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HEALTH PROMOTION BOARD CALL for COLLABORATION (CFC) for NATIONAL HEALTHY POPULATION (NHP) PROJECT

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HEALTH PROMOTION BOARD CALL for COLLABORATION (CFC) for NATIONAL HEALTHY POPULATION (NHP) PROJECT HEALTH PROMOTION BOARD CALL FOR COLLABORATION (CFC) For NATIONAL HEALTHY POPULATION (NHP) PROJECT 1. Introduction 1.1. The Health Promotion Board (HPB) is a Statutory Board under the purview of the Ministry of Health (MOH) of Singapore, committed to promoting healthy living in Singapore. HPB seeks to empower the Singapore public with knowledge and skills to take ownership of their health through evidence-based health information and programming support in the areas of physical activity, healthier eating, tobacco control, screening and follow-up as well as mental wellbeing. (See Appendix for examples of current efforts by HPB) 1.2. Integrated Health Information Systems (IHiS), as the health-tech IT agency of MOH, aims to improve the Singapore population’s health and support public healthcare administration by integrating intelligent, resilient, and cost-effective technologies with process and people. 1.3. Unless explicitly stated otherwise, HPB and IHiS will be collectively identified as the “AGENCIES” in this CFC document. The National Healthy Population (NHP) Joint Project Office or “NHP-JPO” refers to the Project Office comprising representatives from the Agencies, and other collaboration affiliates and partner organisations including but not limited to the MOH Office of Healthcare Transformation (MOHT), the Agency for Integrated Care (AIC), public healthcare clusters in Singapore, Sport Singapore (SportSG), Economic Development Board (EDB), Agency for Science Technology and Research (A*STAR) etc., which will work with the selected Respondent(s) in collaborative efforts under the NHP Project. 1.4. The NHP-JPO is issuing this Call for Collaboration (CFC) to invite proposals from companies and organisations to collaborate with public health organisations under the NHP Project to harness technology, behavioural insights and analytics to help Singapore citizens take better ownership of and sustain improvements to their health. As part of the Smart Nation initiative, a key strategy is to build a national digital infrastructure to underpin this effort, together with supporting policy, regulatory and operational support, robust data governance, and effective programming and activation of citizens. 1.4.1. For citizens, the platform will allow them, with their consent, to provide their wearable and lifestyle consumer data (e.g. physical activity and diet) to specific service providers for specific uses to enrol in programmes, and receive personalised nudges and health and wellness services that will empower them to live more healthily and manage chronic conditions. 1.4.2. For health and related consumer industries, this platform will enable co- innovation, research & development (R&D), and service delivery by both the public and private partners. Examples include the opportunity to enhance machine learning algorithms to better predict health risks and related behaviours, and to deploy better or more personalised services to the public. Service providers should also see their productivity and cost-effectiveness improve. 1.5. Proposals for this CFC should aspire to be global-leading innovations beyond current commercial solutions, and bring about significant impact to population health in a cost effective way. 1.6. This CFC document includes the following annexes: Page 1 of 17 a. Annex A: Terms & Conditions. b. Annex B: Proposal Template. c. Annex C: Key Deliverables, Business Plan and Other Information. d. Annex D: Non-disclosure agreement 1.7. The deadline for submission of CFC proposal is 28 September 2018, at 1400 hours (Singapore time, GMT +0800). Please refer to Para 6 for the CFC timeline. 1.8. Interested parties submitting proposals in response to this CFC (“Respondents”) will be deemed to have read and accepted the Terms & Conditions as stated in Annex A. 2. Background on Singapore’s Public Healthcare Ecosystem and Priorities 2.1. Ageing population impetus and strategic shifts in public healthcare. By 2030, about one in four Singaporean residents will be above the age of 65, compared to one in seven today. To ensure sustainable healthcare, Singapore is making three key strategic shifts as follows: a. From healthcare to health – to shift beyond treating illnesses to promoting healthy living and active ageing. b. From hospital to home – to shift the gravity of care from hospitals to home and the community, supporting the transitions in care and ageing in place. c. To shift the focus to value-driven care – delivering appropriate and cost effective care. 2.1.1 Tackling type 2 diabetes. In addition, diabetes is a serious health concern in Singapore, with over 400,000 Singaporeans living with the disease. One in three Singaporeans has a lifetime risk of getting diabetes and the number of those with diabetes is projected to reach one million by 2050. In 2016, MOH declared ‘War on Diabetes’ to rally a whole-of-nation effort to reduce the burden of diabetes in our population. Key strategies had been scoped out, to shift the population towards a healthier and more active lifestyle, improve early detection and intervention, and enhance diabetes care. 2.2 Key characteristics of Singapore’s healthcare ecosystem. There is a high level of public sponsorship to support effective collaborations with industry partners for health innovation (see www.moh.gov.sg for more information about Singapore’s healthcare ecosystem). We are able to convene and coordinate the necessary ecosystem players to support innovation efforts at scale: 2.2.1 Singapore’s Healthcare Ecosystem. Within Singapore, MOH sets national directions, policies and regulations, which are operationalised through the public healthcare clusters and statutory boards it oversees. MOH is also responsible for our healthcare financing system and national healthcare insurance scheme. 2.2.2 Public Healthcare Players. a. Our public healthcare clusters directly operate about 80% in acute care and 20% in primary care. b. In addition, Statutory Boards and agencies under the Ministry of health contributes to other health needs and areas serving the public including: i. Health Sciences Authority – safeguards public health and safety as the national regulator for health products by applying medical, pharmaceutical and scientific expertise, securing national blood supply and is the national expertise in forensic medicine, forensic Page 2 of 17 science and analytical chemistry testing capabilities. ii. Health Promotion Board – empowers the Singapore public with knowledge and skills to take ownership of their health and live a healthy lifestyle, guided by evidence-based health knowledge to formulate and implement health policies and programmes that will improve the nation’s health. iii. Agency for Integrated Care – coordinates and supports efforts in integrating care needs by connecting people to services they need, work with health and social care partners to increase services for the ageing population, to achieve the best care outcomes for citizens. 2.2.3 Private Sector and Welfare Organisations Partners. a. MOH also commissions primary care services from private General Practitioners (GP) clinics through the Community Health Assist Scheme (CHAS) programme, providing subsidies for medical and dental care to Singaporeans. There are some 1,650 CHAS clinics in Singapore, with the clinics within 1 km or 15 minutes by public transport of patients. b. MOH provides funding and subsidies in support of the Intermediate and Long-Term Care (ILTC) sector as well. This covers home-based services, centre-based services as well as residential ILTC services provided by community hospitals, nursing homes and hospices for palliative care. 2.2.4 Public Activation. HPB’s health promotion efforts in physical activity, healthy diet and health screening routinely reaches out to the Singapore population at large, making healthy living accessible for everyone, in collaboration with our private sector programming partners; 2.2.5 Availability and accessibility of health and other related lifestyle data based on explicit citizens’ consent. a. Available data is collected via agencies and partners, including i health data with summary patient information across different healthcare providers; ii physical activity data, including steps data through HPB’s National Step Challenge programme, which attracted over 1 million sign-ups across three seasons, as well as other public programming on fitness; iii consumer data in food for the largest grocery retailers and foodcourt chains, as part of HPB’s national Eat-Drink-Shop-Healthy programme iv sports participation data, such as national sports facilities booking data through SportSG, v administrative demographic and social data etc.; b. A robust multilateral data governance framework will be implemented in this collaboration. The Singapore Government will serve as a trusted and effective data broker between the population and organisations so that personal data can be used, with citizen consent, to innovate and provide more personalised and better services. The Government will negotiate and administer data sharing partnerships with source organisations while ensuring that strict safeguards are in place to protect citizen’s privacy and hold user organisations accountable for proper use of the data in a way that benefits citizens. Joining such a trusted network provides safer data transactions between citizens and service providers, and also protects Page 3 of 17 the interests of organisations which would otherwise incur significant effort and costs to manage data sharing through
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