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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
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