first if they have mild professionals to work closely to moderate symptoms or non- with academia, industry and emergency conditions, instead research institutions to of going to CGH Accident and create technology-based Emergency directly. More than healthcare solutions. 132 GP clinics across eastern Singapore signed up for the pilot scheme. EHA and SingHealth Polyclinics jointly launch Singapore’s first self-help kiosk, “Seek MyHealth Kiosk®” to help residents in the community monitor their health.

2014 2015 Annual Report 2016 27 CGH marks its 20th anniversary while EHA celebrates its 5th anniversary.

EHA and SACH extend their collaboration at the new Eastern CHC at Our Tampines Hub. This enables Tampines residents to access services such as diabetic eye and foot screening, and physiotheraphy at a convenient location, with a GP referral.

EHA and the South East Community Development Council partner National Healthcare Group to expand Neighbours beyond eastern Singapore and into the central region of Singapore, to serve clients in the MacPherson and Braddell Heights constituencies. Opening of NNI Neuroscience Clinic @ CGH offers a wider CGH and the Singapore National range of neurology and Eye Centre (SNEC) launch the neurosurgery services. SNEC Eye Clinic @ CGH to deliver a wider range of specialised eye care services.

2016 2017

Annual Report 2016 28 EASTERN HEALTH ALLIANCE THROUGH THE YEARS (CONT’D)

ECHO GPFirst HEALTH MANAGEMENT UNIT CHRONIC CONDITIONS 17 200 UNDER ITS CARE constituencies participating reached clinics Chronic Obstructive Pulmonary Disease

89 10.5% Diabetes screening events in reduction of 7,614 conducted non-emergency cases patients at A&E Heart Failure helped 19,975 screening Hip Fracture attendance

NEIGHBOURS OFFICE OF INNOVATION Reached Bedok, Siglap, out to Kembangan Chai Chee, Kampong Chai Chee, 6 18 Marine Parade, Joo Chiat, patents areas in Geylang Serai, Fengshan, the East Changi-Simei, Tampines (North, East, West, 2 Central, Changkat), licenses Pasir Ris (East, West), Eunos and Kaki Bukit 5 trademarks

Decrease in number of admissions for clients 1 design Shorter length of hospital stays from 68% of clients had fewer hospital 7.1 to 4.1days admissions from 2.2 to 1.0 9 admissions MOUs signed 14 4,846 450 210 local and clients volunteers being matched overseas trained to clients partners

Figures accurate as of 31 March 2017.

Annual Report 2016 29 FOUNDATION PARTNERS

Changi General Hospital HPB aims to empower the activity, smoking control, (CGH) is people of Singapore to attain and communicable disease an award-winning public hospital optimal health, increase the education. HPB also promotes with over 1,000 beds serving a quality and years of healthy life, healthy ageing, integrated health community of 1.4 million people and prevent illness, disability and screening, and chronic disease in eastern Singapore. CGH premature death. education and management. offers a comprehensive range of medical specialties and services, As the key driver of national St. Andrew’s helmed by a highly experienced health promotion and disease Community Hospital and skilled team of healthcare prevention programmes, HPB St. Andrew’s Community professionals who consistently spearheads health education, Hospital (SACH) provides deliver excellent health outcomes promotion and prevention rehabilitative, sub-acute palliative, and care for patients. CGH is programmes, as well as creates dementia and continuing care for a key partner and resource for a health-supportive environment adult and paediatric patients after EHA, the regional health system in Singapore. their hospitalisation for acute for eastern Singapore. care at a general hospital. SACH It develops and organises aims to help patients recover Health Promotion Board relevant health promotion and and regain daily living functions The Health Promotion Board disease prevention programmes, before they are discharged back (HPB) was established as a reaching out to the healthy, the into the community. statutory board under the at-risk, and the unhealthy at Ministry of Health, Singapore, in all stages of life, from children SACH has 238 beds in service 2001, with the vision of building to adults and older Singapore and partners and provides ‘A Nation of Healthy People’. residents. Its health promotion community care through its programmes include nutrition, three outpatient clinics (in SACH, mental health, physical St. Andrew’s Autism Centre,

30 Better Care, Stronger Links holistic care to all without discrimination. Established in 2000, Peacehaven has a capacity of 401 beds, and is run by The Salvation Army, an international Christian movement.

Peacehaven offers a comprehensive gamut of and St. Andrew’s Senior Care The core services at SHP include services to care for the sick, frail – (JOY Connect)), mobile clinic, the care management of chronic and elderly who have physical or day rehabilitation centre, and diseases such as diabetes mental disabilities with minimal community therapy and home and hypertension, and acute or no appropriate caregiver healthcare services. illnesses, vaccination, screening support at home. Its residents and allied health services. have varying degrees of mental SACH also operates two senior or physical disability, and the care centres: St. Andrew’s SHP plays an integral role in majority are either from destitute Senior Care (JOY Connect) promoting a healthy lifestyle or low-income families. and St. Andrew’s Senior within the community, Care (Tampines). empowering families with the The needs of the residents knowledge of common health are met in a holistic manner, SingHealth Polyclinics issues, care and treatment with services ranging from SingHealth Polyclinics (SHP), options. It is a member of clinical care (such as medication a leader in Family Medicine, Singapore Health Services management, wound dressing, provides seamless, patient- (SingHealth), a public and colostomy care) to therapy centred preventive healthcare healthcare cluster that (from occupational and that is affordable and accessible. manages three hospitals and recreational therapists) advice It comprises a network of five specialty centres. from allied health professionals nine polyclinics, which provide (such as , geriatricians primary healthcare services to The Salvation Army and pharmacists). the community. In the east, the Peacehaven Nursing Home polyclinics are located in Bedok, The Salvation Army Peacehaven Geylang, Marine Parade, Pasir Nursing Home provides Ris and Tampines. compassionate, individualised,

Annual Report 2016 31 CEO PARTNERS

Dr Lee Chien Earn Mr Zee Yoong Kang Dr Loh Yik Hin Chief Executive Officer Chief Executive Officer Chief Executive Officer Changi General Hospital Health Promotion Board St. Andrew’s Community Hospital

Dr Adrian Ee Mdm Low Mui Lang Chief Executive Officer Executive Director SingHealth Polyclinics The Salvation Army Peacehaven Nursing Home

32 Better Care, Stronger Links NUMBERS

FY16

Licensed Beds (as at March 2017) 1,066 Beds in Service (as at March 2017) 1,020

Workload per Annum Bed occupancy rate 86.0% Inpatient admission 49,393 Inpatient discharges 49,389 Total patient days 319,481

Average length of stay (days) 6.5

Surgical operations • Day surgeries 32,960 • Inpatient surgeries 25,453

Specialist outpatient • Clinic attendances 432,355

A&E attendance 146,459 Dental attendances 4,357 Dental procedures 5,408

Staffing Doctors 753 Dentists 4 Nurses 2,455 Allied Health Professionals 939 Others 1,620 Total 5,771

Annual Report 2016 33 FINANCIALS

FY15 FY16 S$'M S$'M

Assets By Major Categories Plant and equipment 188 178 Trade and Other Receivables 314 346 Other Assets 27 24 Total 529 548

Liabilities By Major Categories Trade and Other Payables 195 196 Other Current Liabilities 42 50 Non current Liabilities 107 88 Total 344 334

Capital/Reserves By Major Categories Share Capital 85 85 Reserves 100 129 Total 185 214

Revenue Breakdown By Major Categories Patient Revenue 240 276 Subvention 463 521 Other Revenue 69 59 Total 772 856

Expenditure By Major Categories Manpower 446 483 Supplies and Consumables 99 105 Other Operating Expenses 182 190 Depreciation and Amortisations 47 49 Total 774 827

34 Better Care, Stronger Links

www.easternhealth.sg

Eastern Health Alliance Foundation Partners

www.cgh.com.sg www.hpb.gov.sg www.sach.org.sg http://polyclinic.singhealth.com.sg www.salvationarmy.org/singapore